Association for Contextual Behavioral Science
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Training

The ultimate purpose of ACT and RFT is the creation of a progressive psychology more adequate to the challenge of human suffering. We are attempting to do this by fostering an open and responsible scientific culture that is non-hierarchical, self-critical, and that makes it easy for everyone to play a role.

In furtherance of these values the ACT Community has decided not to formally certify therapists, trusting an open process of development to weed out problems. We have felt the need to help others find ACT trainers, however, so that the early developers do not become de facto gate keepers, which could place a hierarchical and closed process at the heart of ACT development.  Click here for a list of ACT trainers [1]. 

You should also check the calendar [2] frequently for additional ACT training workshops, conferences, institutes, and other events. 

Academic Training & Research Labs

The ACBS community has provided detailed information on their research labs in the child pages at the very bottom of this page -- some of which are not located within academic training programs per se. Each of these labs conduct research relevant to, or informed by, functional contextualism, RFT and/or ACT. Labs in medical schools or hospital settings (for example) may be opportunities for you to gain experience as a research assistant (often after finishing your bachelor's degree), post-doctoral fellow, or other colleague.

The labs and academic programs listed below have been coded (Focus of program/lab; Degree (if any); Country). More details on the coding system are below:

  1. Focus of Program/Lab

    • ACT
    • RFT
    • MF = Mindfulness/acceptance-based work (e.g., third wave behavioral but not necessarily ACT per se)
    • ACT processes (experimental but not clinical training)
    • Applied RFT (e.g., behavioral intervention work)
    • Behavioral = behavioral or clinical behavior analysis perspective
    • FC = Functional Contextual (applying psychology from a contextualistic perspective)
  2. Level of Training/Degree offered (if any)

    • Masters level:
      • MA = Master of Arts
      • MSc = Masters with a research focus (Europe)
      • MS = Master of Science (US)
      • MFT = Master of Arts with a Marriage and Family Therapy specialty (US)
    • Doctoral:
      • PhD/DPhil = Doctor of Philosophy (research and/or clinical training depending on program and country)
      • PsyD = Doctor of Psychology (clinical training, some research - US)
    • Non-Degree is stated as such (e.g., work opportunity). Post-Doctoral is stated as such.
  3. Country in which the program/lab is located

ACBS Members: If you would like to add your research lab to this list, click on the "add child page" link at the bottom of this page.

Akershus University Hospital, Department of Psychiatry, Psychiatry Center Jessheim - Stanislaw Malicki (ACT/MF; Non-degree/License; Norway)

Our research team works on the adaptation and implementation of cutting-edge clinical science into natural clinical environment.
Our program focuses on outcome studies, mediators and moderators of change, the development of new treatment methods and conceptual models, organization of treatment and evidence-based supervision.

A position in our team, with its guaranteed clinical supervision, fulfills requirements for obtaining a permanent license as clinical psychologist in Norway (autorisasjon som psykolog) and partially fulfills requirements for obtaining a license as specialist in clinical psychology (psykologspesialist).

Alliant International University / California School of Professional Psychology - Jill Stoddard (ACT; PhD/DPhil/PsyD; USA)

Clinical training in Dr. Stoddard's lab focuses on ACT and mindfulness/acceptance-based work. Topics of research in Dr. Stoddard's lab include emotion regulation (e.g., differences between mindful acceptance, suppression, and cognitive reappraisal), ACT, compassion/self-compassion, CBT, and anxiety/PTSD.

More information about Dr. Stoddard's lab and her contact information can be found at http://www.alliant.edu/cspp/programs-degrees/clinical-psychology/psyd-sandiego.php [3]

Bowling Green State University: Mindful Behavior Therapy and Psychophysiology Lab - William O'Brien (ACT/RFT/MF/FC; PhD; USA)

The fundamental mission of the Mindful Behavior Therapy and Psychophysiology (MAPLab) is to develop knowledge and methods that can be used to alleviate preventable/unnecessary human suffering and enhance well-being. We strive to advance this overarching goal by: (a) engaging in basic research designed to better understand the nature of biobehavioral disorders; (b) engaging in applied research focused on the development and evaluation of innovative clinical procedures; (c) sharing our learning through teaching, supervision, and scholarly writing; and (d) providing direct clinical services to persons in hospital settings, nursing homes, community medical settings, and outpatient mental health settings using a scientist-practitioner model of service delivery.

The MAPLab is a component of the Behavioral Medicine Concentration area in the APA-Approved Clinical Psychology Training Program at Bowling Green State University.  William H. O'Brien, Ph.D., ABPP is the director of the lab and typically 6-10 doctoral students are engaged in MAPLab research and practice at any one time. Undergraduate students assist with research projects as well. Current MAPLab projects include:

1. A RCT evaluating the effectiveness of ACT for nursing aides who experience injury, assault, and abuse

2. Acceptance, mindulness and heart rate variability during exposure to acute stress

3. Acceptance and medical outcomes among Latinos with HIV/AIDS

4. A RCT evaluating the effectivness of ACT for Latinos with HIV/AIDs

5. Acceptance and immunological functioning among medical patients in a long term acute care hospital;

6. A single subject investigation of ACT for nursing home residents

7. An evaluatoin of Functional Analytic Psychotherapy for nurshing home residents

8. A meta-analysis of the effectivness of mindfulness-based interventions for persons with Type II diabetes

9. A evaluation of therapy process-outcome relationships in a group-based ACT intervention for work stress

Please see our webpage for additional information and updates on research findings:

https://www.bgsu.edu/arts-and-sciences/psychology/graduate-program/clinical/health-psychology/map-lab.html

Brigham and Women's Hospital, Harvard Medical School - Megan Oser (MF, ACT, Behavioral; USA) Non-degree

CLiCS (Cultura, Linguagem e Comportamento Simbólico) - Research Group on Culture, Language and Symbolic Behavior (CLICS). Julio de Rose, William Perez, João de Almeida, & Roberta Kovac (RFT; MS, Ph.D; Brazil)

Institutions affiliated:
Federal University of São Carlos (UFSCar, São Carlos, Brazil)
Paradigma - Center of Behavioral Sciences (São Paulo, Brazil).

Research leaders
Julio C. de Rose (UFSCar / Coordinator)
William F. Perez (Paradigma - Coordinator)
João Henrique de Almeida (UFSCar)
Roberta Kovac (Paradigma)

Contact: will.f.perez@gmail.com
Website: http://www.clicsgrupodepesquisa.org/ 

Catholic University of America (Washington, DC) - Carol Glass and Diane Arnkoff (MF; MA, Ph.D; USA)

http://publicaffairs.cua.edu/res/images/publicationsoffice/wordmarks/gif/cuastacked-4c.gif

Anxiety, Mindfulness, and Psychotherapy Integration (AMPIR) Lab – Carol Glass and Diane Arnkoff (MF; MA, Ph.D; USA)

The AMPIR lab conducts research broadly focused on mindfulness interventions, including methods and constructs used in ACT. Recent research has included outcome studies of optimal ways to teach mindfulness in mindfulness interventions for stress in university students; mindfulness and cognitive factors in anxiety; neuroticism and psychological inflexibility; the role of self-compassion, mindfulness, and psychological inflexibility as predictors of psychological health; meta-analysis of mindfulness vs. CBT for changing positive and negative affect; development of a measure of mindful thoughts; and mindfulness-based treatments for trauma. Additionally, we are interested in how mindfulness can be integrated into a range of theoretical orientations, and have developed and evaluated a mindfulness-based intervention for athletes. Our Ph.D. program in clinical psychology can include supervision in CBT and mindfulness-based interventions as part of the second-year practicum.

For more information visit the lab webpage:
https://sites.google.com/site/cuaampir/ [4]
 

Center for Comprehensive Services Carbondale, Illinois - John Guercio (Applied RFT; non-degree; USA)

Research Focus:

The use of RFT technology to impact sexually deviant behavior in adults with acquired brain injury (ABI).

Using relational operants as part of a treatment package to address substance abuse issues in ABI.

Analysis of racial bias in the ABI population and interventions that employ RFT treatment protocols.

Check us out here [5].

Chapman University (Orange, CA) - Georg H. Eifert (ACT; MA(MFT); USA)

We have developed ACT treatment protocols for anorexia, anger, and anxiety disorders. The two books on anger and anorexia were written for lay people, whereas the anxiety book is a therapist guide.

We are currently investigating the effectiveness of our new unified treatment protocol -- ACT for Anxiety Disorders [6] -- compared to standard CBT for persons suffering from anxiety disorders. The study itself is conducted in the Anxiety Disorders Behavioral Research Lab at UCLA (directed by Michelle Craske) in collaboration with John Forsyth (SUNY Albany). Our ACT for Anxiety Disorders [6] website provides more detailed information on our approach and downloadable therapist resources.

For more information and a list of recent publications, please visit Georg Eifert's faculty home page [7].

For more information on our ACT books on anorexia, anger, and anxiety disorders click here [8]

Contextual Behavioral Science and Therapy Institute - Michel Reyes (Masters and Non Degree Training in ACT, FAP, DBT, BA; MPs; Mexico)

CONTEXTUAL BEHAVIORAL SCIENCE AND THERAPY INSTITUTE 

 

The Contextual Behavioral Science and Therapy Institute is a private institution aimed to the dissemination, training and research on contextual behavioral science in Mexico, its research staff collaborates with different public institution across Mexico and receives research assistants and clinical psychology students willing to colaborate in clinical research in exchange of clinical training. The lab receives research assistants who want's to collaborate with curent ongoing research projects or who desire to purpose protocols of their own.

This research group began in Jalisco Mental Health Institute in 2009 and continued in the National Institute of Psychiatry Ramón de la Fuente since 2013 under the direction of Michel A. Reyes Ortega, clinical professor of that institute and the National Autonomous University of Mexico. The research conducted has been focused in the extension of ACT and FAP brief protocols to several domains.

 

CONTACT

Mexico City: michel.reyes@terapiascontextuales.org

Gdl. Jalisco: anmed21@gmail.com

 

RESEARCH/ACADEMIC STAFF

Michel A. Reyes Ortega Ph.D. - *Clinical Proffesor in National Autonomus University of Mexico Faculty of Medicine (UNAM).

Nathalia Vargas Salinas Ph.D. - *Clinical Proffesor in National Autonomus University of Mexico Faculty of Medicine (UNAM).

Angélica Ramírez Cárdenas M.D. - *Jalisco Institute of Mental Health (SALME).

Claudia Ramírez Ávila M.Ps. - *National Autonomus University of Mexico Faculty of Medicine (UNAM).

Humberto Villa Cortes M.Ps. - *Centro Integral de Salud Mental Chimalhuacán.

José Ignacio Cruz Gaitán M.Ps. - *Guadalajara Autonomous Unviersity (UDG).

Milagros Ascencio Guirado M.Ps. - *Private Practice.

Carina Coria Libenson M.Ps. - *Private Practice.

 

 

Drexel University: Acceptance Based Behavior Therapy Program - Evan Forman & James Herbert (ACT; PhD; USA)

Acceptance-Based Behavior Therapy Program

Led by Evan Forman & James Herbert
Drexel University, Philadelphia, PA

Our research team has a number of overlapping research interests that span psychotherapy processes and outcome, acceptance-based behavioral strategies for emotional and behavioral health problems, the nature and treatment of various anxiety disorders, and science versus pseudoscience.

The research team was recently awarded a NIH grant for the Mind Your Health project; this randomized controlled trial compares acceptance-based behavioral treatment versus standard behavioral treatment for obesity.

We are also conducting a RCT to compare the effectiveness of two forms of cognitive behavioral therapy (CBT) for social anxiety disorder: cognitive therapy (also known as traditional CBT), and a newer model of CBT known as acceptance and commitment therapy (ACT).

Visit the Forman Herbert Lab Group [9] for more information.

Duke University Medical Center - Rhonda Merwin (ACT/ACT processes/Behavioral/FC; PhD/non-degree; USA)

ACTatDuke is a program of research, clinical services, and professional training led by Dr. Rhonda Merwin. Opportunities to participate in ACT-based research and clinical training are available to Duke students, psychiatry residents and clinical psychology interns at Duke medical center. Individuals from other universities (or post bach students) interested in clinical research experience in preparation for graduate school may also participate as paid research assistants or volunteers. ACT training includes: ACT didactic, ACT individual and group supervision, and the option for specialized training in ACT with eating disorders (includes an eating disorder seminar and case conference). Current ACTatDuke projects include more basic research on interoception among individuals with anorexia nervosa and psychophysiological antecedents to eating disorder symptomatology among individuals with type 1 diabetes (project funded by the National Institute of Diabetes, and Digestive and Kidney Diseases). Applied studies focus on ACT-based interventions for these populations.

For more information visit: www.ACTatDuke.org

or contact Rhonda Merwin [10].

Eastern Michigan University-Tamara Loverich (ACT/FC/MF/Behavioral; MS, PhD, USA)

Dr. Loverich completed her PhD in clinical psychology with an emphasis in forensic psychology in 2002. She worked as an assistant professor of clinical psychology at Central Michigan University from 2001-2006 when she moved to Eastern Michigan University.

Dr. Loverich is very engaged in undergraduate and graduate education, research, clinical supervision and practice.

Her research interests include emotion regulation and experiential avoidance broadly speaking, overeating and other excessive behaviors as emotion regulation strategies, and modern behavior therapies that address emotion dysregulation including Acceptance and Commitment Therapy and the Mindfulness-based therapies. An interest in multiculturalism pervades all of these areas of study, and all are studied utilizing modern behavioral theories and methods.

She has published articles, chapters, and a workbook in the areas of behavioral assessment and treatment, sexual deviance, treatment for sexual self-control problems and multicultural considerations in clinical practice. Her research has shifted emphases from emotion and sexual self-control to emotion regulation and obesity. Articles in this area are currently under review. She is no longer doing research in human sexuality.

Dr. Loverich teaches Behavioral Assessment, Psychological Perspectives on Prejudice and Discrimination, Assessment and Treatment of Diverse Clinical Populations, Atypical Sexuality, and Modern Behavior Therapies.

She supervises doctoral fellows in behavioral assessment and psychotherapy, is the coordinator of the Clinical Behavioral Master's program, and is the coordinator of all clinical psychology practica in the community.
 

Her email address is tpenix@emich.edu.

Florida Institute of Technology - Josh Pritchard (BA/RFT: MS, Ph.D.)

Florida Institute of Technology offers a Master of Science in Applied Behavior Analysis and Organizational Behavior Management as well as PhD in Behavior Analysis. 

Josh Pritchard's lab is currently conducting research in applied and basic investigations into computer delivered methods to build  comparative and deictic framing repertoires in various population (nuerotypical children and developmentally delayed adults).  

http://www.joshpritchard.com/site/content/lab [11]

Florida Institute of Technology - Victoria Follette (ACT; PhD; USA)

Victoria Follette's research laboratory focuses on third-wave approaches to research and treatment for trauma related difficulties, couple problems and domestic violence. Members of the laboratory conduct both basic and psychotherapy outcome research, examining acceptance and mindfulness processes and practice Acceptance and Commitment Therapy, Dialectical Behavior Therapy and Functional Analytic Psychotherapy. Victoria Follette's research laboratory focuses on third-wave approaches to research and treatment for trauma related difficulties, couple problems and domestic violence. Members of the laboratory conduct both basic and psychotherapy outcome research, examining acceptance and mindfulness processes and practice Acceptance and Commitment Therapy, Dialectical Behavior Therapy and Functional Analytic Psychotherapy. For more information please visit Victoria Follette's faculty page [12].

Fred Hutchinson Cancer Research Institute (ACT; post-doc; USA) - Jonathan Bricker

http://www.cancergoldstandard.org/sites/default/files/organisation/Fred%20Hutchinson.jpg

Dr. Bricker takes ongoing letters of interest and CVs for potential post doctoral students to be a part of his Tobacco & Health Behavior Science Research Group [13]. Selection is highly competitive.

Jonathan Bricker, PhD, is founder and leader of the Tobacco & Health Behavior Science Group. A licensed clinical psychologist, he is an Associate Member (equivalent to Associate Professor) in the Division of Public Health Sciences at the Fred Hutchinson Cancer Research Center. He is also an Associate Professor (Affiliate) in the Department of Psychology at the University of Washington. His expertise is in (1) developing and testing innovative interventions for health behavior change and in (2) understanding the long-term psychosocial predictors of health behaviour change. He has been applying this expertise to smoking cessation and plans to expand to other key health behaviors. He has served as principal investigator or co-investigator on a variety of NIH research projects. Among his current research grants, he has a five-year $3.2 million NIH grant for the new “Webquit” study of web-delivered Acceptance and Commitment Therapy for adult smoking cessation and he also has a $3.2 million NIH grant for the "PATH Study" comparing Acceptance & Commitment Therapy with traditional Cognitive Behavioral Therapy. He has published over 40 peer-reviewed research articles in major scientific journals. Currently, he serves as Senior Editor of the journal Addiction and Consulting Editor of Psychology of Addictive Behaviors - the highest impact substance abuse journals. Dr. Bricker received his PhD in Clinical Psychology from the University of Washington.

Email jbricker@fhcrc.org for more information.

George Fox University, Evergreen Clinical - Brian Goff (ACT; PsyD; USA)

Evergreen Clinical is a nonprofit outpatient clinic exclusively using ACT as it's therapeutic intervention. Clients are underinsured and underemployed individuals. The therapists are doctoral students from the PsyD program at George Fox University. Dr. Goff is an adjunct faculty at George Fox University and is interested in ACT, RFT, and contextual behaviorism.

More information can be found at www.evergreenclinical.org [14].

George Mason Univ: Lab for the Study of Social Anxiety, Character Strengths & Related Phenomena- Todd Kashdan (ACT; PhD; USA)

Click on the link below to learn more about the Laboratory for the Study of Social Anxiety, Character Strengths, and Related Phenomena directed by Dr. Todd B. Kashdan at George Mason University

http://mason.gmu.edu/~tkashdan/ [15]

Click on the following link to download articles or book chapters (email if you have any problems):

http://mason.gmu.edu/~tkashdan/publications.html [16]

Ghent University - Dermot & Yvonne Barnes-Holmes (RFT, ACT; MSc, PhD; IRE)

 

The Members Learning and Implicit Processes Lab in the Psychology Department at Ghent University is one of the most active and prolific RFT research labs in the world. The lab encompasses research activities relevant to many fields of psychology, including child language development, the development of perspective-taking, metaphor, rule-following, goal-setting, emotional responding, and human sexuality, as well as a variety of conceptual issues relating to contextualism, derived relational responding and Relational Frame Theory more generally.

  • Lab Website [17]

Goldsmiths College, University of London - Frank Bond (ACT/RFT; MSc; UK)

The work in this lab focuses on several ACT/RFT-related areas: 1. Testing the outcomes and mediators of change of ACT interventions in work organisations. 2. Examining the effects of psychological flexibility on health and productivity in the work place. 3. How to measure psychological flexibility. 4. The effects of psychological flexibility on learning and performance. 5. The effects of micro ACT interventions on analogue pain. 

Visit Frank Bond's website [18].

Text from Frank's website: "There are two overriding aims of my current research, which is in the area of Occupational Health Psychology. First, I am examining the organisational and psychological factors that determine work effectiveness (e.g., productivity, absenteeism) and employee health (e.g., mental/physical health). Second, I am developing and testing theory-driven interventions for improving these outcomes. These interventions are of two types. The first involves redesigning people's work, in order to create an organisation, or department, that allows people to use their knowledge, skills, and abilities most effectively and efficiently. This is accomplished by, for example, giving people more control over how they carry out tasks, changing communication patterns, or clarifying roles so that they are less ambiguous and conflicting. The second type of intervention attempts to train individuals to cope more effectively with the normal, everyday stressors that exist at work. In particular, my team is now developing and evaluating training programmes that are based on cognitive-behaviour therapies, including newer 'acceptance-based', or 'mindfulness', ones. We are currently implementing and testing all of our interventions in both public and private sector organisations."

Hofstra University (NY): Psychological Evaluation Research and Counseling Clinic: ACT Specialty Clinic (ACT; PhD; USA)

This specialty clinic/lab serves the Ph.D. program in Clinical Psychology at Hofstra University. Doctoral stuudents interested in learning acceptance-based approaches, particularly ACT and MBSR, do their practicum work here. It is common that students in the lab serve as therapists for dissertations of upper level graduate students. In the past, we have evaluated the efficacy of the acceptance-based approach for chronic pain, pain tolerance, anxiety, and driving anger. We have also been using acceptance-based approaches to help people with medical conditions, such a hypothyroidism, lead more fulfilling lives.

Contact the ACT Clinic at 516-463-6633 or e-mail at ACTclinic@hofstra.edu

Illinois Institute of Technology - Patty Bach (ACT/RFT; PhD; USA)

iit_logo.jpg [19]

Patty Bach's research laboratory [20] investigates Acceptance and commitment therapy; Relational Frame Theory (RFT) and the role of verbal behavior in psychopathology and problem behavior; disordered eating and stigma. Visit her academic website for updated information.

Institute of Psychology, Chinese Academy of Sciences---Zhuohong Zhu, Ph.D (ACT/RFT; Beijing, China)

Institute of Psychology, Chinese Academy of Sciences
Location: Beijing, China
Chief Psychologist: Zhuohong Zhu / Director: Jing Cao
Positions: 6 open positions for research assistants

Professor Zhuohong Zhu’s research  group at the Institute of Psychology, Chinese Academy of Science, focuses on the studies of “Psychological Flexibility”. In addition, the research group strives to promote the application of Acceptance and Commitment Therapy(ACT) along with Relational Frame Theory(RFT) to help children with Autism and their parents to better understand the syndrome and facilitate recovery training.

By the end of August, 2016, Professor Zhu’s research group has had 6 full-time master's students, 16 part-time master's students, and 2 Postdoctoral fellow. Right now, the group has 12 full-time master's students, and two Postdoctoral fellows. Sixteen academic articles about ACT have been published.
The Research Group is currently looking for six research assistants. They will be working on assisting research projects regarding how to apply ACT practically. For example, they will help assess the effectiveness of ACT on the psychological flexibility of elders, teachers, parents, cancer patients, and uremia patients; the influence of RFT on improving metaphorical competence for Autism and how RFT facilitates children’s linguistic capabilities and etc. Last but not least, the research assistants will be able to get involved with course development of ACT and RFT for people who are interested in becoming ACT therapists.

Welcome students who plan to apply for master’s degree to contact us.

Email:zhuzh@psych.ac.cn
 

Integral Center of Contextual Psychoterapy (Centro Integral de Psicoterapias Contextuales-CIPCO)-Dr. Fabián Olaz (ACT/FAP/RFT/DBT/MF/BA/IBCT/Applied RFT/Behavioral/FC (Doctoral and Non Degree Training)

CIPCO is a private center of psychoterapy aimed  to the dissemination, training and research on contextual behavioral science in Argentina. Our main goal is to give therapeutic assistance and training from a Contextual Behavioral point of view. From this center, we perform activities of private psychotherapeutic assistance, as well as research (in coordination with the Interpersonal Behavior Laboratory [21], University of Córdoba) and training. In CIPCO we work from a contextual approach to psychotherapy, based on a philosophy which prioritize the therapeutic alliance as the basis for an effective and efficient therapeutic work, adapting our interventions to the specific needs and demands of each client. 

We offer different training opportunities such as Interships, Supervision, Long term and Short term courses in Contextual Behavioral Psychoterapies and Peer consultation Groups. 

 

Focus of Program

ACT/FAP/RFT/DBT/MF/BA/IBCT/Applied RFT/Behavioral/FC

Level of Training/Degree offered (if any)

Non Degree

Doctoral (Doctor of Psychology )

Country in which the program/lab is located:

Argentina

 

CONTACT

Website: http://www.cipco.com.ar [22]

E-mail: consultacipco@gmail.com [23]

 

ACADEMIC STAFF

Dr. Fabián Olaz

Dr. Adrian Fantini

Lic. Guillermo Lionel Ponce Japaze 

Lic. Emilia Schultz

Lic. Yanina Alladio

Lic. Victor Hugo Fabriss

Lic. Manuela O Connell

Lic. Juan Pablo Coletti

Mgter. Victoria Martinez

CLINICAL STAFF

Dr. Fabián Olaz

Dr. Adrian Fantini

Lic. Gabriela Cabanillas

Lic. Guillermo Lionel Ponce Japaze

Lic. Cecilia Waeldesbull

Lic. Emilia Schultz

Lic. Yanina Alladio

Lic. Paula Viglietti

Lic. Anibal Jalil

Lic. José Nicolás Bernhardt

Lic. Lorena Petrón

Lic. Anesh Vasek

Mgter. Victoria Martinez

Lic. Araceli Tavera

CURRENT RESEARCH PROJECTS (In colaboration with LACI [21])

  1. Development of a RFT Based Graphic adventure to develop Perspective Taking and Empathy in children (2016-2017).
  2. Relationship Improvement Study. researching the processes that contribute to the improvement of social connection (2016-2017).
  3. Argentinian Adaptation of the AAQ – II
  4. Evaluation of the effectiveness of a Mindfulness Based program for preventing burnout in psychotherapists
  5. Constructing and explanatory model of social anxiety in college students
  6. Development and Evaluation of a Telepsychology software for the treatment of Social Phobia and Fear of Public Speaking in university students.

 

PUBLICATIONS

Journals

  1. Morán, V. E., Olaz, F. O., & Del Prette, Z. A. (2015). Social Skills Questionnaire for Argentinean College Students (SSQ-U) Development and Validation. The Spanish journal of psychology, 18, E95.
  2. Morán, V.E. & Olaz, F.O. (2014). Análisis Bibliométrico sobre Instrumentos de Evaluación de las Habilidades Sociales en América Latina. Revista de Psicología, 23 (1), 93-105.
  3. Olaz, F., Medrano, L.A. & Cabanillas, G.A. (2014). Effectiveness of Social Skills Training experiential method to strengthening social self efficacy of university students. International Journal of Psychology and Psychological Therapy, 14 (3), 377-396.
     

Book Chapters

  1. Olaz (in press). Obstáculos comuns na ACT (Terapia de Aceitação e Compromisso) e como enfrentá-los contextualmente. Em Practical Handbook off Acceptance and Commitment Therapy. Porto Alegre: Sinopsys.
  2. Olaz, F. O. (in press). O uso da Terapia de Aceitação e Compromisso no Tratamento dos Transtornos Alimentares. Em Da Rosa Finger (ed.), A Prática da Terapia Cognitivo Comportamental (TCC) dos Trastornos Alimentares. Porto Alegre: Sinopsys
  3. Olaz (in press). Desarrollo de un programa de entrenamiento en empatía para psicoterapeutas: Aportes del contextualismo funcional. Em Benevides Soares, De Sousa Pereira Guizzo, Fortes Wagner, Barbosa Romera Leme e Del Prette (2015), Habilidades Sociais: Diálogos e intercâmbios sobre pesquisa e prática. Porto Alegre: Sinopsys.
  4. Olaz (2015). “FACT: Integrando ACT e FAP. Em Lucena dos Santos P., Pinto-Gouveia, J. e Da Silva Oliveira, M. (2015) Terapias Cognitivo-Comportamentais de Terceira Geração (pp. 343-375). Porto Alegre: Sinopsys
  5. Olaz, F. O. & Schoendorff, B. (in press). Aplicações da Terapia de Aceitação e Compromisso em Clientes Diagnosticados com Transtorno Limite da Personalidade. Em Dornelles, V. G. (In Press).Transtorno da Personalidade Borderline: Da etiologia ao Tratamento. Brasil: Sinopsys Editora
  6. Schoendorff, B. & Olaz, F. O. in press). A Matrix como estratégia motivacional no tratamento de Clientes Diagnosticados com Transtorno Limite da Personalidade. Em Dornelles, V. G. (In Press)Transtorno da Personalidade Borderline: Da etiologia ao Tratamento. Brasil: Sinopsys Editora
  7. Olaz, F. O. (in press). Um programa de Intervenção baseada no modelo Matrix de Terapia de Aceitação e Compromisso para profissionais de saúde mental. Em Sheila Giardini Murta, S., Leandro França, C. & Brito dos Santos, K. Prevenção e Promoção em Saúde Mental: Fundamentos, Planejamento e Estratégias de Intervenção.
  8. Pérez, R., y Fabián O. Olaz (2012) Los tests Psicológicos en la Psicología Contemporánea. En Couto, G., Drummond Pires y Sancineto da Silva Nunes, C. (Orgs), Os Contornos Da Psicología Contemporânea. São Paulo: Casa do Psicologo
  9. Olaz, F. O., Cabanillas, G. A. y Medrano L. (2011) Programas vivenciais versus instrucionais de habilidades sociais: Impacto sobre a auto-eficácia social de universitários. En Almir Del Prette y Zilda A.P. Del Prette (Orgs.). Programas de habilidades sociais: Evidências (experimental e quase experimental) de efetividade. Río de Janeiro: Vozes. ISBN 978-85-8040-091-5
  10. Olaz (2009). Contribuições da Teoria Social-cognitiva de Bandura para o Treinamento de Habilidades Sociais. En Del Prette, A. & Del Prette, Z. A., Psicologia das Habilidades Sociais: Diversidade Teórica e suas Implicações. Rio de Janeiro: Vozes. ISBN 978-85-326-3874-8.

Books

  1. Polk, K. L., Schoendorff, B., Webster, M. & Olaz, F. O. (2015). he Essential Guide to the ACT Matrix: A Step-by-Step Approach to Using the ACT Matrix Model in Clinical Practice. EEUU: New Harbinger
  2. Olaz, F. O. & Morán V. E. (2014) Habilidades Sociales en la Formación y Ejercicio de la psicoterapia. Teoría e Investigación en Argentina. Saarbrücen (Alemania): Editorial Académica Española.
     

 

POSTGRADUATE TRAINING

Clinical Especialization in Contextual Behavioral Psychoterapies: Orientation in clinical behavioral therapy (with CEFI, Centro de estudos da Familia e o individuo, Brazil).

Contextual behavioral therapy related training, courses and workshops.

 

CLINICAL SERVICES

Adult Psychotherapy:

Individual, Couple and Family Therapy.

Specialized Treatment for BPD and PTSD.

Children and Adolescent Psychotherapy:

Individual and Family Therapy

Parent Training

Kean University (Hillside, NJ) - Jennifer Block Lerner, Frank Gardner, Andrew Wolanin (ACT, MF; PsyD; USA)

This is a combined program in school and clinical psychology. Please read more about the program at Kean University in New Jersey here [24], and the faculty's research interests here:  http://www.kean.edu/~psyd/research_interests.html [25].

Kore University in Enna: KUBE Lab - Nanni Presti (ACT, RFT, FC, Behavioral; PsyD/MSc; Italy)

The KUBE lab (Kore University Behavioral Lab) was founded in 2014 by Nanni Presti, after his arrival at Kore University. It connects students, researchers, and professionals in a nurturing community for people and ideas. The laboratory is located at the heart of Sicily, at Kore University in Enna.

The lab team includes undergrad and grad students investigating RFT based applications in special education, experiential avoidance tasks using the IRAP, and the effects of Acceptance and Commitment Therapy (ACT). The areas of application of ACT range from traditional clinical settings to workplaces and from chronic pain to sports. Lab members are also contributing to the validation of ACT related scales and other clinical tools. A special focus is dedicated to studying the integration of technology in clinical and education settings, collaborating with the School of Computer Science at Kore University of Enna, Behavioral Labs in Canatina, the Department of Engineering of the University of Modena and Reggio Emilia, and CERN.

Space in the lab is divided into four soundproof cubicles with computers and two rooms for children, adults, and groups.

Lab Facebook page:  www.facebook.com/korebehavioral?ftref=ts [26]

La Salle University (Philadelphia, PA) - LeeAnn Cardaciotto (MF, ACT processes; MA, MFT, PsyD; USA)

LeeAnn Cardaciotto's research team is comprised of Psy.D., Master's and undergraduate students interested in studying mindfulness, acceptance, defusion, and compassion (for self and others).  They have several ongoing projects related to the measurement these constructs using self-report and non-self-report measures; the differential roles of the two key components of mindfulness, awareness and acceptance, in a variety of outcomes and contexts; and examining mindfulness and self-compassion in the areas of social anxiety and disordered eating.  Visit her academic website [27]for updated information.

 

Louisiana Contextual Science Research Group, University of Louisiana at Lafayette - Emily Sandoz (ACT, RFT, BA); MS, USA)

[28]

There's something special about Lafayette.  I first entered the Psychology Department at UL Lafayette as a student 17 years ago. In August 2010, I returned as an Assistant Professor of Psychology. From the moment I stepped back onto campus, I could feel it, although it's hard to articulate. I think it's something to do with people being there by choice. People don't just reside in Lafayette, they Live here, with intention and commitment. 

Since landing back here in August 2010, I've picked up a handful of master's students, two handfuls of undergrads, some curious colleagues, a couple of cool folks from the Lafayette community, and periodic visitors from just about anywhere. On paper, we call ourselves the Louisiana Contextual Science Research Group.  In practice, we are just "the lab."

Broadly, my lab is a community of folks inspired by the idea of a world in which folks get to embrace their ongoing experiences and actively create lives that they care about AND dedicated to building a science of that. We build that science using specific theoretical perspectives grounded in behaviorism with an emphasis on Relational Frame Theory and the psychological flexibility model in Acceptance and Commitment Therapy. We apply these perspectives to any places where we see folks (even folks in the mirror) getting stuck and alienated from the things that matter to them. We do projects that we care about and I say "we" because a lab member's projects are the lab's projects. So far this has included us launching projects on behaviors as diverse as parenting, disordered eating, stigma, altrusim, body image, anxiety, bystander, and sexual behavior - approaching each through the lens of contextual behavioral science.

And we adopt CBS not only in how we approach our research, but also in how we approach our process.  We are a lively group with diverse interests, and we have no idea how to accomplish supporting each other in creating lives we care about right there in the lab. And we keep trying, building, tearing down, and reinventing.  My lab is still young - growing, and changing everyday and I honestly don't know exactly how it will look in a month or a year or ten years, but I am committed to making it a community in which its members have space to grow into the folks we want to be, a little at a time, everyday.

Some of you have been coming around and have heard me say stuff like this before, and have come to sort of like it. Others are probably wondering if I'm about to ask for  your first-born or offer you participation in the chicken ritual.  Let me say this - if this sounds like something you would work for, I'd love to be able to call my lab "ours."

Click the links below to access info about our current studies or to download my CV. Feel free to contact me or any of the labbies with any questions about the work we're doing or the format of our program.

Much love,

emily

 

Emily K. Sandoz, Ph.D.
Associate Editor, Journal of Contextual Behavioral Science
Emma Louise LeBlanc Burguieres/BORSF Endowed Professor of Social Sciences
University of Louisiana at Lafayette
emilysandoz@louisiana.edu
337.482.1479
337.371.5440

"Trudy, the play was soup... the audience - art."
 

 

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Current Studies

Current Studies

Derived Relational Responding, Values Functions, and Body Image Disturbance – This study series is examining the relationship between derived relational responding and values functions as they manifest in body image related responses. The ultimate goal of this series of studies is to develop a behavioral measure of body image related psychological inflexibility (termed the Body Image Flexibility Assessment Procedure). There are two current iterations of this series. The first is looking at correlations between the BIFAP and ecological momentary assessment. The second study is looking at correlations between the BIFAP and scores on the implicit relational assessment procedure.

Study Leaders
Nolan Williams (nrwilliams42@gmail.com [29])
Jessica Auzenne (jxa0806@louisiana.edu [30])
Grayson Butcher (greysun7@gmail.com [31])
Gina Boullion (ginaqboullion@gmail.com [32])
Heather Chiasson (hope.inspire.love@gmail.com [33])

Incorporating Psychological Flexibility in Sports –This study will examine the effectiveness of an intervention utilizing an acceptance and self-compassion approach to sports psychology.

Study Leaders
Ryan Albarado (ryan.albarado@gmail.com [34])
Alyson Giesemann (alg4961@louisiana.edu [35])

Disruption of Transformation of Functions using Polarity Framing –This study will utilize a computer program to examine whether asking individuals to think about stimuli using polarity framing disrupts typical transformation of stimulus functions.

Study Leaders
Grayson Butcher (greysun7@gmail.com [31])
Alyson Giesemann (alg4961@louisiana.edu [35])

An Evaluation of Group Reminiscence Therapy –This study looks at the effects of reminiscence therapy on the geriatric community.

Study Leaders
Rebecca Copell (rebeccacopell@gmail.com [36])
Emily Allen (emilytherese9@gmail.com [37])

Dominance of Values Functions – This study will explore the impact of values functions on the restriction of variability of behavior under a basic experimental paradigm.

Study Leaders
Nolan Williams (nrwilliams42@gmail.com [29])
Gina Boullion (ginaqboullion@gmail.com [32])

Deictic Relational Responding in a Deaf Population – This study will examine differences in training, function transfer, and fluency in deictic relational responding in deaf individuals.

Study Leaders
Rebecca Copell (rebeccacopell@gmail.com [36])

Stigma in Context: Psychological Distress and Coping Styles in Gender and Sexual Minorities – This correlational study will investigate the role of enacted stigma in psychological distress and coping styles among gender and sexual minorities.

Study Leaders
Lauren Griffin (leg7609@louisiana.edu [38])

Alyson Giesemann (alg4961@louisiana.edu)

Current Theses

The Effects of Derived Self-Judgments of Causal Efficacy upon the Behaviors of Inattention and Impulsivity – The current study will examine the effect that self-judgements of casual efficacy in an experimental task may have upon the covert behaviors of inattention and overt behaviors of impulsivity.

Benjamin Ramos (benmramos@gmail.com [39])

Transfer of Extinction Functions through Relational Networks – This study is interested in experimentally examining how fear is developed, how it transfers to new stimuli (including ones with which we have no direct learning history), and how we can put this fear on extinction.

Nolan Williams (nrwilliams42@gmail.com [29])

The Role of Derived Relational Responding in Organizational Commitment and Values Convergence – This experiment will look at factors that affect the working individual within an organization—including the role of organizational commitment, employee risk of burnout, and personally held values—on employee well-being and quality of work.

Madison Gamble (magamble0913@gmail.com [40])

Values Affirmation and Sexual Risk Prevention in MSM - This project is an intervention study using values affirmation along with a sexual risk intervention to decrease sexual risk-taking and sexual discounting in MSM.

Jessica Auzenne (jxa0806@louisiana.edu [30])

An Examination of Meditation and Progressive Relaxation’s Effects on Symptoms of Substance Use Disorder – This meditation intervention study is examining the ways in which mindfulness practices may alleviate general psychological distress and dysfunction, as well as substance use behaviors, with individuals at a drug treatment facility. (supervised by Dr. Rick Perkins)

Debesh Mallik (debeshmallik@ymail.com [41])
 

Lab Presentations

ACBS2015

Albarado, R., Butcher, G., Burns, L., Ramos, B., Griffin, L., & Sandoz, E. (July, 2015). Love Thy
Body: The Effectiveness of Flexibility-Based Bibliotherapy for Body Image. Presentation at the Association for Contextual Behavioral Science, Berlin, Germany.

Burns., L., Gamble, M., Griffin., & Sandoz, E. K. (July, 2015). Beyond sexuality: psychological inflexibility, LGBTQ stigma, and responsiveness to education-based stigma interventions. Presentation at the Association for Contextual Behavioral Science, Berlin, Germany.

Butcher, G. & Sandoz, E. (July, 2015). Flow in Context: Approaching Positive Psychology's Op
timal Experiences. Poster Presentation at the Association for Contextual Behavioral Science, Berlin, Germany.

Butcher, G., Ramos, B., Gamble, M., Williams, N., Giesemann, A., Judice, R., & Sandoz, E.
(July, 2015). Just Breathe: The impact of a Mindfulness Intervention on GRE Preparation Behaviors and GRE Related Anxiety. Presentation at the Association for Contextual Behavioral Science, Berlin, Germany.

Butcher, G. (July, 2015). Symposium Chair. Valued Living: Assessment and Interventions.
Symposium presented at the Association for Contextual Behavioral Science, Berlin, Germany.

Butcher, G. (July, 2015). Symposium Chair. Applying Functional Contextualism to Issues of
Gender, Sexuality, and Identity. Symposium presented at the Association for Contextual Behavioral Science, Berlin, Germany.

Butcher, G. (July, 2015). Symposium Chair. Thinking Outside the Box: ACT Interventions with
Non-Clinical Populations. Symposium presentation at the Association for Contextual Behavioral Science, Berlin, Germany.

Cantu, G., Gamble, M., Albarado, R., Giesemann, A., Ramos, B., & Sandoz, E. (2015, July).
Bridging the Gap: The Effects of Gender Identity on Physical Activity. Presentation at the Association for Contextual Behavioral Science World Conference, Berlin Germany.

Mallik, D. (2015, July). Poster Presentation. Should Eastern Meditation be used in drug
treatment facilities? An Examination of Psychological and Spiritual Symptoms of Substance Use Disorder. Poster Presentation at Association for Contextual Behavioral Science World Conference, Berlin Germany.

Protti, T., Allen, E., LeBleu, E., Albarado, R., Frederick, B., Horton, J., Kiefner, A., & Sandoz,
E. (2015, July). Poster Presentation. Use Your Words: An Examination of Student Writing in Response to Experiential Learning Exercises Targeting Psychological Flexibility. Poster Presentation at Association for Contextual Behavioral Science World Conference, Berlin Germany.

Rachal, O., LeBleu, E., & Sandoz, E. (2015, July). Bullet Proof Vest: Can Values Writing Be a
Protective Intervention Against the Impact of Social Stress on Eating Behavior. Presentation at the Association for Contextual Behavioral Science World Conference, Berlin Germany.

Rachal, O., Auzenne, J., Butcher, G., & Sandoz, E. (2015, July). Poster Presentation. The
Prosociality of Compassion: Relating to Self and Other. Poster Presentation at Association for Contextual Behavioral Science World Conference, Berlin Germany.

Ramos, B. (2015, July). Poster Presentation. My Body and You: The Impact of Body Image on
Interpersonal Relationships. Poster Presentation at Association for Contextual Behavioral Science World Conference, Berlin Germany.

Williams, N. & Sandoz, E. (2015, July). Transfer of Extinction of Fear Elicitation and
Avoidance Through Relational Networks. Presentation at Association for Contextual Behavioral Science World Conference, Berlin Germany.

ABAI 2015

Albarado, R., LeBleu, E., Williams, N., Giesemann, A., & Sandoz, E. (2015, May). Moving
Away Versus Moving Toward: The Differential Impact of Experiential Avoidance and Values Instructions on Physical Exercise. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Albarado, R. (2015, May). Symposium Chair. What the Flex: Exploring Behavioral
Conceptualizations of Psychological Flexibility and Implications for Assessment. Symposium presented at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Allen, E., LeBleu, E., Albarado, R., Frederick, B., Horton, J., Kiefner, A., Griffin, L., & Sandoz,
E. (2015, May). Use Your Words: An Examination of Student Writing in Response to Experiential Learning Exercises Targeting Psychological Flexibility. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Butcher, G. & Sandoz, E. (2015, May). Bringing Back the Basics: Relating Basic Behavioral
Processes to the Psychological Flexibility Model. Presentation at the Association for Behavior Analysis International Annual Convention, San Antonio, TX.

Burns, L., Griffin, L., & Sandoz, E. (2015, May). Seeing Past Sexuality: Psychological
Inflexibility, LGBTQ Stigma, and Responsiveness to Education-Based Stigma Interventions. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Cantu, G. (2015, May). Symposium Chair. Leaving the Safety of Our Closets: Examining the
Impacts of Stigma and Discrimination in LGBTQ and Gender Non-Conforming Populations. Symposium presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Copell, R., Butcher, G., & Sandoz, E. (2015, May). Seeing and Being Present: Discriminating
Present Moment Awareness in the Self and Other. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Gamble, M. (2015, May) Symposium Chair. Embracing and engaging college life: brief acceptance in values- based interventions with college students. Symposium presented at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Gamble, M., Auzenne, J., & Sandoz., E. K. (2015, May). She, he, they and their bodies: gender-related discrimination, body image, flexibility, and physical activity across the continuum of gender expression. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Judice, R., Ramos, B., Williams, N., Gamble, M., Squyres, E., & Sandoz, E. (2015, May). Turning a Mountain into a Molehill: Acceptance and Commitment Training to Increase GRE Preparation Behavior. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Rachal, O., Mullen, A., Sandoz, E., & Landry, L. (2015, May). Eyes Wide Shut: The Impact of Flexibility Counseling with College Probation Students. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Ramos, B. (2015, May). Symposium Chair. Words, Bodies, Drinks, and Drugs: New Applications of Third Wave Behavior Therapies. Symposium presented at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Ramos, B., Butcher, G., Burns, L., Griffin, L., & Sandoz, E. (2015, May). Living With Your
Body: An Examination of Flexibility-Based Bibliotherapy for Body Image. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX

Ramos, B., LeBleu, E., Sandoz, E., Allen, E., Tetnowski, J., De Nardo, T., & Azios, M. (2015,
May). ACT-ing Fluently: The Impacts of Acceptance and Commitment Therapy on the Subjective Quality of Life of a Person Who Stutters. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Lebleu, E. L., & Sandoz, E. K. (2015, May). Bullet Proof Vest? Protecting Against the Impact of Social Ostracism Using Values Writing. Presentation at the Association for Behavior Analysis International Annual Convention, San Antonio, TX.

Lebleu, E. L., Allen, E., Sandoz, E. K., Tetnowski, J., De Nardo, T., & Azios, M. (2015, May). ACT-ing Fluently: The impacts of acceptance and commitment therapy on the subjective quality of life of a person who stutters. Presentation at the Association for Behavior Analysis International Annual Convention, San Antonio, TX.

Mallik, D., Perkins, D., & Sandoz, E. (2015, May). Eastern Meditation in Drug Treatment Facilities. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

Williams, N., Boullion, G., Auzenne, J., Hebert, E., Greene, S., Bordieri, M., & Sandoz, E. (2015, May). Modeling Body Image Flexibility Using the Concepts of Transfer of Function and Competing Sources of Control. Presentation at the Association for Behavior Analysis International Annual Conference, San Antonio, TX.

SE ACBS 2015

Auzenne, J., & Sandoz, E. K. (2015, March). Self-Kindness is Key: Relationships among Self-Compassion, Psychological Flexibility, Empathic Concern, Valuing, and Altruism. Presentation at the Southeastern Chapter Association for Contextual Behavioral Science Annual Convention, Lafayette, LA.

Boullion, G., & Sandoz, E. K. (2015, March). Making progress through the obstacles: Predicting valuing from momentary experiences of anxiety and experiential avoidance. Presentation at the Southeastern Chapter Association for Contextual Behavioral Science First Annual Convention, Lafayette, LA.

Butcher, G.*, Wilson, K., Kellum, K., Tarbox, J., Szabo, T. (March, 2015). Panel Chair. The
Functions of our Philosophy of Science. Panel presentation at the Association of Contextual Behavioral Science Southeast Chapter Conference, Lafayette, LA.

Gamble, M. (March 2015). Symposium Chair. Cognitive science and contextual behavioral science. Symposium presented at the Association for Contextual Behavioral Science Southeast Chapter Conference, Lafayette, LA.

Copell, R., Auzenne, J. & Sandoz, E. K. (March, 2015). Predicting Condom Use Behaviors from
Implicit and Explicit Attitudes and Psychological Flexibility. Presentation at the Southeastern Association for Contextual Behavioral Science Annual Convention, Lafayette, LA.

Griffin, L., Gamble, M., Horton, J., Burns, L. & Sandoz, E.K. (March 2015). Seeing Past Sexuality: Psychological Flexibility and LGBTQ Stigma. Presentation at the
Southeastern Association for Contextual Behavioral Science Annual Convention, Lafayette, LA.

Williams, N., Boullion, G., Auzenne, J., Hebert, E., Bordieri, M., & Sandoz, E.K. (March 2015). Modeling Body Image Flexibility Using the Concepts of Transfer of Function and Competing Sources of Control. Presentation at the Southeastern Chapter Association for Contextual Behavioral Science Annual Convention, Lafayette, LA.

LaBAA 2014

Butcher, G. & Sandoz, E. (November, 2014). Implications of the Psychological Flexibility Model for Behavioral Interventions. Presentation at the Louisiana Behavior Analysis Association conference, Baton Rouge, LA.

Gamble, M. (November, 2014). Symposium Chair. Presentation at the Louisiana Behavior Analysis Association conference, Baton Rouge, LA.

ACBS 2014

Albarado, R., Caldas, S., Mullen, A., Mollere, N., & Sandoz, E. K. (2014, June). Sharing more than presents: The identification of present moment behaviors and the impact of shared presence on communication. Presentation at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.

Allen, E., Mullen, A., & Sandoz, E. K. (2014, June). You can’t fly without wings: The relationship between present moment and valued living. Presentation at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.

Auzenne, J., Boullion, G. Q., Hebert, E., Greene, S., Bordieri, M., & Sandoz, E. K. (2014,June). Seeing is Believing: Toward a Behavioral Measure of Psychological Flexibility. Presentation at the Association for Contextual Behavioral Science World Conference XII, Minneapolis, MN.

Auzenne, J., Hebert, E., & Sandoz, E. K. (2014, June). Making a Significant Difference: Creating a Context for the Development of Student Researchers in Psychology. Presentation at the Association for Contextual Behavioral Science World Conference XII, Minneapolis, MN.

Auzenne, J., & Sandoz, E. K. (2014, June). Blurring Line Everywhere: Music as a Context for Defusion from Heard Messages. Presentation at the Association for Contextual Behavioral Science World Conference XII, Minneapolis, MN.

Auzenne, J. (2014, June). Panel Chair. Sharing Space: RFT and ACT in Couple’s Work. Panel discussion conducted at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.

Boullion, G. (2014, June). Panel Chair. Anxiety and valuing: Using contextual behavioral science to understand, assess, and increase valued living in individuals with anxiety. Panel discussion conducted at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.

Caldas, S.V., Villatte M., Sandoz, E. K., Perkins R., Caldas, S. J. (June 2014). Psychological flexibility and the generational trend toward worse health in U.S. Hispanics, Presentation at the Association for Contextual Behavioral Science World Conference XII, Minneapolis, MN.
Eastin, S., Jensen, A., Sandoz, E. K., & Brown, A. (2014, June). A new perspective: Psychological flexibility attitudes about sexual violence, and bystander behaviors. Presentation at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.
Isaac, T., Anderson, R., Gamble, M., Jeanis, M., & Sandoz, E. K. (2014, June). Straying from the straight and narrow: Psychological inflexibility and recidivism among criminal offenders. Presentation at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.
LeBleu, E. L., Protti, T., & Sandoz, E. K. (June 2014). Growing Therapists 101: Psychological Flexibility and Relationship Skills in the Developing Clinician, Presentation at the Association for Contextual Behavioral Science World Conference XII, Minneapolis, MN.
Mullen, A. & Sandoz, E. K. (June 2014). Letting Go of Putting Off: Flexibility-Based Intervention for Procrastination, Presentation at the Association for Contextual Behavioral Science World Conference XII, Minneapolis, MN.
Rachal, O., Boullion, G. Q., Jeanis, M., & Sandoz, E. K. (2014, June). Find Mickey: The impact of community tragedy on valued and avoidant behaviors. Presentation at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.
Rachal, O., Sandoz, E. K., & Horton, J. (June, 2014). The practice of presence: Mindfulness meanings, methods and models. Presentation at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.
Squyres, E., & Sandoz, E.K. (June, 2014). Panel Chair. Worth it’s Weight in Gold: How Psychological Flexibility Could Change the Lives of the Obese. Panel discussion conducted at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.

Squyres, E., & Sandoz, E.K. (June, 2014). Sticks & Stones: The Social Context for Learning Self- Stigmatization Amongst the Obese. Presentation at the Association for Contextual Behavioral Science Annual Convention, Minneapolis, MN.

LPA 2014

Griffin, L., Anderson, R., Gamble, M., Jeanis, M., & Sandoz, E.K., (2014, June). Back to Life: Psychological Inflexibility and Recidivism among Criminal Offenders. Presentation at the annual convention of the Louisiana Psychological Association, Metairie, LA.

Lebleu, E., Boullion, G., Greene, S., Cordova, S., & Sandoz, E. K., (2014, June). DO NOT DISTURB: Body Image Flexibility and Body Image Disturbance. Presentation at the annual convention of the Louisiana Psychological Association, Metairie, LA.

ABAI 2014

Allen, E., Caldas, S., Mollere, N., & Sandoz, E. K. (2014, May). Picking up on Presence: Identifying Present Moment Behaviors. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.

Albarado, R., Boullion, G., Mullen, A., & Sandoz, E. K. (2014, May). Flexibility in Context: Exploring the Use of Ecological Momentary Assessment of Psychological Flexibility. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.

Anderson, R., Gamble, M., Jeanis, M., & Sandoz, E. K. (2014, May). Back to life: Psychological inflexibility and recidivism among criminal offenders. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.

Auzenne, J. & Sandoz, E. K. (2014, May). Feeling lucky? Predicting Condom Use Behaviors from Implicit and Explicit Attitudes and Psychological Flexibility. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.

Caldas, S. V., Villatte, M., Perkins, D. R., & Sandoz, E. K. (2014, May). Failed American Dream: Psychological Flexibility and Generational Health Decline in the U.S. Hispanic Population. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.
Eastin, S., Sandoz, E. K., & Brown, A. (2014, May). So what can you do? Psychological flexibility, attitudes about sexual violence, and bystander behaviors. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.
Frederick, B. (2014, May). Interpersonal functioning: Flexible relating and loneliness. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.
Gamble, M. Eastin, S., Squyres, E., & Sandoz, E. K. (2014, May), Knockin’ on Grad Schools Door: The Impact of Acceptance and Commitment Therapy on Graduate Record Examination Preparation Behavior. To be presented at the annual convention of the Association for Behavior Analysis International, Chicago, IL.
Copell, R., Caldas, S., Mullen, A., & Sandoz, E. K. (2014, May). Creating contact: Bridging the gaps in our interpersonal awareness. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.
LaGrange, K., Caldas, S., Mullen, A., & Sandoz, E. K. (2014, May) Presenting with Presence: An Examination of Shared Presence and Effective Communication in the Context of Public Speaking. Association for Behavior Analysis International Conference, Chicago, Illinois.
LeBleu, E., Boullion, G., Auzene, J., Hebert, E., Greene, S., Bordieri, M., & Sandoz, E. K. (2014, May). Seeing is believing: Towards a behavioral measure of psychological flexibility. To be presented at the annual convention of the Association for Behavior Analysis International, Chicago, IL

Mullen, A. & Sandoz, E. K. (2014, May). It Can’t Wait: Psychological Flexibility for Procrastination of College Students. Presentation at the Association for Behavior Analysis International Annual Convention, Chicago, IL.

Primeaux, S. J., Sandoz, E.K., & Villatte, M. (2014, May). Lessons worth learning: Education and flexibility with mental health stigma. Presentation at the Association for Behavioral Analysis International Annual Convention, Chicago, IL.

Primeaux, S.J. (2014, May). (Panel Chair). The behavior of acceptance: Can Acceptance and Commitment Therapy play a role in traditional behavior analysis? Panel Discussion at the Association for Behavioral Analysis International Annual Convention, Chicago, IL.

Squyres, E., Thibeaux, K., Auzenne, J., Callaghan, G. & Sandoz, E.K. (2014, May). When Birds of a Feather Don’t Flock Together: Validation of the Body Image & Interpersonal Relationship Survey. Presentation at the annual convention of the Association for Behavior Analysis International, Chicago, IL.

Undergrad Research Conference 2013

Isaac, T., Squyres, E., Eastin, S., & Sandoz, E.K. (2013, November). Don’t Forget to Breathe! The Impact of Flexibility vs. Thought Suppression Induction for the Graduate Record Exam. Presented at the Honors Invitational Undergraduate Research Conference, Lafayette, LA.

Thibeaux, K., Hebert, E., Protti, T., Bordieri, M., Sandoz, E.K. (2013, November). Raising the Confidence Coefficient: Derived Relational Responding, Statistics Anxiety, and Core Statistics Skills. Presentation at the Honors Invitational Undergraduate Research Conference. Lafayette, LA.

Auzenne, J. & Sandoz, E.K. (2013, November). No Glove, No Love: Predicting Condom Use Behaviors from Implicit and Explicit Attitudes and Psychological Flexibility. Presentation at the Honors Invitational Undergraduate Research Conference. Lafayette, LA.

ABAI-International Conference (in Merida, Mexico) 2013

Mullen, A., Hebert, E., Protti, T., Bordieri, M.,& Sandoz, E. (2013, October). Raising the Confidence Coefficient: Derived Relational Responding, Statistics Anxiety, and Core Statistic Skills. Poster presentation at the Association of Behavior Analysis International: International Conference. Merida, Mexico.

 

LaBAA 2013

Anderson, R., Hebert, E., Greene, S., Sandoz, E.K. (2013, October). Asking About What Really Matters: A Comparison of Generating Different Values-Related Stimuli. Presentation at the Louisiana Behavior Analysis Association 2013 Gulf Coast ABA Conference, Baton Rouge, LA.

Auzenne, J. & Moyer, D. (2013, October). Raising Flexibility: The Role of Psychological Flexibility in the Relationship between Parent and Child Distress. Presentation at the Louisiana Behavior Analysis Association 2013 Gulf Coast ABA Conference, Baton Rouge, LA.

Eastin, S., Caldas, S., & Sandoz, E.K. (2013, October). Being Present While Presenting. Presentation at the Louisiana Behavior Analysis Association 2013 Gulf Coast ABA Conference, Baton Rouge, LA.

Squyres, E., LeBleu, E. L., Quebedeaux, G., Hebert, E., Greene, L., & Sandoz, E. K. (2013,
October). Seeing meaning: Transformation of values functions. Presentation at the first Louisiana Behavior Analysis Association conference, Baton Rouge, LA..

Thibeaux, K. Mullen, A., Lebleu, E., Greene, S., Hebert, E., Quebedeaux, G., & Sandoz, E.K. (2013, October). The Mind In The Mirror: Derived Relational Responding and Body Image. Presentation at the Louisiana Behavior Analysis Association 2013 Gulf Coast ABA Conference, Baton Rouge, LA.

ACBS 2013

Moyer, D. N., Hebert, E., & Sandoz, E. K. (2013, July). Goals worth reaching: Investigating the
impact of a S.M.A.R.T. Goals intervention with and without a valued living component on students in an introductory psychology class. Presentation at the Association for Contextual Behavioral Science Annual Convention, Sydney, Australia.

Moyer, D. N., & Sandoz, E. K. (2013, July). Woe is me: Confessions of a graduate student in
Contextual Behavioral Science. Presentation at the Association for Contextual Behavioral Science Annual Convention, Sydney, Australia.

LeBleu, E. L., Sandoz, E. K., Ciarrochi, & Presti (2013, July) Contextual Behavioral Approaches
to Understanding and Intervening on Eating and Body Image Concerns. Panel presentation at the Association for Contextual Behavioral Science Annual Convention, Sydney, Australia.

LeBleu, E. L. (2013, July). Getting in touch with your toes: Applying Mindfulness Practices to
Distance Running. Presentation at the Association for Contextual Behavioral Science Annual Convention, Sydney, Australia.
Lebleu, E. L., Hebert, E., Bordieri, M., Protti, T., & Sandoz, E. K. (2013, July). Raising the
Confidence Coefficient: Derived Relational Responding, Statistics Anxiety, and Core Statistics Skills. Presentation at the Association for Contextual Behavioral Science Annual Convention, Sydney, Australia.

Lebleu, E. L., Judice, R., Giesemann, A., Ramos, B., & Gamble, M. (2013, July). Just Breathe: The impact of mindfulness intervention on GRE preparation behaviors and GRE related anxiety. Presentation at the Association for Contextual Behavioral Science Annual Convention, Sydney, Australia.

Moyer, D. N. (2013, July). As Easy as ABC: Using Derived Relational Responding and
Psychological Flexibility to Promote Success and Psychological Health in University Students. Symposium presented at the Association for Contextual Behavioral Science Annual Convention, Sydney, Australia.

ABAI 2013

Eastin, S., Quebedeaux, G., & Sandoz, E. K. (2013, May). Beneath the mask: An evaluation of
cosmetic use among college females. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Fusilier, S., Hebert, E., Greene, S., Sandoz, E. K. (2013, May) What the stats? The relationship
between psychological flexibility and statistics anxiety. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Moyer, D. N., & Sandoz, E. K. (2013, May). Raising flexibility: A preliminary look at the role of
psychological flexibility in parent and adolescent distress. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Primeaux, S. J., Villatte, M. & Sandoz, E. K. (2013, May). A contextual behavioral approach to
understanding, assessing and treating psychotic behaviors. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

LeBleu, E. L., Quebedeaux, G., Hebert, E., Greene, L., & Sandoz, E. K. (2013, May) Seeing
meaning: Transformation of values functions. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Squyres, E. & Sandoz, E. K. (2013, May). Sticks and Stones: The Social Context for Learning
Self-Stigma Amongst the Obese. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Hebert, E. & Sandoz, E. K. (2013, May). Making a significant difference: Creating a context for
the development of student researchers in psychology. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Thibeaux, K., Greene, S., Hebert, E., Quebedeaux, G., & Sandoz, E. K. (2013, May). The mind in
the mirror: Derived relational responding and body image. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Murray, K., & Sandoz, E. K. (2013, May). On the other hand: Psychological flexibility and body
image as a function of handedness. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Mullen, A., Quebedeaux, G., Greene, S., Hebert, E., & Sandoz, E. K. (2013, May). Assessing
Psychological Flexibility: A RFT-Based Behavioral Measure. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Sandoz, E. K., Flynn, M. K., Kellum, K. K., & Hebert, E. R. (2013, May). Making change that
matters: Values-based behavior plans in Applied Behavior Analysis. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Caldas, S. V., & Sandoz, E. K. (2013, May). To be or not to be present: An examination of
whether present moment behavior can be predicted. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Jeanis, M. N., & Sandoz, E. K. (2013, May). Find Mickey: The impact of community tragedy on
valued and avoidant behaviors. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Marcantel, J., Squyres, E., Eastin, S., Sandoz, E. K. (2013, May). Don’t Forget to Breathe! The
Impact of Flexibility vs. Suppression Induction for the Graduate Record Examination. Presentation at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Sandoz, E. K., Bordieri, M., Kellum, K. K. (2013, May). Grabbing ears, eyes, and sometimes
hearts: Building presentations to remember. Workshop at the Association for Behavioral Analysis International Annual Convention, Minneapolis, MN.

Monroe 2013

LeBleu, E. L., Greene, S., Quebedeaux, G., Hebert, E., & Sandoz, E. K. (2013, April). Body
Image Flexibility: Developments With Derived Relational Responding. Presented at the Undergraduate Academic Summit, Monroe, Louisiana.

Auzenne, J., Quebedeaux, G., Hebert, E., Greene, S., & Sandoz, E.K. (2013, April).
Transformation of Values Functions Through Derived Relational Responding. Presented at the Undergraduate Academic Summit, Monroe, Louisiana.

Fusilier, S., Moyer, D., Storey, W., & Sandoz, E. K. (2013, April). Goals Worth Reaching:
Investigating the Impact of a S.M.A.R.T. Goals Intervention With and Without A Valued Living Component on Students in an Introductory Psychology Class. Presented at the Undergraduate Academic Summit, Monroe, Louisiana.

Boudoin, V., Hebert, E. LeBleu, E., & Sandoz, E. K. (2013, April) Present while Presenting: an
Exploration of Present Moment Process Observation. Presented at the Undergraduate Academic Summit, Monroe, Louisiana.

LA Tech 2013

LeBleu, E., Quebedeaux, G., Hebert, E., Greene, S., Bordieri, M., Sandoz, E. K. (2013, April).
Values: Impacts on relational responding. Presentation at the North Louisiana Behavioral & Social Sciences Conference, Ruston, LA.

Fusilier, S., Hebert, E., Greene, S., & Sandoz, E. K. (2013, April). Asking about what really
matters: A comparison of different methods of generating values-related stimuli. Presentation at the North Louisiana Behavioral & Social Sciences Conference, Ruston, LA.

Auzenne, J., Moyer, D., Storey, W., & Sandoz, E. K. (2013, April). Goals worth reaching:
Investigating the impact of a S.M.A.R.T. goals intervention with and without a valued living component on students in an introductory psychology class. Presentation at the North Louisiana Behavioral & Social Sciences Conference; Ruston, LA

Eastin, S., Squyres, E., & Sandoz, E. K. (2013, April). An evaluation of a brief mindfulness
intervention on graduate record examination preparation. Presentation at the North Louisiana Behavioral & Social Sciences Conference; Ruston, LA

Primeaux, S., Hebert, E., Bordieri, M., Protti, T., & Sandoz, E. K. (2013, April). Raising
the confidence coefficient: Derived relational responding, statistics anxiety, and core statistics skills. Presentation at the North Louisiana Behavioral & Social Sciences Conference; Ruston, LA
Caldas, S., Hebert,E. & Sandoz, E. K. (2013, April). To be or not to be present: An
examination of whether present moment behaviors can be predicted. Presentation at the North Louisiana Behavioral & Social Sciences Conference; Ruston, LA

Thibeaux, K., Frederick, B., Hana, R., Sandoz,E. K. (2013, April). Adjusting the curve:
The impact of teaching psychological flexibility experientially and didactically in the classroom. Presentation at the North Louisiana Behavioral & Social Sciences Conference; Ruston, LA

Quebedeaux, G., Eastin, S., Greene, S., Skatulski, L., & Sandoz, E.K. (2013, April).
Beneath the mask: An evaluation of cosmetic use among college females. Presentation at the North Louisiana Behavioral & Social Sciences Conference; Ruston, LA

Squyres, E., Quebedeaux, G., Greene, S., Cordova, S., & Sandoz, E. K. (2013, April). DO
NOT DISTURB: Body image flexibility and body image disturbance. Presentation at the North Louisiana Behavioral & Social Sciences Conference; Ruston, LA
Mullen, A., Quebedeaux, G., Hebert, E., Greene, S., Bordieri, M., Sandoz, E. K. (2013,
April). Learning to hate the body: An examination of derived relational responding in the context of body image disturbance and flexibility. Presentation at the North Louisiana Behavioral & Social Sciences Conference; Ruston, LA

ACBS 2012

Hooper, N., Mchugh, L., & Sandoz, E. K. (2012, July). An acceptance intervention for spider
fearful participants coping with spider related content. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Hooper, N., Sandoz, E. K., Mchugh, L. (2012, July). Comparing thought suppression and
acceptance as coping techniques for food cravings. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Isaac, T., Anderson, R., Gamble, M., Jeanis, M., Sandoz, E. K. (2012, July). Straying from the Straight and narrow: psychological inflexibility and recidivism among criminal offenders. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Jacobelli, J., Sandoz, E. K., Zettle, R. D., & Hardage-Bundy, A. (2012, July). Perceived Pressure
for Appearance and the Conceptualized Self: A Study of Avoidant Eating Pathology. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Frederick, B., & Sandoz, E. K. (2012, July). Forever Alone!: A Forum on Prevention of
Loneliness in College Freshman. Research forum at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Greene, S., & Sandoz, E. K. (2012, July). Dancing Beyond What We See in the Mirror:
Prevention of Body Image Inflexibility in Young Dancers. Research forum at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Jacobelli, J., & Sandoz, E. K. (2012, July). Some words are hard to swallow: The Application of
Relational Frame Theory to Disordered Eating. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Moyer, D. N., & Sandoz, E. K. (2012, July). Everything is relative: relational responding,
perspective-taking, and psychological flexibility in the parent child relationship. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Squyres, E., & Sandoz, E. K. (2012, July). Getting to the heart of the beast: Should obesity be
included in the DSM5? Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Wegener, L. N., & Sandoz, E. K. (2012, July). A horse is a horse of course… Unless it's a
therapist: Equine facilitated contextual behavioral therapy. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington D. C.

Benoit, B., Hebert, E. R., Quebedeaux, G., Greene, S., & Sandoz, E. K. (2012, July). ACT on
Campus: Facilitating Psychological Flexibility for College Adjustment. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington D. C.

Fusilier, S., Moyer,D., N., Hebert,. E. R., Jacobelli, J. & Sandoz, E. K. (2012, July). The Aftermath
of Anxiety: The Role of Psychological Flexibility in Math Anxiety in College Students. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Greene, S., Hebert, E., & Sandoz, E. K. (2012, July). Derived Relational Responding and Body
Image Disturbance. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D.C.

Leblanc, S., Landry, D. E., Hebert, E. R., & Sandoz, E.K. (2012, July). Moving on up: The
psychological inflexibility of first generation and low income freshmen. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

 

LeBlanc, S., Greene, S., Quebedeaux, G., & Sandoz, E. K. (2012, July). Living Beyond What We
See in the Mirror: Acceptance and Commitment Therapy for Body Image. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington D. C.

Mullen, A., Hebert, E., Quebedeaux, G.,& Sandoz, E. K. (2012, July). Going From Null to Neat-
O: Psychological Flexibility Processes Applied to a Behavioral Statistics Study Group. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D.C.

Mullen, A., Sandoz, E. K., Boudoin, V., K., Hebert, E., Greene, S. (2012, July). Asking About
What Really Matters: A Comparison of Different Methods of Generating Values-Related Stimuli. Symposium presented at the Association for Contextual Behavioral Science Conference in Washington, D.C.

Plaisance, A. D., Hebert, E. R., Greene, S., & Sandoz, E. K. (2012, July) Seeing meaning:
Transformation of values functions. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Quebedeaux, G. & Sandoz, E. K. (2012, July). Beneath the Mask: An Evaluation of Cosmetic
Use Among College Females. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington D. C.

Quebedeaux, G., & Sandoz, E. K. (2012, July). Time of the season: Valued living in college
students over the course of a semester. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Sandoz, E. K., Hebert, E., & Greene, S. (2012, May) Asking About What Really Matters: A
Comparison of Different Methods of Generating Values-Related Stimuli. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington D. C.

Squyres, Convention, E., Washington, Eastin, S., &D.Sandoz, C. E. K. (2012, July). Verbal,
quantitative, and writing! Oh my!: Skill vs. flexibility-focused preparation for Graduate Record Examination performance. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington, D. C.

Squyres, E., Quebedeaux, G., Greene, S., & Sandoz, E. K. (2012, July). DO NOT DISTURB: Body
Image Flexibility and Body Image Disturbance. Presentation at the Association for Contextual Behavioral Science Annual Convention, Washington D. C.

ABAI 2012

Cordova, S., Hooper, N., Sandoz, E. K., McHugh, L. (2012, May). Comparing thought
suppression and acceptance as coping techniques for food cravings. Presentation at the annual convention of the Association for Behavior Analysis International Convention. Seattle, WA.

Jacobelli, J., Sandoz, E. K., Zettle, R. D., & Hardage-Bundy, A. (2012, May). Perceived Pressure
for Appearance and the Conceptualized Self: A Study of Avoidant Eating Pathology. Presentation at the annual convention of Applied Behavior Analysis International Annual Convention, Seattle, WA.

Abadie, B. R., Perkins, D. R., & Rimassa, L. V. (2012, May). Music and psychological
flexibility: Possible avenues for therapeutic application and theoretical development. Presentation at the Association for Behavioral Analysis Annual Convention, Seattle, WA.

Fisher, S. M., & Sandoz, E. K. (2012, May). Contextualism and mechanism: A philosophical
review. Presentation at the annual convention of the Association for Behavior Analysis International Annual Convention, Seattle, WA.

Hebert, J. E., & Sandoz, E. K. (2012, May). Learning to hate the body: Implications of
relational frame theory for understanding body image flexibility. Presentation at the annual convention of the Association for Behavior Analysis International Convention, Seattle, WA.

Kellum, K., & Sandoz, E. K. (2012, May). Theoretical analysis of effective discussions and
discourse. Presentation at the annual convention of the Association for Behavior Analysis International. Seattle, WA.

Moyer, D. N. (2012, May). (Panel Chair). The apple doesn’t fall far: Contextual behavioral
science and applied behavior analysis with children and families. Panel Discussion conducted at the Association for Behavior Analysis International Annual Convention, Seattle, WA.

Perkins, D. R., Abadie, B. R., & Rimassa, L. V. (2012, May). Music and psychological
flexibility: Possible avenues for therapeutic application and theoretical development. Presentation at the Association for Behavioral Analysis International Convention, Seattle, WA.

Rimassa, L. V., Perkins, D. R., & Abadie, B. R. (2012, May). Music and psychological
flexibility: Possible avenues for therapeutic application and theoretical development. Presentation at the annual convention of the Association for Behavior Analysis International. Seattle, WA.
Salande, J. (2012, May). Where perspectives meet: Psychological flexibility as a function of
object relational health. Presentation at the annual convention of the Association for Behavior Analysis International. Seattle, WA.

Sandoz, E. K., & Kellum, K. (2012, May). Love made visible: A theoretical analysis of values-
based communities at work. Presentation at the annual convention of the Association for Behavior Analysis International. Seattle, WA.

Wegener, L. N., & Sandoz, E. K. (2012, May). A horse is a horse of course… Unless it's a
therapist: Equine facilitated contextual behavioral therapy. Presentation at the annual convention of the Association for Behavior Analysis International. Seattle, WA.

Boudoin, V., Marks, S., Hebert, E., Greene, S., & Sandoz, E. K. (2012, May) Asking About What
Really Matters: A Comparison of Different Methods of Generating Values-Related Stimuli. Presentation at the Association for Behavior Analysis International Annual Convention, Seattle, WA.

Greene, S., Quebedeaux, G., Leblanc, S., Sandoz, E. K. (2012, May). Living beyond what we see
in the mirror: Acceptance and commitment therapy for Body Image. Presentation at the Association for Behavior Analysis International Annual Convention, Seattle, WA.

Hebert, E. & Sandoz, E. K. (2012, May). Going From Null to Neat-O: Psychological Flexibility
Processes Applied to a Behavioral Statistics Study Group. Symposium presented at the Association for Behavior Analysis International Annual Convention, Seattle, WA.

Landry, D. E., Sandoz, E. K., & Hebert, E. R. (2012, May). Moving on up: The psychological
inflexibility of first generation and low income freshmen. Presentation at the annual convention of the Association for Behavior Analysis International Annual Convention, Seattle, WA.

Quebedeaux, G., Greene, S., Cordova, S., & Sandoz, E. K. (2012, May). DO NOT DISTURB: Body
image flexibility and body image disturbance. Presentation at the Association for Behavior Analysis International Annual Convention, Seattle, WA.

Squyres, E., Maynard, A., & Sandoz, E. K. (2012, May). Verbal, quantitative, and writing! Oh
my!: Skill vs. flexibility focused preparation for Graduate Record Examination performance. Presentation at the annual convention of the Association for Behavior Analysis International. Seattle, WA.

ACBS 2011

Jeanis, M. N., & Sandoz, E. K. (2011, July) Psychological flexibility and criminal
recidivism: A conceptual analysis and proposed research agenda. Poster presentation at the Association for Contextual Behavioral Science World Conference. Parma, Italy.

Quebedeaux, G., Kennison, A., Hebert, J., & Sandoz, E. K. (2011, July). ACT on Campus:
Facilitating Psychological Flexibility for College Adjustment. Workshop presented at the Association for Contextual Behavioral Science World Conference IX, Parma, Italy.
 

Madrid Institute of Contextual Psychology (MICPSY, Instituto de Psicología Contextual Madrid) - Carmen Luciano, Fran Ruiz, Bárbara Gil-Luciano, Adrián Barbero, Ángel Alonso (ACT/RFT, masters, SPAIN)

 

 

Madrid Institute of Contextual Psychology (MICPSY) is a private institution integrating specialized training, research and psychological services in contextual therapies, relational frame theory and functional contextualism (ACT, FAP & RFT). It is located in Madrid (Spain) and is wide connected to several labs, institutions and universities throughtout the world.

MICPSY is directed by Carmen Luciano and founded by Bárbara Gil-Luciano, Adrián Barbero & Ángel Alonso. It is connected to the University of Almeria (Experimental and Applied Analysis of Behavior Research Group, directed by Dr. Carmen Luciano), Fundación Universitaria Konrad-Lorenz (Clinical Psychology Lab, directed by Dr. Fran Ruiz), University of Gante (Learning & Implicit Processes Lab, directed by Dr. Dermot Barnes-Holmes) and University of Los Angeles (Anxiety and Depression Research Center, directed by Dr. Michelle Craske).
 

MADRID INSTITUTE OF CONTEXTUAL PSYCHOLOGY

  • Carmen Luciano (Full Professor and Director of the Doctoral Programme in Functional Analysis in Clinical Contexts at the University of Almería, Spain; Director of MICPSY)
  • Bárbara Gil-Luciano (Teaching and Research Academic Staff at the University of Almería & MICPSY; Clinical psychologist at MICPSY; Founder of MICPSY)
  • Adrián Barbero (Teaching and Research Academic Staff at the University of Almería & MICPSY; Clinical psychologist at MICPSY; Founder of MICPSY
  • Ángel Alonso (Teaching and Research Academic Staff at MICPSY; Clinical psychologist at MICPSY; Founder of MICPSY)
  • Francisco Ruiz Jimenez (Associate Professor & Director of the Doctoral Programme in Psychology at Fundación Universitaria Konrad-Lorenz, Bogotá, Colombia)

 

NATIONAL & INTERNATIONAL TEACHING STAFF (2016-2017)*

• Carmen Luciano - Full Professor, University of Almeria (Spain)
• Marino Pérez Álvarez - Full Professor, University of Oviedo (Spain)
• Kelly Wilson - Associate Professor, University of Mississipi (EEUU)
• Niklas Törneke - Psychiatrist and psychotherapist (Sweden)
• Miguel Ángel Vallejo - Full Professor, University of National Education (Spain)
• Francisco Ruiz Jiménez - Associate Professor, Fundación Universitaria Konrad-Lorenz (Colombia)
• Jennifer Villate - Faculty of Psychiatry, University of Washington (EEUU)
• Matthieu Villate - Evidence Based Practice Institute (EEUU)
• Graciela Rovner - ACT Institute (Sweden)
• Bárbara Gil-Luciano - Teaching and Research Staff, University of Almería & Madrid Institute of Contextual Psychology (Spain)
• Adrián Barbero Rubio - Teaching and Research Staff, University of Almería & Madrid Institute of Contextual Psychology (Spain)
• Ángel Alonso Sanz - Teaching and Research Staff, Madrid Institute of Contextual Psychology (Spain)
• Luis Jorge Ruiz Sánchez - Teaching and Research Staff, University of Almería & Madrid Institute of Contextual Psychology (Spain)

* Please visit http://micpsy.com/formacion/ [42] for updated info

 

NATIONAL & INTERNATIONAL RESEARCH STAFF

  • Experimental and Applied Behavior Analysis Research Group [43] (University of Almeria, Spain)
  • Clinical Psychology Laboratory [44] (Fundación Universitaria Konrad-Lorenz, Colombia)
  • Learning & Implicit Processes Lab [45] (University of Gante, Belgium)
  • Anxiety and Depression Research Center [46]( University of Los Angeles, EEUU)

 

 NATIONAL & INTERNATIONAL TRAINING (2016/2017)*

  • Master in Contextual Therapies (ACT, FAP & mindfulness techniques) - Spanish
  • ACT for Children & Adolescents - Spanish
  • ACT Courses for others domains than clinical (Education, Workplace, etc) - Spanish, sometimes English
  • Online Specialized Courses in Contextual Therapies - Spanish
  • Clinical Supervision (online & Madrid) - Spanish

* Please visit http://micpsy.com/formacion/ [42] for updated info

 

PUBLICATIONS (1983-2017)

Please visit http://micpsy.com/publicaciones-terapias-contextuales/ [47]

 

CURRENT PUBLIC & PRIVATE RESEARCH PROJECTS

Please visit http://micpsy.com/investigacion-desarrollo/ [48]

 

PSYCHOLOGICAL SERVICES

Clinical Psychology (adults, adolescents and children; individual, grupal), educational and work settings

 

 

CONTACT INFO

www.micpsy.com [49]

Phone +34911995480 or +34628387885

Olga Mayoral (admin) - secretaria@micpsy.com

 

 

STAFF CONTACT INFO

barbaragil.luciano@micpsy.com

 

 

 

Missouri State University - Ann Rost (ACT/RFT; MS; USA)

http://missouristate.info/images/2010/homepage/logo.png

Ann Rost's faculty page [50]. Her research interests include: Acceptance and commitment therapy; Pain and cancer coping, Behavior analysis, Health psychology. Read more about the clinical psychology master's program [51].

Morehead State University (Morehead, KY) - JT Blackledge (ACT/RFT; MA; USA)

At the MSU ACT/RFT Research Lab in Morehead, Kentucky, I am currently conducting ACT process and outcome research with advanced undergraduates and Masters students.

Please read more about the program here [52].

National Cancer Institute, Center for Cancer Research (ACT; graduate externship; USA)

http://2.bp.blogspot.com/-zO7ovWqckUY/UjNfA-QdNfI/AAAAAAAAEmg/ak3FxhBrjrY/s1600/National-Cancer-Institute.jpg

The Neurobehavioral Group takes part in a graduate training consortium with psychology programs in the area surrounding Bethesda, Maryland and accepts 2 students every year to work with the program. During the year long externship ACT therapy is among the many activities they can do. Universities which often participate include: George Washington University, American University, Gallaudet University, Catholic University, Howard University, and the University of Maryland. However, participation is not limited to those listed and students located farther from Bethesda are still eligable.

Read more about the Neurobehavioral Program here [53].

Please contact Dr. Staci Martin at martins@mail.nih.gov for more information.

National University of Córdoba-Interpersonal Behavior Laboratory-Dr. Fabian Olaz (ACT/RFT/MF/ACT processes/Applied RFT/Behavioral/FC-Licenced and Doctoral)

 

The Interpersonal Behavior Laboratory is one of the laboratories of the Research Center of the Faculty of Psychology,  National University of Cordoba. Argentina. In the LACI we perform training and research on contextual behavioral science, and  also develop basic and applied research on any subject related to interpersonal behavior in a broad sense.  Our mission implies contributing to scientific knowledge and to develop interventions to enhance interpersonal human potential, and to contribute to the improvement of interpersonal relationships and mental health. Our research staff collaborates with different public and private institutions (Integral Center of Contextual Psychoterapies) in all the country and receives research assistants and clinical psychology students willing to colaborate in our lines of inquiry. We are currently wortking in transcultural reserach about ACT and FAP processes  with other institutions of the world (Center for the Science of Social Connection. Department of Psychology, University of Washington, Contextual Behavioral Science and Therapy Institute, México)

Focus of Program/Lab

ACT/RFT/MF/ACT processes/Applied RFT/Behavioral/FC 

Level of Training/Degree offered (if any)

Licenced Psychologist

Doctoral (Doctor of Psychology )

Country in which the program/lab is located:

Argentina

Website: http://blogs.psyche.unc.edu.ar/laci/laci-2/ [54]

CONTACT

Dr. Fabián O. Olaz

fabidelarenta@gmail.com

 

RESEARCH/ACADEMIC STAFF

Senior Researchers: 

Dr. Fabián Olaz

Dr. Carlos Arias

Dra. Paula Irueste

Doctoral Students:

Lic. Valeria Morán (Doctoral Student)

Lic. Guillermo Lionel Ponce Japaze (Doctoral Student)

Undergraduate Students

Romanella Fátima Brezzo

Silvina Belén Giménez

María Antonella Gilla

Aylen D’Alessandro

Ximena Dutto

 

CURRENT RESEARCH PROJECTS

  1. Development of a RFT Based Graphic adventure to develop Perspective Taking and Empathy in children (2016-2017). 
  2. Relationship Improvement Study. researching the processes that contribute to the improvement of social connection  (2016-2017).
  3. Argentinian Adaptation of the AAQ – II
  4. Evaluation of the effectiveness of a Mindfulness Based program for preventing burnout in  psychotherapists
  5. Constructing and explanatory model of social anxiety in college students
  6. Development and Evaluation of a  Telepsychology software for the treatment of Social Phobia and Fear of Public Speaking in university students.

PUBLICATIONS

Journals

  1. Morán, V. E., Olaz, F. O., & Del Prette, Z. A. (2015). Social Skills Questionnaire for Argentinean College Students (SSQ-U) Development and Validation. The Spanish journal of psychology, 18, E95.
  2. Roldan, F., Sorbellini, D., Olaz, F., y Petit, C. (2015). “Difusión social de modelos de comportamiento interpersonal de jóvenes, en diarios de la ciudad de Córdoba”. Anuario de Investigaciones de la Facultad de Psicología de la Universidad Nacional de Córdoba, 2 (1). Disponible en http://revistas.unc.edu.ar/index.php/aifp
  3. García Terán, , Cabanillas, G.A., Morán, V.E. & Olaz, F.O. (2014). Diferencias de género en habilidades sociales en estudiantes universitarios de Argentina. Anuario Electrónico de Estudios en Comunicación Social “Disertaciones”, 7(2), pp. 114-135. Disponible en: http://erevistas.saber.ula.ve/index.php/Disertaciones/
  4. Morán, V.E. & Olaz, F.O. (2014). Análisis Bibliométrico sobre Instrumentos de Evaluación de las Habilidades Sociales en América Latina. Revista de Psicología, 23 (1), 93-105.
  5. Olaz, F., Medrano, L.A. & Cabanillas, G.A. (2014). Effectiveness of Social Skills Training experiential method to strengthening social self efficacy of university students. International Journal of Psychology and Psychological Therapy, 14 (3), 377-396.
  6. Dascanio, D., Olaz, F. O., Fontaine, A. M. G., Rolim Rodrigues, O. M. P., Del Prette, A. & Del Prette, Z.A.P. (2012) The intellectual and academic performance of adolescents contaminated by lead: relation with social skills. Temas em Psicologia, 20 (1), pp. 45-59.
  7. Herrera Lestussi A., Freytes M. V., López G. E. & Olaz, F. O. (2012).Habilidades Sociales en Estudiantes Universitarios de Psicología. Un Estudio Comparativo. International Journal of Psychology and Psychological Therapy, 12 (2). , 277-287.
  8. Olaz, y Pérez, E. (2012). Creencias de Autoeficacia: desarrollo de escalas y líneas de investigación. Revista Tesis, 1, 157-170.
  9. Carot J., Carranza, E., Olaz F. O., y Ponce, L. F. (2012) Autoeficacia para la Investigación en Estudiantes Universitarios. Revista Tesis, 1, 61-77.
  10. Morán, V., Prytz Nilsson, N. S., Suarez, A. B. y Olaz F.O. (2011) Estado de la investigación en Habilidades Sociales en el Laboratorio de Comportamiento Interpersonal (LACI) Córdoba – Argentina. Revista Estudos e Pesquisas em Psicologia, 11 (2), pp. 507-527.
  11. Azpilicueta, , Olaz., F.O., Cupani. M. (2011) Adaptación del Skills Confidence Inventory (SCI) de Betz, Harmon y Borgen (1996) en una muestra de adolescentes argentinos. Revista Electrónica de Motivación y Emoción, 14 (37). Disponible en: http://reme.uji.es/reme/numero37/indexsp.html.
  12. Zoni, M. P. y Olaz, F.O. (2011). Adaptación Argentina de la escala Cisneros para evaluar Mobbing. Revista Electrónica de Motivación y Emoción, 14 (37). Disponible en: http://reme.uji.es/reme/numero37/indexsp.html.
  13. Medrano, L, Olaz, O. & Pérez E. R (2009).Modelo social cognitivo del rendimiento académico en ingresantes universitarios. La contribución de la autoeficacia social académica. Revista Tesis, 1 (1), pp. 87-106.
  14. Olaz, O., Medrano, L, Greco, M. E. y Del Prette, Z. A. (2009). Adaptación Argentina del Inventario de Habilidades Sociales IHS – Del-Prette. Spanish Journal of Psychology, 12 (2), pp. 756-766.
  15. Medrano, L. A. y Olaz, O. (2008) Autoeficacia Social en Ingresantes Universitarios: su relación con el Rendimiento y la Deserción Académica. Revista de Psicología General y Aplicada, 61 (4), pp. 369-389.
  16. Echavarri, M., Godoy, J.C. & Olaz, F. O. (2007) Diferencias de género en habilidades cognitivas y rendimiento académico en estudiantes universitarios. Universitas Psicológicas, 6 (2), 319-329.
  17. Olaz, F. (2003). Modelo Social Cognitivo de desarrollo vocacional. Revista Evaluar, 3 (Online). Facultad de Psicología. Universidad Nacional de Córdoba. Disponible en: http:// revistaevaluar.com.ar. Olaz, F. (2003). Autoeficacia y variables vocacionales. Revista Psicología Educativa. 9, (1), pp. 5-14.
  18. Olaz, F. (2003). Autoeficacia, Diferencias de género, y Comportamiento vocacional. Revista Electrónica de Motivación y Emoción [Online], 6 (13). Disponible en: http://reme.uji.es/articulos/aolazf5731104103/texto.html.
  19. Olaz, F. (2003). Aportes del Meta-Análisis a la Teoría de la Autoeficacia para el Desarrollo de Carrera. Revista Estudios de Psicología 25 (1). pp. 57-72.
  20. Olaz, F. (2003) Autoeficacia y Diferencias de Género. Aportes a la explicación del Comportamiento Vocacional. Revista de Psicología General y Aplicada, 56, (3), pp. 353-370. España.
  21. Fogliatto, H; Pérez, E; Olaz, F; Parodi, L. (2003) Cuestionario de intereses profesionales revisado (CIP-R). Análisis de sus propiedades psicométricas. Revista Evaluar, 3 (Online). Facultad de Psicología. Universidad Nacional de Córdoba. Disponible en: http:// revistaevaluar.com.ar.

Book Chapters

  1. Olaz (in press). Obstáculos comuns na ACT (Terapia de Aceitação e Compromisso) e como enfrentá-los contextualmente. Em Practical Handbook off Acceptance and Commitment Therapy. Porto Alegre: Sinopsys.
  2. Olaz, F. O. (in press). O uso da Terapia de Aceitação e Compromisso no Tratamento dos Transtornos Alimentares. Em Da Rosa Finger (ed.), A Prática da Terapia Cognitivo Comportamental (TCC) dos Trastornos Alimentares. Porto Alegre: Sinopsys
  3. Olaz (in press). Desarrollo de un programa de entrenamiento en empatía para psicoterapeutas: Aportes del contextualismo funcional. Em Benevides Soares, De Sousa Pereira Guizzo, Fortes Wagner, Barbosa Romera Leme e Del Prette (2015), Habilidades Sociais: Diálogos e intercâmbios sobre pesquisa e prática. Porto Alegre: Sinopsys.
  4. Olaz (2015). “FACT: Integrando ACT e FAP. Em Lucena dos Santos P., Pinto-Gouveia, J. e Da Silva Oliveira, M. (2015) Terapias Cognitivo-Comportamentais de Terceira Geração (pp. 343-375). Porto Alegre: Sinopsys
  5. Olaz, F. O. & Schoendorff, B. (in press). Aplicações da Terapia de Aceitação e Compromisso em Clientes Diagnosticados com Transtorno Limite da Personalidade. Em Dornelles, V. G. (In Press).Transtorno da Personalidade Borderline: Da etiologia ao Tratamento. Brasil: Sinopsys Editora
  6. Schoendorff, B. & Olaz, F. O. in press). A Matrix como estratégia motivacional no tratamento de Clientes Diagnosticados com Transtorno Limite da Personalidade. Em Dornelles, V. G. (In Press)Transtorno da Personalidade Borderline: Da etiologia ao Tratamento. Brasil: Sinopsys Editora
  7. Olaz, F. O. (in press). Um programa de Intervenção baseada no modelo Matrix de Terapia de Aceitação e Compromisso para profissionais de saúde mental. Em Sheila Giardini Murta, S., Leandro França, C. & Brito dos Santos, K. Prevenção e Promoção em Saúde Mental: Fundamentos, Planejamento e Estratégias de Intervenção.
  8. Pérez, R., y Fabián O. Olaz (2012) Los tests Psicológicos en la Psicología Contemporánea. En Couto, G., Drummond Pires y Sancineto da Silva Nunes, C. (Orgs), Os Contornos Da Psicología Contemporânea. São Paulo: Casa do Psicologo
  9. Olaz, F. O., Cabanillas, G. A. y Medrano L. (2011) Programas vivenciais versus instrucionais de habilidades sociais: Impacto sobre a auto-eficácia social de universitários. En Almir Del Prette y Zilda A.P. Del Prette (Orgs.). Programas de habilidades sociais: Evidências (experimental e quase experimental) de efetividade. Río de Janeiro: Vozes. ISBN 978-85-8040-091-5
  10. Olaz (2009). Contribuições da Teoria Social-cognitiva de Bandura para o Treinamento de Habilidades Sociais. En Del Prette, A. & Del Prette, Z. A., Psicologia das Habilidades Sociais: Diversidade Teórica e suas Implicações. Rio de Janeiro: Vozes. ISBN 978-85-326-3874-8.
  11. Pajares, F y Olaz, F. (2008) Teoría Social Cognitiva e auto-eficácia: uma visão geral. En Bandura, , Azzi, G. R., Polydoro, S., Teoria Social Cognitiva Conceitos Básicos. São Paulo: ARTMED. ISBN: 8536311177.
  12. Olaz, F. (2008). La medición y la evaluación en Psicología: concepciones y modelos. En Marino, y Murillo, P. Manual del ciclo de Nivelación 2009 (4ta edición). Asociación cooperadora de la Facultad de Ciencias Económicas de la Universidad Nacional de Córdoba. ISBN 978-987-1436-12-5.
  13. Olaz, F. (2006). La medición y la evaluación en Psicología: concepciones y modelos. En Marino, y Murillo, P. Manual del ciclo de Nivelación 2007 (2da edición). Asociación cooperadora de la Facultad de Ciencias Económicas de la Universidad Nacional de Córdoba. ISBN-10 987-22736-7-7, ISBN-13978-987-22736-7-5.
  14. Olaz, F. (2005). La medición y la evaluación en Psicología: concepciones y modelos. En Marino, J. Pautassi, R. y Murillo, P. Manual del ciclo de Nivelación 2006. Universidad Nacional de Córdoba. ISBN 950-33-0532-2.
  15. Olaz, F. (2000) Interpretación de los resultados de una prueba. Pruebas referidas a normas. En Tornimbeni, S.; Pérez, E.; Baldo, M. (compiladores), Introducción a los Tests Psicológicos. Córdoba: Ed ISBN: 987-9452-07-0.

Books

  1. Polk, K. L., Schoendorff, B., Webster, M. & Olaz, F. O. (2015). he Essential Guide to the ACT Matrix: A Step-by-Step Approach to Using the ACT Matrix Model in Clinical Practice. EEUU: New Harbinger
  2. Olaz, F. O. & Morán V. E. (2014) Habilidades Sociales en la Formación y Ejercicio de la psicoterapia. Teoría e Investigación en Argentina. Saarbrücen (Alemania): Editorial Académica Española.
  3. Olaz, F. O. & Medrano L. A. (2013). Metodología de la Investigación para Estudiantes de Psicología. Manual de entrenamiento y práctica. Córdoba: Brujas
  4. Olaz, F. O. (2012) Escala de Autoeficacia Social para Universitarios (EAS- U) Estudios Psicométricos y Bases Conceptuales. Saarbrücen (Alemania): Editorial Académica Española. ISBN: 978-3659038112
  5. Tornimbeni, S., Pérez, E., Olaz, F. (2008) Introducción a la Psicometría. Buenos Aires: Paidós. ISBN: 978-950-12-6085-4.
  6. Pérez, E., Passera, , Olaz, F., y Osuna, M. (2005) Orientación, Información y Educación para la Carrera. Buenos Aires: Paidós. ISBN 950-12-6077-1.
  7. Tornimbeni, S., Pérez, E., Olaz, F. & Fernández, A. (2004) Introducción a los tests psicológicos (Tercera edición). Córdoba: Brujas. ISBN: 987-1142-24-2.
  8. Tornimbeni, S., Pérez, E., Baldo, M., Fernández, A. & Olaz, F. (2003). Introducción a los tests psicológicos (Segunda edición). Córdoba: Brujas. ISBN: 987-9452-93-3.

National University of Ireland, Galway - Ian Stewart & Denis O'Hora (RFT/ACT processes; MSc, PhD; IRE)

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  • Ian Stewart [55]

Dr. Stewart's research interests span both the experimental analysis of language and cognition and applications of RFT (including ACT) to education and other settings. Current RFT [56] projects include work on derived equivalence relations; interference between non arbitrary and arbitrary relational responding; hierarchical relational responding; Crel and Cfunc control; the Implicit Relational Assessment Procedure; analogical reasoning; Training and Assessment of Relational Precursors and Abilities (TARPA); and the precursor skills required for arbitrarily applicable relational responding. Current ACT [57] projects include the experimental analysis of the effect of values in the context of acceptance.

  • Denis O'Hora [58]

"My research is influenced by a number of philosophies or approaches. These include Skinner's experimental analysis of behaviour or operant psychology, Hayes, Barnes-Holmes and Roche's relational frame theory, Kelso's coordination dynamics and Spivey's (and Dale and Richardson's) continuity of mind. The common feature of these approaches is that they consider the person to be an ever-changing collection of responses to an ever-changing world. That is, we are continually learning from the world around us and changing through that learning. The constant world that we see around us (including the constant person that we think we are) is both the result of relatively stable attractor states in the responding of our perceptual equipment, and consistencies established in language. Current specific research lines include the effects of goal statements on behavior over time (with Tammemagi and Maglieri), how we interpret the passing of time using the concepts of Before and After (with Hyland, Smyth and Leslie), brain changes that correlate with category formation (with Sigurjonsson, Stewart and Leader). I am also interested in the applied utility of my research in organizational, educational and care settings. I am a member of the Perception, Cognition and Action research group and the Clinical, Biological and Behavioural Psychology research cluster."

Oregon Research Institute (ORI) - Shawn Boles (ACT/RFT, non-degree, USA)

orilogo46x54[1].gifCurrent RFT/ACT Research and Development Projects at ORI:

  • RFTMain - Shawn Boles. Developing a web-based system to serve multiple laboratories via management of experiments using any RFT Method (e.g., IRAP)
  • ACT and Adolescent Smoking Cessation - Tony Biglan
  • ACT and Teacher Burnout- Tony Biglan
  • Exploring the Verbal Networks of Adolescents with respect to Healthy and Harmful Behaviors - Shawn Boles, Tony Biglan and Miwa Yasui

Portland Psychotherapy Clinic, Research, & Training Center - Portland, Oregon (ACT/RFT; post-doc; USA)

The Portland Psychotherapy Clinic, Research, & Training Center [59] is a research and training clinic [60]that focuses on promoting the role of science in guiding psychotherapy practice. Portland Psychotherapy uses an innovative social enterprise model to support ongoing research [61] at the center. Training opportunities for students [62] include a postdoctoral fellowship program and a clinical practicum as well as opportunities to volunteer to help with research [61].

We regularly provide classes and workshops in Acceptance and Commitment Therapy and other evidence-based therapies [63]. We also have a specialty clinic devoted to the treatment of mood disorders [64] and another one focused on anxiety disorders [65]. Here are some of our publications [66] and a bit about our business model [67].

Past research projects have included (see here for current projects [68]):

  • Developing interventions for chronic shame using self-compassion and perspective taking
  • Experimental studies of the interpersonal behavior of high self-critics
  • Longitudinal research on the course of shame and self-compassion in therapy
  • Stigma toward addiction, particularly in the context of addictions treatment systems
  • Interventions for stigma toward "mental illness"
  • A randomzied effectiveness trial of Mindfulness-Based Relapse Prevention
  • Development of an Implicit Measure of Experiential Avoidance
  • Daily diary and multimodal assessment of emotion in predicting drinking behavior
  • Memory and false memory from the perspective of relational frame theory
  • Training spatial diectics

We regularly offer [69]trainings that are mainly in the Pacific Northwest area [63]. [69]

RFTAC Lab (RFT Applied to Clinical Issues). William Perez & Roberta Kovac (RFT, ACT processes, Applied RFT, Behavioral, Functional Contextualism; MS; Brazil)

Institution:

Paradigma - Center of Behavioral Sciences (São Paulo, Brazil)

Research leaders
William F. Perez
Roberta Kovac

Contact: will.f.perez@gmail.com
Page: http://www.clicsgrupodepesquisa.org/ 

San Jose State University - Jennifer Gregg (ACT/RFT; MA; USA)

Jennifer Gregg's [70] research focuses on the application of acceptance and commitment therapy to chronic medical conditions.

Click here to read more about the master's program [71].

Southern Illinois University - Chad Drake (ACT/RFT/FC; PhD; USA)

I supervise an ACT practicum team and a lab at SIU in Carbondale, Illinois. Carbondale is about 2 1/2 hours from St. Louis, Missouri, and a 5-hour train ride to Chicago. Though not necessarily a paradise for city dwellers, SIU is a charming campus and southern Illinois a surprisingly scenic place. 

Currently (April 2017), my practicum team is developing an ACT protocol and measures, and we are beginning a program of component research designed to inform and improve that protocol. My lab has also been engaged in a program of IRAP research. Feel free to check out my faculty website as well as my personal site for more information:

http://cola.siu.edu/psychology/faculty-staff/faculty-list/drake-chad.php

http://chaddrake.com/siu-cbs-lab/ 

Also, feel free to contact me if you have an interest in applying to our adult clinical program.

 

Chad

chad.e.drake@gmail.com

Southern Illinois University Carbondale - Mark Dixon (ACT/RFT: MSc, Ph.D.; USA)

At SIU Carbondale the ACT labs in the Behavior Analysis and Therapy program serves as a training and research platform for our MS. and Ph.D. students. The labs provide students with training under the guidance of Dr. Mark Dixon. Dr. Dixon’s lab currently works with, pathological gamblers, individuals with obesity, students with anxiety disorders, children with brain injury, children diagnosed with autism, in classroom behaviors, and school workers (i.e. teachers). Our faculty and students have participated in cross national and international research.

Here is a sample of published research by Dr. Dixon and Dr. Rehfeldt pertaining to ACT and Relational Frame Theory: :

Dixon, M. R., Dymond, S., Rehfeldt, R., Roche, B., & Zlomke, K. R. (2003). Terrorism and Relational Frame Theory. Behavior & Social Issues, 13(1), 129-147.

Dixon M., & Zlomke K. (2005). Using the precursor to the relational evaluation procedure (PREP) to establish the relational frames of sameness, opposition, and distinction. Revista Latinoamericana De Psicologia [serial online]. 2005;37(2):305-316. 

Dixon M., Zlomke K., & Rehfeldt R. (2006). Restoring Americans' Nonequivalent Frames of Terror: An Application of Relational Frame Theory. Behavior Analyst Today [serial online]. July 2006;7(3):275-289.

Dixon, M. R., & Lemke, M. M. (2007). Reducing Prejudice towards Middle Eastern Persons as Terrorists. European Journal Of Behavior Analysis, 8(1), 5-12.

Ninness, C., Dixon, M., Barnes-Holmes, D., Rehfeldt, R., Rumph, R., McCuller, G., & ... McGinty, J. (2009). Constructing and Deriving Reciprocal Trigonometric Relations: A Functional Analytic Approach. Journal Of Applied Behavior Analysis, 42(2), 191-208.

Dymond, S., Bateman, H., & Dixon, M. R. (2010). Derived Transformation of Children's Pregambling Game Playing. Journal Of The Experimental Analysis Of Behavior, 94(3), 353-363.

Wilson, A. N., & Dixon, M. R. (2010). A Mindfulness Approach to Improving Classroom Attention. Journal of Behavioral Health and Medicine, 1, 137-142, (2).

Dr. Mark R. Dixon, Ph.D., BCBA-D

Dr. Dixon holds a PhD degree from the University of Nevada (1998 graduation) and is a Professor and Coordinator of the Behavior Analysis and Therapy Program at Southern Illinois University. For the past five years he has also served as the Director of an SIU initiative (Behavioral Consultant Group) to infuse behavior analysis within schools, alternative education, and residential facilities serving individuals with autism and other developmental disabilities. Mark also runs a behavioral therapy clinic (Project HEALTH) for persons suffering from problem gambling, or from obesity. Dr. Dixon has published 3 books, over 100 peer reviewed journal articles, and delivered over 300 presentations nationally and internationally. Dr. Dixon is recognized as one of the most skilled programmers of behavior analysis research and data collection systems worldwide. His software has been distributed across many countries and has been translated into foreign languages. Mark has been the Editor of the peer-reviewed journals “Journal of Behavioral Health and Medicine, and "Analysis of Gambling Behavior”. He is also a former Associate Editor for “Journal of Applied Behavior Analysis” and Associate Editor for the “Journal of Organizational Behavior Management”. Mark's research and/or expert opinions have been featured in Time Magazine, Newsweek, The New York Times, National Public Radio, This American Life and local affiliates of ABC, CBS, PBS, and the Southern Illinoisan.

Suffolk University (Boston, MA) - Lisa Coyne (ACT/RFT; PhD; USA)

Our research lab is interested in the following broad areas of investigation:

1. Adaptation of ACT-based principles to enhance behavioral prevention and intervention approaches for children, adolescents, and families

2. Parent experiential avoidance and its role in the development and maintenance of impaired parenting, emotion socialization practices, and
child behavior problems

3. Using ACT to enhance teacher behavior management strategies

4. Developing methodology to assess the impact of experiential avoidance in parent-child relationships

Current Research Projects in the Child Research Lab at Suffolk University:

1. Treatment Development & Pilot of an Acceptance and Mindfulness-Based OCD Protocol for Young Children (Aged five to eight)

2. The Role of Parental Experiential Avoidance during In-Session Exposure for Pediatric OCD

3. The Impact of Parent Experiential Avoidance on Parent-Child Interaction in Mindful Awareness vs. Emotion Control Conditions

4. Parental Experiential Avoidance and Context-Specific Stress Tolerance

5. Childhood Reactive Aggression, Emotion Socialization, and Experiential Avoidance

Click here for more information [72].

Suffolk University (Boston, MA): Acceptance, Mindfulness and Emotion Lab - Sue Orsillo (ACT, MF; PhD; USA)

The Acceptance, Mindfulness and Emotion Lab at Suffolk University is coordinated by Sue Orsillo, faculty in the clinical psychology doctoral program. Learn more about current projects by clicking the links below.

  • Lab web page [73]
  • Sue Orsillo's faculty web page [74]

Swansea University: Louise McHugh & Simon Dymond (RFT/ACT processes; MSc, PhD; Wales)

The RFT & ACT Lab is a sub-group of the Learning and Behaviour research group [75] at Swansea University in Wales.

Co-coordinated by Louise McHugh, current research projects include work on perspective-taking, derived semantic priming, transformation of functions, experimental psychopathology (fear, avoidance, thought suppression), and the development of hierarchical relations. A growing group of undergraduates, postgraduates, and externally funded researchers participate in lab meetings, conferences, and workshops. A new Masters in Behaviour Analysis commenced in September 2006 during which students will have the opportunity to pursue a research project in RFT or ACT related topics.

Visit Louise McHugh's academic website [76].

Visit Simon Dymond's academic website [77].

The Chicago School - Sandra Georgescu (ACT; MA, PsyD; USA)

The Chicago School [78] offers both M.A. and Psy.D. level training in clinical psychology and applied behavioral analysis. Interests among faculty are broad - see faculty profiles for descriptions.

Univ of Mississippi Med Cntr: Personality & Emotion Research & Treatment Lab - Kim Gratz & Matthew Tull (ACT/MF; nondegree; USA)

Kim Gratz, Ph.D. and Matthew Tull, Ph.D. are Co-Directors of the PERT Laboratory at the University of Mississippi Medical Center in Jackson, MS. The PERT Lab offers opportunities to get involved with research at the volunteer, undergraduate research assistant, pre-doctoral internship and post-doctoral levels. Visit the PERT lab web page [79] to find out more information about on-going projects and current opportunities.

Dr. Gratz is Director of Personality Disorders Research and Director of the Dialectical Behavior Therapy Clinic. Dr. Gratz's clinical and research interests focus on the role of emotion dysregulation and experiential avoidance in borderline personality disorder (BPD) and deliberate self-harm. In particular, her research focuses on understanding the nature and consequences of emotional dysregulation and avoidance in BPD and self-harm (through the use of novel behavioral/experimental paradigms), and applying this understanding to the development of more effective treatments for these conditions. She is also interested in the emergence of borderline personality and related pathology among children and adolescents, and the intergenerational transmission of borderline personality pathology between mothers and their children. Recent projects include: experimental investigations of emotion dysregulation, experiential avoidance, and emotional unwillingness in BPD and deliberate self-harm; an experimental investigation of the validity, markers, and associated consequences of an anxious-avoidant subtype of BPD; an examination of the personality traits and underlying processes associated with borderline personality symptoms in childhood; an examination of the rates and correlates of deliberate self-harm among children and adolescents in low-income communities; a laboratory-based study of BPD-relevant personality traits and emotion regulation capacity among women and their 12-23 month-old children; and the further development of an acceptance-based, emotion regulation group therapy for deliberate self-harm among women with borderline personality traits.

Dr. Tull is Assistant Professor and Director of Anxiety Disorders Research. Dr. Tull's research focuses on emotion regulation within the anxiety disorders, with a particular focus on PTSD. His research examines the ways in which: (a) emotion regulation strategies that function to avoid emotion (and internal experience in general) may serve as a vulnerability factor for the development and maintenance of post-traumatic symptoms; and (b) emotional approach and acceptance (such as through mindfulness) may serve as a protective factor for anxiety disorder-related pathology. This research stems from a growing body of theoretical and empirical literature that suggests a paradoxical effect of emotional avoidance/control and, conversely, the potential benefits of accepting and being mindful of one's internal experience.

University College Dublin (RFT; PhD; Ireland) - Louise McHugh

[80]

Louise's research interests are centered on the experimental analysis of language and cognition from a behaviour analytic and Relational Frame Theory perspective, including especially the development of complex cognitive skills such as as perspective-taking and the process-level investigation of behavioural and cognitive psychotherapies including Acceptance and Commitment Therapy. She has published over 40 papers on these topics and has received funding from several sources including the British Academy, the Leverhulme Trust, the Waterloo Trust and the Welsh Assembly. Most recently she was awarded a European Marie Curie career integration award to join the faculty at UCD.

Faculty Page [81]

Program Page [82]

University at Albany, SUNY - John Forsyth (ACT/RFT; PhD; USA)

Our lab -- the Anxiety Disorders Research Program (ADRP) [83] -- focuses on the science and practical application of Acceptance and Commitment Therapy (ACT) and related mindfulness-based traditions to understand, prevent, and alleviate anxiety disorders and related forms of human suffering; applications of self-help and telehealth to expand the reach and impact of psychosocial interventions; using experimental psychopathology to unpack ACT processes [i.e., acceptance/experiential avoidance] that may potentiate human suffering and point to its successful alleviation. 

More broadly, we aim to understand processes that transform normal human thoughts and painful emotions into life shattering problems associated with anxiety disorders, mood disorders, and even problem anger [84]. We focus on these problems to understand human suffering, not as ends in themselves.

The ADRP laboratory has an explicit process-oriented translational focus. Everyone in the lab is involved in basic and applied treatment-oriented research with subclinical and clinical populations.

We struggle intensely with philosophical and conceptual issues and make efforts to integrate this activity with our basic and applied work.

Students are treated as junior colleagues. This is the model. This is the model that paved the way for the early success of behavior therapy. It is a model that is reflected in the collective lab values statement (see attached below) that we, as a group, have developed.

To date, we have focused on understanding the role of excessive thought and emotion regulation in the development, maintenance, and treatment of anxiety disorders. Included here are studies on how emotion regulation transforms normal fear learning and other experiential processes into clinical problems, the measurement of experiential avoidance, acceptance, and defusion. We have assisted with a multisite collaborative project (the UCLA-Albany Study; see Arch et al., Journal of Consulting and Clinical Psychology) testing our unified treatment protocol -- ACT for Anxiety Disorders [85] -- vs. standard CBT for persons suffering from anxiety disorders.  We have completed two large clinical trials evaluating The Mindfulness and Acceptance Workbook for Anxiety [86] when used in a pure self-help context (writing up the papers now).  We have also contributed to measurement development (e.g., The Believability of Anxious Feels and Thoughts Questionnaire -- a measure of cognitive fusion; see Herzberg et al., Psychological Assessment).  There are many other current projects underway, specifically evaluating fusion/defusion using the IRAP and the relation between mindfulness and values.

Our lab also routinely provides ACT consultation and both brief and intensive ACT professional training workshops for professionals interested in learning more about ACT. For additional information please contact Dr. John P. Forsyth [87](via his website) or at the following address:

John P. Forsyth, Ph.D.  Professor of Psychology,  University at Albany, SUNY Department of Psychology, SS399 1400 Washington Avenue Albany, NY 12222 U.S.A. Ph: (518) 442-4862 Fax: (518) 442-4867 Email: forsyth@albany.edu [88]

Relevant Links:

Dr. Forsyth's Offical Website [87]

Dr. Forsyth's Research Lab - The Anxiety Disorders Research Program  [83]

University at Albany, Psychology Department [89]

ACT for Anxiety Disorders OnLine Research [90]

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University of Almería - Carmen Luciano (ACT/RFT; PhD; Spain)

universidad_de_almeria.jpg

 View the Spanish presentation of the lab [91]. The research group with the name of Experimental and Applied Behavior Analysis began in the University of Granada in 1985 and continued in the University of Almería since 1994 under the direction of Carmen Luciano Soriano, professor in the University of Almería, Spain.

The research conducted has been focused in the functional analysis of verbal behavior with special interest in the basic-applied dimension. The research conducted has involved children, parents and adults as well as some research was done with non-human organisms. In the last ten years, the research has been –and it is- tracking the functional analysis of Language and Cognition in the context of the Relational Frame Theory and the analysis of Acceptance and Commitment Therapy.

The basic-applied dimension research projects concerns:

  1. the conditions to establish relational frames, the analysis of the verbal regulation and the analysis of the transformation of functions,
  2. analyzing the verbal contexts defining the unflexible verbal regulation involved in problematic Experiencial Avoidance,
  3. the transformation of functions in the ACT clinical methods,
  4. the extension of ACT brief protocols to several domains, and
  5. the extension of the analysis of relational frames to establish verbal behavior in children with delayed psychological development.

ACTUAL RESEARCHERS working in the projects:

Dr. Carmen Luciano Soriano, Univ. Almería (mluciano@ual.es)

Dr. Inmaculada Gómez Becerra, Univ. Almería (igomez@ual.es)

Dr. Francisco Molina Cobos, Univ. Almería (fjcobos@ual.es)

Dr. Olga Gutiérrez Martínez, Univ. Granada (olgaguti@ugr.es)

Dr. Marisa Páez Blarrina, Spanish Assoc. Cancer (marisa.paez@aecc.es)

Dr. Carmelo Visdómine, (jcvisdomine@hotmail.com)

Dr. Francisco Cabello, Univ. La Rioja (francisco.cabello@dcst.unirioja.es)

Dr. Francisco Montesinos, Spanish Association Cancer (francisco.montesinos@aecc.es)

Dr. Sonsoles Valdivia Salas, Univ. Almería (sonvaldivia28@hotmail.com)

Dr. Miguel Rodríguez Valverde, Univ. Almería (mvalver@ual.es)

Dr. Mónica Hernández, Univ. Valladolid (mohernan@ual.es)

Laura Carmen Sánchez, Univ. Almería (lss250@ual.es)

Israel Mañas Mañas, Univ. Almería (imanas@ual.es)

Francisco Ruiz Jiménez, Univ. Almería (frj939@ual.es)

Javier Hilinger Sánchez, Univ. Almería (jhilinger@hotmail.com)

Also, Dr. Dermot Barnes-Holmes, Dr. Ivonne Barnes-Holmes (Maynooth, Ireland), and Dr. Michael Dougher (Albuquerque, New Mexico) are colloborating in several of the main projects.

ACTUAL FUNDING:

Actual funding projects directly connected to RFT and ACT are:

  • “Derivation of Functions: Analysis of verbal contexts in Experiential Avoidance and in ACT clinical methods”. Financed as Excelent Projects Program by the Andalusian Govertment, 2006-2008.
  • “Analysis of Experiencial Avoidance and defusion methods in ACT”. Financed as I+D+I Ministry of Education Program. (2006-2008).
  • “Addictive behaviors and altering functions in young people” by Andalusian Govertment”, (Grant to Javier Hilinger), 2004-2006.
  • “Development of a telehealth resource for young people engaging in problematic Cybersex on the Internet” by European Comission (Project coordinated by E. Quayle, Cork, Ireland) (Grants to Francisco Ruiz Jiménez and Sonsoles Valdivia Salas)
  • “Transformation of Functions according to several relational frames” financed by Ministry of Science and Education (Grant to Miguel Rodríguez Valverde, 2003-2006).
  • “Analyzing equivalence” financed by Andalusian Govertment (Grant to Israel Mañas Mañas, 2004-2006).
  • “Multiple Esclerosis and Acceptance and Commitment Therapy” by University of Almería (Grant to Laura del Carmen Sánchez Sánchez).

THESES

The following theses to achieve the doctor degree (Pre-doc theses are not included here) that have been done under the umbrella of the research group are:

  1. Miguel Ángel Delgado Noguera: Influence of a educational training in Sports Education. University of Granada, Ph.D. in 1989.
  2. Luis Valero Aguayo: Experimental analysis of new behaviors through equivalence relations. University of Granada, Ph.D. in 1990.
  3. Antonio Fernández Parra: Experimental analysis of the formation of phobic behaviors. University of Granada, Ph. D.. in 1990.
  4. Javier Herruzo Cabrera: "Say-do" correspondence training. University of Granada, Ph.D., in 1992.
  5. Mercedes Vernetta: Diferential effect of two methods in gymnastic skills. University of Granada, Ph. D. 1995.
  6. Inmaculada Gómez Becerra: (In)sensitivity to contingencies and verbal behavior. University of Almería, Ph. D. 1996.
  7. Francisco Javier Molina Cobos: Learning behaviors through imitation. Implications of verbal behavior. University of Almería, Ph.D. 1997.
  8. Serafín Gómez García: Rupture of equivalence relations (co-directed with Dermot Barnes-Holmes). University of Almería, Ph. D. 1998.
  9. Mª Carmen Vives: Vocal articulation deficits and generalization. University of Almería, Ph. D. 1999.
  10. Carmen Berrocal: Functional analysis in obesity (co-directed with Flor Zaldívar). University of Málaga, Ph. D. 2000
  11. Olga Gutiérrez Martínez: Comparison between acceptance and control strategies in a paradigm of self-control. University of Almería, Ph. D. 2003.
  12. Carmelo Visdómine: Locus of control and transference of functions. Univesity of Almería, Ph. D. 2004.
  13. Marisa Páez: Avoidance and control strategies in patients with breast cancer. University of Almería, Ph. D. 2005.
  14. Francisco Cabello Luque: Equivalent relations and protocol analysis by the silent dog method (co-directed with Dermot Barnes-Holmesd). University of Almería, Ph. D. 2005.
  15. Francisco Montesinos: Psychological impact of "cancer" and defusion strategies. University of Almería, Ph. D. 2005.
  16. Sonsoles Valdivia: Motivational analysis and transfer of functions (co-directed with Michael Dougher). University of Almería, Ph. D. 2005.
  17. Mónica Hernández: Quitting smoking and control versus acceptance strategies (co-directed with Jesús Gil Roales-Nieto). University of Almería, 2006 (next presentation).

Relevant publications are:

Related ACT/RFT books:

Luciano, M. C. (dir) (2001). Terapia de Aceptación y Compromiso. Libro de Casos (Acceptance and Commitment Therapy. Cases book.). Promolibro: Valencia.

Wilson, K. G., & Luciano, M. C. (2002). Terapia de Aceptación y Compromiso. Un tratamiento conductual orientado a los valores. (Acceptance and Commtiment Therapy. A behavioral treatment oriented to values). Pirámide: Madrid.

University of Barcelona - Olga Gutiérrez-Martínez (ACT/RFT; PhD; Spain)

Please read more about the program [92] at the University and Dr. Gutiérrez-Martínez' faculty page [93] for contact information.

University of Chester — Lee Hulbert-Williams, Nick Hulbert-Williams, Kevin Hochard (ACT/RFT; PhD/MRes; UK)

Our CBS lab makes up the largest sub-unit of the Chester Research Unit for the Psychology of Health (CRUPH). We have broad interests. Our largest stream of work concerns the applicability of ACT in supporting those with chronic health conditions, especially cancer. We have also published work on mindful eating and sleep issues. Members of the lab are testing out ways to use CBS intervention techniques, like ACT, in settings other than the traditional therapy room. We have a growing stream of work tackling questions in RFT, such as relational coherence. 

We are one of the larger groups of coaching psychologists in a UK university, and we are especailly keen to explore how CBS can be more effectively applied outside of the traditional therapy setting. 

For further information, see: http://www.chester.ac.uk/node/35013 [94]

University of Chichester: Ian Tyndall & Shane McLoughlin (RFT / FC; MPhil / PhD; UK)

At the University of Chichester, we're particularly interested in the experimental analysis of human behavior. We study how improving the precision and fluency of operant responding predicts (1) neural activity, (2) performance on tests of intellectual ability, (3) scholastic and real life outcomes. We also design new experimental paradigms aimed at predicting and influencing complex relational networking processes such as analogical responding and perspective taking. Members of our lab are currently collaborating on projects where we investigate implicit cognition, pain and itch, working memory, psychosis, and dementia using an RFT paradigm. We work with a variety of populations and currently have projects underway exploring relational responding in children, adults, and the elderly.

 

Contact:

s.mcloughlin@chi.ac.uk [95]

University of Cyprus - Maria Karekla (ACT; MS, PhD; Cyprus)

Maria Karekla received her doctorate degree in Clinical Psychology from the University at Albany, SUNY. She completed her residency at the University of Mississippi Medical Center and Veterans Administration Hospital. Currently holds the position of Lecturer of Clinical Psychology at the University of Cyprus and is a licensed clinical psychology. She actively and systematically participates in psychological research projects that have received awards by (among others) the European council and Pompidou’s group, and the Association for the Advancement of Behavior Therapy. Her research focuses on areas of health promotion and the investigation of individual difference factors (especially experiential avoidance) as they relate to the development and maintenance of various forms of psychopathology (especially anxiety disorders and health related problems). She is a member of the clinical psychology and school psychology program development committees at the University of Cyprus and is a key member in the development of the doctoral level clinical psychology program. Maria is currently a member of the European Awarding Committee for the specialization of psychotherapy of EFPA and has served as a liaison of the Cyprus Psychologists Association to numerous subcommittees and task forces of EFPA. A number of her research projects have received local, EU and other funding. Dr. Karekla’s “ACTHealthy: Anxiety disorders and Health Psychology” research laboratory has cooperated with other institutions, business and bodies both in Cyprus and abroad on numerous project.

Research Interests

- Individual factors and development of Anxiety Disorders
- Evaluating and Treating Anxiety Disorders (particularly using new technologies such as the internet and virtual reality)
- Acceptance and Commitment Therapy
- Experimental Psychopathology and Synasthimata
- Psychophysiology
- Quality of life parameters
- Enrichment health behaviors and develop self-management behaviors that affect health (including compulsive behaviors such as smoking)

Please see Dr. Maria Karekla's Faculty Page [96] for more information or contact here at mkarekla@ucy.ac.cy

Clinical Psychology Research Laboratory Click to find out more about the Department of Psychology at the University of Cyprus [97].

University of Denver (ACT; PsyD; USA)

University of Denver clinical psychology doctoral degree in professional psychology (PsyD) [98].

Faculty training in ACT: Ragnar Storaasli, John McNeill, and Chad Emrick.

University of Edinburgh - David Gillanders and Nuno Ferreira (ACT/RFT/MF; PhD/MSc; United Kingdom)

The department of clinical and health psychology is situated in the School of Health in Social Science. We offer three programmes: The Doctorate in Clinical Psychology, a PhD in Clinical Psychology, and a Masters by Research in Clinical Psychology. Only the Doctorate covers eligibility to become a chartered psychologist and to work in clinical practice in the UK. The PhD and MScR routes are funded by self funding or grant, that applicants must secure for themselves. The professional practice doctorate is fully funded. Places are very competitive. For further details of these programmes, including entry and fees, please visit our website at http://www.ed.ac.uk/schools-departments/health/clinical-psychology [99]

Within each of these programmes, students have the opportunity to undertake research with Dr. David Gillanders or with Dr. Nuno Ferreira. Further details of their programmes of research in contextual behavioral science can be seen via the above website.

University of Hawai'i Manoa - Akihiko Masuda (ACT/RFT; PhD; USA)

I am a contextual behavioral scientist. I have a solid background in clinical behavior analysis and acceptance- and mindfulness-based psychotherapies. I am very much interested in experimental analysis of psychopathology and a behavioral model that accounts for a wide range of clinical and social issues. I am also interested in the mechanisms of change in behavioral interventions. I have been investigating the role of behavioral processes, such as acceptance and cognitive defusion, on psychopathology and clinical outcomes of behavioral interventions. Given my multicultural background, diversity issues are also of my great interest. I have been working on research projects, investigating mental health related stigma in diversity contexts and the role of psychological flexibility in the relation between mental health stigma and psychological distress. Clinically, I have exceptional training in mindfulness-based cognitive behavioral interventions, especially Acceptance and Commitment Therapy (ACT). My clinical experiences are broad with diverse clinical populations in a wide range of clinical settings, including university counseling center, outpatient clinic, residential home, and community mental health hospitals. Recently, I have been actively involved in therapist training, supervision, and treatment consultation. Visit Akihiko Masuda's faculty page [100] for updated information on my research.

University of Houston, Clear Lake - Chad Wetterneck (ACT; MA; USA)

Chad Wetterneck, Ph.D. is an Assistant Professor for the clinical program at The University of Houston – Clear Lake’s. He currently heads a lab focused on investigating anxiety and ACT related constructs and collaborates with Mary Short, Ph.D. in co-leading investigating factors related to Internet pornography use.

Recent projects from Dr. Wetterneck’s research labs have examined:

  • Variations in the report of OCD related symptomology by ethnicity
  • The acceptability of ACT and CBT based on treatment rationales for social anxiety and treatment expectations for ACT and CBT based on treatment rationales for social anxiety
  • The nature and frequency of sexually intrusive thoughts and their relationship to experiential avoidance and past experience of traumatic sexual events
  • The relationship of experiential avoidance, sexual compulsivity, and impulsivity to Internet pornography (IP) use

Dr. Wetterneck has excellent training in ACT including multiple training workshops, serving as the lead therapist in a randomized controlled trial of acceptance-enhanced behavioral treatment of trichotillomania, and co-leading an ACT supervision group in the greater Houston area. He received his doctorate from University of Wisconsin-Milwaukee under the supervision of Doug Woods, Ph.D. and completed his internship at Baylor College of Medicine under the supervision of Carla Sharp, Ph.D. Dr. Wetterneck has specific interests and experience with anxiety, obsessive-compulsive spectrum disorders, and Acceptance and Commitment Therapy.

Visit Dr. Wetterneck's faculty page [101] for more information.

University of Jyväskylä - Raimo Lappalainen (ACT; master's, doctorate, licensure; Finland)

Visit Dr. Lappalainen's faculty page [102] and read more about this program here [103].

University of Massachusetts at Boston - Liz Roemer (MF, ACT; PhD; USA)

Visit the link below to view Liz Roemer's current and former graduate students and examples of their recent research on experiential/emotional avoidance, emotion regulation and mindfulness as they relate to anxiety as well as recovery from traumatic exposure.

Liz Roemer's lab webpage [104]

Liz Roemer's faculty webpage [105]

University of Mississippi - Kelly Wilson & Kate Kellum (ACT/RFT; PhD; USA)

olemiss.jpg
This is the short version of the two-part mission of the Wilson-Kellum Lab at Ole Miss:

Part 1: The Content Mission. Yes, the lab has a mission. To make theoretical and empirical analyses of the role of basic verbal processes in complex human behavior; to aim these analyses at topics that seem central to a life lived well; and, to pursue the applied implications of these analyses in the service of improving lives.

Part 2: The Process Mission. To create an environment in which behavioral scientists are nurtured. The lab will mindfully pursue the professional development of its members in order to equip them to play an important role in the bettering of the human condition through the development, dissemination and application of this science. Professional development is understood in our group in the very broadest possible sense. Too often in psychology and other disciplines, professional development has been very narrowly construed--i.e., becoming a competent psychologist. In our lab, we are interested in the development of whole persons. Joining the lab means making a commitment to have lab be about supporting others, and in allowing yourself to be supported, in the development of a whole life.

  • Lab Manifesto [106]

Click on the Lab Manifesto link for the full lab mission statement.

  • Kelly Wilson's Academic Homepage [107]

We have an APA accredited doctoral program in clinical psychology and also offer Ph.D.'s in experimental psychology at the University of Mississippi. Kate Kellum and I co-direct this lab. If you are interested in doctoral training with us, you should look at the Lab Manifesto and at my Academic Homepage. Surf around my website and you will get a pretty good sense of the culture of our workgroup. If you are thinking about doc training, please do yourself a favor and think hard about the culture of the place you are trained. If you pick well, your graduate training will end with sweet sorrow. You will know it is time to go, but, there will be tears shed as you leave. We are not the most famous or richest place to be trained, but we offer something here that you cannot get elsewhere.

If you are interested in training opportunities and upcoming workshops, visit my training pages.

  • Kelly Wilson's Training Pages [108]

University of Nevada, Reno - Steve Hayes (ACT/RFT; PhD; USA)

unr_logo.gif

The University of Nevada lab is focused on creating a scientific paradigm that supports human transformation.

It seeks the development of a coherent, pragmatically useful, innovative, empirical, behavioral approach to psychological science that will enable significant steps forward in our understanding of human beings, the creation of human progress, and in the alleviation of human suffering.

It consciously tries to give away its research program by supporting the development of successful research laboratories with these goals world wide.

The lab has been at the forefront in the development of functional contextualism, Relational Frame Theory, and Acceptance and Commitment Therapy.

Oh Great Mentor_cropped_hi.jpg

Labbies with Steve Hayes after he received the "Lifetime Achievement Award" from the Association of Cognitive and Behavioral Therapies in 2007

Doctoral graduates from Steve Hayes's lab who also agree to a "science oath" receive the "Behavioralis Junkus degree" and learn the secret behavioral handshake.

Below are links to the current labbies, a list of "Behavioralis Junkus degree" recipients, and a comprehensive list of all dissertations to come out of the lab.

Current UNR Labbies

The current members of the ACT/RFT Lab at UNR include:

Post-Doctoral Fellows:

  • Jason Lillis
  • Matthieu Villatte
  • Chelsea MacLane

Graduate Students:

  • Kara Bunting (on internship)
  • Lindsay Fletcher (matched for internship)
  • Merry Sylvester (matched for internship)
  • Jennifer Plumb
  • Jennifer Boulanger
  • Mikaela Hildebrandt
  • Roger Vilardaga
  • Michael Levin
  • Jamie Yadaivia
  • Tami Jeffcoat (formerly Lazzarone)
  • Doug Long

Research Assistants

Former RA's who have gone on to graduate school in psychology

  • Lindsay Martin (Towson University)
  • Kate Morrison (Utah State University)
  • Dahlia Mukherjee (University of Pennsylvania)

Labbie Fellow Travelers (primary advisor not Steve):

  • Tom Waltz (matched for internship)
  • Claudia Drossel (matched for internship)

UNR Dissertation List

Here are the dissertations that have come from the lab over the years (including those from UNC Greensboro, prior to UNR):

COGNITIVE THERAPY OF DEPRESSION: A CONCEPTUAL AND EMPIRICAL ANALYSIS OF COMPONENT AND PROCESS ISSUES
by ZETTLE, ROBERT DOUGLAS, PhD
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, 1984, 560 pages

STIMULUS EQUIVALENCE AND LANGUAGE DEVELOPMENT IN CHILDREN (RETARDATION)
by DEVANY, JEANNE MARIE, PhD
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, 1985, 82 pages

THE RELATIONSHIP BETWEEN TWO CLASSES OF MEASURES EXAMINED IDIOTHETICALLY AND NOMOTHETICALLY
by TURNER, ARLINZA EARL, PhD
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, 1986, 332 pages

THE USE OF THERAPIST RULES, SELF-RULES, AND CONTINGENCY-SHAPED FEEDBACK IN THE TREATMENT OF SOCIAL SKILLS DEFICITS IN ADULTS
by ROSENFARB, IRWIN SHIMON, PhD
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, 1986, 258 pages

HIGHER-ORDER CONTROL OVER EQUIVALENCE CLASSES AND RESPONSE SEQUENCES: AN EXPERIMENTAL ANALOGUE OF SIMPLE SYNTACTICAL RELATIONS
by WULFERT, EDELGARD, PhD
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, 1987, 131 pages

CONDITIONAL CONTROL OF EQUIVALENCE AND THE RELATIONS DIFFERENT AND OPPOSITE: A BEHAVIOR ANALYTIC MODEL OF COMPLEX VERBAL BEHAVIOR
by STEELE, DAVID LEE, PhD
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, 1987, 136 pages

The effects of verbal consequences for rule-following on sensitivity to programmed contingencies of reinforcement
by Haas, Joseph Raymond, PhD
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, 1991, 209 pages

Client metaphor use in a contextual form of therapy
by McCurry, Susan Melancon, PhD
UNIVERSITY OF NEVADA, RENO, 1991, 262 pages

An analysis of the process of client change in a contextual approach to therapy
by Khorakiwala, Durriyah, PhD
UNIVERSITY OF NEVADA, RENO, 1991, 240 pages

A behavior analysis of complex human functioning: Analogical reasoning
by Lipkens, Regina, PhD
UNIVERSITY OF NEVADA, RENO, 1992, 214 pages

The evaluation, and remediation of obstacles to Japanese/European-American intercultural communication from a behavior analytic perspective
by Leonhard, Christoph Harald, PhD
UNIVERSITY OF NEVADA, RENO, 1994, 180 pages

Transfer of function through equivalence: Modification effects based upon nodality and contextual control
by Kohlenberg, Barbara Saree, PhD
UNIVERSITY OF NEVADA, RENO, 1994, 117 pages

Examining the differential effects of feedback in ply-form and track-form on staff training of consumers in a sheltered workshop
by Huntley, Kenneth Robert, PhD
UNIVERSITY OF NEVADA, RENO, 1995, 104 pages

A study of paradoxical cognitive responding in thought suppression
by Afari, Niloofar, PhD
UNIVERSITY OF NEVADA, RENO, 1996, 148 pages

Acceptance, suppression, and monitoring of personally-relevant unwanted thoughts in women diagnosed with borderline personality disorder
by Pistorello, Jacqueline, PhD
UNIVERSITY OF NEVADA, RENO, 1998, 240 pages

The effects of suppression and acceptance on thought and emotion
by Walser, Robyn Darleen, PhD
UNIVERSITY OF NEVADA, RENO, 1998, 189 pages

Relational acquisition of stimulus function in substance dependence: A preliminary examination of drug versus nondrug related equivalence classes
by Wilson, Kelly Gene, PhD
UNIVERSITY OF NEVADA, RENO, 1998, 104 pages

An experimental analysis of the effects of an intrusive academic advising package on academic performance, satisfaction, and retention
by Sayrs, David Michael, PhD
UNIVERSITY OF NEVADA, RENO, 1999, 101 pages

Acceptance and commitment therapy in the treatment of symptoms of psychosis
by Bach, Patricia Ann, PhD
UNIVERSITY OF NEVADA, RENO, 2000, 87 pages

Dismantling instruction to distract from a painful stimulus: Approach/avoidance functions of distracting instructions
by Grundt, Adam Matthew, PhD
UNIVERSITY OF NEVADA, RENO, 2000, 155 pages

Toward an empirical analysis of verbal motivation: A possible preparation for distinguishing discriminative and motivational functions of verbal stimuli
by Ju, Winifred Chin-Teh, PhD
UNIVERSITY OF NEVADA, RENO, 2000, 255 pages

Processes of change: Acceptance versus 12-step in polysubstance-abusing methadone clients
by Bissett, Richard Thorman, PhD
UNIVERSITY OF NEVADA, RENO, 2001, 351 pages

Culture and acceptance and control-based strategies: Predictors of psychological adjustment among Asian Americans and Caucasian Americans
by Cook, Dosheen, PhD
UNIVERSITY OF NEVADA, RENO, 2003, 99 pages

Acceptance-based treatment of regulatory internal stimuli in nicotine-dependent smokers: A controlled comparison with transdermal nicotine replacement
by Gifford, Elizabeth Ruth van der Veen, PhD
UNIVERSITY OF NEVADA, RENO, 2003, 181 pages

A randomized controlled effectiveness trial comparing patient education with and without acceptance and commitment therapy for type 2 diabetes self-management
by Gregg, Jennifer Ann, PhD
UNIVERSITY OF NEVADA, RENO, 2004, 291 pages

Acceptance and commitment training and stigma toward people with psychological disorders: Developing a new technology
by Masuda, Akihiko, PhD
UNIVERSITY OF NEVADA, RENO, 2006, 117 pages

The impact of training deictic frames on perspective taking with young children: A relational frame theory approach to theory of mind
by Weil, Timothy M., Ph.D.
UNIVERSITY OF NEVADA, RENO, 2006, 90 pages

Acceptance and commitment therapy for the treatment of obesity-related stigma and weight control
by Lillis, Jason, PhD
UNIVERSITY OF NEVADA, RENO, 2007, 144 pages

The role of acceptance in cognitive behavioral treatment for chronic pain in an HIV-positive community sample
by Pierson, Heather M., PhD
UNIVERSITY OF NEVADA, RENO, 2008, 206 pages

A randomized clinical trial of acceptance and commitment therapy versus progressive relaxation training in the treatment of obsessive compulsive disorder
by Twohig, Michael P., PhD
UNIVERSITY OF NEVADA, RENO, 2007, 181 pages

The effect of acceptance and commitment training on clinician willingness to use empirically-supported pharmacotherapy for drug and alcohol abuse
by Varra, Alethea, PhD
UNIVERSITY OF NEVADA, RENO, 2007, 176 pages

Examining the motivational effects of verbal stimuli: An application of motivative augmentals
by Jackson, Marianne, PhD (primary advisor: Larry Williams)
UNIVERSITY OF NEVADA, RENO, 2008, 139 pages

Acceptance and Commitment Therapy with dually diagnosed individuals
by Pankey, Julieann, PhD
UNIVERSITY OF NEVADA, RENO, 2008, 151 pages

Relational coherence and transformation of function in ambiguous and unambiguous relational networks
by Quinones, Jennifer L., PhD
UNIVERSITY OF NEVADA, RENO, 2008, 88 pages

In search of operant classes in the real world: A case for synonyms and antonyms
by Berens, Nicholas, PhD
UNIVERSITY OF NEVADA, RENO, 2009, 119 pages

UNR Lab Graduates

This list of lab graduates is in order of first to most recent. Below their names are their first major post-doctoral and / or current positions.

  • Robert Douglas "the Z" Zettle
    Wichita State University
  • Jeanne M. Devany
    Auburn University
    (now at The Grove Clinic, Asheville, NC)
  • Arlinza E. "Sonny" Turner*
    Albert Einstein School of Medicine
    * deceased
  • Irwin Rosenfarb
    Auburn University
    (now at Alliant University)
  • Edelgard Wulfert
    State University of New York at Albany
  • David Steele
    Greensboro Area Health Education Center
    (now at a US military clinic in Germany)
  • Joseph Raymond Haas
    Children's Behavioral Services, Reno, NV
  • Susan Melancon McCurry
    University of Washington School of Medicine
  • Durriyah Khorakiwala
    Keiser Permanente Hospital
    (now in private practice, Pleasanton, CA)
  • Regina Lipkens
    University College of North Wales
    (now at Sancta Maria Psychiatric Hospital, Sint-Truiden, Belgium)
  • Christoph Leonhard
    Harvard Medical School
    (now at Illinois School of Professional Psychology)
  • Barbara S. Kohlenberg
    Veteran's Administration Medical Center, Reno
    (now at the University of Nevada, Reno)
  • Niloofar Afari
    University of Washington School of Medicine
    (now at the VA San Diego Healthcare System)
  • Jacqueline Pistorello
    University of Nevada, Reno
  • Robyn Walser
    Weber State University
    (now at the Palo Alto VA, National Center for PTSD)
  • Kelly G. Wilson
    University of Mississippi
  • David M. Sayrs
    Pierce College
    (now at the University of Washington)
  • Winifred C. T. Ju
    Center for the Disabled, Cohoes, NY
    (now at the West Salem Clinic, Salem, OR)
  • Adam M. Grundt
    Dartmouth College
    (now at the Hazelton Institute)
  • Patricia Bach
    University of Chicago School of Medicine
    (now at the Illinois Institute of Technology)
  • Richard Bissett
    University of Nevada, Reno
    (now at Rural Regional Clinics, Carson City, NV)
  • Dosheen Cook
    Rural Regional Clinics, Carson City, NV
  • Elizabeth Gifford
    Center for Health Care Evaluation
    Palo Alto Veteran's Administration and Stanford University
  • J. T. Blackledge
    University of Wollongong, Australia
    (now at Morehead State University, Morehead, KY)
  • Jennifer Gregg
    San Jose State University
  • Akihiko Masuda
    University of Texas, Houston Health Sciences Center
    (now at Georgia State University, Atlanta, GA)
  • Timothy Weil
    University of South Florida
  • Jason Lillis
    Palo Alto Veteran's Administration and Stanford University
    (now at the University of Nevada, Reno)
  • Michael Twohig
    Utah State University, Logan, UT
  • Alethea Varra
    VA Puget Sound Healthcare System, Seattle, WA
  • Julieann Pankey
    University of Alaska, Fairbanks
  • Heather Pierson
    VA Puget Sound Healthcare System, Seattle, WA
  • Nicholas Berens
    Center for Advanced Learning, Reno, NV

Additional esteemed lab graduates:

Ken Huntley

and

Jennifer Quinones

University of New Mexico - Mike Dougher (RFT/ACT; PhD; USA)

Read more about the program here [109].

Mike Dougher's research interests:

Experimental and clinical behavior analysis. Primary research focuses on the experimental analysis of complex human behavior including stimulus equivalence and relational responding. Other interests include contextualistic methods of psychotherapy and psychotherapy research, and integrative psychotherapies.

Mike Dougher's faculty page [110].

University of North Texas - Amy Murrell (ACT/RFT; PhD; USA)

My research team is a pretty large group, with diverse interests - all of us are working on projects related to functional contextualism, RFT, or ACT, in some fashion. Our work group currently includes me, seven graduate students, and seven undergrads. I currently have two grants -a foundation grant and some state funds - to work on an RCT examining ACT vs. TAU for PTSD in adults following domestic violence and/or sexual assault. Several of my students are working on projects with children who have witnessed such violence. But, as I mentioned, we have a variety of things going on here! Here is a link to my website, where you can read about the further about our most current research projects. You can check it out here:

http://psychology.unt.edu/dr-amy-murrell/ [111]

University of Queensland (ACT; MPsychClin, PhD; Australia) - Kenneth Pakenham

https://fbcdn-profile-a.akamaihd.net/hprofile-ak-ash2/s160x160/531012_278886218855640_1855054886_a.jpg

Dr. Pakenham's research interests are in the areas of Acceptance and Commitment Therapy (ACT), positive psychology and clinical health psychology. His specific research interests include: the application of ACT to specific populations, and investigation into adaptation to negative or stressful life events particularly using stress and coping frameworks. Particular negative or stressful life events of interest include chronic illness (e.g., Multiple Sclerosis, AIDS, cancer, heart disease), and caregiving. He is interested in both the physiological and psychological processes involved in the adaptation process for the person directly affected by the stressful event and significant others (carers). He is also interested in training clinical psychology trainees in ACT competencies as well as self-care skills. Dr. Pakenham has a 3 year ARC funded project that is examining the psychosocial impact of caring for a parent with an illness or disability and IS involved in numerous other funded projects.

Faculty Page [112]

Program Page [113]

University of South Florida - Timothy Weil (Behavioral/Applied RFT/RFT; MA, Ph. D.; USA)

Dr. Timothy Weil's lab holds an emphasis on basic behavioral principles and applications while seeking ways to combine those with the more recent behavioral developments of Relational Frame Theory. The lab particularly seeks ways to incorporate RFT principles into more traditional Verbal Behavior models to increase the effectiveness of this training with targeted individuals.

The lab also seeks ways to use an ACT based approach to increase the effectiveness of traditional behavioral approaches with a variety of populations including parents and individuals diagnosed with traumatic brain injury. Specifically, the lab seeks to deliver ACT based behavioral interventions in a protocolized way as to make it accessible to other behavior analysts.

In addition, the Lab supports all forms of traditional behavior analysis research in applied settings (including clinics, group homes, and adult day training facilities) involving a variety of different populations (from children and adults diagnosed with developmental disabilities, individuals with a traumatic brain injury, parents of individuals with traumatic brain injury, as well as typically developing populations of all age ranges) and skills.

 

Dr. Weil's staff page may be found here [114] and information about the USF ABA Master's program may be found here [115].

University of Tampere (ACT; MA; Finland)

Read more about the program in the department of psychology here [116].

University of Washington (ACT; PhD; USA) - Jonathan Bricker

http://depts.washington.edu/uwren/Graphics/UW.Signature_stacked.jpg

Students interested in UW adult clinical PHD program [117] can include mention of interest Dr. Bircker's lab [13], as their co-mentor with core faculty, in their personal statement on the application. Selection is highly competitive.

From Dr. Brickers Faculty Page [118]:

"I mentor UW psychology students and early career research scientists who are passionate about acceptance and mindfulness therapies for improving health behavior. Currently, our Tobacco and Health Behavior Science Research Group conducts a wide variety of National Institutes of Health (NIH)-funded randomized clinical trials testing Acceptance and Commitment Therapy (ACT) for health behavior change—with an emphasis on smoking cessation. ACT is a new form of cognitive behavioral therapy that teaches skills in increasing openness to one’s feelings, urges, and thoughts while taking values-guided actions. Modalities of intervention delivery are individual-level face-to-face, group, phone, web, and smartphone. Within the context of these trials, I provide mentoring in developing research topics, scientific questions, analysis planning and interpretation, and writing up articles for publication in peer-reviewed journals. Past student research topics include: (1) acceptance-based theoretical mediators of web-delivered ACT for smoking cessation, (2) therapy fidelity of phone-delivered ACT, and (3) comparison of ACT with Motivational Interviewing. Past students have published first-authored papers in prestigious journals including Health Psychology and Addiction. Mentees become core members of our collaborative group of psychologists, research therapists, statistician, data collectors and coders, and program manager based at our state-of-the-art offices of the Fred Hutchinson Cancer Research Center at beautiful South Lake Union."

Click here to learn more about the Tobacco & Health Behavior Science Research Group. [13]

University of Wisconsin-Milwaukee Behavior Therapy & Research Lab - Doug Woods (ACT; PhD; USA)

Research in the BTRL has two related foci. One focus is on understanding and developing treatments for OC-Spectrum disorders in children and adults. A second focus is on evaluating the efficacy of Acceptance and Commitment Therapy and trying to understand the related mechanisms of change. The BTRL is directed by Dr. Doug Woods. Visit the lab website [119] to view the most current research projects.

ONGOING ACT-RELATED RESEARCH

Treatment Studies

Behavior Therapy for Adults With Chronic Skin Picking
This study is funded by the Trichotillomania Learning Center, Inc. We are looking for adults over the age of 18 with a Chronic Skin Picking problem. The study is being conducted to compare ACT+HRT to a TAU condition for CSP. Treatment is free for those who qualify. The study has not started yet, but should begin sometime in the Summer of 2005. Please contact Chris Flessner for more information on this study, or call (414) 229-6078.

Behavior Therapy for Adults with Trichotillomania
This study seeks to evaluate the best way to administer a ACT+HRT for trichotillomania in adults. The study is being conducted in conjunction with the Trichotillomania/BFRB Specialty Clinic, and is offered to Clinic clients as one potential option for treatment.

ACT Related Studies Examining Factors Underlying Psychopathology

Experiential Avoidance as a Mediator Between Unpleasant Private Experiences and CSP

COMPLETED RESEARCH

Treatment Studies

Woods, D. W., Wetterneck, C. T., & Flessner, C. A. (2006) [120]. A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania. Behaviour Research and Therapy, 44, 639-656.

Teng, E. J., Woods, D. W., & Twohig, M. P. (in press). Habit reversal as a treatment for chronic skin picking: Comparison to a wait-list control. Behavior Modification. Twohig, M. P. & Woods, D. W. (2004). A Preliminary Investigation of Acceptance and Commitment Therapy and Habit Reversal as a Treatment for Trichotillomania. Behavior Therapy, 35, 803-820.

ACT Related Studies Examining Factors Underlying Psychopathology

Begotka, A. M., Woods, D. W., & Wetterneck, C. T. (2004). The relationship between experiential avoidance and the severity of trichotillomania in a non-referred population. Journal of Behavior Therapy and Experimental Psychiatry, 35, 17-24.

Marcks, B. A. & Woods, D. W. (2005) [121]. A comparison of thought suppression to an acceptance-based technique in the management of personal intrusive thoughts: A controlled evaluation. Behaviour Research and Therapy, 43, 433-445.

Norberg, M. M., Woods, D. W., & Wetterneck, C. T. (2005). Examination of the mediating role of psychological acceptance in relationships between cognitions and severity of chronic hairpulling.

Wetterneck, C. T., & Woods, D. W. (2005). Hair pulling antedecents in trichotillomania: their relationship with experiential avoidance.

University of Wisconsin-Milwaukee Depression Treatment Speciality Clinic - Jonathan Kanter (FC; PhD; USA)

The UWM Depression Treatment Specialty Clinic [122] is a clinical research laboratory devoted to understanding depression and improving access to services and treatment for depression in the Milwaukee area.

In our lab we encourage developing an understanding of behaviorism as a way to understand and research psychotherapy. The basic ideas are:

1. Behavior is best understood in terms of the context in which it occurs or has occurred in the past. We look into people's lives and the world they live in to understand why they feel and act the way they do.

2. The relationship that a therapist forms with the client is extremely important. Good, intense client-therapist relationships are incredibly powerful and can lead to powerful changes.

3. We do not consider a psychological problem to be solved until the person’s behavior has improved. We aim to help people enjoy active and meaningful lives that they feel are worth living. This means that treatment may not be about reducing depression (although it may be) but it may also be about finding one’s values and how to live life in the service of those values.

Visit the lab site and Jonathan Kanter's faculty page [123] for more information.

University of Wollongong - Joseph Ciarrochi (ACT/RFT; MA, MSc, PhD; Australia)

The University of Wollongong research lab, located in New South Wales, Australia, is dedicated to conducting ACT & RFT research at all levels of the basic-applied continuum. Currently, Joseph Ciarrochi's work focuses primarily on validating the effects of Acceptance and Commitment Training with normal populations (e.g., the NSW Police Force; secondary school-based ACT interventions), as well as on ACT-relevant instrument validation and population-based studies.

Joseph provides research supervision to University of Wollongong students, and is happy to consult on/participate in ACT/RFT research conducted in Australia, New Zealand, and elsewhere.

Uppsala University - Joanne Dahl (ACT/RFT; MSc, PhD; Sweden)

The ACT Lab in Uppsala at the department of psychology represents a concerted effort in forwarding ACT clinical research. It aims at supporting students doing or interesting in doing clinical research in ACT at all levels. The vision of the Lab is to work towards a breadth of application, clarity of protocols, ease and clarity of training therapists, clarity of adherence and competence , adequacy of process measures, tightness of the control conditions, tests against known technologies, links to basic processes and large scale effectiveness. The Lab is open to all interested student at the department of psychology, both the clinical psychology program as well as the other programs at the department. It is open to students of all levels but will probably be of most interest to those involved in or close to being involved in the masters level thesis or doctoral dissertation. The program scheduled for every other Friday afternoon between 13-1600 is comprised of a combination of smaller lectures in general methodological areas such as the use of END NOTE reference system, statistical programs, update on research followed by a practical part where students may use the group to practice clinical skills of ACT needed for research projects.

Read updates at Joanne Dahl's website [124].

uppsala_university_sweden_lab.jpg

The following is a list of the areas of ACT where there are ongoing studies at some stage, along with areas that need to be addressed. This organisation may help new students see where they might like to aim research efforts.

  • Breadth of Application
  • Behavior medicine
  • Chronic Pain

    Long term musculoskeletal pain Chronic headache

  • Epilepsy

    Treatment of partial complex seizure drug refractory Treatment of partial complex seizures for people in developmental countries with no access to anticonvulsant drug therapy Lab studies: dismantling effects of ACT and BT on seizure process

  • Diabetes
  • Eating disturbances

    Anorexia Obesity

  • Constipation
  • Asthma
  • Psychiatric disorders
  • Social Phobia
  • Psychometric studies
  • Process measures: ACT specific

    Bull’s eye AAQEP (AAQ for epilepsy) AAQ in Swedish

  • Biological measures such as the use of EEG, EMG, GSR, MRT or other psychophysiological measures to study process of treatment.
  • Relational Frame Theory

    Study circle Stigmatization study for epilepsy Cooperation with RFT labs in the UK Development of IRAP/RFT Lab (may involve younger students)

  • Values work

    Standardization of values compass protocol Values workbook IRAP RFT lab study for Values frames

  • Protocols

    Uppsala 4 session base protocol (a good place to start) Create video tapes of individual and group sessions Development of a base manual.

  • Education and training

    Vertical organization of students where students with experience train new students in protocols, ACT core skills and the use of measurements. Students doing clinical thesis may use the lab to practice skills, get help with problems in developing manuals, clinical skills, measurement problems, statistics and writing up of the project.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Utah State University - Michael Levin (ACT/RFT; PhD; USA)

I'm an assistant professor in the Combined Clinical, Counseling, School Psychology Ph.D. program at Utah State University. Our lab has broad research interests within the contextual behavioral science tradition, but our work is particularly focused on developing and testing acceptance and mindfulness-based treatments implemented through computerized and other self-help formats (i.e., websites, mobile apps, bibliotherapy). We are also particularly interested in examining the components and processes of change for ACT. We’ve conducted research in a variety of problem areas including addictive behaviors, depression, anxiety, obesity and stigma, in part because of interests in transdiagnostic approaches. Current projects include developing a transdiagnostic web-based ACT program for distressed college students, developing a values-focused web-based program for psychiatric outpatients, and evaluating mobile app interventions.

I received my Ph.D. under Steve Hayes at University of Nevada, Reno (UNR). I also have training in other contextual CBTs including DBT and FAP from my time at UNR.

USU is an exciting place for CBS research and contextual CBT clinical training. Michael Twohig [125] is a faculty member in the combined program and offers a practicum in ACT. There are also several behavior analysts in the psychology department faculty and the combined program is now offering an informal contextual behavioral science emphasis area for graduate student training.

To learn more about my research and USU visit the links below:

USU psychology website: http://psychology.usu.edu/ [126]

USU Lab Website: http://usucbs.com/ [127]

You can also contact me by e-mail at Michael.Levin@usu.edu

Utah State University - Michael Twohig (ACT/RFT; PhD; USA)

I am an associate professor in the clinical psychology program at Utah State University. Our (the lab's) research generally focuses on treatment development and treatment evaluation. We work to determine the effectiveness of particular treatment modalities, but we have an equal emphasis on determining why these treatments work (mechanisms of action). Our work focuses on therapies in the "behavioral" and "empirically supported" tradition including ACT, CBT, and BT or exposure therapies. I have done a lot of work in anxiety disorders, especially OCD and trichotillomania, but I am very interested in many clinical areas. I also work with both adult and child populations.

I have very good training in ACT. I received my Ph.D. under Steve Hayes at Reno. I am also well trained in CBT after doing my clinical internship under Maureen Whittal, Melisa Robichaud, and Jach Rachman at UBC in Vancouver, BC. I work very hard to help my students do well in whatever area of psychology they are interested in whether it be clinical, research, or both. We have a very active research lab and students should expect to be successful while working with me. I also offer training in ACT throughout your entire time at USU. We have a very nice research space and student's are generally funded throughout their time at USU.

Finally, the snowboarding, hiking, rock climbing, etc. are wonderful in Utah!

If you have an interest in working with me please contact me by phone or e-mail [128]. Mike

Western Michigan University - Scott Gaynor (FC/ACT/RFT/FAP/BA; PhD; USA)

http://aviation.wmich.edu/Portals/187428/images/wSmlCenterCMYK.jpg

Dr. Gaynor's research interests include psychotherapy process and outcome, especially applying contemporary behavior therapy approaches. He and his laboratory are currently working on intervention studies involving children, adolescent, and young adult samples. He is also interested in the experimental analysis of human and non-human behavior.

The Behavior Research and Therapy Laboratory is committed to the scientist-practitioner model. As such, our intervention studies have two related purposes. First, for the participants involved, we hope to provide interventions that can legitimately improve their lives. Second, while providing these interventions we attempt to rigorously evaluate them, hoping to determine empirically if and why they are helpful. Currently we are working on intervention studies involving children, adolescent, and young adult samples.

Visit Dr. Gaynor's Home Page [129] for more information or contact him at scott.gaynor@wmich.edu

The clinical psychology program at Western Michigan University is a behavioral program, and faculty there conduct research and train in modern behavioral psychotherapies such as Functional Analytic Psychotherapy (FAP), Acceptance and Commitment Therapy (ACT) and Behavioral Activation (BA).

Visit the program webpage [130] for further information.

Wichita State University - Rob Zettle (ACT/RFT; PhD; USA)

Dr. Zettle is a tenured professor in the clinical psychology program at Wichita State University. Dr. Zettle was Steven Hayes' first doctoral student and thus has had extensive training in ACT (>20 years). Students who enter the clinical psychology doctoral program at Wichita State University and work with Dr. Zettle can receive training in ACT.

The common thread running through Dr. Zettle's research is an attempt to better understand the roles that languaging and verbal behavior play in the initiation, maintenance, and alleviation of human suffering from a functional contextualistic perspective. Some of the research projects are more basic in nature, while others are more explicitly applied and clinical in their focus. More basic research projects focus on the development of both self-report and behavioral ways of assessing processes that contribute to psychological flexibility/rigidity as well as experimentally manipulating these same processes in impacting analogues of clinical forms of human suffering, such as anxiety and mood disorders. More applied research projects compare the clinical outcomes and related processes associated with traditional cognitive-behavioral interventions in treatment of depression versus ACT and related acceptance and mindfulness-based approaches.

Recent and upcoming publications from Dr. Zettle's lab include:

Gird, S., & Zettle, R. D. (in press). Differential response to a dysphoric mood induction procedure as a function of level of experiential avoidance. The Psychological Record.

Petersen, C. L., & Zettle, R. D. (in press). Treating inpatients with comorbid depression and alcohol use disorders: A comparison of acceptance and commitment therapy versus treatment as usual. The Psychological Record.

Zettle, R. D. (in press). Acceptance and commitment theory of depression. In P. L. Fisher & A. Wells (Eds.), Treating depression: Principles and practice of CBT, MCT, and third wave therapies. Chichester, United Kingdom: Wiley.

Zettle, R. D. (2005). The evolution of a contextual approach to therapy: From comprehensive distancing to ACT. International Journal of Behavioral Consultation and Therapy, 1, 77-89.

Zettle, R. D., Barner, S. L., & Gird, S. (2009). ACT with depression: The role of forgiving. In J. T. Blackledge, J. Ciarrochi, & F. Deane (Eds.), Acceptance and commitment therapy: Current directions (pp. 151- 173). Bowen Hills QLD: Australian Academic Press.

Zettle, R. D., Petersen, C. L., Hocker, T. R., & Provines, J. L. (2007). Responding to a challenging perceptual-motor task as a function of level of experiential avoidance. The Psychological Record, 57, 49-62.

If you are interested in joining/working with Dr. Zettle's lab, more information about his lab and his contact information can be found at www.wichita.edu [131].

Becoming an ACT Trainer

Click on an option below to get more information on the process of becoming a Peer Reviewed ACT Trainer:
  • Why join the ACBS training community?
  • What are the requirements to apply?
  • How do I know if I am ready to apply?
  • Why peer review and how does it work?
  • Video: Peer Review Process
  • How do I apply for peer review?
  • How can my training be observed?
  • Who can I contact with questions?
     
  • Training Resources for RFT/FC/BA Competencies [132]


NOW IN EFFECT: Revisions to the Peer Reviewed Trainer Criteria & Application Process:

The Training Committee would like to inform the community about some changes being made to the process for applying to be a peer reviewed ACT trainer. These changes are now in effect as of January 15, 2016. They have been carefully considered, and arise from what we have learned by working with the current application materials over time. David Gillanders, previous Training Committee Chair, provided a nice background summary and description of these changes when they were proposed to the Trainers Community in February of 2015. Please review his summary and find more information about these changes here [133].

(We recognize however, that regardless of the date chosen for implementation, there may be individuals planning on applying who find they now need to fulfill a requirement they did not expect. For this, we ask for your understanding and patience. Anyone who has already submitted their application materials to ACBS prior to January 15, 2016, will be exempt from the new competency requirements. )

You can find all new forms as attachments at the bottom of this webpage.

(updated on January 15, 2016)

 

Why join the ACBS training community?

Being listed as a trainer on the ACBS site is meant as a pragmatic way to help learners find high quality ACT training. The ACT Trainers in this community are committed to training with high fidelity to the model and work from explicit, agreed-upon shared values as they train others in ACT. Anyone is free to do/provide training in ACT without undergoing peer review or joining this training community. This peer review process is a voluntary method trainers choose to undergo because it fits their own professional development goals.

Also, as an ACT Peer-Reviewed Trainer, you are able to apply through ACBS to be a co-sponsor for an event that offers CEs for Psychologists at a deeply discounted price. To find out more information on this opportunity, please visit the ACBS CE Co-Sponsorship [134] page.

Being a trainer is also a way to give back to the ACBS community. We are all stronger when we work together. Being a trainer gives you a voice in influencing what ACBS does relating to training and allows you to be part of how ACT and CBS training is conducted around the world. If you'd like a chance to give back to ACBS, and have the skills to be listed as a trainer, we'd encourage you to consider joining. As one member said, joining this community isn't about "what do I get?" but instead, "what can I contribute?"

 

What are the requirements to apply?

You are welcome to join this training community and be listed as an ACT trainer. Six criteria must be met to do so:

  1. Agree to the list of values and principles for ACT trainers
  2. Have a terminal degree in a relevant behavioral field
  3. Be known to be of good character
  4. Be highly effective in the core skills and competencies of an ACT therapist
  5. Be highly effective in training others in ACT
  6. Have a good working knowledge of the basic science and philosophy that underpin ACT vis-a-vis- behavior analysis, relational frame theory, and functional contextualism

The ACBS training community uses a process of peer review to determine whether a trainer meets these criteria. The spirit of the peer review process is to protect the high fidelity of ACT training through review of the accuracy and quality with which a trainer shares the ACT model while simultaneously promoting a non-proprietary open community that encourages new talent and innovation.

Fee

As of January 1, 2014, we are requiring an administrative fee of $80 USD, for each application. Those in Developing Nations will see a fee of $10 USD (if this fee is a barrier, please contact ACBS to discuss the situation, as we don't what this fee to be the difference between your application & non-application).

One of the duties of the ACBS Training Committee has been the time intensive task of maintaining training quality standards, and administration of the ACT Trainer Peer Review process. Those of you that have gone through it know that it is a significant review, and much time and care is taken in this process. It has been estimated that the average cost of ACBS staff time to usher through one of these applications is approximately $160 USD. As you can see, ACBS is absorbing half of the cost of this application process. This does not include all of the generous volunteer time of our committee and our reviewers in this process.

(posted on Sept. 24, 2013)

 

How do I know if I am ready to apply?

If you are interested in joining the training community and being listed as a trainer, a good place to start is with self-assessment. To self-assess your qualifications:

  1. Review the values statement to see if these are values you endorse (these are listed at the end of the application and also posted in the "Values and Principles" file at the bottom of this webpage)
  2. Assess yourself against the list of therapist competencies [135] and trainer competencies [136] to see if you would rate yourself highly.

Criterion re ‘Terminal Degree in Behavioural Health Field’

One of the criteria to be listed as an ACT trainer is that the applicant’s terminal degree be in a behavioural health field. This is meant to ensure that trainers have relevant underpinning theoretical and applied knowledge of behaviourism. Applicants with degrees in other areas of applied psychology (e.g. Organisational, Counselling, Health, Sports, Forensic or Developmental) may be able to show that their training has the relevant knowledge and application of behavioural principles to their field of expertise. Applicants with terminal degrees in other fields may have some difficulty showing this competence. If your final degree is not in a behavioural health field, you should contact the Chair of the Training Committee in advance of preparing any application, to determine if your underpinning knowledge and competencies will be likely to fit this criterion. In emailing the Chair, it would be useful to describe your training to date, your degree, the nature of your work and any subsequent courses of study or experience acquired that can testify as to your underpinning skills in the theory and application of behavioural psychology. The current Chair is Darrah Westrup, darrah.westrup@gmail.com.

If you view yourself as qualified, please consider requesting peer review of your skills as an ACT trainer.

 

Why peer review and how does it work?

The ACBS community uses a peer review process to balance the need to protect and foster the high fidelity of ACT training with the need to keep the community open to new talented, innovative, qualified trainers. Peers review the materials the trainer submits. A positive review means that peers view the trainer’s work as of the soundest quality. Real effort is made to have the decision to list a trainer on the ACBS website under the influence of the data/argument in the work rather than personal or political factors like who you know or where you trained.

Here’s how the peer review process works:

  1. Candidates self-assess their qualifications relative to the evaluation criteria and submit their application for peer review to join the ACBS training community and be listed as an ACT trainer on the ACBS website.
  2. The Chair of the Training Committee initiates a review by reviewers from among currently listed trainers on the ACBS website. Each application is independently reviewed by two currently listed trainers.
  3. The Reviewers receive the invitation by e-mail. The Reviewer agrees or declines to review.
  4. If the Reviewer agrees, he or she reads the application and completes the peer review rating form, selects a recommendation, and submits the review to the Training Committee. Reviewers are expected to keep the information in applications they review confidential.
  5. The Committee Chair makes the final decision relying on peer-review feedback to guide the decision and will send a summary letter to inform the applicant of the decision along with each reviewer’s blind comments to the applicant (The same summary and each others’ comments are sent to reviewers). Applicants are encouraged to use reviewers' comments as suggestions regarding where they could further refine skills and competencies. The Committee Chair may need to occasionally resolve issues related to conflict of interest among reviewers. Reviewers’ identities are generally not revealed to applicants in order to free reviewers from any social pressures, allowing them to consider only the quality of the application.
  6. Trainer profiles of those approved by the review process are posted on the ACBS website.

The following forms are used to determine the skills of the applicant:

  1. Peer Reviewer Observation Form (available in .doc format at the bottom of this page) [137]
  2. Peer Reviewer Form (available in .doc format at the bottom of this page) [138]
  3. Guidelines for Observers and Reviewers [139]
     

 

How do I apply for peer review?

Now that you have read the information about the application process and feel that you are ready to submit your application, you can go to the peer review application form [140] (.doc version available at the bottom of this page). The Committee Chair offers suggestions and guidance on the application process [139]. Applicants should submit all materials at one time (not in pieces as they are completed/gathered). All materials will be submitted electronically to ACBS at support@contextualscience.org. Please feel free to also email ACBS if you have any questions or concerns.

Please label documents to include information about the criterion they are fulfilling (e.g., Criterion1.Signed Values and Principles.pdf , Criterion3a.JaneDoeLetter.docx, Criterion5i.ACTWorkshop.ppt).

 

How can my training be observed?

As part of the peer review application, it is necessary to have two current ACT trainers review a training example. There are two options to satisfy this important requirement for peer review: live observation or video recording.

Live observations of a training at a conference/event can be organized by the Training Committee if you successfully complete the Observation Request Form for Trainings [141]. However, individuals should download the forms below and consider the application process before they make a request. Although we will do our best to find an ACT Trainer to observe your training, it is not guaranteed. If an observer is not found through the Training Committee's efforts, you can use the list of peer reviewed ACT trainers [1] to find observers in your area.

Another option is to submit a previous training video recording. You can submit this with your application and the Training Committee will find observers for you. It is recommended to limit the video footage to 3 hours total. If you choose this option, you must submit guidelines for the observers to direct attention to specific portions that highlight the particular competencies (this is especially true if the footage is over 3 hours).

Whether the observation is done live or via video, the observer will complete the [142]peer review observation form [143]. The Committee Chair has provided suggestions and guidelines for observers and reviewers. [139]

 

What if my trainings are in a language other than English?

ACBS strongly supports diversity in our training community. We are committed to supporting applicants who train in languages other than English by arranging for their application to be reviewed by others fluent in that language. In cases where that is not possible, for example when an applicant’s recorded material is in a language not spoken by someone in the training community, we seek to overcome that barrier in other ways. Applicants have successfully had video recordings of a training transcribed, as one example, and then Peer Reviewed Trainers have evaluated the tapes complete with transcripts. We encourage applicants in this situation to contact Marcy Marek at support@contextualscience.com, or Darrah Westrup, Training Committee Chair, at darrah.westrup@gmail.com directly for further information. ACBS is a worldwide organization and the Training Committee welcomes the opportunity to work with you to minimize language as a barrier to peer recognition of your training skills.
 

Who can I contact with questions?

If you have any questions about requesting peer review or joining the training community, please contact the ACBS Training Committee administrative support person at support@contextualscience.org [144].

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Observation Request Form for Trainings

This form is only for those individuals who are in the process of preparing their Peer-Reviewed ACT Trainer applications. If you have more than one possible observable training, please submit one form for EACH training.

Oops!

It seems that your training is not suitable for an observation for a peer-reviewed ACT trainer application due to the session type.  For tips on acceptable trainings to be observed, please click here [145].

Sorry!

If you didn't click "Yes" above, it is likely your training is not suitable for an observation for a peer-reviewed ACT trainer application due to the lack of training experiences for the participants. For tips on acceptable trainings to be observed, please click here [145].

:

Knowledge

 

For efficiency, you should try and target as many of these areas as possible in the observation. You should consider this observation in the context of your whole portfolio, which overall must show most if not all of these clearly. However, we realize that you may have already had other observations completed or may have recorded other material, and just might need an observation of a specific aspect via this observation. Therefore, please be clear about exactly what this observation is trying to show.

Specific Trainer Competencies

 

For efficiency, you should try and target as many of these competencies as possible in the observation. You should consider this observation in the context of your whole portfolio, which overall must show most if not all of these clearly. However, we realize that you may have already had other observations completed or may have recorded other material, and just might need an observation of a specific aspect via this observation. Therefore, please be clear about exactly what this observation is trying to show.

Presentation Components

Training Resources for RFT/FC/BA Competencies

The Training Committee would like to help existing and potential Trainers to develop their knowledge of the scientific, conceptual, and philosophical underpinnings of ACT, and thus we suggest below some materials and activities that may be beneficial. Across time, we would like to see the evolution of a ‘library’ of recommended readings. In addition, the Training Committee may consider the development of eLearning modules related to clinical applications of RFT and FC.

Behavior Analysis Resources

Catania, A. C. (2006). Learning (4th Edition). NY: Sloan Publishing. [146]

Dougher, M. J. (Ed.) (2000). Clinical behavior analysis. Reno, NV: Context Press. [147]

Hayes, S. C. (1992). Verbal relations, time, and suicide. In S. C. Hayes & L. J. Hayes (Eds.), Understanding verbal relations (pp. 109-118). Reno, NV: Context Press. [148]

Kohlenberg, R., Tsai, M., & Dougher, M. (1993). The dimensions of clinical behavior analysis. The Behavior Analyst, 16(2), 271-282.

Ramnero, J., & Torneke, N. (2008). The ABCs of human behavior: Behavioral principles for the practicing clinician. Oakland, CA: New Harbinger. [149]
 

Multi-Media Resources

Foxy Learning: ‘An Introduction to Relational Frame Theory’ [150]

Benjamin Schoendorff: “The Matrix, Basic Processes & Relational Framing” [151]

Thomas Szabo: Speaking at ABA on RFT [152]

Portland Mindfulness Therapy: RFT Crash Course Parts 1 - 5 [153]

 

Clinical Applications of RFT with Yvonne Barnes-Holmes:

Video 1: https://www.dropbox.com/s/byvmetpqrh9muut/Yvonne.Rich.mp4?dl=0 [154]

Video 2: https://www.dropbox.com/s/tlptc9o88e5xfgn/Yvonne%20and%20Sue.mp4?dl=0 [155]

Video 3: https://www.dropbox.com/s/1607yqbv4vvrgol/Yvonne%20and%20Jon.mp4?dl=0 [156]

 

Website Resource for New RFT book by Matthieu Villatte, Jennifer Villatte, & Steve Hayes:

There has recently been a website built to support the new clinical RFT book "Mastering the Clinical Conversation: Language as Intervention" by Matthieu Villatte, Jennifer Villatte, and Steve Hayes: http://languageasintervention.com/ [157]

On this website, you will find hours of short video tutorials explaining the material presented in each chapter of the book (6 chapters are currently covered through 19 tutorials... more to come), video demonstrations (some with RFT captions... more to come), and a number of
additional resources relevant to clinical RFT.

All the material you will find on this website is and will remain FREE. Tutorials and demonstrations are on their youtube channel too (called languageasintervention.com), and you are welcome to share and use them in trainings and classes as much as you want.

 

(This list is just a beginning and the TC will review any suggestions sent to us for inclusion in the curriculum and support materials. We may also develop a number of suggested activities that people could engage in to help them master this material.)

 

Potential FC Competency Essay Questions

Below are possible essay questions that could be used to assess your competency in Functional Contextualism on the peer-reviewed ACT trainer application (and responses should be approximately 500-1,000 words):

1. Provide a summary of what you think are the core features of functional contextualism and describe what it is about this philosophical world view that appeals to you.

2. How does functional contextualism inform your approach to training ACT?

3. Explain why you think ACT is rooted in functional contextualism. What is it about that world view that gave rise to a therapy such as ACT?

4. Why do the answers to so many questions about ACT begin with, “Well… it depends…?”

5. What are the limitations and benefits of ACT being rooted in functional contextualism?

6. Do you do anything to familiarize your clients with a functional contextual point of view, and if so, what?

7. Do you think ACT is firmly rooted in functional contextualism and on what basis do you make your argument?
 

Potential RFT and BA Competency Essay Questions

Below are possible essay questions that could be used to assess your competency in Relational Frame Theory and Behavior Analysis on the peer-reviewed ACT trainer application (and responses should be approximately 500-1,000 words):

1. Describe a time when you used knowledge of RFT to create an intervention or exercise for a particular situation, whether it was therapy, coaching, training or supervision.

2. How do you think RFT can inform ACT practice?

3. Using RFT, explain how metaphors have their behavioural influence?

4. In what ways might having knowledge of Relational Frame Theory influence the work of a therapist, whether an ACT practitioner or otherwise?

5. Choose any ‘ACT Classic’ intervention (e.g. Passengers on the bus, The Funeral exercise) and provide an RFT based account of how it achieves its effects.

6. Provide some examples of “transformation of functions” as seen in a client’s behavior in the therapy room.

7. In your own view as a clinician, what seem to be the key points of connect and disconnect between RFT and ACT?

 

Suggested Curriculum for Understanding the Relationships among ACT, RFT, and FC

Readings

Dymond, S. & Roche, B. (2013). Advances in relational frame theory: Research and Application. Oakland, CA: New Harbinger. [158]

Foody, M., Barnes-Holmes, Y., & Barnes-Holmes, D. (2012). Examining the role of self in acceptance and mindfulness. In L. McHugh and I. Stewart, (Eds.), The self and perspective-taking. Contributions and applications from modern behavioral science. Oakland, CA: New Harbinger. [159]

Foody, M., Barnes-Holmes, Y., Barnes-Holmes, D., Törneke, N., Luciano, C., Stewart, I., & McEnteggart, C. (2014). RFT for clinical use: The example of metaphor. Journal of Contextual Behavioral Science, 3(4), 305-313. doi:10.1016/j.jcbs.2014.08.001 [160]

Gross, A. & Fox, E. (2009). Relational frame theory: An overview of the controversy. The Analysis of Verbal Behavior, 25, 87-98. [161]

Hayes, S.C. (1984). Making sense of spirituality. Behaviorism, 12(2), 99-110. [162]

Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: A post Skinnerian account of human language and cognition. New York: Kluwer Academic/ Plenum Publishing. [163]

Hayes, S. C., Barnes-Holmes, D., Zettle, R. & Biglan, A. (Eds.) (2016). Handbook of contextual behavioral science. New York: Wiley-Blackwell.

McHugh, L. and Stewart, I (Eds.). (2012). The self and perspective-taking: Contributions and applications from modern behavioral science. Oakland, CA: New Harbinger. [159]

Torneke, N. (2010). Learning RFT: An introduction to relational frame theory and its clinical application. Reno, NV: Context Press. [164]

Villatte, M., Villatte, J. & Hayes, S., C. (2016). Mastering the Clinical Conversation: Language as Intervention.

Villatte, M., Villatte, J. L, & Monestes, J. L. (2014). Understanding and using relational frame theory in experiential clinical practice. In J. Stoddard & N. Afari (Eds). The big book of ACT metaphors: The complete guide to ACT metaphors and experiential exercises. Oakland, CA: New Harbinger. [165]

Suggested FC Curriculum

Forsyth, J. P., Lejuez, C. W., Hawkins, R. P., & Eifert, G. H. (1996). Cognitive vs. contextual causation: Different world views but perhaps not irreconcilable. Journal of Behavior Therapy and Experimental Psychiatry, 27(4), 369–76. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9120042 [166]

Gifford, E. V., & Hayes, S. C. (1999). Functional contextualism: A pragmatic philosophy for behavioral science. In W. O'Donohue & R. Kitchener (Eds.), Handbook of behaviorism, 285-327. San Diego, CA: Academic Press.

Hayes, S. C. (2008). Climbing our hills: A beginning conversation on the comparison of Acceptance and Commitment Therapy and Traditional Cognitive Behavioral Therapy. Clinical Psychology: Science and Practice, 15(4), 286–295. doi:10.1111/j.1468-2850.2008.00139.x [167]

Hayes, S. C., Barnes-Holmes, D., & Wilson, K. G. (2012). Contextual Behavioral Science: Creating a science more adequate to the challenge of the human condition. Journal of Contextual Behavioral Science, 1(1-2), 1–16. doi:10.1016/j.jcbs.2012.09.004
[168]

Hayes, S. C., & Brownstein, A. J. (1986). Mentalism, behavior-behavior relations, and a behavior-analytic view of the purposes of science. The Behavior Analyst, 9(2), 175–190. [169]

Hayes, S. C., Hayes, L. J., & Reese, H. W. (1988). Finding the philosophical core: A review of Stephen C. Pepper’s World Hypotheses: A study in evidence. Journal of the Experimental Analysis of Behavior, 50(1), 97–111. [170]

Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy, 44(2), 180–98. doi:10.1016/j.beth.2009.08.002 [171]

Hayes, S. C., & Wilson, K. G. (1995). The role of cognition in complex human behavior: A contextualistic perspective. Journal of Behavior Therapy and Experimental Psychiatry, 26(3), 241–248. [172]

Long, D. M. (2013). Pragmatism, realism, and psychology: Understanding theory selection criteria. Journal of Contextual Behavioral Science, 2(3-4), 61–67. doi:10.1016/j.jcbs.2013.09.003 [173]

Vilardaga, R., Hayes, S., Levin, M., & Muto, T. (2009). Creating a strategy for progress: A contextual behavioral science approach. The Behavior Analyst, 1(1), 105–133. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2686981/ [174]

Wilson, K. G. (2001). Some notes on theoretical constructs: Types and validation from a contextual behavioral perspective. International Journal of Psychology and Psychological Therapy, 1(2), 205–215. [175]

CBS-friendly (e.g. ACT, FAP) Pre-Doctoral Internship Sites

This list includes institutions and individuals offering ACT-friendly pre-doctoral internship sites. 

In recent years, ACT is becoming more and more prevalent at internship training programs, so this list is most certainly not complete. Of note is that since the VA has started an official nation-wide 'roll-out' of ACT, almost every VA has someone who is conducting ACT with clients and possibly even training others in ACT. Additionally, due to a broadening of both ACT and Non-ACT reserachers seeking grant funding for ACT-related research, many sites that may not seem heavily-focused on ACT may provide additional experience in ACT for the internship year. 

Notice: Students using this Directory should be aware that the information collected and posted here (by ACBS and by ACBS members directly) is requested to be accurate information about the program, but all details are not verified by a third party source. ACBS cannot guarantee the timeliness or accuracy of these entries. Please do your due diligence when selecting any training opportunity.

ACBS Members: If you would like to list yourself, your program, or your institution here, click on the "add child page" link at the bottom of this page.

US ACT-friendly Pre-Doctoral Psychology Internship?

We in the ACBS Student SIG/Committee are interested in compiling a more comprehensive list of psychology internship placements in the US and Canada with some kind of exposure to ACT. Our current list on the ACBS website is awesome but needs to be updated to better represent the wonderful ACT-related opportunities! If you are currently at a location that does any kind of ACT work, we would like to hear from you! If you are interested, we ask that you email houyuan@ualberta.ca at least the name of the University/Hospital/Consortium/Facility etc. and a contact person with email address. Once we have that information we hope to compile and update for future students to use as a guide/reference! Thank you in advance for any help you can give to make this endeavor possible.

 

Take care,

Houyuan Luo

ACBS Student Representative

University of Alberta

Baylor College of Medicine - TX

The Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, offers a fully American Psychological Association approved internship training program in clinical psychology. Interns in the Baylor program are accepted into one of seven tracks, differentiated on the basis of the population served and/or the location of the training experience. While each track has a somewhat different clinical emphasis, all interns have core seminars and training experiences in common and carry adult psychotherapy patients in the Baylor Adult Psychiatry Outpatient Clinic. The number of positions available in each track and the sequence of rotations may vary, depending upon funding and resource availability. Training content and clinical emphasis, however, remain constant. Currently, ten intern positions are available.

The Adult Anxiety Track is particularly ACT-friendly. This internship track consists of a year-long placement at the Menninger Compulsive Disorder Treatment Program. The treatment philosophy of the program is firmly rooted in evidence-based cognitive-behavioral therapy. The Menninger OCD Treatment Center, with the capacity of 15 patients, is a specialized in-patient program providing intensive cognitive-behavioral therapy, medication management and milieu treatment for adults and adolescents with severe obsessive-compulsive disorder (OCD), OCD Spectrum disorders and other anxiety disorders. Previous interns in this track have been allowed to incorporate ACT into their work.

There are a few other psychologists at the internship site with varying knowledge on ACT. In addition, there are opportunities to learn more about and practice DBT in other areas of the internship. For more information about the internship you can visit their website http://www.bcm.edu/psychiatry/?PMID=2205 [176]

Boston VA

Place: Boston VA
APA Accreditation: Accredited
Training Director & Lead / Director: Stephen Quinn
Chief Psychologist: Jennifer Vasterling Ph.D.
Positions: 18
Stipend: 26208
Primary Agency Type: Consortium
Descriptor The primary objective of the Boston Consortium is to provide a comprehensive predoctoral training program that assures the development of adequate levels of proficiency across the basic core competencies of clinical psychology including assessment, behavior change and psychotherapy, consultation, attention to issues of diversity, professional ethics, and scholarly inquiry / clinical research. We view the internship year as critical in the transition of the individual from graduate student to professional psychologist. We encourage the development of a professional identity, professional values, and a professional demeanor along with these competencies in the practice of psychology. The expectation is that by the end of the training year, an intern will be able to function competently and independently (i.e., entry level practice or better) in the core competencies, listed above. Within the training program, general skills are emphasized. However, when feasible and appropriate to training needs, the development of specialist skills also is encouraged. We provide training in professional psychology in the following rotations for 2013 - 2014:Clinical Child Psychology; General Mental Health; Ctr for Returning Veterans (OEF/OIF); Adult Trauma - (Behavioral Sciences Div. and Womens Health Sciences Div. of the National Ctr for PTSD); Medical Psychology / Behav Med; Substance Abuse Treatment Programs Resid & Outpt; Dual Diagnosis (PTSD/Substance Use Disorder); Inpatient Mental Health - Therapeutic Recovery; Neuropsychology; Geropsychology; Rehabilitation Psychology;Our rotations are located at the Boston Medical Center (Child rotation); VA Boston Healthcare System - Brockton, Jamaica Plain (Boston), and West Roxbury campuses; plus, a child clinical externship at Boston University (Center for Anxiety & Related Disorders).Our internship is a member of the Academy of Psychological Clinical Science (APCS), and we encourage applications from APCS programs.
Website: http://www.boston.va.gov/psychologytraining/20142015InternshipTrainingBrochure.pdf

Boys Town, part of the Nebraska Internship Consortium in Professional Psychology

Place: Boys Town, part of the Nebraska Internship Consortium in Professional Psychology
APA Accreditation: Accredited
Training Director & Lead / Director: Dennis McChargue
Chief Psychologist: Dennis McChargue
Positions: 28
Stipend: 34000
Primary Agency Type: Consortium
Descriptor The NICPP adheres to a scientist - practitioner approach to psychological practice within an ecological-developmental framework. Although the exact goals of each of the agencies may differ to some extent, all are committed to a training philosophy that emphasizes ethical problem solving; evidence-based assessment and intervention practices; access to supervision that facilitates reflective, scientifically-based practice and to other resources supportive of this goal; access to diverse clients; research activities; and to a training plan that combines experiential learning with other modes of education. Specific training objectives include assisting interns to: (a) apply ethical decision making to complex clinical and research activities; (b) deepen their understanding of the role of psychology as a science and a practice in many professional settings; (c) refine their commitment to life-long scholarship and contributions to the science and practice of psychology; and (d) develop competencies to evaluate the efficacy of work with diverse clients and systems.
Website: http://cehs.unl.edu/nicpp/

Brigham Young University - Predoctoral Internships in Professional Psychology

The Counseling and Career Center (CCC) at Brigham Young University (BYU) offers four full-time, 12 month internships for doctoral-level graduate students in Clinical or Counseling Psychology. The internships for the school year begin in August. Each position carries a stipend of $25,500 and includes all benefits accorded full-time University personnel (vacation and sick leave, holidays; medical, dental, and life insurance; library privileges; bookstore discount; and discounted tickets to University events). The CCC Psychology Internship, which began in 1989, is fully accredited by the American Psychological Association.

The program provides supervised training experiences in a full range of psychological services. Interns function as colleagues of the professional faculty and staff and participate in all services and staff development activities of the Center.

One of the supervisors, Kirk Dougher, is very active in teaching people the process of using acceptance in their theory and practice. Full info on the internships can be found here [177].

Kirk Dougher can also be contacted for information about the supervision and the primary applications in the rotations.

Kirk Dougher, BYU, 1500 WSC, Provo, Utah 84602

1-801-422-3035 

kirk_dougher@byu.edu

Bronx VA

Our internship recently doubled in size from 4 to 8 interns. As a result, I am now supervising an intern for my PTSD/SUD clinic for half of the year for approximately 16 hrs. If you are interested in applications of ACT for complex presentations, there will be no shortage of opportunities. Interns typically carry a weekly caseload of around 8-10 patients. Additionally, Interns will co-facilitate a 12-week Seeking Safety group, an integrated EBP for PTSD/SUD and a 12-week group ACT group. Both groups also use contingency management to foster group attendance. There are also opportunities to co-facilitate a Cognitive Processing Therapy group, or to learn how to provide individualized Prolonged Exposure. Lastly, I am in the process a developing a program evaluation project, so there may be opportunities to participate in a systematic evaluation of my clinic's services, an experience that would be an asset in many clinically or research-oriented Post-doc fellowships.

Perspective interns who are interested are welcomed to contact me at: Jonathan.Weinstein@VA.gov.

Brown Medical School, Providence, RI

The internship at Brown Medical School has 4 tracks--neuropsychology, behavioral medicine, adult, and child (general and pediatrics). Both the adult and the behavioral medicine tracks are "ACT friendly." I know less about the child tracks--others might add their input about the child rotations.

In the adult track, there is a women's partial program that trains in DBT, and interns familiar with ACT have mentioned that they gained a better understanding of ACT principles through this rotation. There are also some people familiar with ACT in the alcohol center at Butler Hospital and at the RIH inpatient rotation (mood disorders rotation).

In the behavioral medicine track, there is one rotation (RIH behavioral medicine track--anxiety and sleep disorders) that is very ACT friendly. Both of the Miriam rotations (A and B) are also open to ACT and mindfulness concepts (chronic pain, weight management, smoking cessation).

Overall, the internship is hospital-based, and 4 hrs/week are reserved for research. You are required to submit at least one research project by the end of the year. Keep those details in mind when applying to make sure it's a good fit aside from the ACT friendly rotations.

Added by Kristy Dalrymple on 7/23/2013:

In addition to the information here, the predoctoral internship at the Alpert Medical School of Brown University also has a MIDAS Project Clinical Research Track (a separate track from the Adult Clinical track, yet under the adult division). The MIDAS track (which stands for the Methods to Improve Diagnostic Assessment and Services Project) typically has one internship slot available per year, with potential opportunities for a postdoctoral fellowship. Interns in this track spend the first 8 months (20% time) at an ACT and mindfulness-based partial hospitalization program at Rhode Island Hospital, including conducting ACT and mindfulness-based group and individual therapy sessions. Note that the primary rotation consists of 50% time clinical research, and applicants should consider this when applying to the MIDAS track.

CPIP at University of Vermont

Place: CPIP at University of Vermont
APA Accreditation: Accredited
Training Director & Lead / Director: Karen Fondacaro Ph.D.
Chief Psychologist: Masha Ivanova Ph.D.
Positions: 2
Stipend: 25000
Primary Agency Type: Academic Health Center
Descriptor The Clinical Psychology Internship Program at the University of Vermont is a predoctoral internship program that received accreditation from the American Psychological Association (APA) in July 2013 and is a member of the Association of Psychology Postdoctoral and Internship Centers (APPIC). The internship is located in Burlington, Vermont, within the Behavior Therapy and Psychotherapy Center (BTPC) and the Vermont Center for Children, Youth and Families (VCCYF). The focus of intern training at the BTPC is with the Connecting Cultures Specialty Service, providing culturally competent evidence-based treatment to torture survivors and refugee populations from over 25 countries. Interns in the BTPC also engage in multi-disciplinary services with providers including social workers, teachers, lawyers, and refugee advocates. In addition to direct clinical services, the Connecting Cultures program offers outreach services, presentations and evaluation/research opportunities. Connecting Cultures is also a component of the New England Survivors of Torture and Trauma (NESTT) program. The VCCYF specializes in the application of evidence-based strategies from the family perspective, addressing both child and parental emotional and behavioral problems. Through the use of health promotion, prevention, and intervention, the VCCYF uses the Vermont Family Based Approach to help the well remain well, prevent at-risk children from developing emotional and behavioral problems, and intervene comprehensively on behalf of children and families challenged by psychopathology. At the VCCYF, interns will collaborate with professionals in psychiatry, psychology, social work, nursing, and genetics. We currently have two interns placed in the Internship. We encourage applications for the 2014-2015 year. Access http://www.uvm.edu/medicine/vccyf/?Page=internship.html for an application and further information or contact Kathleen Kennedy, Ph.D. 
Website: http://www.uvm.edu/medicine/vccyf/?Page=internship.html 

Central Arkansas Veterans Healthcare System - Predoctoral Internship

The Central Arkansas Veterans Healthcare System (CAVHS) is a two division, consolidated, medical center with medical, surgical, psychiatric, and rehabilitation units, plus nursing home facilities. This VA Medical Center includes every major VA program and was commended by the Joint Commission of Accreditation of Healthcare Organizations (JCAHO) as being "Outstanding" at their last accreditation review. The CAVHS Psychology Internship has been fully accredited by the American Psychological Association since 1979. The Psychology Internship program provides three training tracks: General, Behavioral Health, and Neuropsychology.

The “Outpatient PTSD” rotation offers interested interns an opportunity to learn and practice Acceptance and Commitment Therapy (ACT). Training opportunities include co-facilitating group psychotherapy sessions, conducting individual therapy sessions, performing functional analytic/case conceptualization interviews, participating in a weekly experiential group for staff practicing ACT, doing supervised readings on Relational Frame Theory (RFT), the basic science underlying ACT, and individual/group supervision.

Interested interns are encouraged to contact Vincent Roca, primary supervisor for the Outpatient PTSD rotation, for additional information. Full info on the internship can be found at

http://www.littlerock.va.gov/careers/psychology/internship/overview.asp [178].

J. Vincent Roca, Ph.D.

PTSD Clinical Team (PCT) Team Leader

501-257-3227

John.Roca@va.gov

Central Texas Veterans Health Care System

Place: Central Texas Veterans Health Care System
APA Accreditation: Accredited
Training Director & Lead / Director: Andrew Cook
Chief Psychologist: Frederick Willoughby
Positions: 6
Stipend: 23974
Primary Agency Type: Veterans Affairs Medical Center
Descriptor "CTVHCS offers training in a variety of contexts including general medical/surgical hospital, psychiatric inpatient, a domiciliary, integrated and home-based primary care, and multiple outpatient clinics. Please see our web brochure for further description of the training opportunities within each setting.

Our program places 6 interns annually, two at each of its three primary training sites: Temple and Waco VA Medical Centers, and the large Austin VA outpatient clinic. Our training model is ""reflective-practitioner"", which is a form of scholar-practitioner training. We emphasize the value of reflecting on professional practices through intensive case study, locating and incorporating relevant scientific/professional knowledge and seeking experiential wisdom. Our program focuses on the development of competency in 15 professional domains, based on the APA model for competency benchmarks in professional psychology. We have been continuously accredited by the APA for over 30 years. Our program was re-accredited for seven years in 2011. The internship year is divided into three, four-month major rotations. Interns spend a minimum of 28 hours per week on the major rotation. We offer major rotations in outpatient mental health clinics, inpatient psychiatry, substance abuse treatment, rehabilitation and reintegration (domiciliary), integrated primary care, residential and outpatient PTSD, family program, neuropsychology and rehabilitation. Please see our brochure for a complete listing. We offer opportunities to pursue specialized professional competencies via minor rotations for 4 to 8 hours per week (e.g. military sexual trauma, neuropsychological assessment, clinical research, assessment, group therapy, serious mental illness (SMI), compensation & pension exams, blind rehabilitation, training and program development, etc.). We have approximately 65 licensed full-time psychologists on staff between our training sites, as well as a number of recent graduates who are in the process of becoming licensed."
Website: http://www.centraltexas.va.gov/services/Psychology_Internship/Psychology_Internship.asp

Central Washington Family Medicine,Yakima, WA, U.S.A.

 

 

Category (e.g., practica, internship, externship, post-doc, workshop, CE, computer-based learning module, etc.)

  We welcome students coming to train for varying amounts of time. We have had some students and professionals come for 10-week rotations and have had others just do a day or two. We also may be having a Master's level intern this year.

 

How it relates to Contextual Medicine, or to what degree it integrates contextual behavioral science with medicine

  We have a Behavioral Health Consultant (BHC) team of three psychologists (one of which is Kirk Strosahl, PhD), a Master of Counseling, and a MSW on staff who use ACT and other contextually-based interventions with medical patients.

 

Contact information of either yourself or some other person/place to get more information or to apply

Follow this link: http://cwfmr.org/student-rotations

Bridget Beachy, PsyD

bridget.beachy@gmail.com or bbeachy@forest.edu

330-397-4349

Central Washington University, The Medical and Counseling Clinic, Ellensburg, WA

Central Washington University Student Medical and Counseling Clinic has an APA-accredited internship program for students from counseling, clinical, and combined doctoral psychology programs. The link for our online brochure is below. We are a great site for students who are interested in both counseling center work and rural psychology. We are also a colocated medical and counseling clinic and therefore afford our interns with lots of opportunities to work closely with our medical staff. Another fairly unique aspect of our program is the training in the use of Acceptance and Commitment Therapy. We are open, supportive, and encouraging of other theoretical orientations and approaches, but want to highlight ACT as something that sets us apart from many sites. We particularly seek intern applicants who have experience with college students and a strong commitment to diversity and multiculturally competent service delivery. If you have any questions about our program, please the Training Director, Cindy Bruns, PhD, at brunsc@cwu.edu.

http://www.cwu.edu/medical-counseling/doctoral-internship

Duke University Medical Center

The Duke internship has been known for providing quality DBT training, but a critical mass of ACT-trained faculty are increasingly available to provide experience using ACT with eating and anxiety disorders, among others. It is expected that over the next several years, opportunities for ACT-specific training at DUMC will grow as a result of recently awarded grant-funding to develop ACT for adolescent anorexia nervosa (Duke PI: Rhonda Merwin; Towson PI: Alix Timko). The Durham VA (adjacent to the med center campus) is also ACT-friendly and currently has an ongoing ACT consultation and study group.

Visit: http://psychiatry.duke.edu/modules/psych_education/index.php?id=3 [179]

for up-to-date information on training opportunities.

 

Updated 4/26/14

Place: Duke
APA Accreditation: Accredited
Training Director & Lead / Director: Karen Wells PhD
Chief Psychologist: Richard Surwit PhD
Positions: 11
Stipend: 24000
Primary Agency Type: Medical School
Descriptor Duke University Medical Center's Clinical Psychology Internship Program provides one year of doctoral-level internship training in essential skill areas of clinical psychology: assessment and diagnosis, effective intervention, consultation and evaluation, and supervision skill areas. The training model is scientist-practitioner. Two tracks are offered: Adult and Child, each with specific areas of concentration. Adult track consists of Adult CBT and Adult Health. Child track consists of Clinical Child & Pediatrics. These do not overlap so applicants must apply to one only: CBT, Health, Child, or Peds. Please see our website for a more detailed description about our program, the application process, our requirements for applying, and other information that may be useful to those interested.
Website: http://education.psychiatry.duke.edu/training-programs/psychology-internship/program-introduction

East Bay Behavior Therapy Center,Walnut Creek, CA, USA

Supervisor and contact person: Patricia E. Zurita Ona, Psy.D.

Accreditation: N/A
Post-doctora positions open: 1
MFT internships: 2
Stipend: available for MFT interns
Type of setting: private practice
Weekly supervision including experiential, hands-on-training in conducting intakes, case formulation, and treatment plan.
Monthly didactic seminar
Monthly team meeting

website: eastbaybehaviortherapycenter.com

Email:ebbehaviortherapycenter@gmail.com 

The EBBTC is a private center dedicated to the "therapy, research and training" of empirically-supported treatments for children, adolescents, and adults located in Walnut Creek, CA. We're a group of compassionate and caring behaviorally oriented therapists committed to our clients. At our center, behavioral therapy is not just a therapy approach; it's a way of looking at the world and understanding human behavior. Compassion and caring are the hallmarks of our therapy work with the added benefits of behavioral interventions.

FAU’s Counseling and Psychological Services - FL

Place: FAU’s Counseling and Psychological Services
APA Accreditation: Not Accredited
Training Director & Lead / Director: NA
Chief Psychologist: M. Kirk Dougher Ph.D.
Positions: 2
Stipend: 27000
Primary Agency Type: University Counseling Center
Descriptor: FAU Counseling and Psychological Services is a comprehensive university counseling center that provides services to enrolled students paying the University health fee. Interns will be providing individual, relationship and group therapy; crisis intervention; referrals for psychiatric consultation; therapeutic psychological assessment; drug and alcohol use assessment; educational workshops and outreach presentations; consultation with students, faculty and staff; and supervision to less advanced graduate students in training.  Interns have the option to pursue roations in various areas such as: sports psychology, psychodrama, working with the glbt population, therapeutic assessment, trauma work, eating disorders and counseling center administration. The Training Committee is open to consider new rotations created by the intern.  Our program places interns on our Boca Raton campus. Interns recieve supervision from a multitude of supervisors:  primary, secondary, group, assessment, rotation, and outreach.  They also meet with the Training director on a regular basis. Our inaugural internship class started in August, 2013 and we have created our program so that it is consistent with APA guidelines. We are currently APPIC members and plan to apply for APA accreditation in the future. 
Website: http://www.fau.edu/counseling/internship.php 

Family Counseling Center: A Division of Trinity Services - - Chicagoland, IL

The Family Counseling Center is a division of Trinity Services, Inc, a not-for-profit, non-sectarian organization providing a wide range of behavioral health programs, supports, and services for children and adults. The Family Counseling Center is a full-service community mental health network with several facilities in the metropolitan area of Chicago, Illinois.

Interns have the opportunity to help people exhibiting a wide variety of clinical concerns. Our didactic training experiences will consist of weekly group consultation sessions, a monthly journal club, guest lecturers, and specialized ‘clinic’ meetings focused on performing and researching empirically supported treatments for different disorders.

Supervision focuses on Functional Analytic Psychotherapy (FAP), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and contextual-behavioral models of psychotherapy intervention, and we currently run weekly didactic training in ACT and DBT. An optional rotation in one of Trinity’s psychosocial rehabilitation units using mindfulness-based treatment for individuals with psychotic disorders is also available.

For more information, please visit our website: http://www.trinity-services.org/home.htm [180]

For inquiries, please contact D.J. Moran: djmoran@trinity-services.org

Geisinger Medical Center - PA

Place: Geisinger Medical Center
APA Accreditation: Accredited
Training Director & Lead / Director: Christine Chew
Chief Psychologist: Stephen Paolucci
Positions: 7
Stipend: 22365
Primary Agency Type: Private General Hospital
Descriptor Geisinger Medical Center, a tertiary care teaching hospital, serves a population of more than 2 million in central and northeastern Pennsylvania. In addition to the internship, Geisinger has over 25 medical residencies and fellowships.By focusing on broad training in clinical psychology and behavioral medicine, the internship primarily prepares interns for careers as practitioners in medical or applied practice settings. We adhere to the scientist-practitioner model of psychological practice. Clinical training experiences follow the apprentice model. Interns are supervised by faculty members directly involved in providing clinical services to specific patient groups within the medical center. Interns function with a good deal of autonomy, assuming junior level staff responsibilities.Participants in the program are expected to:- Further develop basic clinical skills to begin independent practice;- Understand the medical culture;- Learn to serve as members of interdisciplinary teams within the medical center;- Work with culturally diverse groups;- Learn to consult with physicians;- Apply clinical research skills in a clinical setting;- Uphold high standards of patient care and professional ethics.Interns expand their skills in assessment, psychotherapy, consultation and research. Clinical experiences are of primary importance in the internship with particular emphasis placed on learning behavior change methods for use with medical patients. Faculty frequently use cognitive-behavioral, ACT, and motivational interviewing approaches although other treatment methods with empirical support are encouraged.Interns choose 1 of 2 tracks: 1) adult clinical/behavioral medicine (3 interns) or 2) child clinical/pediatric psychology (4 interns). Contact the program for details.4 weekly education conferences complement the clinical component of the internship. Research opportunities exist.Postdoc opportunities available for year 2.
Website: http://www.geisinger.edu/Residencies/psych/ 

Hennepin County Medical Center in Minneapolis - MN

Place: Hennepin County Medical Center in Minneapolis
APA Accreditation: Accredited
Training Director & Lead / Director: Monica Mandell PhD, LP
Chief Psychologist: Amelia Versland PhD, LP
Positions: 4
Stipend: 25000
Primary Agency Type: State/County/Other Public Hospital
Descriptor Hennepin County Medical Center has been a psychology training site since 1965. It is a large teaching hospital and a Level I Trauma Center. Our internship program is accredited by the Commission on Accreditation (CoA) of the American Psychological Association (APA). While we emphasize a strong foundation in assessment and intervention as well as consultation to our medical services, we also strive to individualize the internship experience. Our setting offers interns the opportunity to work with an ethnically, culturally, and socioeconomically diverse patient population. In addition, being part of a large teaching hospital and trauma center provides our interns many unique training experiences.
Website: http://www.hcmc.org/education/PsychologyInternship/HCMC_D_044968

Linden Oaks at Edward, Naperville, IL

Training Director, M. Joann Wright, Ph.D.

ABOUT THE TRAINING PROGRAM:
WIth a strong commitment to teaching predoctoral interns the theories and practices of functional contextual behaviorism, Linden Oaks at Edward's Doctoral Training Program offers several weekly hours of individual and group supervision and didactic training in ACT, RFT, DBT and MBCT.  Predoctoral students work on specific pre-determined inpatient and outpatient units (e.g., Chemical Dependency, Eating Disorders, Anxiety, Adolescent, Geriatric) to employ contextual behavioral techniques through individual and group treatment. 

The internship opportunities at Linden Oaks at Edward offer exceptional training. Predoctoral interns have the ability to do individual, family, group, multi-family group, psycho-educational trainings, and case management in an interdisciplinary health care setting. They are supported by and expected to work hand in hand with clinical therapists, medical staff, and other support staff.

The overarching goal of the Predoctoral Training Program at Linden Oaks (The Program) is to provide the opportunity to develop competence in the application of psychological knowledge and practice to clinical problems in a complex medical setting. Combining evidence-based didactic training and clinical supervision, interns are socialized to be entry-level professionals who employ critical thinking, self-reflection, and strategies of scholarly inquiry. The Program places particular emphasis on introducing interns to the breadth and variety of professional roles assumed by psychologists, evidence based treatment applied in individual and group psychotherapy, and application of those principles through in-vivo participation. Integral to an intern’s training is the understanding of multidisciplinary team functioning and participation as a member of the team.

A core focus of intern training is the impact of culture, race, and language and how these patient dimensions impact societal and family dynamics. As the primary setting for this internship is either an inpatient or intensive outpatient setting, emphasis is placed on clinical experiences in working with issues of adjustment for individuals facing a range of emotional and behavioral challenges.
 

ABOUT THE FACILITY:

Linden Oaks at Edward is dedicated to providing the best behavioral health service to teens, adults, families and seniors with compassion, dignity and excellence. As a JCAHO approved 94 bed facility; Linden Oaks is a vibrant, free-standing, not-for-profit psychiatric hospital in the metropolitan Chicagoland area that provides a full continuum of care of inpatient and outpatient services for all the major psychiatric disorders, chemical dependency, adolescent services, eating disorders, self-injury and geriatrics. Linden Oaks receives the majority of its referrals from agencies and physician practices in the western suburbs of the Chicago area, however, specialty treatment referrals span the greater Chicago and Midwest area. Families receiving services on an inpatient basis continue their therapy in our outpatient day hospital level of care. As the behavioral health venture of Edward Hospital, one of Linden Oaks’ greatest resources is its liaison and access to a Heart Hospital, Cancer Center, Children’s Resource Center and Emergent and Immediate Care Centers, etc.

For more information, do not hesitate to contact me at:

M. Joann Wright, Ph.D.
Director of Clinical Training and Anxiety Services
Linden Oaks at Edward
1250 N. Mill Street Suite 101
Naperville, IL 60563
630.646.8021
jwright@edward.org
 

 

Updated 4/26/14

Place: Linden Oaks at Edward
APA Accreditation: No
Training Director & Lead / Director: M. Joann Wright
Chief Psychologist: M. Joann Wright
Positions: 9
Stipend: 17160
Primary Agency Type: Private Psychiatric Hospital
Descriptor "Linden Oaks is a 94 bed behavioral healthcare facility. We provide inpatient, outpatient, partial hospitalization and intensive outpatient services to the northwestern suburbs of Chicago. Predoctoral students can be placed in one of the following areas:Eating Disorder Unit, Adult Inpatient Unit, Chemical Dependency Unit, Chemical Dependency Intensive Outpatient, Adult Intensive Outpatient, Adolescent Intensive Outpatient, Anxiety Program Intensive Outpatient (Adult), Anxiety Program Intensive Outpatient (Adolescent). It is noteworthy that the availability of predoctoral placements on these and other units change within the year, and therefore might change by the time the placement begins.

We are committed to training students in functional contextual behavior therapies. These therapies include Acceptance and Commitment Therapy, Dialectical Behavior Therapy and Mindfulness-Based Cognitive Therapy. In addition, we train the theoretcial underpinnings of ACT, Relational Frame Theory. Students interested in these treatment approaches are encouraged to apply."
Website: http://www.edward.org  

Loma Linda VA Medical Center, Loma Linda, CA. Near Los Angeles California

Loma Linda VA Medical Center is ACT friendly and providers in ACT have grown there in the last several years.   There are multiple opportunities - we have an APA approved internship program which involves specific rotations in evidenced based services CBT/ACT/DBT which usually last 4 months or longer.  There is also a postdoctoral fellowship position which involves 1 year of more intensive work with ACT and some opportunities with DBT.  There are a number of supervisors that have been trained and certified through the VA national roll out in ACT.   There are also two ACT supervisors that have been trained through the ACT Bootcamp in Reno and an onsite training at the VA by Darrah Westrup PhD. 

Current opportunities include:

ACT group for Anxiety/Depression

ACT group for PTSD (MST patients primarily)

Involvement in Wellness College (recovery-oriented groups designed to help Veterans who are “stuck” to gain skills and transition into the community using ACT and DBT approach). 

Opportunities to see ACT individual patients. 

 

http://www.psychologytraining.va.gov/lomalinda/ [181]

 

Thanks.

 

Scott Grover

 

Medical College of Georgia-Charlie Norwood VA Medical Center Psychology Internship

Place: Medical College of Georgia (at Augusta University) and Charlie Norwood VAMC in Augusta, GA
APA Accreditation: Accredited
Training Director & Lead / Director: P. Alex Mabe
Chief Psychologist: Lorraine Braswell
Positions: 10
Stipend: 23974
Primary Agency Type: Consortium
Descriptor The Medical College of Georgia (MCG) and the Charlie Norwood Veterans Affairs Medical Center (VAMC) are organized as partners in offering a 12-month, full-time Residency (Internship) in Clinical Psychology. The program begins in early July and carries an annual stipend of $23,974. We currently fund ten Residents. The Residency combines a solid grounding in clinical skills with access to a wide range of mental health and medical settings through which a Resident can develop general clinical-counseling skill as well as special expertise. An "Empirical Clinician" training model guides its focus on teaching practice skills that are empirically supported. Training and supervision is available in both DBT and ACT. Our hospitals and clinics are large regional treatment and training centers with more than 1000 combined inpatient beds and a multitude of specialty treatment programs and clinics. Our program partners with East Central Georgia Regional Hospital (ECRH) - a state funded psychiatric hospital that provides care for individuals with serious and chronic mental health disorders. The Augusta Campus of ECRH consists of three primary inpatient units: Adult Mental Health, General Mental Health, and Forensics. In addition to the generalist training opportunities available, emphasis training is provided through the selection of one of five tracks: Child and Family, Community Psychology, Health Behavior, Medical Psychology -HIV/AIDS,and Psychology of Women. Within the Health Behavior Track options include specialization in Trauma/PTSD and Medical Psychology. At the residency facilities Residents work in close collaboration with primary care physicians, psychiatrists and other physician specialists, and other allied health professionals to develop skills in providing interdisciplinary health care. Finally, an emphasis is placed on developing skills relevant to providing care to underserved populations - children, individuals living with HIV/AIDS, and individuals from underserved rural communities.
Website: http://www.augusta.edu/mcg/psychiatry/psychology/

MidAmerican Psychological Institute - Joliet, IL

The MidAmerican Psychological Institute (MPI) offers a pre-doctoral internship training program in clinical psychology. MPI is an outpatient facility located in Joliet, Illinois, a southwest suburb of Chicago. At MPI we offer psychotherapy and psychological testing services for children, adolescents, and adults. Psychotherapy settings include individual, couple, family, and group. Individuals that seek our services present a wide variety of presenting problems. Interns are supervised by Jennifer L. Patterson, PsyD., LCPC and Daniel J. Moran, Ph.D., BCBA-D and will work with other licensed professionals including social workers, counselors, and community physicians.

At MPI, our vision is to help reduce suffering and increase valued living. To help our clients, our clinicians use evidence-based psychosocial treatments including: Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and Functional Analytic Psychotherapy (FAP). Interns will receive individual and group supervision with a focus on ACT, DBT, and FAP interventions. Interns will also participate in didactic trainings. Our belief is that, like our clients, students develop professionally in an environment of openness and warmth while receiving appropriate supervision and guidance.

For more information about our facility please visit: http://www.thempinstitute.com/ [182]
For further information please contact us at:
TheMPInstitute@comcast.net [183]
 

Minneapolis VA Medical Center

The Minneapolis Veterans Affairs Medical Center (VAMC) is an affiliated teaching facility that provides comprehensive inpatient primary, secondary and tertiary care, in medical, surgical, neurological, rehabilitative, and short-term psychiatric modalities, primary and specialized ambulatory care, and rehabilitative nursing home care. This medical center is one of eight in the VA system that house a Women Veterans Comprehensive Health Center, which provides clinical service, education, and research in primary care, preventive medicine, gynecology services, and sexual trauma intervention for female veterans. Psychologists in the department currently have more than $1,000,000 in merit-reviewed, multi-year research grants.

We offer a yearlong seminar in contemporary behavior therapies, with emphasis on DBT and ACT, including experiential workshops, weekly didactic seminar, and weekly small group supervision. We also have a weekly consultation group for DBT and ACT therapists. There are multiple ACT-fluent staff here.

Here is the link to our website:  http://www.minneapolis.va.gov/education/psychology/pre_setting.asp [184]

For information regarding ACT training, contact: 

John P. Billig, PhD, ABPP

email: john.billig@va.gov

phone: 612-725-2073

Mississippi Psychology Training Consortium

University of Mississippi Medical Center/ Veteran's Affairs Medical Center Residency Consortium in Jackson, MS

This consortium has been accredited by the American Psychological Association since its inception in 1964. There are five major areas of concentration (as of June, 2009) with sub-rotations within them, including: 1. Behavioral Medicine, 2. Neuropsychology, 3. Child, 4. Addictions, 5. Adult

ACT-Friendly Rotation:

Community-based Dual Disorder Rotation (Personality Disorders focus)

Dr. Gratz [185]

The goal of this rotation is to learn how to treat psychiatric difficulties that co-occur with substance use disorders. The primary focus will be on the use of empirically-supported principles to treat co-occurring mood, anxiety, and personality disorders (particular, borderline personality disorder [BPD]) among substance users in residential treatment. Core treatment elements include conducting skills-based groups at two community-based substance use treatment programs. Groups at one of these sites will include behavioral activation for depression and dialectical behavior therapy (DBT) for Axis II pathology and emotion dysregulation. Groups at the other site will incorporate skills from DBT, Acceptance and Commitment Therapy, and behavioral principles to increase emotion regulation, decrease risk-taking, and manage HIV. Individual therapy will focus on the treatment of BPD and related pathology using DBT. Residents will have the opportunity to work with underserved populations and to participate in multidisciplinary treatment teams. Opportunities to train staff in DBT and behavior therapy, provide in-services on specific psychiatric disorders, and provide general program consultation to the treatment centers may also be available. Finally, opportunities will be available to develop targeted group therapies and participate in ongoing data collection at one of the sites.

Research opportunities include access to data from completed studies on borderline personality disorder, self-harm, and emotion regulation, as well as the co-occurrence of these difficulties among inpatient substance users. Opportunities to become involved in ongoing data collection examining the role of emotion dysregulation and emotional avoidance in co-occurring substance use and personality disorders are also available. Finally, there may be opportunities to become involved in ongoing research on the intergenerational transmission of borderline personality and related difficulties between mothers and their infants.

Visit the consortium site [186] to find out more.

Montefiore Medical Center - NY

Place: Montefiore Medical Center
APA Accreditation: Accredited
Training Director & Lead / Director: Simon Rego
Chief Psychologist: Scott Wetzler
Positions: 8
Stipend: 40000
Primary Agency Type: Medical School
Descriptor "Based in an academic medical center, our psychology training program emphasizes learning about the nature of psychopathology using diagnosis, case conceptualization and formulation, and a variety of treatment approaches. A scientific approach to the study of psychopathology requires an in-depth understanding of evidence-based treatments - as well as the controversies surrounding them. By the end of their training, interns will have a strong command of the expanding knowledge base in psychopathology, including the complex interrelationship between biological, psychological, and social factors, and the impact they have on thoughts, emotions, and behaviors.

We offer 3 specialized training programs: an adult track, a child and adolescent track, and a *new* combined (child, adolescent, and adult) track.

While each of the specializations has its own goals and objectives (see website for details), they all share the same overarching philosophy: that the internship should provide interns with a broad set of high quality clinical experiences that are sequential, cumulative, of graded complexity, and customized to fit the individual goals of each intern. As such, our program offers a number of elective rotations and makes every reasonable effort to tailor training to the needs and interests of the individual intern. This individualized training program is discussed and finalized prior to the internship start date. We also place great emphasis on supervision, providing at least 5-7 supervision hours per week, using a variety of different theoretical orientations, including: psychodynamic, cognitive behavioral, dialectical behavioral, family/systems, schema-focused, and lifespan developmental approaches. In addition, intern seminars and departmental Grand Rounds run throughout the year, and account for at least 5 hours per week of the interns' time."
Website: http://www.montefiore.org/documents/psychiatry/psychology-internship/Psychology-Internship-Training-Program.pdf 

Mt. Sinai St. Luke's-Roosevelt Hospital Clinical Psychology Internship (Child Track), NYC, NY

http://www.wehealny.org/professionals/residency/psych2_61id.html

National Cancer Institute, Bethesda, MD, U.S.A.

Name and Brief Description of Learning Opportunity

  Health Psychology and Neurobehavioral Research Group: Our group has a training program for students interested in psychology at many different levels, from graduate student externs to postdoctoral fellows. Trainees have the opportunity to gain valuable experience working with chronically ill populations and learning about all aspects of clinical research. A primary focus of our work involves conducting Acceptance and Commitment Therapy with adolescents and adults with chronic pain. Trainees participate in numerous didactic activities, such as weekly case conferences, monthly journal club discussions, individual and group supervision with a licensed psychologist, and educational seminars and symposiums sponsored by various NIH institutes.

 

Category (e.g., practica, internship, externship, post-doc, workshop, CE, computer-based learning module, etc.)

  We take 1-2 part-time graduate student externs per year, and externships begin in July or August. We also currently have funding for a full-time postdoctoral fellow to be hired this spring. (This was written in February 2015.)

 

Qualifications required (e.g., academic degree, level of licensure, position in graduate program sequence, amount/type of experience)

  (A) Graduate student externs should have completed at least two years in an APA-approved graduate program in psychology and have experience with cognitive assessments. (B) The post-doctoral fellow should have completed a PhD or PsyD from an APA-approved psychology program. Experience working with medical patients, particularly those with chronic pain, strongly preferred. There is no requirement regarding licensure for the postdoc.

 

How it relates to Contextual Medicine, or to what degree it integrates contextual behavioral science with medicine

  Our group conducts ACT – both in research studies and clinically - with various medical populations, most of which involve chronic pain. In addition to conducting therapy, graduate student externs will also conduct comprehensive neuropsychological assessments and learn how test results can inform recommendations from a functional contextual perspective.

 

Contact information of either yourself or some other person/place to get more information or to apply

Staci Martin, PhD
Licensed Psychologist
Staff Scientist, Behavioral Health Core
Clinical & Training Director, Health Psychology and Neurobehavioral Research
National Cancer Institute, National Institutes of Health, Bethesda, MD
(301) 435-3964 office
martins@mail.nih.gov

Central Western Massachusetts VA

Interns interested in ACT are provided ample opportunities to gain clinical experience and receive supervision in this model at the Northampton VA.

Interns interested in conducting ACT-based groups may select a four-month rotation on the Specialized Inpatient PTSD Unit, where ACT forms the backbone of the program philosophy. While on this unit, interns will have opportunities to colead and lead ACT groups that follow a flexible 15-session protocol. They also will colead daily ACT-based groups that are more free-form in nature. In these intensive six-week groups, they will learn how to identify and target key ACT processes in-the-moment. They will learn how ACT may be paired with behavioral activation and "in vivo" exposure, and they will learn how to bring acceptance skills into the work with veterans as they begin approaching previously avoided situations in the community (e.g., crowds). Opportunities also exist to colead an ACT-based anger group through the Intensive Outpatient Substance Abuse program.

Interns interested in building ACT competencies in individual psychotherapy may select a year-long ancillary rotation in ACT where the central focus is on outpatient treatment. Interns on this rotation build a small caseload of clients experiencing a range of problems and they practice working with these clients from an ACT-consistent perspective. Sessions are audio-taped for review by the intern and supervisor.

Interns interested in thoroughly emersing themselves in the ACT model may select both the inpatient and outpatient rotations simultaneously. We have found that the combination of these two rotations provides a rich training experience, and has helped our interns establish a solid foundation in core ACT competencies.

Visit: http://www.psychologytraining.va.gov/northampton/ [187] for up-to-date information. 

Scott Cornelius, Psy.D., National Consultant for the VA ACT for Depression rollout and Staff Psychologist on the Specialized Inpatient PTSD Unit is the supervisor for these rotations.

OhioGuidestone Doctoral Internship

OhioGuidestone offers eight positions in their American Psychological Association accredited doctoral internship training program in clinical psychology.  Interns are accepted into one of seven tracks, differentiated through the programs in which clients are served. Each track has a somewhat different focus in setting and age range, but all interns have core seminars and training experiences in common.  

The agency is ACT friendly in general and the internship director, Robert B. Denton, Psy.D., is active in both ACT training within the agency and utilizes and ACT approach in his private practice.  In addition, there are other therapists throughout the agency that have varying levels of experience with ACT.  Previous years have had and/or requested specific didactic training on the ACT model and interns have incorporate ACT into their clinical work accross tracks.  Specific application of an ACT approach with children and their families is a focus of the discussion.   

For more information about the internship at OhioGuidestone, you may go to their website at http://www.ohioguidestone.org/index.php/employment/page/predoctoral-internship-experience

 

Pikes Peak Mental Health, Colorado Springs, CO

Pikes Peak Mental Health in Colorado Springs, Colorado is a community mental health center serving both adults and children, with an internship program focused primarily on adult work. Casey Capps, Psy.D. (head of the internship training program) does ACT and enjoys supervising therapists in the ACT model.

Check out the website: www.ppbhg.org [188]

Contact Casey Capps [189] for more information.

Portland VA

Place: Portland VA
APA Accreditation: Accredited
Training Director & Lead / Director: Elizabeth Goy PhD
Chief Psychologist: David Greaves
Positions: 6
Stipend: 25274
Primary Agency Type: Veterans Affairs Medical Center
Descriptor The number one priority in the Portland VA Medical Center's internship program is to give students a positive, supportive training experience. Interns work reasonable hours, are provided ample supervision and didactic opportunities, and are treated as colleagues by the psychology staff. The PVAMC predoctoral internship program assists interns as they prepare for future careers or for additional postdoctoral training. We use a generalist model, focusing on skills of assessment, treatment, consultation, and integrated care with diverse patient populations. Each intern participates in three, 4-month long full-time training rotations. We believe that interns experience greater in-depth learning in a particular specialty area when working full-time in one setting. Rotations we offer include Health Psychology, Outpatient Mental Health, Neuropsychology, Substance Abuse Services, Psychotic Spectrum Disorders, and Posttraumatic Stress Disorder Clinical Team. Interns now may also have clinical experiences at OHSU, our medical school affiliate. Professional development is a primary focus of our training, as we assist interns in transitioning from graduate school to a professional career.
Website: http://www.portland.va.gov/cptp.asp

Southern Arizona VA Health Care System

Place: Southern Arizona VA Health Care System
APA Accreditation: Accredited
Training Director & Lead / Director: Nadine Cole Ph.D.
Chief Psychologist: Michael Marks Ph.D.
Positions: 4
Stipend: 23974
Primary Agency Type: Veterans Affairs Medical Center
Descriptor The internship strongly emphasizes empirically supported treatments.  Rotations offered include Blind Rehabilitation, Evaluation and Brief Treatment of PTSD Unit, Home Based Primary Care, Mental Health Outpatient, Neuropsychology, Polytrauma/TBI, Posttraumatic Stress Disorder Unit, Substance Abuse and PTSD, and Psychological Assessment.  Interns attend weekly didactics as well as a weekly Supervision seminar.  Please see the brochure for a complete description of the rotations and program offerings.
Website: http://www.psychologytraining.va.gov/tucson/

Stony Brook University's counseling and psychological services - NY

Place: Stony Brook University's counseling and psychological services
APA Accreditation: Accredited
Training Director & Lead / Director: Julian Pessier
Chief Psychologist: Julian Pessier
Positions: 4
Stipend: 26000
Primary Agency Type: University Counseling Center
Descriptor Staff at the CAPS are multidisciplinary and versed in multiple treatment modalities, but primarily use contemporary psychodynamic and integrative paradigms to inform training and treatment. We believe these perspectives are broadly inclusive in their depth of understanding and applicability, particularly for Stony Brook University's incredibly diverse population: students come from all corners of the globe, and use our services in proportion to their representation on campus, so interns encounter a unique training experience in culturally competent clinical practice. In addition to training and supervision in brief and longer term individual and group interventions, interns gain exposure to working with triage in on-call and crisis interventions. Interns supervise practicum students and receive supervision in conjunction with this experience; they also gain exposure to mindfulness meditation & how it may be incorporated into more traditional therapies. Our seminar curricula include literature and training in the integration of theory and practice, and ways in which to consider appropriate matches between client and treatment modality. Central to all training is the thoughtful integration of multiple treatment techniques into a fundamentally (contemporary relational) psychodynamic framework. Interns select one of 5 Spring Rotations: 1. MA/BAC: Mandated Assessments and Behavioral Assessment Committee: manage students of concern/in crisis and work within family, educational & legal systems toward resolution. 2. Center for Prevention and Outreach (CPO):Exposure to a myriad of programs for primary prevention (involving staff training, theater improv, peer training, etc.) in the areas of depression/suicide, sexual violence and alcohol and other drug use.  3. Associate Training Director: Exposure to academic & administrative responsibilities of a psychologist overseeing a vibrant training program within a systems framework. 4. Associate Clinical Director: Exposure to academic & administrative responsibilities of a psychologist overseeing a vibrant clinical services delivery program within a systems framework.  5.  Health Professions Satellite Clinic: Provide treatment and innovative community-based interventions to medical, dental, nursing and other health professions students in a thriving satellite office.  
Website: http://www.studentaffairs.stonybrook.edu/caps/docs/2014%20CAPS%20Training%20Brochure.pdf

Trinity Services, Inc. Behavioral Health Department. New Lenox, IL.U.S.A.

Clinical Director: Mike Mecozzi, Psy.D. mmecozzi@trinity-services.org

Trinity Services, Inc. Behavioral Health Department. New Lenox, IL.
https://www.trinity-services.org/

Ideal Applicants to the Program
Trinity Services, Inc. is a not-for-profit organization whose mission is to help individuals with disabilities live full and abundant lives. Trinity is perhaps best known for being the largest provider of residential services for persons with developmental and intellectual disabilities in the state of Illinois. Trinity also has a large Behavioral Health Department for persons with a serious mental illness that first began in 1992, and it is within the Behavioral Health Department that students complete their externship. Currently the Behavioral Health Department serves over 120 individuals who have a serious mental illness and/or mild intellectual disability. These individuals attend one of three Psychosocial Rehabilitation Programs (PSR) 5 days a week.

The PSR programs are all founded upon the principles of Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT) and Functional Analytic Psychotherapy (FAP). On Fridays students attend a didactic seminar and case consultation. In the didactic seminar students learn the principles of the aforementioned therapy models. In case consultation students then learn to apply these models to their clinical cases.

The ideal applicant therefore has an interest in ACT, DBT, and FAP or has an interest in working with persons with serious mental illness and/or mild intellectual disabilities. No previous training in ACT, DBT or FAP is necessary; the student just needs to be open to learning these therapy models. Further, program development and innovation are encouraged at our training site, and we have had several students develop manualized group interventions during their training experience.

At the Neurofeedback, Counseling, and Fetal Alcohol Spectrum Disorder Institute of Illinois (NCFII), we are proud of our student therapist training program. An Ideal applicant would be a student with clinical interest in children and adults diagnosed with neurodevelopmental disorders including Autism Spectrum Disorder, Fetal Alcohol Spectrum Disorder, Intellectual Disability, Attention Deficit/Hyperactivity Disorder, and/or Specific Learning Disability. Clients are also typically diagnosed with co-morbid medical and psychiatric issues.

Supervision Philosophy of the Site

Students are assigned a primary supervisor upon beginning their externship. Students meet with their primary supervisor for an hour on a weekly basis. The primary supervisor holds the degree that meets the supervisee’s training requirements. Supervision with the primary supervisor frequently involves listening to audiotaped recordings of individual therapy sessions. In addition, supervisors promote the development of case conceptualization skills from a contextual behavioral therapy framework. In the past students have also developed manualized group interventions within individual supervision.

In addition to their primary supervisor, students are traditionally assigned a site supervisor. The student’s site supervisor typically holds a degree from a different professional background than the student. Site supervisors can provide “in-vivo” feedback to students regarding clinical interactions in the therapy milieu. In addition, site supervisors provide valuable feedback regarding paperwork and documentation.

The supervisory year begins with both the student and supervisor identifying goals for the supervisory relationship. Over the course of the training year students are encouraged to become more autonomous. Whereas in the beginning of the training year the supervisor may function more as a “teacher” and supervision is more actively structured by the supervisor, towards the end of the year the supervisor may serve more as a “collaborator” and the student more actively structures the supervision.

Research Opportunities

In the past students have completed their Clinical Research Project (CRP)/Dissertation while training at Trinity. Typically students who have completed their CRP/Dissertation initially completed a therapy externship at Trinity, and then stayed at Trinity for their advanced therapy externship. It is during the advanced therapy training that they conducted their research.

Students have also completed additional research projects unrelated to their CRP/Dissertation. There is much flexibility regarding diverse areas of research, as long as any interventions used are consistent with the contextual behavioral therapy models.
 

UT Dallas Student Counseling Center - TX

Place: UT Dallas Student Counseling Center
APA Accreditation: Accredited
Training Director & Lead / Director: Ellie Hakim
Chief Psychologist: James Cannici
Positions: 3
Stipend: 30000
Primary Agency Type: University Counseling Center
Descriptor The UT Dallas internship program utilizes a Practitioner model of training, emphasizing clinical practice and service delivery with the goal of creating ethical and culturally competent generalist practitioners. We use a developmental approach to facilitate the transition from graduate student to professional psychologist.Training is focused on facilitating interns' clinical competence, fostering the development of professional judgment, and enriching interns' scientific and practice-based knowledge. Enhancement of multicultural competence is interwoven into all facets of the training program, reflecting the strong value we place on honoring the diversity and uniqueness of every individual. We are deeply committed to facilitating the integration of interns' personal and professional identities through engaging them in supportive, yet challenging supervisory and mentoring relationships. Additionally, the internship program is based largely on a relational, "use of self" training model, as we believe optimal professional development occurs within the context of self-reflection and personal exploration.The Pre-doctoral Internship at the University of Texas at Dallas has four overarching goals, which reflect our training philosophy. Goal 1: To facilitate interns' clinical competence as generalist practitioners, with an emphasis on counseling center practice. Goal 2: To foster interns' ethical practices and professionalism. Goal 3: To enhance interns' awareness, sensitivity, and skills in working professionally with diverse individuals, groups and communities who represent various cultural and personal backgrounds and characteristics (e.g. cultural, individual, and role differences, including those based on age, gender, gender identity, race, ethnicity, culture, national origin, religion/spirituality, sexual orientation, disability, size, language, and ses status). Goal 4: To facilitate the integration of interns' personal and professional identities.
Website: http://www.utdallas.edu/counseling/internship

University of California, San Diego/San Diego VA Healthcare System - CA

The University of California, San Diego/San Diego VA Healthcare System offers an ACT friendly internship. Faculty include Dr. Niloofar Afari, an ACT researcher and former graduate student of Steve Hayes. The Psychology Service at the VASDHS represents one of the most academically oriented staffs in the Department of Veterans Affairs hospital system. Currently, fully accessible by the interns are 24 positions assigned to the Psychology Service. Many of the major sub-specialities of professional psychology are represented on the staff, including clinical psychology, neuropsychology, geropsychology, marital and family therapy, alcohol treatment, behavioral medicine, post-traumatic stress disorder, and related psychology research.

Located approximately 12 miles from the hospital in Mission Valley, there are extensive medical facilities and mental health programs for outpatient care at the VA Outpatient Clinic, housed in a modern building which opened in November, 1998. Mental health programs located at the VA Outpatient Clinic include a Mental Health Clinic, the Family Mental Health Program, and the PTSD Clinical Team. The VA Psychology Service also sponsors a Behavioral Medicine Program located in Mission Valley.

For more information about this internship site you can access their website here http://psychiatry.ucsd.edu/psychology/faculty.html [190]

University of Florida in Gainesville - FL

Place: University of Florida in Gainesville, FL
APA Accreditation: Accredited
Training Director & Lead / Director: Natasha Maynard-Pemba
Chief Psychologist: Sherry Benton
Positions: 5
Stipend: 30000
Primary Agency Type: University Counseling Center
Descriptor "The doctoral internship program is an integral part of the mission of the University of Florida Counseling and Wellness Center (CWC), and the entire professional and support staff is involved in the supervision and training of our interns. The training program is designed to prepare interns to function competently and independently as psychologists. Our goals are: to graduate interns who are clinically competent, highly ethical, culturally sensitive, and who have developed a well-defined professional identity. The program follows a practitioner-scholar model of professional training for psychologists, which emphasizes experiential learning. As a practitioner, the intern applies the knowledge gained from scholarly and scientific evidence to clinical practice. As a scholar, the intern is engaged in study of the science of psychology, and is encouraged to contribute to the profession though involvement in scholarly activities. The training staff represents a wide variety of theoretical orientations. Interns provide individual, couples and group counseling, conduct triage and intake assessment, crisis intervention services, provide outreach and consultation services to the university community, provide clinical supervision to master's and doctoral students in counseling psychology and counselor education, and serve on Center committees. The components of training include supervision; formal seminars, which include series on: therapy, professional development, assessment/diagnosis, diversity seminar, and consultation seminar, among others; participation on a collaborative case management team; consultation with training director and Center clinicians. Interns work closely with other clinicians through co-therapy, co-presentations of workshops, and opportunities for collaboration on presentations at national or regional conferences and/or co-authorship on publications. We have several areas of focus that interns may engage in including: mindfulness, couples counseling, group, social justice work, assessment, anxiety reduction, eating disorders, digital outreach, addictions, DBT, s trauma, crisis intervention, LGBTQ, biofeedback, online therapy, international students."
Website: http://www.counseling.ufl.edu 

University of Houston-Clear Lake Counseling Services - TX

UHCL Counseling Services offers an APA-accredited doctoral internship for three full-time interns. We are a Hispanic serving institution (33% of undergraduates), over 50% of students are racial or ethnic minorities, and international students comprise 14% of our student body. We place great emphasis on diversity and multiculturalism throughout our training program and aim to prepare doctoral interns to work with clients from various backgrounds. That goal is fostered through didactic and experiential training as well as exposure to clients who occupy multiple dimensions of diversity. In addition to being a racially and ethnically diverse campus, our students’ average age is 30 and nearly 40% of Counseling Services clients are first-generation college students. Interns can expect to see a wide range of clients, as students who seek counseling roughly reflect the overall demographics of our campus.

All of our staff are ACT-friendly and our new training director is strongly ACT-oriented. We hope you will have a look at our internship materials at the website below and consider applying. 

http://www.uhcl.edu/counselingservices/internship
 
[191]

University of Kentucky Counseling Center:Consultation and Psychological Services, Lexington, Kentucky, U.S.A

   The Doctoral Psychology Internship Program at the Counseling Center began its inaugural year on August 13, 2012. The internship will continue with its sixth class on August 7, 2017 with 4 full-time interns. The University of Kentucky is a member of the Association of Counseling Center Training Agencies (ACCTA) and is accredited by IACS (International Association of Counseling Services, Inc. The psychology internship program is a member of APPIC (#2227). The internship is newly accredited by APA starting in April 2015.
   The internship is 12 months, full-time, 2000 hours overall, with 500 direct clinical hours. Applicants must be doctoral candidates from Clinical and Counseling Psychology Ph.D. or Psy.D. programs (preferably APA or CPA accredited) whose training directors have certified that they are eligible and ready for internship. All coursework, practicum experience, and comprehensive exams required for the doctoral degree must be completed by the application date. Candidates who have completed their dissertation will be given preference. Competitive applicants will have college counseling center experience, outreach experience, an interest in multiculturalism, group therapy, and AD/HD assessment, and have completed 500 intervention hours on the AAPI. Our Counseling Center seeks individuals who are collaborative in nature, have strong communication skills, practice good self-care, are open to learning different therapeutic approaches, are independent while valuing consultation and collaboration, and value self-reflection as a tool for professional development.

  While the training in this internship program is not specific to ACT, interns will co-lead an ACT-based group for anxiety with supervision and receive some ACT-specific training in seminars. There is also room to increase services that are ACT-based if desired.

   Details can be found at http://www.uky.edu/counselingcenter/apa-accredited-psychology-internship-program and https://membership.appic.org/directory/display/389. 

Contact Information
Diane Sobel, Ph.D.
Assistant Director/Training Director
University of Kentucky Counseling Center:
Consultation and Psychological Services
106 Frazee Hall
Lexington, KY 40506-0031
Phone: (859)257-8701
FAX: (859)257-3319
Email: diane.sobel@uky.edu

University of Maryland School of Medicine / VA Maryland Health Care System Consortium

There is a large, APA-accredited internship program at the University of Maryland School of Medicine / VA Maryland Health Care System Consortium. At this consortium, there is a formal ACT rotation in the area of PTSD/Substance Abuse dual diagnosis and there are actually several psychologists who could provide ACT supervision; an intern could thus spend a good portion of his/her training year honing ACT skills. 

Please visit: http://www.psychologytraining.va.gov/baltimore/ [192] for up-to-date information. 

University of Nevada, Reno Counseling Services, Reno, NV, U.S.A

   The University of Nevada Counseling Services is a growing university counseling center that provides individual and group psychotherapy, crisis intervention, psychological assessment, outreach including educational workshops and presentations, general consultation and sport psychology consultation, and referrals to community health care providers. These services are undertaken in accordance with the following mission – the mission of Counseling Services is to provide psychological services to University of Nevada Reno students to support and facilitate their personal and academic success and development. We provide some ACT training opportunities. 

   We are pleased to announce we are currently accepting applications for three full-time, one-year (2000 hour) positions for the 2017-2018 internship year. Our stipend is $27,000 plus benefits. All materials must be submitted for review online by December 15, 2016 at 5PM, PST. This internship site agrees to abide by the APPIC policy that no person at this training facility will solicit, accept, or use any ranking-related information from any intern applicant.
   We will notify applicants of selection for an interview by December 31, 2016 by 5PM, PST. Interviews will be conducted by phone and/or Skype and will be set up and conducted in early-mid January.
   Match Day is Friday, February 17, 2017. APPIC Code: 238211
   Because this is a new internship, we are not currently APPIC members or APA accredited. Our application for APPIC membership has been submitted, and we are awaiting decision.

   Details can be found at http://www.unr.edu/counseling/training-program/doctoral-internship. 

 

Contact information:

Yani L. Dickens, Ph.D., CC-AASP
Director of Training, Assistant Director
Licensed Clinical Psychologist
University of Nevada, Reno
Pennington Student Achievement Center, Suite 420 / Mail Stop 0080
Reno, NV 89557
775-682-8856
ydickens@unr.edu

University of Notre Dame Counseling Center - IN

Place: University of Notre Dame Counseling Center
APA Accreditation: Accredited
Training Director & Lead / Director: Maureen Lafferty Ed.D., HSPP
Chief Psychologist: Susan Steibe-Pasalich Ph.D., HSPP
Positions: 3
Stipend: 24000
Primary Agency Type: University Counseling Center
Descriptor "The internship program strives to train interns in the skills, behaviors, and attitudes of a psychologist working in the context of a university counseling center. These include: professionalism, clinical intervention, outreach and consultation, and supervision. In addition, attention to cultural diversity and evidence-based practice are integrated throughout the course of training. Interns will also develop competency in providing clinical and educational skills in a training concentration including substance abuse, eating disorders, or mind/body therapeutic approaches in the course of the internship year. The program has a dual focus on both clinical training and professional growth. It is expected that interns will make significant developmental transitions during the internship year, including consolidation of a professional identity, enhanced confidence in skills, and increased ability to function autonomously. The training program recognizes the inherent stress that accompanies these transitions. It is designed to provide activities, procedures, and opportunities that facilitate optimal professional growth while remaining sensitive to the challenges of that growth. While interns frequently seek counseling center positions as their first employment, the training at the University of Notre Dame's Counseling Center is broad enough to prepare interns well for a variety of employment settings.

"
Website: http://ucc.nd.edu/professional-training/ [193]

VA Ann Arbor Healthcare System - MI

The VA in Ann Arbor is proud to provide ACT training in the areas of substance use disorders and primary care. We currently train students on group interventions and have ACT groups in our intensive outpatient program for substance use disorders (SUD IOP) as well as primary care mental health (PCMH). We also run ACT groups for tobacco cessation. Many of our clinicians have participated in the roll out for ACT for Depression (ACT-D) and we have a consultant for the rollout on staff. We are also dedicated to program evaluation and are currently evaluating the AAQ for substance abuse (AAQ-SA) via an IRB-approved project.

Here is the link to our training program. http://www.annarbor.va.gov/careers/intern-index.asp

In the 2013/2014 academic year our training program consists of 4 practicum students, 12 interns, and 4 post-doctoral trainees.

VA Hudson Valley Health Care Service, Montrose, NY (35 min from NYC)

The Veterans’ Affairs Hudson Valley Health Care System offers fully-accredited APA internships in Clinical and Counseling Psychology. American Psychological Association, Committee on Accreditation, Office of Program Consultation and Accreditation, 750 First St., N.E., Washington, DC 20002-4242. The website is www.apa.org, and the phone number is (202) 336-5979. Internships are full-time (2080 hours) and consist of two major rotations, of six months duration, plus supplemental rotations based on interns' training needs and areas of interest. The Hudson Valley Health Care System offers opportunities to work with a diverse patient population in a variety of clinical settings. Weekly seminars and one-to-one supervision provide specialized training in a range of assessment and treatment modalities. In addition, interns are offered support for their dissertations or other research interests, and have access to a rich array of professional education within the hospital and in the New York metropolitan area.

Details can be found in attachment.

Contact: 

Jonathan Weinstein, Ph.D.
Clinical Psychologist
Suicide Prevention Coordinator
VA Hudson Valley Health Care System

Jonathan.Weinstein@va.gov

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

VA Long Beach Healthcare System - CA

Place: VA Long Beach Healthcare System
APA Accreditation: Accredited
Training Director & Lead / Director: Kenneth Cole
Chief Psychologist: Jeffrey Webster
Positions: 6
Stipend: 26704
Primary Agency Type: Veterans Affairs Medical Center
Descriptor The VA Long Beach Doctoral Internship Program has been fully accredited by APA since 1980, with our next site visit in 2019. Our primary goal is to train interns to conduct an array of psychological services in a general health care facility. Although our psychology staff provide some very specialized services, we believe that training at the predoctoral level should be broadly based rather than narrowly focused. The generalist training that we provide reflects the population of our medical center and outlying clinics. We serve primarily adult veterans and some active military service personnel, the majority of whom are male but with a higher percentage of women in younger cohorts. We've been known for our behavioral health training as well as more traditional psychological services. As with all health care systems, we have undergone a major shift from inpatient to outpatient treatment in both medical and mental health settings. We accept both clinical and counseling students and no distinction is made between them concerning the content of training experiences. We tailor our internship program to the specific needs of each intern. During orientation week, all staff psychologists present to the interns and practicum students to explain what training experiences their rotation offers. With the advisement of the Training Director interns select 4-5 rotations that blend their individual training needs and interests. Our program follows a traditional apprenticeship model where the intern works closely with her or his supervisor. The degree of responsibility and structure afforded the interns depends on their level of experience coming into each rotation. Our program also includes intern seminar, grand rounds, journal club, release time to attend any offered trainings needed for CA licensing at local sites, and other rotation-specific didactic and interdisciplinary experiences. Intern offices are located in the same area to foster close interaction.
Website: http://www.psychologytraining.va.gov

VA Maine Healthcare System (Togus, Maine)

Updated July 14, 2008

The Clinical Psychology Training Program at the Togus, Maine VA currently offers ACT training in the PTSD and Primary Care rotations.

The Intensive Outpatient PTSD Program (IOP) is an intensive ACT training experience. ACT is presented to a cohort of veterans in a "workshop" format across 14 classes (groups) in five days. All aspects of ACT (Let Go, Show Up, and Get Moving) are experienced in the 14 sessions. Veterans who have graduated from a week-long cohort are offered unlimited follow-ups in the form of additional groups or individual "coaching" via the phone or in person. The program conducts 26 cohorts per year. The other 26 weeks are for assessment, individual sessions, research and program development. Interns and Residents become integral parts of the entire process.

Each morning the staff meet to talk about the current cohort, program development, Functional Contextualism, Relational Frame Theory and ACT. Plus we often are providing training to visiting clinicians.

The PTSD IOP strives to remain on the cutting edge of effective treatment for veterans struggling with trauma-related suffering.

We have recently started up a strong research program in conjunction with the University of Maine at Orono.

Interns and Residents will get a rich and moving educational experience in this dynamic and often entertaining process.

The IOP staff are Kevin Polk, Ph.D. and Jerold Hambright, Ph.D.

The Primary Cary Behavioral Health is and ACT rotation headed by John Agee, Ph.D. (a former postdoctoral Resident in the PTSD IOP). The rotation involves learning and implementing brief (as little as one session) psychological interventions based on ACT and other mindfulness-based therapies.

While the PTSD IOP is intense and dynamic, at the same time it is part of a laid back and friendly Togus Psychology Training program.

Contact Kevin Polk, Ph.D. at polkkev@gmail.com

 

Updated 4/26/14

Place: VA Maine Healthcare System
APA Accreditation: Accredited
Training Director & Lead / Director: Diana Sholtz
Chief Psychologist: Kevin Polk
Positions: 3
Stipend: 23974
Primary Agency Type: Veterans Affairs Medical Center
Descriptor
Website: http://www.maine.va.gov/psychtrain 

VA Palo Alto Health Care System (Palo Alto, CA)

We have an ACT friendly internship program here at Palo Alto VA with an opportunity to be trained in ACT and co-lead ACT groups.

I also run an ACT Mini-Rotation.

Purpose of Mini Rotation:

Many individuals suffering from mental health issues often actively work to avoid their personal experiences of emotion, thought and sensation. However, these very actions often result in loss and increased suffering. Acceptance and Commitment Therapy (ACT) is a behaviorally based intervention designed to address avoidance of internal events and the role that language plays in human suffering. The therapy specifically uses a number of verbal, experiential and homework interventions to help patients make experiential contact with previously avoided private events (thoughts, feelings, sensations), without excessive verbal involvement and control – and to make powerful life enhancing choices. ACT is a manual-based intervention that can be applied with a number of populations. The proposed mini-rotation will provide a combination of didactic and supervised clinical experience in the use of ACT with PTSD patients at the National Center for PTSD (NCPTSD).

Structure of the Mini-Rotation:

Time Commitment: Trainees interested in the mini-rotation would agree to participate as a co-facilitator/trainee in group psychotherapy sessions. The group time-slots depend on the unit where the therapy is being conducted. All ACT groups are currently being held at the Menlo Park Division. Trainees would also be expected to attend a weekly, one-hour, individual or group supervision and read relevant materials. The time commitment is approximately 4 hours per week. The trainee needs to negotiate with the supervisors of his/her major rotations for the necessary time or do this rotation as an add-on above the basic 40 hours.

Robyn D. Walser, Ph.D.
Associate Director for Education
National Center for PTSD, Dissemination and Training Division
VA Palo Alto Health Care System
robyn.walser@va.gov
http://www.paloalto.va.gov/MentalHealth/PsychologyTraining.asp [194]

 

Updated 4/26/14

Place: Palo Alto VA
APA Accreditation: Accredited
Training Director & Lead / Director: Jeanette Hsu
Chief Psychologist: Steven Lovett
Positions: 14
Stipend: 28382
Primary Agency Type: Veterans Affairs Medical Center
Descriptor The VA Palo Alto Health Care System Psychology Internship program is committed to the scientist-practitioner model of psychology. The internship program at VA Palo Alto is a member of the Academy of Psychological Clinical Science, a coalition of doctoral training programs and internship sites that share a goal of producing and applying scientific knowledge to the assessment, understanding, and amelioration of human problems. Palo Alto has many strengths in training including opportunities to gain both breadth and depth in multiple areas. There are opportunities for training in interventions with adults and families and in psychological/neuropsychological assessment within: geriatric settings; medically-based settings including primary care, specialty medical clinics, and rehabilitation; inpatient, residential, and outpatient mental health settings; trauma treatment settings; and substance use disorder treatment settings. We also offer rotations to enhance skills in clinical research and program evaluation. Our limitations include few clinical opportunities to see children, except as part of family treatment, or to work with developmentally-disabled adults. Assignment to rotations and selection of supervisors is based primarily on the intern's training needs and interests, and are determined after the Match. The internship year is divided into two six-month periods. Within each 6-month period, interns spend half-time at each of two sites. There also are some optional mini-rotations that require from 3 to 6 hours per week, which add extra hours to our basic 40 hour work week. In addition to training assignments, interns have Wednesday afternoons set aside for a year-long intern seminar series. We believe that psychologists should be prepared to work as members of interprofessional health care teams, interacting collaboratively with the full range of disciplines that provide health care services. Most of our care settings are interprofessional.
Website: http://www.paloalto.va.gov/services/mental/PsychologyTraining.asp

VA Puget Sound Health Care System, Seattle WA

We have an ACT friendly internship program at the Seattle VA with several supervisors and clinics involved in both ACT and Mindfulness therapies.

Opportunities to get intensive ACT exposure include work with PTSD, Substance Use Disorders, Co-Occurring Disorders, and Chronic Pain populations, serving Veterans and their families. Many of the placements in the psychology internship program are open to ACT and Mindfulness approaches as well. See our brochure for potential placements and ACT-friendly supervisors here: www.psychologytraining.va.gov/seattle/ [195]

Opportunities include:
• to help develop and co-lead ACT groups
• to co-lead Mindfulness groups
• to recieve individual training and supervision in ACT
• to participate in ACT didactics and group supervision, and a quarterly Mindfulness and Acceptance Journal Club
• to create or participate in ongoing acceptance and mindfulness based research projects
• guidance for further local training opportunities and links to the Washington State Chapter of ACBS
 

VA Sierra Nevada in Reno, NV

Place: VA Sierra Nevada in Reno, NV
APA Accreditation: Accredited
Training Director & Lead / Director: Cindy Barber PhD
Chief Psychologist: Lynn Boutilier PhD
Positions: 4
Stipend: 23974
Primary Agency Type: Veterans Affairs Medical Center
Descriptor: The mental health staff members at the Ioannis A. Lougaris Medical Center are committed to the training of professional psychologists consistent with a scholar-practitioner training model. Within a supportive and collegial atmosphere, we seek to facilitate development of a reflective approach to practice that integrates empirical knowledge and delivery of clinical services. Interns are viewed as making the transition from the student role to the professional colleague role over the course of the training year, honing the clinical skills ultimately required for independent practice. Opportunities are offered for continued training in areas of practice that interns may already be familiar with, as well as introduction to unfamiliar treatment orientations and clinical challenges.

At the start of the training year, interns undergo several days of orientation to our department as well as 3 days of orientation to the medical center. They visit potential rotation sites and potential supervisors to compose a training experience that best fits their interests and needs. The Training Director and Training Co-Director are advocates for interns and other Psychology trainees at the facility. The Director and Co-Director meet regularly with interns to respond to their concerns.

Interns receive informal feedback from supervisors throughout the year in addition to formal evaluations at mid-rotation and at the end of each rotation. Evaluations emphasize the intern's strengths and identify areas in need of improvement. In turn, interns evaluate their supervisors and the supervision experience. Evaluations are mutually shared and discussed between intern and supervisor in an atmosphere that fosters personal and professional development. Written summaries of these evaluations are furnished to the intern and graduate institution at mid-year and at the end of the training year. It is expected that interns will differ in the extent to which they require training in the expected competencies. It is further expected that there may be instances where an intern's behaviors, attitudes, or other characteristics impact the learning process, relationships with others, and/or patient care. These issues are typically addressed in supervision, but if skill deficits are noted in any of these areas, a formal remediation plan may be established to address the deficits. If skill deficits cannot be remediated, provisional completion of the internship and/or termination from the internship will be considered.
 
Website: http://www.psychologytraining.va.gov 

VAMC Cleveland - Parma Outpatient Clinic (Cleveland, Ohio)

 

Cleveland is among the largest Medical Centers in the country and the Parma Outpatient Clinic is a brand new facility with a large mental health department.

Psychology Interns are involved with a weekly introductory transdiagnostic ACT group and also an ACT psychotherapy group for men who have experienced sexual trauma. They can employ ACT individually with a wide range of clients and have the opportunity to design and implement any specialty group intervention of interest. We also maintain a full DBT program available to Interns.

Trainees could request a full four-month clinical rotation with an experienced ACT provider (a VA Roll-out consultant since its inception; trained in DBT by Marsha Linehan) with an option to continue for the full year in a Clinical Enrichement of up to eight hours weekly. Multiple ACT- and DBT-trained providers are part of the clinical milieu.

Contact: Kevan McCutcheon, Ph.D

(216) 739-7000 ext. 2316

Kevan.McCutcheon@Va.Gov [196]

 

4/26/14 Update:

Place: Cleveland Ohio VAMC

APA Accreditation: Accredited
Training Director & Lead / Director: Robert Goldberg
Chief Psychologist: Edgardo Padin-Rivera
Positions: 10
Stipend: 23486
Primary Agency Type: Veterans Affairs Medical Center
Descriptor Interns pursue a Track (Mental Health, Health Psychology, Neuropsychology, Geropsychology) through three four-month rotations and an optional 300-hour enrichment if desired. We are a large facility with medical and psychiatric in- and outpatients. We encourage ethnic minority applicants. APPLICANTS MUST SPECIFY THE ONE [AND ONLY ONE] TRACK TO WHICH THEY ARE APPLYING AND THREE SPECIFIC PREFERRED ROTATIONS IN THEIR COVER LETTER. We are interested in the career trajectories of students, including preparation for postdoctoral specialization and the future implications of training assignments made during the internship year.
Website: http://www.cleveland.va.gov/internship/psychology/Index.asp

West Haven VA in Connecticut

Place: West Haven VA in Connecticut
APA Accreditation: Accredited
Training Director & Lead / Director: John Beauvais
Chief Psychologist: Steve Martino
Positions: 9
Stipend: 26422
Primary Agency Type: Veterans Affairs Medical Center
Descriptor: VA Connecticut Healthcare System - West Haven Campus (VACHS) offers healthcare services to a diverse population of Veterans that are provided in a wide range of healthcare delivery settings. VACHS is a Yale University School of Medicine affiliated education and training institution. VACHS provides primary, secondary, and tertiary care services in multiple areas (e.g., medicine, geriatrics, neurology, surgery, and mental health) and also provides specialized services for specific clinical problems (e.g., blind rehabilitation, psychosocial rehabilitation for seriously mentally ill, geriatric rehabilitation, women’s health care, psychological and pastoral counseling, alcohol and substance abuse treatment and auditory rehabilitation). Several programs have been designated as Centers of Excellence (e.g., National Center for PTSD and the Mental Illness Research, Education and Clinical Center). Psychology staff are directly integrated into many of these clinical settings, but also serve these populations on a consultative basis. Like many other VA settings throughout the nation, our Psychology Service has recently experienced rapid growth. In addition to expanding our expert clinical staff, VACHS hosts an impressive complement of research psychologists supported through VA and other funding sources. Many of these research psychologists serve as clinical and/or research mentors for psychology trainees at VACHS. The credentials of psychologists at VACHS are exceptional and diverse. The majority of psychologists at VACHS hold academic appointments at Yale University and regularly contribute to peer-reviewed scholarly publications. The Psychology Training Program maintains full APA-accreditation and APPIC membership. Three internship tracks are available to graduate students depending on their interests and level of training; General Mental Health - PTSD and Complex Outpatient Mental Health (COMH) tracks, General Mental Health - Addictions track, General Mental Health - SMI track, Clinical Health Psychology, and Clinical Neuropsychology. In addition, we have multiple post-doctoral training programs that many interns consider when making decisions about their advanced training (http://www.psychologytraining.va.gov/westhaven/) . In most training years, several students are also offered training at the practicum level, and these opportunities often fall within the Clinical Health Psychology and Clinical Neuropsychology rotations.
Website: http://www.psychologytraining.va.gov/westhaven/

West Virginia University Counseling Center

Place: West Virginia University
APA Accreditation: Accredited
Training Director & Lead / Director: Ian Kellems Ph.D.
Chief Psychologist: Alfred Kasprowicz
Positions: 3
Stipend: 27500
Primary Agency Type: University Counseling Center
Descriptor "CCPPS is a dynamic and integrated multidisciplinary agency which serves as the primary mental health service on campus. CCPPS is staffed by a team of psychologists, psychiatrists, clinical social workers, licensed professional counselors, and registered nurses. doctoral interns are afforded the opportunity to interact and collaborate with mental health professionals from a variety of disciplines, providing them with rich and diverse experiences.
"
Website: http://www.well.wvu.edu/r/download/170995 

ACT Supervision

There is a real need for individuals to offer tape watching, phone consultation, and other forms of consultation and supervision in ACT. We invite qualified list members to add their pages here explaining their background and what they would be willing to do. Readers need to know there is no filtering of this process, however, so buyer beware. We suggest that you look into the person's background and make careful judgments.

ACBS Members: If you would like to list yourself, your program, or your institution here, click on the "add child page" link at the bottom of this page.

ACT - the Matrix Consultation with Kevin Polk

Webinar and Consultation Schedule (Click Here) [197]

If you want to acheive master status of what I term Verbal Aikido, you've come to the right place.

We start off with the simplest routine of setting up the Psychological Flexibility Model using the ACT Matrix.

From there you learn how to spin the content of stuck words into the flexibility process.

You can get started with loads of free information on my website, www.acceptanceandcommitmenttherapyact.com [198].  

Kevin

Kevin L. Polk, Ph.D.

See video [199]

ACT Supervision & Consultation with John P. Forsyth, PhD

Most of you know me by now, so I won't bore you with introductions "about me."  (see below if you're curious about me).  This is about you.  We need a community of folks interested in helping our members develop their competencies using ACT.  I used to think that books, videos, workshops, and unsupervised practice would foster that kind of development.  Now, I don't think so.  There is a need for a grass roots bottom up approach, where we can offer one another consultation and supervision to grow in the practical application of ACT for a range of problems. 

So, in recent years I decided to offer clinical supervision to those who might be interested in having someone willing to help shape their thinking, skillfulness in using ACT (both personally and professionally), or to serve as a willing ear.  I'm offering Skype-based clinical supervision & consultation for mental health professionals (including post-doctoral individuals) who wish to grow and develop in their ACT clinical compentencies.  I've been doing this quite a bit with members of the ACT community in the United States and abroad. 

If you're interested in exploring supervision and/or consultation via Skype, please contact me via email at forsyth@albany.edu [200].   You can also visit my website at www.drjohnforsyth.com [87]    Peace -john

About Me

John P. Forsyth, Ph.D. is an internationally recognized author, speaker, and trainer in the use of Acceptance and Commitment Therapy (ACT) and practices that cultivate mindfulness, loving kindness (Metta), and compassion. For over 20 years, his work has focused on developing ACT and mindfulness practices to alleviate human suffering, awaken the human spirit, and to nurture psychological health and vitality. His personal journey and experience, balanced with practical insights grounded in scientific evidence, offers hope to those wishing to find a path out of suffering and into wholeness.

He has written several popular ACT books [201], including Acceptance and Commitment Therapy for Anxiety Disorders (for mental health professionals), and three self-help books for the public: The Mindfulness & Acceptance Workbook for Anxiety, ACT on Life, Not on Anger, and Your Life on Purpose.

John holds a Doctorate in Clinical Psychology and is a Professor of Psychology and Director the Anxiety Disorders Research Program at the University at Albany, SUNY in Upstate New York. He is also widely sought after ACT trainer and consultant and serves as a senior editor of the ACT book series with New Harbinger Publications.

John regularly gives talks and workshops to the public and professionals in the United States and abroad, and offers ACT trainings at the Omega Institute for Holistic Studies in Rhinebeck, NY, where he serves as a member of the teaching faculty.

He is known to infuse his teaching and trainings with energy, humility and compassion, and his down-to earth workshops are consistently praised for their clarity, depth and utility.

Collectively, his work has helped foster growing interest in acceptance and mindfulness in psychology, mental health, medicine, and society.

ACT Supervision and training Denmark Dr Max Boehling

Hi - I am Max. Here is some formal and informal information about myself. If you need any further information please feel free and write.

I am a private ACT practitioner, phd, peer reviewed ACT trainer, specialist in psychotherapy and chartered by the British Psychological Society (BPS). This means that the supervision I provide is recognized both by the BPS (when working towards you phd in clinical psychology) and the Danish Psychological Society (when you are working towards the specialist status).

I see clients in my offices located central in Copenhagen and Kgs Lyngby, Denmark and on Skype. I often run workshops in Jutland and upon request.

I have expierence offering a range of ACT workshops and presentations in both public, private and international settings such as the ACBS conferences. Some of the public settings include supervision and in depth training for staff in psychiatric hospital settings.

Aside from the work in my own office I work as a clinical consultant at a private hospital providing group and individual interventions for patients with chronic pain.

In organizations I provide coaching, effectiveness training, stress reducing and preventive interventions / workshops. All based on ACT. I have been trained as a trainer in Fredrik Livheims group based intervention for "Resilliance and stress reduction at work".

It is wonderful to work with a transdiagnostic and in context model. Applications are numerous and I am intrigued by seeing new and helpful ways of applying psychological flexibility.

Personally, I spend my time with family and friends. The science of psychotherapy and wellbeing is also my personal interest and I enjoy reading about various techniques, watching others and figuring out how/ if I can apply what I see within the ACT framework.

When providing supervision I offer to look at issues ranging from therapist reactions, client reactions, concrete interventions and theory. Thus, roleplay, video recording, trying things out on yourself, analysing client reactions with FA, group based ACT exercises (for example in clinical or work place settings) or simply just talking about theory and model are examples of what can be part of the supervision. It is about what you need to develop your competencies further.

Send me an email through this site or my personal sites below and we can chat or set-up an initial meeting in person or Skype to see if I may be able to help you further the skills you are hoping for.

My website in Danish is funktionelpsykologi.dk [202] and in English therapist.dk [203]

Best,

Max

ACT with Christian clients

In practising ACT, both personally and in my private practice, I have become more and more convinced that ACT is entirely suited to work within the worldview of Christians of all persuasions.  I am well versed in the Bible and various theological teachings and have yet to find anything contrary to these within the practice of ACT.

There are many advantages to be found when approaching a Christian client from within their worldview, in the actual practising of ACT.  You don't have to be a Christian to be able to use the tools that I have been developing for clinicians.

Furthermore, there are pitfalls that the unwary may find confusing and confounding. For example, the use of mindfulness can easily be mistaken, especially by those of the evangelical and/or charismatic persuasion, as being 'dodgy' and related to Eastern religions.

All of these issues require clarification which I can assist you with. In both general and specific issues I have been practising ACT as a Christian for ten years, and am also accumulating more and more experience in the training arena.  I am available on Skype by arrangement, via my email address ingridrhea@gmail.com [204].  Of course, we could meet in person at a Worldcon, or if you are in South Africa!

I have previously posted quite comprehensive reference tables cross-tabulating the six ACT processes with the Bible.  They can be found on this website.

Consultation and Supervision in ACT - Robyn Walser

Acceptance and Commitment Therapy supervision and consultation by phone or Skype. The supervision is designed to assist you in developing your skill, using the six core processes, in the implementation of ACT. The design of superivsion is in line with ACT core competencies and focuses on a range of issues including personal experience in therapy to feeling stuck with a client. Arrangements made on contact. Group supervision also available. Please feel free to email me at robyn.walser@sbcglobal.net if you are interested.

A little about me: I have been involved in ACT since 1991 both through research and clinical work. I have been conducting trainings in ACT since 1998, training both nationally and internationally in multiple formats and addressing multiple client problems. I have authored a number of articles, chapters and books on these topics. Including ACT for PTSD (co-author) and Learning ACT (co-author).  I focus on dynamic, warm and challenging ACT trainings and have been referred to by my consultees as a clinician’s clinician. I routinely do ACT in private practice and in a hosptial setting as a means to stay connected to the work and connected to the experiences of the clinician. I am happy to answer any quesitons you might have about these consultation services.

Hank Robb - Consultation

Please contact me by email at robbhb@pacificu.edu. I do in person, by phone or Skype consultation either individually or in groups. The latter is more cost effective because you are paying for my time, not the number of individuals using it. In the United States, "supervision" means I am leagally accountable for your practice under my direction which is why I restrict myself to "consultation" rather than "supervision." If you want to get a sense of what I am like, just enter Hank Robb on YouTube and find several examples there.

How to Start and Run a Peer Supervision Group - Julian McNally

Starting and Running ACT Peer Supervision Groups

The Who

Who are you going to invite? Who do you see as the natural constituency for this group? This will depend on the purpose (see ‘The Why’). You may have a focus on a specific clinical population, or you may have a group comprised simply of people in the same geographical area who can get to the meeting each week.

The other important person-focused issue though is whether to have a ‘closed’ or ‘open’ group. Open groups let new members come in at any time and attend for as little as one session or as many as they like. Closed groups run a bit more like a club, where the same people commit to attending regularly with only occasional intakes of new people. The main advantage of open groups is that there is continual ‘fresh blood’ as new people join, so it is less likely that the discussion will feel ‘stale’. The main advantages of the closed group are that levels of trust and safety are higher and this may lead to a greater sense of continuity in participants’ learning.

The Why

Decide your group's purpose and focus:

  • learning techniques
  • 'troubleshooting' applications
  • debriefing from clinical work
  • learning to develop ACT interventions
  • applying ACT to specific clinical populations (e.g. eating disorders)
  • or in specific practice contexts (e.g. residential substance abuse)
  • overall ACT practitioner development

The Where: Have Your Premises Serve Your Purposes

The ideal ACT PSG venue has the following qualities. Think of these as ways of 'lowering resistance' to attendance. Since many people will be attending in unpaid time, possibly at the end of a hard day's work, we want to make it as easy as possible for them to arrive and as enjoyable as possible to stay.

  • Located near public transport, cheap or free parking and cafes, restaurants or bars for after-group discussions.
  • Easy to find. In a well-marked or prominent building or if you don't have access to such a building, at least provide a map and directions. Note that if you're posting details of your group here (ACBS web site) you can easily provide links to GoogleMaps or Mapquest maps. Go to their websites and enter the address and they will provide you with a map you can paste into documents, but also with links you can paste into your PSG description.
  • The room. Large enough that fifteen people can talk among themselves comfortably, but small enough that three people won’t ‘rattle around’. Minimal room equipment is a whiteboard or blackboard, but even this can be foregone if your group doesn’t ‘do’ diagrams (Hexaflex etc.) or if you do them on large sheets of paper that everyone can see. Other handy things to have can be overhead or slide projectors and other such teaching paraphernalia and of course, the usual ACT ‘props’: Fingercuffs, rope for Tug Of War With A Monster, etc.

The How

There are books written on how to run PSGs (a good one is Brigid Proctor’s Group Supervision: A Guide To Creative Practice [205]) and it might be a good idea to consult one before starting your group. Caution: the following reflects my opinion on our experience in Melbourne. It’s not the official ACT PSG system, rather just a way to set up and run a group.

A little history about our group first. The Melbourne ACT peer supervision group has run since Russ Harris first contacted interested practitioners in October 2004. Initially it was set up as an ‘interest group’. The problem we encountered with this label and purpose was that once you’ve shown you're interested then what? People attending in these early days tended to have one of the following two responses. Either they learnt a little information about ACT at these meetings and because they put it in the ‘that’s interesting, I might explore that more one day’ category stopped attending the meetings. Or they were enthused to start learning skills and applications of the approach immediately but became frustrated that there was no progression in knowledge and skill.

At one of our meetings Russ repeated Kirk Strosahl’s observation that workshops produce zealots, supervised practice produces practitioners. This prompted Russ to suggest that the group ‘morph’ into a peer supervision group which he led through 2005 and part of 2006. At this time I was able to secure a venue at RMIT University which gave us a home and consequently I started convening the group in June 2006.

At the end of this document is the format for supervision that we have used at the group since at least late 2006. From the feedback our members have given, this format has worked well, although for a small group (five or fewer members) two supervisors is probably overkill. We instituted this though at a time when our numbers were around 8-10 people regularly.

Rotating the supervisor and presenter roles through the group on a published roster maintains an egalitarian spirit and ensures everyone accesses similar learning experiences.

If you plan to use this format, then for the first few meetings it may be advisable to formally chair the meeting. This helps ensure people stay focused and adhere to the functions of their roles.

Tips and Challenges

  • How do I keep the number attending high?

This is the biggest challenge especially early on. Short answer: time in the game. The longer you run the group the more chance of word getting around. Don’t give up when numbers drop to two or three people. It helps if you have someone locally who is running ACT workshops as Russ did, but if you don’t have that, then ask visiting ACT trainers to publicize your group at their workshops. It goes without saying I hope that you would set up a page for your group here on the ACBS site.

  • Too many people are attending! What do I do now?

First tell me how you did it! Seriously the simplest answer, apart from get a bigger room is to split the group and run two groups. You may need to train someone to take over your role as leader for the other group.

  • People keep giving non-ACT suggestions. How do I keep this an ACT supervision group and not something else?

It’s natural for people to go to what they know when they don’t have an answer for the problem that the supervisee is presenting. Model and encourage a ‘non-expert’ stance frequently, for example by offering yourself as the first supervisee. Ask how the suggestion fits the ACT model. Suggest that we all sit with the not knowing for a while (this may actually be something the supervisee needs to do as anyway!)

  • Keep the case presentation section to under 20 minutes. Allow 30-50 minutes for case discussion. It should be easier to stick to these limits if you keep the discussion focused on answering questions such as those in the format below.
  • Choose a standardised case formulation protocol. Russ Harris provides a couple – brief and briefer – in his workshops and you can access these through his site, www.actmindfully.com.au [206]. The ‘gold standard’ protocol, also the most comprehensive, is the one Jason Luoma developed, available here at www.contextualscience.org.

 

ACT Peer Supervision Group Guidelines – Melbourne ACT Supervision Group

  • One supervisee presenting the case, two supervisors providing guidance/supervision. The remainder of the group is to observe the supervision process and provide feedback to the supervisors.
  • Supervisee needs to have a specific question(s) to ask the supervisors. Examples of good questions might be:

“Is there an ACT process I’ve overlooked?”
“What would you do?”
“What does it sound to you that the client needs from me or from the treatment process?”
“What more do I need to find out from/about the client?”

  • Supervisors should aim to focus on core ACT therapeutic competencies.
  • Format is:
  1. Supervisee presents the case.
  2. Supervisee asks first supervisor for their guidance – relevant to the question the supervisee has about the case. Supervisor can ask questions about the client to clarify issues such as history, strengths, previous treatments, family background, etc. Supervision interventions can include demonstrations, role-plays, exercises for the whole group or the supervisee as well as questioning and explanation.
  3. Repeat for second supervisor
  4. Rest of group provide feedback to the supervisors on what they think the supervisors might have done differently, any ACT components missed or competencies not followed up on. NOT an opportunity to ‘re-interview’ the supervisee about the case. (This means supervisees need to get good at case presentation)
  5. The group should start the following session by following up with the supervisee to find out what ideas were tried or what was different in the subsequent session(s) with that client.

Case Formulation Questions

  1. What thoughts or feelings are fused and unworkable? (Fusion)
  2. What values is the client removed from? (Remoteness from values)
  3. What experiences such as emotions, thoughts, reminders, contexts and behaviours is the client avoiding or having difficulty accepting (Experiential avoidance or unwillingness)
  4. What is the client’s story about self? (Self as Content)
  5. What is the quality of the client’s presence? How do they absent themselves from life, engagement or connection? (Contact with the present moment)
  6. What does the client fail to start or fail to finish? Where does the client fail to or lose focus, or fail to engage in committed action? (Committed Action)

Feel free to comment below, on the ACT Listserve or directly to me (act@julianmcnally.com) with questions, reports of success or challenges you encounter in running a group.

Jason B. Luoma

One of my central career interests is in training other therapists in how to do ACT and researching the effectiveness of such training. Towards this end, I have given training workshops at the local, national, and international level. I have had the pleasure of co-leading several workshops with Steven Hayes, Ph.D. and have trained under him at the University of Nevada, Reno. For two years, I supervised a team of 9-15 clinical psychology graduate students who were learning ACT at the University of Nevada, Reno. I was the director of the First Acceptance and Commitment Therapy Summer Training Institute and was on the Program Committee for the Second Acceptance and Commitment Therapy Summer Training Institute. I am currently Director of Training for a large ACT grant that is training therapists nationwide through ACT workshops (Steve Hayes is the PI). You can find out more about me at www.drluoma.com/ACT.html [207].

I also run a website called www.learningact.com [208] which is linked to my book, Learning ACT: An Acceptance and Commitment Therapy Skills-Training Manual for Therapists (2007). The website has a discussion forum for those who are learning ACT and want to discuss how it is going and get feedback from like-minded individuals. www.learningact.com [208] also has a blog where I post regular updates with information of interest to people interested in Acceptance and Commitment Therapy.

We have been running an ACT peer consultation group in the Portland, OR area since November, 2005. Any therapists who are interested in learning ACT are invited to attend. Just send me an email at email@drluoma.com if you are interested. Also contact me if you are interested in supervision or consultation on ACT.

I recently completed a study on phone consultation as one form of training of ACT therapists. As part of this study, I developed a protocol for phone consultation with professionals wanting to learn ACT. I provide supervision over the internet and phone and have also lead online workshops. If you would be interested in phone consultation on learning ACT, but are afraid you can't afford it, please call me and we can discuss it. I work on a sliding scale. The first consultation is free for anyone interested in learning ACT.

If you are interested in contracting me please email me at email@drluoma.com, or call me at (503) 281-4852x213.

Joanne Steinwachs

 

I offer supervision for licensure for social workers and consultation for other disciplines. I came into the ACT community at the Summer Institute in Reno in 2004. I’ve done a lot of training and consulting in FAP, DBT, ICBT, Behavior Activation and ACT.  Because I am able to hold a philosophically consistent stance, I’m able to use techniques from all of these approaches as needed by the client.

I’ve been a supervisor for MSWs since 1995, for Psy.Ds since 2004. I’ve done groups, family, individual and couples treatment for people who struggle with bipolar, depression, anxiety, severe trauma and addictions. I’ve worked in community mental health and hospice.  I’ve been in full time private practice since 1995.

It seems to me that finding a way to make ACT your own is an important part of learning. I try hard with my trainees to help find their own voice. I’ve done a lot of trying to be Kelly Wilson, or Robyn Walser or Steve Hayes or… you get what I mean. I came to realize that the only person I can be is myself in the room, and I need to find a way to work effectively with the people who come to see me.  Oscar Wilde said it really well: “Be yourself, everyone else is already taken.”

So what I see a lot of in myself and in other therapists is a conflict between our fear of failing and being really present in the room. Mostly we need to do our own exposure work around our fear and helplessness to be able to stay present for our client’s fear and helplessness. (I highly recommend Kelly's Client Descending exercise for that.)  So this is a necessary condition, but not a sufficient condition for being a great clinician.  What’s also needed is a theoretical and philosophical core. I’ve found that core in functional contextualism and behavior analysis.   I provide an opportunity for my trainees to do both—learn a philosophical stance and do your own exposure.

Let’s face it; thinking contextually is just flat out weird. There aren’t a lot of reinforcers in our verbal community for conceptualizing this way. We need all the help we can get to stand in this place and it’s really easy to slip into a mechanistic position.

For a lot of clinicians, as soon as we exit our graduate programs we never read another theoretical article. Dirty secret, but there it is. I understand that. We’re often inundated by our work and we don’t often see the value or applicability of the research and philosophy to our work. In my training, I ask clinicians to read, and we immediately apply this reading to the work of therapy.  It’s tempting to only learn a new technique or tool to take into the therapy room.  But I believe that although the immediate payoff isn’t there, learning a way to think about what we’re doing is ultimately much more powerful.

So many of us haven’t had great training. That was true for me.  I walked out of graduate school with a few techniques and some vague ideas about what I needed to do, but no actual tools that worked.  We are often thrown into therapy settings and confronted with terrifying pain from our clients with little or nothing to offer. No wonder we grasp for immediate techniques and tools.   We struggle not because we’re weak or stupid or lazy; we struggle because it’s damn hard to do this.

When a consultee comes in, cues up their tape or DVD and tells me, “Here’s where I really screwed up,” I feel that we’re on our way. To become an extraordinary therapist I believe that we must be willing to utterly and completely suck.  We must do exactly what we ask our clients to do. If you won’t have it, it has you.

It’s like the fishing thing:  you can give someone a fish or you can teach them to fish. I wanted to learn how to fish and I wanted to learn how to fish in ponds, streams, lakes, and the ocean.  I believe having a coherent philosophical and theoretical stance allows me to do this.

Finally, I believe that we never stop learning.  Not knowing what’s happening can go from an aversive experience to an appetitive one. We can be delighted and intrigued rather than hostile when our client does something that we don’t expect.

So, that’s what I offer. If you’d like to see more you can go to my website and look at the training page. There’s a lot of downloads there, mostly articles that have been helpful for me on my own long, strange trip through this material.

http://www.joannesteinwachslcsw.com/TrainingSupervisionConsultation.en.html [209]

Stanislaw Malicki - Compassion Focused ACT in English, Norwegian and Polish

I am a licensed specialist in clinical psychology working at an outpatient unit (DPS Øvre Romerike) of the Akershus University Hospital [210] in Norway. I am also an associated lecturer of the University of Social Sciences and Humanities [211] in Warsaw, Poland, where I train psychologists and medical doctors attending post-graduate psychotherapy programs in CBT and in third wave therapies. I'm currently listed as an ACBS peer-reviewed ACT trainer, and I've also received certified training in CBT, DBT and Motivational Interviewing.

I offer both in person and online ACT supervision either individually or in groups. I can give supervision in English, Norwegian and Polish.
In Norway my supervision certificate (veiledningsattest) may be used by licensed psychologists as a partial fulfillment of requirements to become certified specialist in clinical psychology (psykologspesialist).

My main areas of interest are depression, chronic suicidality, personality disorders and complex clinical problems with the background of childhood trauma, abuse and neglect. I have also expertise in crisis psychology and experience from work in emergency settings including acute psychosis. I work clinically both as an individual and group therapist and can supervise your work in both settings. You can also consult me on the use of ACT strategies in the context of diagnostic and assessment issues, general clinical case conceptualizations and on the integration of ACT within a coherent treatment plan.

I've been using ACT in clinical work since 2009, and from 2011 to 2016 I was a member of a peer-supervision group run by Jason Luoma. In 2014 I completed my peer-reviewing process and became officially recognized as an ACT trainer by ACBS.

During the past couple of years my interests focused on the integration of ACT with the science of compassion and attachment. My aim was to improve and further develop ACT by widening its focus to interpersonal dynamics. A result of that work was the development of a new group intervention for chronic and recurrent depression, which is currently being tested in a randomized controlled trial at the Akershus University Hospital by our research team.

If you want to know more about my background and current work visit my website [212]. If you want to enquire if I currently have capacity to give you supervision feel free to send me an email: stanislaw@malicki.me

Supervision in Melbourne Australia

I have been practicing ACT for more that 9 years now and have Clinical and Counselling Psychology College endorsement and aprroved supervision.  My private practice is in Camberwell and I am really enthusiastic about providing excellent ACT supervision.  Please read my profile and you will see that I have done a variety of work in various settings. I currently spervise intern psychologists and staff at La Trobe University. 

Supervisión Clínica en Español- Marisa Páez Blarrin

Propongo sesiones sistemáticas quincenales o mensuales de supervisión de casos en formato individual o en pequeños grupos en español y por skype (u otras plataformas). Estas sesiones están diseñadas para orientarte en el proceso de desarrollo de habilidades y la aplicación funcional de los diferentes métodos propios de las terapias contextuales (ACT, FAP, Mindfulness).

El trabajo incluye:

  • el esclarecimiento de cuestiones teóricas y orientación sobre materiales y lecturas;
  • trabajo con materiales clínicos, resúmenes de casos, preguntas específicas, análisis de vídeos y audio con interacciones clínicas reales y role playing con el supervisor o los participantes del grupo.
  • además, el análisis funcional de las propias barreras del terapeuta en sesión y el trabajo experiencial con aquellas que pudieran interferir en el trabajo clínico.

Si estás interesado ponte en contacto para conocer más detalles y condiciones: marisapaezblarrina@me.com

Acerca de mí:
He estado implicada en el trabajo en ACT desde el año 2000 al iniciar mi carrera de doctorado en la Universidad de Almería dirigida por la Doctora Carmen Luciano. Mi implicación a través del trabajo en investigación en dicha universidad en diferentes proyectos en los que he participado han derivado en publicaciones, artículos, capítulos de libro, etc., nacionales e internacionales de diverso impacto. Mi experiencia en la clínica desde hace más de diez años, la oportunidad de atender a diferentes pacientes (niños, adolescentes, problemas de salud crónicos, pacientes con adicciones, ansiedad, depresión, trastornos de personalidad, problemas de pareja, etc. ) y la suficiente orientación teórica y práctica mediante mi participación en múltiples entrenamientos con distintos profesionales durante todos estos años me han permitido desarrollar habilidades flexibles con los pacientes, diseñar intervenciones creativas y eficaces. Por otra parte, mi faceta como docente he podido desarrollarla por mi participación en conferencias, workshops y el entrenamiento en habilidades de comunicación e intervención clínica de personal sanitario en España y, especialmente, con mi implicación desde el año 2009 en el Máster en Terapias Contextuales del Instituto ACT lo que me ha llevado a desarrollar más específicamente la faceta docente, entrenadora y supervisora de profesionales en el ámbito de las terapias de tercera generación, siendo ACT Trainer desde 2009.

Mi participación en la ACBS desde su inicio y mi implicación como vice-presidenta del Chapter Español durante la primera fase del mismo avalan mi interés en la diseminación y formación de profesionales de habla hispana en su formación y desarrollo como terapeutas contextuales.

Contacta si necesitas saber más sobre mi trayectoria.

 

ACT Certification

How do I become an officially certified ACT therapist?

There is no ACT certification process. ACBS, as a community, has decided to forego this, as it could create a hierarchical and closed process which would be antithetical to our values. Rather, we aim to foster an open, self-critical, mutually-supportive community which, working together, builds a progressive psychology more adequate to the challenges of human suffering. Read more to learn how high quality training is maintained and promoted in this context.

So, how do I learn ACT?

One great place to start would be to receive training from one of our peer-reviewed ACT trainers. The ACBS community uses a peer-review process to balance the need to protect and foster the high fidelity of ACT training with the need to keep the community open to new talented, innovative, qualified trainers. The peer-review process is multi-faceted, and is taken very seriously. Learn more about it here [213]. You can find a list of peer-reviewed trainers here [1].

Often times, trainers will lead workshops for those wishing to learn ACT. These can usually be found on our events calendar [214].

Is that all there is to it?

No! There are many ways to strengthen your ACT skills, including (to name a few things): books, peer consultation groups, formal academic training, participation in a Chapter [215] or SIG [216], the ACBS Annual World Conference [217], and therapy DVD’s. You can find lots of information about these resources in our website’s training section [218].

This page, for example, gives a great list of resources [219].

And, of course, you can always join one of the professional listservs [220], and ask for advice.

ACT Core Competency Self-Assessment for Clinicians

The file below (see the attachment at the bottom of the page) contains the ACT Core Competency Self-Rating Form [221]. This was created and used at the first ACT Summer Institute. The original ACT core competency items were taken from A Practical Guide to Acceptance and Commitment Therapy [222]. You can use the following ACT Core-Competency Self-Rating Form to help you in your learning of ACT. The self-assessment describes the primary behaviors that a therapist would be engaging in if they were consistent with the ACT model. If you are learning ACT, you can use this form to forward your learning.

I’d recommend you rate yourself on this form periodically and then consider the following questions in relation to your self-ratings (these are just suggestions, you could always add others). Engaging in this process can help you in determining what areas to focus on next in terms of learning ACT:

  1. Notice what areas you rated yourself low on. Do you understand what the competency means? If not, you may want to consider figuring out what it would mean to engage this competency. What reading materials would you need? Could you post a question to the ACT listserv asking for advice?
  2. Outline what you are doing that is inconsistent with those areas you are rated low in.
  3. Consider some options on how you might change you behavior in relation to a competency. What might you do to improve your skills in that area? Is there something you need to read about? Is there some skill you need to practice? Are you willing to make room for the possible failure and sense of inadequacy or incompetence that might go along with practicing a new technique or skill, and still do it? Perhaps you could rehearse whatever it was with a colleague before you went into a session? Perhaps you could focus a whole session on that one process so that you have a chance to practice? Perhaps you post a question on the ACT listserv about how one could improve their practice in that area. What areas might you come up with to learn to improve your practice of ACT?
  4. A great place to start is to just pick one action, commit to it, and get started on it. Which one could it be?
  5. Go back and repeat this with other competencies where you have scored low.

This form could also be adapted to be an other-rating form and used in supervision. If anyone adapts it and uses it this way, I'd love to know how it went (jbluoma@gmail.com). If you want to have your tapes rated by experts, some ACT trainers will do this for a fee. Contact them through the trainer pages. Phone or Skype supervision is also available in the same way.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

ACT Peer Consultation Groups

The best way to get connected with ACT clinicians and other ACBS folk near you is to find out if there is a chapter in your area. Often, chapters will contain several peer consultation groups. If there is a chapter, it can be found here: http://contextualscience.org/chapters [223]

Peer consultation groups are sometimes formed in areas where there is not yet a chapter. See below for a list of such groups. If you are a member of such a group, and are open to new members, please post a child page below to describe your group.

If you are looking for a peer consultation group, and do not see one here that fits your needs consider:
- contacting a local ACBS chapter. If one exists, it may be found by clicking here [223].
- emailing the ACT listserv (Please note the ACT for Professionals listserv is now on the ACBS website. Members of ACBS can learn how to join here [224].)
- posting something to the discussion board below.
Perhaps you could be the first to form one in your area!

For tips on how to run an ACT Peer Consultation group, check out this article [225] by Julian McNally, or in the appendix of Learning ACT [226].
 

Peer Consultation Group Submission for ACBS Website Posting

Please complete the following form in order to provide information about your local peer consultation group to the ACBS community . Thank you!

Location of Peer Consultation Group

ACT Peer Support Meetings - ONLINE

After a successful first round of online peer support facilitation in 2013, Chris McConnell and Valerie Kiel are inviting you to take part in another series of ACT based (more broadly Functional Contextual) online peer support meetings in 2014. Throughout February and March, there will be eight independent weekly opportunities for you to meet other ACT practitioners from around the world online.

Meetings are free for ACBS-members. In other words, if either time, geographical or financial issues have been putting constraints in the past for you to improve your ACT skills, they no longer need to be this this time round. Just drop in online and practice your ACT skills with colleagues as passionate about ACT and Functional Contextualism as you are! For more information, dates and access to the meetings, see attached flyer.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Argentina - AR|CD - Cordoba

ACT Peer Consultation Group for Cordoba, AR|CD, Argentina

Format of the Group
We will learn to develop ACT and FAP interventions using the Matrix model, mainly. The format will be as follows but the idea is that the group can also propose the direction of each session:
1. One supervisee presents the case. Sometimes in a role play format
2. Supervisors ask questions about the client to clarify issues such as history, strengths, previous treatments, family background, etc. Supervisor could ask also about personal information of the supervisee necessary to work with Clinical relevant behavior of the psychoterapist in a FAP format. In all this work we will work with "real playing format". Both supervisor and supervisee work identifying parallels between the problematic that arise in the consultation session and the clinical case under discussion.
3. The whole group provide positive feedback to the supervisee and supervisor as well as questioning. Supervisor can implement some group exercises, self revelations, questioning and explanation. The hole group finish the session noticing what can be useful for their clients during the next week, taking into account the work developed during the session
4. Next session the group start trying to find out what ideas were tried or what was different in the subsequent session(s) with that client.
Techniques:
• Debriefing from clinical work
• Real Play
• Role Play
• Lectures
• Experiential work
• Homework

Spanish:

Aprenderemos a desarrollar intervenciones integrando ACt y Fap a través del modelo Matrix. El modelo de trabajo se expòne a continuación, pero la idea es que el grupo pueda proponer la modalidad que mas se adecúe a sus necesidades:
1. Un miembro del grupo presenta un caso. A veces en un formato de Role play
2. El supervisor realiza pregunta spara clarificar el caso, sobre cuestiones tales como historia, fortalezas del paciente, tratamientos anteriores, historia familiar, etc. El supervisor también puede preguntar sobre cuestiones personales del supervisado a los fines de poder trabajar con conductas clinicamente relevantes del terapeuta en un formato FAP. Se trabajara con un formato de "Real Playing". Tanto el supervisor como el supervisado trabajan identificando paralelos entre la problemática del cliente y los comportamientos que surgen en la sesion de supervisión.
3. El grupo brinda feedback y realiza preguntas al supervisado y al supervisor.En este punto, el supervisor puede incluir ejercicios grupales, autorevelaciones, preguntas y explicaciones. el grupo finaliza la sesion notando que cosas fueron utiles del trabajo realizado que puedan ser utilizadas con los clientes durante la semana.
4. En la proxima sesion, el grupo inicia comentando que cosas pudieron ver diferentes en su propia práctica.
Técnicas:
• Exposición de casos
• Real Play
• Role Play
• Lectura de papers y libros
• Trabajo viviencial
• Tareas para la casa 

Membership
Spanish Speakers. Members don't necessary need to have so much time as an ACT or FAP practitioners. They just need to share the ACT and FAP values. They have to know the theoretical bases of both models.

Spanish:
Hispanoparlantes. Los miembros no necesitan necesariamente tener mucho tiempo de práctica como terapeutas ACT o FAP. Solo se requiere que compartan los valores de ACt y FAP. Los miembros necesitan tener conocimiento de las bases teóricas de ambos modelos 

Meeting Information
Centro Integral de Psicoterapias Contextuales. urquiza 1160. Córdoba. Argentina
Dates: Two meeting in a month. Dates to confirm with the group

Contact Information
fabidelarenta@gmail.com. Phone Number: (0351) 156353717 or 156535644

Australia - Victoria - Geelong

ACT Peer Consultation Group for Geelong, Victoria, Australia

Format of the Group
Peer Supervision for ACT Therapists.

Membership
Using ACT in client treatment settings.

Meeting Information
New Group: 1st Meeting Monday 10th March 7pm Jan Juc, 30 minutes from Geelong.

Contact Information
Emma Gallagher
emma.gallagher@monash.edu

Australia - Victoria - Warrnambool

ACT Peer Consultation Group for Warrnambool, Victoria, Australia

Format of the Group
The group is very much in the forming stage. Essentially we are keen to reflect on experiences applying ACT reviewing resources, articles and case presentations.

Membership
Open membership to anyone who has at least undertaken the introductory training in ACT

Meeting Information
Meeting is bimonthly occurring 3rd Thursday of the month and we meet at Brophy services 210 Timor Street, Warrnambool,VIC, 3280 commencing at 6pm

Contact Information
Mark Powell
mpowell@brophy.org.au
Mobile 0427803460
B/H 55618888

Belgium & Netherlands

Hi,

If you are looking for a peer consultation group in Belgium (Vlaanderen) or the Netherlands, please check out: www.acbsbene.com/intervisie-groepen [227]. You have to become a member of the ACBSBeNe to view and respond. See: contextualscience.org/acbs_belgium_netherlands_chapter [228] or www.acbsbene.com [229] for more information.

Canada - Ontario - Kitchener-Waterloo

ACT Peer Consultation Group for Kitchener-Waterloo, Ontario, Canada

Format of the Group
Informal discussion of readings, resource sharing, conference summaries, video viewings, case presentations with role/real play infused with contributions/input from members

Membership/Experience
Psychotherapy providers and graduate-level trainees (all skill levels and experience welcome) who are interested in learning more about ACT and its clinical application and have a willingness to contribute in some way to the meeting.

Meeting Information
Monthly from 6:30-8:00 pm, the first Tuesday of the month (day of week can vary)
September - June location: Faculty of Social Work building, Wilfrid Laurier University - address and room to be provided upon registration
July-August location TBA

Contact Information
Marg Notar: mnotar@wlu.ca or 519-497-3476

Canada - Ontario - Ottawa

ACT Peer Consultation Group for Ottawa, Ontario, Canada

Format of the Group
My goal is to share with other therapists my successes an well as my struggles and to get advise.

Membership/Experience
I've been trained as an ACT therapist working with wild range of problems such as depression, anxiety, PTSD, etc.

Meeting Information
Evenings online.

Contact Information
Email: hakimamoktary@gmail.com

USA - Arizona - Tucson

ACT Peer Consultation Group for Tucson, AZ, USA

Contact Information
Jonathan Kandell, LCSW, LISAC
Director of Therapy Services
Codac Behavioral Health Inc.
327-4505 x1087

USA - California - South Pasadena

ACT Peer Consultation Group for Los Angeles, California, USA

Format of the Group
Peer consultation.

Membership
Clinicians of all levels.

Meeting Information
Los Angeles.

Contact Information
Yulia Koba: ykobaantoniadou@gmail.com

USA - Florida - Miami

ACT Peer Consultation Group for Miami, FL, USA

Format of the Group
Lets get together to form a group in Miami!! The group will discuss different ACT topics, core processes, and conceptualization. Also, practice to refine ACT skills, such as experiential practice, role plays, and real plays. Case presentations as needed where you can receive feedback from other peers. Feel free to make suggestions...

Membership
This group is open to all mental health providers and student whether they are beginners, intermediate or advanced willing to learn and participate.

Meeting Information
Open to ideas and suggestions.

Contact Information
Carmen Pineiro, MS
medpin@aol.com

USA - Florida - Miramar

ACT Peer Consultation Group for Miramar, FL, USA

Format of the Group
6 core

Membership
MHC Practicum Student

Meeting Information
Location, times, days?

Contact Information
Glory Ann Zapata
gzapata24@hotmail.com
Spanish/English
 

USA - Georgia - Athens

ACT Peer Consultation Group for Athens, GA, USA

Format of the Group
The group meets once a month. For the past three years, we have chosen a book to guide us for the year. First, we went through ACT Made Simple by Harris, then Wilson and Dufrene's Mindfulnesss for Two, then ACT on Life, not on Anger. During our meetings, we share experiential exercises, consult on cases, and generally explore how to use ACT in our work.

Membership
People working in mental health or students in a related field are invited to participate. One need not already be conversant in ACT. Members are required to commit to at least three months of participation to join the group to promote group cohesion.

Meeting Information
Times, dates, and locations vary.

Contact Information
Contact Kate Morrissey Stahl at katemorrisseystahl@gmail.com for more information or to join.

USA - Georgia - Atlanta

ACT Peer Consultation Group for Atlanta, GA, USA

Format of the Group
We typically read a chapter from a book (e.g. Learning ACT, ACT made simple) between groups and then set the monthly meeting topic based on the most recent reading. For example, if we read a chapter on defusion, we then use the group to explore working with defusion.
We allow time for case consultation (to explore how we might apply the current concept to a particular case) and we also engage in experiential work together (including role plays or practicing an exercise/metaphor). We also bring any related resources to share with one another (e.g., worksheets or articles).

Membership
Requirement for membership: an Atlanta-based mental health practitioner who either actively uses ACT in their practice or is seeking help in how to learn and practice ACT. All skill levels are welcome and we have a diverse experience level among our members.

Meeting Information
We meet once/month, typically the fourth Friday, from 10am to noon.
We have members clustered primarily in the Brookhaven and Decatur areas at this point, and we are flexible with meeting at both locations.

Contact Information
Amanda Savage Brown, Ph.D., LCSW
phone: 404-664-0922
email: amandasavagebrown@gmail.com
 

USA - Illinois - Chicago

The Rush Mindfulness Collaborative offers peer supervision for clinicians and students interested in Mindfulness-Based Approaches to therapy. The group meets Wednesday's 12:05-12:55. Participants are welcome to join us at Rush University Medical Center or by phone. If interested, please e-mail James Hill at jim@moritaschool.com [230] to recieve more information.

USA - Louisiana - Baton Rouge/New Orleans

ACT Peer Consultation Group for Baton Rouge/New Orleans, LA, USA

Format of the Group
We self study and work out of the original text and Learning ACT, as well as share on other texts and applications. We sponsor training opportunities and we support other peer groups.

Membership
We are a very open group - open to members, open to learning, and open about accompanying clients on their journeys.

Meeting Information
Our group meets monthly in Baton Rouge, where we are based.

Contact Information
Please email Patt Aptaker at pmaptaker@yahoo.com or call her at (225) 929-9030 for more information on this peer consultation group.

USA - Maine - Portland

ACT Peer Consultation Group for Portland, ME, USA

Format of the Group
The group provides a supportive place for members to learn together using a variety of formats including case presentations, discussion of relevant ACT topics, practice of mindfulness exercises, occasional practice of other experiential exercises, and other formats.  Please review this site (www.smact.me [231]) for more information and sample agendas.

Membership
The group is a mix of 10+ individuals from various mental health and healthcare disciplines. The group has recently decided to be OPEN to new members. We ask that new members (a) already have introductory training in ACT and some self-study, (b) have an interest in gaining knowledge and improving skills with ACT, and (c) make a commitment to regular monthly attendance (i.e., attending more often than not). This group is only open to professionals in healthcare and mental healthcare fields (not open to the general public).

Meeting Information
We currently run an ACT Peer Consultation Group here in Portland, Maine, on the third Friday of each month from 8 to 9:30 a.m.

Contact Information
If you are interested in participating in our group, please contact Joel Guarna (joel@whitepinepsych.com) for additional information and to be placed on the email list where we discuss the agenda and make plans. We hope you will join us!

USA - Michigan - Kalamazoo

ACT Peer Consultation Group for Kalamazoo, MI, USA

Format of the Group
Hexaflex & the six core processes
Integrating ACT into your practice
ACT Matrix
Psychological flexibility
Mindfulness in ACT
ACT metaphors
Experiential exercises

Membership
We welcome therapists, social workers, psychologists, medical professionals, counselors, and students in mental health fields.

Meeting Information
Thursdays each month: 7:00 - 8:30 pm
Upcoming dates: 8/14, 9/18, 10/16, 11/13, 12/11
Western Michigan University, Engineering College, Dean’s conference room

Contact Information
Rhonda Overberger, LPC, LMFT
Phone: 269-207-7549
overbergerr@yahoo.com
www.rhondahelp.com [232]

USA - NYC

SUPERVISION & PRACTICE GROUPS:

NYC has at least two running supervision groups running and intermittently taking new members. They usually require a willingness to commit to attending monthly meetings for a least a period of several months to a year. These groups are primarially focused on peer case presentation & ACT case conceptualization. They sometimes assign books and/or chapters for dicussion. Other activites may include role-playing, ACT experientials, & rehearsing specific ACT interventions. They are usually hosted by at least one ACT experienced professional.

1. ACT-NYCE (ACT in NYC Environs):

Meets fourth Wed., of every month at the New School; contact Jonathan Kaplan, PhD: doctor.kaplan@gmail.com [233], or Brian Pilecki, MA: pilecki@gmail.com [234]

2. Union Square ACT Study Group:

Meets monthly, at 41 Union Square W, Suite 736, Contact Rob Handelman, PsyD, drrob@hotmail.com [235]

3. Monthly ACT Open Practice/Study Group:

Not structured as a peer-to-peer supervision group, but as an open and rotating audience of ACT interested professionals. Monthly format alternates between one month ACT case conference, the alternate month emphasizes facilitated practice/experientials (with rotating experienced ACT facilitators). Regular monthly meetings the third Thursday of every month, from 7:00-8:45, at The Village Community School, 272-278 West 10th Street, N Contact: Brian Pilecki, pilecki@gmail.com. [236]

For more information on ACT in NYC see NYC-ACBS webpage: www.nycacbs.com [237]

USA - New York - Buffalo

ACT Peer Consultation Group for Buffalo, NY, USA

Format of the Group
Presentation of ACT related material, case conferencing, role-play, and discussion 

Membership
You must actively use ACT with clients and live in or around Buffalo, NY.

Meeting Information
Second Wednesday of every month @ the Tri-main bldg in Buffalo, NY - confernce room 1,  4-5:30pm. 

Contact Information
Kim Diebold, LMSW: groo16@hotmail.com

Facebook group: WNY Acceptance and commitment therapy therapists

USA - New York - Troy

ACT Peer Consultation Group for Troy, NY, USA

Format of the Group
We do case consultations, discussions of ACT and ACT-related theories (e.g., FAP) and therapy techniques, as well as sharing information about publications and training conferences.

Membership
So far the membership has consisted of 3 licensed psychologists. However group membership is open to any State-licensed or State-certified mental health professional (e.g., social workers, psychiatrists, school psychologists, psychiatric nurse practitioners).

Meeting Information
Monthly Monday morning meetings, usually from 9 to 1030 am, are at the office of Dr. Martin Lyden. The address is 267 Hoosick Street, Troy, NY 12180 (see the website, drlyden.com [238], for driving directions and a map). The specific Monday may vary from month to month.

Contact Information
Martin Lyden, Ph.D.
E-mail: drmartinjlyden@gmail.com
Phone: 518-271-6949

USA - Ohio - Columbus

ACT Peer Consultation Group for Columbus, OH, USA

Format of the Group
Enjoy having lunch with others who are interested in studying ACT and RFT!
- ACT live case training videos and discussion.
- Recent articles, research, and book discussions.
- Open compassionate environment to learn from one another regardless of how much or how little ACT experience one has!
- Have fun while building an ACT community in the Central Ohio area! 

Membership
Anyone with an interest in ACT and RFT is welcome to attend!

Meeting Information
We will meet one Friday a month for lunch from 12:00-1:45.

Contact Information
Chris Fraser
chrisfraser@mypositivepath.org
Ph:614-425-3586

USA - Ohio - Marietta

ACT Peer Consultation Group for Marietta, OH, USA

Format of the Group
We meet to share lunch, and our knowledge and experiences with ACT.

Membership
No experience necessary, just a willingness to learn.

Meeting Information
We meet one Friday a month from 12-2pm for lunch.

Contact Information
Please contact David Schaffer at david@davidschaffer.net if you are interested or have questions.

USA - Oregon - Portland

ACT Peer Consultation Group for Portland, OR, USA

Format of the Group
Some sessions focus on particular topics, while others are open to consultation on ongoing cases using the ACT model.

Membership
Attendance is open to any therapist or student-in-training who is interested in learning ACT.

Meeting Information
Since 11/4/05, this group of professionals has been meeting in the Portland, Oregon, area on the second Friday of every month from 3:30-5:30pm.

Contact Information
For more information about the group, our values, and what we do, see: http://www.portlandpsychotherapyclinic.com/training/acceptance_and_commitment_therapy_peer_consultation [239]

USA - Texas - Austin

ACT Peer Consultation Group in Austin, TX

Format of the Group
We open each group with a brief mindfulness activity. We then open the floor to discuss any ACT related questions. Then we choose roles: Case Presenter, Skill Builder, and Process Monitors depending on attendance. The Case Presenter and Skill Builder role play a case, while the Process Monitors take notes on the Skill Builder's use of ACT Core Competencies. After the role play we all discuss the processes we observed and give feedback to the Skill Builder. Roles change each week.

Membership
Attendance is open to any therapist or student-in-training who is interested in learning ACT.

Meeting Information

We meet the last Monday of every Month from 10:00 a.m. to 11:30 a.m. at Austin Mindfulness Center [240].

Contact Information

Jiovann Carrasco, LPC-S

Austin Mindfulness Center

9501 Capital of Texas Hwy Suite 103

Austin, TX 78759

512-578-8070 ext. 101

Or join our local Yahoo! Group: ACT in Austin [241]

USA - Washington - Seattle

ACT Peer Consultation Group for Seattle, WA, USA

Format of the Group
Our consultation group is based on the consultation group model developed at Portland Psychotherapy (www.portlandpsychotherapyclinic.com). The two priorities of the group are to learn and practice ACT; we have adopted the Portland Psychotherapy group consultation model because it provides a structure and format to help facilitate learning ACT and to reduce or avoid some of the challenges that occur with consultation groups dedicated to learning a specific therapy. We are guided by our values of acting with compassion and courage, and being open and willing to support each other in our learning. The group is divided into 2 segments: the first segment (lasting about 1 hour) is dedicated to learning/sharing brief ACT exercises, discussing ACT-related topics, and ACT-focused case consultation. The second segment (lasting about 1 hour) is experiential practice of ACT skills, typically through a role play of clinical situations/experiences. Although we follow a very structured format we have a lot of fun and have tasty snacks at all of our meetings!

Membership
Mental health care provider or researcher; open to all levels of experience with ACT, although some familiarity with contextual behavioral science may be helpful.

Meeting Information
1st Friday of each month from 5:00 p.m. - 7:00 p.m. at Seattle Psychology, PLLC located in the Wallingford neighborhood of Seattle (corner of N. 45th and Stone Way).

Contact Information
Christeine Terry: christeineterry@gmail.com; 206-963-6313.

USA - West Virginia - Parkersburg

ACT Peer Consultation Group for Parkersburg, WV, USA

Format of the Group
We meet to share lunch, and our knowledge and experiences with ACT.

Membership
No experience necessary, just a willingness to learn.

Meeting Information
We meet one Friday a month from 12-2 for lunch.

Contact Information
Please contact David Schaffer at david@davidschaffer.net if you are interested or have questions.

United Kingdom - South and West Yorkshire

ACT Peer Consultation Group for Sheffield/South and West Yorkshire, UK

Format of the Group
The general format is presentation or discussion of a paper/book chapter and some time on the rehearsal and application of clinical skills.

Membership
This group is for health professionals, academics, and students interested in ACT, mindfulness, and other 'third wave' approaches.

Meeting Information
Meetings are held quarterly in Sheffield. For dates, see the 'Upcoming Events' section.

Contact Information
For more information, please send a message to the following email address: ann-marie.mason@shsc.nhs.uk

ACT Postdoctoral Fellowships

If you know of a postdoctoral fellowship that would be relevant to students interested in ACT, you can post it below.

Anxiety Solutions of Denver Postdoctoral Fellowship and Private Practice Career Track

Anxiety Solutions of Denver is very excited to begin offering a postdoctoral fellowship with a strong focus on ACT and exposure therapy. We specialize in the treatment of anxiety disorders, OCD, and other related problems. This is a unique position in that it is intended as the beginning of a track towards having us open a new branch of our practice for you in another city (the location of which you will help determine) at the conclusion of the Fellowship.

All information about this position can be found in our listing on the Universal Psychology Postdoctoral Directory: https://www.appic.org/About-APPIC/Universal-Psychology-Postdoctoral-Directory/detail?id=1860 [242].

Cleveland DVAMC PTSD Fellowship

 

Cleveland is among the largest Medical Centers in the country and the Parma Outpatient Clinic is a brand new facility with a large mental health department. The PTSD Fellowship is split between these two sites. A full description of the Fellowship is available at the Cleveland VA website under Psychology Service Training. This page describes only the one day per week option to engage in acceptance-based (ACT and DBT) approaches during the training year.

Fellows are co-therapists in an ACT psychotherapy group for men who have experienced sexual trauma and also are team members in a full DBT program. They can employ ACT individually with a wide range of clients at all stages of PTSD recovery. Fellows would have the opportunity to design and implement any specialty group intervention of interest. There would be an additional option of engaging in an introductory transdiagnostic ACT group.

Regarding the acceptance-based work, Fellows would receive a full year of weekly supervision with an experienced ACT provider (who has been a consultant with the VA ACT roll-out since its inception, was trained in DBT by Marsha Linehan, and trained in PE ). Multiple ACT- and DBT-trained providers are part of the clinical milieu.

Regarding the ACT and DBT training options, contact:

Kevan McCutcheon, Ph.D.

(216) 739-7000 ext. 2316

Kevan.McCutcheon@Va.Gov [196]
 

Geisinger Health System Postdoctoral Fellowship

Geisinger Health System offers a one-year postdoctoral fellowship in Clinical Psychology and Behavioral Medicine. Fellows receive clinical supervision on ACT-based individual therapy and have the opportunity to participate in ACT-based therapy groups for chronic pain, transdiagnostic (depression & anxiety), and others in development. Contact Laura Campbell, PhD for more information on positions for the 2016-17 academic year: (570) 271-6516.

Institute of Positive Psychology and Education

There are several opportunities currently open.

Please click here [243] for the details

To learn more about the Institute of Positive Psychology and Education please go here [244]
 

Little Rock, AR: VA Advanced Fellowships in MENTAL ILLNESS RESEARCH AND TREATMENT and HEALTH SERVICES RESEARCH AND DEVELOPMENT

Goals of the two-year fellowships, part of the national VA Special Fellowships Program:

1. Provide fellows with excellent training in research (about 75% time). This training will consist of formal didactics in research design and methods and hands-on research mentoring by VA faculty, most of whom have appointments at the UAMS Department of Psychiatry and College of Public Health. Each fellow will initiate and complete at least one individual research project, including publishing results.
2. Place fellows in clinical settings appropriate to their research interests such that their clinical practice (at least 25% time) will complement and enhance their research training. Fellows will use an evidence-based approach to clinical care, treatment planning, and service delivery.
3. Offer fellows other opportunities to optimize their success in academic settings, such as career mentoring, exposure to grant writing and grantsmanship, technical writing, training in research ethics and Institutional Review Board procedures, and opportunities to provide clinical and/or research supervision in their area of focus.

For more information, see attached announcement. 

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Loma Linda VA Medical Center Postdoctoral Fellowship in ACT and other treatments.

Loma Linda VA Medical Center is ACT friendly and providers in ACT have grown here in the last several years. There is a postdoctoral fellowship position which involves 1 year of intensive work with ACT and opportunities with DBT. There are a number of supervisors that have been trained and certified through the VA national roll out in ACT. There are also two ACT supervisors that have been trained through the ACT Bootcamp in Reno and an onsite training at the VA by Darrah Westrup PhD.

Current opportunities include:
ACT group for Anxiety/Depression (outpatient group)

ACT group for PTSD (MST patients primarily)

Inpatient ACT group on locked inpatient psychiatric unit for patients with various disorders.

Involvement in Wellness College (recovery-oriented groups designed to help Veterans who are “stuck” to gain skills and transition into the community using ACT and DBT approach).

Opportunities to see ACT individual patients.

http://www.psychologytraining.va.gov/lomalinda/ [181]
 

Postdoctoral Fellowship in CBT at Harbor UCLA Medical Center

Psychology Post-Doctoral Training Opportunities in CBT, Behavioral Health, and Corrections Harbor-UCLA Medical Center, Torrance, CA

The Psychology Division in Harbor-UCLA Medical Center’s Department of Psychiatry is in its 27th year of training post-doctoral fellows in clinical psychology, and designated itself as a post-doctoral training program since 1984. The program received its APA accreditation in 1997, and was one of the first three APA-accredited post-doctoral trianing fellowships in the United States.

Our post-doctoral fellowship operates in a setting that is rich in the traditions of public servcie, education, and research. Harbor-UCLA Medical Center is a 340-bed general hospital owned and operated by the Los Angeles County Department of Health and Human Services and is affiliated with the David Geffen School of Medicine at UCLA. Its 300-square mile catchment area runs from the Los Angeles International Airpost to the ports of Long Beach and Los Angeles and encompasses 17 municipalities as well as unincorporated areas. Its service population of over 2.2 million people is economically, culturally, and ethnically divers, and the poor and underserved comprise the majority of the medical center’s workload.

Harbor-UCLA Medical Center is accepting applications for its September, 2009 – August, 2010 fellowship period in the following areas:

  • Behavioral Medicine – Health Psychology

Emphasis on HIV Mental Health with opportunities in Family Medicine and Bostetrics & Gynecology – two positions

Women’s Behavioral Health – Inpatient Psychiatry – one position

  • Adult Cognitive-Behavioral Therapy – one position

Extensive training in CBT, Dialectical Behavior Therapy (DBT), Cognitive Behavioral Analysis System of Psychotherapy (CBASP) and Acceptance and Commitment Therapy (ACT)

Postdoc serves as Assistant Director to the CBT Clinic

  • Child & Adolescent Psychiatry (Cognitive-Behavioral Therapy/Trauma) – one position
  • Correctional/Forensic Psychology – Assertive Community Treatment/Psychosocial Rehabiliation – two positions We are currently accepting applications, and will begin interviewing candidates in January, continuing until all positions are filled. For additional information on all of our programs and to download an electronic application form, please visit our website at http://psychology.labiomed.org/.

Interested individuals may also contact David J. Martin, Ph.D., Director of Training & Chief Psychologist at djmartin@ucla.edu or dmartin@labiomed.org.

Postdoctoral Fellowship including training in Acceptance and Commitment Therapy, Portland, Oregon

The Portland Psychotherapy Clinic, Research, & Training Center [245] typically offers a clinical/research fellowship that includes extensive training in Acceptance and Commitment Therapy (ACT) and may also include research training.  Clinical supervision is available in various specialty areas and in the anxiety specialty clinic [246] depending upon the postdoctoral fellow and the current needs of the center. Research opportunities can be seen on the fellowship webpage [62].

About Portland Psychotherapy:
Portland psychotherapy is based on a social enterprise model that delivers three services:
1. Specialty therapy services for the public
2. Training in evidence-based therapy for professionals
3. Scientific research to benefit all of humanity

From 2013-2015, about 16% of total revenue went to fund the research our center is conducting. This includes dedicated research time for four staff psychologists and a full time research coordinator. Our funding structure protects Portland Psychotherapy from the vicissitudes of grant funding and allows us to focus on furthering science rather than chasing grants. In addition, this also allows our clinicians to operate in a true scientist-practitioner model through opportunities to contribute to and benefit from research conducted in the center. More information about our unique business model can be found here. [247] We are a collaborative group of skilled clinicians and researchers who work together to provide the highest quality of care to those we serve and to use our work to contribute to the broader scientific community. A listing of our publications can be found here [66] and our lab homepage [61] can be found here.

Learn more about the position by going to:

http://portlandpsychotherapytraining.com/employment-opportunities-at-portland-psychotherapy/ [62]

Togus, Maine VA Postdoctoral Fellowship

Togus offers a one-year fellowship. At least 3/5 of the fellowship is spent in the ACT Lab at Togus Contact polkkev@gmail.com for more information.

Conferences

Future Conference information:

ACBS World Conference 16 [248]
Montreal, Quebec, Canada
July 24-29, 2018
(pre-conference workshops July 24 & 25)

 


Past Conference information:

ACBS World Conference 15
Seville, Spain
June 20-25, 2017
(pre-conference workshops June 20 & 21)

ACBS World Conference 14 [249]
Seattle, Washington, USA
June 14-19, 2016
(pre-conference workshops June 14 & 15)

ACBS World Conference 13 [250]
Berlin, Germany
July 14-19, 2015
(pre-conference workshops July 14 & 15)

ACBS World Conference 12 [251]
Minneapolis, Minnesota, USA
June 17-22, 2014
(pre-conference workshops June 17 & 18)

ACBS World Conference 11 [252]
Sydney, Australia (University of New South Wales)
July 8-12, 2013
(pre-conference workshops July 8-9)

ACBS World Conference X [253]
Washington, DC metro area
July 22-25, 2012
(pre-conference workshops July 21-22)

ACBS World Conference IX [254]
Parma, Italy
July 13-15, 2011
(pre-conference workshops July 11-12)

ACBS Annual World Conference VIII [255]
(We've phased out the ACT SI, and simplified the title and numbering beginning with WC VIII.)
University of Nevada [256]
Reno, Nevada
June 21-24, 2010
(pre-conference workshops June 19-20)

ACBS World Conference III [257]
The Third World Conference on ACT, RFT, and Contextual Behavioral Science
University of Twente [258]
Enschede, The Netherlands
July 1-3, 2009
(pre-conference workshops June 29-30)

ACT Summer Institute IV [259]
Illinois Institute of Technology
Chicago, Illinois
May 28-30, 2008
(pre-conference workshops May 26 & 27th)

ACT Summer Institute III [260]
University of Houston - Clear Lake
Houston, Texas
July 16-20, 2007

World Conference II [261]
The Second World Conference on ACT, RFT, and Contextual Behavioral Science
University of London
London, U.K.
July 24-28, 2006

ACT Summer Institute II
LaSalle University
Philadelphia, Pennsylvania
July 18-22, 2005

ACT Summer Institute I
University of Nevada, Reno
Reno, Nevada
July 12-16, 2004

First World Conference on ACT, RFT & The New Behavioral Psychology
(organized by Psykologpartners Wadstrom & Wisung AB)
Linkoping, Sweden
August 13-17, 2003

ACBS Annual World Conference 11

This event has concluded, However...
Please consider joining us next in Minneapolis, MN, June 17-22, 2014!

 

You can view tweets from this event on Twitter: #myacbs [262] -
and Facebook: AcbsWorldConferenceNewsFeed [263]

Sydney, Australia (University of New South Wales)
8-12 July, 2013
(pre-conference workshops 8-9 July)
 

Registration is closed for this event as it is past.
 

What is the World Conference?

The World Conference brings together clinicians and researchers to present cutting-edge research in ACT, RFT, and Contextual Behavioral Science, as well as experienced trainers to lead experiential workshops so that you can learn how to better serve your clients.

The World Conference is for psychologists, social workers, professional counselors, marriage and family therapists, psychiatrists, physicians, drug counselors, health researchers, language researchers, behavior analysts, students and more.... Anyone in a similarly related helping or research field is invited to attend.

We offer CEs in Psychology (these are USA based credits), and California MFT & LCSW credits. More info here. [264]

Registration in the full conference is all-inclusive and includes lunch, coffee/tea breaks, open access to workshops, research symposia, posters, panel discussions, plenary sessions with CBS researchers and practitioners, and our new IGNITE sessions.

Pre-Conference Intensive Workshops [265]

First class intensive (2-day) workshops held the 2 days prior to the World Conference get things started off right. Learn ACT, RFT, CBS, FAP, Compassion Focused Therapy, and more from leaders in their field.

Program

Here is the Brief Schedule [266] of sessions from July 10-12, 2013. (pdf)  (posted May 20).  Our Full P [267]rogram is available here [267].

* Asterisk indicates a Peer-Reviewed ACT Trainer [1] presenting

Conference Highlights

  • Invited Speakers: Steve Hayes, Paul Gilbert, Eva Jablonka and more... learn more about them here [268]
  • A great venue for networking & fostering local and international collaboration
  • Lunches and coffee/tea are included so that you have more time to network
  • Conference activities take place on the beautiful campus of the University of New South Wales (Kensington Campus), near Coogee Beach. (Don't know how to pronounce "Coogee"? <font color="#732c7b">Conference Highlights</font></strong></h3> <ul> <li> Invited Speakers: <strong>Tara Brach, Michelle Craske, Louise McHugh, Robert Whitaker, David Sloan Wilson, Paul Gilbert</strong>... <a href="http://contextualscience.org/wc10_invited_speakers" target="_blank">learn more about them here</a></li> <li> A great venue for <strong>networking &amp; fostering local and international collaboration</strong></li> <li> <strong>Lunches and coffee/tea are included </strong>so that you have more time to network</li> <li> Conference activities take place on the beautiful campus of the University of New South Wales (Kensington Campus), near Coogee Beach. (Don't know how to pronounce "Coogee"? Click here.)</li> <li> Bring the family! - Our conference hotel is right beside a DC Metro stop so you have easy access to downtown</li> <li> <strong>Evening events</strong> provide additional opportunities to network and relax after other conference activities are done for the day</li> <li> <strong>Workshops, Workshops, Workshops. </strong>Half-day workshops are included (<strong>no extra charge</strong>), with your conference registration.&nbsp; These 30+ workshops are one-of-a-kind learning opportunities.</li> </ul>" target="_blank">Click here [269].)
  • Bring the family! - Our conference hotels are right by the Beach, and only 30 minutes from downtown Sydney via public transportation
  • Evening events provide additional opportunities to network and relax after other conference activities are done for the day (Tues.- Ocean view networking; Wed.- BBQ dinner; Thurs. - Follies!; Fri. - optional Sydney Harbour Cruise [270])
  • Workshops, Workshops, Workshops. Half-day workshops are included (no extra charge), with your conference registration.  These are one-of-a-kind learning opportunities.


WC11 Audio Recordings

To access the audio recordings from WC11, please make sure you are logged in to your ACBS member account, and then click here [271].

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Air Travel Discount to Sydney

[272]Delta Air Lines, Air France, KLM, and Alitalia are pleased to offer up to 10% discount off applicable worldwide airfares for the ACBS World Conference 11 in Sydney, Australia.

To take advantage of these discounts, follow one of these 3 booking options:

1) Click on www.delta.com [272], click "Book a Trip", then "More Search Options" to open the screen to enter the Meeting Event code and search for your flight. Enter the Meeting Event Code NMFC5 in the box and continue with the booking process.

Or go directly here [273] and enter the Meeting Event Code NMFC5.

2) Call Delta Meeting Network® Reservations in the USA 1-800-328-1111, Monday - Friday, 7:30 a.m. - 7:30p.m. (Central Time) and refer to Meeting Event Code NMFC5

(**There is a $25 service fee for booking via our 800 number. Online booking is free!)

3) Call your Travel Agent and reference Meeting Event Code NMFC5

This discount will vary based on the booking class, availability, and departure location. A discount is valid only for the travel dates over this program (July 1-July 19, 2013).

You probably need a Visa, make sure to check. [274]

 

(Why is ACBS doing this? 1. To give you the chance to lessen your airfare, if the flights/schedules/prices work for you. 2. ACBS can earn credit toward flights it can use for invited speakers, staff, etc.  If the rate here is the same as you can find elsewhere it will still help ACBS if you enter our Meeting Event Code when you purchase your ticket on Delta.com or with your Travel Agent.)

Call for Submissions - Closed

Call for Submissions for the ACBS World Conference XI

Deadline for posters and chapter/sig meetings - March 22, 2013.

Sydney, Australia
July 10-12, 2013

Submission Types (click on submission type below to view the submission form for each type):

 

Poster

Posters usually report empirical research and will be organized into one or more sessions, during which attendees will be invited to review the research presented and discuss findings with poster presenters. Presenters must be at their poster during their assigned time of the poster session and may choose to provide handouts.

Chapter/SIG/Committee Meeting

This is for Chapters/SIGs/Committees or (forming chapters and sigs) the opportunity to reserve a space time to get together and plan, meet, hang out, etc.  This form allows you to request space before or during the conference day (early am, during the conference, during lunch, etc.) (not intended for late night parties... although we're sure those will be happening elsewhere. :)

IGNITE

The Ignite presentation is a short, structured talk in which presenters present on ideas and issues they are most passionate about using a “deck” of 20 slides that auto-advance every 15 seconds (no exceptions). Exactly 5 minutes total. Topics may be empirical, conceptual, philosophical, historical, or methodological. Presentation should be well-practiced and high energy (perhaps even... fun!).

For more on Ignite presentations, see:

http://igniteshow.com/ [275]
http://www.speakerconfessions.com/2009/06/how-to-give-a-great-ignite-talk/ [276]

Panel Discussions

Panel discussions consist of 3 to 5 speakers selected for some shared interest or expertise in an area. Panelists respond to one or more questions or issues, with time allotted for interaction among the speakers and with the audience. A panel discussion is organized by a chairperson who serves as the session’s moderator.

Symposia (chair, 3 papers and a discussant)

Organized by a chairperson who moderates the 80–minute session, symposia are a series of three 20–minute presentations focused on either empirical research or conceptual, philosophical, historical, or methodological issues. A discussant highlights and integrates the contributions of various speakers in the symposium and moderates questions from the audience. Chairpersons are encouraged to use symposia as an opportunity to integrate related work by: 1) bringing speakers of different affiliations together rather than showcasing the work of a single group and 2) incorporating different kinds of talks (e.g., historical, conceptual and research-based) on the same topic into one symposium. Papers from submissions that are not accepted may be considered for a poster session.

Paper (not part of a pre-arranged symposium)

Paper submissions are individual, oral presentations, usually concerned with conceptual, philosophical, historical, or methodological issues. A paper submission may report empirical research if it is too complex for effective presentation in a poster (e.g., an integrated series of experiments). Otherwise, all data-based and single-study paper submissions will be accepted as poster presentations. All paper presentations will be 20 minutes long. Accepted addresses will be organized into paper sessions of 50 or 80 minutes. Submissions not accepted will be considered for a poster session.

Workshop

Workshops are training sessions of 3 hours and usually focus on some combination of experiential and/or didactic exercises. Workshops should be regarded as opportunities to directly train specific skills rather than to present research findings, discuss conceptual, philosophical, or methodological issues, or share opinions. Submissions that are not clearly focused on training will be considered for other formats.

Plenary/ Invited Address (use only if instructed)

Conference Hotels

Transportation: Those staying in an ACBS block room (at any of the first 4 hotels below, AND within our block), will be provided limited transportation via motorcoach from Coogee Beach (at the Crowne Plaza entrance) to the university for events 8-12 July. More details coming soon.

HOTEL MAP (bottom of page)                                                                                                Looking for a Roomate? [277]


The Coogee Sands Studio Apartments [278] are on hold for our group, for $195 AUD per night (single or double occupancy, 3rd guest is $55 extra). Coogee Sands Hotel & Apartments, 161 Dolphin Street Coogee  

They are the Delux Studio apartments with: Kitchenette, microwave, fridge, dishes & cutlery, sofa bed, etc. 

Internet is $5 per day.

Any cancellations must be received by the hotel at least 14 days prior to the beginning of your scheduled stay, or a 100% cancellation penalty will apply.

To book in our block call (+61 2 9665 8588) or by email (info@coogeesands.com.au). Please make sure to state that you are part of the ACBS group at the time of booking.

These rates are available until 12 June, 2013 (as long as rooms are still available). 
 


[279]The Coogee Bay Boutique Hotel [279] has

District View rooms - $230* AUD per night (for single or double occupancy)
and
Ocean View rooms - $260* AUD per night (for single or double occupancy)

*Rates include a light breakfast at the Hotel's own Brassiere Restaurant

Approximately half of these rooms have a kitchenette (microwave, fridge, cooktop), but the kitchenette must be requested when booking and is subject to availability.

These rates are available unti 6 June, 2013. Any cancellations must be received by the hotel by 21 June, or a 50% cancellation penalty will apply.

The group booking number is # 280577

To book, you can call (02) 9665 0000, or email boutiquereservations@coogeebayhotel.com.au


[280]

Adina Apartment Hotel Coogee [280]

$169 AUD Studio Rooms

$229 AUD 1 Bedroom Apartment

Rooms include kitchenette, cutlery & crockery, mini-bar, and more. (1 Bedroom Apts. include cooktop/stove, and dishwasher).

Rates available from 5 July through 12 July (13 July check out, or book additional days at their regular rate)

Internet available for an additional fee.

RESERVE YOUR ROOM HERE with Adina Apartment Hotel Coogee [281]

(If you have any trouble booking, please contact Birte Jaschkowitz bjaschkowitz@toga.com.au .)


[282]

Crowne Plaza Coogee Beach [282]. (One evening event will take place at this hotel, Tuesday, July 9th.) (As of May 16, there are only a few rooms left in our room block at the rate stated below on July 4-6 & July 13-15. OTHER NIGHTS ARE SOLD OUT.)

Crowne Plaza Coogee Beach
242 Arden Street
PO Box 558
Sydney, 2034
Australia
 

[283]Our group block rate is $195 AUD (Australian Dollars), without breakfast; $220 AUD with breakfast.

Internet is $15 per day, parking $18 per day.

To book your room within our room block, please follow the link below.

RESERVE YOUR ROOM HERE! [283]

These rates are available until 4 June, 2013 (as long as rooms in our block are still available).


ACBS has a room block at the PARKROYAL Darling Harbour in downtown Sydney.  Please note that ACBS will NOT be providing any transportation to/from this hotel, but it is accessible by public transportation.  (Total "commute" time using public transportation (bus) should be about 30-40 minutes.)

150 DAY STREET, SYDNEY NSW 2000; PH: +61 2 9261 1188    FAX: +61 2 9260 3029

Block ID for this group is 175726. To make a reservation call the phone number above and quote the Block ID number. Or book here [284].

Standard Room $200.00 room only

Standard Room $220.00 with one full buffet breakfast served in The Restaurant

Reservations and/or cancellation deadline is 4 June, 2013.


Budget Accommodation

The University of New South Wales lists some budget accommodation options here [285], but they have few rooms and you'll need to check about availability at each. (I'm not aware of anyone having success here yet.) Alternative hotels can be found places like kayak.com [286] or google or on hostel sites.  The "location" is "Coogee" in New South Wales (that's the state/province), or "Coogee Beach". The conference (university) location is: UNSW (Kensington Campus), High Street Kensington NSW 2052, Australia

Another option is the local hostel: http://www.surfsidebackpackers.com.au/coogee-beach-backpacker-accommodation/ [287] The location of this hostel is ideal.  Be SURE you request a bed at the Coogee hostel.

Need a roomate? Post for one here: http://contextualscience.org/wc11_room_share_ride_share [277]



View ACBS WC11 Sydney [288] in a larger map

Conference Venue

 

 

 

All daytime conference sessions will occur on the beautiful campus of the University of New South Wales [289].

We'll be at the Kensington Campus at: UNSW Sydney NSW 2052 Australia

It is approximately 7 km south of central Sydney, and 3 km west of Coogee Beach.

Both Sydney and Coogee Beach are easily accessible by Public Transportation.

Find Parking Information [290] here. Bus information from Coogee [291] can be found here.

The Registration Desk will be on the South side of Clancy Auditorium, on UNSW's campus, and will open by 7:30am on Monday, July 8.  (Alternatively you can pick up your badge and materials in the lobby of the Crowne Plaza Coogee from 5-7pm on Sunday, July 7).

Please click here [288] to view a Google Map of the conference venue and the nearby areas (including Coogee Beach hotels).

Continuing Education (CE) Credits

Possible credit hours:

  • 2-day pre-conference workshops: 13 hours
  • ACBS World Conference XI (attending ALL events): approx. 23.75 hours

Types of Credit Available:

  • CE credit is available for psychologists. (APA type, USA)
  • CE credit is available for LCSW and MFT credits with the State of California.

This program is sponsored by the Association for Contextual Behavioral. The Association for Contextual Behavioral Science is approved by the American Psychological Association to sponsor continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for this program and its content. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

ACBS is an approved provider of continuing education for MFCCs and/or LCSWs by the California Board of Behavioral Sciences, provider #PCE 4653.

Aussies!

It is up to the individual to record their own PD points. You do not need any official documentation of hours from ACBS to self-report. A general certificate of attendance (available to all WC11 attendees onsite) is all you need from ACBS. For verification contact the Psychology Board of Australia and / or The Australian Psychological Society:

http://www.psychologyboard.gov.au/Registration/General.aspx [292]

http://www.psychology.org.au/medicare-psychology/cpd-requirements/ [293]

Fees:

A $45 fee will be required to earn CEs.  If you attend either a pre-conference workshop, World Conference, or both, only $45 is due.  If you register for multiple events seperately, please only pay the fee one time.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily N. Rodrigues, 1-269-267-4249 or through the Contact Us [294] link on this website.

  • CEs are only available for events that qualify as workshops, symposia, invited lecture, panel discussion, or invited plenary sessions. Poster sessions, chapter/sig meetings, and IGNITE sessions do not qualify for Continuing Education.
  • CEs can only be awarded if attendence is confirmed (sign in at the time of the event), and if evaluations are completed in a timely fashion. (Note deadlines listed on email correspondence.)
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

General Schedule of Events - July 8-12

2-day Pre-Conference Workshops

July 8, 2013 - 9:00am-5:00pm

July 9, 2013 - 9:00am-5:00pm 

ACBS World Conference XI

July 9, 2013 - 6:00pm - July 12, 2013 - 5:45pm


By day...

Sunday, July 7, 2013

5:00pm-7:00pm

Registration (lobby of the Crowne Plaza Coogee)

Monday, July 8, 2013

7:30am-9:00am

Registration (on UNSW campus)

9:00am-5:00pm (Breaks, 10:45am-11:00am; Lunch, 12:30pm-1:30pm; Break,  3:15pm-3:30pm)

Workshops

Tuesday, July 9, 2013

8:00am-9:00am

Registration

9:00am-5:00pm (Breaks, 10:45am-11:00am; Lunch, 12:30pm-1:30pm; Break, 3:15pm-3:30pm)

Workshops

6:00pm-8:30pm

Registration (Ocean's Bar, Crowne Plaza Coogee)

6:00pm-late

ACBS World Conference XI

Opening Social at the Ocean's Bar at the Crowne Plaza Coogee with unobstructed views of the ocean, one free drink (conference attendees only, with ticket), and discounted pricing on dinner at this private event. (Conference Attendees, Pre-Conference Attendees, and their guests welcome.)

Wednesday, July 10, 2013

8:00am-9:00am

Morning Yoga session

7:30am-4:30pm

Registration (UNSW campus, rear, south side, of Sir John Clancy building)

8:00am-9:00am

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:30pm)

Conference Sessions

5:45pm-8:30pm

Australian BBQ and Poster Session (UNSW campus)

5:45pm-8:15pm+

Poster Session (Group 1 will have their posters on display from Wednesday lunch, for presentation 5:45pm-7:00pm; Group 2 from 7:00pm-8:15pm and to leave them up until the end of lunch on the following day)

Thursday, July 11, 2013

8:00am-9:00am

Morning Yoga session

8:00am-9:00am

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:45pm (varies))

Conference Sessions

8:00pm-11:00pm (Follies begin at approx. 8:30pm)

Follies! at the Roundhouse on UNSW campus (A cash bar will be available.  The venue has told me that it is ok for people to bring snacks or food if you want.  They just ask that it not be too messy, as we'll need to quickly clear out the tables after the Follies for dancing. All family & friends are welcome at this event.)

11:00pm-1:00am

Dance Party!

Friday, July 12, 2013

8:00am-9:00am

Morning Yoga session

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:30pm)

Conference Sessions

5:55pm-10:45pm

Optional Sydney Harbour Cruise [270] (advanced purchase tickets required), bus will leave UNSW campus by about 5:55pm, and return back to Crowne Plaza Coogee at approximately 10:45pm.

Getting There, Getting Around, and Travel Tips

Hi folks, I try to do this each year to eliminate the element of surprise for those traveling to the conference.  If you know differently or have anything to add, please put a comment at the end of this page, and I'll fix the page.

 

I traveled to Australia for the first time in January 2013, and am American, so that's my personal context.

(There are more great tips & info here on WikiTravel [295].)

Map of all Conference Venues and Conference Hotels [288]

Airport Transfers

We'll be in Coogee Beach.  You can take an airport shuttle or a taxi.

I took the cheapest shuttle I could find [296].  It was about $13 AUD.  It did the job, but they didn't leave at the scheduled time (waited to fill the van) so I was waiting at the airport for 1.5 hours before the shuttle left the airport.  (I arrived on a 6am flight.) I'm getting that slightly more expensive shuttles will keep a better schedule (but can't guarantee it). In hindsight a taxi would have been more convenient, but also more expensive at about $30-$35 depending on traffic. (20 min. if no traffic)

Public buses are possible, but will take a number of transfers (and close to 3 hours).  Personally I look this stuff up on Google Maps [297]. It's terrific.  Click "get directions", then put in "SYD" (that's the airport), and your destination hotel, then you can click the symbols for the type of transportation (walking, car, public transport), and it will tell you the bus numbers etc.  You should be able to purchase a bus ticket at a "convenience store" or newspaper stand in the airport.  If all else fails, ask at the airport.

Coogee, downtown Sydney, and the airport are all relatively close together, so you should be staying in the same "zone".

If you're going to stay in downtown Sydney you'll find that there is a limited stop train, the "Airport link", but it's about $16 into downtown.  (Other train tickets to/from other locations are much less, like $3 for a ride, so I thought this was a typo.  I found out that the "Airport link" is privately owned so they set a higher price.  It does run on a good schedule though.  Note: it will not get you to Coogee/Kensington, if you're heading straight to the conference, it will take you downtown and then you'd need to take another form of transport.)

Buses to the UNSW Campus

Here’s some information about transport to UNSW (the conference location). You want to get off at "Botany Street - UNSW Gate 9".

From Central Station (downtown Sydney, on the north side of Eddy Ave.) and/or Circular Quay – 391, 393, 374, 376, 890, 891, 892, 895

From Coogee Beach – 370, M50

Here’s a link to the Sydney Bus website http://www.sydneybuses.info/routes [298]

Or you can look it up on Google Maps [299].

For our detailed Public Transportation Information, and attached map, please go here [291].

ACBS is offering Shuttle Service for those staying within the ACBS room block of rooms at our 4 designated conference hotels.  All in the block have been notified about shuttles, and will receive a green sticker for their name badge for priority boarding for the shuttles (starting at 7:30am each day, leaving every 15 minutes from the Carr St. entrance of the Crown Plaza Coogee).  Those not staying in the room block may travel on the ACBS shuttles if all in the block have boarded.

Customs/Duties

Australia is more strict about outside food than many other countries. (More so that any other country I've been too.)

You can not bring in:

  • fresh or dried fruit
  • dairy
  • nuts, seeds, etc.
  • meat

I thought "oh, that doesn't apply to packaged, processed food". Then I talked with others. Wrong! Yes you can bring in some processed stuff, but you must declare everything, and let them decide. In the end it's not worth it. (Potentially hundreds of dollars in fines for undeclared items, even if ok to bring in.) You have to declare it in writing on your form, then a kindly person talks to you about any food you have in line prior to Immigration. I fessed up to having a peanut butter granola bar, and they passed me (without a physical search), but I can't guarantee that all inspectors will feel the same way about every item. When in doubt, declare it, or don't bring it. Check here for more info. [300]

Gifts to Take Home

You may already have something in mind, but I have a suggestion. Always looking for something "local", get a few packages of "Tim Tam" (original) chocolate cookies, or "Cherry Ripe" chocolate bars. Both are available at Woolworth's Grocery store on Coogee Bay Rd.

Groceries

Many of our blocked hotels have small kitchenettes. If you want to take advantage of that you can grab some groceries at Woolworths (Wooly's), or there is a more upscale market on Coogee Bay Rd., Maloney's Grocer.

Gluten free items are available at Woolworth's (just inside entrance), and many of the area restaurants advertise gluten free meals.

Internet & Phone

For those that checked the box, you can get free WiFi access on the UNSW campus during the day, with your own device.  Login instructions will be emailed to you before the event (login is different for each person). Rates for internet at the hotels vary from $5-$15 per day.

I'm also told that there is free internet at McDonald's. I didn't verify this in Coogee, but it's worth a try. McDonald's is along the beach road, just north of Coogee Bay Road.

Another option is to purchase a USB internet device.  (You attach it to your laptop for internet anywhere.)  You can get them through Telstra or Vodafone.  (Some other options may be available, but those are the one's that have been recommended to me for good coverage.)  There are also USB WiFi devices that will allow additional devices to connect (speeds will decline of course). Rates are based on usage.

Vodafone - They have a store in the airport (in the international terminal, just after leaving customs with your baggage).  You can purchase a USB device, or if you don't want/need it, you can purchase a SIM card for your phone for about $1-$2, and then purchase a plan that makes sense for the length of your stay.  (Having the people at the Vodafone store help you is probably the easiest option.)  Some phone planes come with data if you desire. If calling home (international) is important, they have short term plans for that too.

Map of all venues

Where are all of the WC11 events, hotels, etc.?  Check here. [288]

Money

The exchange rate is about even right now between the USD and the AUD (AUD worth a bit more). You can see current exchange rates here.

If at all possible, don't exchange your cash at the airport. They give you such terrible rates. Perhaps exchange a small sum, and then use your Bankcard (ATM card) at a bank machine in Australia. (You'll want to check on your daily withdrawl limits from your bank, and make sure to call your bank to tell them you're traveling so that they don't shut down the card for unusual use out of country.)

Night in Sydney

Have one night that you want to go into downtown Sydney and get the vibe?  You want to go to "The Rocks".  Lots of restaurants, bars, and a quick walk to many different harbours. (Here is some more specific Sydney travel info [301] from WikiTravel.)

Parking at UNSW

Parking Areas
Visitors to UNSW who are non-permit holders may only park in pay and display metered parking bays (accessible via Gate 11 (off Botany Street) and Gate 14 (via Barker Street) on the top Levels, 5 and 6 - map [302]) and Gate 14 car parks).

First 2 hours (minimum) $6.00

Per hour thereafter $2.50

Pay and display tickets
Pay and display tickets may be purchased from dispensing machines in these areas. These tickets allow full or part day parking on the date of issue in the designated area the ticket was purchased. Tickets are not transferable to another area. The ticket must be displayed on the vehicle dashboard in accordance with the instructions on the ticket.

Parking on campus is paid between the hours of 7.30am and 7.30pm Monday – Friday. (So you can park, and not pay, at Meters around campus when attending the Follies on Thursday, July 11, near the Roundhouse.)

Motorcycle parking
Free motor cycle parking is available in areas marked ‘motorbike bay’. The parking of motor cycles is restricted to these designated areas only.

Restaurants & Tipping

Tipping is not expected.  If you really want to you can, but it's not expected.

Restaurant meals are typically one serving size.  (Not like the big US meals that you could eat for days.)  Also, you may need to order your "sides" (vegetables) separate to put a meal together. You should ask your server.

Taxes

Taxes are included in the prices of items.  If something is listed as $10.00 AUD you only need $10.00.  (How nice!)

Visas

Please don't forget to get your travel Visa, almost everyone needs one.  Check here [274].

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Invited Speakers for the World Conference 11

Darin Cairns has over 15 years experience in treating children, adults and families for a range of psychological disorders. He has specialised in emotional, neurological and developmental disorders. Clinically, Darin has expertise in child, adolescent, family therapy and developmental disorders such as autism spectrum disorders. He also has extensive experience in adult mood disorders and works as a single expert witness.

 

Darin is well known for his work with children, adolescents and adults with autism spectrum disorders (ASD). Darin has set up award winning early intervention services in Western Australia for children with ASD and related conditions. He was initially trained in Applied Behaviour Analysis (ABA), Clinical Behaviour Analysis and Functional Analytic Psychotherapy. After many years working with developmental specialists and clinicians his frustration at not being able to bridge the gap from ABA to complex behavioural and emotional domains lead him to Relational Frame Theory (RFT). He has since applied Relational Frame Theory (RFT) to hundreds of developmental programs for children with autism spectrum disorders and special needs and continues to practice clinically using therapies developed from RFT such as Acceptance and Commitment Therapy (ACT) and other third wave Cognitive Behavioural Approaches.


PaulGilbert.jpg

Paul Gilbert, Ph.D.

Paul Gilbert is the head of the Mental Health Research Unit as well as Professor of Clinical Psychology at the University of Derby. He has a degree in Economics (Wolverhampton, 1973), Masters in Experimental Psychology (Sussex, 1975), PhD in Clinical Psychology (Edinburgh, 1980) and a diploma in Clinical Psychology awarded by the British Psychological Society (1980). He was made a fellow of the British Psychological Society for contributions to psychological knowledge in 1993, and was president of the British Association for Cognitive and Behavioural Psychotherapy in 2003. He has also served on the government depression NICE guideline committee. He has published and edited 21 books, over 100 academic papers and 39 book chapters. He is currently a series editor for a 'compassionate approaches to life difficulties' series. After years of exploring the processes underpinning shame and its role in a variety of psychopathologies, his current research is exploring the neurophysiology and therapeutic effectiveness of compassion focused therapy.


Steven C. Hayes, Ph.D.

Steven C. Hayes is Nevada Foundation Professor at the Department of Psychology at the University of Nevada. An author of 35 books and over 500 scientific articles, his career has focused on an analysis of the nature of human language and cognition and the application of this to the understanding and alleviation of human suffering. Dr. Hayes has been President of Division 25 of the APA, of the American Association of Applied and Preventive Psychology, the Association for Contextual Behavioral Science, and of the Association for Behavioral and Cognitive Therapies. He was the first Secretary-Treasurer of the Association for Psychological Science, which he helped form and has served a 5 year term on the National Advisory Council for Drug Abuse in the National Institutes of Health. In 1992 he was listed by the Institute for Scientific Information as the 30th “highest impact” psychologist in the world. His work has been recognized by several awards including the Exemplary Contributions to Basic Behavioral Research and Its Applications from Division 25 of APA, the Impact of Science on Application award from the Society for the Advancement of Behavior Analysis, and the Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies.


Eva Jablonka, Ph.D.  has a Ph.D. in Genetics from the Hebrew University, Jerusalem, Israel. Her post-Doctoral studies were in the Philosophy of Science, and in Developmental Genetics. She is a professor in the Cohn Institute for the History and Philosophy of Science and Ideas, Tel-Aviv. Her main interest is the understanding of evolution, especially evolution that is driven by non-genetic hereditary variations, and in the evolutionary transition to phenomenal consciousness. The co-authored books listed below examine and discuss some of these issues.

Eva Jablonka and Marion J. Lamb (1995) Epigenetic Inheritance and Evolution – The Lamarckian Dimension. Oxford University Press; Avital E. and Jablonka E. (2000) Animal Traditions: Behavioural Inheritance in Evolution. Cambridge, Cambridge University Press; Eva Jablonka and Marion J. Lamb (2005) Evolution in Four Dimensions. Genetic Epigenetic, Behavioral and Symbolic Variation in the History of Life. MIT Press. Snait B. Gissis and Eva Jablonka (2011) Transformations of Lamarckism: from Subtle Fluids to Molecular Biology. MIT Press.


Jonathan Bricker, Ph.D., is founder and leader of the Tobacco & Health Behavior Science Group in the Division of Public Health Sciences at the Fred Hutchinson Cancer Research Center. A licensed clinical psychologist, he is also an Associate Professor in the Department of Psychology at the University of Washington. His current research program focuses on comparing ACT with traditional CBT for smoking cessation in separate randomized trials of each of these delivery formats: (1) individual face-to-face, (2) group, (3) phone, (4) web, and now 5) smartphone. He and his team are the recipient of grants totaling 7 million US dollars, including a National Institutes of Health study to conduct arguably the largest randomized trial of ACT to date (5 years, 2500 participants). His team's most recent results are from a randomized trial showing that web-based ACT had over double the quit smoking rates as compared to the US government's program.


Anthony Biglan, Ph.D. is a Senior Scientist at Oregon Research Institute and the Co-Director of the Promise Neighborhood Research Consortium. He has been conducting research on the development and prevention of child and adolescent problem behavior for the past 30 years. His work has included studies of the risk and protective factors associated with tobacco, alcohol, and other drug use; high-risk sexual behavior; and antisocial behavior. He has conducted numerous experimental evaluations of interventions to prevent tobacco use both through school-based programs and community-wide interventions. And, he has evaluated interventions to prevent high-risk sexual behavior, antisocial behavior, and reading failure.

In recent years, his work has shifted to more comprehensive interventions that have the potential to prevent the entire range of child and adolescent problems. He and colleagues at the Center for Advanced Study in the Behavioral Sciences published a book summarizing the epidemiology, cost, etiology, prevention, and treatment of youth with multiple problems (Biglan et al., 2004). He is a former president of the Society for Prevention Research. He was a member of the Institute of Medicine Committee on Prevention, which recently released its report documenting numerous evidence-based preventive interventions that can prevent multiple problems. As a member of Oregon’s Alcohol and Drug Policy Commission, he has helped to develop a strategic plan for implementing comprehensive evidence-based interventions throughout Oregon.


Thomas J. Dishion - Dr. Dishion is no longer able to attend.

 

Registration & Fees - WC11 & Pre-Conference Workshops

 

Online Registration Has Closed (onsite registration available for the World Conference, but limited for Pre-Conference Intensive Workshops [265])

 

 

World Conference 11 Registration Rates (July 10 -12, 2013) (all rates below in USD)

  Onsite Registration
Professional $640
Student $400
Professional, Non-Member $700
Student, Non-Member $430

Above prices include 3 lunches, AM & PM coffee/tea on site, one barbeque dinner (July 10), and a general certificate of attendance.


Pre-Conference Workshop Registration Rates (July 8-9, 2013)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference XI. They will be 9:00-5:00pm on each day.

*The workshops [265]run concurrently, therefore please double check the dates of the pre-conference workshops you are interested in. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

  ONSITE REGISTRATION
    2-day workshops 2-day FAP workshop
Professional   $420 $445
Student   $325 $350
Professional, Non-Member   $445 $470
Student, Non-Member   $350 $375

Above prices include 2 lunches, AM & PM coffee/tea on site, and a general certificate of attendance.


Optional Sydney Harbour Cruise - Click for more details. [270]

July 12 (Friday) 7:30pm-10:00pm

Adults $65, Children (5-12) $51

Space is Limited. SOLD OUT


Please Note:

  • To qualify for the rates above, registration as well as payment must be received in Jenison, Michigan, USA by the dates listed.
  • Additional fees are required for certificates that track the number of hours you attended ($10) and CEs ($45). These fees cover all events from July 8-12, 2013 and does not need to be paid twice for attending multiple events.
  • Lunches are provided on each day as well as coffee/tea during the AM & PM breaks (approx. 10:30am & 3:30pm).
  • We apologize that we may not be able to accommodate special meal requests (gluten free and vegan) for registrations received after June 14.
  • To register via Mail or Fax please use the Printable Version. [303]
  • Online registration is not available after July 2, 2013.
  • Faxed (1 (225) 302-8688) or mailed registrations must be received at P.O. Box 655, Jenison, MI, 49429, USA, by June 21.  (Note that prevailing rates will apply upon receipt.)
  • Student Registration/Membership is available to individuals who are enrolled in a program of study leading to a bachelor’s, master’s, or doctoral degree, are interns, or are postdoctoral candidates. Postdoctoral candidates qualify for Student Registration for up to 2 years, with proof of status from their employer. After this time, they need to register as a Professional. Note: Those registering for the conference as a student are ineligible to earn any kind of CE credits.

Refunds:
A $35 processing fee will be charged for World Conference & Pre-conference registration refunds up to June 21, 2013. (Per refund transaction.)

A processing fee of $10 will be charged for Sydney Harbour Cruise ticket refunds up to June 1, 2013. (Per refund transaction; only $35 will be charged if refunded in conjunction with a conference refund.) Refunds for the Sydney Harbour Cruise can not be made after June 1, 2013. (But let us know, there may be the chance that we can resell them onsite, based on demand.)

We regret that after June 21, 2013, refunds can not be made. If you need a refund, please contact us [294] via email.

Photograph/Video Release:
ACBS has official photographers/videographers for this meeting. Photographs/video taken at ACBS's Annual World Conference may be used in future marketing, publicity, promotions, advertising and training activities for ACBS. By registering for this meeting, you agree to allow ACBS to use the photographs/video—which may include you—in all media formats worldwide. If you do not want to be photographed or videotaped, please notify the individuals capturing the information.

Waiver of Liability:
Each individual attending ACBS's Annual World Conference assumes all risks associated with his/her attendance and participation in all on- and off-site activities that occur during this time. By registering for this meeting, you agree to indemnify and hold harmless ACBS and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to your attendance and participation at ACBS's Annual World Conference.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Room Share/ Ride Share

Please use this page to find hotel roommates or rides for the World Conference 11 and/or pre-conference workshops.

Please be sure to post a "check-in" and "check-out" date in your posting and if you already have a room reserved or not (and where).

To post your need: click "add new comment" (which appears in blue below). It is recommended that you list your email address so that you may be contacted directly, but that is up to you.

To respond to a posting: click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).

See the "Example Post" and "Example Reply" below to understand what this will look like.

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us [304]" above in the header of the site for feedback or assistance. You only need a login to interact with this page, paid membership is not required to participate.)

Sydney Harbour Cruise (Optional) - July 12, 2013

As a fun farewell event, ACBS is organizing transportation and registration for a Sydney Harbour Cruise immediately following the ACBS World Conference 11.

July 12 (Friday), 7:30pm-10:00pm


The cruise is themed "Christmas in July", and will have some Australian favorites on the menu.

The ticket ($65), includes transportation from the ACBS World Conference directly to the port, and return busing to Coogee immediately following the cruise.

If you'd like to purchase additional tickets for partners or children (or if you decided after registering for the conference) you may sign up and pay here:

As of June 27, this event is sold out.  You can ask at the registration desk onsite if anyone has contacted us to sell a ticket they can no longer use.

Space is limited! Because we are facilitating this event through a 3rd party, refunds for this event can only be made until the 1st of June, 2013.


Meal:
*Nibbles on arrival
*Roast Pork with crackling and Apple Sauce
*Roast Beef and Gravy
*Roast Turkey with Cranberry Sauce
*Roasted Chat Potatoes
*Baked Pumpkin
*Steamed Greens
*Fresh Rolls
*Hot Pudding & Warm Custard for dessert
*Tea and Coffee

************** Need a vegatarian, vegan, or gluten-free meal? Just indicate it when purchasing the ticket (at least 14 days in advance of cruise) and one can be provided.

Drinks:
One complimentary beverage of either beer, wine, sparkling, house spirit or soft drink per person
All other beverages available for purchase from our fully licensed bar

(pricing on drinks after the first... glass of wine $6; beer $5-$9; soft drink $4; spirits $7-$8)

Pick Up and Drop Off:
King St Wharf, Darling Harbour

Cost (including transportation):
Adults- $65.00pp
Child (5-12 years) - $51.00pp
Child (0-4 years) - Free with adult

(This cruise is limited to 160 participants.)

Please note that unfortunately this ship does not have a wheelchair accessible toilet. If you have more specific questions about the cruise, please contact Sydney Princess Cruises directly. http://www.sydneyprincesscruises.com.au [305]


If you don't need transportation or are registering late for this event you may register directly here (if space is still available) : http://www.sydneyprincesscruises.com.au/page_var16 [306]

Purchasing a ticket through ACBS for a cruise on Sydney Princess Cruises, in no way extends liability for this event to ACBS.  Sydney Princess Cruises maintains sole responsibility and liability. ACBS only assumes responsibility for the transportation portion of the event. If the cruise is sold out while ACBS is collecting reservations for the cruise, ACBS will provide tickets based on the order the registrations were received, and will gladly refund any payments for which tickets can not be given.

Refunds of any kind for these cruise tickets can not be made after June 1st, 2013. (But let us know, there may be the chance that we can resell them onsite, based on demand.)

Visa to Australia - Everyone needs one!

[307]For those with passports from these countries: Andorra, Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Monaco, The Netherlands, Norway, Poland, Portugal, Romania, Republic of San Marino, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, United Kingdom - British Citizen, Vatican City

You can get an "eVisitor" Visa.  http://www.immi.gov.au/visitors/tourist/evisitor/ [308]

Direct link to application page: http://www.immi.gov.au/e_visa/evisitor.htm#b [309]

Note: The purpose of your stay is "business" (as a conference attendee), any family traveling with you will be "tourist".

Total cost: $0

Validity: 12 months from issue, for multiple visits up to 3 months in length each

Must apply ONLINE at least 2 weeks before travel (more is recommended). A Visa is needed for each traveler. You will not receive a sticker or stamp in your passport prior to entering Australia, this Visa is stored electronically and accessible by Australian Border Control.

If you do not want to apply online, and instead choose to obtain your Visa via a travel agent, consulate, or other service provider, you will need a "ETA (Business Entrant – Short Validity) (subclass 977)" Visa (below) at least 2 months prior to travel, provide proof of conference registration, and pay applicable fees.


For those with passports from these countries: Brunei, Canada, Hong Kong (SAR), Japan, Malaysia, Singapore, South Korea, United States of America

You can get an "ETA (Business Entrant – Short Validity) (subclass 977)" Visa.  http://www.immi.gov.au/skilled/business/956-977/ [310]

Direct link to application page: https://www.eta.immi.gov.au/ETA/etas.jsp [311]

Total cost: $20 service charge

Validity: 12 months from issue, for multiple visits up to 3 months in length each

Must apply ONLINE at least 2 weeks before travel (more is recommended). A Visa is needed for each traveler. You will not receive a sticker or stamp in your passport prior to entering Australia, this Visa is stored electronically and accessible by Australian Border Control.

If you do not want to apply online, and instead choose to obtain your Visa via a travel agent, consulate, or other service provider, you will need to apply at least 2 months prior to travel, provide proof of conference registration, and pay applicable fees.

You do not need to visit a departmental office to submit an application and you will not receive a stamp or label in your passport. However, you will be provided with a confirmation for your records, and the Australian Border Authority will have access to your provided information.

I applied for one of these today.  I filled out the form (took about 3 minutes), and submitted payment via credit card, and received my confirmation that I had been approved in the time it took to process the credit card.  (So "2 weeks" was really "15 seconds".)  I'm sure it varies (the time it takes), but I didn't want someone to confuse the "your application has been successful" confirmation email for just a credit card receipt. - Emily Rodrigues, ACBS


For those with passports from any other country (except New Zealand), you will need to apply for your Visa with a paper form here: http://www.immi.gov.au/allforms/pdf/456.pdf [312]

Total cost: $140

Validity: 12 months from issue, for multiple visits up to 3 months in length each

Must apply on paper (online unavailable) at least 8 weeks before travel (more is recommended). A Visa is needed for each traveler.

To read more... http://www.immi.gov.au/visitors/event-organisers-participants/ [313]

WC11 Conference Program (July 10-12, 2013)

 

Final Program (July 10-12) - Complete (pdf, 11 MB) [314] Posted June 25, 2013

* Asterisk indicates a Peer-Reviewed ACT Trainer [1] presenting

Brief Schedule of Sessions (table) (pdf) [266] Posted June 20, 2013

 

Information Packet for Pre-Conference Workshops (July 8-9) (information on session locations, times, transportation, and more!)  [315]
This pre-conference workshop information packet will be given to attendees onsite as well.

 

 

Click here to Register! [316]
This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

WC11 Symposia Detail (July 10-12, 2013)

Below are all of the Symposia being presented at the ACBS World Conference 11 in Sydney, Australia. The information below includes individual paper abstracts not included in the printed version of the program.


Symposia Detail ● Wednesday ● July 10

Wednesday Morning 10:30am

10. Acceptance and Commitment Therapy for Psychosis: Recent evidence

Symposium (10:30am-Noon)

Components: Literature review, Original data

Categories: Clin. Interven. & Interests, Clin. Interven. & Interests, Other, Psychosis, Mindfulness, Schizophrenia

Target Audience: Interm., Adv.

Location: Mathews 107 (level 1)

Chair: Joseph Oliver, Ph.D., South London & Maudsley NHS Foundation Trust

Discussant: Steven Hayes, Ph.D., Department of Psychology University of Nevada


·The Lifengage RCT of ACT for people experiencing persisting positive symptoms of psychosis: Initial results

John Farhall, La Trobe University

Frances Shawyer, La Trobe University; Monash University

Neil Thomas, La Trobe University; Monash University

Steven Hayes, University of Nevada

David Castle, University of Melbourne

David Copolov, Monash University

The Lifengage trial aimed to address criticisms of earlier clinical trials of ACT for people with psychosis, by recruiting an adequate sample, randomising participants to ACT or an established comparison therapy, using published measures, and meeting CONSORT criteria for trial quality. Ninety-six participants with a diagnosis of schizophrenia and medication-resistant persisting positive symptoms were randomised to 8 sessions of ACT or Befriending therapy. Independent assessments of symptoms, functioning and ACT-related mediators were completed at baseline, post-therapy and 6-months follow-up. The main results will be discussed in relation to the applicability and efficacy of ACT for this sub-group of people living with psychosis, and research directions prompted by the study.


·Group Acceptance and Commitment Therapy (ACT) for Psychosis: The ‘ACT for Life’ Study

Louise Johns, King's College London

Eric Morris, South London & Maudsley NHS Foundation Trust

Joseph Oliver, South London & Maudsley NHS Foundation Trust

Lucy Butler, King's College London

Background: Evidence from randomised controlled trials demonstrates the utility of ACT for psychosis in terms of reducing relapse rates and psychotic symptoms. Protocols for ACT have been developed for brief group therapy, but these have not been evaluated formally within routine clinical services.

Aims: This study aims to evaluate effectiveness of ACT delivered in group format in community treatment settings for people with psychosis.

Method: The study used a waiting list control design, with measurement points at follow up, 6 weeks and 12 weeks. Participants completed measures of life interference, anxiety, depression, process measures (mindfulness, cognitive fusion, valued living) and satisfaction. Service use post intervention was also measured.

Results and Conclusions: This paper will present the final outcome data from the study. Results showed improvements in overall anxiety, depression and reductions in life interference by client problems. The role of process variables and service use will also be discussed. The paper will also describe the practical aspects of delivering the ACT intervention in real world settings, and will illustrate the group content with the use of clinical case material.


·The Exploration of Depression in Schizophrenia (ExoDiS)

Ross White, University of Glasgow

Andrew Gumley, University of Glasgow

Rosemary Moore, NHS Greater Glasgow and Clyde

Jackie Smith, NHS Greater Glasgow and Clyde

Corinna Stewart, University of Glasgow

Background: Depression is a significant problem amongst individuals with a diagnosis of Schizophrenia and is associated with poor quality of life.

Aims: The Exploration of Depression in Schizophrenia (ExoDiS) study aimed to (a) establish the prevalence of depression in a geographical cohort of individuals with a diagnosis of Schizophrenia, (b) characterise this group in terms of key correlates of depressed mood.

Method: The study used a cross-sectional design. Participants completed the Calgary Depression Scale for Schizophrenia, The Hospital Anxiety and Depression Scale, the Acceptance and Action Questionnaire-II, the Significant Other Scale, the Warwick Edinburgh Mental well-being Scale, The Self-Compassion Scale, and the Beck Cognitive Insight Scale.

Results and Conclusions: The Acceptance and Action Questionnaire-II had significant correlations with the depression measures, and many of the other measures used in the study. The implications that these findings have for future clinical trials of ACT for post-psychotic depression will be discussed.

As an intervention, ACT is well suited to working with people with psychosis, offering a method to develop and enhance values based living in the presence of often highly distressing and unwanted experiences. Since the early studies investigating ACT for psychosis interventions, by Bach and Hayes (2002) and Gaudiano and Herbert (2004), interest in this area has continued grow, culminating in the recent volume, ‘ACT and Mindfulness for Psychosis’ (Wiley-Blackwell). Evidence in this area has also continued to develop with the publication of a number of research trials. This symposium will bring together recent evidence from several studies. The Lifengage paper will present outcome data from the large RCT for ACT for positive symptoms of schizophrenia. The ACT for Life paper will describe outcomes from an ACT group-based intervention for psychosis. The ExoDiS paper will report on data exploring the role of depression and ACT process variables in psychosis. Together, the results from these studies will be discussed in relation to future directions for the field.

Educational Objectives:

1. Describe the up-to-date evidence for ACT and mindfulness based interventions for psychosis.

2. Explain key ACT process variables in relation to psychosis and understand issues concerning measurement.

3. Outline current knowledge gaps and future directions for ACT psychosis research and interventions.

 

12. Contextual Medicine Special Interest Group Symposium 1: Strategy, purpose, issues, roadmap

Symposium (10:30am-Noon)

Components: Conceptual analysis, Original data, Experiential exercises, Didactic presentation, Role play

Categories: Functional contextual neuroscience and pharmacology, Theory & Philo., Related FC approaches, Seamlessly integrating medicine with behavioral/evolutionary science, Philosophy

Target Audience: Intro., Interm., Adv.

Location: Mathews 309 (level 3)

Chair: Rob Purssey, MBBS FRANZCP, Private Practice and University of Queensland

Discussant: Tony Biglan, Ph.D., Oregon Research Institute


·Contextual Medicine - strategy and purposes: Creating a unifying, empowering clinical dialogue, embracing whole person/societal care

Rob Purssey, MBBS FRANZCP, Private Practice and University of Queensland

The Contextual Medicine Special Interest Group of ACBS was founded in mid-2012 defining our Topics of Interest as; human physiology, neuroscience, medicine, and their relations within the broader field of evolutionary science; integrating CBS case conceptualization with models and language familiar to medical practitioners; the functional contextual study of the effect of drugs on human behavior; and public health, socio-cultural, and economic issues relevant to practices of medicine including prescribing practices, and local variation in such issues. This paper lays out the functional contextual philosophy of science foundations, showing how FC assumptions (aontology, monism, pragmatic truth, “cause” entirely functional and situation specific for a purpose) can integrate the “physical” and “psychological” seamlessly, while illuminating how scientist / clinician values and purpose, being an integral part of the whole, are fundamental to “truth” of our work and findings.


·We Have a Stone in Our Shoe: Saving the World with Contextual Science

Kelly G. Wilson, Ph.D., University of Mississippi

Chronic mental health problems have increased dramatically. From 1987 to 2007 children on disability for mental disorders in the US has gone from around 16,000 to 561,000. The National Institutes of Health seeks causes in genetics and neurological dysfunction. From an evolutionary perspective, the causes cannot possibly be “broken brains” or “broken genes.” Such a search is akin to the following: If a person had a stone in their shoe, we could scan, x-ray, and do tissue cultures, check for swelling and inflammation. We could administer opiate drugs to reduce pain. But we would never find the cause. Opiates might allow walking, but they would cause great disability. Decontextualized medicine allows people to tolerate damaging environments. This is not restricted to mental health. Blood pressure medications allow people to live in environments that dangerously raise blood pressure, and diabetes drugs allow toxic dietary environments. I will argue for an evolutionary approach to health that offers direct suggestions for minimal requirements for sustained wellbeing in the modern world.


·“Assume that…”: The Clinical Application of Functional-Contextualist Science-Making Processes

Julian McNally, Private Practice, The ACT of Living

Much of the scope and depth of the ACT-RFT research enterprise derives from the willingness of its leaders to examine and establish their own assumptions and contrast them with the assumptions underlying competing models. Doing so has allowed for the development of logical connections between philosophy, research methodology and clinical practice. If this assumption-establishing process makes for good science - i.e. increases the ability to predict and influence with greater precision, scope and depth - could it be helpful for pursuing value-directed living? This paper aims to demonstrate that:

• assumptions govern actions constantly and powerfully,

• they are largely invisible, but can be revealed,

• they can be created or chosen, and;

• these last two processes can be influenced in conversation.

If time permits, sample interventions will be demonstrated.

Contextual Medicine seeks to integrate functional contextual behavioral science with models & language familiar with medical practitioners to address human physiology, neuroscience & medicine. Evolutionary CM science could impact public health, socio-cultural & economic realms to improve human well being, integrating basic research from epigenetic to social with clinical interventions from medication to therapy to public policy. This inaugural CM SIG Symposium will lay out the foundations, map a seamless biological, behavioral & cultural strategy, and critically examine where mainstream mechanistic assumptions have led us. We will offer suggestions for the minimal requirements for sustained well being, and a vision for progress using clinical applications of functional contextual science making processes.

Educational Objectives:

1. Describe the contextual medicine strategy of science, purpose of discipline, and the implications of its assumptions.

2. Apply evolutionary principles to explain recent epidemiological evidence of rapidly increasing psychological health morbidity in developed countries.

3. Create questions to uncover disabling assumptions.

Wednesday Afternoon 2:45pm

23. Relational Frame Theory research in Australia: First steps

Symposium (2:45-4:15pm)

Components: Didactic presentation

Categories: RFT, RFT, IRAP, deictic framing

Target Audience: Intro., Interm., Adv.

Location: Mathews 123 (level 1)

Chair: James E. Duguid, University of Western Sydney

Discussant: Joseph Ciarrochi, Ph.D., University of Western Sydney


·The Implicit Relational Assessment Procedure: Measurement from a functional contextual point of view

James E. Duguid, University of Western Sydney

Joseph Ciarrochi, Ph.D., University of Western Sydney

Ian Stewart, Ph.D., National University of Ireland, Galway

The Implicit Relational Assessment Procedure (IRAP) provides RFT researchers with a functional contextual measure of implicit cognition. The IRAP provides an alternative to mechanistic methodologies that have been popular for many years in social psychology. The IRAP provides a measure of brief and immediate relational responding as participants respond quickly and accurately to stimuli on a computer screen. IRAP research highlights not only the importance of context on relational responding, but the potential to predict behaviour months in advance. This paper will provide an overview of the IRAP, discuss recent developments in IRAP research as well as the author’s recent research on attitudes to body-size, and consider the importance of functional contextual measures in Contextual Behavioural Science.


·A Qualitative Measure of Deictic Framing

Paul Atkins, Ph.D., Australian National University

A primary aim of ACT is to help create a more flexible and adaptive relationship to the self and identity. But self-report measures are inadequate for capturing the depth and richness of change in identity resulting from mindfulness interventions. We describe a qualitative coding scheme based upon a functional theory of self-referencing behaviour that can be applied to any text to measure complexity and flexibility of self-reference and perspective taking. The scheme distinguishes between more or less flexible conceptualizations of the self, self as experienced in the present moment and self as a perspective from which experience is observed. A validation study based upon interviews before and after a community-based Mindfulness Based Stress Reduction (MBSR) course demonstrated high inter-rater agreement (Cohen’s Kappa = .59) and significant changes in identity associated with less rigid self-categorizations (p < .002), more flexible self-references (p = .035) and more references to self as an observer of experience (p = .015). The qualitative data revealed reduced reliance upon rigid rule-governed behavior and an increase in more flexible, contingency-sensitive responding. The measure provides a precise but semantically rich approach to understanding self-reference that is widely applicable to researching mindfulness interventions in a variety of contexts.


·A Qualitative Measure of Self-Rules

Robert Styles, Australian National University

Building on the previous talk, I present a method of interviewing that probes critical incidents for contextual and verbal contingencies governing behaviour as well as a method for coding these interviews in terms of the construction of a sense of self and self-rules in use. I present results from a study correlating these measures of selfing and self-rules with other commonly used self-report measures of mindfulness, perspective taking, and wellbeing.

Relational Frame Theory is the focus of research in many centres around the world, however this is only a recent development in Australia. RFT provides a comprehensive account of human language and cognition that is relevant to both basic research and applied settings. The papers presented in this symposium will highlight the early developments of RFT research at two universities in Australia. Each paper will highlight developments in measurement, present results from ongoing research, and discuss the importance of this research in Contextual Behavioural Science.

Educational Objectives:

1. Explain a new qualitative measure of self-construal.

2. Explain a new qualitative measure of self-rules.

3. Discuss the importance of functional contextual measures in RFT research.

 

24. Contextual control and transformation of function during the expansion of relational networks: Experimental findings and clinical implications

Symposium (2:45-4:15pm)

Components: Original data

Categories: RFT, Clin. Interven. & Interests, Transformation of functions

Target Audience: Interm.

Location: Mathews 309 (level 3)

Chair: Roberta Kovac, Ms, Nucleo Paradigma of Behavior Analisys

Discussant: Kelly G. Wilson, Ph.D., University of Mississippi


·The transfer of social exclusion and inclusion through stimulus equivalence classes

Louise McHugh, University College Dublin

Anita Munnelly, University College Dublin

Charlotte Dack, University College London

Georgina Martin, University College Dublin

Previous studies have reported that ostracism (to be excluded or ignored) can have distressing effects on individuals. One method in which ostracism has been studied in the experimental context is through a virtual ball-toss game, known as Cyberball. In this game, participants may be excluded or included from the ball-toss game, and participants typically report lower feelings of self-esteem, control, belonging and meaningful existence following exclusion from the game. The present study sought to explore the transer of feelings of exclusion and inclusion through stimulus equivalence classes. Participants were first trained and tested on two three-member equivalence classes (e.g., A1-B1-C1; A2-B2-C2). Next, all participants were exposed to the Cyberball exclusion game.  In this game, one stimulus (C1) from one equivalence class was assigned as the Cyberball game name. During a subsequent transfer test, participants were asked to rate how they thought they would perform on other online games, corresponding to member of both equivalence classes. Participants reported that thet felt they would be excluded from online games if they were members of the same equivalence class as C1. In contrast, participants reported that they felt they would be included in online games if they were member of the other equivalence class. Results demonstrate that feeling of exclusion and inclusion can transfer through equivalence classes.


· The transfer of sameness and opposition contextual-cue functions through equivalence classes

William F. Perez, Ph.D., Nucleo Paradigma of Behavior Analysis

Roberta Kovac, Ms, Nucleo Paradigma of Behavior Analysis

Daniel de Moraes Caro, Nucleo Paradigma of Behavior Analysis

Yara C. Nico, Nucleo Paradigma of Behavior Analysis

Adriana P. Fidalgo, Nucleo Paradigma of Behavior Analysis

According to the Relational Frame Theory, relational responding is always under control of contextual cues (e.g., CRel). The present study aimed to investigate whether the contextual control of relational responding in accordance with sameness and opposition would transfer through equivalence classes. First, participants were exposed to a nonarbitrary training in order to establish two nonsense figures as contextual cues for sameness and opposition. After that same and opposite relations were establish among arbitrary stimuli (Same/A1–B1; Same/A1–C1, Opposite/A1–B2; Opposite/A1–C2) and derived relations were tested. In the next phase, contextual cues for sameness and opposition were included in the equivalence class of horizontal and vertical lines, respectively. The transfer of contextual control was tested replacing the nonsense figures originally established as contextual cues by the vertical and horizontal lines on training and test trials without feedback. By the end of the procedure, an arbitrary meaning was established for one member of the relational network and transformation of meaning was tested for the other members. Five of 10 participants achieved positive results for the transfer of the contextual-cue functions and three of them also presented the transformation of function on the transformation of meaning test.


·Generalization of thought suppression functions via trained and derived 'same' and 'opposite' relations

Louise McHugh, University College Dublin

Ian Stewart, National University of Ireland Galway

Nic Hooper, University of Wales Newport

This paper reports on a study that investigated generalization of thought suppression functions via trained and derived 'same' and 'opposite' relations. In Experiment 1, participants were first exposed to matching-to-sample procedures to establish contextually controlled 'same' and 'opposite' relational responding. They were then trained and tested for formation of two five-member relational networks composed of 'same' and 'opposite' relations. In the final stage they were instructed to suppress all thoughts of a particular word, which had previously appeared in one of the two relational networks, while a number of words appeared on the computer screen in front of them in a quasi-random cycle including the to-be-suppressed word, and words either in the same (experimental) relational network as the latter or in a different (control) relational network. During this final phase, participants could remove any word from the screen by pressing the spacebar. Findings showed that they removed the target word more frequently and faster than other words; removed words in trained relations with the target more frequently and faster than words in derived relations with it; removed words in 'same' relations with the target more frequently and faster than words in 'opposite' relations with it; and removed words in the experimental relational network more frequently and faster than words in the control relational network. These patterns were seen both at an individual as well as at a group level. In Experiment 2, which involved training and testing a network involving more 'opposite' than 'same' relations, a somewhat similar but weaker pattern was observed. Implication and research directions are discussed.

Educational Objectives:

1. Relate original data on the area of language and cognition to its applications in everyday life, mainly to clinical implications.

2. Understand how transformation of functions can be produced in an experimental setting.

3. Demonstrate the importance of basic research to clinical work.

 

Wednesday Afternoon 4:30pm

28. ACT with Parents

Symposium (4:30-5:45pm)

Components: Conceptual analysis, Literature review, Original data

Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Beh. med., Parenting

Target Audience: Intro., Interm.

Location: Mathews 123 (level 1)

Chair: Meredith Rayner, Ph.D., Parenting Research Centre

Discussant: Giovanni Miselli, Ph.D., AUSL Reggio Emilia


·Mindful pregnancy and childbirth: Effects of a mindfulness based intervention on women’s psychological distress and well-being in the perinatal period

Cassandra Dunn, University of Adelaide

Emma Hanieh, University of Adelaide

This pilot study explored the effects of an 8-week mindfulness-based cognitive therapy group on pregnant women. Participants reported a decline in measures of depression, stress and anxiety; with these improvements continuing into the postnatal period. Increases in mindfulness and self-compassion scores were also observed over time. Themes identified from interviews describing the experience of participants were: ‘stop and think’, ‘prior experience or expectations’, ‘embracing the present’, ‘acceptance’ and ‘shared experience’. Childbirth preparation classes might benefit from incorporating training in mindfulness.


·Psychological Flexibility, ACT and Parent Training: Different models for integrating ACT into services for families with a children diagnosed with Autism or PDD

Giovanni Miselli, Ph.D., AUSL Reggio Emilia

In Italy, behavioral parent training format has been enhanced with ACT elements, used as a way to reduce the barriers that may restrict new skill acquisition and employment for parents of children diagnosed with Autism and PDD. Recent evidence and theorization underline the role of some of the core processes in the impairment of parents’ ability to develop and employ new effective parenting skills and namely: experiential avoidance (feeling incompetent and ineffective) and Fusion (with thoughts and stories about their child’s disorder and misbehaviors or their own inability as parents). The program has been used in Private and Public Health Care Services as a part of comprehensive Early Intensive Behavioral Interventions reaching more than 300 families. Traditional Psychological Flexibility in Parenting has also been introduced and evaluated. Advantages, difficulties and data from different models that have been field tested in group, couple and individual formats will be presented, explored and discussed.


·Take a Breath: Pilot of a group intervention for parents of children with life-threatening illness delivered using online technology

Meredith Rayner, Ph.D., Parenting Research Centre

Frank Muscara, Murdoch Children's Research Institute

Parents with children diagnosed with a life threatening illness have been found to be at high risk of Acute Stress Disorder and Post Traumatic Stress symptoms. The Take A Breath program utilises an ACT approach to assist parents to develop effective mechanisms for coping with their child’s diagnosis, treatment and recovery by assisting parents to develop greater psychological flexibility. The aim is to help parens better manage the impact of distressing thoughts and emotions on daily functioning, reduce post traumatic symptoms in parents and ultimately improve family functioning and child psychological functioning and quality of life. Preliminary data from the pilot of the online group program delivered to parents of patients from the oncology, neurology, cardio and paediatric intensive care units at Melbourne’s Royal Children’s Hospital will be presented. The program is being piloted in an online interactive group format to increase accessibility for parents outside the Melbourne metropolitan area.

This symposium will present pilot data and discuss a variety of novel ways in which Acceptance and Commitment Therapy has been incorporated into three parent interventions. Traditional ABA, CBT and psycho education are commonly used in parent programs. This symposium presents pilot data on three parent interventions incorporating ACT components. The first paper discusses the results of a pilot study that explored the effects of an 8-week mindfulness-based cognitive therapy group on pregnant women. The second paper presents advantages, difficulties and data from parent interventions field tested in group, couple and individual formats parents of children diagnosed with Autism and PDD. The third paper presents preliminary pilot data for an ACT online group intervention for parents of children diagnosed with a life threatening illness.

Educational Objectives:

1. Describe the differences between acceptance and mindfulness techniques and traditional behavioural parenting training.

2. Utilize outcomes/implications of current pilot studies to design and implement similar programs in one's institution/facility.

3. Identify some techniques to incorporate the use of acceptance and mindfulness with traditional behavioural parenting training.

 

29. Living from Inside the Skin: Psychological Flexibility and Physical Self Care

Symposium (4:30-5:45pm)

Components: Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation

Categories: Beh. med., Clin. Interven. & Interests, Prevention & Comm.-Based, Performance-enhancing interventions, Beh. med., Theory & Philo., RFT, ACT, Depression, Anxiety, Chronic Pain, Health, Obesity, Health Anxiety

Target Audience: Intro., Interm., Adv.

Location: Mathews 309 (level 3)

Chair: Caroline Horwath, University of Otago

Discussant: Jennifer Gregg, San Jose State University


·Psychological flexibility, eating habits and 3-year weight gain: Results from a nationwide prospective study of mid-age women

Sara Gdovin, MSc, University of Otago

Sookling Leong, MSc, University of Otago

Andrew Gray, Biostatistican, University of Otago

Caroline Horwath, Ph.D., University of Otago

Psychological flexibility may be associated with differing abilities to pursue healthy food habits in the presence of uncomfortable thoughts/emotions. We hypothesized that greater psychological flexibility would be associated with healthier eating habits and prevention of weight gain over 3 years.

In 2009, 1601 participants were recruited from the NZ Electoral Roll (response 66%). The 3-year retention was 78%. Participants provided self-report data on height, weight, food patterns, and (baseline only) psychological flexibility (AAQ-II). There was evidence of a plateau in baseline BMI over a range of AAQ-II values with quadratic increases for lower levels of flexibility. Lower psychological flexibility was associated with increased odds of binge eating one or more times per week (OR 1.65/10 units, 95% CI: 1.47, 1.84, p < 0.001) and weight control (trying to maintain or lose weight, OR 1.25/10 units, 95% CI: 1.08-1.45, p=0.003). Psychological flexibility was not associated with change in BMI (p=0.168) but was with BMI stability (remaining within 3% of baseline, OR 0.88/10 units, 95% CI: 0.77-1.00, p=0.050) over three years.


·Acceptance, awareness, belief, and authentic goals: Identifying the distinctive psychological profiles of underweight, overweight, and obese people in a large American sample

Joseph Ciarrochi, University of Western Sydney

Baljinder Sahdra, University of Western Sydney

Sarah Marshall, University of Western Sydney

Philip Parker, University of Western Sydney

ACT has been shown to be beneficial for weight management, but little is known about how the ACT “ingredients” or process measures relate to potential differences in people who are underweight, overweight or obese. We utilized a planned missing data design to administer a large survey to a sample of Americans (n = 7884; 3748 males; 4136 females; Mean age =47.9, SD=16). We assessed the core process targeted in ACT, including psychological flexibility, dimensions of experiential acceptance, mindfulness, defusion, authentic valuing, and committed action. Profile analyses revealed that being moderately overweight (BMI from 25 to 30) was not associated with inflexibility or its components. Relative to normal weight people, both underweight and obese people were psychologically inflexible, but the underlying makeup of that inflexibility differed. Underweight people (BMI < 18.5) showed a profile of low social worth (self-esteem), high behavioural avoidance, distress intolerance, and controlled goals (e.g., ones done out of guilt or due to external pressure.). However, they also expressed moderate to high efficacy in being able to achieve their goals (hope) and moderate progress in actually achieving them. In contrast, obese individuals tended to score moderate to low on all indices of flexibility, expressed little hope, and felt they were making little progress on their goals. We discuss the implications of these different profiles for ACT interventions.


·ACT for Health Anxiety

Lisbeth Frostholm, Ph.D., Research Clinic for Functional Disorders, Aarhus University, Denmark

Ditte Hoffmann Jensen, Research Clinic for Functional Disorders, Aarhus University, Denmark

Trine Eilenberg, M.A., Research Clinic for Functional Disorders, Aarhus University, Denmark

Louise Kronstrand Nielsen, M.A., Research Clinic for Functional Disorders, Aarhus University, Denmark

Eva Oernboel, M.A., Research Clinic for Functional Disorders, Aarhus University, Denmark

Per Fink, MD, Ph.D., Research Clinic for Functional Disorders, Aarhus University, Denmark

Health anxiety (HA) or hypochondriasis is a disabling and persistent disorder with a high prevalence in primary care, and insufficient treatment opportunities and knowledge of treatment processes. Cognitive Behavioral Therapy (CBT) has shown positive effect for HA in a number of trials, but no clinical trials has yet examined the possible effect of ACT for HA. In this paper we will provide 1) an introduction to the diagnosis health anxiety, 2) an overview of the manual, we have developed for ACT group treatment for HA, 3) present results on patient satisfaction with the treatment, symptom reduction (Illness worry, using the Whiteley-7), and possible mechanisms of change (’psychological flexibility’ (AAQ-II) and ’mindfulness-skills’ (FFMQ) from an uncontrolled pilot study including 34 patients for a 6 months’ follow-up period. 4) Finally, we will present preliminary results from a randomized controlled trial of ACT group therapy for severe HA including 128 patients and outline the next steps in the development of evidence-based treatments for HA.


·The ACT of Self Forgiveness: A gateway to psychological flexibility?

Grant Dewar, The University of Adelaide

The ACT of self forgiveness contains within it the possibility and opportunity to enter into a new approach to life. This presentation will review current approaches to the treatment of psychological distress and the link between self forgiveness and restoration of psychological health. This will include: conceptualisation of the links between a lack of self forgiveness and psychological distress; the use of measures of forgiveness; and, a proposed framework for the use of concepts of self forgiveness in treatments that utilise ACT to provide a full range of benefits (including mental health, family and social well-being).

In particular this presentation will outline an approach to treatment of a 46 year old female experiencing chronic pain and who is a recovering alcoholic. The treatment utilises self forgiveness within a framework of Therapy with a primary focus on Acceptance and Commitment Therapy. The approach described utilises self forgiveness as a means to facilitate openness to new perspectives on both past transgressions and present moment action. Multiple factors have been proposed as contributors to alcohol dependence including heritable traits, cognitive constructs, familial, social and environmental influences. However the catastrophic consequences of inappropriate behaviour associated with alcohol can form major barriers to recovery and treatment. In the approach described it is the flexible use of ACT in the therapeutic alliance and the focus on self forgiveness which a pathway for recovery and provides tools for relapse prevention.

Implications of this approach for therapists and those seeking assistance with overcoming the burden of past events are considered. The important role of processes of stuck thinking, story telling and worry are examined and the innovative integration of self forgiveness into current therapeutic processes utilising ACT are underscored.

Research from the CBS perspective is converging to suggest that caring for the body in a way that allows for valued living demands psychological flexibility. Whether coping with physical health problems, struggling with body-related distress, or struggling with life in a way that has significant body costs, engagement, openness and purpose in the way we inhabit our bodies seems to have a significant impact on our well-being. The papers in this session will explore the ways that psychological inflexibility interferes with physical self-care while psychological flexibility promotes it. The first paper includes data from a large questionnaire study revealing the divergent psychological profiles of underweight and obese Americans in terms of awareness, acceptance, self-efficacy and chosen goals. The second paper will present data from a large longitudinal study considering the role of psychological flexibility in predicting healthier eating habits and BMI. The third paper will consider health anxiety (i.e., hypochondriasis) from a flexibility perspective, reviewing health anxiety and the role of psychological inflexibility in its development and maintenance, along with preliminary effectiveness data from a pilot and an RCT on ACT-based treatment for health anxiety. Finally, the fourth paper will explore the integration of forgiveness as an important part of flexibility-based treatments through a case study of a woman struggling with chronic pain and alcoholism.

Educational Objectives:

1. Describe the link between underweight/overweight and acceptance, defusion, valued action.

2. Discuss the effect and possible mechanisms of change in ACT treatment for HA.

3. Explain the use of the concept of Self Forgiveness as a perspective for the application of Acceptance and Committment Therapy.


Symposium Detail ● Thursday ● July 11

 Thursday Morning 10:30am

35. Compassion in Context: Viewing Compassion Focused Therapy From an CBS-Consistent Perspective

Symposium (10:30am-Noon)

Components: Conceptual analysis, Original data, Experiential exercises

Categories: Clin. Interven. & Interests, Theory & Philo., Compassion, Self-Compassion, Training, Depression, Anxiety

Target Audience: Intro., Interm., Adv.

Location: Mathews Theatre C

Chair: Paul Gilbert, Ph.D., FBPsS, OBE, Mental Health Research Unit, Kingsway Hospital

Discussant: Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, and Training Center


·Learning ACT with Compassion

Martin Brock, University of Derby

Consistent with contemporary forms of cognitive behavioural psychotherapy, developing skills in compassion focused therapy or ACT effectively involves experiential learning which can be tricky. Clinician training literature shows that experiential teaching can improve educational outcomes in comparison to didactic methods alone and self-practise and self-reflection can facilitate understanding of techniques, with particular regard to their contextual use, and a deeper awareness of the self and CBT as a tool for personal change. Experiential components of CBT training are often described as being useful but workshop participants can report feeling hesitant to engage, doubts about what has actually been ‘learned’ or a sense of disconnection between the ‘workshop experience’ and clinical application. These dilemmas can be useful to explore as they might well mirror the ‘client experience’.' This presentation will consider how compassion and psychological flexibility can influence engagement in experiential learning and the functional value of the experiential component of ACT training. Opportunities to share experience of learning experientially and suggestions for refining experiential components will be offered.


·An ACT consistent Compassion Focused Therapy intervention for chronic Dysthymia and Generalized Anxiety Disorder: Single case study and conceptual analysis

Dennis Tirch, Ph.D., The Center for Mindfulness and Compassion Focused Therapy

Recent advances in psychotherapy theory and practice have suggested that compassion may be a significant, active process in psychotherapy effectiveness (Gilbert, 2010; Baer, 2010; Hofman et. al., 2011; Goetz et. al., 2010; Neff et. al.; 2007). As a result, cognitive and behavioral technologies are emerging, which aim to directly train clients to develop mindful compassion as an element of the treatment of anxiety and depression (Gilbert, 2010; Tirch, 2012; Neff & Germer, 2011). This presentation will introduce participants to the theory and interventions used in Compassion Focused Therapy (CFT) (Gilbert, 2009). CFT is based upon empirically supported psychological processes, affective neuroscience, evolutionary science, and meditation disciplines. CFT employs a conceptual and technical approach that is consistent with ACT and other contextual CBT tools. During this presentation, participants will learn, in detail, how CFT practices may be used to help clients with anxiety disorders. A single-case, clinical research example will be provided that demonstrates the effectiveness and change processes involved in an ACT consistent CFT intervention for chronic, generalized anxiety disorder and dysthymia. Participants will learn the CFT evolutionary model, including the nature of our three basic emotion regulation systems, and how to apply this theory in practical ways to a case formulation and intervention that is consistent with the psychological flexibility model.


·Gender and compassion: The development, experience and function of compassion in women and men

Laura Silberstein, Ph.D., The Center for Mindfulness and Compassion Focused Therapy

Although considered to be an evolved universal human capacity, there are important individual differences and processes in how people learn and respond to various forms of compassion. More specifically, researchers have observed certain gender differences in the motivation, experience and cultivation of compassion. These gender-based tendencies or patterns may have the potential to impact an individual’s experience of compassion. This presentation proposes and begins to explore questions, such as: “What do we know about possible behavioural differences between men and women that would influence the experience of compassion for themselves and others? Are gender differences more or less significant than other individual differences in CFT? When it comes to CFT, how are learning histories, social mentalities, and psychological flexibility processes considered in terms of gender sensitive treatment? What would gender sensitive CFT involve? What are the possible risks or concerns of gender sensitive treatment approaches to CFT?” These questions will be explored by reviewing the state of the research and exploring related evolutionary, genetic, cultural, social learning and associated behavioural patterns and processes.

This symposium examines fundamental definitions of compassion, and highlights how commitment and acceptance lie at the heart of compassion. Dr. Paul Gilbert will discuss how the acceptance that emerges from a compassionate mind does not mean non-action, but rather involves a courage that may be the fundamental attribute involved in the development of both commitment and acceptance. As blocks to compassionate commitment and acceptance may arise from the function of fear of compassion, Dr. Gilbert will address the major fears of compassion that present in a clinical context and how they can be addressed. Martin Brock, MSc, will discuss ways to enhance sensitivity to, and engagement with, compassion in the process of ACT training through experiential learning. Dr. Dennis Tirch will present a case example of an ACT consistent intervention that focuses on compassion in the treatment of depression and chronic anxiety. Dr. Laura Silberstein will discuss the conceptual and research bases for gender differences in compassion. Discussant, Dr. Jason Luoma, will consider the role of context in compassion and shame from a functional contextualist perspective. As such the historical, personal, genetic, and cultural context in which emotions are situated will be a part of the conversation. Data that relate to this topic will be reviewed.

Educational Objectives:

1. Explain the fundamentals of CFT’s underlying evolutionary theory of emotion regulation, attachment, behavior and cognition.

2. Assess functional dimensions of compassion in a range of contexts such as psychotherapy training, the treatment of depression, and gender differences.

3. Analyze the dynamics of a functional contextualist perspective on compassion.

 

38. ACTing with technology: Intervention trials incorporating the use of mobile and internet technology

Symposium (10:30am-Noon)

Components: Conceptual analysis, Original data

Categories: Clin. Interven. & Interests, Performance-enhancing interventions, Modern technology in ACT-interventions

Target Audience: Intro.

Location: CLB Theatre 2

Chair: Joseph Ciarrochi, Ph.D., University of Western Sydney

Discussant: Chris Horan, D.Psych. Candidate, Australian National University


·How mobile text-messages and the Internet can be of service in delivering an ACT-intervention for achieving smoking cessation

Stella Nicoleta Savvides, Ph.D. Candidate, University of Cyprus

Maria Karekla, Ph.D., University of Cyprus

Modern technology has begun to influence research in psychological fields and more specifically in the field of ACT. Traditional interventions (e.g. psychoeducation, CBT) for smoking cessation have limited success for adolescent groups who are not particularly motivated to quit. ACT for smoking cessation in youth presents with promising results, however more research is still needed. An ACT-based group intervention with the aid of ACT-text messages, involving adolescents (ages 15-18), was compared to a no-messages ACT group. The results show an advantage for the ACT-based messages intervention in increasing psychological flexibility and decreasing smoking (reflected in CO measurements). An ACT-based pilot intervention over the Internet is also investigated with college students, and compared to a psychoeducational internet intervention to determine the usefulness of adapting an established ACT manual for smoking cessation over the internet. It is expected that the ACT-based internet intervention will be more effective for smoking cessation than the psychoeducational internet intervention. Results of these studies will be discussed and implications for future research will be presented.


·Mobile technology fostering ACT-practice in daily life

Tim Batink, Ph.D. Candidate, Maastricht University

Dina Collip, Ph.D., Maastricht University

Marieke Wichers, Ph.D., Maastricht University

ACT teaches us to deal with our experiences in the present moment, in such a way that we can behave according to our values. However, clients do have to get out of their lives and into our therapy-office to learn to work with ACT. Mobile technology can help clients to train with ACT in their natural environment and learn to integrate ACT into their daily lives. In this exploratory study, we are examining the feasibility and effectiveness of a supplementary mobile ACT-intervention combined with experience sampling (a structured diary method) in a small clinical-sample from a broad-spectrum mental health centre. The mobile intervention, delivered by the PsyMate (PDA), will be described, the hurdles we had to overcome will be discussed and preliminary results will be presented. We will conclude with future plans and applications.


·Developing an ACT smartphone intervention with potential high impact

Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center & University of Washington

Julie A. Kientz, Ph.D., University of Washington

Katrina Akioka, B.S., Fred Hutchinson Cancer Research Center

Smartphone behavior change apps are growing exponentially due to their ability to provide low cost interventions directly to users whenever needed and wherever they are located. As an experiential and context-based intervention, ACT has the potential to be a highly impactful stand-alone smartphone-based intervention. Yet a critical challenge is distilling ACT's core processes, metaphors, and exercises into an intuitive, engaging, and accessible smartphone intervention. Responding to this challenge, we recently developed a video and audio-based ACT smartphone intervention for quitting smoking called Smart Quit. This talk describes the process of designing the Smart Quit intervention. The focus will be on the core development principles, intervention goals, storyboarding, selection and recording of exercises and metaphors, and usability testing. Lessons learned and implications for the design of ACT smartphone interventions will be discussed.

In the last decade, technological advancements in mobile connectivity, social networking and computing power have enabled the development of applications that make it easy for clients to apply ACT outside the therapy room, in their natural environment. In order to maximize the potential of these applications and to manage any associated risks, it is important that these interventions are studied carefully. This symposium will look at ACT-interventions incorporating these technologies (texting, internet, pda & smartphone app’s). Experiences on the development of these technology-based ACT-interventions will be shared and preliminary findings will be presented.

Educational Objectives:

1. Apply mobile technology in Acceptance and Commitment Therapy, describing feasibility and effectiveness.

2. Review and evaluate new technologies (text messages and the internet) as a useful and effective modality for ACT delivery.

3. Design a stand-alone ACT smartphone app.

 

39. As Easy as ABC: Using Derived Relational Responding and Psychological Flexibility to Promote Success and Psychological Health in University Students

Symposium (10:30am-Noon)

Components: Original data

Categories: Edu. settings, Performance-enhancing interventions, RFT, Values, Statistics, GRE

Target Audience: Intro.

Location: CLB Theatre 3

Chair: Danielle Moyer, University of Louisiana Lafayette

Discussant: Kelly Wilson, Ph.D., University of Mississippi


·Goals Worth Reaching: Investigating the Impact of a S.M.A.R.T. Goals Intervention with and without a Valued Living Component on Students in an Introductory Psychology Class

Danielle Moyer, University of Louisiana at Lafayette

Emmie Hebert, University of Louisiana Lafayette

Emily Sandoz, Ph.D., University of Louisiana Lafayette

Academic adjustment in college involves both academic success and a sense of belonging in the college environment. The earlier academic adjustment occurs, the stronger its impact on long-term achievement and performance in high stakes, high threat situations. Students' academic adjustment benefits both from opportunities to contact their values and support in setting appropriate goals. The current study will evaluate the impact of goal-setting, values affirmations, and the combination of the two in students in an introductory psychology course. Participants will be exposed to a short intervention involving either writing about a deeply held value, establishing appropriate goals, or both. Their adjustment will then be examined in terms of academic performance, academic belongingness, and psychological wellbeing.


·Raising the Confidence Coefficient: Derived Relational Responding, Statistics Anxiety, and Core Statistics Skills

Emmy Lebleu, University of Louisiana Lafayette

Emmie Hebert, University of Louisiana Lafayette

Mike Bordieri, M.S., University of Mississippi

Emily Sandoz, Ph.D., University of Louisiana Lafayette

Statistics courses are often a major challenge for students in behavioral science degree programs. Many students must take the class multiple times before they can make the passing grade, and the coursework often leads to increased stress and anxiety. Moreover, this increased anxiety is often correlated with poor performance in these courses. The current study offers a method of helping students to better understand statistics based on derived relational responding that may also indirectly target statistics anxiety. Participants engaged in a computer task that trained relational responding to statistics stimuli after completing self-report measures of psychological flexibility and statistics anxiety. The results of this study are intended to illuminate the learning processes involved in learning statistics and what roles statistics anxiety and psychological flexibility play in those processes.


·Don’t Forget to Breathe! The Impact of Flexibility versus Suppression Induction on Preparation for the Graduate Record Examination

Skylar Fusilier, University of Louisiana Lafayette

Shiloh Eastin, University of Louisiana Lafayette

Emmie Hebert, University of Louisiana Lafayette

Emily Sandoz, Ph.D., University of Louisiana Lafayette

The Graduate Record Examination (GRE) presents a significant challenge for many students wishing to attend graduate school in psychology. Most students report marked anxiety associated with the GRE, the avoidance of which can make adequate preparation nearly impossible. Thus, GRE scores are likely to reflect not only a student's skill on the tasks assessed, but also his or her psychological flexibility with GRE-related anxiety. Emerging research suggests that brief interventions can impact psychological flexibility in a way that decreases avoidance and increases engagement. The current study examined the impact of flexibility or suppression-based inductions on GRE practice engagement and performance. Participants were undergraduate and graduate student volunteers with substantial goals for GRE improvement. Preliminary data suggest increased engagement in GRE practice following flexibility-based training and provide support for the dissemination of brief, effective interventions to address GRE-related anxiety.

University students are faced with a number of obstacles and decisions throughout their experience that are both important and sometimes very stressful. The papers in this symposium will examine how Contextual Behavioral Science can be used to facilitate wellbeing and growth in university students as they transition through school and reach important milestones for their academic goals. The first paper will look at the effects of a values-based goal setting intervention on performance in an introduction to psychology class. The second paper will examine an intervention based on derived relational responding designed to aid students in understanding, and possibly lowering their anxiety in, their undergraduate statistics class. Finally, the third paper tackles one of the last big challenges for any student planning to continue their education: the GRE. The role of avoidance in research participation will also be discussed throughout.

Educational Objectives:

1. Apply functional contextual based research to improvement of academic program development.

2. Integrate derived relational responding techniques into programs designed to build student skill repertoires.

3. Discuss methodological challenges related to recruitment and assessment in studies that stimulate avoidant behavior.

 

40. ACT in Developing Nations

Symposium (10:30am-Noon)

Components: Original data

Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Global Mental Health

Target Audience: Intro., Interm., Adv.

Location: Mathews 102 (level 1)

Chair: Ross White, Ph.D., University of Glasgow

Discussant: Ross White, Ph.D., University of Glasgow


·Commit and ACT in Sierra Leone

Beate Ebert, MSc, Private Practice

Ross White, Ph.D., University of Glasgow

Corinna Stewart, BSc, University of Glasgow

Representatives of commit + act visited Sierra Leone in 2012 to deliver workshops in Acceptance and Commitment Therapy to local social workers. Ninety-two people attended workshops in Freetown and Bo. A range of measures were used to evaluate the workshops including the Acceptance and Action Questionnaire-II, the Valuing Questionnaire, the Primary Care PTSD Screen, and the Satisfaction With Life Scale. Individuals completed measures before the workshop, immediately following the workshop, and at three-month follow-up. Data was collected from 46 individuals across all three time-points (50% follow-up rate). Results indicated that there were significant changes across the three time-points in: AAQ-II (p < 0.001), SWLS (p < 0.001) and VQ (p < 0.05) scores. The nature of change and internal consistency scores suggest that the AAQ-II has promise for use in Sierra Leone. Results also support the effectiveness of ACT training for boosting psychological flexibility in people attending workshops.


·ACT as a brief intervention: One versus seven ACT sessions to treat phobia of enclosed spaces

Karen Vogel, BSc, Institute of Psychiatry, Faculty of Medicine São Paulo (presented by Michaela Terena Saban

The phobia of enclosed spaces (and associated avoidance of restraint, confinement and asphyxiation situations) presents particular difficulties in urban centers, where there is a need to share small spaces (elevators, public transportation, airplanes, congested tunnels). This study compared the effectiveness of a brief (one session) Acceptance and Commitment Therapy (ACT) intervention with a seven session intervention to treat phobia of enclosed spaces.

A randomized trial with two parallel groups was performed. After initial evaluation, a sample of fifteen participants received one treatment session using a protocol developed by Páez-Blarrina et al. (2008), whilst another sample of fifteen participants received seven ACT sessions. Beck Depression Inventory (Beck et al, 2002), Clautrofobia Inventory (Gouveia et al, 2008) and IDATE (Spielberger,1979) were the measures used.

Results supported the effectiveness of the ACT brief intervention protocol to treat phobia of enclosed spaces and an increase in levels of psychological flexibility.


·A Study of ACT and Chronic Pain: Alternative Measures

Michaele Terena Saban, Pontifical Catholic University of São Paulo; Psychiatry Institute of Clinical Hospital of São Paulo Medical School

Francisco Lotufo Neto, Psychiatry Institute of Clinical Hospital of São Paulo Medical School

This is a pilot study of Acceptance and Commitment Therapy (ACT) applied to patients with chronic pain in a Brazilian hospital. Based on data of preview studies (Dahl, Wilson & Nilsson, 2004; McCracken, Vowles & Eccleston, 2005; Vowles et al., 2007; Vowles, McCracken & Eccleston, 2007; and Wicksell, Melin & Olsson, 2007) indicating that ACT improves quality of life of this population, it has used an adaptation of Vowles and Sorrell protocol “Live with Chronic Pain: An Acceptance-based Approach” (2007) with the total of eighth sessions intervention applied on three patients, to investigate if the results were similar to the literature. The methodology was a multiple baseline design. Assessments were completed at several timepoints (before, during, post-intervention and follow-up) using questionnaires, observation of the sessions and self-registration of pain episodes. The results indicate that the self-registration measure is effective for monitoring behavioral processes and variables that influence the pain and the quality of life.

The Association for Contextual Behavioral Science (ACBS) is a truly international society that draws members from many corners of the world. The ‘CBS Dissemination in Developing Nations Special Interest Group’ aims to promote the importance of contextual behavioral science for improving mental health in developing nations. This symposium will include presentations on ACT-related research that has been conducted in Sierra Leone and Brazil. Important themes that will be discussed include: the cross-cultural transferability of ACT-related processes, and adaptations that can be made to protocols and assessment tools to meet the needs of local populations.

Educational Objectives:

1. Explain research investigating the implementation of ACT interventions in developing nations.

2. Assess the cross-cultural transferability of ACT-related processes.

3. Discuss adaptations that can be made to ACT protocols and assessment tools to meet the needs of local populations.

 

42. The development and trial of an ACT framework for working with parents of children with disabilities

Symposium (10:30am-Noon)

Components: Original data, Didactic presentation

Categories: Clin. Interven. & Interests, Parenting

Target Audience: Interm.

Location: Mathews 123 (level 1)

Chair: Jeanie Sheffield, Ph.D., School of Psychology, The University of Queensland

Discussant: Jeanie Sheffield, Ph.D., School of Psychology, The University of Queensland


·Development and Trial of an ACT Approach with Parents of Children with an Autism Spectrum Disorder

Kate Sofronoff, Ph.D., School of Psychology, The University of Queensland, Brisbane

Jeanie Sheffield, School of Psychology, The University of Queensland, Brisbane

Koa Whittingham, PhD, Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Psychology, The University of Queensland, Brisbane

Objectives: To develop and trial a brief ACT intervention for parents of children with an autism spectrum disorder (ASD) and to develop a consistent measure of Experiential Avoidance.

Design: Pre- post- and follow-up pilot design plus qualitative data collected.

Participants: Ninety parents of children with ASD.

Method: Participants completed the ACT sessions within two different studies. The data have been combined for the purposes of this presentation.

Results: Qualitative data indicated that parents found the ACT sessions to be extremely useful. Significant increases were found in levels of parent reported adjustment indicators such that they reported lower depression, anxiety and stress after completing the ACT sessions. Parents also reported greater psychological flexibility on the measures of acceptance and mindfulness. It is, however, only by combining these two groups that outcomes can be demonstrated, the effect sizes are relatively small in this population.

Conclusions: ACT is useful for these parents but more work is still to be done on developing sensitive outcome measures.


·Acceptance and Commitment Therapy as an adjunct to an evidence-based parenting intervention for parents of children with acquired brain injury: A randomised controlled trial

Felicity L. Brown, BSc, School of Psychology, Queensland Children's Medical Research Institute, The University of Queensland, Brisbane

Koa Whittingham, Ph.D., Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Psychology, The University of Queensland, Brisbane

Roslyn Boyd, Ph.D., Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland, Brisbane

Lynne McKinlay, MBBS, FRACP, FAFRM, Queensland Paediatric Rehabilitation Service, Royal Children's Hospital, Brisbane

Kate Sofronoff, Ph.D., School of Psychology, The University of Queensland, Brisbane

Objective: Parents of children with ABI experience high levels of psychological distress. This study aimed to determine the efficacy of a parenting intervention, Stepping Stones Triple P (SSTP), combined with an Acceptance and Commitment Therapy (ACT) workshop, in improving child and parent outcomes following pediatric ABI.

Participants: 59 parents of children with ABI.

Method: Participants were randomly assigned to a treatment group (ACT plus SSTP) or a waitlist control group.

Results: Relative to the waitlist group, parents in the treatment group showed significant improvements on measures of child behavioural and emotional functioning, parenting style, parent psychological flexibility, parent distress, and family and couple functioning. The role of experiential avoidance as a mediator of outcomes will be discussed.

Conclusions: ACT-based interventions may be helpful in enhancing experiential acceptance in this population, and when used in conjunction with parenting programs, may have important implications in improving capacity of parents to respond effectively to parenting challenges.


·Improving Outcomes for Families of Children with CP with a Parenting Intervention combined with Acceptance and Commitment Therapy

Koa Whittingham, Ph.D., Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Psychology, The University of Queensland, Brisbane

Matthew Sanders, Ph.D., Parenting and Family Support Centre, The University of Queensland

Lynne McKinlay, MBBS, FRACP, FAFRM, Queensland Paediatric Rehabilitation Service, Royal Children's Hospital, Brisbane

Roslyn Boyd, Ph.D., Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland, Brisbane

Objectives: To establish the efficacy of Stepping Stones Triple P (SSTP) combined with Acceptance and Commitment Therapy (ACT) for families of children with CP.

Design: RCT with three groups (SSTP, SSTP +ACT, waitlist control)

Participants: Sixty-seven parents (97.0% mothers; mean age 38.7 ± 7.1 years) of children (64.2% male; mean age 5.3 ± 3.0 years) with CP

Method: Participants were randomly assigned to; SSTP (10 hours group intervention + 1 hour phone consultations), SSTP +ACT (14 hours group intervention + 1 hour phone consultations) or waitlist control. Primary outcomes were child behavioural and emotional problems and parenting style. Analysis consisted of a series of ANCOVAs.

Results: At post-intervention, relative to the waitlist group parents in the SSTP + ACT group showed significant improvements on a range of measures of child behaviour and functioning and parenting style. In contrast, significant differences between the SSTP alone group and the waitlist group were found for two measured variables only.

Conclusions: Adding ACT to SSTP proved efficacious for families of children with CP.

Parents of children with disabilities experience higher levels of stress and distress than parents of typically developing children. High levels of distress and experiential avoidance impact on capacity to parent effectively. An ACT framework may be particularly useful as a first step in working with this population, in order to enhance psychological flexibility and resilience to meet the ongoing challenges of parenting a child with a disability. This symposium of 3 papers will describe the development of session content, measures, and pilot work of an ACT framework, with parents of children with an autism spectrum disorder, acquired brain injury, and cerebral palsy. The results of 2 randomised controlled trials will also be presented, and limitations and future research directions discussed.

Educational Objectives:

1. Explain how an ACT framework to increase psychological flexibility can be used with parents as a first step in undertaking specific parenting interventions.

2. Describe how a standard ACT measure can be modified and tailored for use with specific populations.

3. Analyze evaluation trials of an ACT intervention in the context of parenting stress and parenting practices.

 

Thursday Afternoon 2:45pm

53. Fundamental research and applications of Relational Frame Theory

Symposium (2:45-4:15pm)

Components: Original data, Conceptual analysis

Categories: RFT, Superv., Train. & Dissem., Prof. Dev., Theory & Philo., Children, Older adults, Cognition, RFT Dissemination

Target Audience: Intro., Interm.

Location: Mathews 107 (level 1)

Chair: Josh Pritchard, Florida Institute of Technology

Discussant: Darin Cairns, Charles Street Clinic, Perth


·A possible target for executive function intervention in older adults: Assessing mutual entailment of temporal relations

Denis O'Hora, National University of Ireland Galway

Catherine McGreal, National University of Ireland Galway

Michael Hogan, National University of Ireland Galway

John Hyland, Dublin Business School

When we report events or stimuli that we have experienced in reverse order, it seems to require mutual entailment of temporal relations. In the morning, we might hear an alarm, then see a person leave their bedroom and report that "she left the bedroom after the alarm". Such processes underlie executive function and this is known to degrade as we age. The current study compared performance of 23 younger (18-23 years) and 23 older (55-81 years) participants on a go/no-go order judgment task. In this task, two stimuli (A...B) were presented in sequence and, in probes, either a “Before” (A Before B) or an “After” (B After A) statement describing the order of the sequence stimuli was presented. Participants responded to confirm the statement (go) or did not respond to disconfirm it (no-go). Correct responses to “After” statements were slower than those for “Before” statements and younger adults responded more quickly and more accurately than older adults. When controlled for Before speed, older adults exhibited greater difficulty with mutual entailment than younger adults. These findings have implications for the understanding of memory and executive function deficits in older adults and suggest that interventions aimed at enhancing or preserving mutual entailment may be appropriate.


·Watering our Roots: Bringing RFT Back to ABA

Josh Pritchard, Florida Institute of Technology

Relational frame theory sprung from the behavioral traditions of BF Skinner as an extension of his interpretive account of language. Currently, it is a subject matter rarely touched upon in many behavior analytic degree programs. Despite its accumulating empirical support, RFT was again excluded from the 4th edition BACB™ task list. As such, it is unlikely to be added to many of the educational experiences of contemporary behavior analysts while obtaining their Master’s degree. In this paper, I will briefly outline the history/origins of applied behavior analysis and its interaction with relational frame theory before touching on the controversy which influences its continual exclusion from “ABA Proper” and an actionable plan to bridge the gap from those practicing in ABA (often in the DD/Autism world). In addition to providing this historical description This paper will be bolstered by my direct experience teaching RFT to graduate students in an ABA Master’s program as well as the inclusion of it in an online curriculum for the same.


·Reversing order and size judgements: Mutual entailment of non-arbitrary stimulus relations

Nicola Brassil, National University of Ireland Galway

Denis O'Hora, National University of Ireland Galway

Ian Stewart, National University of Ireland Galway

A number of studies have demonstrated that reversing order judgements takes time and effort. One suggested reason for this is that temporal order codes must be rewritten during reversal, a second is that the process requires mutual entailment. The current study analyzed reversed size and order judgments. Undergraduate participants (N=40) completed size and order judgement tasks in one of two counterbalanced orders. Acquisition, accuracy and response speed were compared. The size judgements task was learned in fewer trials than the temporal order task. However, once the tasks were learned, no significant difference was found between the two relations in accuracy. Reversal of both magnitude and temporal order relations significantly increased response times, but to a similar extent suggesting that both depended on similar processes, i.e. mutual entailment.


·Reading as derived responding: Exploratory studies in neurotypical, autistic and dyslectic kids

Giovambattista Presti, M.D., Ph.D., IULM University, Milan (Italy)

Melissa Scagnelli, IULM University, Milan (Italy)

Davide Carnevali, IULM University, Milan (Italy)

Melania Mazza, IESCUM, Italy

Federica Catelli, The RFT Lab at IULM University, Milan (Italy)

Relational Frame Theory (RFT) provides both a theoretical and an applied framework to understand language and other related cognitive skills including complex repertoires like reading. One mechanism that RFT enlightens is how symbolic behavior comes to bear and how sound, written word and “meaning” come to be equivalent. In addition it provides a framework to create programs to “teach reading” without directly targeting this behavior. On a theoretical level it challenges Skinner Verbal Behavior’s definition of the textual and taking dictation operant.

We trained neurotypical, autistic, dyslexic and dysgraphic kids who were able to tact (D stimulus) a picture in a conditional discrimination task to match a printed word in uppercase letters (A stimulus) with its picture (B stimulus) and the picture (B stimulus) with its printed word in lower case letters (C). Each stimulus class included three members. So, after testing for mutual and combinatorial entailment relations, we tested also other combinatorial relations namely A-D (reading printed words in uppercase letters), C-D (reading printed words in uppercase letters) and D-A and D-C (choosing uppercase and lowercase printed words conditionally to an auditory stimulus) relations. Correct responses ranged between 95 to 100% in three testing trials thus demonstrating the formation of a four-member class that included reading written words.

Following this first training, new triplets of words were progressively introduced until recombination of previously learned word formed new words. Carefully planning of this re-combinative strategy led to a progressive reduction of the number of trials for reaching master criterion in the A-B/B-C training and eventually to spontaneous reading of words never trained before.

When the subjects’ own writing samples were introduced to form a 6-member stimulus class (sound – printed uppercase word - printed lowercase word – handwritten uppercase word - handwritten lower case word - picture) with an additional training dyslexic and dysgraphic kids were able to read and write under dictation too. Stimulus control strategies were used to overcome problems with particular sign-sound relations that are considered critical for Italian speakers and a sign of dyslexia.

The results replicate and extend the generality of prior analyses of a reading programs based on stimulus equivalence and recombination of units. Differences with previously published researches will be addressed.

Relational frame theory is a pragmatic contextualist account of human language and cognition. This symposium reports recent studies in temporal, deictic and comparison relations. These studies address basic concerns but they also suggest avenues for intervention.

Educational Objectives:

1. Describe recent findings in RFT.

2. Identify novel applications of RFT.

3. Apply RFT findings to novel issues.

 

54. How well does ACT work? Results from recent reviews and meta analysis

Symposium (2:45-4:15pm)

Components: Literature review

Categories: Clin. Interven. & Interests, Reviews and meta analysis

Target Audience: Intro.

Location: Mathews 123 (level 1)

Chair: Maria Karekla, Ph.D., University of Cyprus

Discussant: Jonathan Bricker, Ph.D., University of Washington and Fred Hutchinson Cancer Research Center


·ACT as a “weapon of choice” for health-related problems

Maria Karekla, Ph.D., University of Cyprus

Eleni Karayianni, Psy.D., University of Cyprus

Recent years have seen a rise in clinical trials examining the effectiveness of ACT for a variety of problems. In an effort to examine the efficacy of ACT, several meta-analyses were conducted broadly comparing ACT to CBT. Simultaneously, we have seen the recognition of ACT as an evidence-based treatment for specific conditions such as chronic pain. However, there has not been an examination of the efficacy of ACT as applied to health problems. The present meta-analysis aims to systematically analyze the application of ACT for health-related conditions, emphasizing the identification of mediators of change. A thorough literature search identified all published ACT clinical trials involving health problems (e.g., chronic pain, cancer). Effect sizes were computed quantifying the effectiveness of ACT compared to control conditions (e.g., TAU). Discussion will relate the current evidence supporting ACT as the treatment of choice for health problems, highlighting caveats and areas for future growth.


·The expanding efficacy of ACT: Results from a meta analysis on clinical applications

Jacqueline A-Tjak, MSc, PsyQ and A-Tjak Cursussen

Several meta-analysis have been published on the efficacy of ACT (Hayes et al, 2006; Öst, 2008; Powers et al, 2009). Meanwhile a lot of studies have been published. A meta-analysis limited to the domain of clinical treatment of psychiatric disorders and diagnosable somatic illnesses with accompanying psychological problems is now warranted. In our meta-analysis we analyse around 40 RCT's and rate their methodological quality as measured against the criteria from Öst (2008).


·ACT outcome studies in context: A benchmarking perspective

Matthew Smout, Ph.D., Centre for Treatment of Anxiety and Depression, University of Adelaide, University of South A

While considerable attention in the literature has been given to whether ACT studies are sufficiently methodologically rigorous and demonstrate efficacy over a comparison condition, relatively little attention has been given to the end-state functioning achieved by clients in ACT studies, particularly in comparison to other leading approaches. Here, data from ACT outcome trials will be compared with benchmark studies for different psychological problems. Implications for treatment and further developing ACT protocols will be discussed.

How well is ACT holding up to the measures of good research according to its own criteria and those of the larger scientific community? Now that more and more data become available from well executed controlled trials, meta-analysis and reviews give us an important perspective on what these results mean in a bigger context. Results from two meta-analysis and a review will be presented. The presentations will cover the following:

1) A meta-analysis on the application of ACT for health-related conditions, emphasizing the identification of mediators of change.

2) A meta-analysis of ACT as a clinical treatment of psychiatric disorders and diagnosable somatic illnesses with accompanying psychological problems, with an assessment of methodological rigor.

3) A review on the end-state functioning achieved by clients in ACT studies, in which data from ACT outcome trials will be compared with benchmark studies for different psychological problems.

Educational Objectives:

1. Explain the efficacy of ACT resulting from a meta-analysis investigation for a variety of health related problems.

2. Explain the efficacy of ACT compared to waiting list, placebo therapies and established treatments on four areas of clinical treatments.

3. List for which problems ACT has shown comparable or superior end-state functioning to other leading psychotherapies and for which problems it has yet to achieve this.

 

Thursday Afternoon 4:30pm

59. Functional Contextual Global Health: One Size does not Fit All

Symposium (4:30-5:45pm)

Components: Conceptual analysis, Literature review, Experiential exercises, Didactic presentation

Categories: Theory & Philo., Clin. Interven. & Interests, Clin. Interven. & Interests, Prevention & Comm.-Based, Global Mental Health, Australian Aboriginal population, Functional contextualism

Target Audience: Intro., Interm., Adv.

Location: Mathews 107 (level 1)

Chair: Emma Hanieh, D.Psych., The ACT Centre

Discussant: Matthew Smout, Centre for Treatment of Anxiety and Depression


·Promoting Global Mental Health: The role of contextual science

Ross White, Ph.D., DclinPsy, University of Glasgow

The World Health Organization (WHO) estimates that four out of five individuals living in low and middle-income countries (LMIC) who require treatment for mental, neurological and/or substance use disorders do not receive it. Global Mental Health is an area of study concerned with addressing inequities and inequalities in mental health provision across the globe. WHO policies support the scaling-up of psychiatric services in LMIC despite widespread concerns about the cross-cultural validity of diagnoses and a paucity of evidence to support biomedical theories of mental health disorders. Concerns have been raised that an over-reliance on scaling up psychiatric services has led to insufficient emphasis being placed on social and cultural determinants of human distress. The possibility that consortia of international experts may have served to undermine local experience and expertise is highlighted. The paper will highlight the important role that contextual science can play in promoting mental health in a way that is truly global.


·ACT with the Australian Aboriginal Population

Emma Hanieh, D.Psych., The ACT Centre

This presentation will look at the very important issue of whether or not Acceptance and Commitment Therapy is applicable to Aboriginal people living in remote locations. It will include an exploration of the model as it applies to Aboriginal women and their children facing difficult life circumstances within families and communities. It is designed to raise questions around whether ACT is broadly applicable to all client groups. This presentation is designed for not only professionals working within Aboriginal health, but also those who have a genuine interest in Australia’s remote population.


·Functional-contextualistic view of mental health: General approach

Stanislaw Malicki, Innlandet Hospital Trust, Norway; University of Social Sciences and Humanities, Warszawa, Poland

Modern medicine delivers the message that psychological problems are similar to medical illnesses. Physical health is seen as the absence of disease and, similarly, mental health is seen as the absence of abnormal processes. Current approach to mental health may result in stigma, rejection, devaluation and labeling of patients. The author’s aim is to outline functional-contextualistic approach to mental health. An approach that not only situates psychological problems within the context of personal history and current life circumstances, but also views symptoms as apparently unsuccessful strategies of coping with life problems. The fundamentals of functional-contextualism will be presented, followed by a discussion of their implications for understanding of mental health problems. The practical applications of functional-contextualistic philosophy of health to the relationship between clinicians, clients and their families will also be discussed.

This collection of presentations serves to inform how an approach firmly embedded in functional contextualism may provide a potential and viable alternative to mainstream symptom-focused health provision. The importance of social and cultural factors at both a global level and within populations that are less well researched, such as the Australian Aboriginal population, is explored. Are functional contextualism and Acceptance and Commitment Therapy (ACT) applicable at this level? And if so, what factors need to be taken into account in order to optimally meet the global needs of people in the 21st century? This session serves to be a thought provoking one that encourages us to think outside the box and at an intensely global and adaptive level.

Educational Objectives:

1. Understand the important role that cultural beliefs and practices play in how mental health is conceptualized in different parts of the world.

2. Describe the potential health and mental health issues affecting Australia's Aboriginal population.

3. Discuss the applicability of ACT to a remote Aboriginal population.

 

60. Addressing Complex Clinical Presentations: Processes of Effective Change

Symposium (4:30-5:45pm)

Components: Conceptual analysis, Literature review, Original data, Didactic presentation

Categories: Clin. Interven. & Interests, Performance-enhancing interventions, Superv., Train. & Dissem., Theory & Philo., Panic Disorder & Agoraphobia, Psychotherapy Integration, Motivational Interviewing and ACT, Emotion Regulation

Target Audience: Intro., Interm., Adv.

Location: Mathews 123 (level 1)

Chair: Robert Brockman, M.A. (clinical Psychology), University of Western Sydney, Private Practice - Sydney

Discussant: Jacqueline A-Tjak, PsyQ


·Treating the Treatment-Resistant: A Randomized Controlled Trial of ACT for Treatment-Resistant Panic Disorder and Agoraphobia - Preliminary Results

Andrew Gloster, Ph.D., University of Basel

Rainer Sonntag, MD, Private Practice

Simone Heinze, Dipl.Psych, Technische Universität Dresden

Jürgen Hoyer, Ph.D., Technische Universität Dresden

Georg Eifert, Ph.D., Chapman University

Hans-Ulrich Wittchen, Ph.D., Technische Universität Dresden

Objective: Non-responsiveness to treatment is generally acknowledged, yet seldom systematically addressed. This study examined the malleability of treatment refractory patients using Acceptance and Commitment Therapy (ACT).

Method: A randomized controlled trial; n = 51 cases of patients diagnosed with primary panic disorder and/or agoraphobia with prior state-of-the-art treatment (mean number of previous sessions = 42.2) were treated with an ACT manual administered by novice therapists and followed up for six months. Patients were randomized to either immediate treatment (n = 33) or a four-week wait-list (n = 10) with delayed treatment (n = 8). The brief treatment consisted of only 8 sessions, implemented twice weekly over four weeks. Primary outcome measures were the Mobility Inventory (MI), Clinical Global Impression (CGI), Panic and Agoraphobia Scale (PAS), and the Acceptance and Action Questionnaire (AAQ-II). Numerous secondary assessments were administered that were both consistent with and divergent from ACT theory.

Results: At post-treatment, patients who received ACT reported significantly more improvement than the wait-list on the CGI and PAS (partial eta square: .25 & .14), nearly significant (p < .08) on the MI (partial eta square = .05), and non-significant on the AAQ (partial eta square = .03). Secondary measures were largely consistent with ACT theory, with significant differences between the ACT and WL cases on ACT consistent measures, but not on inconsistent measures. Follow up assessments were obtained from 84% of the sample. Both follow-up and process of change will be analyzed and presented.

Conclusions: Despite a clinically difficult sample, small sample size, and very brief treatment administered by novice therapists, patients reported significantly greater changes in functioning and symptomatology than the wait-list. These data suggest that ACT is a viable treatment option for treatment-resistant patients. This study was one of the first to examine a psychological treatment option for non-response to traditional state-of-the-art psychological treatments; further work in this area is clearly needed. 


·The Relationship between Schema Modes and Psychological Flexibility: Initial data, and exploration of the usefulness of the construct of schema modes as a therapeutic metaphor for use with multi-problem and personality disordered patients

Robert Brockman, University of Western Sydney, Private Practice, Sydney

Schema Therapy sits alongside ACT as a newer form of cognitive and behavioral therapy which is steadily acquiring empirical evidence of efficacy. However, whilst ACT has been acquiring empirical support for use with a very broad range of disorders and problems, the empirical support for schema therapy is generally confined to personality disordered populations, particularly borderline personality disorder, and with impressive early results (Gieson-boo et al 2006, etc.). Meanwhile, there has been increasing interest within ACBS over the past 12 months in the utility of schema therapy constructs and techniques within an ACT/RFT framework (e.g. McKay, Lev, Skeen, & Hayes, 2012). This paper will give a brief overview of the schema mode model of personality disorder before presenting some initial cross-sectional data on the relationship between schema modes and psychological flexibility which demonstrates that psychological flexibility is intertwined throughout the schema mode model. The implications for possible improvements to schema therapy using ACT techniques will be briefly discussed before a more in depth discussion and demonstration of the utility of the use of the mode construct as a clinical metaphor to aid in improving psychological flexibility in multi-problem patients and patients with severe within-session therapy interfering behaviors.


·ACT and MI: Lessons from a Combined Group Intervention

Onna Van Orden, M.A., VA Maryland Health Care System

James Finkelstein, Psy.D., VA Maryland Health Care System

ACT and Motivational Interviewing (MI) have potential as complementary interventions (Wagner, Ingersoll, & Rollnick, 2012; Bricker & Tollison 2011). This paper discusses similarities among ACT and MI as styles that emphasize language, values, and compassion as well as key differences in theory, mechanisms of action, and goals. It will include preliminary data from a novel, combined ACT and MI group intervention within an ACT-based Intensive Outpatient Substance Abuse Treatment Program. Group participants are veterans from diverse backgrounds demonstrating difficulty with abstinence from drugs and alcohol. Pre- and post-intervention assessment includes the Acceptance and Action Questionnaire II and measures of Stages and Processes of Change as described in the Transtheoretical Model of Intentional Behavior Change (Prochaska, DiClemente, & Norcross, 1992). This presentation will include discussion of clinical techniques, lessons learned about the potential “added value” of integrating ACT and MI, and future directions for interventions and research.


·ACT core processes from an emotion, affect, and mood regulation perspective

Michel André Reyes Ortega, Ph.D., México-ACBS & Universidad Iberoamericana Cd. de México

Emotion Regulation is a cognitive, behavioral, contextual and interpersonal process. When ineffective, it can be destructive and diminish life quality. Emotion Regulation has transdiagnostic value and clinical models who targets it can help to develop effective interventions for a wide variety of affective disorders with or without comorbidity. In this paper, an ACT based clinical model is described. The model acceptance and commitment strategies are analized from diferent models of emotion perspectives: Discrete, dimensional, associative, and goal based models are considered.

ACT is known as a treatment that has specific effectiveness for complex presentations and comorbidities. In fact, one of the strengths of ACT is that it can be used to address multiple problems simultaneously using a consistent conceptual model. The next phase of ACT treatment development and research thus will benefit from a clearer conceptualization of how ACT for multi-problem clients may or may not benefit from other models which may be complementary, such as motivational interviewing, emotion regulation, and schema therapy approaches. This symposium will focus not only on clinical applications and outcomes, but more importantly on processes of change that may make work with complex clinical presentations more effective.

Educational Objectives:

1. Discuss and critique viability of using ACT for non-responders to other treatments.

2. Describe the main emotion regulation transdiagnostic processes targeted by Acceptance and Commitment Therapy.

3. Apply the mode construct as a clinical metaphor to more effectively deal with problematic within session behavior.

Thursday Afternoon 4:45pm

63. Evaluating Mindfulness and Acceptance

Symposium (4:45-5:45pm)

Components: Conceptual analysis, Original data

Categories: Theory & Philo., Performance-enhancing interventions, Other, Performance-enhancing interventions, Other, Adolescent, Adult, Non-clinical, Questionnaire validation, Mindfulness

Target Audience: Intro., Interm., Adv.

Location: Mathews 102 (level 1)

Chair: Sue Jackson, Ph.D., Queensland University of Technology

Discussant: Maria Karekla, University of Cyprus, Nicosia, Cyprus


·Flow: A mindful edge in performance

Sue Jackson, Ph.D., Queensland University of Technology

Flow is an optimal psychological state because it involves being totally focused in the present moment. When in flow, nothing disturbs or detracts from this concentrated state. Flow occurs when we are engaged in activities we enjoy, which also extend our capabilities. A present-moment awareness and a focused mindset are key psychological factors for experiencing flow. Awareness and focus can be developed through the practice of mindfulness. The focus on present-moment awareness and taking committed action in the service of identified goals makes ACT a useful model to work from in performance-enhancing settings. Helping performers to identify what is important to them, and then to take action that will help them move towards these goals in a present-focused way is consistent with both ACT and flow-focused interventions. In this presentation, the idea that the flow state associated with high-level performance can be one outcome of being mindful in a challenging situation will be explored.


·Validation of a Chinese version of the Acceptance and Action Questionnaire II in four non-clinical student or employee samples

Yang Ji, Institute of Psychology, Chinese Academy of Sciences

Zhuohong Zhu, Institute of Psychology, Chinese Academy of Sciences

The Acceptance and Action Questionnaire II (AAQ-II) was translated (into Chinese), revised, and validated. Across four samples (college-students, employees, or crisis-influenced college-students), exploratory and confirmatory results were satisfactory, general response model illustrated sufficient individual item information, and item three and seven were age-specific in functioning. In most cases, the AAQ-II correlated well with constructs relevant/similar to psychological flexibility (fusion/mindfulness/meaning/rumination), psychological wellbeing (general-symptoms/depression/anxiety/life-satisfaction/post-traumatic stress), and medical condition; predicted psychological indicators with higher incremental variances to alternative measures. Yet, mixed correlation results were found in subscale measures of meaning (MLQ) between crisis-influenced and uninfluenced samples; and incremental validities fell short when AAQ-II was compared with fusion (CFQ) or meaning (MLQ) measure in predicting life satisfaction, depression, or anxiety in student or employee samples. Studies suggested good psychometric properties of the AAQ-II supporting the ACT pathological model, but the AAQ-II requires additional measures to fully capture the construct of psychological flexibility across groups.

This symposium explores focusing on the present moment, values and acceptance as processes central to Acceptance and Commitment Therapy. Two perspectives will be presented. The first analyzes the relation between the concept of flow and being engaged in the present moment. The second presentation presents preliminary data on the validation of the AAQ scale in a Chinese population.

Educational Objectives:

1. Explain the conceptual model of flow and the similarities between a mindful state and a flow state.

2. Design an experiment to test Mindfulness effects in the lab.

3. Compare the AAQ-II with alternative measures pertinent to ACT model or similar in psychological construct.

 


Symposia Detail ● Friday ● July 12

 Friday Morning 9:00am

71. Do you have to be cognitively flexible in order to be psychologically flexible?: ACT for those with cognitive impairment

Symposium (9:00-10:15am)

Components: Conceptual analysis, Literature review, Original data, Case presentation

Categories: Clin. Interven. & Interests, Theory & Philo., Acquired Brain Injury, Cognitive Impairment

Target Audience: Interm.

Location: Mathews 102 (level 1)

Chair: Joseph Ciarrochi, Ph.D., School of Social Sciences and Psychology, University of Western Sydney, Australia

Discussant: Darin Cairns, The Cairns Psychology Group


·The utility of ACT in enhancing psychological flexibility for individuals with acquired brain injuries (ABIs)

Maria Kangas, Ph.D., Centre for Emotional Health, Department of Psychology, Macquarie University, NSW

To date, the efficacy of traditional Cognitive Behavioural Therapy (CBT) in treating emotional problems in cognitively impaired, ABI samples has demonstrated variable outcomes. In particular, cognitive restructuring, a meta-cognitive and core component of CBT is potentially challenging for persons with cognitive impairments. To this end, ACT may offer a compatible alternative in enhancing psychological flexibility in persons with ABIs experiencing psychosocial problems. In this presentation, a conceptual evaluation of the ACT model will be presented, specifically in terms of how each of the core components may be applied to persons with ABIs. A case presentation (based on a depressed and anxious adult diagnosed with a brain tumour), will be used to illustrate the potential utility of adapting each of the 6 core processes to enhance psychological flexibility and facilitate individuals to engage (or re-engage) in living a purposeful life following an ABI.


·The relationship between cognitive flexibility and psychological flexibility after acquired brain injury

Diane Whiting, School of Psychology, University of Wollongong; Liverpool Brain Injury Rehabilitation Unit

Frank Deane, Prof., School of Psychology, University of Wollongong, Australia

Joseph Ciarrochi, Prof., School of Social Sciences and Psychology, University of Western Sydney, Australia

Hamish McLeod, Ph.D., Institute of Health and Wellbeing, University of Glasgow, Scotland

Grahame Simpson, Ph.D., Liverpool Brain Injury Rehabilitation Unit, Liverpool Hospital; Rehabilitation Studies Unit, University of Sydney

Aim: This presentation will explore how the constructs of psychological and cognitive flexibility interact in individuals with an acquired brain injury.

Method: A total of 75 participants with an ABI were recruited from Liverpool Brain Injury Rehabilitation Unit and administered self report measures of mood, psychological flexibility (using measures of acceptance and action: AAQ-II & AAQ-ABI), avoidance and neuropsychological measures of cognitive flexibility on average 21 months after their injury.

Results: The measures of psychological flexibility correlated with measures of psychological distress in the predicted direction with higher levels of psychological flexibility significantly associated with lower levels of psychological distress. Functional measures of cognitive flexibility that assess the ’ability to shift’ were not related to psychological flexibility or distress. Broader measures of cognitive flexibility that capture additional cognitive processes were correlated with psychological flexibility but this relationship became nonsignificant when general intelligence was controlled.

Conclusions: Psychological flexibility does not appear to be related to cognitive flexibility, once general intelligence is considered.


·Using ACT with the cognitively inflexible: A case study

Dana Wong, Ph.D., School of Psychology and Psychiatry, Monash University, Victoria

This presentation will illustrate how ACT can be used in clinical practice with clients who have limited cognitive flexibility. The case of a 38 year old male who suffered a severe traumatic brain injury (TBI) in a pedestrian versus train accident will be discussed. “Simon” has a longstanding history of depression, and from a cognitive perspective demonstrates impairments in speed of processing, visuospatial abilities, visual memory, and executive functions including idea generation and cognitive flexibility. ACT was used in a one-year period of psychological treatment early after injury, and then again four years later. ACT strategies were adapted to compensate for his specific areas of cognitive difficulty. While his cognitive inflexibility presented several challenges for therapy, the application of ACT for depression in this case resulted in an increase in subjective mood ratings, and achievement of a range of occupational, recreational, and psychosocial goals in line with his values.

This symposium will explore Acceptance and Commitment Therapy (ACT) and the construct of psychological flexibility in the context of individuals with an acquired brain injury (ABI), who often display impairments in cognitive flexibility. Psychological flexibility is the desired outcome for treatment modalities such as ACT and is considered a fundamental component of psychological health. It is proposed that cognitive flexibility is a component of psychological flexibility, but there is limited evidence that aids our understanding of whether individuals with an ABI are able to improve their psychological flexibility. The symposium will incorporate three presentations: (1) A conceptual review of ACT and how it might be applied with people with ABI, (2) the presentation of empirical evidence exploring the relationship between psychological flexibility and cognitive flexibility and (3) a case presentation illustrating how ACT can be used in a person with traumatic brain injury.

Educational Objectives:

1. Understand and critique the components of ACT as they apply to individuals with cognitive impairment.

2. Analyze the extent to which cognitive flexibility impacts psychological flexibility.

3. Modify ACT for use with individuals with cognitive impairment.

 

72. Contextual Medicine Special Interest Group Symposium 2: Cutting edge data, current directions toward coherent clinical care

Symposium (9:00-10:15am)

Components: Conceptual analysis, Original data, Didactic presentation

Categories: Related FC approaches, Beh. med., 5HT, Pain

Target Audience: Intro., Interm., Adv.

Location: Mathews 107 (level 1)

Chair: Andrew T. Gloster, University of Basel

Discussant: Rob Purssey, MBBS FRANZCP, Private Practice and University of Queensland


·5HTT is Associated with Psychological Flexibility: Preliminary Results from a Randomized Clinical Trial

Andrew T. Gloster, University of Basel

Hans-Ulrich Wittchen, Technische Universität Dresden

Jürgen Deckert, University of Würzburg

Andreas Reif, University of Würzburg

Background: Research on flexibility may be instrumental in pinpointing evolutionary advantageous pathways To date, however, genetic and psychological theories of flexibility have existed largely separately. We therefore tested the importance of the interaction between psychological flexibility and the serotonin transporter (5HTT) that influences gene expression and has been associated with faster information processing.

Method: We tested whether the polymorphism (La/La vs. not La/La) impacted therapy response as a function of various endophenotypes (i.e., psychological flexibility, and other more established variables such as panic attacks, agoraphobic avoidance, general anxiety symptoms & anxiety sensitivity). Patients were recruited from a large multicenter randomized controlled clinical trial (n=160 treatment completers; n= 190 intent to treat). These patients were examined for pre-treatment to post-treatment changes across endophenotypes.

Results: 5HT polymorphism status (La/La vs. not La/La) differentiated pre-treatment to post-treatment changes in the endophenotype psychological flexibility (effect size difference d = 4.67, F = 8.9, p < .003), but none of the other tested endophenotypes (i.e., panic attacks, agoraphobic avoidance, general anxiety symptoms & anxiety sensitivity). This pattern was consistent for both completers and the intent to treat sample.

Conclusion: Based on the consistency with existing theory on behavioral flexibility, the specificity of the results across endophenotypes, and the consistency of results across analyses (i.e., completer and intent to treat) we cautiously conclude that 5HTT polymorphism and the endophenotype psychological flexibility represent an important explanatory variable involved in the treatment of PD/AG. If replicated and extended in other samples, the endophenotype psychological flexibility may help bridge genetic and psychological literatures.


·Chronic pain: From diagnosis to function, from management to multi-professional rehabilitation, a functional contextual medicine approach

Graciela Rovner, RPhT, MSc, BSc, Rehabilitation Medicine, Sahlgrenska Academy at Gothenburg University, Göteborg, SWEDEN

Graciela will present embryonal research in physical therapy and multi-professional pain rehab, exploring indicators, markers, and predictors building an algorithm to better assess and allocate patients in rehabilitation programs (in groups) and predict their outcomes. She will have preliminary data to explore from Swedish multi-professional ACT-based pain rehabilitation clinics (from a National registry) as well as from an ACT-based physical therapy trial conducted at a primary care setting in western Sweden.


·Individual differences influence quality of life in asthma patients: The role of anxiety, experiential avoidance, and gender

Maria Karekla, Ph.D., University of Cyprus, Nicosia, Cyprus

Maria Stavrinaki, MSc, University of Cyprus, Nicosia, Cyprus

Elena Hanna, B.S., University of Cyprus, Nicosia, Cyprus

Tonia Adamide, MD, Pneumonological Clinic, Nicosia General Hospital, Nicosia, Cyprus

Giorgos Georgiades, MD, Pneumonological Clinic, Nicosia General Hospital, Nicosia, Cyprus

Natalie Pilipenko, M.A., Ferkauf Graduate School of Psychology, Yeshiva University, New York, USA

Asthma is a chronic inflammatory disease of the airways, resulting in airflow obstruction. Research emphasizes the influence of individual differences on the quality of life (QOL) of asthma patients. The aim of our study was to explore how gender impacts upon QOL, whilst measuring the role of three levels of anxiety: non-clinical, sub-clinical, and clinical. The extent to which experiential avoidance moderates this association was also investigated.

 Two hundred and four asthma patients (136 women) from the Nicosia general hospital completed a packet of questionnaires including the AQLQ, the PHQ, and the AAQ-II.

Results showed that women with asthma report poorer asthma-specific QOL compared to asthmatic men. Women in all three anxiety levels reported lower QOL on three of the four subscales.

These results may aid in the design of personalized health care programs which take into account both the psychological factors associated with and gender of asthmatic patients.

Contextual Medicine seeks to integrate functional contextual behavioral science with models and language familiar to medical practitioners to address human physiology, neuroscience, and medicine generally. Further CM SIG aspires to connect the broader field of evolutionary science to impact public health, socio-cultural, and economic issues relevant to all human health and wellbeing including research, and all clinical practices, including those of prescribing and using medications. This inaugural CM SIG symposium hopes to lay the foundations, map out a seamless strategy integrating biological, behavioral, and cultural perspectives, critically examine from an evolutionary perspective where current mainstream mechanistic directions are leading us, and offer hope with evidence of recent applications of an integrated contextual physical/psychological approach within the clinical medical areas of asthma management and pain rehabilitation.

Educational Objectives:

1. Explain the importance of psychological flexibility in the treatment of PD/AG.

2. Design personalized health care programs which take into account both the psychological factors associated with and gender of asthmatic patients.

3. Analyze tools for diagnosing and predicting outcomes for physical therapy rehabilitation patients.

 

73. The effect of brief component ACT training on personally relevant issues

Symposium (9:00-10:15am)

Components: Original data

Categories: Prevention & Comm.-Based, Clin. Interven. & Interests, Prevention & Comm.-Based, Self-as-context, Defusion

Target Audience: Interm., Adv.

Location: Mathews 123 (level 1)

Chair: Andreas Larsson, Swansea University

Discussant: Emily Sandoz, Ph.D., University of Louisiana Lafayette


·Self as Context increases recall of self threatening information

Louise McHugh, Ph.D., Swansea University

Kali Barawi, School of Psychology, University College Dublin

Ates Erdogan, School of Psychology, University College Dublin

Jo Saunders, School of Psychological Sciences and Health, Strathclyde University

Previous research has suggested that we tend to show impaired memory for self threatening information, an effect known as mnemic neglect. Mnemic neglect is believed to be due to shallow processing or inhibition of self threatening information. Mnemic neglect, however, could be an example of emotional avoidance which we attempted to reverse with self as context training. Participants either participated in a short self as context intervention or unfocused distraction before being asked to read behaviours that differed on how central to the self they were and on valence. Participants were then asked to recall those behaviours. We found that recall of self threatening information was increased following the self as context intervention but not unfocused distraction. We also found a more general memorial improvement with other information relevant to the self showing improved recall following self as context training particularly forperipheral information. We suggest that self as context overcomes the emotional avoidance normally associated with self threatening information as well as increasing memory performance more generally.


·Self as Context reduces halluncination like experiences in undergraduate students

Orla Moran, School of Psychology, University College Dublin

Andreas Larsson, Swansea University

Louise McHugh, School of Psychology, University College Dublin

The impact of self as context work with individuals with psychosis has received much interest over the last few years. However, the effects of such interventions on individuals experiencing psychotic-like symptoms who may be ‘at risk’ of developing psychosis has so far sparked little research. The current study aimed to look at the effects of self as context training on a group of individuals from a nonclinical population who report hallucination-like experiences. In particular, the aim was to look at the effects of the self as context training on the distress and anxiety caused by these hallucination-like experiences, along with the frequency and intrusiveness of the experiences. Participants were recruited for the study based on their scores on the Launay Slade Hallucination Scale-Revised (LSHS-R). Fifteen participants were randomly allocated to either the mindfulness intervention or the no intervention control group. Participants were required to fill out six pre and post experimental self-report measures. The results indicated a significant reduction in the distress and anxiety associated with the hallucination-like experiences for the self as context intervention group. There was also a significant decrease in the reported frequency and intrusiveness of the experiences. The results of the current study highlight the potential efficacy of providing self as context training to those who may be ‘at risk’ of developing psychosis.


·Negative thinking, bang for your buck?

Andreas Larsson, Swansea University

Nic Hooper, Ph.D., Middle-Eastern Technological University

Paul Bennett, Swansea University

Louise McHugh, School of Psychology, University College Dublin

A central part of psychotherapy involves providing patients with coping strategies for negative thoughts. Two contemporary techniques for coping with negative thoughts are cognitive restructuring and cognitive defusion. Across two studies we aimed to compare the relative effectiveness of these two strategies. Both studies were identical with the exception of delivery (i.e., one to one vs. online). In both studies participants were either provided with a cognitive restructuring, defusion or no instruction control technique to manage a personally relevant negative thought. Across a five-day period participants were reminded, via SMS messages, to use their assigned strategy in managing the thought. Participants were also required to complete a daily online questionnaire assessing the total amount of unwanted thought intrusions and their level of willingness to experience the unwanted thought. Before and after the five-day period, participants reported the (1) believability, (2) comfort, (3) negativity and (4) willingness to experience their unwanted thought. The results indicated that both restructuring and defusion were effective in decreasing the believability and negativity, and increasing comfort and willingness to have the negative thought. Further analyses suggested that defusion tended to be more helpful than restructuring across all four domains and both delivery methods. The findings are discussed in terms of the efficacy of using defusion as a strategy for managing unwanted thoughts.

The current symposium comprises of three empirical papers. The unifying concern of which is to demonstrate the effect of brief component ACT training on clinically relevant issues such as memory for threatening information or hallucination like experiences. Paper 1 investigates the impact of a self as context intervention on memory of self-threatening information. The findings suggest that memory is enhanced by brief self as context training. Paper 2 looks at the effect of brief self as context training on hallucination like experiences in undergraduate students. The results support the utility of self as context training in reducing believability but not the occurrence of hallucination like experiences. Finally, Paper 3 compared the use of cognitive defusion and cognitive restructuring in two studies and using different delivery methods: face-to-face or posted online. Results indicate that although both methods are better than control, defusion is the more efficient technique. Together the symposium demonstrates that the effectiveness of individual components of the ACT model are altering clinically relevant behaviors.

Educational Objectives:

1. Demonstrate the effect of brief component ACT training on clinically relevant issues such as memory for threatening information or hallucination like experiences.

2. Explain how different different delivery forms for ACT component training can result in different outcomes.

3. Describe differences in the effect of Self-as-Context training for self-threatening information or hallucinations.

 

Friday Morning 10:30am

79. Implementation of ACT with serious mental illness

Symposium (10:30am-Noon)

Components: Conceptual analysis, Original data, Didactic presentation, Case presentation

Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, ACT and Serious Mental Illness (Psychosis and Bipolar Disorder)

Target Audience: Interm., Adv.

Location: Mathews 107 (level 1)

Chair: Neil Thomas, Brain and Psychological Sciences Research Center, Swinburne University, Melbourne, Australia

Discussant: Eric Morris, South London and Maudsley NHS Foundation Trust


·The role of service user co-facilitators in delivering ACT for Recovery group interventions

Emma O'Donoghue, South London and Maudsley NHS Foundation Trust/Kings Health Partnership

Lucy Butler, South London and Maudsley NHS Foundation Trust/Kings Health Partnership

The ACT for Recovery project will assess the feasibility of training service user co-facilitators to deliver ACT psychosis (ACTp) workshops for clients and caregivers. Study one will collect preliminary data on service use and the economic impact of the intervention, in order to establish its cost-effectiveness in a larger study. We will also conduct the first randomized controlled evaluations of ACTp workshops for both service users and caregivers. Study two will qualitatively explore both the experiences of service user co-facilitators of being trained to deliver ACTp workshops and the experience of client and caregiver participants attending the workshops. Preliminary data on the role of disclosure from service user co-facilitators on processes such as stigmatization, perspective taking and defusion will be explored.


·What's happening inside ACT for psychosis sessions?: Consumer reports and session ratings from the Lifengage RCT

Tory Bacon, La Trobe University

John Farhall, La Trobe University

We examined the theoretical underpinnings of ACT by exploring its active therapeutic processes in its application to psychosis. Study one investigated the active therapeutic role of ACT for psychosis (ACTp) from a client’s perspective and its congruence with the underlying theoretical processes. Mindfulness, defusion, acceptance and values work were described as the most useful therapy components and as contributing to positive changes. Self-rated frequency of symptoms did not change, however a reduction in the intensity and distress associated with symptoms was reported. Study two objectively measured ACT-related in-session verbal behavior, the uptake of the ACT processes by participants and associations with outcome. All ACT components were active in sessions. Greater uptake of ACT processes in-session was related to positive outcome. Together these findings are consistent with the underlying theoretically defined, active components of ACT for individuals experiencing persistent symptoms of psychosis. Both studies also provide rich clinical data for the application of ACT in psychosis.


·Pole to Pole: The development of an ACT-based resource for Bipolar Disorder

Gordon Mitchell, Department of Clinical Psychology, Stratheden Hospital, Fife, Scotland

Pole to Pole is an approach designed for people with a diagnosis of bipolar disorder; the people in their lives (i.e. family and friends); and professionals who work with people with bipolar disorder (e.g. healthcare workers). The approach is based upon the principals of ACT and has been developed in collaboration with a local bipolar support group. The name Pole to Pole simultaneously recognises the bipolar nature of emotional experience and the concept of exploring this experience. The approach consists of a resource pack, containing activities to explore experiences and values, which people are guided through in three group sessions. The sessions are designed to help people to reflect openly on their experiences of bipolar, whether directly or as a carer, and to communicate about the impact the condition has had in their lives. We also include experiential exercises in the sessions to deliver concepts such as acceptance and valued-living.

The role of psychological flexibility has been shown to be important in the development and maintenance of serious mental illness. Evidence is emerging of the effectiveness of ACT-based interventions for such problems. This symposium aims to present current implementations in ACT for serious mental illness, including bipolar and psychotic disorders. All three projects focus particularly on service user involvement and incorporating their experiences in the development of ACT for psychosis (ACTp) interventions. The first presentation will introduce the ACT for Recovery project, and discuss the practical benefits of training service user co-facilitators to deliver ACT workshops. The second will present the Lifengage project and discuss the active therapeutic role of ACTp from a clients’ perspective and its congruence with ACT theoretical processes. Keeping with the theme, the third presentation will discuss the practical application of ACT for people with a diagnosis of bipolar disorder and their caregivers in the Pole to Pole project.

Educational Objectives:

1. Implement ACT interventions for clients with serious mental illness and their caregivers.

2. Discuss emerging evidence of ACT interventions in serious mental illness.

3. Examine practical benefits of training and working with service user co-facilitators and consultants.

 

80. ACT for the next generation: A series of research papers with children and adolescents

Symposium (10:30am-Noon)

Components: Original data, Didactic presentation

Categories: Clin. Interven. & Interests, Edu. settings, Prevention & Comm.-Based, Adolescent Mental Health, Children

Target Audience: Intro., Interm.

Location: Mathews 123 (level 1)

Chair: Julian McNally, Private Practice

Discussant: Giovanni Miselli, AUSL Reggio Emilia


·The importance of mediational analysis for enhancing adolescent mental health in the classroom

Tamar Black, Monash University

Dr. Glenn Melvin, Centre for Developmental Psychiatry and Psychology, Monash University

Louise Hayes, Ph.D., Orygen Youth Research Centre, University of Melbourne

There have been few school based studies investigating the effectiveness of ACT with adolescents, and to date only two using ACT as part of a universal intervention. Research with adults has demonstrated that there are different mediators associated with changes for ACT and CBT. Participants in this study were Year 9 students in two Australian schools (N = 98) who were randomly allocated to either ACT or CBT as part of the regular school curriculum, and participated in an 8 week intervention during regular class time. The first objective of the current study was to investigate the relative efficacy of ACT compared to CBT. Initial results suggested that there were no significant effects of either intervention, at post or at the 6 and 12 month follow-up assessments. The second objective was to investigate the impact of psychological flexibility and describing one’s experience (a mindfulness sub-factor) on depression, psychological inflexibility, and self-efficacy as intervention outcomes for each intervention. Models of expected change were analysed using multiple regression analysis. Results suggested that there were different mediators associated with outcomes for the ACT and CBT interventions. Describing one’s experience was more strongly associated with general self-efficacy and academic self-efficacy for the ACT group than for the CBT group. For both groups, describing one’s experience was negatively associated with depression and psychological inflexibility. However, for the CBT group, describing one’s experience had a stronger negative association with depression, and for the ACT group, describing one’s experience had a stronger negative association with psychological inflexibility. The significance of these mediational findings will be discussed.


·Cool-Mind and Mind-Chill: ACT group based protocols using a CBT framework for children and young people with anxiety

Karen Hancock, Ph.D., The Children's Hospital at Westmead

Angela Dixon, Ph.D., The Children's Hospital at Westmead

Jessica Swain, University of Newcastle

Cassandra Hainsworth, The Children's Hospital at Westmead

Siew Koo, The Children's Hospital at Westmead

Karen Munro, The Children's Hospital at Westmead

While ACT treatment protocols are increasingly being developed for adults, those for children are lacking, with even fewer that have been empirically evaluated. This presentation describes an evidence-based ACT adaptation of the Cool Kids ® and Chilled ® programs, which are widely used scientifically evaluated CBT programs. Cool-Mind (for ages 7-11 years) and Mind-Chill (12-17 years) are 10 week ACT manualised programs that have recently been evaluated under a randomised clinical trial. They incorporate all six components of the ACT model. Examples of these concepts and activities for children are demonstrated in this presentation. Each session commences with a mindfulness exercise with children and parents before separating into parent and child groups. The concept and activities related to fighting fear in the CBT program are replaced with acceptance. Cognitive restructuring strategies are replaced with cognitive defusion strategies, with children learning “mindful thinking” as opposed to “detective thinking” or “realistic thinking”. The “mindful thinking worksheet” and other activities also encompass values. Committed action is addressed through the use of exposure via stepladders, with willingness being used as a guide for step progression. Not only was the program found to be a feasible treatment option for children with anxiety, it was positively evaluated by parents and children.


·Randomized Controlled Trial of Acceptance and Commitment Therapy (ACT) versus Cognitive Behavioural Therapy (CBT) and wait list control for children and adolescents with anxiety disorders

Karen Munro, The Children's Hospital at Westmead

Cassandra Hainsworth, The Children's Hospital at Westmead

Karen Hancock, Ph.D., The Children's Hospital at Westmead

Jessica Swain, The University of Newcastle

Angela Dixon, The Children's Hospital at Westmead

Siew Koo, The Children's Hospital at Westmead

There is a paucity of research investigating the effectiveness of ACT for children with anxiety disorders. To the researcher’s knowledge, this is the largest trial of ACT in the treatment of children and young people, and the first RCT in this group. The aim of the study was to compare the efficacy of ACT versus CBT in children and adolescents with anxiety disorders. This study block randomised 198 children with one or more DSM-IV anxiety disorders to one of three conditions (ACT, CBT or waitlist control) in a clinical environment at The Children’s Hospital at Westmead, Sydney, Australia. The ACT group underwent a 10 week group-based program that the researchers adapted from an evidence-based CBT program (Cool-Mind/ for children/Mind-Chill for adolescents, adapted from Cool Kids ®/Chilled®). The CBT group underwent the Cool Kids/Chilled program. Controls received the CBT program after a 10 week wait-list period. There were 158 completers (55 in ACT, 57 CBT, 46 controls) aged 7-17 years. Participants were assessed pre-treatment, post-treatment and three months post-treatment (except controls who were assessed 10 weeks apart pre-treatment) on the Anxiety Disorders Interview Schedule for Children (version 4), the Multidimensional Anxiety Scale for Children, The Child Depression Inventory, The Child Behaviour Checklist, The Children’s Anxiety Life Interference Scale – Child Form and The Avoidance Fusion Questionnaire for Youth. Adolescents were also assessed on the Child Acceptance and Mindfulness Measure, the Toronto Alexithymia Scale, and the Positive Affect Negative Affect Scale. Main outcomes and mechanisms of change will be presented, with implications for treatment discussed. These results provide empirical evidence for the efficacy of ACT as a viable alternative to CBT in children and young people with anxiety disorders.

If ACBS is to have greater community influence, then an important step is to test outcomes for ACT with young people and parents. This series of papers will investigate progress with children and adolescents across a range of settings. The first paper presents outcome data from an RCT comparing the efficacy of ACT versus CBT in children and adolescents with anxiety disorders, while the following paper will present the development of this intervention. The remaining two papers are adolescent universal studies. First, one paper shows how ACT principles were used to strengthen a universal group-based parenting intervention for parents with 11-13 year old adolescents. Then the symposium concludes with a paper regarding meditational data looking at processes of change from a school based trial, also with adolescents.

Educational Objectives:

1. Discuss the benefits and limitations of universal interventions with adolescents in schools.

2. Implement ACT interventions for children and young people using a CBT framework.

3. Describe the applicability of ACT for children between ages 7 and 17 years.

 

81. Applications of Contextual Behavioural Science to the Workplace

Symposium (10:30am-Noon)

Components: Conceptual analysis, Experiential exercises, Didactic presentation

Categories: Org. Beh. Management, Performance-enhancing interventions, Leadership Development, Workplace Bullying, Workplace Safety

Target Audience: Interm.

Location: Mathews 309 (level 3)

Chair: Rachel Collis, Queensland University of Technology

Discussant: Paul Atkins, The Australian National University


·Workplace Bullying and ACT: Typical ‘Thoughts and Feelings’ of Targets

Mike Richards, Private Practice

At least 30% of workers have been or will experience workplace bullying, many of whom will seek counselling to alleviate the traumatic impact of their experiences. However, the lack of targeted knowledge and awareness in mental health professionals of the negative consequences of workplace bullying (Sespico, Faley, and Knapp, 2007; Namie and Namie, 2003) may limit their ability to respond effectively, further entrenching the client’s feeling of ‘stuckness’ and ability to make safe and committed change. Targets of workplace bullying will typically cognitively fuse with a range of specific ‘thoughts and feelings’ to make sense of their situation. This fusion may unconsciously limit their ability to take in new information, connect with others and act in ways to limit their suffering. This presentation will present a range of common thoughts and feelings which targets of workplace bullying experience. This increased awareness may facilitate the mental health professional’s ability to help their client ‘defuse’ from thoughts and feelings towards effective intervention and change in the client’s situation.


·Facilitating Front Line Manager Performance through ORBs (Organizationally Relevant Behaviors)

Sonja Batten, Ph.D., US Dept of Veterans Affairs

Daniel J. Moran, Ph.D., Pickslyde Consulting

Front-line managers hold a tremendous amount of day-to-day responsibility, but usually do not have much guidance on how to use their management styles and practices to directly improve performance of individual employees. What if, rather than focusing by default on supervisee behaviors, procedures, and policies, the manager was trained to focus more specifically on those behaviors for the individual supervisee that have the most organizational relevance? In vivo feedback and reinforcement in the workplace are essential, but many supervisors are lacking guiding principles to help them focus on reinforcing the behaviors that would be most useful to the team and to the organization. This presentation will describe a model that builds on the principles of Functional Analytic Psychotherapy, but shifts the focus from Clinically Relevant Behaviors (CRBs) to Organizationally Relevant Behaviors (ORBs). Examples of how ORBs can be harnessed will be provided from the public sector and the private sector.


·Building Safety Commitment

Daniel J. Moran, Ph.D., Pickslyde Consulting

Well-developed safety programs get optimal results when companies have the full commitment of leadership, managers, and front-line workers. A critical but often unanswered question for many safety processes is “How can we increase personal commitment to safety?” Commitment is defined as “acting in the direction of what you care about even in the presence of obstacles.” ACTraining aims to sharpen employees’ understanding of how they can be “acting” in order to improve safety in the organization, and also aims to help employees clarify “what you they about” (values) in order to accelerate safety motivation. In addition, ACTraining aims to increase skills of situational awareness and mindfulness to help employees deal with “the presence of obstacles” that often impede dedication to safety.

Workplaces are complex systems with complex challenges. Contextual behavioral science has much to offer a range of workplace problems. This session will explore three different applications of CBS to workplace situations. Workplace bullying has a significant impact on employees and organizations. How do employees respond to the experience of workplace bullying and how can counselors use ACT to improve client outcomes? Supervisors spend a lot of time and energy trying to influence the behaviour of their direct reports. Could CBS give them a set of guiding principles for what to pay attention to and how to reinforce desired behaviours? OHS staff spend a lot of time and energy trying to improve safety behaviours. How might the introduction of ACTraining impact on both commitment to workplace safety behaviours and situational awareness around safety obstacles?

Educational Objectives:

1. Describe specific ‘thoughts and feelings’ that targets of workplace will overtly or covertly bring to the counselling setting.

2. Give an example of how the concepts of Organizationally Relevant Behaviors (ORB1s and ORB2s) can be applied to enhancing the effectiveness of front-line managers.

3. Utilize mindfulness exercises in order to improve situational awareness in the workplace.

 

Friday Afternoon 2:45pm

86. Innovations in ACT for Smoking Cessation Research: Unipolar and Bipolar Depressed Smokers, a Website, and a Smartphone App

Symposium (2:45-4:15pm)

Components: Original data, Case presentation

Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Smartphone, Website, Bipolar, Depression, Smoking

Target Audience: Intro., Interm., Adv.

Location: CLB Theatre 1

Chair: Jonathan Bricker, Ph.D., University of Washington & Fred Hutchinson Cancer Research Center

Discussant: Steven Hayes, Ph.D., University of Nevada, Reno


·Secondary Analysis of the First Web-based Acceptance and Commitment Therapy for Smoking Cessation: Focus on Smokers with Depressive Symptoms

Helen Jones, University of Washington

Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center & University of Washington

Objective: Smokers with depressive symptoms have more difficulties quitting smoking than the general population of smokers. In order to help smokers with depressive symptoms to quit, the present study examines an original web-based treatment using Acceptance and Commitment Therapy (ACT). The study aimed to determine the users: (1) willingness to experience smoking cues, and (2) 3-months post randomization smoking status. Method: All baseline depressed smokers (n = 94) selected from the main double-blind randomized controlled pilot trial (N = 222) which compared web-based ACT for smoking cessation (webquit.org) with smokefree.gov—a current standard in web-based smoking cessation intervention. Results: While non-significant, participants in the ACT WebQuit.org had suggestively (1) higher willingness to experience smoking cues, and (2) higher quit rates (20% vs. 12%) than in the smokefree.gov control arm. Conclusion: Lack of power from this subanalysis prevents definitive conclusions. However, a fully powered trial of the ACT Webquit.org intervention tailored specifically to depressed smokers could be a promising strategy to help smokers with depressive symptoms to quit smoking.


·ACT for bipolar smokers: Protocol development, feasibility study, and a case presentation

Jaimee Heffner, Ph.D., Fred Hutchinson Cancer Research Center

Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center & University of Washington

Compared to the general population, people with bipolar disorder are two to three times more likely to smoke cigarettes, and those who do smoke are less likely to quit. We developed an ACT intervention that provides an integrative framework to address multiple barriers to smoking cessation among individuals with bipolar disorder, including postcessation negative affect and strong cravings to smoke. Our in-progress treatment development study of ACT for this high-risk population of smokers involves preparation of a treatment manual and pilot testing with a small sample of participants (n=15) to determine whether the intervention is feasible, acceptable to participants, and demonstrates potential for efficacy. This talk will focus on the study rationale and design of the bipolar intervention and provide a clinical case presentation from an actual participant in this 10-session treatment protocol.


·The "SmartQuit" ACT Iphone app for quitting smoking: Live demonstration and pilot randomized trial test

Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center

Julie Kientz, Ph.D., University of Washington

The combination of (1) ACT's potential to boost quit smoking rates over current standard interventions and the (2) delivery of ACT via a smartphone app has the promise to impact many thousands of smokers around the world at low cost. Responding to this potential, we recently completed the "SmartQuit" ACT Iphone app for quitting smoking. In this paper, we will first describe how we created a stand-alone ACT smartphone intervention that integrates innovative video and audio ACT metaphor and exercise content with the tracking, progress feedback, and social networking functions now standard in quit smoking apps. We will show the audience a live video demonstration of the SmartQuit app. Second, we will describe the design and implementation of an ongoing US nationwide pilot randomized trial (N = 160) comparing SmartQuit with a current standard US Government smartphone app called "QuitGuide."

ACT interventions for quitting smoking have recently focused on the high need populations of depressed smokers and the emerging delivery methods of websites and smartphone apps for the general population of smokers. Unipolar and bipolar depressed smokers smoke at about 2-3 higher rates and quit at about half the rate of smokers in the general population. Websites and smartphone apps have the potential to impact many thousands of smokers at low cost. Accordingly, Paper One will present a unipolar depressed smokers secondary analysis of the Webquit pilot trial comparing web-based ACT with a current standard quit smoking website (Smokefree.gov). Paper Two will describe a new in-person ACT intervention for bipolar smokers, present an ongoing feasibility study of the intervention, and provide a recent case presentation from the study. Regarding new methods of delivery, Paper Three will give a live video demonstration of a newly developed ACT Iphone smartphone app, designed for the general adult population of smokers, called "SmartQuit" and describe its testing in an ongoing randomized trial comparing it with a traditional current standard quit smoking app (QuitGuide). Steve Hayes will synthesize the three papers and discuss their implications for the broad base of ACT clinical interventions and research.

Educational Objectives:

1. Explain the testing of web-delivered ACT for quitting smoking among unipolar depressed smokers.

2. Describe the design and clinical application of ACT for quitting smoking among bipolar depressed smokers.

3. Explain how to use an ACT smartphone app for quitting smoking and describe its testing in a randomized trial.

 

90. Exploring adolescent development through the lens of contextual behavioural science: New directions in theory and research

Symposium (2:45-4:15pm)

Components: Conceptual analysis, Literature review

Categories: RFT, Clin. Interven. & Interests, Adolescents

Target Audience: Interm., Adv.

Location: Mathews 107 (level 1)

Chair: Louise Hayes, Ph.D., Orygen Youth Health Research Centre, University of Melbourne

Discussant: Joseph Ciarrochi, Ph.D., University of Western Sydney


·The adolescent self: A functional account of their developing self

Louise McHugh, Ph.D., University College Dublin (UCD)

Louise Hayes, Ph.D., Orygen Youth Health Research Centre, University of Melbourne

Adolescence represents a time of enormous change and testing of concepts of self. The adolescent self is a concept that is widespread in modern psychology and has played either a central or supporting explanatory role in several major theoretical approaches to their development. Despite the popularity of theories of self-development, the adolescent self has remained ill-defined. Recently, however, functional contextualistic (FC) behaviour analysis has provided an account of human language and cognition characterised by precision, scope and depth that allows new insight into the changes that adolescents experience, and how this shapes their sense of self. Functional contextualism and more specifically Relational Frame Theory explain language as relationally framing and the self as the product of framing the behaviour of oneself and others in accordance with perspective taking relations. This paper will introduce the FC / RFT conceptualisation of the self, with specific consideration of adolescent behaviours, changes they experience, and how this impacts on their relationships with parents, peers, and their ability to become psychologically flexible adults.


·Examining the relative influence of self-esteem and self-compassion as predictors of mental health among Australian adolescents

Sarah Marshall, University of Western Sydney

Joseph Ciarrochi, Ph.D., University of Western Sydney

Phillip Parker,

Patrick Heaven,

Despite their conceptual similarities, global self-esteem and self-compassion have been established as distinct constructs. Existing research demonstrates the importance of each for psychological health. Building on the existing literature this study sought to examine the relative influence of self-esteem and self-compassion as predictors of mental health over a one year period. Specifically we administered measures of self-esteem, self -compassion and general health to 2448 adolescents across two yearly time points (Grades 9 and 10). Structural equation modelling was utilised to test whether self-compassion and self -esteem predicted changes in mental health. Additionally we examined the potential interaction between self-compassion and self-esteem. Our findings suggest that both self-esteem and self-compassion predict improvements in mental health over time. Moreover a significant interaction effect was observed. For adolescents who are high in self-compassion, low self-esteem had little influence on mental health. However for adolescents who are relatively low in self-compassion, low self-esteem was strongly associated with poor mental health. We discuss the implications.


·Difficulties Regulating Emotion in Adolescents and the Development of Mental Ill-Health and Psychological Flourishing: A Longitudinal Study

Loch Forsyth, University of Western Sydney

Louise Hayes, Ph.D., Orygen Youth Health Research Centre, University of Melbourne

Phillip Parker,

Joseph Ciarrochi, University of Western Sydney

This study sought to assess what aspect of emotion regulating skill (ERS) was uniquely related to the development of mental health and wellbeing in adolescents. Emotion regulation skill (ERS), in this context, was defined not just as the modulation of emotional arousal, but also the awareness, understanding, and acceptance of emotions and the ability to act in a desired way regardless of emotional state (Gratz & Roemer, 2004). We measured ERS, mental ill-health, and psychological well-being in a two year longitudinal study consisting of 2070 adolescents (1019 males, 1051 females). Structural equation modelling was used to predict relationships between individual emotion regulation strategies and changes in mental illness and wellbeing (social, emotional, and psychological). We found that each of the six emotional regulation skills (awareness, clarity, non-acceptance, strategies, impulses, and goals) significantly predicted some aspect of well-being. However, the most reliable of the six strategies at predicting poor wellbeing and mental health was ‘difficulties engaging in goal directed behaviour.’ Adolescents who can keep working toward their goals even when upset were more likely to report better levels of mental health and wellbeing. Future research will help determine if this relationship changes at different developmental stages and how important early emotion regulation strategies are to later life. These findings will hold importance for all those interested in promoting and maintaining adolescent wellbeing.

This symposium will present theoretical and empirical investigations into adolescent development. Recent advances in RFT, CBS and evolution science have changed how we view adolescence. We are no longer bound by the theories of normative stage based development and instead can reposition adolescence as a time of adaption to context, where context and consequences contribute to flexibility, with much individual variation. These 3 papers present new theoretical discussions and empirical data on psychological flexibility in adolescence.

Educational Objectives:

1. Develop an understanding of the contextual behavioural approach to adolescent development.

2. Understand various components of RFT and adolescence.

3. Discuss factors that contribute to adolescent psychological flexibility.

 

WC11 Posters

Poster files added where available. If you would like your poster file to be added to this list, please email it to Ashley at admin@contextualscience.org [317].
 

Wednesday, July 10th - Poster Session #1 

Wednesday, July 10th - Poster Session #2

 

Wednesday, July 10th - Poster Session #1

1. Psychosocial Characteristics and gender differences among patients with chronic pain: Any difference in functional aspects, as acceptance and fear of movement?
Primary Topic: Beh. med.
Subtopic: Chronic Pain, Acceptance
Graciela Rovner, University of Gothenburg, Sweden

Aim of Investigation: According to the national and international guidelines patients with a certain chronic pain diagnoses (mainly widespread pain) should undergo multimodal rehabilitation based on the bio-psychosocial model. Recent reports remark the knowledge-gap in how to subgroup patients and its lack of evidence when matching the 'right' patient into the 'right' bio-psychosocial pain rehabilitation program. A first step in an evidence-based selection process is to increase knowledge about the patient. Based on the above the aim of this study included the following: 1. to map out the psychosocial characteristics of the patients referred to a pain rehabilitation clinic as reflected with the instruments included in the Swedish National Quality Registry of pain Rehabilitation (SQRP) 2. To study the differences between gender 3. If clinical significant dimensions of acceptance and fear of movement or other relevant areas (as diagnoses, etc.) can be differentiated and assessed with the instruments included in the SQRP. Methods: This study investigates 1371 patients' bio-psychosocial characteristics, their pain experience and gender differences when referred to an Acceptance & Commitment Therapy (ACT)-based pain specialty rehabilitation clinic. Self-report questionnaires included in the Swedish National Registry for Pain Rehabilitation were used: The Multidimensional Pain Inventory, The Chronic Pain Acceptance Questionnaire, Hospital Anxiety and Depression scale, The Tampa Scale for Kinesiophobia as well as three quality of life scales: the SF-36 Health Survey, Life Satisfaction Checklist (LiSat-11), and the EuroQol and sociodemographic and pain-related questions. Results yielded the following main findings. What is new: Significant gender-differences were found in the CPAQ-acceptance subscales. This has not been demonstrated previously. What is already known: The total group's bio-psychosocial characteristics and their experience of pain were in agreement with previous studies. The gender-differences in fear of movement were consistent with previous studies. What is different: Contrary with early research, there were no difference in depression and anxiety between men and women. What is important to keep in mind: The measures of dispersion (SD) gave strong indication that neither the total group nor the gender-divided subgroups were homogeneous. Further research on clinical relevant sub-groups determinant characteristics and differences is imperative. Conclusions: The overall group was quite representative for the pain population referred to a tertiary pain care in Sweden. The measures that could show distinct differences between men and women were pain acceptance and kinesiophobia. The well-established subscales of the MPI did not show any distinct differences between men and women. Newer constructs such as pain acceptance with its two subscales are interesting in that they are less pathological and stigmatizing than other constructs and probably easier to actively influence and change in the ACT-based rehabilitation model. One aspect to take in account is that these constructs, taken alone, explain uni-modal behavioral dimensions. Further research is needed in order to find multidimensional compound-assessment or clusters including these constructs today targeted in the ACT-based and multimodal pain rehabilitation programs offered now in Sweden.

2. Chronic pain: A cohort study in Buenos Aires, Argentina: Psychosocial aspects and gender differences
Primary Topic: Beh. med.
Subtopic: Chronic Pain, Epidemiological Study, Behavioral Medicine, Gender Differences
Maria Jivegård, Medical School, Sahlgrenska Academy at Gothenburg University
Graciela Rovner, Rehabilitation Medicine, Sahlgrenska Academy at Gothenburg University, Göteborg, Sweden

Background: Chronic pain has great impact on individual and society with yearly costs of 87.5 billion SC. Psychosocial and behavioral factors are demonstrated to influence the experience and chronification of pain, but in Argentina this condition is still treated invasively and phamacologically. Pain does not only consist of a physical sensation, but also psychosocial and behavioral components that need to be considered. Aim: Map out patients’ psychosocial status and gender differences. Study the relationship between the main psychosocial variables. Methods: consecutively recruited patients with widespread pain (n=22) at a University hospital pain clinic answered questionnaires included in the Swedish Quality Registry of Pain Rehabilitation, about pain, socidemographics, anxiety and depression (HAD), QoL (SF-36), kinesophobia (TSK-11) and pain-acceptance (CPAQ). Non-parametric tests; Spearman’s rho, Fisher’s exact test, Mann-Whitney U-test, Kruskal-Wallis test were computed with SPSS. Results: The patients median age was 55, 77% of them were women, well-educated and half of them working. They had severe pain in several locations and experienced more restriction in daily activities. Mild levels of anxiety and kinesophobia but low levels of depression and decreased QoL was found. Pain-acceptance was correlated with anxiety, kinesophobia and some areas of QoL. The CPAQ subscale ’pain willingness’ was correlated to all psychosocial dimensions except kinesiophobia. No correlations found with health-care use. Conclusion: Results demonstrate need for a shift to biopsychosocial assessment and consideration of gender differences in development of rehabilitation programs. Pain acceptance might be important to take in consideration and be targeted in treatment. More clinical research is needed to increase awareness on how these aspects may impact in the rehabilitation of chronic pain.

3. Psychometric Properties of the Meaning in Life Questionnaire as a Measure of Values in Patients with Chronic Pain
Primary Topic: Beh. med.
Subtopic: Chronic Pain
Whitney Scott, B.A., McGill University
Elena Bernier, McGill University
Michael Sullivan, Ph.D., McGill University

Research in the field of chronic pain has shown that values-based action is associated with less chronic pain-related distress. However, the assessment of values in chronic pain remains preliminary. For instance, current measures only assess a limited subset of valued domains, and not patients’ more global sense of life purpose. Recent work using the Meaning in Life Questionnaire (MLQ) suggests that both the presence of and search for meaning in life uniquely predict distress in patients with chronic illness. The study describes the psychometric properties of the MLQ in patients with chronic pain. One hundred and seventy-three individuals with chronic pain completed the MLQ and self-report measures of pain intensity, acceptance, and depression. Results indicate that the MLQ has adequate internal consistency, and a two factor structure, reflecting the presence of and search for meaning. Nonsignificant correlations of the MLQ with pain intensity, and significant correlations with acceptance support discriminant and convergent validity, respectively. Hierarchical regression analyses suggested that both the presence of and search for meaning uniquely predict depressive symptoms. Consideration of the distinctiveness of the presence of and search for meaning in life may enhance the current understanding of values among patients with chronic pain.

4. Mindfully Coping with Anxiety
Primary Topic: Clin. Interven. & Interests
Subtopic: Mindfulness, Anxiety
Grant Walker B.A. Hons., Deakin University Melbourne Australia
Helen Mildred, Ph. D., Deakin University Melbourne Australia

The present study examined the efficacy of a mindfulness and acceptance-based intervention for anxiety, and whether the program would have the additional positive outcomes of improving mindfulness, distress tolerance, and adaptive coping. A quasi-experimental open clinical trial utilising a Mindfulness and Acceptance and Commitment Therapy intervention (Forsyth and Eifert, 2007) was undertaken with university students (predominantly female) who reported moderate to high levels of anxiety. Efficacy analysis via repeated-measures between-groups ANOVA indicated overall that the intervention was efficacious for those who completed the program; when compared to a wait control group. Statistically significant improvements in trait anxiety; disruption to work, school, family and social life; mindfulness and mindfulness skills; ability to take action in valued directions; emotional distress tolerance; and avoidant coping; were all found, and maintained over time. Clinically significant reductions in trait anxiety were also found in almost a third of training completers. It was also concluded that the intervention is theoretically potentially efficacious for those individuals who are seeking a more adaptive way of coping, than utilizing non-suicidal self-injury (NSSI) to escape or avoid overwhelming aversive internal arousal.

5. Acceptance and Commitment Therapy for the Treatment of Psychosis in an Outpatient Community Mental Health Setting: A Pilot Study
Primary Topic: Clin. Interven. & Interests
Subtopic: Psychosis
Anthony Masini, Ph.D., Palo Alto University
Robert Reiser, Ph.D., Palo Alto University

This study examined pre-post treatment changes in a pilot sample (n =6) of clients with psychotic disorders receiving 16 sessions of Acceptance and Commitment Therapy (ACT) in an outpatient community mental health clinic. Trained clinical psychology graduate students who provided the treatment were rated for adherence to the study treatment protocol. Participants reported clinically significant decreases in distress associated with hallucinations and delusions as measured by the Psychotic Symptom Rating Scale (PSYRATS) and clinically and statistically significant increases in quality of life as measured by the World Health Organization Quality of Life Questionnaire- Brief Version (WHO-QoL-BREF). Study participants demonstrated clinically and statistically significant decreases in psychological distress as measured by the Outcomes Questionnaire-45. There was a relatively low rate of drop-out for this population indicating that participants found the treatment acceptable. These results suggest that ACT can be delivered effectively in a time-limited format by trained graduate student therapists.

6. Mindfulness-Based Therapy: A Comprehensive Meta-Analysis [318]
Primary Topic: Clin. Interven. & Interests
Subtopic: Mindfulness
Bassam Khoury, Université de Montréal
Tania Lecomte, Université de Montréal
Guillaume Fortin, Université de Montréal
Marjolaine Massé, Université de Montréal
Phillip Therien, Université de Montréal
Vanessa Bouchard, Université Laval
Marie-Andrée Chapleau, Université de Montréal
Karine Paquin, Université de Montréal
Stefan G. Hofmann, Boston University

Mindfulness-Based Therapy (MBT) has become a popular intervention for a variety of affective problems, including stress, anxiety, and depression. However, the existing reviews report inconsistent findings. In order to clarify the inconsistency in the literature, we conducted an effect size analysis to evaluate the efficacy of MBT. A systematic review of studies (n = 7611) published in journals or in dissertations in PubMED or PsycINFO from the first available date until April 3rd, 2011, was conducted. A total of 138 studies met our inclusion criteria. The effect size estimates suggested that MBT is moderately effective in pre-post comparisons (n = 52; Hedge’s g = .58), in comparison with waitlist controls (n = 45; Hedge’s g = .53; 95%), and when compared with other active treatments (n = 41; Hedge’s g = .31), including other psychological treatments (n = 22; Hedge’s g = .17). These effect sizes were robust, and were maintained at follow-up. Mean effect size of clinical outcomes was strongly positively related to the mindfulness level of participants and moderately positively related to the clinical training of therapists. We can therefore conclude that MBT is an effective intervention for psychological problems.

7. Compassion, Acceptance and Mindfulness for Psychosis: A Review and Meta-analysis [319]
Primary Topic: Clin. Interven. & Interests
Subtopic: Mindfulness, Acceptance, Detachment, Compassion, Meta-Analysis, Psychosis, Schizophrenia
Tania Lecomte, Université de Montréal
Bassam Khoury, Université de Montréal

We conducted a meta-analysis to investigate the effectiveness of cognitive behavior therapy third wave strategies for psychosis and schizophrenia, namely: compassion, acceptance, detachment, and mindfulness. We included eight studies that met the selection criteria enrolling a total of 263 participants. Effect size estimates suggested third wave strategies were moderately effective in within-group pre-post analyses (Hedge’s g = .59). When compared with a control group, we found smaller effect sizes (Hedge’s g = .37). The obtained results were maintained at follow-up when data was available. Results suggested higher effects on negative symptoms compared with positive ones. Mean effect size of clinical outcomes was slightly negatively correlated with the quality score of the studies. Mindfulness was not found to moderate the mean effect size of clinical outcomes.

8. Compassion, Acceptance and Mindfulness for Emotion Regulation in Early Psychosis [320]
Primary Topic: Clin. Interven. & Interests
Subtopic: Compassion, Acceptance, Mindfulness, Early, Psychosis, Schizophrenia
Bassam Khoury, Université de Montréal

Emerging evidence suggests the usefulness of CBT protocols that incorporate third wave strategies (3rdW) of cognitive behavior therapy such as ACT or mindfulness therapies for people with psychotic disorders. This pilot study aimed at applying 3rdW strategies, namely, compassion, acceptance and mindfulness in a comprehensive 8-week long group treatment for early psychosis. This pilot study examined the compassion acceptance mindfulness based treatment (CAMT) with 3 groups for a total of 12 participants with psychosis spectrum disorders at three time points (pre-treatment, post-treatment and 3-month follow-up). Findings indicate that the intervention was feasible and associated with increased emotional self-regulation, decreased symptoms, especially anxiety, depression, and somatic concerns, and improvements in self-care. Results are promising; controlled research is warranted to validate the effectiveness of the new treatment.

9. An Evaluation of Group Acceptance and Committment Therapy in an Australian Private Hospital Setting
Primary Topic: Clin. Interven. & Interests
Subtopic: Acceptance and Committment Therapy
Monique Slevison, RMIT University
Richelle Pinto, RMIT University
Keong Yap, D.Psych., RMIT University
Mandy Kienhuis, Ph.D., RMIT University
Andrea Chester, Ph.D., RMIT University
Ann Sloss, The Melbourne Clinic
Lily Shatkhin, The Melbourne Clinic

Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 1999) is a mindfulness, acceptance, and values-based psychotherapy which proposes different processes of change and outcome compared to traditional cognitive and behavioural treatments (Hayes, Masuda, & De Mey, 2003). While the research on the effectiveness of ACT for treating a number of psychological problems has yielded some preliminary support, more work needs to be done to clarify its place among more traditional, empirically-supported interventions. In this study we evaluated the impact of participation in an ACT trans-diagnostic group program being conducted in a private hospital setting in Metropolitan Melbourne, Victoria. In addition to the primary aim of treatment evaluation, this research was also aimed at exploring whether ACT is associated with decreased rumination and worry in individuals with depression and anxiety, given the significant role these cognitive processes play in the onset and maintenance of anxiety and depressive disorders (Hoeksema, Wisco, & Lyubomirsky, 2008; Watkins, 2008). In order to evaluate effectiveness of the program in a rigorous manner, both outcome and process measures were utilised. Participants were assessed on all outcome measures at four time points: prior to receiving the intervention, post-intervention, at one month follow-up, and at six month follow-up. Process evaluation included assessment of treatment fidelity, client completion of program components, and client satisfaction with the program. Preliminary results of this study are pending. Strengths, limitations, implication for practice and future research will be discussed.

10. Internet-Delivered Acceptance and Commitment Therapy (I-ACT) for Health Anxiety: A pilot study [321]
Primary Topic: Clin. Interven. & Interests
Subtopic: Health Anxiety
Ditte Hoffmann Jensen, M.A., Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Denmark
Lisbeth Frostholm, Ph.D., Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Denmark

Background: Health anxiety (HA), or hypochondriasis, is characterized by a preoccupation with fear of having a serious illness, which interferes with daily functions and persists despite medical reassurance. Aim: To develop an internet-delivered Acceptance and Commitment Therapy (I-ACT) program for HA, based on an existing ACT-group manual, and to preliminarily test its efficacy. Methods: A pilot study of 40 patients with severe HA who will receive 9 sessions of I-ACT. During treatment, email support will be provided. Self-report questionnaires will be obtained before treatment and at the end of treatment, measuring illness worry (Whiteley-7) as primary outcome. Results: The preliminary results and experiences will be used in the planning of a larger RCT of I-ACT for HA. Perspective: I-ACT for HA may be a feasible and flexible treatment form, which can be delivered to a broader patient population, e.g., younger patients or patients with less severe symptoms.

11. Analyzing the Effects of Two Defusion Protocols
Primary Topic: Clin. Interven. & Interests
Subtopic: Defusion
Barbara Gil-Luciano, Instituto ACT (Madrid) and University of Almeria
Francisco Ruiz, Ph.D., University of Granada
Marisa Paez, Instituto ACT (Madrid)
Enrique Gil, University of Almeria

The present study focuses on analyzing the effects of two protocols to alter the function of private events (as thoughts, feelings, memories, and rules related to them). Two defusion protocols were compared to a control one in regard to participants' thoughts that were organized in three blocks for each participant. Each protocol was implemented successively to a block of thoughts in a pre-post design with follow up. One protocol was designed based on deliterization while the other is based on perspective/hierarchical framing. Several questionnaires (AAQ-II, KIMS-R and CFQ) and a specific experimental task were used in pre and post test. In addition, the impact of the protocols, as chosen by each participant after post-test, were measured in regard to problematic areas according to the participants' information at pre-test. All phases were implemented to participants without, and with, clinical criteria. Results were analyzed across individuals as well as considering both types of participants.

12. Applying ACT in the Residential Withdrawal Setting
Primary Topic: Clin. Interven. & Interests
Subtopic: Mindfulness
Liz Cooper, Drug Health Services, Western Health
Ben Williams, Drug Health Services, Western Hospital

In 2012, Western Health’s Drug Health Services (Melbourne, Victoria), identified an opportunity to deliver ACT/ mindfulness skills to clients in a community residential withdrawal setting. Two staff, trained in Acceptance Commitment Therapy established a program delivered in a one hour, single session. Participants of the ACT residential withdrawal program are provided with a range of practical skills that they can implement into their everyday lives. Components include: breathing techniques, exploration of values and importance of setting value based goals, discussion regarding contact with the present moment as opposed to experiential avoidance through alcohol or other drugs. The concepts of fusion and defusion are introduced. The group has been running weekly for over 12 months and feedback questionnaires demonstrate that 80% of participants intend to use these skills in their daily lives.

13. ACTing on Weight [322]
Primary Topic: Clin. Interven. & Interests
Subtopic: Emotional Eating and Weight-Loss Maintenance
Emma Gallagher, Monash University
Cate Bearsley-Smith, Ph.D., Monash University
Sabura Allen, Ph.D., Monash University
Professor Paul R. Martin

Despite weight-loss being achievable, weight-loss maintenance (WLM) remains elusive. Significant yet limited research suggests there is a relationship between (WLM) and emotional eating (EE). Functionally EE reduces negative affect and can be conceptualised as a form of experiential avoidance (EA). EA is a key process within the ACT model. Emerging evidence indicates that ACT interventions can assist in WLM, and show that EA accounts for significant variance while cognitive fusion (CF) is speculated to. A RCT was conducted using a 1-day ACT intervention targeting EE for WLM. Participants (n=99) had recently lost weight and were ≥ the BMI normal weight range. Participants were randomly assigned to the active or control group. The key ACT process measures employed were: AAQ-II; AAQ-W; CFQ. Data were collected at baseline and 3 months. Preliminary analyses show significant results. This is the first RCT to measure EA and CF together with EE within the context of WLM.

14. Development of the Flexibility Index Test (FIT-60) [323]
Primary Topic: Clin. Interven. & Interests
Subtopic: Assessment, ACT-Questionnaire, Psychological Flexibility
Tim Batink, Ph.D. Candidate, Maastricht University
Gijs Jansen, MSc, Time to ACT
Hubert de Mey, Ph.D., Radboud University

Since Acceptance and Commitment Therapy (ACT) does not focus on symptom reduction, there is also a need for a different type of assessment measure. Though there are a number of ACT-questionnaires available, some ACT-components can’t be structurally assessed yet. The researchers wanted to develop an ACT-questionnaire that could assess all six ACT-components, as well as the overall psychological flexibility. The result of this study is the realization of the Flexibility Index Test (FIT-60); a self-report questionnaire which rates on all six components and psychological flexibility (scores can also be visually presented in a flexibility-profile). The initial psychometric qualities of the FIT-60 are encouraging; the internal consistency is good (α = .69 - .95), the construct validity is acceptable (r = .39 - .91). The FIT-60 is still undergoing extensive additional validation. This questionnaire was originally developed and validated in Dutch; an official English translation is also available.

15. Does an opportunity to choose enhance the effect of defusion exercise on pain?
Primary Topic: Clin. Interven. & Interests
Subtopic: Defusion
Yukari Umezawa, Doshisha University
Takashi Muto, Ph.D., Doshisha University
Yuki Shigemoto, MA., Graduate School of Psychology, Doshisha University
Machi Inoue, Undergraduate School of Psychology, Doshisha University

The purpose of the current study was to examine whether applying a package composed of rationale, training, and experiential exercise to the Soldiers in the Parade Exercise (Hayes, Strosahl et al., 1999, pp. 158–161) will be effective and what effect a choice of exercises will have. This study assessed the tolerance time, the subjective pain and distress intensity in three groups (choice group, no-choice group, and control group) when the participants underwent a cold pressor task. Results showed that applying the above package to the Soldiers in the Parade Exercise is effective in increasing the tolerance time. However, the hypothesis that a choice of exercises would increase the effects of exercises wasn’t supported. Furthermore, the comparison between varieties of exercise showed that the effects of exercises differed according to images used in exercises.

16. Acceptance and Commitment Therapy for parents of children with developmental disabilities in comparison with the waiting list control design
Primary Topic: Clin. Interven. & Interests
Subtopic: Parents, Group Workshop
Kotomi Kitamura, Ph.D., Osaka University of Human Sciences
Shinji Tani, Ph.D., Ritsumeikan University
Toshiko Okamoto, Reinan Hospital
Akihiro Okamoto, Reinan Hospital

The purpose of the present study was to investigate the effects of Acceptance and Commitment Therapy (ACT) on the depression and distress experienced by parents of children with developmental disability. A waiting list control design was used, in which the parents were assigned either to an ACT workshop group (n=9) or a waiting list control group (n=11); the latter group was given identical ACT workshop after the first group had been trained. ACT workshop was conducted for two days (six hours in a day). Parents were assessed two weeks before the workshop (phase1), one week after (phase2), and six weeks after (phase3): Beck Depression Inventory-Ⅱ(BDI-Ⅱ), General Health Questionnaire-28(GHQ-28), Five Facets Mindfulness Questionnaire(FFMQ), Acceptance and Action Questionnaire II (AAQ-II), Japanese Irrational Belief Test-Revised (JIBT-R). While in phase1 and phase2, no significant change occurred in the waiting list control group, but the ACT workshop group improved on the BDI-Ⅱ. Process measure of mindfulness also changed. From pre to follow up, statistically no significant improvement was found for both outcome and process measures.

17. Developing an Acceptance and Commitment Therapy group intervention for people with various chronic health conditions: A preliminary evaluation [324]
Primary Topic: Clin. Interven. & Interests
Subtopic: Social Functioning, Depression, Anxiety, Developing a Group Intervention
Kaileen Pearson, D.Psych., Peninsula Health, Community Health
Susan Dal Lago, senior psychologist, Peninsula Health, Community Health

Community Health workers identified a need for a new way of assisting their many clients who had various chronic physical conditions ranging from diabetes to cardiac conditions and more. Medical, educational and rehabilitation interventions were sometimes not enough to aid these people, who might also have depression, anxiety and /or social isolation. A weekly group program was developed based on Acceptance and Commitment Therapy (ACT). The More to Life group was open to people with various physical conditions; not targeted to just one condition, such as diabetes. In the worldwide literature there did not appear to be an ACT protocol for this type of generic group intervention. Elements of action research were used to establish and trial the program, gain feedback, modify it slightly and run it five times over two and a half years. Participants’ pre and post intervention self-rated measures indicated that their social dysfunction, depression and anxiety all decreased and their psychological flexibility increased.

18. The ACT practice for the mother of a child having Asperger syndrome disordered (ASD): Focusing on relationship with spouse [325]
Primary Topic: Clin. Interven. & Interests
Subtopic: Parenting, Asperger Child
Shinji Tani, Ph.D., Ritsumeikan University

The purpose of this presentation was to show the ACT practice for the mother of a child having Asperger syndrome disordered (ASD), and to examine the effectiveness of parental supports at the view point of ACT. The participant was a mother, Yoko, having a child with ASD. Her husband (John) was not eager to learn the parental skills which were necessary for parenting an ASD child. Therefore, he often had troubles with his son. Yoko taught John how to treat him repeatedly. However he always listened to her in silence; John’s behaviors did not change. Yoko gave up teaching him and took care of her son almost all day long. Yoko became depressed and took medicines. A four-hour ACT session was introduced to her. The six competencies of psychological inflexibility were assessed, and defusion exercises, and the value works to identify parental value were introduced in the session. Three- month follow-up investigation revealed that the GHQ-28 (General Health Questionnaire-28) decreased six points, BDI-II (Beck Depression Inventory-II) decreased eight points. AAQ-II(Acceptance and Action Questionnaire-II) increased four points at the follow-up. The irrational beliefs which were measured by JIBT-R (Japanese Irrational Belief Test-Revised) were not changed. Considering these results, ACT worked for the improvement of parental mental health problems.

19. Emotional Awareness and Social Support: Exploring the Links between Emotional Awareness and Social Support in Adolescence [326]
Primary Topic: Edu. settings
Subtopic: Emotional Awareness
H. Claire Rowsell, Ph.D. Candidate, University of Wollongong
Joseph Ciarrochi, Ph.D., University of Western Sydney
Frank P. Deane, Ph.D., University of Wollongong
Patrick C. L. Heaven, Ph.D., Australian Catholic University

Emotional awareness is the ability to identify, label and describe one’s emotions, and is a key target of ACT interventions which seek to increase experiential acceptance and contact with the present moment. Even though emotional awareness is assumed to be essential for establishing supportive personal relationships, there has been limited longitudinal research assessing the extent that awareness is an antecedent to the development of social support. The present study investigated the relationship between the development of emotion awareness and social support over a three year period (Grades 9-12) in adolescence. Students from five Australian high schools completed yearly self-report measures of emotional awareness and the quantity and quality of social support. Cross-lagged structural equation modeling was used to assess the extent to which emotional awareness is an antecedent to changes in social support, a consequence of changes in social support or, both representing a reciprocal influence model. We found evidence for the reciprocal influence model, indicating that awareness led to higher quality social support and higher quality support led to greater awareness.

20. Effects of cognitive defusion and cognitive restructuring on exam marks in exam-anxious students [327]
Primary Topic: Edu. settings
Subtopic: Test Anxiety, Students
Jennifer Grant, M.Clin.Psych, Griffith University
Shirley Morrissey, Ph.D., Griffith University

This quasi-randomized controlled trial compared the effect of two components of cognitive and behavioral therapy. Delivered as brief interventions to groups of test-anxious university students (n = 78), each component was predicted to change cognitive responses to worrying exam-related thoughts. Both interventions - cognitive defusion and cognitive restructuring - were associated with improved exam performance whereas the control was not. Sixty-four percent of students who participated in an intervention attained meaningful improvement in their exam marks compared to 29% in the control condition. Results indicated the cognitive defusion was more effective for exam mark improvement than cognitive restructuring. There were intervention-specific changes in the frequency of defusion responses to bothersome exam-related thoughts but not restructuring responses. After the interventions, the frequency of students reporting cognitively distorted bothersome exam-related thoughts reduced in the restructuring intervention group but not in the cognitive defusion group. Results are discussed in terms of the benefits of brief interventions for test anxious students, and effective components of psychological treatment. Recommendations for further research are proposed.

21. Training on academic skills: ACT-based and instructional classes
Primary Topic: Edu. settings
Subtopic: Academic Skills, University Students, ACT
Davide Carnevali, IULM University, Milan - IESCUM, Parma
Silvia Cau, IULM University, Milan - IESCUM, Parma
Claudia Corti, IULM University, Milan - IESCUM, Parma
Francesco Dell'Orco, IULM University, Milan - IESCUM, Parma
Anna Missaglia, IULM University, Milan
Francesco Pozzi, Ph.D., IULM University, Milan - IESCUM, Parma
Paolo Moderato, Ph.D., IULM University, Milan - IESCUM, Parma

Deficiency in academic skills is one of the most common risk factors that contribute to university drop-out and procrastination of exams. Thus one of the main goals of a University Counseling Service is to help students face difficulties in their academic career. A group of university students who asked for help volunteered to participate in our study. Students were randomized in two treatment conditions based on 4-session courses. One course was conducted following a traditional instructional program that included providing information about the functioning of cognitive processes involved in studying and the most efficient methods to adopt (e.g. time management skills, learning and memory techniques etc.). The other course was the same as the first one but potentiated with an experiential ACT-based intervention. Self-report measures about academic behavior, mindfulness (MAAS), experiential avoidance (AAQII), values (VLQ), anxiety and psychological suffering (PSWQ SCL90, STAI-Y) were collected before and after the training. Preliminary results on the efficacy of the trainings will be reported.

22. The Impact of Psychological Flexibility on Leadership Behavior in Self Managed Teams [328]
Primary Topic: Org. Beh. Management
Subtopic: Psychological Flexibility
Carol Gill, Melbourne Business School
Ian Williamson, Melbourne Business School

This study examines the impact of psychological flexibility on emergent leadership behavior in self-managed teams. We hypothesize that psychological flexibility enhances team member performance and satisfaction by allowing individuals to notice, comprehend, and respond effectively to leadership opportunities in the team context. We used Structural Equation Modeling of 395 participants in 76 self-managed teams to test our hypotheses. Consistent with predictions, results show that individuals’ psychological flexibility had a positive impact on emergent leadership behavior, which in turn influenced their peer-rated performance and satisfaction with the team experience. The findings provide initial evidence that psychological flexibility in team members can improve performance in self-managed teams.

23. The effect of the two coping strategies on discomfort
Primary Topic: Related FC approaches
Subtopic: Acceptance, Avoidance
Inoue Nagomi, Doshisha University

While some studies have shown the result that acceptance-based coping strategy increases pain tolerance and control-based coping strategy decreases it, the effect upon subjective pain has shown variability. Luciano, Gutierrez-Martines, Barnes-Holmes, Valdivia, Cabello, Barnes-Holmes, Rodriguez Valverde, & Wilson(2010) examined the effects of two protocols upon the level of discomfort instead of subjective pain. But the research’s design had some problems because of its complication. Therefore this study employed a simpler design. There were three groups of protocols about coping with discomfort. The ACT group received an instruction based on acceptance, and the EA group received an instruction based on experiential avoidance. The control group received no indication about coping. Forty five participants tried former five 3-min multiplication and division tasks and later ones, listening to a loud noise through headphones. The level of discomfort induced by the noise was measured after each task finished. Each protocol (ACT, EA, control) was given between pretests and posttests. This study aimed to analyze the difference of discomfort and task score (the number of correct answers) between the protocols or between pretests and posttests. The ACT group and the control group showed less discomfort at the posttests than the pretests, while the EA group showed more discomfort. At the posttest, the ACT group and the control group resulted in less discomfort than the EA group, and there is no difference between the ACT group and the control group. Task score of posttests decreased in the EA group, increased in the control group, and was similar in the ACT group compared to that of pretests. Since this study used a single noise through the ten tasks (30 minutes total), it was possible that participants accommodated to the noise.

24. Analysis of Relational Frames Interactions in Defusion Exercises and its Effectiveness on Cognitive Tasks
Primary Topic: RFT
Subtopic: Defusion
Juan C. López, University of Almería, Spain
Carmen Luciano, University of Almería
Joaquín Suarez-Aguirre,
Rosa Mª Vizcaino,

The present study focuses on the interactions involved in processes of Defusion exercises that ensure its efficacy reflected in an improved performance on cognitive tasks. For that, in the first phase, 20 participants performed two cognitive tasks in the presence of visual and auditory distracters. In the second phase, the participants received a protocol based on the condition to which they were randomly assigned. Participants of the Defusion Condition I performed exercises in order to acquire flexibility and fluency in deictic and hierarchical framing their private events to strengthen the self as context. Participants of the Defusion Condition II performed the same exercises but only through deictic framing. Finally, in the third phase, both groups performed the two cognitive tasks again. Among the results, the improvement in the performance of the tasks is evaluated and the two different Defusion methods are compared.

25. Self-Control and Comparative Relational Framing
Primary Topic: RFT
Subtopic: Self-Control
Tomu Ohtsuki, Ph.D., Waseda University
Midori Uemura, Waseda University

Relational frame theory (RFT) suggests that the comparative relational framing included in the self-rule enables us self-control. The purpose of the current study is to identify whether the Self-Control is related to the transformation of stimulus function in accordance with the comparative relating. Nine undergraduate students participated in this study. They were exposed to a more than / less than relational task, which involved the tests of the derived relations and the transformation of stimulus function. After relational task, they completed the delay discounting questionnaire, investigated self-control choice. Participants who passed the test showed lower discounting rate than participants who failed the test. Results revealed that the participants who passed the test preferred self-control choice in the delay discounting questionnaire. We discussed the role of the comparative relational framing in the self-control from the perspective of RFT.

26. Bachelor Thesis at University College of Molde, Norway, 2012: ACT(Acceptance and Commitment Therapy): Is this mindfulness-based cognitive intervention an alternative to medical treatment of anxiety disorders?
Primary Topic: Theory & Philo.
Subtopic: Anxiety Disorders, ACT vs Medical Treatment, Quality of Life
Randi Brevik, College University of Molde, Norway

After a few years in the mental health sector, I have seen how anxiety disorders have been a consistent feature. I have followed the debate on the pharmacological treatment of anxiety disorders in relation to psychodynamic and applied behavior analytic approaches. There has been some coverage in recent years in the media about the border and unreasonable number of prescriptions. I have observed disagreements between professionals about who has the right way to approach both psychological and somatic problems. I reflect on the pathological attitudes of health care as in the treatment of certain diagnoses, and medicalization of suffering. I was introduced to ACT in my work in mental health care. My curiosity was piqued; I attended workshops, read all the literature I came over and practiced the method on both myself and my clients. I have thoughts about how the drugs can lead to a problematic addiction and how side effects can occur creates more problems than anxiety, and how medicine can prevent effective yield of the therapeutic treatment. I have thoughts as a professional practitioner to date on recent theories and methods that are relevant for the social education profession. The purpose of the choice of theme: providing insight and create interest for this method can be a supplement for targeted therapy, creating a consciousness change about being involved and decide on their own lives. Social educator works on the basis of a humanistic and holistic perspective, the idea that all we have the resources and the key to the solution of our problems and to actively participate in finding solutions. Anxiety disorders seem to have a common goal: avoidance of experience. Drug therapy has a function, but there is a risk of addiction and worsening of symptoms. I have referred to the ACT's philosophical perspective and its practical application in the treatment of anxiety disorders. Perspectives on how to deal with anxiety disorders are many, and it can be as many solutions. Is it ultimately the achievement of quality of life, something that both methods have in common? The analyzes I have referred to show that the average ACT as method is effective in reducing symptoms and in increasing psychological flexibility and greater quality of life. Everywhere I interpret these studies as positive ACT method and that it has a relatively high degree of efficiency in the applied treatment of anxiety disorders. ACT method is autonomy - and value-based. Whether the ACT is an alternative to drug therapy I believe will finally depend on client preference for treatment, and not least depend on the ideology that prevails at the treatment site. From a holistic and humanistic perspective and our own experiences in mental health, I am of the opinion that the ACT is a very good alternative to drug therapy. The reason lies in the idea that the challenges of anxiety are highlighted and one has the possibility to decide then and there, act with open eyes. Medication can dull the senses and in my opinion, prevent the anxiety sufferer to see the possibilities.

27. Characteristics of behavioral variability in students with high cognitive fusion
Primary Topic: Theory & Philo.
Subtopic: CFQ, Behavioral Variability
Aiko Oya, Doshisha University
Yusuke Murata, Doshisha University
Suguru Ouchi, Doshisha University
Takashi Muto, Ph.D., Doshisha University

This study examined whether the response sequences generated by the students with high cognitive fusion are more rigid compared to those of the students with low cognitive fusion. The study also investigated whether providing the direct reinforcement can increase the sequence variability in the participants with high cognitive fusion. Sixty-three students were divided into two groups; the high cognitive fusion group and low cognitive fusion group depending on the score of the Japanese version of Cognitive Fusion Questionnaire-28 (J-CFQ-28). All students participated in a computer-game consisting of two phases. The response-sequence variability during the computer-game was recorded. When reinforcement was provided independently of the sequence variability, the participants in the high cognitive fusion group showed the same level of variability in their responding compared to the low cognitive fusion group. When high sequence variability was required in order to receive the positive feedback, the variability significantly increased in all participants.

28. Examination for mechanism of defusion exercise: Effects of sequence variation on conducting three defusion exercises
Primary Topic: Theory & Philo.
Subtopic: Defusion
Yuki Shigemoto, M.A., Doshisha University
Takashi Muto, Ph.D., Doshisha University

As the first study of the current study, 34 defusion exercises were classified based on function of exercises to make a plan to examine mechanism for defusion effect. As the result, it was the hypothesis that defusion consists of three components. 43 participants were assigned to one of three groups; forward-sequence group (FG), backward-sequence group (BG) and control group(CG). FG did three exercises through the order based on the hypothesis: 1.Carrying cards exercise, 2.Labeling your thoughts exercise, and 3.The mind exercise. However, BG did exercises through the reverse order of FG. CG did not do exercises. The current study showed FG decreased fusion for aversive thoughts and increased mindfulness, but BG decreased discomfort because of avoiding aversive thoughts. These results indicated that it is necessary that decreasing aversion for thoughts and increasing awareness for thoughts and feelings is the process before weakening the rule about locus of control.

29. Reliability and Validity for a Chinese version of the Cognitive Fusion Questionnaire
Primary Topic: Theory & Philo.
Subtopic: Reliability, Validity, CFQ, China
Wei-Chen Zhang, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences
Yang Ji, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences
Zhuo-Hong Zhu, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences

Reliability and validity of the 13 item Cognitive Fusion Questionnaire (CFQ) in Chinese were tested. Three samples (N1=257, N2=233, N3=220) were recruited for assessments of item differentiation, reliability, principle component (PCA) and confirmatory analyses (CFA). The Self-rating Depression (SDS) and Anxiety Scales (SAS), and the Satisfaction with life Scale (SWLS) were assessed for criterion validity. PCA extracted two components, explained 58.36% of total variance; CFA verified the two-factor model (χ2/ df = 2. 352, NFI = 0.922, IFI = 0.954, CFI = 0.953, RMSEA = 0. 074); Cronbach’s α coefficient of the 2 factors was 0.885, 0.936, 0.915 and 0.570, 0.658, 0.764 in three samples; and concurrent validity illustrated the CFQ’s positive correlations with scores of SDS (r2 = .568, r3 = .502, p < 0.01) and SAS (r2 = .603, r3 = .144, p < .01), and negative correlation with SWLS (r2= - .412, p < .01). Results provided preliminary validation for the CFQ to be used in China.

30. Psychological Flexibility and Associations with Post-Traumatic Stress and Growth
Primary Topic: Theory & Philo.
Subtopic: Psychological Flexibility, PTSD, Post-traumatic growth
Le Yang, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences
Yang Ji, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences
Zhuo-Hong Zhu, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences

Psychological flexibility can be broadly categorized into “mindfulness and acceptance” (MA) and “commitment and behavioral activation” (CA) processes. To understand how components of PF play in post-traumatic coping, experiential avoidance (AAQ-II), cognitive fusion (CFQ-F), value orientation (MLQ-P), and mindfulness attention (MAAS) were assessed in 1662 earthquake influenced students. “Open” and “Engaged” measures had significant and higher correlation with post-traumatic stress and growth respectively, while “Centered” measure correlated significantly with both stress (large coefficient) and growth (small coefficient). Structural equation models suggested MA (β = .73, p < .001) predicted stress better than level of traumatic experiences (β = .10, p < .001; χ2/df = 2.80, RMSEA = .042, CFI = .98); while CA (β = - .63, p < .001) predicted growth above traumatic experiences (β = .11, p < .001; χ2/df = 4.11, RMSEA = .044, CFI = .97). Processes of PF may play varied roles in coping with traumatic experiences.

31. Comparisons of Cognitive versus Psychological Flexibility
Primary Topic: Theory & Philo.
Subtopic: Psychological flexibility, Cognitive flexibility
Jing Cao, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences
Yang Ji, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences
Zhuo-Hong Zhu, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences

Cognitive flexibility was earlier found to associate with rumination, a construct similar to fusion. To compare cognitive and psychological flexibility, we employed questionnaires and a computerized task (modified WCST; MCST) in 72 students from Henan Province for further analyses. Systematic results of the MCST were replicated; nevertheless, error rates of MCST were negatively correlated at significant levels with depressive rumination (r = - .29, p = .03), brooding (r = - .26, p = .04), fusion (r = - .44, p = .001), and marginally with experiential avoidance (r = - .25, p = .052) and presence of meaning (r = .23, p = .081) in students from villages (N = 60), reversed in directions to correlation results of those from towns/cities; apart from anxiety levels (r = .67, p = .03), results were insignificant (N = 11). Psychological flexibility may be influenced by social economic status (SES) than cognitive abilities alone. Samples with moderate SES may be conducted for further comparisons of the two relevant constructs.

32. Effects of Brief Body Scanning and Self-As-Context Exercises: A Pilot Study
Primary Topic: Theory & Philo.
Subtopic: Body scanning, Self-as-context, Pilot, Brief guided meditation
Lin Chen, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences
Yang Ji, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences
Zhuo-Hong Zhu, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences

Body scanning (BS) and self-as-context exercise (SAC) are components belonging to MBSR and ACT. During examination preparation, two social science classes were participated as BS (N = 10, age M = 18.60, SD = .52), SAC (N = 8, age M = 18.38, SD =1.06), and listened to a 20-minuite audio per week for two weeks. Contrast analyses revealed depressive (F = 6.33, p = .02) and stress levels reduced (F = 8.129, p = .01); decentering (F = 8.68, p = .009) and acceptance levels increased (F = 16.86, p = .001); and positive and negative emotions subsided (F = 10.09, p = .006; F = 12.38, p = .003), immediately after training. SAC also had higher acceptance change compared to BS, F = 6.81, p = .02, CI = (.09, .89). Brief meditation effects and effective experiential avoidance reduction in SAC were demonstrated in our pilot study.

33. Conceptualized-Self and Intellectual Performance
Primary Topic: Performance-enhancing interventions
Subtopic: Educational Settings
Brian D. Cooper, University of Nevada
Julian Bartke, University of Nevada
Steven C. Hayes, University of Nevada, Reno

Shame stems from the dysphoric emotions that involve negative evaluations and conceptualization of one’s own self (Niedenthal, Price, Tangney, & Gavanski, 1994), and is defined as an intense emotion associated with serious failures and moral transgressions (Dalgleish & Power, 1999). Students often experience the self-conscious emotion shame in academia when their thoughts begin to focus on the negative aspects of themselves in an academic environment. In this study, we ask the question whether a meditation that is based on relational frame theory principles can improve the experience of academic evaluations among American college students. 100 participants are recruited for this study. The participants are randomly assigned to 2 conditions: the meditation group will be exposed to a meditation exercise that aims to distance the participants from their own negative self-conceptions. The control intervention group will also receive a sensory stimulus that is similar in its physical characteristics but differs significantly in its meaning and content. The two groups will also be exposed to an intellectual performance task and will be asked about their experiences during this task. We will see if the ACT intervention group shows better results at the intellectual performance task and has a better experience than the control intervention group, thus demonstrating the beneficial effects of targeting detachment from negative and inhibiting self-judgments through a meditation exercise. Potential implications for refinement of mindfulness exercises in college programs will be discussed.

Wednesday, July 10th - Poster Session #2

1. Individual differences influence quality of life in asthma patients: The role of anxiety and gender
Primary Topic: Beh. med.
Subtopic: Asthma, Anxiety, Experiential Avoidance, Individual Differences
Maria Stavrinaki, MSc, University of Cyprus
Maria Karekla, Ph.D., University of Cyprus
Elena Hanna, B.S., University of Cyprus
Tonia Adamide, MD, Pneumonological Clinic, Nicosia General Hospital, Nicosia, Cyprus
Giorgos Georgiades, MD, Pneumonological Clinic, Nicosia General Hospital, Nicosia, Cyprus
Andreas Georgiou, MD, Pneumonological Clinic, Nicosia General Hospital, Nicosia, Cyprus
Natalie Pilipenko, M.A., Yeshiva University, New York, USA

Asthma is a chronic inflammatory disease of the airways, resulting in airflow obstruction. Research emphasizes the influence of individual differences on the quality of life (QOL) of asthma patients. The aim of our study was to explore how gender impacts QOL, whilst measuring the role of three levels of anxiety: non-clinical, sub-clinical, and clinical. The extent to which experiential avoidance moderates this association was also investigated. Two hundred and four asthma patients (136 women) from the Nicosia General Hospital completed a packet of questionnaires including the AQLQ, the PHQ, and the AAQ-II. Results showed that women with asthma report poorer asthma-specific QOL compared to asthmatic men. Women in all three anxiety levels reported lower QOL on three of the four subscales. These results may aid in the design of personalized health care programs which take into account both the psychological factors associated with and gender of asthmatic patients.

2. The impact of psychological (in)flexibility in the early and middle stages of anterior cruciate ligament rehabilitation [329]
Primary Topic: Beh. med.
Subtopic: Sport Injury Rehabilitation
John Baranoff, University of Queensland
Stephanie Hanrahan, University of Queensland
Jason Connor

Rehabilitation following anterior cruciate ligament (ACL) surgery can be challenging. Mood disturbance and alcohol misuse are possible adverse outcomes during the rehabilitation phase. Predictors of mood disturbance and maladaptive behaviour may assist practitioners to identify athletes who may have difficulties during rehabilitation. Pain catastrophizing has been associated with affective disturbance and pain intensity following surgical repair of the ACL. Acceptance from a contextual behavioural perspective is an important concept in adjustment to chronic pain; it is negatively correlated with depression and disability. However, no previous studies have investigated the role of acceptance in the early stages of rehabilitation post ACL repair. The aim of this study was to compare the role of pain catastrophising and acceptance as predictors of depression, pain intensity and alcohol misuse. Individuals who had undergone ACL surgery completed the assessment within 4 weeks of ACL surgery (N = 44) and again at 4-6 months post surgery (N =26). Predictor measures were the Pain Catastrophizing Scale and the Acceptance Action Question. Outcome measures included the depression scale of the Depression Anxiety and Stress Scale, numerical rating scale of pain intensity, and the alcohol misuse subscale of the COPE. In accordance with previous research, pain catastrophizing was associated with pain intensity and affective disturbance in the early post-operative phase. By contrast, acceptance in the early post-operative phase was predictive of depression at 4-6 months, even after controlling for early post-operative depression. Acceptance was also negatively correlated with the use of alcohol as a way of disengaging from the stress of being injured. Implications for sport injury rehabilitation and future research are discussed.

3. The Effects of Mindfulness Training Using BodyScans: Immediate Effects and Effects Through Repeated Practice
Primary Topic: Beh. med.
Subtopic: Mindfulness, Worry
Shintaro Fjiwara, Reinan Hospital

This study discusses the effect of bodyscans, a type of mindfulness training, on the students who participated in this investigation. To explore the effect of bodyscans, I used two types of indices. One is an index measuring the bodyscan’s immediate effect, while the other measures the effects of practicing it repeatedly over two weeks. First, to measure the trait of mindfulness in study 2, study 1 assessed the test-retest reliability of the FFMQ (Five Facet Mindfulness Questionnaire). Among 44 students, one of the coefficients of the test-retest reliability consisted of stability, excluding the factor of nonjudging of inner experience. Study 2 assessed the bodyscan’s immediate effects and the effects due to practicing it repeatedly. In the immediate effects, a decrease of positive, depressive, and anxious moods was observed. In the effects due to repeated practice, participants who achieved better handling of this type of private event, such as regarding their thinking or feeling, increased their psychological flexibility and decreased their worry.

4. The Effects of Motivative Augmental Acquired by Creative Hopelessness
Primary Topic: Clin. Interven. & Interests
Subtopic: Creative Hopelessness, Rule-Governed Behavior, Motivative Augmental
Mie Sakai, Doshisha University, Japan
Takashi Muto, Ph.D., Doshisha University, Japan

Creative Hopelessness serves as a motivative augmental for the fundamental change (Hayes et al., 1999). The present study examined the motivative effects of the augmental acquired by CH on the social avoidance tendency and valued actions. Participants with social avoidance tendency were randomly assigned to either the experimental group or control group. The experiment consisted of two experimental days. On the first day, participants were asked to complete the pretest assessment and CH intervention. Following the intervention, the newly acquired augmentals were identified. Between the two experimental days, only the experimental group was asked to recall the augmental for two weeks in their daily life. On the second day, participants completed the posttest assessment. The result revealed that improvement in social avoidance tendency was found only for the experimental group. Also, the experimental group showed greater valued actions compared to the control group. These results might support that CH serves as a motivative Augmental.

5. The Impact of Cognitive Reappraisal on Well-Being is Sensitive to Context: The Role of Satisfying Relationships
Primary Topic: Clin. Interven. & Interests
Subtopic: Emotion Regulation
Robert Brockman, M.A. (Clin Psych), University of Western Sydney (UWS)
Joseph Ciarrochi, Ph.D., University of Western Sydney (UWS)
Todd Kashdan, Ph.D., George Mason University (GMU)
Rebecca Pinkus, Ph.D., University of Western Sydney (UWS)

It is becoming increasingly clear that the relationship between specific emotion regulation strategies and well-being may be substantially influenced by contextual factors, including individual and social-environmental factors (Butler & Gross, 2009; Rimé, 2009). Recent advances in the methodology of empirical studies such as ecological momentary assessment (EMA), daily diary studies, and multi-level modelling designs are well placed to investigate the role of context on the impact of various emotion regulation strategies on well-being (Nezlek, 2007). The current study implemented an EMA design with 287 university students, collecting daily measures over the course of 21 days. This study investigated the distinctive link between well-being and three emotion regulation strategies, namely, emotion suppression, cognitive reappraisal, and mindfulness. Multi-level modelling found evidence of substantial within-person variability in the link between each strategy and well-being. Consistent with the assertions of 3rd wave behaviour therapy traditions (e.g. Acceptance and Commitment Therapy, Mindfulness-Based Cognitive Therapy), daily mindfulness was found to be a significant predictor of daily well-being, whilst emotion suppression was found to be a significant predictor of reductions in well-being amongst the total sample. The relationship between reappraisal and well-being was found to be somewhat more complicated. In the current sample, daily reappraisal was associated with both increases and decreases in well being depending on the person, revealing the contextual nature of the relationship between reappraisal and well-being in daily life. To further investigate the contextual nature of re-appraisal, the current study tested a moderation model for relationship need satisfaction, finding evidence that the impact of daily re-appraisal on well-being is significantly moderated by the degree to which their relationship needs are currently being met. Implications for the emotion regulation literature and the interface between 2nd and 3rd wave therapy approaches are discussed.

6. Making Waves: Implementing ACT for Co-Existing Borderline Personality Disorder and Substance Use Disorder in a Drug Treatment Setting [330]
Primary Topic: Clin. Interven. & Interests
Subtopic: Borderline Personality Disorder, Substance Use Disorder
Kate Hall, MAPS DPsych(Clin), Deakin University
Angela Simpson, DPsych(Health), Turning Point Alcohol and Drug Centre, Eastern Health
Jane Morton, MAPS, Spectrum Personality Disorder Service of Victoria
Petra Staiger, Deakin University
Steve Leicester, Turning Point Alcohol and Drug Centre, Eastern Health

While 1-2% of the general population meets the criteria for Borderline Personality Disorder (BPD) up to 65% of substance users in treatment meet criteria for BPD. Clients with co-occurring Substance Use Disorder (SUD) and BPD have greater levels of psychosocial impairment, psychopathology, substance use, unsafe injecting, self-harm and suicidal behaviour. Treatment studies highlight that these clients have higher rates of relapse, treatment noncompliance and poorer outcomes than those with either diagnosis alone, while SUD significantly reduces the likelihood of clinical remission of BPD. There is some evidence in the literature for the effectiveness of ACT-based treatment approaches in AOD settings, particularly in relation to reducing opiate use, nicotine dependence, and methamphetamine use. Making Waves aimed to test the feasibility and effectiveness of implementing a 12-session ACT intervention (Wise Choices) within an AOD service for the treatment of clients with SUD and borderline features. Both client and clinician outcomes were explored. Technology transfer took the form of two training workshops in addition to fortnightly coaching in ACT for an 18 month period. The coaching comprised client-based clinical review and role plays of ACT techniques in a group supervision model. Client outcomes included a reduction in BPD symptoms; reduced alcohol and drug use; improved quality of life; and improved ACT-related skills, in particular, emotion regulation and acceptance and values based action. Clinician outcomes included increased confidence in implementing ACT and increased likelihood that they will continue to use ACT and recommend this treatment approach to colleagues compared to baseline. Qualitative results indicated that clinicians found ACT useful with clients with complex presentations and the ACT techniques were a ‘good fit’ for the AOD setting. In conclusion, unlike DBT, ACT is a feasible intervention for AOD services to implement for clients with complex psychosocial needs. Implementation fidelity for the Wise Choices ACT treatment was maximised when methods informed by the evidence for technology transfer were applied.

7. Introducing “ALGEA”, Interdisciplinary Approaches for Treating Chronic Pain Patients and Their Families Using ACT-Based Therapeutic Modalities
Primary Topic: Clin. Interven. & Interests
Subtopic: Chronic Pain, Acceptance, Interdisciplinary Interventions
Vasilis S. Vasiliou, MSc, University of Cyprus, ACTHealthy lab., Cyprus
Karekla Maria, Ph.D., University of Cyprus, ACThealthy lab., Cyprus
Karademas C. Evangelos, Ph.D., University of Crete, Greece
Orestis Kasinopoulos, MSc, University of Cyprus, ACThealthy lab., Cyprus
Magda Flouri, Ph.D. Candidate, University of Crete, Greece

The aim of this poster is to introduce, describe and make potential collaborators from the experts to the “ALGEA” project, an innovative bio-psychosocial intervention programme for the treatment of chronic pain, funded by the EU Cross-border Cooperation Programme “Greece-Cyprus 2007-2013”. ALGEA (the Greek word for suffering) aims to (a) enhance our understanding of chronic pain, as well as of the needs of chronic pain patients and their families, in order to (b) design and implement an innovative treatment program for these patients and their families. The intervention programme will employ an Acceptance and Commitment Therapy (ACT) perspective and will use cutting-edge technology to develop customized e-treatment modules (like Apple or android applications). It will also incorporate an interdisciplinary approach combining psychological intervention and medical therapy as the treatment of choice. The ALGEA project is implemented by the Department of Psychology and the ACTHEALTHY lab settled at the University of Cyprus, the Department of Psychology, University of Crete and the Cyprus Institute of Neurology & Genetics. The project purposes are to: a) develop and evaluate a toolkit assessment of chronic pain and its impact, b) create a therapeutic manual-protocols group psychosocial intervention for chronic pain to be used by mental health professionals, c) personalize an online treatment program for chronic pain (web-based intervention, android applications), d) train human resources in health and chronic pain units using the e-platform therapeutic modality, and e) create the institutional integration of the program to public and non-governmental medical and psychosocial services. Adopting the principles of the European Commission (The Steering Committee of the Pain Proposal initiative ), the World Health Organization for chronic pain and the ABCT suggestions, "Algae program" aims to create an innovative environment for the management of chronic pain both in Greece and Cyprus initially and later in the pain-related therapeutic environment, which will offer support to the patient suffering from any type of chronic pain and their families, the physicians in their effort to reduce pain, and it will contribute to the creation of a new culture aimed at individualized intervention and improved quality of life.

8. Predictors of Change Amongst Depressed Inpatients Undergoing Group Acceptance and Commitment Therapy in a Naturalistic Clinic Setting
Primary Topic: Clin. Interven. & Interests
Subtopic: Depression
Dorothea Anna Carl, University of Western Sydney
Brian Kearney, Northside Clinic, Greenwich NSW
Robert Brockman, University of Western Sydney

The current study combines ACT and general group therapy theory and research to identify predictors of recovery in patients receiving naturalistic multi-modal psychiatric treatment in a private inpatient setting. Psychological flexibility and the group processes of self-disclosure and expression of painful affect were identified as variables of interest. Participants consisted of ninety-seven inpatients with a DSM-IV TR diagnosis of mood disorder. Pre- and post-treatment scores were obtained for psychological flexibility and depression while ratings of levels of self-disclosure and expression of painful affect were provided by psychologists conducting group ACT sessions. Results indicated a large overall treatment effect as measured by reductions in symptoms of depression from beginning to end of treatment. Improvements in psychological flexibility best predicted recovery from depression; accounting for more than a quarter of the variance in recovery from depression. Recovery was also predicted by changes in self-disclosure but not expression of painful affect. Interestingly, initial high levels of self-disclosure, followed by a reduction over the course of treatment produced better outcomes. The findings add to the current literature by (1) highlighting the importance of psychological flexibility as a predictor of change , and (2) exploring the relative importance of key variables identified in group therapy research.

9. ACT for recovery: Preliminary findings of ACT workshops for service users and caregivers in community psychosis services [331]
Primary Topic: Clin. Interven. & Interests
Subtopic: ACT for Psychosis, Caregivers
Lucy Butler, South London and Maudsley NHS Foundation Trust
Emma O'Donoghue, Ph.D., South London and Maudsley NHS Foundation Trust

The ACT for Recovery project will conduct the first randomised controlled evaluation of ACT for psychosis (ACTp) workshops for service users and caregivers in community psychosis services in the London Borough of Lambeth. We will also assess the feasibility of training service user co-facilitators to deliver the ACTp workshops. This poster presentation will discuss the qualitative experiences of service user co-facilitators of being trained to deliver ACTp workshops and also the experiences of client and caregiver participants attending the workshops. Preliminary data on the role of disclosure from service user co-facilitators on processes such as stigmatisation, perspective taking and defusion will be explored. Preliminary qualitative and quantitative data will also be presented.

10. Religious Coping and Experiential Avoidance in Social Anxiety Disorder [332]
Primary Topic: Clin. Interven. & Interests
Subtopic: Social Phobia
Benjamin Ramos, San Jose State University
Elizabeth Mejia, San Jose State University
Michael Namekata, San Jose State University

There has recently been a growing interest in spirituality and its role in a number of psychological problems. Having a religious affiliation appears to be related to lower overall anxiety, and intrinsic religiosity is associated with less worry (Shreve-Neiger & Edelstein, 2004). The psychological mechanisms of the relationship between religiosity and anxiety, however, are not well understood. Experiential avoidance (EA) is also implicated in the development and maintenance of anxiety disorders (Kashdan. Morina, & Priebe, 2009). While mindfulness interventions have begun to view the task of reducing experiential avoidance as a spiritual effort, the relationship between experiential avoidance and spirituality in an anxious population is still not clear. The present study will investigate whether spirituality moderates the relationship between experiential avoidance and social anxiety in participants with symptoms of social anxiety (N = 120). Results from this study will give us a greater context in understanding the relationship of spirituality and its effects in socially anxious individuals.

11. The effects of self-compassion between depression and suicidal ideation
Primary Topic: Clin. Interven. & Interests
Subtopic: Self-Compassion, Depression, Suicidal Ideation, College Students
Sun-mi Yang, Ph.D. Candidate, Seoul Women's University Graduate School of Professional Therapeutic Technology in Korea
Kyung Park, Ph.D., Seoul Women's University Graduate School of Professional Therapeutic Technology in Korea

This study examined the effects of self-compassion on depression and suicidal ideation. The participants were 350 college students of both gender(193 males, 157 females) who agreed to take part in this study completed a self-report version of scale. The research tools used on them were Beck Depression Inventory, Self-Compassion Scale(Self-Kindness, Self-Judgment, Common Humanity, Isolation, Mindfulness, and Over-identified), and Scale for Suicidal Ideation(Ambivalence of Suicide, Active Suicide ideation). The result was that self-compassion had negative relationships on depression and suicidal ideation. Self-Kindness, Self-Judgment, Common Humanity and Isolation of sub-factors of self-compassion showed negative relationships on depression and suicidal ideation. Over-identified had positive relationships on depression and suicidal ideation. However, Mindfulness showed negative relationships on only depression. Self-compassion evaluation showed to be a factor to moderate depression between suicidal ideation. These results identified the importance of improving self-compassion on depression promotion that affected the suicidal ideation. ACT in psychological intervention for depression may lead to an increase of suicidal ideation and limitations of this study were discussed.

12. The Effectiveness of Acceptance Commitment Therapy for Women’s Depression in Korea
Primary Topic: Clin. Interven. & Interests
Subtopic: Depression
Hyeeun Kim, M.A., Seoul Women's University
Kyung Park, Ph.D., Seoul Women's University

Although depression was studied for a long time, it is still recognized as a public health problem in Korean society. Especially, depression affects females more than males. The present study examined the effectiveness of group intervention based on Acceptance Commitment Therapy for women’s depression. Sixteen Korean young adult females with depression participated in ACT which consisted of 10 weekly 120 min sessions. Other Fifteen females were assigned waiting list control. All participants(age range 19-37 years) completed a self report questionnaire which is comprised of Beck’s depression inventory, Acceptance action questionnaire, Automatic thoughts questionnaire-negative type, Self compassion scale, and Mindfulness attention awareness scale at pretreatment, middle term, and posttreatment. Also outcome variable(depression) and process variables(acceptance, automatic negative thought, self compassion, and mindfulness) were assessed at follow up in the ACT group. The ACT group not only showed remarkable reduction of depression, but also process variables(acceptance, automatic negative thought, self compassion, and mindfulness) significantly changed at time of entry. Further, changes of them still maintained to follow up as after a 2 months lapse. Particularly, mediational analysis verified that change of acceptance and automatic negative thought mediated the effect of intervention on depression at follow up. The results of this study suggest that the group intervention based on ACT is effective for reduction of women’s depression in Korea.

13. The Effects of Cognitive Defusion Techniques for Speech Anxiety
Primary Topic: Clin. Interven. & Interests
Subtopic: Social Anxiety
Ki-pyoung Kim, M.A., Chung-Ang University
Hae-kyung Koo, Chung-Ang University

The purpose of the present study was to examine the effects of Cognitive Defusion on negative automatic thought and anxiety response of speech anxiety. The Cognitive Defusion, one the key processes of acceptance and commitment therapy, is to prevent suffering from one's thought and aims to make people aware that a thought is just a thought and a feeling is just a feeling. The negative automatic thought in speech-anxious people can be explained as cognitive fusion. They believe their negative thought as vivid truth and it makes them more anxious. The hypotheses for this study were Cognitive Defusion would be more efficient in decreasing negative automatic thought believability, belief in feared consequence, safety behaviour, pulse, and blood pressure. To strictly investigate Cognitive Defusion's effects, this study used a comparison group and they had thought distraction techniques. 50 speech-anxious students were randomly assigned to the two treatment groups. After the first speech task, participants received Cognitive Defusion treatment or thought distraction treatment and the second speech task followed. Right before and just after the two speeches, participants measured blood pressure and pulse. Following the two speeches participants completed each questionnaire. Results showed that Cognitive Defusion techniques were more efficient in decreasing negative automatic thought believability, belief in feared consequence and systolic blood pressure which measured just after speech than thought distraction techniques. In this regard the present study suggests that even in a short intervention, Cognitive Defusion techniques can reduce negative automatic thought believability and anxiety response of speech anxiety.

14. The Effects of Acceptance Strategy on Emotional Responses in Suppressors
Primary Topic: Clin. Interven. & Interests
Subtopic: Acceptance Strategy
Hae-Kyung Koo, M.A., Chung-Ang University
Myoung Ho Hyun, Ph.D., Chung-Ang University

The present study examined the acceptance strategy affects on emotional responses in suppressors. Suppressors are defined as those who are reported low level of anxiety but exhibit heightened physiological reactivity to unpleasant stimuli. Suppressors and nonsupressors were randomly assigned to one of two conditions. Participants in the experimental condition listened to a rationale for accepting emotion and the other participants in the control condition listened to an article from a science magazine. Then all participants watched a negative emotion-provoking film. Self-report measurement and physiological measurement(Skin conductance level) of emotion were obtained before, during, and after the film. The result obtained was that suppressors reported a lower level of negative emotion than nonsuppressors. But there was no difference between suppressors and nonsuppressors in skin conductance level. The participants in the acceptance condition had an increased acceptance level and willingness. For the physiological result, after listening to the acceptance rationale there was a significant decrease in skin conductance level in nonsupressors but not in suppressors. The clinical implications and limitations of this study were discussed as well as future directions.

15. The development of an ACT-based group clinical intervention for adolescents and young adults in a psychiatric inpatient setting
Primary Topic: Clin. Interven. & Interests
Subtopic: Young Adult Mental Health, Inpatient Unit
Dr. Anna Sidis, DCP (USyd), USPACE Young Adult Mental Health Unit St Vincent's Private Hospital Darlinghurst
Dr. Lisa Parker, D.Psych. (UOW), USPACE Young Adult Mental Health Unit St Vincent's Private Hospital Darlinghurst

Background: The USPACE Young Adult Mental Health Unit at St. Vincent’s Private Hospital has been funded in response to both an emerging need for youth specific psychiatric treatment, and in recognition that early intervention in the course of mental illness can help prevent "collateral damage" to social and occupational functioning in later adulthood (McGorry and Purcell 2009). Operating on what is largely an adult private health model, and consisting of both inpatient and day programs, our aim has been to develop clinical programs that are tailored to the specific needs of young adults. In particular we hoped to minimize pathologising; to assist in the developmental tasks such as individuation and identity formation and provide young adults with knowledge, skills and experience to support them to develop psychological flexibility. We have also had the task of developing a program that is engaging, accessible and relevant to adolescents and young adults alike, with different disorders, backgrounds and histories. Further, we have re-examined practices in psychiatry which regularly promote experiential avoidance such as the provision of PRN medication in response to emotional distress. Methods: We chose to adopt an Acceptance and Commitment Therapy model based on the growing evidence of efficacy across a wide range of psychiatric disorders as well as its reputed face validity. A clinical program was developed in which four 60 minute groups are offered each day. Each day incorporates a theme covering the ACT processes of present moment awareness, cognitive defusion, self-as-context, acceptance, values and committed action. The Outcome Rating Scale and Session Rating Scales (Miller, Duncan & Johnson, 2002) were used to collect data for each session. Education was provided to nursing staff on the model and the use of PRN medication was observed over a 12 month period. Results: We will report data for the 12 months in which we have been open across inpatient and day program clinics. From this cohort we have a sample of pre/post data measuring psychological distress and experiences of the psychological interventions. We will also offer some descriptive data and give comment to emerging therapeutic themes as well as anecdotes on challenging the mainstream use of PRN medication in response to distress. Conclusion: The challenges described above represent the redevelopment of the model of mental health specifically for the treatment of adolescents and young adults, for whom diagnosis is often unclear and life is commonly complicated. The adoption of a model which avoids pathologising negative thoughts and uncomfortable emotions is, in our opinion, a vital aspect of promoting resilience, independence, a healthy identity and improved functioning in this cohort. Challenging common place practices such as provision of PRN is complicated by practicalities of ward milieu and safety. Further research is required to address these issues.

16. Psychological Flexibility in Depression
Primary Topic: Clin. Interven. & Interests
Subtopic: Depression
Heidi Kyllönen, M.A., University of Jyväskylä
Piia Astikainen, Ph.D., University of Jyväskylä

Background: According to the theory of Acceptance and Commitment therapy, psychological flexibility is deeply associated with mental health and various psychopathological conditions. The target of this cross-sectional study was to analyze the difference in the amount of psychological flexibility between healthy and depressed persons, and also to compare the mutual dependencies between the different dimensions of psychological flexibility during depression. Methods: A comparison of diagnostically depressed patients (n=105) to their age, gender and education matched healthy controls (n=105) was made. Psychological flexibility was evaluated using self-reported questionnaires. The results achieved so far have shown that the depressed reported significantly smaller amount of psychological flexibility (Mann Whitney U –test). Moreover, the similarity test of correlations between groups has shown differences in dependency between mindfulness skills and negative thoughts. Conclusions: The findings of the present study highlight that the lack of acceptance and mindfulness skills have an important role when developing treatments for depression. Keywords: Depression, psychological flexibility, experiential avoidance, Acceptance and Commitment therapy.

17. The study of verbal behavior in clinical behavior analysis in Brazil: A revision of dissertations and theses
Primary Topic: Clin. Interven. & Interests
Subtopic: Verbal Behavior
Adriana Piñeiro Fidalgo, M.S., Núcleo Paradigma de Análise do Comportamento
Natália Matheus, Núcleo Paradigma de Análise do Comportamento
Roberta Kovac, Núcleo Paradigma de Análise do Comportamento
Yara Claro Nico, Núcleo Paradigma de Análise do Comportamento
William Perez, Núcleo Paradigma de Análise do Comportamento

The purpose of this study was to evaluate how the investigation of verbal behavior in clinical behavior analysis has been conducted in Brazil. For that, this study performed a historical revision of Brazilian dissertations and theses related to the subject and carried out from 1968 to 2011. The aspects investigated include: (a) number of dissertation and thesis related to the subject, (b) thesis advisor, (c) type of research (descriptive or experimental), (d) line of research (basic, applied, conceptual and historical), (e ) theme, (f) research problem, (g) theoretical and philosophical bases used in the explanation of verbal behavior (Skinner, 1957, 1986; Sidman & Tailby, 1982, or Hayes, Barnes-Holmes & Roche, 2001), and ( h) methodology (experimental or descriptive). In total, 24 dissertations and ten theses related to the subject were identified, totaling 34 studies. The Universidade de São Paulo produced the largest number of studies (10). Other major research centers identified were: PUC-SP (nine studies), UFPA (eight studies), SCU (four studies), UNB (two studies) and UFSC (one study). The most recurrent themes were: operant control of verbal behavior, private events, and categorization of verbal responses. With regard to the theoretical framework, only one research followed the paradigm of stimulus equivalence (Sidman & Tailby, 1982), all others were based on the theoretical framework of Skinner (1957,1986). No study was based on Relational Frame Theory (Hayes, Barnes-Holmes & Roche, 2001). These data indicate that, unlike what was observed by Alvarez (2006) in Brazil, the third wave of behavioral therapies have not been yet established as a target of scientific research. The results obtained in this research allow to say that the study of verbal behavior – in Brazil – in the clinical field still is very incipient if compared with the total number of studies produced in Behavior Analysis (1.010 studies) or in the clinical field in general (104 studies). Possibly, both methodological difficulties involved in the study of verbal behavior and in conducting research in the clinical setting discourage researchers to undertake work in the field.

18. Increasing Psychological Flexibility in School Life
Primary Topic: Edu. settings
Subtopic: Psychological Flexibility, Teachers
Margherita Gurrieri, Psy.D., IESCUM, Italy
Francesco Dell'Orco, M.A., IULM University, Milan - IESCUM, Italy
Giovanbattista Presti, Ph.D., IULM University, Milan - IESCUM, Italy

Difficult situations in which teachers face their own barriers in order to develop effective teaching interventions might occur in the school context. Psychological flexibility has been shown to predict ability to learn new skills at work, job performance, and mental health (Bond and Flaxman, 2006). Cognitive fusion and experiential avoidance interfere with psychological flexibility, which refers to contacting the present moment fully and, depending upon what the situation affords, acting in accordance with one's chosen values. The efficacy of ACT group intervention in educational settings has been empirically investigated. Results suggest significant improvements in valued living and mindfulness, and a decrease in experiential avoidance for special education staff (Biglan et al, 2013). The aim of our project was to develop, implement, and evaluate an ACT-based intervention to increase teacher's psychological flexibility. The intervention consisted of three, once weekly, 120-minute ACT group sessions. Measures of psychological flexibility (Acceptance and Action Questionnaire - AAQ), cognitive fusion (Cognitive Fusion Questionnaire -CFQ), general mental health (General Heath questionnaire - GHQ) and job satisfaction (Job Satisfaction Scale - JBS) were administered. Preliminary data of this pilot project will be discussed.

19. Valued action and well-being: Reciprocal relationships across the transition from high school to early adulthood
Primary Topic: Edu. settings
Subtopic: Values, Adolescents
Kathryn Williams, University of Wollongong
Joseph Ciarrochi, University of Western Sydney

Well-being promotes positive outcomes, which may include the ability to live according to one’s values; conversely, values-congruent living may be a source of well-being. The current longitudinal study tested reciprocal relationships between subjective well-being and the extent to which values are seen as personally important, pressured by others, activated, and successfully enacted. Participants were 468 young people (51.9% female) who responded to questionnaires in the final year of high school (Grade 12) and again approximately one year later. Regression analyses showed that life satisfaction predicted increasing value importance, activity and successful enactment. Valued action was not antecedent to well-being, when baseline levels of well-being were controlled. Positive changes in well-being over time were correlated with increased value importance, decreased pressure and greater success in enacting values. The findings build on a small body of research exploring the reciprocal interaction of well-being and valued action, and have implications for clinical interventions in ACT.

20. Treatment drop out in third wave cognitive-behavioral therapies: A systematic review and meta-analysis
Primary Topic: Other
Subtopic: Treatment Drop-out
Penelope Constantinou, University of Cyprus
Patrisia Nikolaou, University of Cyprus
Maria Karekla, University of Cyprus

Treatment dropout is one of the most crucial issues that a therapist has to face on a daily basis. The negative effects of premature termination impact the client who is usually found to demonstrate poorer treatment outcomes (Cahill et al., 2003). To date there has not been a systematic examination of drop out effects among third wave CBT treatments. The purpose for this study is to conduct a meta-analysis in order to review variables associated with treatment dropouts so as to assist with decreasing the negative impacts of treatment drop out on third wave of CBT treatment clients. A literature search was undertaken using six electronic databases and references of retrieved articles. 309 articles were identified for possible inclusion, while 71 of them met all inclusion/exclusion criteria. The variables associated with dropouts will be presented and discussed, including recommendations for researchers and practitioners and potential directions for future research and practice.

21. Is behavior activation based on value better than simple behavior activation?: Effect of value clarification on daily goal behavior and mental health
Primary Topic: Performance-enhancing interventions
Subtopic: Value
Asako Sakano, M.A., Doshisha University
Takashi Muto, Ph.D., Doshisha University

Purpose: This study investigates the effect of behavior activation (BA) with value clarification (VC) on (a) achievement ratios or repertoires of daily goal behavior as valued action and (b) mental health, or general health, anxiety, and depression. Method: Forty-two undergraduate students were randomly assigned to one of the conditions (BA protocol group or BA protocol with VC group), and a pre-post design was used. Both groups established their own goal behavior; however, those in the BA with VC group clarified their value before setting their goal behavior. Results: Compared to participants who received only BA protocol, after five months, there was no superiority of BA protocol with VC in increasing achievement ratios or repertoires of goal behavior and improvement in mental health. Discussion: Future research needs to examine the effects of multiple procedures, including other ACT components and acceptance or mindfulness, for improvements in quality of life.

22. An acceptance-based training for interpreters: Increasing psychological flexibility in the booth [333]
Primary Topic: Performance-enhancing interventions
Subtopic: Psychological Flexibility, Mindfulness
Claudia Corti, IULM University, Milan - IESCUM, Parma
Francesco Dell'Orco, IULM University, Milan - IESCUM, Parma
Clara Pignataro, IULM University, Milan
Francesco Pozzi, Ph.D., IULM University, Milan - IESCUM, Parma
Anna Bianca Prevedini, IULM University, Milan - IESCUM, Parma
Paolo Moderato. Ph.D., IULM University, Milan - IESCUM, Parma

Working as an interpreter is associated with high levels of stress and anxiety often due to the uncertainty that linguistic, environmental, interpersonal and intrapersonal factors contribute to rise in a stressful context. A common goal of many interpreters is to seek strategies that help manage emotions and arousal. In this view through such strategies great performance could be achieved and burn-out disorder prevented. We designed a pilot cross-over study to evaluate if an Acceptance and Commitment Therapy-based treatment increases coping with stress and anxiety and consequently the quality of the translation performance in a group of students of the School for Interpreters at IULM University (Milan, Italy). Students were randomized in 2 groups, one experimental and the control group. The experimental group attended 2 experiential sessions that focused on the role of the mind in increasing the importance of stressful factors and on values-oriented actions and daily 15-minute mindfulness-based sessions in a period of 3 months. The control group was shifted to the training after an adequate period of time. Translation performance and psychological measures related to anxiety, stress and psychological flexibility were collected before and after treatment. Preliminary results will be shown.

23. An app to support suicide prevention amongst indigenous youth: Pilot [334]
Primary Topic: Prevention & Comm.-Based
Subtopic: Suicide
Rebecca Ridani, Black Dog Institute, University of New South Wales
Fiona Shand, Ph.D., MPsych(Clin), Black Dog Institute, University of New South Wales

Indigenous youth have suicide rates up to five times higher than their non-Indigenous counterparts and are less likely to seek help due to shame, stigma, and lack of services in rural and remote communities. Mobile phone usage amongst Indigenous youth is high therefore technology may address help seeking barriers. Acceptance and Commitment Therapy principles align well with values of Indigenous culture, thus it is hypothesised that ACT may be efficacious in reducing suicidal ideation amongst Indigenous youth. A self-help, ACT based tablet app that caters for low literacy has been developed and will be trialled with individuals experiencing suicidal thoughts. Participant suicidality and mental health scores will be compared across 1) groups (intervention versus wait list control), with the intervention group predicted to have lower scores 2) and time (baseline, pre, post and follow up), with post app usage scores predicted to be lower than those prior to app usage.

24. Validation of the Avoidance and Inflexibility Scale in a Greek Speaking Adolescent Population
Primary Topic: Prevention & Comm.-Based
Subtopic: Teens, ACT-Scales
Vasilis S. Vasiliou, MSc, University of Cyprus, ACTHealthy lab.
Stella Savvidou, Ph.D. Candidate, University of Cyprus, ACThealthy lab.
Maria Karekla, Ph.D., University of Cyprus, Director of ACTHealthy lab.

The current study evaluates the validation of an ACT-related measure in the Greek-speaking population. As the empirical evidence for the ACT-based therapeutic interventions continues to grow, the importance of examining the processes or mechanism of change using psychometrically valid and reliable measures is paramount. The Avoidance and Inflexibility scale (AIS; Gifford et al., 2002), is a 13-item measure that assesses the link between private triggers related to inflexible behaviors in smoking and smoking cessation of individuals. The AIS was translated (and back-translated) and adapted in Greek and administered to high school students (M= 560, age=14.79, SD=1.058) in the context of a larger study. An exploratory factor analysis with principal components extraction and an oblique rotation showed a two factors solution accounting for 65.1% of the total variability. The AIS resulted in a two-factor theoretically meaningful solution with subscales for avoidance and inflexibility related to smoking experiences. A reliability analysis showed a Cronbach’s alpha coefficient of .92 for both factors. Based on the results, AIS appears to have adequate internal consistency in the Greek speaking population. In conclusion, the Greek AIS is a useful tool in evaluating psychological avoidance and inflexibility among adolescent smokers. Theoretical and clinical implications will be also discussed.

25. Self-Control and Temporal Relational Framing
Primary Topic: RFT
Subtopic: Self-Control
Midori Uemura, Waseda University
Tomu Ohtsuki, Ph.D., Waseda University

Relational Frame Theory (RFT) suggests that the temporal relational framing included in the self-rule enables us self-control. The purpose of the current study is to identify whether the Self-Control is related to the transformation of stimulus function in accordance with the temporal relating. Eighteen undergraduate students participated in this study. They were exposed to a more than / less than relational task, which involved the tests of the derived relations and the transformation of stimulus function. After relational task, they completed the delay discounting questionnaire, investigated self-control choice. Participants who passed the test showed lower discounting rate than participants who failed the test. Results revealed that the participants who passed the test preferred self-control choice in delay discounting questionnaire. We discussed about the role of the temporal relational framing in the self-control from the perspective of RFT.

26. Validation of the Child and Adolescent Mindfulness Measure in a Greek-Speaking Adolescent Population
Primary Topic: RFT
Subtopic: Validation of a Measure
Orestis Kasinopoulos, Ph.D. Candidate, University of Cyprus
Vasilis Vasileiou, Ph.D. Candidate, University of Cyprus
Stella Savvides, Ph.D. Candidate, University of Cyprus
Maria Karekla, Ph.D., University of Cyprus

It is of great importance to examine the psychological mechanisms of change behind ACT, a therapy that is increasingly becoming an evidence-based intervention. The Child and Adolescent Mindfulness Measure (CAMM) has been recently constructed and validated by Greco, Baer and Smith (2011) using an American adolescent sample. In this study, we evaluate the validation of both the long (25 - item) and short (10 - item) versions of CAMM in a Greek-speaking population. The 5-Point Likert scale of CAMM was first adapted in Greek using back-to-front translation and was then administered to high school students coming from 4 different high schools across Cyprus with age range between 15 and 18 (Mage= 16.00, S.D.= .85). An exploratory factor analysis (EFA) on the 25 - item measure, with principal components extraction and an oblique rotation resulted in a seven-factor solution with eigen values greater than 1.0 and cumulatively accounting for 66.60% of the variance likewise in the Greco, Baer, and Smith study. A reliability analysis indicated a Cronbach’s alpha of 0.90. Another EFA was conducted on the short 10-item scale and confirmed very high loadings from .43 to .79 for a single factor accounting for 65.2% of the variability (cronbach’s alpha = .91). According to the results, both versions appear to be valid and useful for assessing mindfulness skills in the Greek speaking adolescent population. Theoretical, clinical and practical implications for using the shorter version will be discussed.

27. RFT and mathematical arbitrary relations: Is there a quick and effective way to improve math skills at school?
Primary Topic: RFT
Subtopic: Math Skills
Premarini Claudio, Department of Child Neuropsychiatry and Neurorehabilitation; "Eugenio Medea" Scientific Institute, Bosisio Parini, Lecco, Italy
Giovanbattista Presti, Ph.D., IULM University, Milan (Italy)
Missaglia L., MD, Department of Child Neuropsychiatry and Neurorehabilitation; "Eugenio Medea" Scientific Institute, Bosisio Parini, Lecco, Italy
Moderato Paolo, Ph.D., IULM University, Milan (Italy)

Following previously reported training based on frame of coordinations (Linch and Cuvo, 1995) a fifth grade 9 year old girl with a IQ at the lower limits for normality and identified by teachers as having difficulties on fraction (e.g. 3/4) and decimal tasks (e.g. 0.75) was trained to match pictorial representations of fractions (B comparison stimuli) to printed counterpart fraction ratios (A sample stimuli), and to match printed decimals (C comparison stimuli) to pictorial representations of counterpart quantities (B sample stimuli). After testing for symmetry, transitivity and equivalence three twelve-stimuli classes emerged. In a generalization paper-and-pencil test two eight members X (printed fraction) and Y (printed decimal) classes relations (XY and YX) were also tested. Then another relation AD (match fraction ratios to dissimilar fraction ratios of equal value) was trained (and DA) and CD relations were tested. The CD generalization test assessed generalization of fraction and decimal matching to new combinations of previously employed stimuli. Though the replication of Linch and Cuvo (1995) study is limited to only one subject the results were replicated including the same difficulties of transferring stimulus function to the paper-and-pencil test. The same procedure was applied to teach other arbitrary relations (description of the problem - operation - description of the math rule) to solve math problems. Increment in standard math tests showed that after the training the subject moved from the 15th to the 41th percentile. A number of advantages related to the effectiveness per time of training ratio along with the limits of the study will be discussed.

28. Searching for Effective Strategies of ACT Dissemination in Poland [335]
Primary Topic: Superv., Train. & Dissem.
Subtopic: ACT Development
Joanna Dudek-Glabicka, M.A., University of Social Sciences and Humanities, Warsaw, Poland
Stanislaw Malicki, M.A., Innlandet Hospital Trust, Norway / University of Social Sciences and Humanities, Warsaw, Poland
Pawel Ostaszewski, Ph.D., University of Social Sciences and Humanities, Warsaw, Poland

The poster presents the current situation of contextual behavioral science (specifically, ACT) in Poland and possible obstacles to its further development. In order to improve the process of ACT dissemination we did an online survey concerning several issues. Professionals interested in ACT were asked questions about their motives for learning ACT, what prevents them from using ACT in their practice, what are the main barriers and facilitating factors in further ACT dissemination in Poland. It was revealed that the insufficient number of literature in Polish is the most often indicated obstacle to further ACT development. On the other hand, focus on the improving overall quality of life and not on the symptoms was indicated as the most important quality of ACT within the small Polish sample studied. Further results are presented together with conclusions for effective dissemination of ACT in Poland.

29. The Impact of Experiential Training versus Didactic Training on Experiential Avoidance, Thought Suppression, and Stigma in Graduate Students
Primary Topic: Superv., Train. & Dissem.
Subtopic: Training
Sylvia Spyrka, M.A., The Chicago School of Professional Psychology
Sandra Georgescu, Psy.D., The Chicago School of Professional Psychology

Stigma toward mental illness remains a large barrier to seeking treatment for individuals who need it most. However, recent literature suggests that stigma may continue to be maintained by mental health professionals within the therapy room. Unwillingness to experience uncomfortable thoughts and feelings on the side of the therapist such as those related to lack of progress or treatment failure may contribute to poor client outcomes. While current training in psychology addresses mental health stigma as part of their overall diversity training, most of this work is didactic in nature and fails to directly target the experiential avoidance process underlying stigma. Few studies have directly assessed the impact of experiential training on experiential avoidance in graduate students. In the present study, data that included measures of experiential avoidance, thought suppression, and stigma was retroactively reviewed from experiential and didactic clinical psychology graduate-level courses at three time points. Analyses showed that experiential training decreased experiential avoidance at post-training and 4-month follow-up. Measures from the experiential training group initially showed an increase in thought suppression post-training but no overall change at the 4-month follow-up. Experiential training's effect on the believability of stigmatizing beliefs was nearing statistical significance at the 4-month follow-up. In comparison, results from the didactic group showed no change on any measure. Results suggest that experiential training is a viable option to decrease overall experiential avoidance which has been linked to reductions in stigma, therapist burnout, and improved therapeutic outcomes. Limitations of this pilot study include small sample sizes and follow-up numbers.

30. Integrating Training in ACT Competencies and Self-care Skills in Postgraduate Clinical Psychology Curriculum
Primary Topic: Superv., Train. & Dissem.
Subtopic: Clinical psychology trainees, Self-care
Kenneth I. Pakenham, Ph.D., The University of Queensland

A key challenge in clinical psychology training is how to include self-care training in an already overloaded curriculum to address elevated stress among clinical psychology trainees evident from anecdotal and research evidence. This poster describes the development of a university Doctoral level course in Acceptance and Commitment Therapy (ACT) that integrates the acquisition of ACT competencies and self-care skills. The outcomes of seven evidenced-based developmental phases are described: (1) Literature review on stress & self-care in students; (2) Investigation of stress levels in students. (3) Investigation of the effectiveness of ACT to reduce stress, and enhance therapist attributes and skills, and self-care skills; (4) Investigation of student views on using ACT in clinical training. (5) Investigation of student perspectives on improvements to clinical training; (6) Curriculum design and implementation; (7) Course evaluations. In summary, data will be presented that supports the effectiveness of integrating ACT into clinical psychology curriculum to train students in therapist competencies and self-care skills. Further, it provides support for innovative evidenced-based and student-informed teaching and learning strategies particularly suited to clinical psychology training contexts. This course received the 2012 Faculty of Social and Behavioural Sciences Award for the Enhancement of Student Learning, at The University of Queensland.

31. Mexican behavioral therapy postgraduates perceived supervision needs [336]
Primary Topic: Superv., Train. & Dissem.
Subtopic: Skills training
Michel André Reyes Ortega, Ph.D., México-ACBS

A qualitative study aimed to find perceived supervision needs of a group of behavioral therapists was conducted. Twelve therapists participated in a structured ACT and DBT based group supervision and answered an open questionnaire about the supervision elements they found to be most important and useful for their clinical practice, their perceived supervision needs at the beginning and ending of supervision were also assessed. The questionnaire was structured according to different developmental, CBT and role models of supervision. Participants' answers were coded and used to develop a new supervision program. The new model was discussed with therapists and modeled according to their satisfaction. This paper presents the qualitative data found in the study and describes the new model of supervision developed.

32. Avoidance with acceptance: Theoretical analysis of positive distraction and loving-kindness meditation on emotion regulation
Primary Topic: Theory & Philo.
Subtopic: Mindfulness, Buddhism, Loving-Kindness Meditation, Emotion Regulation
Zeng Xianglong, M.A., Beijing Normal University
Liu Xiangping, Ph.D., Beijing Normal University

Based on the paradoxical effect of experience avoidance, Acceptance and Commitment Therapy advocated radical acceptance towards psychological events. However, the conclusion of experience avoidance is mainly based on suppression and should not be over-generalized. Distraction could be considered as avoidance, but turning attention away is essentially different from the suppression and it is compatible with acceptance in theory. Empirical studies also implied that focused distraction with positive content could be effective on emotion regulation. Loving-kindness meditation (LKM) has been used for regulating negative emotions with the principle of equanimity for a long time in Buddhism, and it could be extracted as a focused and positive distraction. Previous studies showed that the effectiveness of brief LKM without acceptance was comparable with mindfulness skill. Future studies should distinguish distractions from suppression and combine LKM with the idea of acceptance, and this will deepen our understanding on the balance between acceptance and change.

33. Does worldview impact experiential avoidance in social situations? A pilot examination of the effect of values on this relationship
Primary Topic: Theory & Philo.
Subtopic: Social Anxiety, Culture, Experiential Avoidance
Gabriela L. Alshafie, San Jose State University
Jennifer Gregg, Ph.D., San Jose State University

Recent research has examined emotional avoidance and anxiety sensitivity in the pathogenesis of anxiety-related problems. Intense psychological distress related to social situations relates to behavioral and emotional avoidance. Investigations on the differences between collectivistic and individualistic cultures are vast, however the findings are inconsistent. Although there is research investigating emotional avoidance and social anxiety, research regarding the applicability of the concept of emotional avoidance is limited for populations that identify with collectivistic characteristics. The present study focuses on the relationships between emotional avoidance, culture and social anxiety sensitivity and how these constructs may contribute to the pathogenesis of social anxiety. The moderating effect of individualistic/collectivistic worldview will be examined in the relationship between emotional avoidance and social anxiety disorder symptoms in a study examining a values-based intervention for negative social feedback.

 

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WC11 Pre-Conference Workshops

July 8-9, 2013, University of New South Wales (UNSW)

Unforgettable. Inspiring. Cutting-edge. Inviting. ACBS Pre-Conference Workshops are well-known as a source for world-class ACT and RFT trainings. Here is the heart of ACBS. Where therapists and researchers of all ages sharpen their skills, and push their limits. Where expert trainers from across the globe converge as a creative force aiming to shape and support all those in attendance. Where life-long friends reconnect, or meet for the first time.
 

What to Expect

The 2013 Pre-Conference Workshops offer exciting new opportunities that will engage therapists and researchers of any skill level. Highlights include:

Acceptance and Commitment Therapy (ACT): Participate in experiential and didactic workshops to learn this empirically supported therapy
Relational Frame Theory (RFT): Apply this modern perspective on cognition and language to your own research or practice
Contextual Behavioral Science (CBS): Explore the foundations of ACT and RFT to enrich your understanding
Functional Analytic Psychotherapy (FAP): Supercharge your therapy practice with FAP's relationship-enhancing approach
Compassion Focused Therapy (CFT): Engage compassionate emotions within your clients in order to target shame and self-criticism

Combining therapy role-plays, experiential exercises, case presentations, data graphics, focused lectures, and small group discussions, you can expect high-quality training from ACBS Pre-Conference Workshops. Continuing Education Credits are available.

Be sure to review the menu below to see your full list of options.

Please click here [337] to view the information packet with more details on the Pre-Conference Workshops (session locations, transportation, and more)!  This information packet will be given to pre-conference attendees onsite as well.

When, Where, and How Much?

These workshops will be held the two days immediately preceding the ACBS World Conference XI.

Monday, July 8, 2013 - 9:00am-5:00pm
Tuesday, July 9, 2013 - 9:00am-5:00pm

*These workshops run concurrently. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

They will be held at the University of New South Wales (UNSW), Kensington, Australia, in the Mathews Theatres, Central Lecture Block, and Mathews Classrooms.  Find Parking Information [290] here. Bus information from Coogee [291] can be found here.

The Registration Desk will be on the South side of Clancy Auditorium, on UNSW's campus, and will open by 7:30am on Monday, July 8.  (Alternatively you can pick up your badge and materials in the lobby of the Crowne Plaza Coogee from 5-7pm on Sunday, July 7).  All Venue map information [288] is here.

 

Pre-Conference Workshop Registration Rates (July 8-9, 2013) - Online registration is closed. Limited onsite is available for open workshops.

The workshops below will be held the 2-days immediately preceding the ACBS World Conference XI. They will be 9:00-5:00pm on each day.

*The workshops below run concurrently, therefore please double check the dates of the pre-conference workshops you are interested in. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

  Onsite Registration
  2-day workshops 2-day FAP workshop
Professional $420 $445
Student $325 $350
Professional, Non-Member $445 $470
Student, Non-Member $350 $375

Above prices include 2 lunches, AM & PM coffee/tea on site, and a general certificate of attendance.


Select a workshop from the list below:

Acceptance and Vitality: Building Skills in ACT Beyond the Basics - Walser (Clinical, Professional Issues, Beginner, Intermediate, Advanced)

Acceptance and Vitality: Building Skills in ACT Beyond the Basics

Workshop Leader:
Robyn D. Walser, Ph.D., TL Consultation Services & National Center for PTSD
 
Dates & Location:
University of New South Wales, Sydney, Australia
9-5:00pm on Monday July 8, 2013
9-5:00pm on Tuesday July 9, 2013
 
Continuing Education Credits Available: 13
 
Workshop Description:

The workshop will focus on creating flexible awareness, openness and vitality. The session is designed to build ACT skills beyond the basic introduction to ACT. The goals will be to help create flexible use of the 6 core processes and tackle multiple layers of what it means to do ACT with a broad base of clients. The session will include techniques designed to broaden your scope of practice and skill with your own clients, while also broadening your personal willingness and sense of acceptance an ACT therapist. A focus on the interpersonal relationship between therapist and client and how the 6 core processes in ACT are used in the same will be included. Specifically, there will be a focus on the therapy processes that trigger each of the six components. We will address how therapists can flexibly adopt the six ACT processes including work that is linked to personal psychological experience in session. The focus will include a description of how the most basic part of the ACT therapeutic stance naturally flows from a therapist’s application of the ACT model to their own professional and personal life. In addition to didactics, the workshop will include experiential exercises and activities designed to enhance personal development in application of ACT. Role-play methods, including role-plays conducted by the presenter and opportunity for personal role-plays with feedback on implementation of skills will be provided. It is expected that some personal work will occur to expand your understanding of the intervention and increase personal action related to values and vitality. Please join. I look forward to this workshop and hope you will come, heads and hearts.

 
About Robyn Walser:
Robyn Walser, PhD, is the associate director for dissemination of training at the National Center for PTSD at the Veterans Affairs Palo Alto Health Care System. She is a recognized expert in Acceptance and Commitment Therapy and has authored several books including Acceptance and Commitment Therapy for the Treatment of Post-Traumatic Stress Disorder, The Mindful Couple, and Learning ACT.
 
Learning Objectives:

1. Participants will learn how to improve flexible implementation of ACT core skills.
2. Participants will learn what triggers different ACT processes in session.
3. Participants will be broadly familiar with the ACT therapeutic stance and its core competencies with a focus on personal presence in therapy in addressing challenging content, self-disclosure, and vulnerability.
5. Participants will further develop their understanding of compassion from an ACT perspective.
6. Participants will be able to cultivate mindfulness and self-as-context as it pertains to the therapeutic relationship.
7. Participants will develop an understanding of ACT double-flex and the therapeutic relationship.
8. Participants will be able to identify sticking points in ACT and how to address them.
9. Participants will cultivate awareness of personal barriers to implementation of ACT core processes and have the opportunity to work through such issues.
10. Participants will be able to describe how values homework is used to support behavior change.

 
Target Audience: Clinical, Professional issues, Beginner, Intermediate, Advanced
 
Components: Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

An Experiential Introduction to Acceptance and Commitment Therapy (not just for beginners) - Wilson (Clinical, Research, Training, Beginner, Intermediate, Advanced) - CLOSED

Integrating ACT into CBS and Vice Versa

This workshop is full, please consider another one of our terrific workshops!

Workshop Leader:
Kelly G. Wilson, University of Mississippi
 
Dates & Location:
University of New South Wales, Sydney, Australia
9-5:00pm on Monday July 8, 2013
9-5:00pm on Tuesday July 9, 2013
 
Continuing Education Credits Available: 13
 
Workshop Description:

In this workshop we will explore a question that is at the heart of ACT. The question is embodied in the six ACT processes described in the Hexaflex.
In this very moment, (present moment)
Will you (self-as-context)
Accept the sweet and the sad, (acceptance)
Holding lightly stories about what is possible, (defusion)
Be the author of a valued pattern of living, (values)
And turn gently, in kindness, toward your own life? (commitment)

As a treatment, ACT is based on a model that does not draw hard lines between sick and well, between client suffering and therapist suffering. We are not a different species than our clients. This is not to say that some lives, some struggles, are not harder than others. They certainly are. However, you can look deeply at your own lived suffering and struggles and find kinship with your most distraught client.

There is a source of suffering that is shared by language-able humans. The source of that suffering can be found in language itself and the way language works. This is not the only source of suffering, of course, but evidence is mounting that language processes are capable of compounding suffering. Humans seem to be the only creatures on the planet that don’t just suffer but also suffer that they suffer. Humans suffer that they have suffered in the past, and they suffer that they might suffer later.

How do we “save” ourselves from this abundance of suffering? We apply problem-solving mode of mind. This mode of mind has been marvelously fruitful in helping us to produce food, shelter ourselves from the elements, and avoid predators. Problem-solving mode of mind allows us to categorize, evaluate, and tell stories about anything and everything—including anything that exists, that did exist once, that might exist, and even things that could not possibly exit.
Many of our stories are quite useful. Consider stories about how to preserve food for the winter or stories about the value of vaccinations in disease prevention. Some are benign. For example, I have been reading science fiction for decades. But some stories we tell about ourselves about the world around us narrow the place we get to inhabit. Some stories describe limitations and necessities that squeeze us into tiny little life spaces. And once our stories effectively downsize our world, we try to make the best of those cramped quarters.

Have you ever looked deeply into your client’s eyes and seen someone who once dreamed that there would be more to life? Seen someone who just stopped dreaming because the world is just not that kind of place? Seen someone who stopped dreaming because they knew that they did not deserve more? Or, perhaps even sadder, never dreamed at all.

The people we call clients represent a subset of a greater human condition. Many, many of us live much, much smaller lives than we need to. ACT is based on a basic science that suggests that we can loosen the grip that these stories have us and, in doing so, make possible richer and more varied lives.
Join me for a couple of days and learn about ACT from the inside out. We will take an experiential walk around the hexaflex. We will learn ways to bring ourselves into the present moment. We will learn ways to accept the sweet and the sad. We will learn ways to let go of limiting stories about ourselves and about the world around us. We will learn to intentionally author a valued direction. And, finally, we will practice the lovely human art of returning in kindness to our own lives.

About Kelly G. Wilson:
Kelly G. Wilson, Ph.D., is an Associate Professor of psychology at the University at Mississippi. He is Past President of the Association for Contextual Behavioral Science. Wilson has devoted himself to the development and dissemination of ACT and its underlying theory and philosophy for the past 20 years, and has published numerous articles and chapters, as well as 6 books including Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change and his newest books Mindfulness for Two and Things Might Go Terribly, Horribly Wrong. He has central interests in the application of behavioral principles to understanding topics such as purpose, meaning and values, therapeutic relationship, and mindfulness. Wilson is the founder of Onelife Education and Training, LLC and has presented workshops and provided consultancy in 20 countries.
 
Learning Objectives:
Attendees will be able to:

1. Identify the six dimensions of the psychological flexibility model.
2. Describe two major obstacles to valued living from an ACT perspective.
3. Describe an ACT approach to negative cognition about self.
4. Execute an ACT perspective taking intervention.
5. Execute an ACT values development intervention.
6. Execute an ACT commitment development intervention.
7. Execute an ACT-consistent mindfulness intervention.
8. Execute an ACT defusion intervention.
9. Describe an ACT approach to client avoidance seen while doing values and commitment work.
10. Execute interventions that balance values and behavioral activation work with acceptance and mindfulness work.

 
Target Audience: Clinical, Research, Training, Beginner, Intermediate, Advanced
 
Components: Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Functional Analytic Psychotherapy (FAP): Deepening Your Clinical Skills of Awareness, Courage, Therapeutic Love and Behavioral Interpretation - Tsai & Kohlenberg (Clinical, Beginner, Intermediate, Advanced)

Functional Analytic Psychotherapy (FAP): Deepening Your Clinical Skills of Awareness, Courage, Therapeutic Love and Behavioral Interpretation

Workshop Leaders:
Mavis Tsai, Ph.D., Independent Practice and University of Washington
Robert J. Kohlenberg, Ph.D., ABBP, University of Washington
 
Dates & Location:
University of New South Wales, Sydney, Australia
9-5:00pm on Monday July 8, 2013
9-5:00pm on Tuesday July 9, 2013
 
Continuing Education Credits Available: 13
 
Workshop Description:

Whether you are new to FAP or have had previous training, this workshop will take you deeper into your abilities to increase the emotional intensity and interpersonal focus of your therapeutic work. Using awareness, courage, and therapeutic love (behaviorally defined), FAP augments the impact of treatment by focusing on the special therapeutic opportunities presented by the subtle ways that clients' daily life problems occur in the therapy session.

The behavioral underpinnings of FAP facilitate its use with other treatments, and it integrates particularly well with ACT. Our esteemed colleague, Benjamin Schoendorff, certified as a trainer in both ACT and FAP, will present the most powerful ways to blend these two treatments. FAP calls for therapeutic stances and techniques that no single therapeutic orientation would predict and is intended to help answer the perennial and elusive key question: "What is the theoretically sound basis for selecting the technique that is most appropriate for a particular client at a certain time?"

A conceptual and practical framework will be provided that will help super-charge your next therapy session. Content will include videotaped therapy sessions, experiential exercises, demonstrations and handouts that can be used with clients. Experiential work will be book-ended with behavioral rationales and why/how the exercises can be relevant to your clinical work. The vision of this workshop is not only to enhance your competence in FAP, but to bring more intimacy and joy into your life by giving you opportunities to exercise courage, explore with compassion the deeper recesses of your true self, see more clearly your behaviors that distance others versus those that invite closeness, and practice expressing your true self more whole-heartedly.

About Mavis Tsai, Ph.D.
Mavis Tsai, Ph.D., is a psychologist in independent practice and a clinical instructor at the University of Washington where she is involved in supervision and research. The list of publications and presentations by Dr. Tsai indicates the breadth of her expertise and includes work on healing PTSD interpersonal trauma with FAP, disorders of the self, power issues in marital therapy, incorporating Eastern wisdom into psychotherapy, racism and minority groups, teaching kids to be peace activists, and women’s empowerment via reclaiming purpose and passion. She has led numerous workshops nationally and internationally and is known for her engaging interpersonal style as well as her behaviorally informed multi-modal approach to healing and growth that integrates mind, body, emotions, and spirit.
 
About Robert J. Kohlenberg, Ph.D., ABBP
Robert Kohlenberg, Ph.D., ABPP, is a professor of psychology at the University of Washington where he was the Director of Clinical Training from 1997 – 2004. The WA State Psychological Association honored him with a Distinguished Psychology Award in 1999. He has presented “Master Clinician” and “World Round” sessions at the Association for the Advancement of Behavior Therapy and has published papers on migraine, OCD, depression, intimacy of the therapeutic relationship, and a FAP approach to understanding the self. He has presented FAP workshops both in the US and internationally. He has received research grants for FAP treatment development, and his current interests are identifying the elements of effective psychotherapy, the integration of psychotherapies, and the treatment of co-morbidity. He and Dr. Tsai are co-authors of Functional Analytic Psychotherapy: A guide for creating intense and curative therapeutic relationships. New York: Plenum. (1991).
 
Learning Objectives:

1. Describe awareness, courage and therapeutic love in behavioral terms and practice these behaviors in the workshop.
2. Increase intensity and connection in your therapeutic relationships.
3. Gain skill in using functional analysis and in understanding clinically relevant behavior as functional classes.
4. Learn how to recognize and therapeutically respond to client in-session problematic behaviors (CRB1s).
5. Make the hidden meanings of your clients' communications more visible.
6. Identify and address what you avoid in the moment and with your clients.
7. Learn when commonly used interventions can be inadvertently counter-therapeutic.
8. Practice using all five FAP rules in sequence in order to facilitate generalization of client in-session gains.
9. Enhance your ACT with FAP.
10. Explore and express the deeper recesses of your true self; see more clearly your behaviors that distance others versus those that invite closeness.

 
Target Audience: Clinical, Beginner, Intermediate, Advanced
 
Components: Conceptual analysis, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Functional Contextual Analysis and Treatment for Children and Adolescents - L. Hayes & Cairns (Clinical, Relational Frame Theory, Intermediate, Advanced) - CLOSED

Functional Contextual Analysis and Treatment for Children and Adolescents

This workshop is full, please consider another one of our terrific workshops!

Workshop Leaders:
Louise Hayes, Ph.D., The University of Melbourne
Darin Cairns, Ph.D., The Cairns Psychology Group
 
Dates & Location:
University of New South Wales, Sydney, Australia
9-5:00pm on Monday July 8, 2013
9-5:00pm on Tuesday July 9, 2013
 
Continuing Education Credits Available: 13
 
Workshop Description:
In this workshop we will develop a functional contextual account of child and adolescent development, that draws on behavioural theory, relational frame theory and evolutionary science. This will be our foundation to explore how ACT process can be used to influence development. The workshop will be theoretical and experiential.

We will cover key development stages and processes pertaining to learning a sense of self and others, and how children and adolescents learn to navigate, interpret, and influence their world. We will highlight how function and context influences across multiple levels - individual, familial, social and cultural - and explore how these processes promote adaptive and maladaptive development.

We will then use this contextual analysis of development to practice and experience ACT therapeutic techniques that can be used to address common clinical issues seen in childhood and adolescents. Therapy at an individual and family level will make up the bulk of the therapeutic work, however, we will also discuss cultural and societal strategies could lead to significant and lasting positive change for children and adolescents.

About Louise Hayes
Louise works as an academic with the University of Melbourne, and has special interest in adolescent mental health, and also child and parent mental health. Louise' professional training was grounded in using ABA for parent training and child interventions. Now, Louise is an ACT Trainer who is part of the Association for Contextual Behavioural Science (ACBS) training community. She conducts workshops for professionals on using ACT for adolescents. Louise also works in private practice at a family medical centre, again mostly with adolescents.
 
About Darin Cairns
Darin Cairns is a Clinical Psychologist who has worked in the field of autism and child development for over 15 years. He has specialised in applications of learning theory to promote development and family functioning, and is a firm believer in evidence based practice. Darin has presented internationally on developments in psychology, and is highly sought after as a trainer. Darin works from a view that families and children should become self reliant and resilient as a result of therapy, and sees partnership and collaboration as essential for long lasting success.
 
Learning Objectives:

1. Apply a functional contextual approach to development of children
2. Apply a functional contextual approach to development of adolescents
3. Apply exercises using ACT and RFT on children
4. Apply exercises using ACT and RFT on adolescents
5. Discuss issues that relate to the development of a sense of self
6. Discuss how social and cultural aspects influence development

 
Target Audience: Clinical, Relational Frame Theory, Intermediate, Advanced
 
Components: Conceptual analysis, Experiential exercises, Didactic presentation
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Integrating ACT into CBS and Vice Versa - S. Hayes, M. Villatte, & J. Villatte (Clinical, Theoretical and philosophical foundations, Intermediate, Advanced)

Integrating ACT into CBS and Vice Versa

 

Workshop Leader:
Steven Hayes, Ph.D., University of Nevada
Matt Villatte, Ph.D., University of Louisiana - Lafayette
Jennifer Villatte, M.A., University of Nevada
 
Dates & Location:
University of New South Wales, Sydney, Australia
9-5:00pm on Monday July 8, 2013
9-5:00pm on Tuesday July 9, 2013
 
Continuing Education Credits Available: 13
 
Workshop Description:
Most people learn ACT originally as a set of techniques linked to experiential processes. That is a great way to start but ACT is part of a larger tradition, which can both empower clinical work and be understood through clinical work.
 
This workshop will explore the larger intellectual context of ACT in the service of better integrating your clinical work into contextual behavioral science itself. It assumes that attendees have an grasp of ACT and that they are able to apply this knowledge clinically at a beginning to intermediate level. The purposes of the workshop are clinical and practical, intellectual, and frankly just for the fun of seeing how your work in ACT is part of a larger tradition.
 
Some of the specific topics we will explore is how functional contextualism grounds ACT into a large set of strategic assumptions; how relational frame theory suggests ways that practical clinical work can be empowered; why seeing CBS under the umbrella of the evolution sciences alters how we approach clinical work; what the basic process commitments of CBS matter to practical clinical work; how to use CBS to increase the flexibility of ACT; how to scale ACT into groups and communities by relying on CBS; areas of development
in CBS and how ACT suggests we approach them.
 
About Steven Hayes:
Steven Hayes is Nevada Foundation Professor at the Department of Psychology at the University of Nevada. An author of 35 books and over 500 scientific articles, his career has focused on an analysis of the nature of human language and cognition and the application of this to the understanding and alleviation of human suffering. Dr. Hayes has been President of Division 25 of the APA, of the American Association of Applied and Preventive Psychology, the Association for Contextual Behavioral Science, and of the Association for Behavioral and Cognitive Therapies. He was the first Secretary-Treasurer of the Association for Psychological Science, which he helped form and has served a 5 year term on the National Advisory Council for Drug Abuse in the National Institutes of Health. In 1992 he was listed by the Institute for Scientific Information as the 30th “highest impact” psychologist in the world. His work has been recognized by several awards including the Exemplary Contributions to Basic Behavioral Research and Its Applications from Division 25 of APA, the Impact of Science on Application award from the Society for the Advancement of Behavior Analysis, and the Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies.
 
Learning Objectives:
Attendees will be able to:
  1. Describe the key features of contextual behavioral science
  2. List the key assumptions embraced by functional contextualism
  3. Describe key features of relational frame theory that have clinical implications
  4. Link the assumptions of functional contextualism to ACT
  5. Apply key features of RFT to ACT
  6. Link ACT and RFT to evolution science
  7. Suggest new ways that ACT might be applied based on evolutionary thinking
  8. Suggest ways to empower ACT by using RFT
  9. Link the process focus of CBS to flexible application of ACT methods
  10. Suggest areas for future development of ACT based on its larger intellectual context
 
Target Audience: Clinical, Theoretical and philosophical foundations, Intermediate, Advanced
 
Components: Conceptual analysis, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Introduction to compassion focused therapy for shame and self-criticism - Gilbert & Tirch (Clinical, Intermediate) - CLOSED

Introduction to compassion focused therapy for shame and self-criticism

This workshop is now full. Please consider one of our other fabulous workshops [265].

Workshop Leaders:
Paul Gilbert, University of Derby and Derbyshire Mental Health Foundation Trust
Dennis Tirch, The Center for Mindfulness and Compassion Focused CBT
 
Dates & Location:
University of New South Wales, Sydney, Australia
9-5:00pm on Monday July 8, 2013
9-5:00pm on Tuesday July 9, 2013
 
Continuing Education Credits Available: 13
 
Workshop Description:
This workshop will introduce people to the basic model of compassion focused therapy (CFT). CFT began with the problem of people saying they could understand the logic of cognitive therapy but even with changing their thoughts struggled to feel different. CFT is an evolution based model of psychopathology and is focused on the emotional systems that give rise to the feelings of reassurance and affect change. These are primarily affiliative-based systems. Participants will learn about the link between affiliative emotion, cognitive and behavioural change, and how shame and self-criticism blocks this emotion system.
 
The first part of the workshop will cover the basic concepts with PowerPoint presentations and video displays. The second part of the workshop will provide some experiential opportunities to practice some of the imagery, behavioural and meditation exercises
 
About Paul Gilbert, Ph.D.
Paul Gilbert is Professor of Clinical Psychology at the University of Derby and Head of the Mental Health Research Unit, Derbyshire Mental Health Services NHS Trust. He is a Fellow of the British Psychological Society and has written, taught and researched extensively in the areas of mood disorders and shame. He is a former President of the British Association for Behavioural and Cognitive Psychotherapists. He has published over 150 academic papers and 20 books. he is a series editor foe the “Compassion Mind Approaches to various psychological difficulties. He set up the charity The Compassion Mind foundation in 2006 (www.compassionatemind.co.uk) and was award an OBE in March 2011.
 
About Dennis Tirch, Ph.D.
Dr. Dennis Tirch is the Associate Director of the American Institute for Cognitive Therapy and Director of The Center for Mindfulness and Compassion Focused CBT in NY. He also teaches at Weill-Cornell Medical Center. Dr. Tirch is the author of four books, including The Compassionate Mind Approach to Overcoming Anxiety. Dr. Tirch is a founding member and Co-President of the New York City Chapter of the Association for Contextual Behavioral Science. More information can be found at mindfulcompassion.com.
 
Learning Objectives:
  1. Insight into the three types of affect regulation system
  2. Understanding the role of attachment mechanisms in affect change
  3. Understanding the complexities and conflicts within the threat system processing.
  4. Insight into the CFT model of compassion which is based on two different psychologies:1 capacities for engagement with suffering and 2. abilities to alleviate it
  5. Some experience of core CFT exercises that will include
  6. Soothing breathing rhythm and body focusing
  7. Development of the concept of compassionate self
  8. Development of compassionate imagery
  9. Using the compassionate self to engage threat system processing
 
Target Audience: Clinical, Intermediate
 
Components: Conceptual analysis; Literature review; Original data; Experiential exercises; Didactic presentation; Case presentation; Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Keeping Your Balls in the Air: Fluent and Flexible ACT on the Fly -Sandoz & Harris (Clinical, Training, Intermediate, Advanced)

Keeping Your Balls in the Air: Fluent and Flexible ACT on the Fly

Workshop Leaders:
Emily K. Sandoz, University of Louisiana Lafayette
Russ Harris, Private Practice
 
Dates & Location:
University of New South Wales, Sydney, Australia
9-5:00pm on Monday July 8, 2013
9-5:00pm on Tuesday July 9, 2013
 
Continuing Education Credits Available: 13
 
Workshop Description:

Integrating ACT into clinical practice comes with a number of challenges. Amongst these challenges is a difficulty that comes with moving from highly structured ACT-based interventions to integrating ACT principles into treatment planning and clinical judgment in a way that can be responsive to the ever-changing context and content of a session. Through live demonstrations, role-plays, case conceptualization exercises, and skills-practice in triads, you will learn how to become more sensitive to and better able to respond flexibly and fluently. There will be major emphasis on the ongoing functional analysis of behavior, as it occurs in session. You will learn how to keep several balls in the air at any time: how to track your sessions on multiple levels; how to watch different behavioral streams unfolding, moment by moment; and how to impact these behavioural streams to different extents at different times.

About Emily K. Sandoz
Emily K. Sandoz is on the faculty of the psychology department at the University of Louisiana at Lafayette. Sandoz has presented at national and international conferences on eating disorders and body image difficulties and trains therapists to use acceptance and commitment therapy for the treatment of eating disorders. She is coauthor of peer-reviewed articles and chapters on acceptance and commitment therapy and related issues.
 
About Russ Harris
Russ Harris is a medical practitioner, psychotherapist, and leading expert in acceptance and commitment therapy (ACT). His books include ACT with Love, ACT Made Simple, The Confidence Gap, and The Happiness Trap, which has now been translated into twenty-two languages. He lives in Melbourne, Australia, and travels internationally to train mental health professionals in the ACT approach.
 
Learning Objectives:

1. Increase sensitivity in session to the unfolding behavioral stream
2. Increase flexibility and speed of response to the unfolding behavioral stream
3. Improve ability to apply functional analysis of behavior
4. Improve ability to design & match interventions to a range of clinically relevant behavior
5. Learn how to track sessions on both the interpersonal and intrapersonal level
6. Learn how to build hypotheses about world-behavior relations
7. Learn how to do ‘empty-handed ACT’ (i.e. to be spontaneous, without relying ‘canned’ metaphors and well-rehearsed exercise)
8. Engage in active observation of your own barriers to responding flexibly in session
9. Engage in active pursuit of addressing barriers to responding flexibly in session
10. Generate new ideas for long term clients with whom you’ve already used all the tools in your ACT toolkit

 
Target Audience: Clinical, Training, Intermediate, Advanced
 
Components: Experiential exercises; Didactic presentation; Case presentation; Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

RFT for Clinical Use - Törneke (Clinical, Relational Frame Theory, Intermediate)

RFT for Clinical Use

 

Workshop Leaders:
Niklas Törneke, M.D., NT Psykiatri Private Practice
Carmen Luciano, Ph.D., University of Almería, Spain Due to personal reasons, Dr. Luciano is no longer able to be present.
 
Dates & Location:
University of New South Wales, Sydney, Australia
9-5:00pm on Monday July 8, 2013
9-5:00pm on Tuesday July 9, 2013
 
Continuing Education Credits Available: 13
 
Workshop Description:
Relational frame theory (RFT) as a scientific research program was developed parallel with an effort to apply central findings to clinical use in acceptance and commitment therapy (ACT). This reflects an assumption from the developers both of the basic research and the clinical work, namely that the two grow stronger if they grow together. At the same time, on and off, there are questions raised as to whether the ties are really that close or even necessary to foster.
 
In this workshop we will argue that an understanding of RFT can indeed both deepen and simplify clinical work. Areas of special relevance to psychological problems and treatment, such as our experience of self and our ability to follow instructions, will be analysed from an RFT perspective. How this analysis leads directly to clinical strategies and techniques will be illustrated.
 
The workshop will not include presentation of experimental work but will use RFT as a conceptual tool and have a clear clinical focus.
 
About Niklas Törneke
Niklas Törneke, M.D., is a psychiatrist and has worked as a senior psychiatrist in a department of general psychiatry from 1991 until he started private practice 1998. He earned license as a psychotherapist in 1996 and was originally trained as a cognitive therapist. Since 1998 he has worked mainly with ACT, both in his own practice and as a teacher and clinical supervisor. His clinical experience ranges from psychiatric disorders such as schizophrenia to common anxiety and mood disorders with high prevalence in the general population.
 
About Carmen Luciano
Carmen Luciano, Ph.D., is a full professor of psychology at the University of Almeria in Almeria, Spain. She is the director of the ACT Institute in Madrid (www.institutoact.es). Her earlier work focused on researching verbal behavior programs for children with intellectual disabilities and the emergence of new behavior from a radical behavioral perspective. Since 1986, she began researching equivalence relations and, then, relational responding. She has directed basic and applied (translational) research in RFT and ACT and has increased her focus to conceptualizations of psychopathology from an RFT perspective. She has published many papers and books in these areas.
 
Learning Objectives:
The learner will be able to:

1. Clarify the basic principle of relational framing as a human behavior
2. Describe how this behavior dominates human behavior in general.
3. Conceptually analyse our experience of self from an RFT perspective
4. Describe rule-governed behavior (following instructions) from an RFT perspective
5. Describe typical psychological problems using RFT
6. Apply RFT to central therapeutic strategies
7. Apply RFT to specific therapeutic tools used in ACT, such as using metaphors and experiential exercises.
8. Improve in the skill of doing a functional analysis including RFT
9. Improve in the skill of timing in ACT
10. Improve in the skill of finding and sticking to central issues in doing ACT

 
Target Audience: Clinical, Relational Frame Theory, Intermediate
 
Components: Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

WC11 Program Committee

Here are the folks who have been working diligently all year long to make WC11 a success:
 

Louise Hayes, Ph.D., Orygen Youth Health Research Centre and Centre for Youth Mental Health, University of Melbourne – Chair

Paul Atkins, Ph.D., Australian National University

Sonja V. Batten, Ph.D., Office of Mental Health Services, VA Central Office

Linda Bilich, Ph.D., Australian National University, Canberra ACT

Joseph Ciarrochi, Ph.D., University of Western Sydney

Rachel Collis, Queensland University of Technology

Aisling Curtin, MSc, ACT Now Ireland

Russ Harris, M.D., Private Practice, Melbourne

Andreas Larsson, MSc, Swansea University

Jason Luoma, Ph.D., Portland Psychotherapy

Louise McHugh, Ph.D., University College Dublin

Nanni Presti, Ph.D., IULM University Milan, IESCUM Italy

Rob Purssey, MBBS FRANZCP, Private Practice and University of Queensland

Emily Sandoz, Ph.D., University of Louisiana, Lafayette

Matthew Smout, Ph.D., Centre for Treatment of Anxiety and Depression, University of Adelaide, University of South Australia

M. Joann Wright, Ph.D., Linden Oaks at Edward
 

WC11 Public Transportation Info

WC11 Public Transportation Information & Map

Bus travel requires a MyBus ticket (or a MyMulti ticket - most conference goers won’t need a MyMulti, unless you’re interested in a $22 unlimited day pass). MyBus tickets can be used for trips on Sydney Buses or private bus operators. If you change buses halfway through your journey, each leg is considered to be an individual trip and tickets must be validated accordingly.

MyBus tickets are available in three section based fare bands:
• MyBus1 (1-2 sections) (single fare $2.20) – this is all you would need to get from Coogee Beach to the UNSW campus
• MyBus2 (3-5 sections) (single fare $3.60)
• MyBus3 (6+ sections) (single fare $4.60)

You can purchase tickets at most News Agencies, Pharmacies, Post Offices, Mini-Mart shops, or Woolworth’s grocery stores. (There is an Oceanview Convenience Store at 190 Arden St., near McDonald’s and on the beach, which sells bus tickets. This is right across from the main bus stop at Coogee Beach, just north of the Coogee Bay Road intersection.)

A MyBus TravelTen ticket is also available. These tickets are valid for ten single trips in MyBus1, MyBus2, and MyBus3 configurations and offer savings on the cost of 10 single MyBus tickets (10 tickets for the price of 8). (TravelTen tickets are for the same fare types, so if you buy a TravelTen ticket you need to tell the vendor if it is for MyBus1, MyBus2, or MyBus3. All ten tickets will be the same (10 MyBus1 tickets, for example).
MyBus TravelTen tickets may also be validated more than once for a journey longer than the one specified on the ticket; for instance, a MyBus1 TravelTen may be validated twice for a journey equivalent to a MyBus2 (3-5 sections), or three times for a journey equivalent to a MyBus3 (6+ sections).

You need to calculate the number of sections for each leg and validate your ticket(s) accordingly. To determine the number of zones/sections look at the bus route information at the bus stop. Below the stop names you’ll see blue horizontal bands indicating “MyBus 1”, “MyBus2,” etc. Please see the example in the image below:

 

For example, from Coogee Beach to the UNSW campus (Botany Street – UNSW Gate 9 for the Clancy Auditorium; High Street – UNSW Gate 2 for the Follies “Roundhouse”) it would be one zone, so $2.20 one-way.

Buses that begin with “m”, like “m50”, require a pre-paid ticket. Buses with numbers like “373” or “372” can accept the pre-paid ticket (validate upon boarding), or exact change (cash) can be paid in Coogee. (In downtown Sydney, you should just assume that you need a ticket and cannot pay cash for your return. This is true from 7am-7pm, and always true at many key stops. If just traveling from Coogee Beach to UNSW, you should be able to use cash on the 370.)

Relevant buses from Coogee:

M50 To UNSW campus (use Botany St. – Gate 9 stop).

Catch bus on Arden St. along beach or on Carr St. at Mount St. Requires MyBus1 ticket. Pre-pay only. 6:30am-8:15pm weekdays (every 10-15 minutes); 7:30am-7:30pm weekends (every 20 minutes); last bus on night of Follies leaves Coogee Beach stop at 8:19pm.

370 To UNSW campus (use Botany St. – Gate 9 stop).

Ideal 5-7 minute ride to campus along Coogee Bay Rd. Requires MyBus1 ticket. 5:30am-8:30pm (every 10-15 minutes); last bus on night of Follies leaves the Coogee Beach stop at 8:00pm.

372 To Central Railway Station in Sydney.

Requires MyBus2 ticket (or validate a MyBus1 TravelTen ticket 2 times). 24 hours; every 6-15 minutes from 6am-8pm; approx. every 30 minutes from 8-11:45pm; approx. once an hour from 11:45pm-4:30am.

373 To Circular Quay (Phillip St.) in Sydney.

30 minute ride from Coogee Beach, then 15 minute walk to popular area of downtown Sydney for dinner and night life called “The Rocks.” Requires MyBus3 ticket (or validate a MyBus1 TravelTen ticket 3 times). 24 hours; every 6-15 minutes from 6am-8pm; approx. every 30 minutes from 8-11:45pm; approx. once an hour from 11:45pm-4:30am

ALL BUSES leaving Coogee (Beach) go via the Arden Street stop (at the beach, across from McDonalds), as well as from other stops. So if you’re not sure where to catch the bus, go to the beach!
Visit www.sydneybuses.info for more information, or use Google Maps to get directions for public transportation by visiting https://maps.google.com/. Click on “get directions” and then hit the “public transit” button featuring the bus icon.

Please see the attached WC11 Public Transportation Map for more detailed information! [338]
 

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ACBS Annual World Conference IX

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(pre-conference intensive workshops July 11-12 [339])

This event has concluded, However...

Please consider joining us in 2012 in Washington, DC, July 22-25, 2012! [253]

 

What is the World Conference?

The World Conference brings together clinicians and researchers to present cutting-edge research in ACT, RFT, and Contextual Behavioral Science, as well as experienced trainers to lead experiential workshops so that you can learn how to better serve your clients.

The World Conference is for psychologists, social workers, professional counselors, marriage and family therapists, psychiatrists, medical doctors, drug counselors, health researchers, language researchers, behavior analysts, students and more.... Anyone in a similarly related helping field is invited to attend.

We offer FREE CEs in Psychology, Social Work* & MFT* [340] (these are USA based credits) and there are no additional fees for any of the 40+ workshops offered during the main conference.

Registration in the full conference is all-inclusive and includes lunch, open access to workshops, research symposia, posters, plenary sessions with CBS researchers and practitioners, and panel discussions.

Conference Highlights

  • A great venue for networking & fostering local and international collaboration
  • Conference activities take place in one of the oldest universities in the world, the University of Parma.
  • Evening events provide additional opportunities to network and relax after official conference activities are done for the day
  • No additional charges (for CEs or workshops) with registration

INVITED SPEAKERS: We have some great invited speakers who will be adding their voices to the conference. Some of the invited speakers, in addition to the many ACT and RFT experts in attendance, include:

  • Dermot Barnes-Holmes: discussing the future of language research
  • Richard Bentall: on the role of experiential avoidance in paranoid thinking
  • David Sloan Wilson: illuminating how evolutionary theory and contextual behavioral science can converge to provide a science of intentional change
  • Robyn D. Walser: on acceptance and the treatment of trauma

WC9 Program & Schedule

  • Check it out! Final WC9 program [341]
This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Continuing Education (CE) credits

parma final-3_white_banner.jpgPossible credit hours:

  • 2-day pre-conference workshops (July 11-12, 2011): 14 hours
  • ACBS World Conference IX (attending all events July 13-15, 2011): 22.5 hours

Types of Credit Available:

  • CE credit is available for psychologists (USA APA type).
  • CE credit is available for LCSW and MFCC credits with the State of California.
  • We plan to apply for CE credit from NBCC (National Board of Certified Counselors) [342]. (Due to lack of interest, as of May 31, 2011, we no longer plan to apply for this type of credit.  You can check with your state licensing board to see if they will accept the APA type credits or the State of California credits, and you are welcome to register to earn those.)
  • We plan to apply for CE credit from the National Association of Social Workers (NASW) [343]. (Due to lack of interest, as of May 31, 2011, we no longer plan to apply for this type of credit. You can check with your state licensing board to see if they will accept the APA type credits or the State of California credits, and you are welcome to register to earn those.)

The Association for Contextual Behavioral Science is approved by the American Psychological Association to sponsor continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for this program and its content. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

ACBS is an approved provider of continuing education for MFCCs and/or LCSWs by the California Board of Behavioral Sciences, provider #PCE 4653.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Rodrigues, 1-269-267-4249 or through the "Contact Us" link on this website.

  • CE credit fees are included in the price of registration. No further fee is required.
  • CEs are only available for English language sessions.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

General Conference (& Pre-Conference) Schedule

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General Schedule of Events:

  • July 11 & 12: Pre-conference workshops, 2-day & 1-day, 9:00am-5:00pm, University of Parma (center city location [344]) (registration starting at 8:00am, July 11)
  • July 12, 6:30pm-7:30pm, Opening Session, then 7:30pm-9:30pm Conference Poster Session & Cocktail Social event at the University of Parma (center city location [344]) (registration begins at 5:30pm, July 12)
  • June 13 - 15: World Conference IX (9:00am - 5:45pm), University of Parma (newer campus; NorthEast side of Parma [344]) Morning Mindfulness & Yoga will be from 8:00am-8:50am.
  • July 14 evening: Dinner & Follies - Porca L'Oca Restaurant (busing will be available to and from the restaurant, starting from the west side of La Pilotta, along the river, at 7:00pm & 7:30pm) additional tickets may be purchased for guests (45 Euros each) and are required for all to attend (more on this in the registration form). Return busing will be at 11:15pm & 11:45pm.

    The Follies began as a manifestation of one of our CBS values -- remembering to hold ourselves and the work lightly -- and what better way to do so than through humor? Today it consists of songs, skits, and funny powerpoint presentations related to the conference, ACT, RFT, and psychology, put together by conference attendees, and coordinated by our own lovely Sonja Batten. (When you get to Parma, if you have an event to add to the follies let Sonja know so that she can help you and get you on the schedule.)

    This event is open to conference attendees and spouses/partners (even though they may not understand all of the psychology humor!); we suggest that children are not brought to this event, as the content is sometimes not kid friendly. (Please remember, you must pre-purchase tickets for all guests.)

Hotels & Maps - Parma

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Our room block was available only through June 1.  If you would like to book at any of these hotels you may inquire with them directly (or via a third party travel site).

You are NOT required to stay in one of these hotels.  These are only our suggestions and where we had blocked rooms.

Need a Roomate? Click here to find one. [345]

Note: Button, Toscanini, & Torino are the most central and convenient to town and the 2-day workshop location; Maria Luigia is closest to the conference venue; all can be found at http://www.kayak.com [286] except Button & Astoria). While walkable, those staying at Hotel Daniel or at the Youth Hostel may find they want to take the public bus to eliminate the 20-25 minute walk.


View Parma, World Conference IX [346] in a larger map

The approximately walking time between the pre-conference and the conference locations (the 2 red flags), to give you an idea of scale, is 12-15 minutes.

ALBERGO BUTTON - 3 Stars
B.go Salina 7
Tel.0521208039
Fax 0521238783
hotelbutton@tin.it [347]
http://www.hotelbutton.it/ [348]

ASTORIA EXECUTIVE HOTEL- 3 Stars
Via Trento 9
tel. 0521272717 Fax 0521272724
info@piuhotels.com [349]
http://www.astoriaexecutivehotel.it/ [350]

HOTEL TORINO- 3 Stars 
Via A. Mazza 7
tel. 0521281046 Fax 0521230725
info@hotel-torino.it [351]
http://www.hotel-torino.it/index.php?lingua=en [352]

HOTEL DANIEL- 3 Stars
Via Gramsci 16
tel. 0521995147 Fax 0521292606
info@hoteldaniel.biz [353]
http://www.hoteldaniel.biz/ [354]

PARK HOTEL TOSCANINI- 4 Stars
Viale Toscanini, 4
tel. 0521289141
Fax 0521283143
info@hoteltoscanini.it [355]
http://www.hoteltoscanini.it/ [356]

STARHOTEL DU PARC- 4 Stars
V.le Piacenza 12/c
tel. 0521292929 Fax 0521292828
duparc.pr@starhotels.it [357]
http://www.starhotels.com/hotel/du_parc_parma/starhotels_du_parc.php?idalb=13&lin=1 [358]

PALACE HOTEL MARIA LUIGIA - 4 Stars
Viale Mentana, 140
43121 - Parma (PR)
Tel +39 (0)521 281032
Fax +39 (0)521 231126
reservationsml@sinahotels.com [359]
http://www.palacemarialuigia.com/hotel-in-parma/luxury-hotel-parma.html [360]

YOUTH HOSTEL - PARMA
via san leonardo 86
43122 parma - italy
tel 0039.0521.1917547
http://www.ostelloparma.it/en/ [361]

(ACBS can not make reservations at the Youth Hostel. These would need to be done yourself. This hostel is about 2 kilometers north of the conference locations on Via San Leonardo.)

Click here: to register for the conference/workshops and hotel [362]

Bookings made through our form may not be cancelled after June 15, and cancellations before June 15 will still incur the €18 fee.  Please email giovanna@mvcongressi.it if you need to cancel or change a booking that you made with us.

Pre-Conference Workshops (July 11 & 12, 2011)

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Registration is now closed.

These workshops will be held the 2-days immediately preceding the ACBS World Conference IX, at the University of Parma (different building from the Conference). They will be 9:00-5:00pm on Monday and Tuesday, July 11 & 12, 2011.

*These workshops run concurrently, therefore please double check the dates of the pre-conference workshops you are interested in. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

Note: Onsite registration is not available for the pre-conference workshops

Pre-Conference 2-day Workshops Registration (July 11-12, 2011):

  • Students: €175 (20% VAT included)
  • Professionals: €320 (20% VAT included)

 

 Above prices include CE credits [363] as needed, 2 lunches, and coffee/tea on site.

________________________________________________________________

Pre-Conference 1-day Workshops Registration (July 11 OR July 12, 2011):

  • Students: €105 (20% VAT included)
  • Professionals: €175 (20% VAT included)

 

 Above prices include CE credits [363] as needed, 1 lunch, and coffee/tea on site.

 

Early, Regular, and Onsite (Late) Registration:

  • Online registration will end June 17, 2011.
  • Onsite (Late) registration fees will be the regular registration fees plus €50.
  • Onsite registration is NOT available for the Pre-conference workshops.

Refunds:

Cancellation can only be made writing to the Organising Secretariat (MV Congressi Spa).

  • Cancellation received before June, 19 2011: 70% refund.
  • Cancellation received after June, 19 2011 or no notice: no refund.

You may contact giovanna@mvcongressi.it to request a refund.

Enrollment limitations:

Enrollment may be limited due to the limitation of our venue to accommodate additional sessions and attendees.

Basic ACT: Processes, Principles, and Moment-to-Moment Choices- McKay & Zurita Ona (Beginner/Intermediate)

Registration is now closed.

 

Basic ACT: Processes, Principles, and Moment-to-Moment ChoicesMcKayMatt-BW_0.jpg   

Workshop Leaders: Matthew McKay, Ph.D., The Wright Institute, & Patricia Zurita Ona, Ph.D., The Wright Institute

Dates & Location: July 11-12, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 14

Workshop Description:    

This professional workshop is a comprehensive introduction to ACT, both theory and technique. The workshop covers case conceptualization from an ACT perspective, treatment order and planning, and how to use all six ACT treatment processes (acceptance, mindfulness, defusion, self-as-context, values clarification, and commitment).

We'll start with how ACT understands human suffering, move on to directly experience many ACT techniques and processes, and finally develop a clear grasp of how to implement ACT interventions in the course of treatment.

The focus will be conceptual, experiential, and practical. ACT techniques will be clearly explained, experienced, and integrated into the moment-to-moment therapy process. Attention will be paid to choosing an effective ACT response for frequently encountered therapy situations, including: (1) criteria for moving to the right or left side of the hexaflex, (2) how and when to integrate defusion into the hour, (3) how and when to use exposure/acceptance interventions and (4) how mindfulness constantly informs therapeutic choices.

Experiential exercises will be conducted individually, in dyads, and small groups. The exercises will help integrate mindfulness and acceptance strategies that change our clients' relationship to pain and move them toward values-based action.

Learning Objectives:

1. Conceptualize anxiety, depression, and anger in ACT formulation.

2. Apply ACT to help clients change old patterns of experiential avoidance (the root cause of emotional disorders) while developing a mindful awareness of the present moment.

3. Describe key techniques and interventions for each of the six ACT processes (mindfulness, acceptance, defusion, self-as-context, values, committed action) via didactic training and direct experience.

4. Design an order of treatment based on the client's level of avoidance.

5. Develop ways to combine ACT processes for maximum outcomes.
 

Target Audience: Beginner/Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €175
  • Professionals: €320

Above prices include 2 lunches, and coffee/tea on site.

Beyond the Basics: Building Skill in Acceptance and Commitment Therapy - Walser & Taggaard Nielsen (Advanced)

Registration is now closed.

 

Beyond the Basics: Building Skill in Acceptance and Commitment Therapy ole.jpg robyn_0.JPG

Workshop Leaders: Robyn D. Walser, Ph.D., TL Consultation Services/NCPTSD & Ole Taggaard Nielsen, Certified Psychologist and Specialist in Psychotherapy, Denmark

Dates & Location: July 11-12, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 14

Workshop Description:    

This workshop is designed for the clinician and/or trainer who is looking to refine skills in clinical and experiential application beyond the basics of an introductory workshop. More specifically, the workshop will focus on improving your personal skills in the delivery of ACT and will be largely experiential in nature. The ACT approach holds that clinicians must be willing to apply ACT in their own lives in order to deliver the therapy effectively – in this workshop we will be exploring barriers to this process while promoting personal acceptance and behavior change as it applies to the therapeutic relationship and personal values. We will focus on a variety of experiential exercises that will address subtle issues of control and invite openness to experience. Opportunity to role-play difficult clients, address sticking points in therapy, and work on personal therapeutic challenges will be provided. Main areas of experiential focus will be on forgiveness, compassion, improving patience, and taking bold steps in life and the therapeutic relationship.  The occasion for personal feedback on your ACT work will be available.  In addition, we will engage in a number of mindfulness practices designed to promote personal skill in awareness. And finally, we will have a bit of fun too!

Learning Objectives:

  1. Discuss ongoing process of ACT therapy in real time to build skill in application of the 6 core processes.
  2. Describe the core components of the therapeutic relationship and how they assist in delivery of ACT.  
  3. Analyze personal sticking points in therapy and how ACT techniques can be broadly applied to address these issues.  
  4. Describe the role of compassion in ACT therapy and how it has the potential to improve the therapeutic relationship and client outcomes.
  5. Describe how to work on forgiveness with clients from an ACT model.

We will focus on a variety of experiential exercises that will address subtle issues of control and invite openness to experience. Opportunity to role-play difficult clients, address sticking points in therapy, and work on personal therapeutic challenges will be provided. Main areas of experiential focus will be on forgiveness, compassion, improving patience, and taking bold steps in life and the therapeutic relationship.  The occasion for personal feedback on your ACT work will be available.  In addition, we will engage in a number of mindfulness practices designed to promote personal skill in awareness.

Target Audience: Advanced.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €175
  • Professionals: €320

Above prices include 2 lunches, and coffee/tea on site.

Bring ACT into primary care: Models of integration, practice tools and an introduction to Focused Acceptance and Commitment Therapy (FACT) - Strosahl & Robinson (Intermediate)

Registration is now closed.

 

Bring ACT into primary care: Models of integration, practice tools and an introduction to Focused Acceptance and Commitment Therapy (FACT)   ROBINSON PHOTO 1 14 2011_crop.jpg KIRK'S HEAD SHOT_crop.jpg

Workshop Leaders: Kirk Strosahl, Ph.D. [365], Central Washington Family Medicine, & Patti Robinson, Ph.D. [366], Central Washington Family Medicine

Dates & Location: July 11-12, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 14

Workshop Description:    

Behavioral health clinicians are facing a new era in which integration of services within primary care is a fast growing reality. This will require major shifts in practice and treatment philosophies. Focused Acceptance and Commitment Therapy (FACT) is a powerful brief intervention model that is well suited to the demands of primary care practice. This two day workshop will consist of three major modules. First, participants will learn about the Primary Care Behavioral Health model (PCBH), a template for redefining delivery of services by physicians, nurses and behavioral health providers in general medical settings (Robinson & Reiter, 2007). The second module will introduce providers to a variety of practice tools that can be used for assessment, case formulation, treatment planning and progress monitoring for primary care patients, based on the book, Real Behavior Change in Primary Care (Robinson, Gould, & Strosahl, 2010). The third module will focus on the principles and practice of FACT. FACT offers an array of strategies for working with children, adolescents, and adults in individual and group settings and is applicable to a broad range of problems, including depression, anxiety, pain, drug and alcohol abuse, and post traumatic stress. Participants will view video demonstrations and participate in role-plays and small group practice sessions.
 

Robinson, P., Gould, D., & Strosahl, K (2010). Real behavior change in primary care: Improving patient outcomes and increasing job satisfaction. Oakland, CA: New Harbinger Publications.
 

Robinson, P., & Reiter, J. (2007). Behavioral consultation and primary care: A guide to integrating services. New York: Springer Science and Media.

Learning Objectives:

1. Demonstrate the core features of the primary care behavioral health model.

2. Analyze the ways that primary care behavior health practice differs from traditional mental health practice.

3. Apply practice tools for case conceputalization and treatment planning with primary care patients.

4. Describe guiding principles of Focused Acceptance and Commitment Therapy.

5. Demonstrate specific strategies of Focused Acceptance and Commitment Therapy.

Target Audience: Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €175
  • Professionals: €320

Above prices include 2 lunches, and coffee/tea on site.

Caring, Connection, and Contribution - S. Hayes & Harris (Intermediate)

Registration is now closed.

 

Caring, Connection, and Contribution DR_RUSS_HARRIS_SML2THIRD_crop.jpgSteve Hayes head shot circa 2007.JPG

Workshop Leaders: Steven C. Hayes, Ph.D., University of Nevada, & Russ Harris, M.D., Private Practice

Dates & Location: July 11-12, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [363]: 14

Workshop Description:    

This intermediate-level workshop is both experiential and didactic. It looks at friendship, community and social bonding from an ACT perspective, underpinned by evolutionary science. We will look at what enables friendships and communities to flourish, what interferes with it, and how ACT can help.

Topics covered will include:

Cooperation; Self-cooperation ; Personality integration; Creation of community; Creating balance; Stigma and prejudice; Intolerance and discrimination; Defensiveness to criticism and negative feedback; Fear of rejection; and the three main factors in resonant relationships - caring, connection, and contribution
 

Learning Objectives:

1. Describe the main psychological factors underlying prejudice and stigma.

2. Utilize tools and techniques to reduce prejudice and stigma.

3. Discuss the evolutionary science underpinning community-building.

4. List the three 'C's of resonant relationships.

5. Assess the most common fears that prevent intimacy.

Target Audience: Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €175
  • Professionals: €320

Above prices include 2 lunches, and coffee/tea on site.

Focus on Mindfulness and Values Interviewing in Acceptance and Commitment Therapy - Wilson (Introductory/Intermediate/Advanced)

Registration is now closed.

 

Focus on Mindfulness and Values Interviewing in Acceptance and Commitment Therapykelly.jpeg

Workshop Leaders: Kelly G. Wilson, Ph.D., University of Mississippi, HometownScience.org

Dates & Location: July 11-12, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 14

Workshop Description:    

This workshop will focus on the use of mindfulness work and the ways this work can facilitate valued living. The workshop is based on three bodies of evidence that are experiencing extraordinary growth within clinical psychology and within experimental psychology more generally:

  1. There is a growing body of evidence suggesting that chasing happiness leads paradoxically to less happiness. For example, experimental studies show that individuals primed to covet happiness derive less pleasure from pleasurable events that follow the priming.
  2. A second body of evidence shows that pursuit of valued life directions leads to good psychological outcomes, improved physical and psychological functioning, and buffers the impact of stressful life events.
  3. Finally, there is a growing literature on the benefits of mindfulness for a variety of difficulties including anxiety and depression, among other difficulties.

Although this is an ACT workshop, most of the strategies could readily be incorporated into other models of working. The work will be described in a way that will show how this work can be readily integrated into a traditional CBT approach. The presentation will be carried out in such a way that even experienced ACT therapists will get a different window into the ACT model.

This workshop will contain significant use of mindfulness and present-moment focused work. And, will also contain significant exercises and practice at facilitating values work with clients. Although formal mindfulness meditation practice is not necessarily emphasized in ACT, mindfulness processes are central to the work. Mindfulness processes are particularly important in their integration with values work. These exercises will show how we can bring the values directed, present moment focus directly into clinical interactions—what I have sometimes called mindfulness for two.

As is typical of my workshops, come ready to work. The workshop will be hands on and will require persistent attention.

Learning Objectives:

Learning objectives will be taught through both direct teaching and through the use of clinical examples. By the end of the workshop participants will be able to:

  1. Describe the rationale and empirical support for values and mindfulness interventions.
  2. Use ACT values interventions to motivate client change and to foster a strong working alliance.
  3. Use new values and commitment interventions and use acceptance and mindfulness interventions that compliment them.
  4. Use new values/mindfulness worksheets and homework assignments.
  5. Apply methods if intermixing mindfulness and values work to lessen fusion and avoidance

Target Audience: Introductory/Intermediate/Advanced.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €175
  • Professionals: €320

Above prices include 2 lunches, and coffee/tea on site.

The “Classic” ACT Experiential Workshop - Batten & Brock (Introductory/Intermediate)

Registration is now closed.

 

The “Classic” ACT Experiential Workshopbrock_0.JPGSonjaBheadshot_0.jpg

Workshop Leaders: Sonja V. Batten, Ph.D., VA Central Office; Washington, DC, USA & Martin Brock, MSc, Sheffield Hallam University;  Sheffield, United Kingdom

Dates & Location: July 11-12, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 14

Workshop Description:    

Clients frequently come to therapy wanting to eliminate or reduce their symptoms – to feel less depressed, have fewer panic attacks, and have fewer cravings to use drugs and alcohol. Many of them are waiting to feel better in order to live better.

Traditional treatment approaches are designed exactly for this purpose – to assist in symptom reduction. But what if there were another way of approaching our clients’ difficulties in living? What if it were not the thoughts, memories, and feelings that are the problem, but instead that individuals presenting for treatment have lost touch with what is important to them? That they are not living a life in support of those things that they truly value? Often, we find that years of disappointment, disenfranchisement, and avoidance have led our clients to make choices based on attempts to feel good, rather than based on building a life that is meaningful to them.

Acceptance and Commitment Therapy (ACT) is based on the view that much of psychological suffering is caused by experiential avoidance and cognitive fusion. Rather than trying to change difficult thoughts and feelings as a means of coping, ACT alters the relationship between private experiences and life choices. This workshop will discuss and demonstrate techniques designed to change the ways that one relates and responds to challenging thoughts, feelings, and memories. Specific case examples will be provided to facilitate learning, with a significant focus on ways in which ACT can be targeted for substance abuse, posttraumatic problems in living, and a variety of other common life difficulties.  The workshop will also include a strong emphasis on the ACT therapeutic stance and relationship.

This is the “classic” ACT workshop that has been developed over the past two decades to provide a strong foundation enabling adherence and competence in ACT. Major ACT metaphors and exercises in the areas of willingness, defusion, present moment awareness, self-as-context, values, and committed action will all be covered. This workshop will deliver a combination of didactic training, demonstrations, and participatory experiential exercises, with the goal of providing attendees with both a strong understanding of the principles of ACT and a clear experience of what it is like to participate in the types of exercises and activities commonly encountered in ACT. Thus, attendees who register for this workshop should be aware that portions of this workshop will be highly experiential. This workshop teaches ACT by creating a context that models the therapeutic, and sometimes intense, nature of ACT as it is applied in practice.

Learning Objectives:

Participants will be able to:

  1. Promote life changes through experiential exercises designed to help clients move toward their values, rather than away from their pain.
  2. Implement traditional exposure-based interventions as adapted for an acceptance-based model.
  3. Describe the role and significance of avoidance in the development and maintenance of psychopathology.
  4. Conduct a full-scale values assessment with clients.
  5. Lead clients in experiential exercises designed to facilitate willingness, present moment awareness, and living a valued life.

Target Audience: Introductory/Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €175
  • Professionals: €320

Above prices include 2 lunches, and coffee/tea on site.

Italiano - ACT e la trappola del linguaggio: dalle basi teoriche all'intervento clinico - Presti & Ronchei (Introduttivo/Intermedio)

Registration is now closed.

 

ACT e la trappola del linguaggio: dalle basi teoriche all'intervento clinico Massimo.jpgGiovambattistaPresti.jpg

(ACT and the mind trap: From theory to the clinical practice)

Workshop Leaders/ Conduttori: Giovambattista Presti, M.D., Ph.D., IULM University (Milan, Italy), IESCUM (Italy), & Massimo Ronchei, Psy.D.

Dates & Location/ Data & Luogo: 11-12 July, 2011, 9:00am - 5:00pm L'università di Parma, Italia.

Workshop Description/ Descrizione:    

ACT e la trappola del linguaggio: dalle basi teoriche all'intervento clinico

La sofferenza psichica umana, che nasce dalla lotta e si mantiene con la lotta ai propri pensieri, è al centro dell’Acceptance and Commitment Therapy (ACT, una sola parola). La sua genesi è ampiamente spiegata dalla teoria del funzionamento cognitivo, la Relational Frame Theory (RFT), che è alla base di questo nuovo approccio cognitivo-comportamentale. L’ACT differisce dalle altre terapie CBT appartenenti alla cosidetta seconda generazione in quanto, sulla scorta degli studi di base sul linguaggio, non tenta di antagonizzare o combattere in vario modo i pensieri correlati alla sofferenza, ma aiuta il cliente a trattare i pensieri come tali attraverso tecniche di defusione e mindfulness e l’uso di metafore. 

Modificare il rapporto dell’individuo con le cose che non può cambiare direttamente – gli eventi interni- non è l’unica parte dell’intervento. L’ACT aiuta la persona a impegnarsi a cambiare quello che è gli è possibile lungo la strada dei propri valori (,) per essere e sentirsi più partecipe della propria vita. 

Verranno esplorati, in modo teorico e esperienziale, anche i temi linguaggio e mente, linguaggio e sofferenza, linguaggio e processi dell’hexaflex, pregiudizio e conseguenze dirette, con l’obiettivo di favorire una maggiore comprensione e, soprattutto, una maggiore efficacia degli interventi ACT.

Il workshop è aperto anche a clinici che non hanno una specifica preparazione nell'ACT.

Target Audience/ Destinatari: Introduttivo/Intermedio.

Registration Rates/ Quote di Iscrizione:
Note: Onsite registration is not available for the pre-conference workshops /

Nota: L'iscrizione sul posto non è disponibile per i workshop pre-conferenza

  • Studenti: €175
  • Professionisti: €320

Include 2 pranzi.

Italiano - Fare ACT: corso pratico sugli interventi ACT - Miselli & Zucchi (Intermedio/Avanzato)

Registration is now closed.

 

Fare ACT: corso pratico sugli interventi ACT GiovanniZucchi_0.jpgGiovanniMiselli_0.jpg

Workshop Leaders/ Conduttori: Giovanni Miselli, Ph.D., ACT-Italia; IESCUM; AUSL, Reggio Emilia, & Giovanni Zucchi, Psy.D., Villa Maria Luigia Hospital, Parma; ACT-Italia; IESCUM

Dates & Location/ Data & Luogo: 11-12 July, 2011, 9:00am - 5:00pm L'università di Parma, Italia.

Workshop Description/ Descrizione:    

Un workshop pratico ed esperienziale per apprendere i principi dell'Acceptance and Commitment Therapy e per acquisire strumenti concreti per la quotidianità clinica.

L'ACT è una delle terapie più interessanti sul panorama scientifico internazionale. L'adattamento alla lingua ed al contesto italiano di questo modello ha richiesto una grande collaborazione con la comunità internazionale, ricerca, lavoro ed esperienza di molti clinici.

Questo workshop è il risultato di questi anni di lavoro: la possibilità di apprendere ed utilizzare l'ACT nel nostro contesto.

È probabile che di fronte ai principi letti nei libri tu ti sia posto domande come "sì ma come faccio con...", "ma può funzionare per...", "bello scritto così ma nel mio ambulatorio?..." "...in italiano non funziona così bene...". Molti libri sull'ACT (e l'approccio stesso) forniscono in realtà buone guide pratiche, ma spesso rimangono interrogativi e difficoltà nell'applicazione dei principi.

Questo workshop si propone di fornirti risposte semplici e concrete alla domanda "COME?"

Il corso è stato progettato per essere utile come approfondimento e applicazione dei principi appresi, attraverso la presentazione di esercizi esperienziali e di tecniche per entrare nel cuore dei sei processi dell'ACT (l'accettazione dell'esperienza, la defusione, il contatto con il momento presente, il senso di continuità del sé, il contatto con i propri valori e l'azione impegnata).

L'obiettivo del workshop è quello di favorire il più possibile l’apprendimento di competenze pratiche per la gestione concreta degli aspetti dell'intervento ACT.

Il workshop sarà prevalentemente esperienziale (esercizi di mindfulness ed esperienziali a coppie o in piccoli gruppi) e pratico. È utile un precedente apprendimento dei principi dell'ACT (attraverso altri workshop o letture).

Si consiglia sicuramente la lettura del manuale per clinici in italiano sull'Acceptance and Commitment Therapy (Harris, R. Fare ACT. Franco Angeli, 2011. Ed. italiana a cura degli autori del workshop) e degli altri testi ACT in Italiano (Harris, R. La trappola della felicità. Erickson, 2010. Ed. italiana a cura di G. Presti Hayes, S. Smetti di soffrire inizia a vivere. Franco Angeli, 2010. Ed. italiana a cura di P. Moderato).

Learning Objectives/ Obiettivi di apprendimento:

1. Utilizzare l'ACT con pazienti di lingua italiana.

2. Apprendere a concettualizzare il caso attraverso l'ACT.

3. Apprendere l'utilizzo delle tecniche ACT (metafore, paradossi, esercizi esperienziali) per favorire i processi fondamentali della Flessibilità Psicologica.

4. Favorire l'apprendimento delle competenze pratiche tipiche dell'ACT per potenziare la connessione e il coinvolgimento nella relazione terapeutica.

5. Potenziare il tradizionale approccio cognitivo-comportamentale attraverso l'ACT.

6. Utilizzare l'ACT, non dal giorno dopo ma a partire dal giorno stesso!

Target Audience/ Destinatari: Intermedio/Avanzato.

Registration Rates/ Quote di Iscrizione:
Note: Onsite registration is not available for the pre-conference workshops /

Nota: L'iscrizione sul posto non è disponibile per i workshop pre-conferenza

  • Studenti: €175
  • Professionisti: €320

Include 2 pranzi.

July 11 - Collaborative Clinical Behavioral Analysis: An experiential journey using the Matrix - Polk, Webster, Schoendorff, & Hambright (Introductory/Intermediate/Advanced)

Registration is now closed.

 

Collaborative Clinical Behavioral Analysis: An experiential journey using the Matrix

(1-day workshop, Monday)100_0802_0.jpgMark_0.jpgpolk.jpg

Workshop Leaders: Kevin L. Polk, Ph.D., The Psychological Flexibility Group, Mark Webster, Benjamin Schoendorff, & Jerold E. Hambright, Ph.D., Private Practice

Date & Location: July 11, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 7

Workshop Description:    

The goal of this pre-conference workshop is to show participants a simple, robust model that connects the ACT processes to their roots in philosophy and learning theory. We will accomplish this through three phases:

I: We will first take the audience through what has often been called "The Matrix." The matrix is a cute name that was applied to a diagram representing both Functional Contextualism and Relational Frame Theory. However, the diagram is presented as a lighthearted experience of the "Big Picture" point of view. What follows are both traditional and non-traditional ACT exercises. No technical language is necessary, making it suitable for both lay people and clinicians.

II: Philosophy and Theory: For clinicians the diagram offers and easy-to-learn frame for learning some rather complex sounding philosophy and theory. We will show participants how the root of the diagram is Functional Contextualism and how it expands to Relational Frame Theory and Clinical Behavioral Analysis. We will show clinicians how the diagram holds close to the motto of Contextual Behavioral Science, "To predict and influence behavior with precision, scope and depth."

III: Clinical Delivery: Participants will then learn the importance of establishing the contextual cues for increasing psychological flexibility. We will give a clinical overview of how to use the diagram and some carefully selected words and phrases to engage people in the process of increasing psychological flexibility. We will then show how to shift into doing collaborative clinical behavioral analysis.

Learning Objectives:

  1. Participants will be able to describe/present the Matrix diagram to others.
  2. Participants will be able to discuss Functional Contextualism.
  3. Participants will be able to discuss Relational Frame Theory.
  4. Participants will be able to practice collaborative clinical behavioral analysis.
  5. Participants will be able to influence psychological flexibility with precision, scope and depth.

Target Audience: Introductory/Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €105
  • Professionals: €175

Above prices include lunch, and coffee/tea on site.

July 11 - Using ACT to promote highly effective workers and workplaces - Bond & Moran (Introductory)

Registration is now closed.

 

Using ACT to promote highly effective workers and workplacesbond.jpgDJ Moran cropped_ro_50percentsize_0.jpg

(1-day workshop, Monday)

Workshop Leaders: Frank Bond, Ph.D., Goldsmiths College, University of London & D. J. Moran, Ph.D., Private Practice

Date & Location: July 11, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 7

Workshop Description:

From reducing stress to enhancing leadership skills, research has shown ACT to be very powerful in promoting performance, productivity and well-being in the workplace. This workshop will show participants how to tailor ACT strategies and techniques in order to serve a diverse range of workers in very different types of organisations and industries. It will also describe how improving psychological flexibility opens up new avenues for enhancing leadership skills, accelerating performance, increasing safety participation, and even improving the design of work. Participants will learn how to use ACT techniques to boost different types of leadership skills, from day-to-day performance management to those that are transformational in nature. The workshop will also show how to design and organise work, and the working environment, to promote psychological flexibility.

Learning Objectives:

1. Describe the six domains of ACTraining: values-clarification, committed action, contacting the present moment, self-as-context, defusion, and acceptance.
2. Analyze the broad impact of ACTraining applications in the workplace.
3. Discuss the role of “psychological flexibility” as an influence on work performance and workplace stress.
4. Apply techniques to improve their own leadership skills through participation in exercises aimed at values-clarification and increasing mindfulness.
5. Assist participants in explaining how values clarification can be useful in improving safety participation and leadership skills. 

Target Audience: Introductory.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €105
  • Professionals: €175

Above prices include lunch, and coffee/tea on site.

July 12 - ACT with children, teens and families: Getting experiential in family work - Coyne & L. Hayes (Intermediate)

Registration is now closed.

 

ACT with children, teens and families: Getting experiential in family work

lhayes.JPG(1-day workshop, Tuesday)LisaCoyneACBS.jpg

Workshop Leaders: Lisa Coyne, Ph.D., Suffolk University, USA & Louise Hayes, University of Melbourne, Australia

Date & Location: July 12, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 7

Workshop Description:    

For children and adolescents ACT work is growing and there is a clear need amongst clinicians to provide training opportunities that allow them to develop understanding and experience on how to use ACT with children, adolescents and families. Throughout the workshop participants will develop skills in functional assessment, and experiential exercises in each of the 6 ACT processes.

This workshop will focus on two key areas:

(a) Practical applications: Providing participants with experiential practice using ACT across three groups&nbsp; - children, adolescents, and parents. Lisa Coyne is a presenter with expertise in working with young children and parents, while Louise Hayes works with adolescents and parents. Each presenter will use a range of experiential, role-play and treatment ideas that have been developed with these populations.

(b) Developmental considerations: The workshop will also provide knowledge on how ACT processes might be adapted to meet the developmental level of children and adolescents. This will be underpinned by a functional approach to understanding and influencing behavior, and it will draw on recent empirical and theoretical literature.

The workshop will be delivered at an intermediate level. Participants are expected to have previously attended basic ACT training, to have basic knowledge on the ACT model and functional assessment, and to have some experience in using ACT in applied settings (not necessarily with children).

Learning Objectives:

  1. To describe how conceptualize the developmental needs of children and adolescents from an ACT perspective.
  2. To demonstrate applied skills in using the ACT model with children.
  3. To apply skills in using the ACT model with adolescents.
  4. To discuss an overview of the ACT literature with children and adolescents.
  5. Utilize skills in functional assessment.

Target Audience: Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €105
  • Professionals: €175

Above prices include lunch, and coffee/tea on site.

July 12 - An introduction to relational frame theory for clinicians - Törneke & Blackledge (Intermediate)

Registration is now closed.

 

An introduction to relational frame theory for cliniciansBlackledge.jpgniklas.jpeg
(1-day workshop, Tuesday)

Workshop Leaders: Niklas Törneke, M.D., NT Psykiatri, Private Practice, Sweden & John T. Blackledge, Ph.D., Morehead State University, USA

Date & Location: July 12, 2011, 9:00am - 5:00pm at the University of Parma, Italy.

Continuing Education Credits Available [364]: 7

Workshop Description:    

Relational frame theory (RFT) is the theoretical base for Acceptance and Commitment Therapy. Even if you can do ACT well without an understanding of this background we believe understanding RFT can enrich clinicians and help them improve their work. This understanding is also essential to take part in further development of clinical strategies and techniques.

This workshop will describe all basic concepts in RFT. Some basic experimental work will be used to illustrate central issues in the theory but the focus will not be experimental but conceptual. The workshop will also describe how RFT is related to ACT and how clinical problems and interventions can be understood from the perspective of RFT.
Some experiental excercises will be included for illustration of central concepts, but the workshop is mainly didactic.

Learning Objectives:

  1. Participants will describe the basic concepts of RFT and how they are related to each other.
  2. Participants will be able to explain how psychological problems can conceptualized from an RFT perspective.
  3. Participants discuss how RFT relates to specific ACT interventions.
  4. Participants will be able to demonstrate applied uses of RFT informed techniques in a client session.
  5. Participants will be able to explain the relationship between ACT & RFT.

Target Audience: Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: €105
  • Professionals: €175

Above prices include lunch, and coffee/tea on site.

Registration & Fees

parma_banner_3x2.jpg

Online Registration is closed for this event.

 

Onsite registration is only available for the ACBS World Conference.  You may register Onsite at the Palazzo Centrale Building between 5:00pm - 7:30pm, Tuesday, July 12, or at the conference venue (Polo Didattico Building) 8:00am-9:00am, Wednesday, July 13.  Please take a look at our map [367] to verify the locations.

The onsite registration cost is:

World Conference IX (July 12 (evening) - July 15, 2011):

  • Students: €265 (20% VAT included)
  • Professionals: €460 (20% VAT included)

No onsite registration is available for the pre-conference workshops (July 11 & 12).

________________________________________________________________________________________

Please note, you can only book your hotel through us during the online registration process.  However, you are welcome to book your hotel separately, on your own. More hotel information here [368].

World Conference Registration (Before June 17, 2011)

World Conference IX (July 12 (evening) - July 15, 2011):

  • Students: €215 (20% VAT included)
  • Professionals: €410 (20% VAT included)

Above prices include 3 lunches, 1 dinner, coffee/tea on site, 1 opening cocktail reception (July 12, evening), as well as transportation to/from the dinner/follies night.

  • As long as space is still available, you may choose to bring guest to the dinner/follies night for €45 per guest. This includes transportation, a local Italian dinner, a wine selection, and the follies. (As the space at the venue is limited, we apologize that late registrants may not be able to register their guests for this event.)
Pre-Conference Workshops (Before June 17, 2011)

Pre-Conference 2-day Workshops Registration (July 11-12, 2011):

  • Students: €175 (20% VAT included)
  • Professionals: €320 (20% VAT included)

 

 Above prices include CE credits [364] as needed, 2 lunches, and coffee/tea on site.

________________________________________________________________

Pre-Conference 1-day Workshops Registration (July 11 OR July 12, 2011):

  • Students: €105 (20% VAT included)
  • Professionals: €175 (20% VAT included)

 

 Above prices include CE credits [364] as needed, 1 lunch, and coffee/tea on site.

 

Early, Regular, and Onsite (Late) Registration:

  • Online registration will end June 17, 2011.
  • Onsite (Late) registration fees will be the regular registration fees plus €50.
  • Onsite registration is NOT available for the Pre-conference workshops.

Refunds:

Cancellation can only be made writing to the Organising Secretariat (MV Congressi Spa).

  • Cancellation received before June, 19 2011: 70% refund.
  • Cancellation received after June, 19 2011 or no notice: no refund.

You may contact giovanna@mvcongressi.it to request a refund.

Enrollment limitations:

Enrollment may be limited due to the limitation of our venue to accommodate additional sessions and attendees.

Room Share/ Ride Share

parma_banner_3x2.jpg

Please use this page to find hotel roommates or rides for the World Conference IX and/or pre-conference workshops.

Please be sure to post a "check-in" and "check-out" date in your posting and if you already have a room reserved or not (and where).

To post your need, click "add new comment" (which appears in blue below). It is recommended that you list your email address so that you may be contacted directly, but that is up to you.

To respond to a posting, click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us [304]" above in the header of the site for feedback or assistance. You only need a login to interact with this page, paid membership is not required to participate.)

Travel Information (Airplanes, Trains, ...)


File:Parm-Regg-Inizio.jpgFile:Val d'orcia -pienza.JPG

 

Parma In Relation to Other Places

Parma is located in a region called Emilia-Romagna, in northern Italy and can be easily reached in several ways.

  • Parma does have a small international airport (http://www.parma-airport.it/default.aspx [369] ) with lowcost daily Ryanair and Windjet  fights to and from London Stansted (2h flyght), Rome (1h15) and Sicily (1h20) and Sardinia (1h15). Both Italian cities are excellent choices if you want to spend some time touring either before of after the conference.
  • The airport of Milan Malpensa and Milan Linate are, respectively, 170 (2h driving) and 120 km (1h15 driving) away from Parma.
  • Bologna airport “Guglielmo Marconi” is 100 km from Parma (1h driving).
  • The airports of Milan and Bologna have daily flights to and from the main European cities. 
  • High-speed trains operate on the Milan-Bologna route. Parma is 90 km from Bologna (1h by train) and 110 km from Milan (1h15 minutes by train).
  • The highway A1 (Autostrada del Sole) links Parma to Milan and to Bologna, Florence, and Rome. 
  • The highway A15 connects Parma with La Spezia (and other sea resorts on the beautiful Tyrrhenian Sea on Italy west coast like Viareggio and La Spezia and Cinque Terre – Lerici, Porto Venere, Monterosso, etc.).
  • The Adriatic sea (east coast) and other touristic resorts like Rimini and Riccione are only a two hour drive.
  • Parma is only 1h 20 driving distance from Milan, 2h from Florence, 1h from Bologna, less than 3h from Venice, 4h from Rome. 

Attendees may wish to prolong the trip in Italy even for a few days to tour many beautiful and culturally-enriched areas of the country.

Air Travel

From Abroad

Our Italian hosts do not recommend flying directly to Parma from Europe or other non-US locations, as it tends to be much more expensive. 

Search suggestion: SkyScanner.net [370] -- excellent for searching all European airlines (even EasyJet, RyanAir, etc.).

Recommended Airports to Fly Into From Abroad:

  • Rome (FCO, CIA)
  • Milan Linate (LIN) -- only 120 km (1h15 driving) away from Parma 
  • Milan Malpensa (MXP) -- only 170km (2h driving) away from Parma 
  • Bergamo (sometimes called Milan Orio al Serio) (BGY)
  • Bologna (BLQ) -- 100 km from Parma (1h driving)
  • Forlì (FRL)
  • Parma (PMF)
  • Pisa (PSA)

Airlines for Travelling from European airports to Italy and in Italy:

  • Meridiana: http://www.meridiana.it/it/index.aspx [371]
  • Windjet: http://www.volawindjet.it/ [372]
  • Blu-Express: http://www.blu-express.com/ [373]
  • Easyjet: http://www.easyjet.com/ [374]
  • Ryanair: http://www.ryanair.com/ [375] (has a direct flight to Parma from London - Stansted)
  • Air Italy: http://www.airitaly.it/ [376]
  • AirOne: http://www.alitalia.com/AP_IT/home/index.aspx [377]

European Low-cost airlines:

  • Ryanair: http://www.ryanair.com/ [375]
  • AirBerlin: http://www.airberlin.com/ [378]
  • AirLingus: http://www.aerlingus.com [379]
  • Cimber Sterling: http://www.cimber.com/ [380]
  • Jet2.com: http://www.jet2.com/ [381]
  • Vueling.com: http://www.vueling.com/ [382]

From the USA

Our Italian hosts suggest that attendees coming from the US should compare flights from USA to Milan or Rome vs. flights that land in big European airports: London, Madrid, Frankfurt, Paris and Amsterdam. From there take a low cost flight (they're very cheap if bought in advance). Low cost companies are: Ryanair, EasyJet, Windjet.

Search strategy. Look on the Italian airport website and find which low cost companies connects with which European airport. Look for prices in their website. Find the lowest ticket that connects the city of departure to that big European airport.  

Low cost companies put limits on baggage (much stricter rules for weight, size, and number of bags than are common in the US airlines) so make sure that you know what to expect and are comfortable with their rules before buying the tickets.

For USA-Europe flights, we recommend trying Kayak [383] and/or SkyScanner [370]. SkyScanner is excellent for searching all European airlines (even EasyJet, RyanAir, etc.).

Train Travel

Parma is connected to all the Italian cities by train. When landing in Italy it is better to take a train to Parma rather than looking for an internal flight. Less expensive and quicker.

Train tickets, if bought on Trenitalia website (www.trenitalia.com [384]) are discounted up to 50% until one month before departure.

This is another extremely useful site for finding all of the trains/schedules/fares for travel within Italy.

http://www.raileurope.com/us/rail/point_to_point/triprequest.htm [385]

Rental Car

If you are coming in a small group, or you are planning to visit some other places in Italy, or just to move away from Parma city during the conference, you may want to check the websites of the many international car rental agencies.  The major ones are Avis and Hertz. There are a couple of low cost companies in Italy such as Easy Car (http://www.easycaritalia.com/ [386]), Rent.it (http://www.rent.it [387]) or Europcar (http://www.europcar.it/ [388])

Please take into account that most of the cars for rental in Italy are smaller than the ones in the US. Many cities in Italy were built in times where horses and carts and feet were the only means of transportation. Big cars have a difficult life in Italy and if you're not trained to drive on small roads it is better to use cars only to move between cities. Once again, the car is not needed (and uncomfortable) to move in the city and it's better to rely on mass transport systems.

Bicycle

My information may not be 100% accurate, but here goes. There is a main office for "Parma Punto Bici" in viale Toschi 2. This is along the river, on the west side of la Pilotta (building/plazza you can find on any map). I believe you can rent bicycles there, by the day, or set yourself up to do it hourly and drop them off at different places around the city. (My Italian is bad, so I'm not sure if you can do it hourly if you don't pay for an annual membership, etc. To be sure, I'd recommend looking around this site (in Italian) http://www.infomobility.pr.it/index.php?id=14&page=default⟨=it&sezione=elenco_giallo_block [389] Or better yet, ask at the Tourist Office [390] when you arrive in Italy.

Parma Resources

Here are some other resources about Free Public Internet Access in Parma, location of hospitals, pharmacies, currency exchange locations (but the automated bank machine is always less expensive), etc. Click here. [391]

If you are in need of a babysitter while in Parma, the city provides the following list. Click here. [392] I inquired with the city to ask them how someone got on this list, and what their qualifications were, and how this all works. They said "Babysitters registered in the list have been qualified by a selection after a training in our nursery schools, but labour contracts are private and the cost must be negotiated directly with the babysitter." There is an email address at the bottom of the list to contact the city.

 

OTHER SUGGESTIONS?

If you have other/better travel information to share on this page, please click Contact Us [393] with your suggestions and we'll update this page.

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Travel Information from Milan Malpensa Airport to Parma (very detailed)

I've recently returned from visiting gorgeous Parma and wanted to share detailed travel information to/from Milan Malpensa Airport to Parma, for those who are interested.

Arriving Milan Malpensa Airport...

After going through immigration, while waiting for baggage you can find information stands with maps of Milan and the Milan Metro (subway) in case you plan to spend any time in Milan.  This is a good time to pick up one of those maps. (By the way... the Milan Metro system is 1 Euro per ride, or less if you buy a multiple or 1-day ticket.)

Also, before you pick up your luggage, this might be a good time to go to the toilet, you will see small signs to small bathrooms that are still inside the baggage claim area. (Make sure you do not go through the customs exit before getting your luggage.)  If you wait to use the bathroom at the Milan central train station (Milano Stazione Centrale), you will have to pay €1 to use it there.

You are able to exchange money in the airport if needed, but you can get from the Milan Airport to Parma with only a credit card (then use a bank machine to get your Euros in Parma at a better rate) if you take the shuttle from the airport to Milan, and then the train to Parma, then walk to your hotel... but that's up to you.

Getting into Milan from the Milan Malpensa Airport... (and from Linate Airport?)

There are a few different ways to get into Milan (which you need to do, to get a train to Parma), but one is definitely better than the others.  Take the Shuttle Bus.

By Shuttle Bus... Right outside of baggage claim you'll see a little store front (inside the airport) for "Malpensa Shuttle".  It is €7.50 one way, or €12.00 for a round trip ticket (you don't have to know the exact time of your round trip to purchase it). If the "Malpensa Shuttle" office right outside of baggage claim has a big line, you can walk to your left (about 20 meters?) and find another office for the shuttle.  You can purchase with Euros or a credit card. (I believe that there is a similar Shuttle from the Linate Airport, but I can't guarantee it, as I did not fly in there.)

I highly recommend the "Malpensa Shuttle".  It is convenient, leaves every 15-30 minutes, and is inexpensive. It is a coach shuttle bus (not like a city bus), with large luggage areas underneath the bus, so that you don't have to drag your luggage on to the train. From the time your shuttle leaves the airport it will be 50-60 minutes until you reach the Milano Stazione Centrale.

By Taxi... if you really want to take a taxi you'll be paying €85, just to get to Milan.  I'm not kidding.  It's a fixed rate. If you're coming into the Linate airport in Milan, I happen to know that it is €50 to get to Milan by taxi.

By Train... There is a "Malpensa Express train" and a regular local train that go from the airport to Milan.  The Express train takes about 40 minutes and costs €11, one way. However, no train from the airport will take you to Milan's Central Train Station (Milano Stazione Centrale). The trains from the airport will take you into Milan, to Cadorna Station.  This is 5 Metro Stops away from Centrale Station.  This is quite a hassle.  I'm told that the local train may be a Euro or 2 cheaper (I don't know the exact cost), than the Shuttle Bus, but then you have to pay that Euro to get on the Metro and deal with the hassle.  Completely not worth it, in my opinion.  Now, if you're staying overnight in Milan, then it may not matter to you where you end up in Milan from the airport, but I'd still recommend the Shuttle Bus.  It's much easier, especially if you have luggage.

Note, if you plan to take a Taxi while in Milan, it costs €6 to get into the taxi, plus mileage.

Getting from Milan's Central Train Station (Milano Stazione Centrale) to Parma...

train ticket machines_0.JPGWhen you get to the Station, immediately inside on the left is a ticket counter, with humans. (you may prefer the ticket machine though... see below)  You can tell them "uno a Parma" or just tell them in English "one to Parma" and they will get you a train ticket on the next train you can make.  They may ask if you want Express or local/regional.  Local/regional will probably be about 30-40% cheaper, and will take you about 15 minutes longer. If you just want the next train, you may be willing to pay the extra cost. (the Express trains are nicer/cleaner trains with power outlets, but the regional trains aren't bad either (no power outlets that I'm aware of)).

Alternatively, go into the Train station, and take the moving sidewalk/escalators up to the train platform level (2 levels up?) and you can purchase your tickets with cash or credit cards at one of the ticket machines.  train ticket machine display.JPG

(The image to the right was taken in Parma.  I selected "English", then I entered that I wanted to go to 'Milano Centrale' and it brought up this screen of the next 4 trains that would take me there. It shows the cost (first or second class... which is written on the outside of the train cars), duration, times, and then you just select the ticket you want. Very easy to use.)

These are really convenient and easy to use.  You can select your language from the first screen and go from there.  You enter that you want to go to Parma and it will show you the departure times, journey time, train types, and cost for the next 5 trains or so.  This is actually probably better than going to the ticket agent. Select your train and how many tickets you need.  Your ticket will tell you the platform number.

The escalators are a bit of a hassle with luggage, but doable.  There is an elevator ("ascensore"), but I followed the signs and could not find it (I'm sure it's there... and I was just sleep deprived.).

train schedule excerpt Parma.JPGTrains in Italy are occasionally canceled, or 'gulp', there can be a strike.  If your train is canceled (like mine was), take a look at the large yellow, poster sized, train schedules on the wall (see the image at the left).  You'll need to look around for them, but they're there. You'll look at it, look at the time, and see what trains have a stop in Parma.  (The image to the left was taken in Parma.  It shows all of the trains you can take from Parma in the 14:00 hour. It shows what time it leaves, each stop for that train, what time that train will reach each city, and the number in the blue circle is the platform number... you should double check the number on the lighted signs at the station though.) All stops are listed (and the information on the sign is for all trains starting in the station that you're standing in). Alternatively, I suppose you could look it up on one of the ticket machine.  You'll find another train leaving soon, and you'll need to go to the platform.

(If you're on a regional/local train, you need to stamp your ticket at the little machines at the beginning of the platform... there are no stamping machines further down the platforms.)

I can't swear that this is always the case... but my train was canceled, I had purchased a ticket for a local/regional (cheaper) train, and I just got on the next train I found going to Parma.  When the ticket agent came by (and they will ALWAYS come by), he said that I needed to pay a fare difference.  It was worth it to me, I wouldn't have wanted to wait another 40 minutes for another local train.  I have no idea if there was also a penalty assessed in there.  (The ticket agent did not speak much English, and my Italian is non-existent.) In the end my total ticket price was just under €18.

Expect to pay about €9 - €19 to get to Parma from Milan by train.

If you want an idea of schedules from Milan to Parma and fares, you can check here:

http://www.raileurope.com/index.html [394]

Arriving in Parma...

Ok, so you've gotten to Parma.  If you're not on platform 1, sorry but you're going to be dragging your luggage down and up stairs.  There are no elevators.  (If you have physical challenges there is a chair lift at each staircase which you can use to go up and down the stairs.)

When you exit the train station (which currently has a lot of construction... I don't know if it will be finished by July), you can find Taxis, or the local bus. You can purchase a bus ticket, if you want one at any place that sells newspapers or Tobacco.  Look for a large blue "T".  I believe in Parma the bus tickets are approximately €1.20 for a single ticket.  (I believe you will need cash to buy a ticket.) I'm told that "taxis in Parma are expensive" and there aren't that many of them, compared to other cities.  I don't know the price... sorry.

Alternatively you can walk to your hotel.  Most hotels are within 10-25 min. walk from the train station. Keep in mind that Parma has a lot of narrow cobblestone streets, so if you're dragging your luggage, you'll need to deal with that. (Make the walk a bit more difficult, and definitely louder as you "thud, thud, thud" to your hotel.)

Be sure to print off a detailed map of where you are going. If you print off the map I've created here:

http://contextualscience.org/wc9_hotels [367]

Please be sure to zoom in far enough that you get every tiny street name.  I stayed at the Hotel Torino in the center city and did not have a map with every small street name.  It took me a while to realize that things that looked like small alleys on the map, were actually small streets and necessary to know for navigation.  Parma is small, and the streets are small.  It is very walkable, but I'd recommend having a good map with you.

Bank Money Machines, Rental Cars, etc....

There are bank money machines everywhere.  You can't walk anywhere without passing at least 6. If you need one fast, ask at your hotel for a "Bancomat".  That's what they call them.

Rental Cars... you really don't want to bring a car to Parma if you can help it.  You can't drive into the city center anyway without a special permit (which you can only get if you live there, or have a legitimate delivery purpose, as far as I know).  If you want to rent a car for day trips, I'm told that there are some rental offices (Hertz, etc.), near the Starhotel du Park. 

Tourist information... you can get maps and other tourist information in Parma, near the Duomo.  I have them plotted on my map here:

http://contextualscience.org/wc9_hotels [367]

You can find good tourist information here:

http://turismo.comune.parma.it/tportalparma/application/tportal/engine/pubblica.jsp?db=tportalparma&id=homeIAT_en&transformJava=true [395]

WC9 Conference Committee

Thank you to our generous volunteer Conference Committee!

Conference Co-Chairs:

Ole Taggaard Nielsen
Giovambattista "Nanni" Presti

Program Committee:

Ole Taggaard Nielsen
Giovambattista "Nanni" Presti
Martin Brock
Lisa Coyne
Thomas Gustavsson
Rikke Kjelgaard
Louise McHugh
Giovanni Miselli
Jennifer Plumb
Benjamin Schoendorff
Louise Shepherd
Angela Stotts

On Site Event Planners:

Ilaria Balasini
Katia Covati
Katia Manduchi
Giovanni Miselli
Paolo Moderato
Giovambattista "Nanni" Presti
Massimo Ronchei
Francesca Scaglia
Giovanni Zucchi

Logo Development:

Tom Hardy

WC9 Poster Session

parma final-3_white_banner_0.jpg

Poster Session

with abstracts & files (where available)

If you would like your poster to be added to this list, please email Kate Morrison [396].

Tuesday, July 12, 2011
7:30pm-9:30pm
Palazzo Centrale Building, University of Parma
Room: Main Foyer, Courtyard, and West Hallway

Click on a link below to view each section:

ACT - CLINICAL
ACT - OTHER
ACT - SKILLS
BEHAVIOR ANALYSIS
OTHER
RFT - CLINICAL
RFT - RESEARCH

ACT-CLINICAL

1. Paying attention to values instead of pain: Chronic pain and neuropsychological functioning, as potentially mediated by acceptance of pain
ALANA VERNON, M.A., The Wright Institute
Rochelle I Frank, Ph.D., Gateway Psychiatric Services & University of California at Berkeley
PATRICIA E ZURITA ONA, Psy.D., The Wright Institute
Eric J. Freitag, Psy.D., Mt. Diablo Memory Center

Individuals with chronic pain often experience comorbid deficits in neuropsychological functioning. However, researchers have not yet determined what explains the relation between chronic pain and neuropsychological functioning. It appears that Acceptance and Commitment Therapy (ACT) is effective at decreasing subjective experiences of pain, increasing acceptance, and increasing neuropsychological functioning. Thus, the purpose of this study was to determine whether or not acceptance of pain mediates the relation between chronic pain and neuropsychological functioning. In the present study, 10 participants with chronic pain underwent an 8-week acceptance-based group treatment. Before and after the treatment, participants completed a series of questionnaires to gather measures of acceptance of pain, experiential avoidance, coping profile, depression and anxiety, and somatization. Furthermore, participants completed a computer-based neuropsychological test to measure attention, memory, and processing speed. Results demonstrated that acceptance of pain mediated the association between chronic pain and verbal memory (Adjusted R2 Change = .34, t = -1.23, ns), but not with visual memory (Adjusted R2 Change = .39, t = -2.58, p < .05). The present study demonstrated the importance of acceptance-based treatment for individuals with chronic pain and subsequent deficits in neuropsychological functioning.

2. Application of ACT and FAP in a child diagnosed with disocial behavior
DIEGO PADILLA-TORRES, Hospital Universitario 12 de Octubre. Madrid. Universidad de Almería
Marisa Paez-Blarrina, Instituto ACT

Objective: To analize the impact of working ACT + FAP in the treatment of an adolescent diagnosed with disocial behaviors …..Analize the importance of the therapeutic relationship and the analysis of relevant clinical behaviors in session and how their modification causes changes in and out of session.
Methods: The patient is a 13 year old who was referred to mental health services for behavior problems, impulsive acts, and judicial problems. The treatment involves three individual evaluation sessions, two parent interviews and 10 individual therapy sessions and three follow-up sessions, a month, two and three months. The measures included were, the description of CRB1(“I do not know”, “is very boring”, “look away when spoken...”, “change the subject..”, “not wanting to draw”, or “fill out self-reports...CRB2 (exercise, show willingness to feel boredom and keep talking, asking questions when they do not understand what is said). During the process, pre and post treatment diferent measures were taken (AFQ-10, parents reports, teachers reports).
The treatment was designed to promote values-oriented behavior and defusion from unpleasant sensations.
Results: The measures pre, post and follow-up indicate a better performance in the school, family and decreased problem behaviors and criminal activities.
Conclusion: The application of ACT with FAP in children is very useful and a therapeutic relationship that promotes adherence to treatment improvements.

3. Taming the Adolescent Mind - A pilot study of Mindfulness-based group program for adolescents with mixed mental health presentations
LUCY TAN, Royal Children's Hospital, Brisbane, Australia and The University of Queensland
Graham Martin, Royal Children's Hospital, Brisbane, Australia and The University of Queensland

Taming the Adolescent Mind, is a manualised group psychotherapy program for adolescents ages 13-18 years old recruited from a mental health community clinic, Royal Children's Hospital, Brisbane, Australia. It was developed specifically to reduce stress and reduction of psychiatric symptoms through practice of mindful attention. A discussion of the program development is detailed, along with results of the initial trial. Ten adolescents, ages 14 to 17, participated in the 5-week intervention. Assessment were conducted at baseline and post-treatment. Measures included within subject reporting as well as parents reports. In addition, two specific mindfulness measures were also included (Avoidance and Fusion Questionnaire for Youth, AFQ-Y and Children's Acceptance and Mindfulnes Measure, CAMM). The high attendance rate (Completer sample, 90%), high retention rate, and positive ratings on program evaluations supported treatment feasibility and acceptability. Overall, this pilot study offers data for mindfulness based therapy as a potential treatment for internalizing and externalizing symptoms in adolescents from a psychiatric out-patient clinic with mixed diagnostic presentations.
 

4. ACT workshop for the parents of children with PDD [397]
SHINJI TANI, PH.D., Ritsumeikan University
Etsuko Kawai, Hyougo Developmental disorders Support Center Ashiya Branch (Sanday curative Institute)
Sandaya Gakuen
Kotomi Kitamura, Ph.D., Osaka Univ. of Human Sciences

The purpose of this research was to show the effectiveness of ACT workshop on the parents having PDD child. Twenty eight parents attended the ACT workshop (2days). They were divided into three groups. The multiple baseline design was used to evaluate the effect of the workshop. Five measures were implemented four times (a month before, a week before WS, a week after, and three months after WS). Two outcome measures ( BDI-II and GHQ-28) and three process measures (AAQ-II, JIBT-R, and Locus of control) were used. The six core processes were introduced at workshop using metaphors and experimental exercises. No significant change occurred while waiting for treatment, but the GHQ , the BDI and the AAQ-II scores improved significantly after workshop. The JIBT-R and The LOC score did not change after workshop. Results suggest that ACT may contribute to promote parent’s mental health.

5. ACT in Sierra Leone
BEATE EBERT, DIPL.-PSYCH., Private Practice
Joanne Dahl, University of Uppsala, Sweden
Daniel J. Moran, Ph.D., BCBA, Pickslyde Consulting

The poster shows details about the two trainings we offered for 60 health workers in January 2011 in Sierra Leone, West Africa. You can see photos and the results of our evaluation.
 

6. Medication use in children with chronic pain - a matter of psychological flexibility?
RIKARD K. WICKSELL, Ph.D, psychologist, Behavioral Medicine Pain Treatment Service, Astrid Lindgren's Hospital for Children
Matilde Hellberg, MD, doctoral student, Behavioral Medicine Pain Treatment Service, Astrid Lindgren's Hospital for Children

A large number of children and adolescents suffer from chronic pain. For many, pain results in substantial disability. Traditional medical interventions are many times insufficient in reducing symptoms and facilitating recovery. However, despite marginal or even negligible effects, it is not uncommon that pharmacological treatments are utilized. Importantly, given the negative side effects and potential long term consequences, it may be of central importance to address this in treatment. To adequately conceptualize medication use in chronic idiopathic pain, the analysis should include information regarding psychological variables. More specifically, from an ACT perspective medication intake can be seen as a behaviour that functions to control negative private experiences such as pain intensity or fear of pain increase. Thus, variables related to psychological flexibility may be of critical importance to understand and modify such behaviours.

This poster will present preliminary results from a cross-sectional study on pediatric chronic pain patients, using pre-treatment assessments. In short, analyses are conducted to clarify the importance of variables related to psychological flexibility in explaining differences in medication use. Also, it will be explored if psychological flexibility represents a central link between e.g. pain intensity and medication. Implications for treatment will be discussed based on these findings.

7. Identifying meaningful subgroups of patients with chronic pain on the basis of the CPAQ scores
OLIVIA BERNINI, Ph.D. Candidate, University of Pisa
Carmen Berrocal, Ph.D., University of Pisa

The objective of this study is to explore whether scores on the CPAQ dimensions – Activity Engagement (AE) and Pain Willingness (PW) may be useful to identify clinical significant subgroups of patients with chronic pain or not. A total of 133 patients seeking treatment for chronic pain completed the CPAQ, the Hospital Anxiety and Depression Scale, the Pain Anxiety Symptom Scale, and the Behaviour and Symptom Identification Scale. Exploratory cluster analyses and ANCOVA were conducted. Cluster analyses yielded four subgroups of patients on the basis of the CPAQ scores (high-AE/high-PW, low-AE/low-PW, high-AE/low-PW, and middle-AE/middle-PW patients). Patients with low scores in both the CPAQ subscales showed a significantly worse adjustment to pain than the other groups, while differences on outcome measures among the remaining three groups were not significant.
 

8. The self and psychotherapy: are the predictions ACT makes about the conceptualised self accurate?
ROHAN JAMES NAIDOO, MSC, MA., University of Nottingham

A key process within ACT is the self’s relationship to therapeutic change; despite this, it has never been empirically validated. The present study aimed to do so by testing the hypotheses that a) a fixed self-concept and psychological inflexibility would correlate with high levels of therapeutic reactance and b) a flexible self-concept and psychological flexibility would correlate with high levels of value-based behaviour.
Data from 171 non-clinical participants was subjected to a two-way between subjects ANCOVA, with self-theory and psychological flexibility as independent variables, therapeutic reactance as the dependent variable and gender as co-variate.
A significant interaction between psychological flexibility and self-theory was found. More specifically, a) rigid self-concept and psychological inflexibility correlated with high reactance, which appeared to function as self-defence, and b) flexible self-concept and psychological flexibility correlated with high reactance, which appeared to function as value-based behaviour.

These findings are consistent with the ACT model and indicate the importance of focusing on function over content when clients present with problems related to the conceptualised self.
 

9. Validity of the Acceptance and Action Questionnaire to identify patients with cancer at risk of emotional distress
VALENTINA CUTRUPI, University of Pisa
Olivia Bernini, Ph.D. Candidate, University of Pisa
Carmen Berrocal, Ph.D., University of Pisa

The objective of this study is to explore whether scores on the Acceptance and Action Questionnaire (AAQ) dimensions – Action and Willingness - may be useful to identify patients with cancer at risk of developing anxiety and depression symptoms. A total of 85 patients with cancer participated in the study. Participants completed the AAQ, the Hospital Anxiety and Depression Scale, and the Psychological Well-Being (PWB) questionnaire. Exploratory cluster analyses and crosstabs analyses were conducted. Cluster analyses yielded two significant subgroups of patients on the basis of the AAQ scores (high-Action/high-Willingness subgroup; high-Action/low-Willingness subgroup). A significant higher percentage of patients in the high-Action/low-Willingness group showed clinical levels of depression and anxiety than in the high-Action/high Willingness group. Findings support the validity of the AAQ to identify subjects at risk of developing anxiety and depression symptoms.
 

10. Validation of the Acceptance and Action Questionnaire (AAQ-II) for the Portuguese population [398]
José Pinto-Gouveia, MSc, Ph.D., CINEICC, University of Coimbra
Sónia Gregório, Ph.D. student, CINEICC, University of Coimbra
ALEXANDRA DINIS, Ph.D. student, CINEICC, University of Coimbra

The avoidance of internal experiences evaluated as negative, generally known as experiential avoidance, has been implicated in a wide range of clinical problems and disorders (Hayes et al., 2004). Several instruments have been developed to assess experiential avoidance and acceptance, and this poster addresses the Portuguese version of the Acceptance and Action Questionnaire (AAQ-II: Bond et al., submitted), specifically its underlying factor structure and psychometric characteristics. In study 1, we conducted an Exploratory Factor Analysis in 753 subjects from the Portuguese general population, which completed several measures of acceptance, mindfulness, emotional state and psychopathology. In study 2, 840 Portuguese subjects from the general population completed the Portuguese version of AAQ-II and a Confirmatory Factor Analysis was conducted. Results of the factor analysis statistics, reliability analysis and convergent and discriminant validities of the AAQ-II will be presented and discussed.
 

11. The preliminary psychometric properties of the Portuguese version of Cognitive Fusion Questionnaire (CFQ [399]) [399]
José Pinto-Gouveia, MSc, Ph.D., CINEICC, University of Coimbra
ALEXANDRA DINIS, Ph.D. student, CINEICC, University of Coimbra
Sónia Gregório, PhD student, CINEICC, University of Coimbra

Cognitive fusion corresponds to the process in which thoughts about an event become merged with the actual event. It is considered a core process in Acceptance and Commitment Therapy (ACT) and thought to be implicated in the development of experiential avoidance, as well as in the development and maintenance of a diversity of psychopathologies (Strosahl et al., 2004; Wicksell et al., 2008). This poster reports to the validation study of the Cognitive Fusion Questionnaire Portuguese version (CFQ: Dempster, Bolderston, Gillanders, & Bond, 2009). We conducted an Exploratory Factor Analysis (EFA) in a sample of subjects from the Portuguese general population, who completed self-report measures assessing cognitive fusion, acceptance, mindfulness, decentering and psychopathology. Results of the questionnaire underlying factor structure, its internal consistency and convergent and discriminant validities will be presented and discussed.
 

12. A Preliminary Study on Constructing an Assessment Method of Creative Hopelessness
MIE SAKAI, Graduate School of Psychology, Doshisha University
Takashi Muto, Department of Psychology, Doshisha University
Akihiko Masuda, Department of Psychology, Georgia State University
Naoko Kishita, Graduate School of Psychology, Doshisha University

The purpose of this study was to construct an assessment method of Creative Hopelessness and to preliminary examine the reliability and validity of the method. Although Creative Hopelessness has been considered to be important process in order to reduce Experimental Avoidance, this behavioral definitions of Creative Hopelessness have not been clear, nor there is no assessment method. Therefore, in this study, we constructed a rationale and an assessment method of Creative Hopelessness. We mainly use participant’s verbal behaviors and response latencies in a session for the assessment.
 

13. Application of ACT to Chronic Obstructive Pulmonary Disease [400]
Kevin A. Duckworth, M.Ed., psychologist, Mount Sinai Hospital, Montreal
FRÉDÉRICK DIONNE, Ph.D, Centre hospitalier universitaire de Québec (CHUQ)

Acceptance and commitment therapy (ACT) has been effective in helping people with a range of chronic medical conditions to live better. This will be the first description we know of on ACT’s application to chronic obstructive pulmonary disease (COPD), a combination of bronchitis and emphysema usually caused by smoking resulting in progressive airflow limitation. The main symptom is shortness of breath (dyspnea). Self-care behaviors (quitting smoking, exercising,) are vital but can be hindered by dyspnea, anxiety, and depression. From an ACT perspective, perceptions of and responses to symptoms (e.g., avoidance) can result in suffering and chronic struggle. Traditional symptom-focused control and relief strategies are limited (sometimes counterproductive). We will apply the construct of psychological flexibility (defusion, acceptance, mindfulness, self as context, engagement in value-congruent actions, and skills training) to dyspnea in COPD. Theoretically, there is great potential for applying ACT to COPD. Research is needed to determine if ACT, effective in other chronic illnesses, can help in COPD.
 

14. The implementation of ACT in Dutch chronic pain rehabilitation [401]
KARLEIN M.G. SCHREURS, Ph.D., Roessingh Research and Development / Institute of Behavioural Research, University of Twente
Hester R. Trompetter, Roessingh Research and Development / Institute of Behavioural Research, University of Twente
Peter H.T.G. Heuts

ACT is effective in chronic pain, particularly because ACT offers a possible solution to the inherent paradox of pain rehabilitation. Patients enter rehabilitation when they have become stuck in their efforts to overcome chronic pain. Although it is clear that pain control strategies have not helped in the past, both patients and therapists keep searching for more and better pain control strategies. Accepting pain and committing oneself to a meaningful live is a solution to this dilemma.

We started the implementation of ACT in nine Dutch rehabilitation centers. The implementation is evaluated with data from patients, professionals and managers. At the end of treatment, patients read an introductory leaflet on ACT and indicate whether they have had these interventions. Professionals complete the ACT Core Competency Rating Form (Luoma, Hayes, Walser) at the start, half way and at the end of the implementation trajectory in their institution. They also provide five minutes of video-recording of a therapy session. Managers are asked questions about organisational factors that promote or interfere with the implementation of ACT. Results of measurement at the start of the project are presented and opportunities and challenges of the first months are discussed.
 

15. Acceptance and commitment therapy in the treatment of academic procrastination: A perfect fit [402]
FREDERICK DIONNE, Ph.D., psychologist, Centre universitaire de Québec (CHUQ)
Kevin A. Duckworth, M.Ed., psychologist, Mount Sinai Hospital, Montreal

Academic procrastination, the act of needlessly delaying academic tasks to the point of experiencing subjective discomfort (Solomon & Rothblum, 1984), is a frequent, self-defeating and pervasive problem for about 50 % of college and university students (Ellis & Knaus, 2000; O’Brien, 2000). There are several cognitive and behavioral therapy (CBT) interventions for procrastination, but there is certainly a way to improve these treatments (Ferrari, Jonhson, & McCown, 1995). The existing CBT treatments are exclusively based on the traditionnal CBT model that emphasizes the modification of thought content (see Schouwenburg, Lay, Pychyl, & Ferrari, 2004 for a review). ACT has been studied for various disorders and has shown promising results, but to our knowledge, there are no existing treatments (or even articles) using ACT intervention for procrastination. This intervention would alter the context of psychological events, instead of targeting their content. ACT would fit particularly well to the understanding of procrastination, a problem that can be seen as an experiential avoidance coping strategy. This poster presents a possible theoretical rational and intervention for the treatment of academic procrastination among college and university students.
 

16. Portuguese version of the Acceptance and Action Questionnaire-Specific Trauma (AAQ-TS): a preliminary study. [403]
TERESA CARVALHO, MASTER, CINEICC–Faculty of Psychology and Education Sciences, University of Coimbra; Instituto Superior Miguel Torga–Private Higter Institute, Portugal
MARINA CUNHA, PH.D, CINEICC–Faculty of Psychology and Education Sciences, University of Coimbra, Portugal; Instituto Superior Miguel Torga–Private Higter Institute
JOSÉ PINTO-GOUVEIA, PH.D., CINEICC–Faculty of Psychology and Education Sciences, University of Coimbra, Portugal

The experiential avoidance measured by the Acceptance and Action Questionnaire-Specific Trauma (AAQ-TS) has proved to be better predictor of trauma symptoms than when measured as a general construct (Acceptance and Action Questionnaire - AAQ) (Land, K., 2010).

This preliminary study intends to validate the portuguese version of the AAQ-TS (Braekkan K, K, Batten, S., Walser, R., Polusny, M. & Grantz, K., unpublished), designed to measure experiential avoidance and psychological acceptance associated with private traumatic experiences, processes indicators of psychological flexibility.

In a sample of 400 participants from the general population of veterans of the portuguese colonial war, after entering data into SPSS, currently underway, will be analyzed the results of exploratory factor structure, study of the items and temporal stability, indicating the level of appropriation of the instrument under study and its future application in the treatment of Post-Traumatic Stress Disorder, particularly in Acceptance and Commitment Therapy (ACT).
 

17. ACT and Caregiving: Therapeutic Tools and Challenges for Dementia Caregivers
ROSA ROMERO-MORENO, Ph.D., Universidad Rey Juan Carlos de Madrid
MARÍA MÁRQUEZ-GONZÁLEZ, Ph.D., Universidad Autónoma de Madrid
Andrés Losada Baltar, Ph.D., Universidad Rey Juan Carlos, Madrid
Javier López, Ph.D., Universidad San Pablo CEU, Madrid
Miguel Costa, Universidad Autónoma de Madrid
Virginia Fernández-Fernández, Universidad Rey Juan Carlos de Madrid
Celia Nogales-González, Universidad Rey Juan Carlos de Madrid

Introduction
Dementia caregiving involves high doses of unavoidable suffering. Most intervention research is focused on training caregivers to change these unpleasant internal events from a cognitive-behavioral approach. Little is known about the efficacy of acceptance and commitment therapy (ACT) with caregivers.
Objective
An 8-session ACT intervention for dementia caregivers, in which clinical tools (exercises, metaphors and experiential exercises) have been adapted or created, is described. While the efficacy of the intervention was first tested in a group format, a randomized clinical trial is currently running for testing the efficacy of the intervention in an individual format.
Body
The ACT intervention was focused on different modules which are described in the present work: emotional awareness; acceptance of negative internal events; clarity of values; cognitive fusion; and mindfulness.
Conclusions
Workability of different ACT tools applied to caregivers (with real examples) and caregiver’s barriers and difficulties from our clinical experience are discussed.

 

18. Results from a group-based stress management ACT-intervention programme for people on full-time sick leave – a pilotstudy [404]
GRETA LASSEN LUND, MSc.psych., Department of Occupational Medicine, Aarhus University Hospital, Denmark
Hanne Knudsen, MSc.psych., Department of Occupational Medicine, Aarhus University Hospital, Denmark

Background: Relatively less is known about the use of ACT (acceptance and commitment therapy)– intervention programme in group-based stress management with persons on full-time sick leave. Little too is known about the AAQ (Acceptance and Action Questionnaire) as a measure of changes in psychological flexibility during group-based ACT-intervention. A recent pilotstudy of a 3 month stress management Act-intervention found that:
a) it was possible to test a stress management intervention programme based on an ACT manual.
b) the AAQ seemed to be a relevant measure of changes in psychological flexibility according to the Hexaflex model.
Aim:The aim was to develop and test a group-based ACT-intervention manual, including the AAQ as a measure of changes in psychological flexibility and hereby assess the reliability of a Danish translation of AAQ in a Danish sample.
Method: 8 participants were referred to the employee counseling service at the Aarhus University Hospital. Inclusion criteria were full-time sick-leave due to work-related stress. Concurrent life-events, psychiatric disorder requiring treatment and active substance abuse were exclusion criteria. The ACT-intervention was 5 x 3 hours sessions with one week interval and a booster-session after one month. 8 people joined the group led by two psychologists. Key-elements in the intervention were mindfulness exercises, avoidance, defusion-techniques, metaphors, developing willingness, defining values and committed action in daily life. Outcome was AAQ (range 10-70). AAQ was assessed at the beginning of all group-sessions and at 3 months follow-up. Response rate and participation rate = 85,5%
Results: Participants baseline mean score was 40,13 (sd=8,77) and after 5 weeks the mean score was 36,38. At booster session 10 weeks from baseline the group mean score was 34,63. Cohen´s d = 0.62 indicates a possible medium effect size. Results from the 3 months follow-up after booster session will be collected in April 2011 and be presented in the final poster. Results of the reliability testing of the AAQ are being processed and will be presented in the final poster. The part –quantitative evaluation sheets handed out at the end of the 6.th group session revealed a positive evaluation of the intervention programme as a whole.

19. Relationships between kinesiophobia and psychological inflexibility in youths suffering from longstanding pain
LINDA HOLMSTRÖM, Ph.D student, physiotherapist, Karolinska Institutet and Karolinska Univ. Hospital
Marie Klinga, Ph.D student, psychologist, Karolinska Institutet and Karolinska University Hospital

Acceptance and commitment therapy (ACT) is a recently developed approach within Cognitive Behavioral Therapy (CBT) aimed at improving functioning by increasing psychological flexibility, i.e. the ability to act in accordance with once values and goals in the presence of interfering pain or distress (Hayes, 2006). Results from a recent randomized controlled trial, support the use of ACT-strategies to improve functioning and quality of life in youth suffering from longstanding pain (Wicksell et al., 2009). Longstanding pain in children and adolescents may lead to severe activity limitations in part due to kinesiophobia i.e. fear of (re-)injury by physical movement or activity. However, the overall prevalence of kinesiophobia in youths suffering from longstanding pain is still largely unexplored. Moreover, very little is known about the relationships between the presence and degree of different aspects of kinesiophobia and psychological inflexibility.

The objective of the present cross-sectional study was consequently to investigate relationships between the presence and degree of different aspects of kinesiophobia and psychological inflexibility. The study includes a large sample (n=150) of pediatric patients consecutively referred to the Behavior Medicine Pain Treatment Service. Patients were assessed with the Tampa Scale of Kinesiophobia, a commonly used measure of pain adjustment, and the Psychological Inflexibility in Pain Scale (PIPS). The poster presentation will include preliminary data on the presence and degree of kinesiophobia in youths suffering from longstanding pain, as well as multivariate analyses exploring the relationships between different aspects of kinesiophobia and psychological inflexibility.


20. Relationship between Quality of Life and Psychological Acceptance in Elderly People
MARISA PAEZ BLARRINA, PH.D., Instituto ACT
Carmen Luciano, Ph.D., Instituto ACT
Francisco Marquez Lopera

The relationship between the psychological flexibility and the quality of life in elderly people has not received much interest from researchers. Only Butler y Ciarrochi (2007), presented an investigation using the general AAQ (Hayes, et al, 2004), in order to analyze the acceptance/avoidance dimension in this population. This study shows the preliminary data extracted from the adaptation of this questionnaire (AAQ) in this specific field of application. The authors designed a new version of AAQ that was called AAQ-MAY which contain contextualized items that measure the psychological flexibility in this population. The use of the questionnaire designed in correlation with quality of life measures (CUBRECAVI Fernández Ballesteros,1996) point at the positive relationship between these dimensions. The results are discussed taking into account the preliminary characteristics of the study and the possibilities that it opens.

21. Spanish adaptation of AAQ for domestic violence victims
Rosario Villegas, Instituto ACT
DIEGO PADILLA TORRES, Instituto ACT

A Spanish adaptation of Acceptance and Action Questionnaire for female victims of domestic violence (AAQ–V) is presented in this work.

Acceptance and Action Questionnaire (AAQ) (Hayes et al., 2000) was created to measure experiential avoidance and psychological acceptance, key aspects of Acceptance and Commitment Therapy. In 2009 S. Hayes developed AAQ_II to assess the same construct and improved psychometric characteristics. AAQ-II will be used in this study to assess convergent validity.

After building an item pool, items were evaluated by independent judges and administered to a clinical sample made up of 44 female victims of gender based violence. Results pointed AAQ–V presented good psychometric characteristics. 7 items were eliminated alter using discrimination index and reliability index (Chronbach’s alpha a=0,87) was obtained. Construct validity was evaluated through correlation with other variables and through factorial analysis. Results are encouraging for future research.
 

22. Experimental study on direct and derived effects from the suppressed pain
MARISA PAEZ BLARRINA, PH.D., Instituto ACT
Enrique Gil, Universidad de Almería
Olga Gutiérrez Martínez, Universidad de Zaragoza
Sonsoles Valdivia Salas, Ph D., Universidad de Barcelona

Cioffy and Holloway (1993) demonstrated that the rebound effect of thought suppression described by Wegner, (1989) had an analog in the experience of somatic discomfort. However the derived rebound effect phenomena has not been enought understood from an RFT point of view and the procedures could not isolate this effect in a clear way.
Of an experimental procedure for induction of pain (the ischaemic tourniquet designed by Sternbach et al., 1974,1977) and a equivalence classes training, this study try to 1) assess the differential effectiveness of acceptance versus suppression of pain in terms of tolerance, 2) test a series of experimental procedures aimed to analyse the phenomenon of suppressing thoughts and sensations rebound effect in a controlled manner, and 3) to analyze the delayed effects of the avoidance of pain compared to strategies of acceptance in terms of the presence of the direct and derived rebound effect.

23. ACT in A Group Setting to Treat Reduced Function in Patients with Chronic Pain
PAMELA BRAUN, LCSW, Mid Valley Pain Clinic

A brief perusal of the ACT literature will reveal a variety of articles regarding chronic pain, and far fewer looking at ACT in group settings. In 2008, Behavioral and Physical Health Collaboration became the topic of a Performance Improvement Project (PIP) for the Division of Medical Assistance Programs (DMAP) in the State of Oregon, USA. The organization which administers Medicaid health services in the mid-Willamette Valley, the Marion-Polk (counties) Community Health Plan (MPCHP), and the Mid Valley Behavioral Care Network (MVBCN) designed a project to address the needs and challenges of patients in their system with chronic pain and co-mobidities, including mental health disturbances and addiction.

The researchers were interested in improving the outcomes of care while reducing the cost of that care by providing the right treatment, which includes psychosocial components and a focus on self-care. The question they posed was:

Will the implementation of a chronic pain consultation and stabilization service result in increased average functional outcome scores (self-perception of ability to function despite pain, and to collaborate with physicians) for patients who receive group cognitive-behavioral treatment following referral from their PCP's?

The researchers further defined the CBT as being thirty hours of group psycho-education, based on Acceptance and Commitment Therapy (ACT). Relaxation training and a movement component were also included.

This poster presentation will illustrate and explain the methods and results of this study, and examine in detail the group process. A complete clinical manual, developed for the purpose of this clinic, will be presented as well.

24. A Comparison of Self-Report and Behavioral Measures of Anxiety and Performance in a Socially Phobic Sample
LISA HAYLEY GLASSMAN, Drexel University
JENA SHAW, Drexel University
Erica England, Drexel University
Erica Yuen, Drexel University
Evan Forman, Drexel University
James Herbert, Drexel University
Jena Shaw, Drexel University

Most research on treatment outcome in social anxiety disorder (SAD) has utilized self-report data to assess change over time. However, there is some evidence that individuals with SAD make erroneous predictions and assessments about their social performance (Clark and McManus, 2002; Leary, 2004; Stopa and Clark, 1993). In light of this, it is extremely important to introduce objective, behavioral measures of anxiety and social performance to these treatment protocols. Research then can gauge how these assessments compare to each other, assess whether or not they measure the same constructs, and gain a greater understanding of treatment gains and mechanisms of action. This is especially important with the emergence of third-wave therapies, which focus on behavioral changes rather than affective changes.

We incorporated self-report and behavioral data from three different studies to examine differences between ratings of anxiety and social performance in a socially anxious population. The first study randomized adults with generalized social anxiety disorder (SAD) to a 12-week group CBGT treatment administered either with social skills training or without social skills training. The second study recruited adolescents with SAD who were randomly assigned to group CBT, individual CBT, or psychoeducational supportive therapy. The third study examined the effectiveness of Acceptance and Commitment Therapy (ACT) for SAD (Dalrymple & Herbert, 2007). Treatment was administered as a 12-session program focusing on exposure exercises and increasing acceptance of distressing experiences through mindfulness and defusion techniques. Eighty-one individuals were randomized into this study, but not all of this data has been coded at this time.

All three studies used the Subjective Units of Discomfort Scale (SUDS) (0 = no anxiety, 100 = high anxiety) for self-reported anxiety. Self-reported performance was measured on a 1-5 likert scale. Behavioral ratings of performance and anxiety were objectively assessed using three, 3-minute behavioral tasks in all three studies. These tasks included (RP1) a dyadic role-play involving a simulated interaction with a confederate; (RP2) a triadic role-play involving an interaction with two confederates; and (RP3) an impromptu speech.

Self-report and behavioral ratings were compared across all studies at pre-treatment (n=74) to assess similarities or differences between these two types of data collection for anxiety and performance. At pre-treatment self-report and behavioral ratings of anxiety were significantly correlated for RP1 and RP3 (r =.235, p =.044, r =.536, p <.001 respectively) but not for RP 2 (r=.183, p =.118). Self-report and behavioral ratings for social performance were significant for all role-plays (RP1: r =.291, p =.025, RP2: r =.354, p =.002, RP3: r =.524, p <.001). Intuitively, high levels of self-reported anxiety were associated with lower behavioral ratings of performance (RP1: r = -.283, p =.001), RP2: r =-.216, p =.017), RP3: r = -.415, p <.001).

These results indicate that self-report and behavioral measures of anxiety and social performance were largely similar at pre-treatment across study and role-plays. Coding of the post-treatment data is ongoing. We plan to analyze and report correlations at post-treatment to compare the differential effects of traditional Beckian CBT and ACT on (1) the relationship between self-report and behavioral measures and (2) the ability to perform despite self-report of anxiety.

Research using behavioral measures of SAD is ongoing. Data from two additional projects administering both self-report and objective ratings will be available for analysis by July 2011 and incorporated into this poster.
 

25. Examining Experiential Avoidance in an Adult Clinical Sample from a Community Based Private Practice
WANDA L. SMITH, PH.D., Private Practice & McMaster University

Experiential avoidance (EA) is a process suggested to be involved in the etiology and maintenance of clinical disorders. The present study sought to explore the utility of identifying EA in a clinical sample of mixed diagnosis. EA was measured via the Acceptance and Action Questionnaire-II (AAQ-II), a brief questionnaire measuring psychological flexibility with scores ranging from 7-70. Sample included 44 adults receiving psychological treatment in a private practice, age ranged from 26-87 years. Clinical diagnoses included Posttraumatic Stress Disorder, Major Depressive Disorder, Anxiety Disorders – GAD & NOS, Bipolar Disorder and Dysthymic Disorder. Preliminary analysis revealed several patterns: While the clinical population was fairly homogeneous with respect to diagnosis, 75% had been diagnosed with PTSD, the AAQ-II scores ranged from 13-54 reflecting a wide range of EA/psychological flexibility. Further, it appears that low AAQ-II scores i.e., high EA were associated with treatment-resistant clients suggesting that the AAQ-II may have utility in identifying clients who may not benefit from evidence-based treatment protocols. And, clients diagnosed at severe levels with higher AAQ-II scores i.e., psychological flexibility were more functionally adaptive. It appears that evaluating EA may be useful when treating a clinical population. Cases will be presented. Limitations of the currents study will be addressed.
 


26. An Exploration of the Effects and Experiences of Participating in an Acceptance and Commitment Therapy (ACT) Group on Psychological Flexibility, Valued Living & General Well-being
YASMIN WARD, M.SC. CANDIDATE, ACT Now Ireland
AISLING CURTIN, M.SC., ACT Now Ireland
CHRIS MC CONNELL, M.SC., ACT Now Ireland
AILISH HAND, H.DIP., ACT Now Ireland

There is an apparent absence of qualitative and mixed methods research within mindfulness-based approaches research (Mace, 2008). The present study employed a mixed methods design to explore the experiences and effects of participating in an 8-week Acceptance and Commitment Therapy (ACT) group for general well-being. To maximize external validity, the authors employed minimal exclusion criteria. Participants completed the AAQ-II (Bond, F.W., Hayes, S.C., Baer, R.A., Carpenter, K.M., Orcutt, H.K., Waltz, T. & Zettle, R.D., Submitted) and the VLQ (Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. E., 2010) pre-, mid- and post-completion of the course. Additionally, participants completed weekly qualitative measures as well as a detailed interview following course completion to inform the researchers about which aspects of the group were best in terms of workability. It is hoped the results of this study will be used to improve future service provision and inform future ACT groups aimed at the general public.
 

27. Experiential avoidance as a predictor of symptomatology and distress in a traumatised population
ANGELA COOPER, BSc, MSc, Trent Doctoral Programme in Clinical Psychology, University of Nottingham, UK
Aidan Hart, Ph.D., Trent Doctoral Programme in Clinical Psychology, University of Lincoln, UK
Rachel Sabin-Farrell, DClinPsy, Trent Doctoral Programme in Clinical Psychology, University of Nottingham, UK & Nottinghamshire Healthcare NHS Trust
Neil Roberts, DClinPsy, Traumatic Stress Service, Cardiff and Vale University Health Board

Using the AAQ-II, the relationship between experiential avoidance, trauma symptomatology and functional distress was investigated in a traumatised population.
It was hypothesised that experiential avoidance would have a significant relationship with functional distress and would significantly predict the variance of distress in a regression model.
Results show that the AAQ-II was non-normally distributed within the sample, therefore, non-parametric analyses were used. Correlational analysis revealed that the relationship between experiential avoidance, trauma symptom severity and functional distress was significant (p < 0.01). Regression analysis showed that the AAQ-II significantly predicted functional distress (p = 0.03), however, it only accounted for 7% (adjusted R-sq) of the variance.
A standardised beta value of 0.29 was obtained revealing the increase in functional distress for every 1 unit increase in the AAQ-II. The AAQ-II also significantly predicted trauma symptomatology accounting for 19% of the variance observed (p < 0.01) obtaining a standardised beta value of 0.48. Whilst the AAQ-II is significantly correlated with and predictive of distress, it only accounts for a relatively small amount of variance in the functional distress measure (7%) when compared to the trauma measure (19%). The implications and limitations of the study are discussed and considered, not only within the ACT literature but also within the broader clinical literature.

 

28. Using Acceptance and Commitment therapy in the rehabilitation of women on long-term sick leave due to mental ill-health and/or pain: A preliminary randomized trial [405]
Ingrid Andrerzen, Uppsala University
Joanne Dahl, Uppsala University
LINNEA MOLIN, Social Medicine at the University Hospital in Uppsala, Uppsala University, Sweden
EMMA WALLIN, Social Medicine at the University Hospital in Uppsala, Uppsala University, Sweden
CARINA WENNMAN, Social Medicine at the University Hospital in Uppsala, Uppsala University, Sweden

Despite having one of the most generous health care systems in the world, a significant percent of the Swedish population, mostly women, with pain and stress related symptoms end up in a marginalized group on long term sick leave.
The aim of the present on-going study is to evaluate the effects of three conditions: 1) an ACT treatment run by a single psychologist, partly home based, 2) an outpatient clinic based multidisciplinary team evaluation and treatment and 3) a Treatment as Usual condition consisting of a standard work finding program offered at the public employment office, for those women who, because of a recent change in legislature, are losing disability payments. The study is a randomized control trial (n=360) with three conditions and repeated measures. Dependent variables are employment status, self rated health, depression, anxiety levels, and quality of life. Preliminary results will be presented at the conference in Parma July 2011.

The study, Vitalis is a collaboration between Social Medicine at the University Hospital in Uppsala, the Swedish Social Insurance Administration, the Employment Service, Uppsala County municipalities and Uppsala University. The study is supported by the Organization for Financial Coordination Uppsala County and lasts from April 2010 until March 2012.
 

29. Examining the Invariance of the Factor Structure of the Acceptance and Action Questionnaire-II Across Seven Languages and Between Clinical and Nonclinical Samples
MARIA KAREKLA, University of Cyprus
Michalis P. Michaelides, University of Cyprus
Jean-Louis Monestès, Centre Hospitalier Ph. Pinel, France
Nele Jacobs, Hasselt University, Belgium
Nic Hooper, University of Kent, UK
Marco Kleen, University of Groningen, Netherlands
Carmen Luciano, Universidad de Almería, Spain
Giovanni Miselli, IULM University, Italy
Giovambattista Presti, IULM University, Italy
Francisco José Ruiz Jiménez, Universidad de Almería, Spain;
Matthieu Villatte, University of Nevada, Reno
Frank Bond, University of London, U. K.

Experiential avoidance constitutes a core target of Acceptance and Commitment Therapy, an approach that is becoming increasingly popular in many countries around the world. The Acceptance and Action Questionnaire (AAQ-II) is a measure of experiential avoidance validated originally in English and more recently across various languages (e.g. Greek, Dutch, Spanish, Italian and French). However, the factorial validity of this measure has not been adequately addressed. The present study examines the invariance of the factor structure of the AAQ-II across seven languages and between clinical and non-clinical samples. Preliminary analyses suggest that the factor structure is relatively invariant across language samples. However, some items seem to function differently in the clinical and non-clinical samples. Results will be discussed in terms of ascertaining the AAQ-II validity across various groups.
 

30. ACTivating "Clean Language": Developing and utilizing client generated metaphors

File 1 [406]

File 2 [407]

MAARTEN AALBERSE, Private Practice, France

We have developed great metaphors that help the client contact key-issues, and some excellent instructions have been provided, too, how the therapist can create and present metaphors that are tailor-made for specific clients. "Clean language" is a very respectful and potentially profound approach, derived from David Grove's work with clients suffering from the consequences of trauma. Here the client is helped to create and develop his own metaphors, starting from his language and his unique perspective. Drawing from the hexaflex, I will illustrate some ways how this approach can be made more ACT-consistent, i.e. how important parts of the therapeutic process can be done by responding to these client-generated metaphors in ways that gently nudge the client towards greater psychological flexibility.
 

31. Further Validation of the Acceptance & Action Questionnaire for Depression (AAQD)
JOHN T. BLACKLEDGE, Morehead State University
Aaron Ellis, Morehead State University
Cassie Watkins, Morehead State University
Jeff Dobson, Morehead State University

The Acceptance & Action Questionnaire for Depression (AAQD) was administered alongside several previously validated self report instruments with a clinically depressed sample of 121 subjects at an inpatient mental health unit in Sydney, Australia, and with an undergraduate sample of approximately 100 largely non-depressed subjects in Morehead, Kentucky. The AAQD was then administered again one week later with both samples to establish test-retest reliability. Data indicated the AAQD subscales and total score appeared to measure an independent dimension of psychological functioning that is negatively correlated with measures of depression, anxiety and stress and positively correlated with a measure of psychological flexibility. The AAQD also exhibited acceptable test-retest reliability and correlated well with previously validated self report instruments measuring similar constructs. Significantly different response tendencies on the AAQD were noted between the depressed and non-depressed samples, suggesting good discriminant validity, though the impact of cultural differences on these scores remains a possibility.

32. Toward behavioral flexibility: an integrated approach of ACT-FAP and behavior analysis in the context of an Italian learning centre
ROBERTO CATTIVELLI, University of Parma - Learning Centre TICE
Gianluca Amato, Learning Centre TICE
Federica Berardo, University of Parma - Learning Centre TICE

ACT studies and research focus on behavioral flexibility as core skill correlated with better quality of life and satisfaction. To improve flexibility in child and teenagers at learning centre TICE we started to apply ACT-FAP strategies with functional assessment, hexaflex, esperential exercise and mindfulness. According with FAP we define OS (outside sessions behaviors) and to change OS we work on CRB (clinical relevant behaviors – directly in sessions), according DRR and RFT basic science. To produce psychological relevant change we use contingent respond of the operator to behavior of the subjects and to achieve this objective we adopt ACT resources and tools, working on each core process of the Hexaflex, but in particular with acceptance, defusion, contact with present moment and commited actions.
We collect procedures in some distinct “curricula” we used to produce this improvements.
Data were collected with direct observations, functional analysis and self reported measures.


33. Can exposure to "forbidden" food help cognitive flexibility and acceptance? Clinical experiences with a disordered eating client
KATIA MANDUCHI, Psy, Iescum Parma, ACT Italia Chapter
Giovanbattista Presti, IULM Milano, Iescum Parma
Giovanni Miselli, IULM Milano, Iescum Parma, ACT Italian Chapter
Elisa Rabitti, IULM Milano, Iescum Parma, ACT Italian Chapter
Paolo Moderato, IULM Milano, Iescum Parma, ACT Italian Chapter

Acceptance and Commitment Therapy (ACT) protocols are suitable to the treatment of disordered eating. In many of such clinical cases some peculiarities that can help client developping a different pattern of eating behavior, can be present early in the treatment. As an example we present a case of eating disorder treated with an ACT based intervention, in which exposure experiences in vivo are introduced earlier in the earlier interventions. The subject is an outpatient young woman of 16 years with a history of treatment for eating disorder, and depression. ACT process measures, symptoms measures, low mood level, medical problems were assessed at baseline, at 15 weeks, and at the end of the treatment. The treatment aimed to develop psychological flexibility, reduction of relevant clinical symptoms as vomiting, reduction of the foods avoided and balancing the medical issue. Presentation will underline the changes made by the client’s behavior and how they correlate to the six processes of the hexaflex and particular attention will be given to exposure experiences.
 

34. Psychological flexibility a mediator of change in Internet delivered ACT therapy for bariatric surgery patients [408]
SANDRA WEINELAND M.S, University of Uppsala, Sweden
Dag Arvidsson, University of Uppsala, Sweden
Thanos Kakoulidis, University of Uppsala, Sweden
Steven Hayes, University of Nevada
JoAnne Dahl Ph.D, University of Uppsala, Sweden

Background: Bariatric surgery (BS) is rated as the best evidence based treatment for obesity with regard to weight loss and maintenance of weight loss evaluated to date. Although BS interventions are effective, 20-30 % of BS patients regain weight. One factor contributing to weight gain and poorer psychosocial well being is avoidance of emotions by overeating. There are also reports of body dissatisfaction and distressing preoccupation with weight post BS. Acceptance and Commitment Therapy (ACT) applied to BS patients, with the purpose of developing psychological flexibility around difficult emotions and thoughts so as to increase healthy behaviors and quality of life, was developed and implemented in the current study.
Methods: Participants (n=39) who had undergone bariatric surgery at least four months prior to this study, were randomly assigned to a six week treatment package based on one of two conditions 1) ACT including two face-to-face sessions and support via an Internet application or 2) treatment as usual (TAU) compromised of the standard follow-up used by the bariatric surgery team.
Results: Significant effects as well as medium to large effect sizes found on measures of eating disordered behaviors, body dissatisfaction, quality of life and acceptance for weight related thoughts and feelings were found for participants in the ACT condition, as compared to those in the TAU condition.
Conclusion: The present study shows promising results in combining a short term ACT treatment with BS to improve the long term effects of obesity treatment.


35. Psychological Flexibility and Criminal Recidivism: A Conceptual Analysis and Proposed Research Agenda
MICHELLE N. JEANIS, University of Louisiana at Lafayette
EMILY K. SANDOZ, University of Louisiana at Lafayette

Recidivism rates in the United States have hovered between 50% and 65% over the past two decades despite multiple reentry initiatives (Federal Bureau of Justice Statistics). Recently, the focus has shifted to adapting empirically based psychological treatments to improve reentry success. ACT’s psychological flexibility model may offer a means of conceptualizing and intervening on recidivism. This poster presentation will provide a conceptual analysis of criminal recidivism and a proposed research agenda for evaluating the appropriateness of this model for improving reentry success.
 

36. Meeting on the contextual wave: Ericksonian psychotherapy and Focusing in ACTion [409]
KRISZTINA-GABRIELLA SZABO, Ph.D., Babes-Bolyai University, Cluj, Romania

The author - a Romanian psychotherapist, trained in Ericksonian psychotherapy and focusing-oriented psychotherapy - presents her professional development from the above mentioned approaches to a progressive inclusion of the theoretical model and technologies developed within ACT into her work.

In the author's view, the practice of ACT shares several basic common features with Ericksonian psychotherapy (e.g., acceptance, the use of metaphors and paradoxes, various experiential exercises targeting change processes), as well as with focusing-oriented psychotherapy (e.g., promoting acceptance, non-judgmental awareness, dis-identification/defusion, taking perspective, working with values). Furthermore, all the three approaches emphasize function and context over form and content. However, neither Ericksonian psychotherapy, nor focusing-oriented approach rely on such a well structured and empirically supported theoretical model as ACT does.

The recognition of these interfaces has determined the growing of the author's interest in implementing an ACT-informed approach to her therapeutic practice, teaching/supervision and research.

37. ACT-based workshop for promoting psychological flexibility in a heterogeneous inpatient clinical-sample of a mental health unit at a public hospital in Peru
SILVIA MELGAR BRAVO, Major National University of San Marcos

People diagnosed with some “mental disorder”, and more specifically those who are hospitalized at a public mental health in Peru, does not receive new alternatives for treatment that have shown promising in the field of empirically validated treatments, like Acceptance and Commitment Therapy that shows differences and improvements respect to traditional CBT, and even more on the eclectic practice. The condition of “Having a mental disorder” would be a stigma that it would establish human suffering in an equivalence frame with “abnormal” or “negative” and, by consequence, in an opposition frame with “being normal”, “being in the capability of being responsible with my actions”, etc. Symptoms-based treatments, even those empirically validated, reinforce this frames, getting harder that these people could change their focus from reduce symptoms as a need, toward acting in a valued way even when it could carry some psychological distress. An ACT-based workshop is being implemented as a way to promote psychological flexibility as a useful model of behavioral change for Peruvian community.
 

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38. Chronic pain and substance use disorders: What’s the connection?
JENNIFER SHARPE POTTER, Ph.D., MPH, University of Texas Health Science Center at San Antonio
Angela Stotts, Ph.D.
Kristen Rosen, MPH

Illicit opioid analgesic use is an emergent public health problem. From 2002 to 2007, treatment admission rates for substance use disorders resulting from opioid analgesic (OA) use increased 414% in the United States. While opioid replacement therapy (ORT) is the most effective treatment available for DSM-IV opioid dependence, about 50% of patients continue illicit opioid use. There is a need to better understand factors associated with treatment refractory opioid use disorders. Physical pain appears to be an important clinical characteristic that may influence response to standard addiction treatment. To examine relationships between psychological flexibility and persistent illicit opioid analgesic use in 100 methadone-maintained patients with co-occurring chronic pain, we conducted a two-factor, between-subjects multivariate analysis of variance (MANOVA). Two transdiagnostic psychological flexibility processes, experiential avoidance (AAQII) and mindfulness (MAAS), and pain-related anxiety and avoidance (PASS) served as the dependent variables. The independent variables were CP severity status (severe or mild-moderate), current major depressive episode (present or absent), and current illicit opioid analgesic use (present or absent). Controlling for the presence of depressive symptoms, results from the MANOVA indicated significant main effects for persistent illicit opioid analgesic use [Wilks’ Λ (.8), F(3, 88) = 7.5, p < .0001, partial η2=.2], and severe chronic pain status [Wilks’ Λ (.8), F(3, 88) = 6.6, p < .0001, partial η2=.18]. Results will be described in terms of the distinct linear combination of psychological flexibility processes associated with persistent opioid analgesic use, pain, and depression. Practical implications for better understanding pain functioning in this clinical population and improving addiction treatment will be discussed.
 

39. Psychological flexibility predicts opioid misuse risk in low back pain patients receiving opioid therapy
JENNIFER SHARPE POTTER, Ph.D., MPH, University of Texas Health Science Center at San Antonio
Angela Stotts, Ph.D.
Kristen Rosen, MPH
Antonio Gutierrez

Opioid analgesic misuse (OAM) among chronic pain patients continues to be a significant public health concern. While OAM risk factors have been identified, e.g., history of a substance use disorder, there is scant research about cognitive and emotional processes that may drive OAM. Interventions targeting psychological flexibility, e.g., Acceptance and Commitment Therapy, are effective in improving chronic pain functioning; however the association between psychological flexibility and OAM has not been investigated. This study examines the relationship between PF and current misuse risk. We surveyed 150 patients presenting with chronic low back pain receiving opioid therapy at an interventional, academic pain management clinic. All participants had taken opioids for >20 days in the past month. The Brief Pain Inventory was used to obtain severity and interference scores. Psychological flexibility was assessed using: the Mindfulness Attention Awareness Scale (MAAS), the Chronic Pain Acceptance Questionnaire (CPAQ), and the Pain and Anxiety Symptom Scale (PASS). The Current Opioid Misuse Measure (COMM), a 17-item scale, assessed aberrant drug-taking behaviors. Participants were 59% female and mean age was 49 years (SD 9.7). On a 0-10 scale, mean pain severity was 6.8(SD 1.8), and mean interference was 6.8(SD 2.3). Mean COMM score was 17.02 (SD 10.8) and 75% of participants’ COMM scores suggested opioid misuse risk according to the pre-determined cut-point. We fit a multiple linear model controlling for age, pain severity and interference; CPAQ(β=-.14), MAAS(β=-.45), and PASS(β=.20) scores were significantly associated with COMM score (ΔR2=.31). The full model predicted 45% of the variance in COMM [F(6,112)=17.5, p<.0001]. Results suggest that psychological flexibility may be important in understanding factors that contribute to OAM. To our knowledge, this is the first study establishing an association between psychological flexibility and opioid misuse risk.
 

40. Validation study of the Portuguese version of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y)
MARINA CUNHA, Ph.D., ISMT AND CINEICC (Coimbra University, Portugal)
Ana Marta Santos, MA, ISMT (Instituto Superior Miguel Torga)

This study aims at investigating the psychometric properties of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y; Greco, Baer, & Lambert, 2008) in the Portuguese population.

The sample included 461 adolescents (200 boys and 261 girls), with ages ranging from 12 to 18 years (M=15.08) attending the regular school system. The assessment protocol comprised, besides the AFQ-Y, self-repost measures of depressive symptoms (CDI), anxiety (RCMAS), acceptance/mindfulness skills (CAMM) and social value perception (SCS).

Results show that the Portuguese version of the AFQ-Y presents a good internal consistency (α=0,82), an adequate test-retest reliability (r=0,65) and an appropriate validity. Its exploratory factor analysis suggests a unidimensional structure.
Although confirmatory studies are needed, results suggest that the AFQ-Y is a reliable instrument for the assessment of experiential avoidance and cognitive fusion, processes linked to psychological flexibility, in Portuguese adolescents.

 

41. The impact of brief exposure and defusion interventions on implicit verbal relations in spider-fear [410]
NIMA G MOGHADDAM, PH.D., Trent Doctorate in Clinical Psychology
Aidan Hart, DClinPsy, Trent Doctorate in Clinical Psychology

The present study aimed to compare the impact of two treatment-analogue interventions (exposure and defusion) on implicit (and explicit) spider-fear in a non-clinical sample. The study additionally examined whether implicit (and explicit) spider-fear predicted behaviour towards the object of fear and whether intervention influenced behaviour (either directly or through effects on implicit/explicit fear). 48 participants were randomly allocated to either exposure or defusion. Participants completed pre- and post-intervention measures of implicit and explicit spider-fear and a post-intervention behavioural approach test. Implicit fear (D-IRAP score) incrementally predicted behaviour over explicit fear, replicating previous findings. However, neither intervention appeared to affect implicit fear. Interventions did have differential effects on explicit fear and overt behaviour; notably, defusion facilitated greater approach behaviour than exposure. Results are interpreted in relation to existing literature and consideration of methodological limitations. A need for further research into the malleability of relational responding was identified, particularly in relation to existing clinical treatments.
 

42.Examining the Unique Role of Experiential Avoidance in Non-suicidal Self-Injury
BRIANNA TURNER, M.A., Simon Fraser University
Alexander L. Chapman, Ph.D., Simon Fraser University

According to the Experiential Avoidance Model (Chapman, Gratz & Brown, 2006), non-suicidal self-injury (NSSI) serves to escape from aversive internal states. We examined whether experiential avoidance (EA) accounted for frequency of NSSI beyond several known affective trait vulnerabilities for NSSI, and whether EA plays a role in maintaining NSSI over time. Individuals with a history of NSSI (N=208) completed measures of experiential avoidance, NSSI, and vulnerabilities for NSSI: emotion regulation difficulties, distress intolerance, affect intensity and reactivity, and borderline personality symptoms. We assessed frequency of NSSI longitudinally at three-month intervals over one year. Hierarchical regression indicated that EA explained significant variance in baseline NSSI frequency beyond the affective vulnerabilities (β=.22, p=.03). Further, EA fully mediated the relationship between frequency of NSSI and emotion regulation difficulties (Sobel test = -2.06, p=.04). Finally, EA predicted the frequency of NSSI at 6 month (r=.32, p=.02) and 12 month follow-ups (r=.31, p=.05). These findings provide empirical support for the experiential avoidance model, suggesting that EA plays a unique role in NSSI beyond trait affective vulnerabilities and predicts greater frequency of NSSI over time.
 

43. Body Image Acceptance: The Portuguese version of the Body Image - Acceptance and Action Questionnaire [411]
CLÁUDIA FERREIRA, M. A., CINEICC – Cognitive-Behavioural Research Centre – University of Coimbra, Portugal
José Pinto-Gouveia, Ph.D., CINEICC – Cognitive-Behavioural Research Centre – University of Coimbra, Portugal
Cristiana Duarte, M. A., CINEICC – Cognitive-Behavioural Research Centre – University of Coimbra, Portugal

The Body-Image Acceptance and Action Questionnaire (BI-AAQ; Sandoz, Wilson, & Merwin, 2009) is designed to assess cognitive flexibility and acceptance relatively to body image. This paper presents the factorial structure and psychometric properties of the Portuguese version of the BI-AAQ in a sample from the general population (n=679). EFA for the Portuguese population shows that this version maintains a one-factor structure, similar to the original version of the instrument, which accounts for 63.36% of the variance. CFA on the data confirms its structure. The Portuguese version of the BI-AAQ presents a good internal consistency (.95), test-retest reliability, and it correlates (contrastingly) with self-compassion, body image dissatisfaction, eating disorders symptomatology, social comparison, depression, anxiety, and stress. The results show that BI-AAQ discriminates between a general population sample (n=51) and a clinical one with a diagnosed eating disorder (n=46), which emphasizes the clinical usefulness of the instrument.

Overall, the results suggest that the Portuguese version of the BI-AAQ is a useful and valid instrument with significant theoretical and practical implications, namely for body-image disturbance and eating disorders treatment and research.
 

44. Measuring ACT-processes in chronic pain patients: Validation of Dutch-Language questionnaires & Daily measurements in a single case design [412]
HESTER R. TROMPETTER, MSC., Roessingh Research and Development/Institute for Behavioural Research, University of Twente
KARLEIN M. G. SCHREURS, Roessingh Research and Development/Institute for Behavioural Research, University of Twente
Miriam M. R. Vollenbroek-Hutten, Roessingh Research and Development
Ernst. T. Bohlmeijer, Institute for Behavioural Research, University of Twente University of Twente

Measurement instruments of ACT concepts are still scarce in Dutch language. We performed validation studies on the Dutch language version of both the Psychological Inflexibility in Pain Scale (PIPS) and the Chronic Pain Acceptance Questionnaire (CPAQ). The PIPS shows to be a useful and reliable measurement instrument for research and practice. However, the factor structure of both the two-factor and four-factor version of the CPAQ cannot be confirmed.

Furthermore, we designed a single case experimental design (SCED) to measure patterns and processes of change in ACT with chronic pain patients having high levels of psychological inflexibility. In this study, daily measurements by PDA (mobile telephone) were performed in the weeks before, during and after treatment. Primary outcomes of daily measurements are pain interference, psychological inflexibility and values-based living. The chosen parameters, hypotheses and outcomes of this single case (pilot-) study are discussed.
 

45. Progetto Che Piacere: implementazione di strategie ACT-oriented per la prevenzione del consumo eccessivo di alcol da parte degli adolescenti
ROBERTO CATTIVELLI, University of Parma - Learning Centre TICE
Fabiana Forni
Marco Degli Esposti
Silvia Cignolini

Il consumo eccessivo di alcol rappresenta una seria minaccia per la salute degli italiani, ma in particolare per gli adolescenti, maggiormente soggetti agli effetti delle bevande alcoliche.

Il progetto “Che Piacere”, nato dalla collaborazione fra associazioni, comuni emiliani e università, si propone di promuovere un consumo più consapevole degli alcolici fra gli adolescenti, attraverso l’adozione di strategie validate dalla ricerca scientifica volte alla promozione di comportamenti più sicuri nei confronti dell’alcol, ma anche di strategie derivate da un approccio ACT per ridurre l’effetto di pressione sociale e stereotipi culturali. A tal fine accanto a pratiche più tradizionali ma molto efficaci, volte a fornire informazioni sui pericoli dell’alcol, è stato proposto un percorso di chiarificazione valoriale a cui si aggiunge una breve ma significativa pratica esperenziale tramite esercizi prevalentemente di defusione. Il progetto si è articolo su diversi comuni e ha coinvolto approssimativamente un migliaio di adolescenti.
 

46. Examining the Unique Role of Experiential Avoidance in Non-suicidal Self-Injury
BRIANNA TURNER, M.A., Simon Fraser University
Alexander L. Chapman, Ph.D., Simon Fraser University

According to the Experiential Avoidance Model (Chapman, Gratz & Brown, 2006), non-suicidal self-injury (NSSI) serves to escape from aversive internal states. We examined whether experiential avoidance (EA) accounted for frequency of NSSI beyond several known affective trait vulnerabilities for NSSI, and whether EA plays a role in maintaining NSSI over time.

Individuals with a history of NSSI (N=208) completed measures of experiential avoidance, NSSI, and vulnerabilities for NSSI: emotion regulation difficulties, distress intolerance, affect intensity and reactivity, and borderline personality symptoms. We assessed frequency of NSSI longitudinally at three-month intervals over one year. Hierarchical regression indicated that EA explained significant variance in baseline NSSI frequency beyond the affective vulnerabilities (β=.22, p=.03). Further, EA fully mediated the relationship between frequency of NSSI and emotion regulation difficulties (Sobel test = -2.06, p=.04). Finally, EA predicted the frequency of NSSI at 6 month (r=.32, p=.02) and 12 month follow-ups (r=.31, p=.05). These findings provide empirical support for the experiential avoidance model, suggesting that EA plays a unique role in NSSI beyond trait affective vulnerabilities and predicts greater frequency of NSSI over time.
 

47. Experiential avoidance in family caregivers: preliminary analysis of a new measure
MARÍA MÁRQUEZ-GONZÁLEZ, PH.D., Universidad Autónoma de Madrid
ROSA ROMERO-MORENO, Universidad Rey Juan Carlos, Madrid
Andrés Losada Baltar, Ph.D., Universidad Rey Juan Carlos de Madrid
Virginia Fernández-Fernández, Universidad Rey Juan Carlos, Madrid

Experiential avoidance may contribute to exacerbate the adverse effects of caregiving demands on caregivers’ mental health. We present the preliminary analysis of the psychometric properties of the Experiential Avoidance in Caregiving Questionnaire (EACQ), a 15-item measure. Participants are 48 dementia caregivers (mean age=60.8 years; S.D.=13.6; 75% females). Significant associations were found between the EACQ and depression (r = .33), rumination (r = .43), alexithymia (r = .30), ambivalence toward relatives (r = .33), vitality (r= -.28) and satisfaction with the personal values related with the own health/physical well-being (r=-.31) and self-care (r=-.37). Although the pattern of correlates found for the EACQ is very similar to that found for the AAQ - except for the correlates with values, found only for the EACQ-, no significant association was found between both instruments. This result, together with the low internal consistency found for the EACQ (Cronbach’s alpha = 0.51), suggest the need for further analysis of the scale using a bigger sample size.
 

48. Experiential Avoidance, Anxiety Sensitivity and Social Anxiety
MARGARITA PANAYIOTOU, University of Cyprus
Dora Georgiou, B.A., University of Cyprus
GEORGIA PANAYIOTOU, Ph.D., University of Cyprus
Maria Karekla, Ph.D., University of Cyprus

Growing evidence supports that experiential avoidance is a strong predictor of anxiety pathology. Similarly, it has been found that anxiety sensitivity is associated with social anxiety. The present study examines experiential avoidance and anxiety sensitivity as predictors of social anxiety, along with differences in predictive power between subgroups by gender and age.

The sample consists of 324 Cypriot adults (18 to 65 years; Mage 44.87; Females 58.3%) selected through stratified random sampling from the general population. Participants completed a packet of questionnaires, including Greek versions of the Anxiety Sensitivity Index, Psychiatric Diagnostic Screening Questionnaire, Fear Survey Schedule,
Acceptance and Action Questionnaire and demographic questions.

Results show that there is a strong negative correlation between psychological flexibility (the reverse of experiential avoidance) and social anxiety (indicating more avoidance), and a moderate positive correlation between anxiety sensitivity and social anxiety. Regardless of age and gender both experiential avoidance and anxiety sensitivity can predict social anxiety.

Further interpretation of these results provides important direction for potential intervention strategies whereby tackling entrenched avoidant behavior, particularly of internal experiences such anxiety may reduce dysfunction in social anxiety rather than vice versa.
 

49. Self-report of Mindfulness in Clients with Asperger's Disorder
CANDICE BAUGH, M.A., New York University Langone Medical Center
ALEXIS LLEWELLYN, Ph.D., Katy Center for Psychology and Counseling Services

Little is known about how clients with Asperger’s disorder compare to other populations in regards to mindfulness. The Mindful Attention Awareness Scale (MAAS) is self-report used to assess dispositional mindfulness; described as open or receptive awareness of and attention to what is taking place in the present (Brown & Ryan 2003). Clients, ages 14-24, were administered the MASS before and after participating in a social cognition group intervention (n = 13). The groups targeted social and executive functioning skills in a psychoeducational-therapeutic format. The curriculum encouraged development of flexibility and openness to experience by including mindfulness exercises informed by Acceptance and Commitment materials. We hypothesized an increase in ratings of mindfulness between pre and post assessment. Analyses revealed a lack of significant difference between pre and post MAAS scores (r = 0 .449, p = 0.192). This finding is similar to that of Jones (2005) who found that after communication and social skills training, clients with Asperger’s disorder self-perception ratings were closer to independent observer ratings. Thus, results may point to gains in ability to accurately self-report dispositional mindfulness in clients with Asperger’s Disorder following a mindfulness and social cognition intervention. Limitations including the small number of participants are discussed; however, as few studies have been done combining mindfulness approaches with this population, even this small sample adds to the extant literature.

50. Relations among Change Processes and Outcomes in Veterans receiving ACT within Residential PTSD Treatment.
MEGAN OSER, PH.D., Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park, CA; Department of Psychiatry & Behavioral Sciences, Stanford University, Palo Alto,
Katharine Sears, Ph.D., National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA
Christi Ulmer, Veterans Affairs Durham Medical Center, Durham, NC
Darrah Westrup, National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA
Jennifer Gregg, Department of Psychology, San Jose State University, San Jose, CA
Robyn Walser, National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA

Limited research exists examining change processes within residential PTSD treatment programs using both acceptance and change-based interventions simultaneously. This naturalistic study explores change processes and the relative contributions to proximal outcomes within a residential PTSD treatment program. Veterans (N = 71; Mage = 50.8; 39% female) completed pre- and post-treatment questionnaires while receiving ACT. Treatment consisted of 60-90 days of milieu therapy with daily treatment groups including a number of cognitive-behavioral interventions. We examined the influence of pre- to post-ACT changes in emotional approach coping, social constraints, experiential avoidance (EA), thought suppression, and frequency and believability of automatic thoughts on changes in PTSD symptoms and depression symptoms using regression models. Greater use of emotional approach coping (p < .05) and decreasing social constraints (p < .001) were related to decreases in PTSD symptoms. Further, decreased thought suppression was incrementally related to fewer PTSD symptoms at post-treatment above and beyond all other relevant variables in the model (p < .001). Regarding depressive symptoms, greater emotional approach coping (p < .001) and decreasing social constraints (p < .001) were related to decreases in depressive symptoms, and decreases in EA (p < .01) and believability of automatic thoughts (p < .01) accounted for significant incremental variance in depressive symptom improvement. These findings highlight clinically relevant change processes occurring during ACT provided within the context of a residential treatment program for PTSD. Treatment implications for PTSD and co-occurring depression will be presented.
 

51. Correlates of experiential avoidance in older adults
MARIA MARQUEZ-GONZALEZ, Ph.D., Autonomous University of Madrid
VIRGINIA FERNANDEZ, University Rey Juan Carlos, Madrid
ROSA ROMERO-MORENO, University Rey Juan Carlos, Madrid
Andres Losada, University Rey Juan Carlos, Madrid

Aging brings along important losses (e.g., physical changes, decline in some cognitive processes, etc) and difficult situations which might lead to different aversive internal events. However, little is known regarding the role of experiential avoidance (EA) in older adults´ well-being and its potential role as a mediator of the effects of different variables on well-being. In the present study, the following variables were assessed in 156 people aged 60 and over (mean age=71,4; SD=6,6): EA, emotion regulation (rumination, suppression, mood repair), level of depression and anxiety, well-being, resentment and rage against past events, frequency of leisure and satisfaction with leisure. Mean score in the AAQ (33,60; SD=7,65) was similar to that reported in other studies. Significant associations were found between EA and all assessed variables. Also, a mediating role has been found for EA in the associations between resentment and suppression and well-being.
 

52. Mindfulness Based Program for Infertility (MBPI) [413]
ANA GALHARDO, MA, CINEICC - University of Coimbra
Marina Cunha, Ph.D., Instituto Superior Miguel Torga, CINEICC - University of Coimbra
José Pinto-Gouveia, Ph.D., MD, CINEICC - University of Coimbra

MBPI is a 10-weekly sessions, group format program for infertile patients. It is based on the Mindfulness Based Program for Stress Reduction, The Mind Body Program for Infertility and basic principles of Acceptance and Commitment Therapy. The MBPI aims at improving mindfulness and acceptance skills for dealing with infertility. Preliminary data have been collected for 45 infertile women who participated in the MBPI and for 30 infertile women (control group) using standardized measures of depression, anxiety, entrapment, internal and external shame, acceptance, self-compassion, and infertility self-efficacy.

Women who attended the MBPI revealed a significant decrease in depressive and anxiety symptoms, internal shame, and entrapment. Inversely, they presented statistically significant improvement in acceptance, self-compassion and self-efficacy to deal with infertility. Women in the control group did not present significant changes in any of the psychological measures.

Preliminary data suggest that MBPI may be a useful psychological intervention for infertile couples.
 

53. Introducing contextual behavioral science approach in Peru through ACT-based workshops, ACT-based coaching and a scientific dissemination blog
MANUEL GARAYAR, BPsych, Major National University of San Marcos

In Peru, there is not a truly interest in studying and working as a contextual behavior analysts. Probably, it is due the absence of academic training centers and trained professionals that are committed with the dissemination of the ACT approach. Moreover, it is harder to achieve professional and personal goals in absence of clients who demand for this approach or organizations that host ACT-oriented therapist or students. So to keep alive contemporary behavior analysis in Peru it would be a need to achieve the dissemination of intellectual advances and to create the context for a professional development as an integrated goal. One step would be to establish psychological flexibility as a general theory of behavioral change, starting in non-clinical contexts. ACT-based personal development workshops have been developed and applied, an ACT-based Coaching intervention is being elaborated, and a blog is being used for scientific dissemination of ACT, RFT and Functional Contextualism.
 

54. Jordan ABA and ACT
BELAL MUSTAFA , MSN, Jordan University of Science and Technology ABA

File 1 [414]

 

File 2 [415]

 

Introducing a Jordan ABA. I will present some works for us in Jordan regarding to ABA (as our working in OBM, workshops, my ABA presentation to Jordan nursing conference, and the projects for other colleagues). How we can apply ACT in the institutional settings (as a psychiatry department) , and Jordan behavior analyst endeavors to apply ACT . Also I'll present the limitations to apply ACT in Jordan setting currently. In addition to our future view to ACT in Jordan, and recommendations.
 

ACT-SKILLS

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55. Poetry of ACT - Science meets Art - Using poetry to support ACT processes with individuals and groups [416]
NELI MARTIN, Private practice, Brisbane, Australia

A key feature of clinical ACT work is the de-literalization of language and cognition. Metaphor, story, experiential exercises, art work and other techniques can facilitate this perspective shift for clinicians and clients alike. Although poetry uses the medium of language, the art and magic of poetry is often written from and can be received by the spaciousness of the self as context.

These poems can be used in clinical settings to illustrate, inspire and motivate around the six core processes of ACT.

“Poetry connects us to what is deepest in ourselves. It gives us access to our own feelings, which are often shadowy, and engages us in the art of making meaning. It widens the space of our inner lives. It is a magical, mysterious, inexplicable (though not incomprehensible) event in language.” Quote from Edward Hirsch.
 

56. The values piece of ACT in smoking cessation
KATERINA KONIKKOU, BSc, University of Cyprus
Maria Karekla, University of Cyprus
Vasilis Pavli
Behavior Analysis

Although ACT is starting to gain both clinical and research interest,it is important to examine the rffectiveness of certain components of this approach. The goal of the present syudy is to examine the effextiveness of one of the ACT components, namely the values piece compared to a psychoeducatioanal type intervention for increasing smoking cessation intent. In the experimental design 60smokers were randomlyassigned into two groups. One group (30 participants) took part in the values based intervention while the other group took part in a psychoeducation session. The intervention in both circumstances lasted one hour and took place only once. The [SSEQ]questionnaire and an intention to quit ladder were given to measure the participant's self-efficacy and their intention to quit prior to and after each intervention sessions. This study is currently in the phase of data collection. Results are expected to show an improvement in participant'sself-efficacy foe quitting and higher intention's to quit smoking in the values intervention compared to psychoeducation. REsults will be discussed interms of the effectiveness of the values piece of ACTin increasing smoking cessation intent.
 

BEHAVIOR ANALYSIS

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57. Electrodermal activity and anxiety: comparison between Trascendental Meditation and Hypnosis [417]
SERENA GUERZONI, Psy. D, Accademia di Scienze Comportamentali e Cognitive
STEFANO STEFANINI, Psy. D., Fondazione Europea di Ricerca Biomedica
ROBERTO ANCHISI, Università degli Studi di Parma, Istituto Europeo per lo Studio del Comportamento Umano

Transcendental meditation (MT) is a progressive relaxation technique that is rooted in the zen tradition and developed by Benson (1975) to induce an automatic response of relaxation. Hypnosis is a technique that finds its main use for controlling anxiety, reducing tension and for its ability to induce analgesia.

The aim of this study is to compare changes in electrodermal activity in individuals undergoing to one session of hypnosis and MT, assuming greater inhibition in the sympathetic nervous system functions during MT.

At ""Briolini"" hospital in Gazzaniga (BG) we recruited 10 subjects (6 females, 4 males, mean age 39,6) that did not fit in any of the diagnostic criteria of DSM-IV (American Psychiatric Association, 1994). To detect the elettrodermal activity was used the ""Biolab"" equipment that uses electrodes interfaced with a computer that translates in chart the changes recorded. Hypnosis has been induced by following the directions provided by Stanford Hypnotic Susceptibility Scale (SHSS) by Weizenhoffer and Hilgard (1959). This Protocol takes about 45 minutes and provides a hypnotic susceptibility measurement of the individual. For MT we followed the indications of Anchisi (2008) according to which the patient close his eyes and repeat mentally the sound ""one"" for about 15 minutes.

Wilcoxon test shows increased activation in hypnosis compared to MT (p = 0.025).
The results obtained have shown that MT is a highly effective procedure to induce an automatic response of relaxation, given the lower level of arousal. Hypnosis induced by SHSS on the contrary, proved ineffective for this purpose, we have rather observed as it increased the reflex of defence, index of sympathetic activation.

 

58. The Development and Validity of a Behavioral Measure of Eating Psychopathology
JENA SHAW, B.A., Drexel University
Adrienne Juarascio, M.A., Drexel University
Lauren Bradley, B.A., Drexel University
Evan Forman, Ph.D., Drexel University

Informed by models of experiential avoidance and distress tolerance (Hayes et al., 2006), this study presents the development and validation of a behavioral measure of willingness to eat restricted foods. Because not all individuals experience the same amount of distress when confronted with a specific food, five different snack options of varying energy densities (3.9 to 5.3 kcal/g) were selected. Participants rated whether they were willing to taste each food (yes/no) and degree of distress. Participants were presented with 60g of the most-distressing food and were instructed to “taste the food and then eat as much of it as you can” within five minutes. The test food was weighed after consumption and the same food was tested at discharge, regardless of rating changes, to avoid increasing within-subject variability.

Participants diagnosed with a BN- (n = 48) or AN-spectrum disorder (n = 54) were recruited at an inpatient eating disorder treatment facility. Distress ratings for each of the challenge foods were significantly correlated (rs = .20-.87, ps = .05-.001) and differed significantly between most items (p < .02). Distress ratings did not differ significantly by diagnostic group, but willingness to taste the foods did differ in the two highest energy density items (χ2(1,101) = 5.33, 7.43; p = .02, .006). Each challenge food was selected between 13 to 27% of the time, indicating that there was variability in which food was most challenging for different patients.

At intake, amount of food consumed was modestly correlated with restraint as measured by the EDE-Q (r = -.34, p = .003), indicating that these two measures are related yet provide different information about this construct. Amount of food consumed was also correlated with the Eating Disorder Inventory drive for thinness (r = -.26, p = .02) and BN(r = .25, p = .03) scales, and differed significantly by diagnostic category (t(96) = -2.7, p = .007). Food consumed was negatively correlated with self-reported distress at three points during the food challenge (r = -.23 to -.28, p = .02 to .005),. Amount of food increased significantly from pre- (M = 6.1g, SD = 10.2) to post-treatment (M = 12.0g, SD = 14.3, t(88) = -3.4, p = .001). These findings indicate the validity of a food challenge as providing unique information regarding the construct of dietary restraint.
 

59. Human Flourishing in Teams through Congruence in Mindfulness
M.E. (MAUREEN) VAN ALTHIUS, MSc, Tilburg University

In teams, members have impact on each other by their actions and through emotion contagion. This impact is mediated through personal psychological factors as well as team structure, affecting team performance. The effect of congruence in mindfulness, as a psychological factor, amongst team members is explored and linked to dynamic team structures in which workers can flourish, using empirical data and simulation techniques. The team structure is defined by team cognition. By introducing a model of mindful team membership as a framework whereby team members bring moment-to-moment awareness and a nonjudgmental approach into practice during team interactions, the emergence of human flourishing is studied. Through qualities of listening and non-reactivity, team members enhance their self-efficacy, perspective-taking abilities and emotional intelligence, and broaden their scope and guide their behavior towards high performance team outcomes.
 

60. Precision Teaching and Multiple Exemplars Training: strategies to improve reading in children with learning disabilities
FRANCESCA CAVALLINI, University of Parma - Learning Centre TICE
FEDERICA BERARDO, University of Parma - Learning Centre TICE
Martina Nani, University of Parma - Learning Centre TICE
Silvia Perini Ph.D., University of Parma

Celeration is all about reaching performance fluency in a timely manner. Ogden Lindsley related celeration to agility. In business & other organizations, agility is the capacity to rapidly and efficiently adapt to changes. Precision Teaching encapsules the concept of agile performance in its measurement of celeration. The study describes the effects of precision teaching traning with multiple exemplars on reading skill in for children with learning disabilities. Data show how the traning non only promote acquisition and retention of target words but it works in build an untaught repertoire. Children learn to read faster new set of words and to reach the aim in less time. According with RFT, the intervention promote the acquisition of higher order verbal operant (reading) with fluency building strategies and a multiple exemplars training.

OTHER

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61. The influence of acceptance in coping with anxiety in sportive competition
JOSE PINTO-GOUVEIA, MSc, Ph.D., University of Coimbra
Ana Maria de Jesus Xavier, MSc., University of Coimbra

It has been empirically showed the importance of acceptance of private events (thoughts, emotions and sensations) as a protective factor to the development of high anxiety levels and psychological distress.

But it has been less studied the importance of acceptance as a beneficial component for coping with competition stress.Using AAQ-II, the present study investigates, within a sample of 106 swimming athletes, the influence of acceptance in anxiety symptomatology, psychological skills and perception of a threat, on athletes in sportive competition.

Results show that acceptance are positively related with psychological skills, and negatively related with the competitive anxiety and the perception of a threat. Regression analysis shows that acceptance is a unique contribution to competitive anxiety prediction.

62. Finding Common Ground in Acceptance and Relationship: Using Compatibility with Clinician Treatment Goals to Enhance Implementation
ELIZABETH GIFFORD, PH.D., VA Palo Alto Health Care System
MEGAN OSER, PH.D., VA Palo Alto Health Care System
Kenneth Weingardt, Ph.D., VA Palo Alto Health Care System
Sara Tavakoli, B.A., VA Palo Alto Health Care System

Promoting evidence-based practice (EBP) implementation is about promoting clinician behavior change (Gifford & Humphreys, 2007; Weingardt & Gifford, 2007). Influencing clinician behavior requires understanding (a) clinicians’ current treatment practices, and (b) factors influencing their adoption of new practices (Biglan & Hayes, 1996). We propose a novel behavioral strategy for promoting implementation of evidence based practices: identify what matters to clinicians and offer them tools compatible with their treatment goals and values. A survey assessing clinical practices and adoption influences was conducted with 75 U.S. Department of Veterans Affairs (VA) SUD practitioners and 149 non-VA community-based SUD practitioners. Along with component practices of EBPs derived from the National Quality Forum standards (Power, Nishimi, & Kizer, 2005), the survey includes a practice subscale based on an empirically-supported model of common proximal outcomes (acceptance and relationship context (ARC); Gifford et al., 2006) , and organizational, professional, and motivational influences on adoption based on Roger’s Diffusion of Innovations (1995). Clinicians’ treatment orientations were significantly related to their endorsement of specific EBPs although clinicians used components from a variety of EBPs. Motivational Interviewing (MI) was the most frequently endorsed EBP. However, every ARC item was endorsed with high frequency, and ARC was the only subscale endorsed with high frequency in its entirety for both clinician samples. ARC items comprised almost 25% of the high-frequency individual practice items, although 10% was the expected proportion. More MI items were included among the high-frequency items than was true for any other EBP scale, reflecting common practices related to the therapeutic relationship such as providing support, empathizing, and reflective listening. Thus, the findings show that clinicians frequently focus on acceptance and relationship goals with their clients, proximal processes that have been linked to positive long-term treatment outcomes (Hayes et al., 1996; Gifford et al., 2004). In terms of influences on adoption, clinicians report that they are most likely to adopt a new intervention if (a) the treatment fits with the clinician’s existing values, experiences, and needs (compatibility), and (b) the treatment can be integrated with the treatment already provided (compatibility). Clinicians are most likely to sustain adoption if (a) the new treatment could be integrated with the treatment already provided (compatibility), (b) the treatment improved their clinical effectiveness (relative advantage), and (c) they were able to use the treatment successfully (observability). In conclusion, acceptance and relationship focused clinical practices are common among substance use disorder (SUD) clinicians. Emphasizing compatibility with existing acceptance and relationships process goals may promote implementation of acceptance-based treatments such as Acceptance and Commitment Therapy.


63. The positive nature of negative emotions: Using emotion information to increase well being
ILIOS KOTSOU, Louvain University, Belgium
Moïra Mikolajczak, Louvain University, Belgium

Teaching people to use unpleasant emotions as valuable indicators of unsatisfied fundamental needs may increase their happiness. We hypothesized so, via the mediating action of two processes: increased emotional acceptance and better need management. One hundred and thirty two participants were randomly assigned to an intervention or a control group. Results revealed that the level of emotional acceptance and the efficiency of need management increased significantly in the intervention group compared with the control group. This increase led in turn to a significant increase of subjective happiness. In line with our predictions, these changes were associated with a significant improvement in psychological well-being, as evidenced by an increase in happiness, optimism, need satisfaction and positive to negative affect balance. This study suggests that considering negative emotions as conveying positive information may be emotionally beneficial. The theoretical implications of these results as well as their practical and clinical implications will be discussed.
 

64. Binge Drinking and the Effectiveness of Anti Binge Drinking Advertisements
SONJA JANKOVIC Master Clinical Psychology Candidate, University of Adelaide
Paul Delfabbro, Assoc. Professor, University of Adelaide

The purpose of this study was to identify person, social group, and environmental factors associated with uptake of binge drinking among a sample of 136 university students (aged 18-25 years) and to gauge the perceived effectiveness of various real-life anti-drinking advertisements. Participants completed the AUDIT, a measure of self-efficacy, their state of change, and outcome expectations. Participants were randomly allocated to stimulus conditions differentiated by the advertisement content, e.g., whether it emphasized social or health impacts or a combination of both. Drinking attitudes were assessed before and after exposure using a pre-post test design. None of the well-produced and well-known advertisements generated any attitudinal change. As found previously, students who reported that their peers and family drank heavily were more likely to engage in binge drinking behaviour. The majority of participants had positive rather than negative attitudes towards levels of alcohol consumption and were considered ‘hazardous’ drinkers by the AUDIT.
 

65. An Effort About Cognitive and Behavior Psychotherapies from Turkey
K. FATIH YAVUZ, MD., Bakirkoy Research and Training Hospital for Psychiatry and Neurology, Istanbul, TURKEY

Cognitive Therapies have not too long story in Turkey. There are only three CBT trainers and less than ten certificated therapist. However nowadays there are too much young candidates working for being a certificated therapist in CBT. From this historical point of view it is easy to say that Contextual Psychology is a very new approach for Turkish scientific community.

As one of the most interested therapists about Contextual Psychology and Third Wave Behaviorism I am reading, studying and researching about these more recent approaches. Also with my CBT Supervisor we have a presentation called “Similarities and differences between Cognitive Therapy and Third Wave Behavioral Therapies” at National Psychiatry Congress 2011.

My Hospital is the biggest Psychiatry Hospital of Turkey and there is about 50 Psychiatrists and 120 Psychiatry Residents. I am responsible from the training of residents about CBT and recent Behavioral Approaches. So many things have to do about this area in Turkey.
 

66. Dissemination and training in empirically-supported therapies in Argentina [418]
FABIAN MAERO, Argentina

Despite the high number of clinical psychologists in Argentina (649 inhabitants per psychologist, Alonso, 2006), the vast majority are not trained in empirically-supported therapies[EST]. In fact, only 15.9% of psychologists work within a cognitive and/or behavioral framework in clinical practice. Nevertheless, around 83% of mental health professionals share a negative view of the field’s current status. ACT/RFT could provide a transition model, offering EST's in applied psychology, which can evolve within the humanist tradition of Argentine psychology and lead to better using the human resources currently available. Our main goal as ACT therapists in a young institution [Fundacion Foro], is to work toward disseminating and clinical training in ESTs, specifically ACT, DBT and Behavioral Activation.
 

67. Field Coordinator for Informal Education
MICHAEL GBORIE, Social Worker, Sierra Leone

I am working with the Free Pentecostal Development and Relief Agency(FREPDRA), the development wing of the Free Pentecostal Mission Sierra Leone (faith based organization). FREPDRA was established in 1994. it is funded by the PMU Interlife and the Swedish International Development Agency(SIDA).
FREPDRA""s mandate is two fold:
1. Humanitarian relief and
2. Education- formal and informal education.
FREPDRA undertaks humanitarian activities only when the need arise but the formal and informal education are on going simultaneously . Under the formal education sector, FREPDRA undertakes construction of primary and junior secondary schools,FREPDRA also provides learning and teaching materials to the schools that are being constructed ,trains and recruits teachers and pays salaries to those teachers until they are enrolled on the government payroll. the formal education sector is headed by the Education Secretary.

The informal education sector undertakes HIV/AIDS awareness raising activities, human rights , children and womens"" rights through seminars. the sector is headed by the Informal Education Coordinator, the position i have held since 2007. my main duties include: making seminar arrangements, inviting stakeholders of the community as seminar participants.These participants include youth leaders, heads of authorities, women leaders, etc, i am also responsible for contracting facilitators for the seminars,i also pay their allowances as well as the participants setting allowances, and finally make my periodic reports to the director of the project based in Freetown. FREPDRA operates in the rural areas in the country.However, at the moment only the formal education is in active operation while funds are being sourced for the informal sector.

Apart from my formal work , i also serve as one of the Sunday school teachers in my church. i as well facilitate during the annual national youth camp on HIV/AIDS and gender. At home i sometimes undertake counseling session with my clients having had some knowledge in Acceptance and commitment therapy training by ACT foundation in Freetown in January this year through Beate, this training has helped me tremendously and i am happy that i can share the experience gained with those in traumatic situation.
 

68. Restoring Dignity and Integrity to the hopeless [419]
HANNAH BOCKAIRE, Sierra Leone

In Sierra Leone we work on counselling and trauma treatment for individuals, groups and families. We put on Trauma Recovery Workshops and especially work with vulnerable girls. We work with other partners and organizations who help us in our mission.
 

69. Priestly and Social Work in Sierra Leone
Fr. SYLVESTRE KICHE, Sierra Leone
RFT - Clinical

I am a passionate psychologist. I obtained my first Degree in Psychology and later a Diploma in Human Resource Management and finally a Masters in Philosophy. Currently, I work as a full time priest working for the community and my parish. I am providing support for positive human behavioral actions. In Africa today there are many issues around psychological stress and trauma and they are easily linked to things like posession and witchcraft, but this is so because of the economic problems, and many other challenges these people have been faced with. HIV/AIDS, war trauma, and poverty are common challenges in the lives of those in my community. The provision of mindful, respectful and confidence building in the minds of the victims of psychological challenges is a paramount issue in today’s work as a social worker and a priest with keen interest in the development and well being of the people.
 

RFT - CLINICAL

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70. IRAP as a measure of change in self-esteem in children with ADHD
DANIEL ANIORTE MARTÍNEZ, University of Almeria (Spain)
Maria del Mar Montoya Rodríguez, University of Almeria (Spain)
Francisco Javier Molina Cobos, University of Almeria (Spain)
Maria del Carmen Amador Castro, University of Almeria (Spain)

The current study aims to provide an implicit and explicit measures of self-esteem in children with ADHD. The implicit measure is the IRAP (Implicit Relational Assessment Procedure). IRAP is a computerized task designed to measure the latency of relational responses when the subject must respond under pressure, quickly and accurately. The relational responses are of “Same” and “Opposite” between “I” versus “Others” and positive and negative evaluative terms (E.g. Strong and Weak). The explicit measure employed is the Piers-Harris Scale. With an intrasubject ABA design with control measures, induced changes on self-esteem behaviors (B) are measured pre and post treatment (A) with both implicit and explicit tests. The results are analyzed both intra and inter subjects levels, concluding on the efficacy of the training used in the improvement of the self-esteem and the differential sensibility of the IRAP with regard to the explicit measure of the changes.
 

71. A review of security priming and its utility as a therapuetic tool
GERY KARANTZAS, Ph.D., Deak University
Kellie Karantzas, DPsych, Private Practice

The concept of security priming (enhancing a person’s sense of safety and security) has been found to be associated with better management of various mental health conditions including depression, anxiety, PTSD and eating disorders. Developed from an attachment theory framework, security priming shares qualities with relational frame approaches to therapy. Despite the similarities, few have attempted to outline the therapy implications of security priming for therapists working from a Relational Frame Theory perspective. In this presentation we review the literature linking security priming to mental health outcomes and discuss the different security priming approaches that may be integrated into therapeutic practice.

72. Basic Frame Protocol: a training for higher order verbal operants
ROBERTO CATTIVELLI, University of Parma - Learning Centre TICE
SARA ANDOLFI, Learning Centre TICE
Silvia Perini, Learning Centre TICE
Valentina Tirelli, University of Parma

From a Behavior Analytic perspective, the ability of describing and comparing objects is an example of autoclitic tact. From a RFT perspective instead, this skill is related to frames of coordination, distinction and comparison. This study verifies the effect of a Multiple Exemplar training concerning the “basic frame” of coordination, distinction and comparison on the skill of describing random pictures. Participants were 3 typically developing and 1 subject with special needs, aged from 11 to 17. The procedure used to promote fluent performances includes Precision Teaching (fluency building), modeling e Learn Units. First results seems to confirm the importance of a training with the frames of coordination, distinction and comparison for the acquisition of higher order verbal operants.
 

RFT-RESEARCH

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73. Relational Frame Theory and Executive Functioning
DANIEL STARK, University of Nottingham
DAVID DAWSON, University of Lincoln

Executive functions are commonly referred to as the higher mental processes, but it is only in the last 40 years that it was formally conceptualised as a component of working memory (Baddeley & Hitch, 1974). Executive functioning has been implicated in a range of clinical conditions, from theory of mind abilities in autism (Hill, 2004) to schizophrenia (Savla, et al., 2011), but it still awaits a universally agreed upon definition. In this poster we examine conceptual links between relational frame theory and executive functioning, including alternative conceptual definitions. Methodology and results of a preliminary study investigating the relationship between relational framing abilities and measures of executive function will be discussed.

74. Discrimination of Emotions with Young People with Down's Syndrome
Maria del Carmen Amador Castro., University of Almeria (Spain)
DANIEL ANIORTE MARTÍNEZ, University of Almeria (Spain)
Francisco Javier Molina Cobos, University of Almeria (Spain)
Maria del Mar Montoya Rodríguez, University of Almeria (Spain)

One of the goals of the intervention with people with developmental disabilities is that they may discriminate emotions in others. This study examines how complex discriminations such as these can be developed in young people with Down’s Syndrome (18 to 23 years). The participants are young people who have difficulties in responding differentially to 4 emotions (joy, sadness, anger and fear) presented in 4 series of photographs (6 for each emotion). The goal is to discriminate each of the series consistently. Secondly should relate the emotions of a character with four different sets of situations without "logic" relations (according to cultural criteria) defined by specific contextual cues (work, leisure, shopping and sports). We evaluate the predictions of the participants about the character's feelings in other new situations with the same contextual cues as well as other functionally equivalent situations (coordination relation).
 

75. Transfer of aversive functions in children
Maria del Mar Montoya Rodríguez, University of Almeria (Spain)
DANIEL ANIORTE MARTÍNEZ, University of Almeria (Spain)
Francisco Javier Molina Cobos, University of Almeria (Spain)
Maria del Carmen Amador Castro, University of Almeria (Spain)

A study about transfer of aversive functions is presented with children of 10 years. We use three pre-existing equivalence classes (vowels, shapes and colors) and videos of aversive, neutral and reinforcing content, in accordance with assessing by each participant. Children watch three movies of these contents and they evaluate their degree of discomfort and preferences to watch them again. The videos are labeled with elements of the three classes (A1, A2, A3) and children are then asked to associate them with new videos which have been also labeled (B1, C1, B2, C2, B3, C3). Established relations are measured, as well as the degree of discomfort created and preferences for viewing. Relations between videos are examined according to the classes involved and also the transfer of functions assigned to the new videos. We discuss the clinical implications in development at fears and its treatment.
 

76. Transformation of functions through the relational frame of coordination: mutual and combinatorial entailment
JOSE FENOY CASTILLA, Universidad de Almería
Carmen Luciano Soriano, Universidad de Almería
Francisco J. Ruiz, Universidad de Almería

This study aims to show the transfer of functions through mutual and combinatorial entailments within a frame of coordination and to analyze how these functions are transformed with the inclusion of new stimuli within the relational networks. Participants were trained on 10 pairs of arbitrary relations through a respondent procedure (An-Bn). Afterward, in half of the pairs, one of the members (B) was conditioned with aversive pictures while the remaining half was paired with neutral pictures. Participants evaluated their attraction for both As and Bs stimuli at the end of the subsequent phases. After that, each A stimulus was paired with the opposite function given to its corresponding B stimulus. Twenty participants were randomly assigned to two conditions: the experimental and the control condition. The control condition consisted only in the administration of the stimuli evaluations.
 

77. The formation of functional classes by derived means
JOSE FENOY CASTILLA, Universidad de Almería
Carmen Luciano Soriano, Universidad de Almería
Francisco J. Ruiz, Universidad de Almería

This study aims to show the transfer of functions through mutual and combinatorial entailments within a frame of coordination and to analyze if functional classes of stimuli would emerge by derived means. Participants were trained on 8 pairs of arbitrary relations through a respondent procedure (An-Bn). Afterward, in half of the pairs, one of the members (B) was conditioned with aversive pictures while the remaining half was paired with neutral pictures. After that, participants were tested for the formation of two functional classes: (a) the Bs stimuli with aversive functions, and (b) the Bs stimuli with neutral functions. Finally, participants were tested for the formation of two derived functional classes: (a) the As stimuli with derived aversive functions, and (b) the Bs stimuli with a neutral functions. Results are discussed highlighting the potential of derived relational responding in creating a myriad of functional classes without an explicit training.
 

78. A Visual Representation Measure of Diffusion
PATRISIA NIKOLAOU, University of Cyprus
MARIA KAREKLA, University of Cyprus

Diffusion is one of the techniques utilized in ACT and aims for a person to be able to watch a thought dispassionately thus, see it for what it is, i.e. just a thought and nothing more. Lock and colleagues (2001) utilize a technique where a therapist asks the client to measure her progress using Venn diagram figures to illustrate how much of herself remains preoccupied with Anorexia. This technique may be used as a fusion/diffusion measure and it is appealing given that it is more of a visual representation rather than a verbal one. In the current study the purpose is to use this figurative measurement in an ACT study of smoking cessation in adolescence. Participants are 50 high school smokers. Each participant was asked to make this representation at the beginning of each of 8 sessions. The participants used a circular stamp to show where they consider themselves to be in relation to an existing stamp which represented smoking related thoughts. The distance between the middles of the two circles are measured in mm and the longer the distance between the two circles the more diffused the client is in relation to smoking thoughts. Results will be discussed in terms of whether this technique can be used as a process measure of diffusion in clinical practice.
 

79. An exploratory experimental analysis of the role of relational processes in the expansion of attentional bias for threat
SONSOLES VALDIVIA-SALAS, Ph.D., University of Saragossa
Marisa Páez-Blarrina, Ph.D., Instituto ACT. Complutense University of Madrid
Sebastián Lombas-Fouletier, University of Saragossa
Olga Gutiérrez-Martínez, Ph.D., University of Barcelona

Anxious individuals selectively attend to, and show difficulties disengaging from, unpleasant emotional stimuli. Research has shown that threat-biased processing develops as a consequence of aversive fear learning. We aimed at exploring the emergence of attentional bias for arbitrary stimuli in an equivalence relation with threatening stimuli. Healthy university students participated. Two 3-member equivalence classes (A1-B1-C1, A2-B2-C2) were first trained. Participants were then presented with an exogenous spatial cueing task both prior to and after classical conditioning with A stimuli (i.e., A1- unpleasant; A2-pleasant): A1, A2, C1, and C2 served as cues located either on the left or on right side of the screen, and were immediately followed by a target located either at the same or at the opposite location of the cue. Latency to correctly identify the location of the target was assessed. The role of derivation of functions in complex behavior such as attentional bias is discussed.
 

80. Measuring explicit and implicit responses towards suffering in the developed and developing world: a pilot study
Miles Thompson, University of Worcester
LOUISE MCHUGH, Swansea University

'Povertyism' occurs when ""negative attitudes towards people who experience poverty become embedded and affect behaviour towards them."" Much work still needs to be done to assess this prejudice and provide evidence of how to reduce its influence on behaviour. The current study aimed to (1) design and implement both explicit (questionnaire) and implicit (Implicit Relational Assessment Procedure; poverty-IRAP) measures of prejudice towards poverty in an attempt to detect anti-poverty attitudes were they are apparent. 20 undergraduate students completed the implicit and explicit questionnaires in order to compare overt and covert attitudes to poverty. The results suggest that responding on the poverty-IRAP reflects explicit attitudes towards poverty. These results are discussed in terms on the impact detection of povertyism could have on interventions for negative attitudes toward povertyism.
 

81. IRAP alone: An implicit measure of loneliness [420]
ANDREAS LARSSON, Swansea University
Louise McHugh, Swansea University

Improving social isolation and loneliness is a target for social and health services in many countries. Loneliness is the emotional experience of being alone and has been correlated with higher risk of mental health problems such as depression. Previous research has shown that an Implicit Attitude Task (IAT) developed for loneliness correlated more highly with reactivity to laboratory induced stress than explicit measures. The purpose of this study was to develop an implicit computer-based measure of loneliness using the Implicit Relational Assessment Procedure (IRAP). Participants were required to answer both in line with and against their stated attitude by selecting alternatively TRUE and FALSE for “I do feel” and “I don’t feel” in relation to two different groups of “Lonely” (consistent) and “Non-lonely” (inconsistent) stimuli. Before the IRAP participants were exposed to the de Jong Gierveld Loneliness Scale, an Explicit measure of loneliness, the Beck Depression Inventory (BDI-II) and the Satisfaction With Life Scale. The results suggest that the implicit measure of loneliness was related to the de Jong Gierveld Loneliness Scale and the BDI-II. The results are discussed in terms of the clinical implications of implicit detection of loneliness.
 

82. Contextual control of transformation of function in three-member equivalence classes
William Perez, Ph.D. student at University of São Paulo - Brazil, University of São Paulo; Núcleo Paradigma de Análise do Comportamento, São Paulo - Brazil
YARA NICO, master in Experimental Behavior Analysis, Núcleo Paradigma de Análise do Comportamento, São Paulo - Brazil
ROBERTA KOVAC, master in Experimental Behavior Analysis, Núcleo Paradigma de Análise do Comportamento, São Paulo - Brazil
Adriana Fidalgo, master student in Experimental Behavior Analysis, Núcleo Paradigma de Análise do Comportamento, São Paulo - Brazil; PUC de São Paulo

The contextual control of transformation of functions may be a central issue to understand behavior flexibility. However, few experimental studies have investigated this topic. The present study, systematically replicating previous experiments, aimed to investigate if it is possible to have equivalence-based transformation of function under contextual control. Two adults participated in a one-to-many matching-to-sample training (AB AC) and were tested for the establishment of three 3-member equivalence classes. After that, participants were taught to press specific numbers on the keyboard conditionally to the presence of two different contextual stimuli (X and Y) given the presence of stimuli from set B (e.g., X-B1-Press 1, Y-B1-Press 2, X-B2-Press 3, Y-B2-Press 4...). In order to evaluate the establishment of contextual-controlled transformation of function, contextual stimuli and stimuli from set C were presented during a test phase in which participant's key-pressing responses were not followed by programmed consequences. Data collection is still in progress.
 

83. Implicit Attitudes Toward Homosexuality in Mental Health Professionals
DESIRÉE DA CRUZ CASSADO, M.A., Instituto ACT, Spain
Marisa Paez, Ph.D, Instituto ACT, Spain
Carmen Luciano, Ph.D., Universidad de Almería

The current study aims to analyze the implicit attitudes towards homosexuality in mental health professionals from Spain and Brazil. Thirty participants (fifteen per group) responded to a demographic sheet and to the following questionnaires: The Acceptance and Action Questionnaire-II (AAQ-II; Bond et al., under review), and The Stigmatizing Attitudes Believability (Hayes et al., 2004). Afterwards, participants were exposed to an Implicit Relational Assessment Procedure (IRAP; Barnes-Holmes et al., 2006) task designed to compare implicit attitudes towards heterosexual individuals versus homosexual individuals. Results were presented in terms of the comparison between both types of participants and in terms of the differential predictive power of explicit versus implicit attitudes in mental health professionals’ burnout symptoms.
 

84. Deictic Relations and Youth Health Attitudes and Behaviour.
LIDIA BUDZISZEWSKA, Instituto ACT Madrid Espana

The difficulty of understanding human behaviour related to health is why the deictic relations and temporal perspective are considered siginifcante in perspective taking and decision making. Young people are in a great risk of unhealthy attitudes and behaviours and that's why wide health promotion and prevention programmes are taking place. Anyway it's seems difficult to consider that the information which is given would actually change attitudes and behaviours young people have. It is believed that the flexibility in decitic relations and temporal perspectives would be related to healthier attitudes and behaviour. This poster is pretending to show the results from the study of Deictic Relations, Temporal Perspective related to Attitudes and Behaviour young people (15-18) in Madrid province have.

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World Conference 9 Audio Recordings

Below you will find a variety of audio recorded symposia and panel discussions that were presented at the ACBS World Conference IX in Parma, Italy July 13-15, 2011.

HometownScience.org: Building Contextual Science for Everyone, I Hear the Sound of the Mississippi Delta
KELLY G. WILSON, Ph.D.
Video Length: 56 minutes 13 seconds

HometownScience.org: Building Contextual Science for Everyone, I Hear the Sound of the Mississippi Delta from Emily Rodrigues [423] on Vimeo [424].

Self-as-Context, Acceptance, and Defusion in Self-Compassion and Human Liberation
JAMIE YADAVAIA & TAMI JEFFCOAT
Video Length: 1hour 40 minutes 37 seconds

Self-as-Context, Acceptance, and Defusion in Self-Compassion and Human Liberation from Emily Rodrigues [423] on Vimeo [424].

Opening Address
Dermot Barnes-Holmes, B.Sc.
Video Length: 46 minutes 15 seconds

Opening Address by Dermot Barnes-Holmes from Emily Rodrigues [423] on Vimeo [424].

Why should clinicians bother to learn RFT?
NIKLAS TORNEKE, M.D.
Video Length: 42 minutes 18 seconds

Why should clinicians bother to learn RFT? from Emily Rodrigues [423] on Vimeo [424].

Cultivating healing therapeutic relationships by combining ACT and FAP
BENJAMIN SCHOENDORFF, MA, MSc
KATIA MANDUCHI, MA
MARIE-FRANCE BOLDUC M.Psy
Audio length: 36 minutes 25 seconds

Cultivating healing therapeutic relationships by combining ACT and FAP from Emily Rodrigues [423] on Vimeo [424].

"My Client and I Just Seem To Get Stuck...": How To Foster Creative Hopelessness Creatively
MARY SAWYER & MARTIN BROCK

Audio Length: 2 hours 31 minutes 15 seconds

"My Client and I Just Seem To Get Stuck...": How To Foster Creative Hopelessness Creatively from Emily Rodrigues [423] on Vimeo [424].

Owning your science values: Using philosophy as your compass
Chair: DOUGLAS LONG

• Philosophy across the battle-lines
THOMAS G. SZABO, MA, BCBA
W. Larry Williams, Ph.D., BCBA-D
• The practical implications of pragmatism: Why philosophy matters
DOUGLAS LONG

Audio Length: 50 minutes 30 seconds

Owning your science values: Using philosophy as your compass from Emily Rodrigues [423] on Vimeo [424].

Research for Clinicians: Evaluating the Client-Therapist Interaction in Successful and Unsuccessful Cases of Functional Analytic Psychotherapy (FAP)
JONATHAN KANTER, Ph.D.
Audio Length: 1 hour 0 minutes 13 seconds

Research for Clinicians: Evaluating the Client-Therapist Interaction in Successful and Unsuccessful Cases of Functional Analytic from Emily Rodrigues [423] on Vimeo [424].

Mastering the Metaphor: An Experiential Workshop to learn and practice the art of using metaphors in psychotherapy
COLLEEN EHRNSTROM, Ph.D.
Audio Length: 2 hours 39 minutes 25 seconds

Mastering the Metaphor: An Experiential Workshop to learn and practice the art of using metaphors in psychotherapy from Emily Rodrigues [423] on Vimeo [424].

Translating Research to Practice: Exploring ACT Constructs in Youth and Families, and Informing Interventions
Co-Chair: LISA W. COYNE, Ph.D.
Co-Chair: LOUISE HAYES Ph.D.

• Stop That, or I’ll Lose My Temper: Relationships between Experiential Avoidance and Aggression in Youths
EDWARD MAHER, M.A. & Lisa Coyne, Ph.D.
• Implications of Experiential Avoidance in Parenting: Child internalizing problems and maternal emotion regulatory strategy predict maternal stress
ALYSHA D. THOMPSON, M.A., Kirstin L. Brown, & Lisa W. Coyne, Ph.D.
• ACT group treatment to improve youth psychosocial health – more specifically drug abuse, externalizing- and internalizing problems
FREDRIK LIVHEIM
• Linking ACT Constructs with Developmental Psychopathology: Maternal Emotion Suppression in a Diverse, At-Risk Population – Interrelations with Emotion Socializing Behaviors
Angela M. Burke Currie, M.A. & LISA W. COYNE, Ph.D.
• A Mindfulness-Based Program Aimed at Reducing the Impact of Relational Aggression
CHRISTINA THEODORE-OKLOTA, Ph.D. & Susan Orsillo, Ph.D.

Audio Length: 1 hour 24 minutes 33 seconds

Translating Research to Practice: Exploring ACT Constructs in Youth and Families, and Informing Interventions from Emily Rodrigues [423] on Vimeo [424].

 

Developing an ACT-based group intervention for DBT graduates with personality disorder: Moving from ‘quiet desperation’ to ‘a life worth living’
SUE CLARKE, HELEN BOLDERSTON, & Professor Bob Remington

Audio Length: 59 minutes 21 seconds

Developing an ACT-based group intervention for DBT graduates with personality disorder from Emily Rodrigues [423] on Vimeo [424].

Increasing Academic Performance and Engagement
Chair: ANNA BIANCA PREVEDINI, MA

• Effects of ACT-based and CBT-based podcasts on students' academic behavior: the experience of a university counseling project.
ANNA BIANCA PREVEDINI, MA, Francesco Pozzi, MA, Elisa Rabitti, MA,, Giovanni Miselli, Ph.D., & Vincenzo Russo Ph.D.
• ACT-based and psychoeducational classes on academic skills in a university counseling project: strategies and outcomes.
ANNA BIANCA PREVEDINI, MA, Francesco Pozzi, MA, Anna Missaglia, PsyD, Vincenzo Russo, Ph.D., & Paolo Moderato, Ph.D.
• Increasing Student Engagement
N. JOSEPH RODRIGUES
• ACT to Build Leadership for Community Improvement
LARRY DUMKA, Ph.D.

Audio Length: 58 minutes 28 seconds

Increasing Academic Performance and Engagement from Emily Rodrigues [423] on Vimeo [424].

Ask Not What Exposure Can Do For ACT—Ask What ACT Can Do For Exposure
Chair/Discussant: BRIAN L. THOMPSON, Ph.D.

RIKARD WICKSELL, Ph.D.
CARMEN LUCIANO, Ph.D.
SONJA V. BATTEN, Ph.D.
JONAS RAMNERÖ, Ph.D.

Audio Length: 1 hour 7 minutes 51 seconds

Ask Not What Exposure Can Do For ACT—Ask What ACT Can Do For Exposure from Emily Rodrigues [423] on Vimeo [424].

World Conference 9 Powerpoints & Handouts

Please note: You must be logged in as an ACBS member in order to view the content below.

World Conference 9 Powerpoints & Handouts [425]

ACBS Annual World Conference VIII

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June 21-24, 2010 (Pre-conference workshops [426] June 19 & 20, 2010) Two days of intensive, experiential, 2-day workshops by leaders in the ACT & RFT communities will immediately precede the World Conference VIII.

(Join us July 2011 in Parma, Italy!)

Refund/Cancellation deadline, June 1, 2010. 
Email acbs@contextualscience.org for your refund/cancellation.
What is the World Conference?

The World Conference brings together clinicians and researchers to present cutting-edge research in ACT, RFT, and Contextual Behavioral Science, as well as experienced trainers to lead experiential workshops so that you can learn how to better serve your clients.

The World Conference is for psychologists, social workers, professional counselors, marriage and family therapists, psychiatrists, medical doctors, drug counselors, health researchers, language researchers, behavior analysts, students and more.... Anyone in a similarly related helping field is invited to attend.

We offer FREE CEs in Psychology, Social Work* & MFT* [427] and there are no additional fees for any of the 50+ workshops offered during the main conference.

Registration in the full conference is all-inclusive and includes lunch, open access to workshops, research symposia, posters, plenary sessions with CBS researchers and practitioners, and panel discussions.

CONFERENCE HIGHLIGHTS
  • A great venue for networking & fostering local and international collaboration
  • Conference activities all take place in a beautiful, spacious new venue on the University of Nevada Reno Campus
  • Evening events provide additional opportunities to network and relax after official conference activities are done for the day (all within walking distance from hotel)
  • No additional charges (for CEs or workshops) with registration

INVITED SPEAKERS [428] We have some very exciting invited speakers this year who will be adding that something special to the conference. Some of the invited speakers, in addition to the many ACT and RFT experts in attendance, include:

  • Daniel Wegner speaking on the latest research on thought suppression and the implications this has for ACT, RFT, and ACBS.
  • James Gross talking about basic processes of emotion regulation and how this relates to ACT/RFT/CBS.
  • G. Terrence Wilson will give an overview of where CBT is as a field and where he thinks CBT and ACT need to go from here.
  • Robert Gallop, a prominent statistician who makes things like Hierarchical Linear Modeling understandable, will be doing a half day workshop on HLM and multi-level modeling of data.
  • Bob Kohlenberg and Mavis Tsai will do a pre-conference workshop on Functional Analytic Psychotherapy.
  • Special discounted hotel rates (as low as $59/night!)
  • Affordable airlines service Reno-Tahoe International Airport, rated as one of the easiest airports from which to travel
  • Free Parking at conference hotel, transportation provided to conference venue
  • One-hour drive to Tahoe, less than 4-hours from San Francisco
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    View/download the final World Conference 8 Program [429] (PDF file, 2.86MB)

Read the links below for further details!

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ACT Summer Institute - Now within the World Conference

ACT Summer Institute:

Anyone interested in the ACT Summer Institute... that event has been completely absorbed into the annual World Conference. The ACT SI was always an international event anyway, and now you'll get a chance to attend the half day workshops, as well as learn about current research going on in the ACT/RFT community. So you get it all!

About Reno, Nevada

Reno, Nevada: Come for the conference, stay for Nevada.

 Been to Reno? If so, then you know why you want to come back. Never been to Reno? Then you're in for a real treat!

Reno is located on the eastern side of the majestic Sierra Nevada Mountains. From the casinos to its unprecedented natural surroundings, Reno is a city rich in both tradition and exciting entertainment. 

Forty-five minutes from world-famous Lake Tahoe (Emerald Bay at Lake Tahoe pictured right), the Reno-Sparks community is surrounded by natural beauty and limitless recreational opportunities.  The Reno-Sparks-Lake Tahoe region [430] has over 18 world-class ski resorts, many just a short 45 minutes from downtown, and 40-plus golf courses.  World-class fishing, hiking, biking, kayaking, and numerous other outdoor activities abound. The area also boasts 60 gaming locations with excellent entertainment and restaurants, the National Bowling Stadium [431], the National Automobile Museum [432], the Nevada Museum of Art [433] and the historic silver boomtown of Virginia City [434]. The Reno Rodeo [435] will also be in town at the time of the conference (and after).

High-peaked mountains surround the region in every direction. The geography ranges from high desert hills to valleys covered with deciduous and evergreen trees. The Truckee River flows casually through the heart of the city, winding its way through an eclectic mixture of stately manors, quaint churches, sleek high rises, city parks, and casinos. Shopping malls and new residential developments canvas the city limits and are nestled against mountains that offer endless outdoor recreation, and cradle the magnificent Lake Tahoe.

Calling itself “The Biggest Little City In The World”, Reno offers an extraordinary mix of history and culture, world-class ski and golf resorts, gaming and entertainment, a mild climate with four distinct seasons, a healthy, diverse economy, and an enduring sense of community spirit.

Reno now has it's very own Triple-A baseball team and a brand new stadium, within walking distance of the conference hotel. The Reno Aces [436] have tickets available from $5-$29 dollars and there is no bad seat in the house!

Call for Posters - Closed

Call for Poster Submissions - Closed

Go to Online Submission Form [437]

Deadline for poster submissions: April 1, 2010
Deadline for workshops, symposia, papers, panels, etc. was Sunday, February 7, 2010.

I am happy to announce that the ACBS Annual World Conference VIII will be in Reno, Nevada, USA, from June 21-24.

Pre-conference 2-day workshops will be held on June 19 & 20. The conference will take place at the campus of the University of Nevada, Reno. Bus service for all participants will be included in the registration cost between the conference hotel and the campus.

The structure of the program will be similar to previously successful ACBS World Conferences, and will be both ACT and RFT focused. We are hoping to reach out broadly at this conference and bring in people from outside ACT/RFT who can bring something new to the conference and broaden the attendance to include more new attendees. We want to give research and RFT a prominent place and we are looking for innovations and new clinical, as well as non-clinical, applications.

We will host a meet & greet evening event on June 20 at the Silver Legacy Hotel for those attending the World Conference. On June 21, after the first day of the conference, we will have a poster session/ barbecue which is intended to showcase clinical and experimental research in RFT and ACT—a great way to see what is happening around the world. Wednesday, June 23, we’ll have our famous 'Follies' night, with funny songs, skits, etc.

At this time, we would like to put out a call for submissions to the ACBS World Conference VIII. We want to open the call broadly and encourage proposals for short workshops (3 hrs. or less), panel discussions, research symposia, research papers (looking for a symposium), consultation sessions, or other types of sessions you think would be an asset to this year’s program. Feel free to contact me (jbluoma@gmail.com) to propose sessions you would like to see, along with those you would like to conduct.

We are eager to hear your ideas and will continue to post information regarding the conference as planning moves along.

For further description of purpose, audience, and style of sessions please read below.

On behalf of the program committee,

Jason Luoma, Ph.D.
ACBS Conference Program Chair

________________________________________________
PURPOSES
The primary purpose of the conference is to advance contextual behavioral science through sharing knowledge, scientific work, ideas, and skills. All over the world people are producing an exciting array of work, varying from fundamental research on basic processes, to clinical and nonclinical application of ACT, RFT, and related scientific approaches. We want the conference to be a place where all of these folks can meet and exchange the richness of their scientific and applied work.

A second purpose is to increase the skill of attendees in implementing ACT. This will be accomplished through a combination of targeted workshops, symposia, poster session, video demonstrations, live demonstrations, role playing, clinically focused case discussions, and experiential work.

A final purpose of the World Conference is to help interested attendees better understand RFT, its significance in understanding human suffering and how RFT principles can be translated into clinical practice, and to help attendees learn and develop methods and strategies for conducting ACT process and outcome studies in applied and academic settings. This will be accomplished through “user friendly” workshops and small group discussions.

AUDIENCE
The target audience for this conference is any practitioner, researcher, or student interested in learning more about the clinical and non-clinical application of ACT/RFT or related clinical approaches or in contributing to contextual behavioral science.

STYLE OF SESSIONS
We want the conference to be very interactive, with participants getting chances to increase their knowledge, enhance their understanding and develop skills, with lots of time for questions, presentations on different levels, chances to do role plays, watch videos, get feedback on difficult clients, and watch tapes of clinical work they have brought with them.

There will also be scientific symposia presented by researchers, with one entire track devoted to RFT research and applications for those with varying levels of familiarity.

Conference Hotel

Legacy Day Shot.jpg

Silver Legacy Resort Casino [438] LOBBY Silver Legacy.jpg

407 N. Virginia Street, Reno, NV 89501

This room block is closed.

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The Silver Legacy has deluxe rooms with terrific views of the Washoe Valley, with either 1 King sized bed, or 2 Queen sized beds. The Silver Legacy offers a free airport shuttle, dining and shopping coupons, a convenient downtown location within walking distance to the University of Nevada, Reno, onsite car rental, onsite Adventure Desk [439] to plan your visit, six in-house restaurants, and much more.

Overflow Hotel

Our overflow room block is at the Eldorado Hotel Casino [440] which is conveniently attached to the Silver Legacy.

This room block is closed.

Additional Hotel Options

If you still need a room, please consider these very close by options.

  • The Circus Circus [441] is attached to the Silver Legacy (as well as the Eldorado), so you will not even feel like you are at a different hotel. You can walk from one to the other without going outside.
  • My second recommendation would be Harrahs Hotel Reno [442], it is a good hotel, and is about 2 blocks south of the Silver Legacy.
  • My third recommendation would be Siena Hotel [443], it is a hotel with beautiful rooms. The only reason that it is third on my list is because it is about 5 blocks south of the Silver Legacy.
  • To get the best rates at these hotels, I recommend calling or trying their online reservations to check the cost, but you'll likely get a better deal using a travel site. I recommend www.kayak.com [286] or www.orbitz.com [444] or Hotels.com [445].

Note: All "conference provided" transportation is to the Silver Legacy, however, convenient, free, public buses are available from 7:00am-7:00pm everyday from downtown to campus. Check out the map here [446].

Conference Venue

Conference Venue:

studentunionphoto.jpg

The conference will be held in the beautiful new Joe Crowley Student Union Building [447] on the campus of the University of Nevada [448]. Evening event locations:

  • Sunday, June 20: Silver Legacy, Silver Baron E
  • Monday, June 21: Manzanita Bowl, UNR campus
  • Tuesday, June 22: Reno Aces Ballpark
  • Wednedsay, June 23: Reno Ballroom (next to Silver Legacy)

Continuing Education (CE) Credits

transparentBackground copia.pngPossible credit hours:

  • 2-day pre-conference workshops: 14 hours
  • Mindfulness & Meditation pre-conference workshop: 12 hours
  • ACBS World Conference VIII (attending all events): 30 hours

Types of Credit Available:

  • CE credit is available for psychologists.
  • CE credit is available for LCSW and MFT credits with the State of California.
  • CE credit is available for Counselors from NBCC (National Board of Certified Counselors) [449].
  • CE credit is available for Social Workers from the National Association of Social Workers (NASW) [343].

The Association for Contextual Behavioral Science is approved by the American Psychological Association to offer continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for the program. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

ACBS is an approved provider of continuing education for MFCCs and/or LCSWs by the California Board of Behavioral Sciences, provider #PCE 4653.

This program has been approved by the National Board for Certified Counselors. (APPROVAL #SP-1782)

This program is approved by the National Association of Social Workers. (APPROVAL #886546228)

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Neilan Rodrigues, 1-269-267-4249 or through the "Contact Us" link on this website.

  • CE credit fees are included in the price of registration. No further fee is required.
  • CEs are only available for events that qualify as workshops or end of the day plenary sessions. Poster sessions, symposia, and paper presentations do not qualify for Continuing Education.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

Diet / Catering (Special Needs)

The University of Nevada is able to provide Kosher, Gluten Free, and Vegan meals if needed for attendees of the World Conference VIII, and the Pre-Conference workshops, if we are notified well in advance. They make the Gluten Free and Vegan meals in-house and purchase the Kosher meals from outside.

If you require one of these special order meals or have further dietary restrictions we will do everything possible to accommodate your request. If the university is unable to provide you with your required menu (due to kitchen limitations), please talk to us about other arrangements we can make with you.

  • All requests for special meals must be made in writing to acbs@contextualscience.org by June 1, 2010, due to catering deadlines.

Please email ACBS at the email address above with your meal requirements (for anything other than vegetarian or non-vegetarian) after you have registered for the World Conference or for a Pre-Conference workshop. If your dietary requirements are different from "Kosher, Gluten Free, or Vegan", please email us (Emily Rodrigues) at acbs@contextualscience.org before registering so that we can discuss your needs.

We apologize that we are unable to accommodate special meal requests made after June 1, 2010.

Guest Registration (Spouses/Children/etc.) for June 21 BBQ

This event, 6:00pm - 11:00pm (pending confirmation we can be there that late), June 21, 2010, in the Manzanita Bowl (corner of N. Virginia St. & 9th St., approx. 4 blocks from the Silver Legacy Hotel) on the campus of the University of Nevada Reno, will be a good time for all!

(If you are registered to attend the World Conference 8, this event is included.  The prices below only apply to your guests.)

Spouses/Children are invited to attend, but because there is a real cost for each participant, we must collect payment for your guest(s).

Prices:

  • Children ages 6 & under, free! (no need to register)
  • Children ages 7-18, $15
  • Adults, $20
  • Note: If you do not register via the instructions below by June 3, 2010, ADD $10 to each registration. (so, $25, $30 respectively)

To Register your Guest...

1. Email Emily at acbs@contextualscience.org by May 28, tell her your guest's name, adult or child, vegetarian or non-vegetarian.

2. On June 20 or June 21 at the registration desk, please give Emily the registration fee (Cash Only, exact change), and she'll give you the badge(s) for your guest(s). Alternatively you may give your phone number in the email you send to Emily and she will call you to get your credit card information, and take your payment that way.

What will be at the BBQ?
(food will be served at 6:30pm)
For Meat Eaters:
Championship Award Winning Pulled Pork & Shredded Chicken Sandwiches, BBQ Smoked Meatballs,
Gordon's Famous Meaty Beans, Green Salad with Dressing, Whole Kernel Corn, Garlic Bread, Soda or Bottled Water

For Vegetarians:
Portabella Mushroom Sandwiches, Vegetarian 4 Cheese Lasagna, Vegetarian Beans, Green Salad with Dressing, Whole Kernel Corn, Garlic Bread, Soda or Bottled Water

Dessert:
Your choice of 4 flavors of ice cream from Tahoe Creamery

Bar:
A reasonably priced Cash bar will be available onsite.

Entertainment:
Contract with band pending

Invited Speakers: Additional Information

Invited Plenary Address: The Art and Science of Thought Suppression by Daniel Wegner

Abstract:
So how can we suppress an unwanted thought? This talk looks into why thought suppression is difficult—and what can make it easy. Suppression can be difficult because the mental mechanisms involved include a search for the very thing we don’t want to think—and this ironically increases our sensitivity to the thought and promotes its return. Suppression can be easier, however, when we sidestep such ironic monitoring. Successful indirect strategies can be found in relaxation and body awareness, self-disclosure and social relationships, and practice in avoiding direct suppression. Scientific studies of thought suppression can inform the art of thought suppression in everyday life.

About:
For decades, Harvard Professor Daniel M. Wegner has been a fellow traveler of the ACT/RFT community. His work on the paradoxical effect of mental control has supported our research and clinical insights, enriching our pool of knowledge on this specific topic with an independent and rich perspective. Daniel M. Wegner’s work is not only supportive to ACT/RFT; in his book The illusion of conscious will (Wegner, 2002), he questions the common sense idea that conscious will is the cause of action, a position that pretty much aligns with our behavioral tradition. Plus, if you haven’t been in one of Dr. Wegner talks, this is an opportunity you won’t regret. He expertly combines scientific rigor with the investigation of highly relevant topics in a very amenable and refreshing fashion.

Invited Address: Emotion Regulation and ACT by James Gross

Abstract:
One cannonical distinction in the field of emotion research is the distinction between emotion generation and emotion regulation. This distinction fits comfortably with folk theories which view emotions as passions which arise unbidden and then must be controlled by reason. For example, a child may get angry when a sibling gets a treat but she does not (emotion generation). The child then may need help calming down after the upset (emotion regulation). But is it really possible to distinguish between the processes (and brain regions) implicated in emotion generation versus emotion regulation? In the first part of this talk, I will make the case that such a distinction is (often) both possible and useful. In the second part of this talk, I will then spell out how emotion regulation research makes contact with ACT.

About:
James Gross is a pioneer in the field of emotion research. He earned a degree in philosophy from Yale and a doctorate in clinical psychology from the University of California, Berkeley. He is currently director of the Stanford Psychophysiology Laboratory. His work has foci in emotion regulation strategies, the neural correlates of mindfulness and cognitive behavior therapy interventions, and mindfulness training with children and families. Gross’s work is an exemplar of experimental laboratory research that has direct relevance to clinical work and everyday life.

Invited Plenary Address: Improving CBT:  Problems and Prospects by G. Terrance Wilson, James Herbert and Kelly Wilson

Partial Abstract (G.T. Wilson):
Obstacles to improvement can be grouped into misconceptions about “evidence-based treatment ” and the applicability of research findings to clinical practice on the one hand, and gaps in our current knowledge about treatments, mechanisms of change, and reliable means of training competent practitioners. I criticize the APA notion of evidence-based practice, summarizing the well-documented limitations of subjective clinical judgment and emphasizing the need for high quality treatment guidelines (e.g., NICE). Treatment research priorities include identifying predictors, moderators, and mechanisms of change. Other needs are the development of practical and valid measures of treatment integrity, and innovative research on dissemination and implementation of effective treatments. Ways in which transdiagnostic models and therapy manuals enhance individualization of treatment and address comorbidity are noted.

About G. Terrance Wilson:
Dr. Wilson is currently Professor and Oscar Krisen Buros Professor of Clinical Psychology at Rutgers University. A former President of the Association for Behavioral and Cognitive Therapies (1980-81), and twice a Fellow at the Center for Advanced Study in the Behavioral Sciences at Stanford, California (1976-77; 1990-1991), Terence Wilson is a distinguished guest at this year’s ACBS conference. Dr. Wilson has been a faculty member at Rutgers University since 1971. Currently, he is the Coordinator of the Rutgers Clinical Psychology Program, and is the Director of the Rutgers Eating Disorders Clinic. His research has focused on the application of social learning theory to the analysis and treatment of clinical problems. In particular, he has made significant contributions to our understanding of the psychological mechanisms of change in treatments for eating disorders. He continues to seek more effective theory-driven interventions for treatment-resistant patients.

Invited Address: Evolving Psychologically Flexible Cultures by Anthony Biglan

Abstract:
If the findings on the value of psychological flexibility are correct, then promoting psychological flexibility in our societies would be very valuable. This presentation will present a set of challenges for the ACT/RFT community—the research and practice that seem needed if we are going to translate existing knowledge into widespread changes in people’s psychological flexibility. Does caring naturally emerge when people become skilled at defusion? Can we find ways to teach psychological flexibility at an early age? Can such flexibility be promoted through the media? Are there public policies that would foster flexibility? Is it possible to promote a pragmatic approach to public discussions as an alternative to the type of vitriolic political culture that has characterized recent American history? What is the relationship between materialism and psychological flexibility?

About:
Dr. Anthony Biglan has worked for decades toward transforming behavioral scientific knowledge into widespread improvements in human wellbeing. He authored Changing Cultural Practices: A Contextualist Framework for Intervention Research, published by Context Press, and has devoted himself to this approach to cultural change, producing over 100 publications. Dr. Biglan has been a part of the Association for Contextual Behavioral Science since its inception, contributing to empirical work, and attending or facilitating numerous Acceptance and Commitment Therapy (ACT) workshops both nationally and internationally.

Dr. Biglan is Senior Scientist at Oregon Research Institute and has directed the Center on Early Adolescence and Center for Community Interventions on Childrearing. He has been a researcher for more over 30 years on the prevention of adolescent problem behaviors, conducting numerous experimental evaluations of interventions to prevent tobacco, other drug use, high-risk sexual behavior, reading failure, and aggressive social behavior. He was a Fellow at the Center for Advanced Study in the Behavioral Sciences and worked with colleagues there to publish a summary of complex factors involved in preventing and treating multiple problems in youth.

In addition, Dr. Biglan has been the Principal Investigator of the Teacher Wellbeing Project and Co-Principal Investigator of the Promises Network Research Consortium. He has served as a Participant on the Behavior Change Expert Panel of the Office of White House National Drug Control Policy and as a grant reviewer for the National Institute of Drug Abuse Epidemiology and Prevention Review Committee. He is Past President of the Society for Prevention Research for which he was a board member for many years and co-authored Community-monitoring systems: Tracking and improving the well-being of America’s children and adolescents, a monograph published by that society (Mrazek, Biglan, & Hawkins, 2004).

Invited Workshop: Introduction to Longitudinal Data Analysis by Robert Gallop

Abstract:
Longitudinal data acquisition has always been a component of psychotherapy research, but the reporting of results through longitudinal data analysis (LDA) has been advanced substantially during the past 20 years. Previously, longitudinal data would be summarized into one measure through methods such as last observation carried forward (LOCF). Then analyses would incorporate cross-sectional methods such as analysis of covariance (ANCOVA) for reporting study results. The fundamental difference with LDA methods is that they recognize that the repeated observations within subjects are correlated. This correlation has a profound impact on the resulting tests of significance. When this within subject correlation is properly incorporated, the LDA takes full advantage of all information obtained from each subject, thereby greatly increasing statistical power over methods that compare treatments cross-sectionally. At least two general approaches are available in a number of software packages for analyzing longitudinal data:

  • Multilevel models adjusting for the hierarchy of clusters with nested random effects
  • General Mixed Model Analysis of Variance.

The workshop will be data driven with examples from various psychotherapy studies.

Recommend Reading: Hedeker, D. & Gibbons, R.D. (2006). Longitudinal Data Analysis. New York, NY: Wiley.

About:
Robert Gallop, Ph.D. is Associate Professor of Statistics at West Chester University, West Chester, PA. Dr. Gallop has expertise in longitudinal data analysis using multi-level modeling in psychotherapy outcome trials, has additional interests in psychometrics and mediational analysis, and has provided consultant support as a statistician for NIMH-funded grant projects for nearly a decade. He has co-authored over 40 publications including outcome studies for treatment for addictions, depression, and borderline personality disorder, prevention of relapse, prevention of symptom development, and the importance and role of therapist adherence, competence, and therapeutic alliance. Additionally, he has produced numerous papers on the proper statistical procedures for power analyses and effect size calculations in therapeutic outcome studies and suggestions for the proper procedures in multilevel modeling in psychotherapy research. Gallop's expertise also includes simple explanations and recommendations for common but sometimes complex statistical concepts and analyses.

Invited Pre-Conference Workshop [450]: Functional Analytic Psychotherapy by Robert Kohlenberg & Mavis Tsai

Abstract:
Functional Analytic Psychotherapy (FAP) is a third-wave behavioral treatment in which the therapist enters mindfully into the therapeutic relationship and responds genuinely in the moment to shape up more workable client repertoires. The developers of FAP and the authors of its first treatment manual, Mavis Tsai, Ph.D. and Robert Kohlenberg, Ph.D., will be offering a two-day pre-conference workshop entitled Functional Analytic Psychotherapy (FAP): New Frontiers in Awareness, Courage, Love, and Behaviorism on June 19 & 20. The workshop will demonstrate how sound behavioral principles can be brought to bear in bringing about curative change through meaningful, intense, and intimate therapeutic interactions.

About:
Mavis Tsai, Ph.D., is a psychologist in independent practice and a clinical instructor at the University of Washington where she is involved in supervision and research. Her interests include PTSD, disorders of the self, power issues in marital therapy, incorporating Eastern wisdom into psychotherapy, racism and minority groups, and women’s empowerment. She has led numerous workshops nationally and internationally and is known for her engaging interpersonal style as well as her behaviorally informed multi-modal approach to healing and growth that integrates mind, body, emotions, and spirit.

Robert Kohlenberg, Ph.D., ABPP, is a professor of psychology at the University of Washington. He has presented “Master Clinician” and “World Round” sessions at the Association for the Advancement of Behavior Therapy and has presented FAP workshops both in the US and internationally. He has received research grants for FAP treatment development, and his current interests are identifying the elements of effective psychotherapy, the integration of psychotherapies, and the treatment of co-morbidity.

Invited Lecture: Translating Processes in Contextual Behavioral Science into the Creation of More Nurturing Cultures by Anthony Biglan

The ultimate goal of contextual behavioral science could be to increase the prevalence of wellbeing in entire populations. Choosing this goal would ensure that our scientific work contributes, not just to the alleviation of individuals’ psychological and behavioral problems, but to the creation of nurturing environments in which fewer people have problems and many more become caring and productive members of their communities. Such an outcome is a realistic prospect thanks to the substantial progress that has been made in contextually oriented behavioral sciences. The progress includes the development of a wide array of effective preventive interventions, which were identified in the recent report of the Institute of Medicine. These family and school-based interventions have been shown to reduce the incidence of antisocial behavior, anxiety and depression, substance use, risky sexual behavior, child abuse, marital conflict, and stress-related problems. At the same time, research on Relational Frame Theory and Acceptance and Commitment Therapy (ACT) has pinpointed basic verbal processes that subserve all of these problems and clinical research on ACT shows that modifying these processes can ameliorate a wide variety of psychological and behavioral problems.

This presentation will review the evidence supporting the above assertions and provide a synthesis of the two lines of work that can form the basis for creating nurturing cultures that not only reduce the burden of psychological, behavioral, and health problems, but significantly increase the proportion of people who are able to live productive lives in caring relationships with others.

Analysis of the generic features of effective preventive interventions indicates that they make family, school, neighborhood, and workplace environments more nurturing. Nurturing environments have four features: (a) they minimize biologically and socially toxic events; (b) they model and reinforce prosocial behavior; (c) they limit antisocial behavior; and (d) they promote psychological flexibility. In this talk, I will focus on how the promotion of psychological flexibility could function as the foundation for achieving the other features of nurturing environments. And I will delineate lines of research that could contribute to the goal of increasing the prevalence of wellbeing.
Psychological flexibility appears to enhance people’s caring toward others, although research on this issue remains limited. It appears that ACT interventions help people become more willing to have feelings, which, if avoided, would interfere with caring relationships. They also encourage people to make their values explicit and those values typically include closer relationships with others. (Further research is needed on whether values involving better relationships with others naturally emerge; this possibility is suggested by evolutionary analyses of the value to human groups of having positive social relationships.) Finally, ACT facilitates people acting in the service of their values, which is aided by defusion from difficult thoughts and feelings that arise when others are aversive.
Increasing individuals’ psychological flexibility has the potential to increase the proportion of the population that is caring toward others. It might also encourage others to become more psychologically flexible, as the tendency to “hold our thoughts and feelings lightly” is spread from person to person.

As the proportion of people who are psychologically flexible spreads, the tendency of social environments to be aversive should diminish and the modeling and reinforcement of prosocial behavior should increase.
However, it is unlikely that this will happen solely through clinical interventions. If our ultimate goal is to affect the prevalence of psychological flexibility in society, why not open up other lines of research and practice that could contribute to this goal? This presentation will conclude with a framework for research and practice that should contribute to the spread of environments that nurture prosociality and thereby human wellbeing. The framework includes: (a) further research and effective communication of epidemiological evidence that promotes the establishment of environments that promote prosociality; (b) experimental evaluations of comprehensive interventions to promote prosociality; (c) evaluations of ACT interventions to promote social cohesion, trust, and prosociality in organizations and comity and pragmatism in public discussion; (d) the development of a surveillance system to track progress in evolving nurturing environments.

Invited Lecture: For the Benefit of My Patients, A Family Physician's Journey into ACT by Debra Gould

This lecture will focus on the application of ACT in the primary care setting. The presenter will describe her experience of learning how to integrate ACT into her practice as a family physician and as a teacher in a family medicine residency program. Based on both personal experience growing up in a rural, underserved community and her professional experience, she will discuss the rationale of providing ACT via an integrated behavioral health service model and/or through training family physicians and other primary care providers in ACT technology. She will also present the practical and potential challenges associated with these activities and advocate for ACT research in primary care settings.

Invited Lecture: Balancing Clinical Innovation with the Imperative to Utilize Best Available Practices by James Herbert

Clinicians have an obligation to use the best available practices in their work. For scientifically minded clinicians (including those grounded in contextual behavioral science), this means state-of-the-art technologies that are supported by the best available research. At the same time, there is a pressing and ongoing need for clinical innovation, as existing technologies are (and forever will be) far from perfect. The tension between the imperative to use current best practices and the need to innovate plays itself out in multiple domains, from front-line clinical work to clinical research. Various solutions to this problem have been offered, but the field has yet to achieve consensus. This talk will explore this issue, proposed solutions, and future directions.

Invited Lecture: Multi Professional Pain Rehabilitation Based on ACT Principles by Per-Olof Olsson, Lena Thermaenius-Spångmark, Åsa Storkamp, Anna-Maria Weingarten, Karin Granholm, Linnea Karlsson, & Joanne Dahl

The aim of this paper is to show how ACT principles can be used by a multidisciplinary team consisting of a psychologist, occupational therapist, physical therapy and social worker in pain rehabilitation. The session will illustrate how the ACT core processes are used in the conceptualization and treatment of the client with chronic pain from the particular perspective of each of the team members. Preliminary results from the application of this model for groups of clients with chronic pain will be presented.

Invited Lecture: Using the Hexaflex Model to Develop Depth in a Dynamic ACT Conceptualization by Brent Ryder, Melissa Rowland & Daniel J Moran

When the Hexaflex Model for conceptualization from ACT in Practice is employed on a regular basis, it can be used to incorporate client data from sessions, and then coupled with relevant therapeutic ACT interventions to yield a path for further clinical progress. Clinical improvement can become apparent in more relevant detail by applying this process. Whether an aspiring therapist, or an experienced ACT clinician, the Dynamic ACT Conceptualization should prove valuable.

Invited Lecture: Training and Assessment of Relational Precursors and Abilities (TARPA): Preliminary Findings and Future Directions by Ian Stewart

The Training & Assessment of Relational Precursors & Abilities (TARPA) is a recently developed computer-based protocol for the assessment of a progression of key domains of responding critical to the development of generative language. The TARPA is comprised of ten stages as follows: (i) basic discrimination; (ii) conditional discrimination involving similarity; (iii) conditional discrimination involving non-similarity (2 comparisons); (iv) conditional discriminations involving non-similarity (3 comparisons); (v) mutually entailed relational responding; (vi) mutually entailed relational responding (3 comparisons); (vii) combinatorial entailed relational responding (2 comparisons); (viii) transfer of function [responding to a stimulus in a new and appropriate way based on it’s participation in a derived sameness relation] (2 comparisons); (ix) combinatorial entailed relational responding (3 comparisons); (x) transfer of function (3 comparisons). Each stage is further subdivided into multiple levels, and in the stages assessing derived relations (i.e., Stages 5-10), levels are subdivided into training sections and derivation sections.

A preliminary version of the TARPA has been correlated with the Vineland Adaptive Behavior Scale (VABS; Sparrow, Cicchetti & Balla, 2005). Currently ongoing research is using the most up-to-date version to assess the emergence of relational responding with typically developing children and children with autism in order to correlate performance on this protocol with level of functioning as assessed using standardized measures of language and cognition (e.g., PLS-4; Zimmerman, Steiner & Pond, 2002) as well as to gain some insight into the hierarchical structuring and other features of the protocol to aid its further development and refinement.

Invited Lecture: Pillars and Posts and Arches, Oh Boy!: What's Up With This Response Style Business Anyway? by Kirk Strosahl

One of the more recent developments in ACT has been the attempt to streamline the clinical model so that it is more efficient as a case formulation method and is more accessible to non-mental health trained helping professions. A potentially useful way to do this is to move from reliance on six core processes to three basic response styles. This talk will examine progress that is being made on this front. I will define what we mean by a "response style" and then individually examine each one in terms of its clinical significance. Various attempts have been made to incorporate this idea into ACT case formulation and treatment planning models (i.e., pillars & posts, psy-flex arches, three legged stool) and I will briefly review these developments. The movement to a response style model also has significant implications for ACT/RFT research, for example, does the research support the parsimony of moving to three response styles over six core processes?

Invited Discussion: The Client's Perspective on a Preliminary Brief Group Intervention for Chronically Depressed Treatment Resistant People by Jacopo Pisaturo & Mark Webster

This session will be looking at video feedback from clients who attended a preliminary brief group intervention based on the Grid/Matrix. They will be sharing their experience of the group looking at what was helpful and also not so helpful. The intervention was delivered in three 'pulses' and the rationale for this format will be presented along with the format itself. The data collected includes AAQ-II and BDI2, and it will be considered in the context of the clients' perspectives, including further narrative data.

Invited Discussion: Many Hands: Raising the Single-Case Design Collaboration! by Kelly Koerner

What if we pooled efforts to carry out single-case design research? Where should we focus? What would we need? What would you like to see happen? What do you have energy for? Come help raise the barn: many hands will make it easy to start-up a collaborative practice-research network! We will be brainstorming together on a wall at the conference, come jot and chat with us and we'll see just how powerful a self-organizing passionate group can be!

Planes, Trains, and Automobiles (All Transportation)

Getting to Reno:

By Air:

The following airlines service the Reno-Tahoe International Airport (airport code: RNO): Alaska Airlines, American Airlines, Delta, Horizon Airlines, Northwest Airlines, Southwest Airlines [451], United, U.S. Airways.

You probably have your own method to search for flights, but, in the USA/ Canada, I love Kayak [286], it has a funny name but is a great tool for finding good fares, and good schedules.  The only domestic US airline that it does not include is Southwest Airlines [451]. You'll have to create a free login, but it's worth it.

For Europe-USA flights, I recommend trying Kayak [286] or SkyScanner [452]. (Please note, if you're thinking of doing some other traveling within the US while here for the conference, please check Southwest Airlines [451], they only fly domestically, but I'd say they're like a deluxe version of EasyJet (not quite as cheap though), and as of January, 2010, you can still check 2 bags onto the plane for free.)

By Train:

The Amtrak train provides service to Reno via the California Zephyr [453] line. This line goes from Chicago all the way to Emeryville, CA (Bay Area) with service to Reno. The train station is approximately 2 blocks from the Silver Legacy conference hotel.

By Car:

Reno, Nevada is approximately this far (by car) from:

Lake Tahoe (Incline Village) - 49 minutes / 37.48 miles

San Francisco - 3 hours 42 minutes / 217.85 miles

Las Vegas - 7 hours 11 minutes / 448.48 miles

Portland, Oregon - 9 hours 14 minutes / 547.10 miles

While in Reno:

Airport - Hotel Shuttle:

The Silver Legacy Hotel shuttle departs from the hotel at the top of the hour from 5 am to 11 pm and departs from the airport on the bottom of the hour from 5:30 am to 11:30 pm. Upon your arrival at the Reno-Tahoe International Airport, proceed to the baggage claim area and follow the signage directing you to the general airport shuttle area to board the Silver Legacy shuttle. (The airport is 4.12 miles (about 12 minutes) from the Silver Legacy Hotel. If you instead chose to take a taxi, it would cost $10-$15 one-way.)

Parking:

Parking at the Silver Legacy Hotel is convenient and free in their 11-story self-parking garage; complimentary valet service is also available. In addition, Silver Legacy's valet can accommodate oversized vehicles such as RV’s and boats at an off property location.

You can park at the UNR campus on the top level of the Brian J Whalen Garage (building #083 on this map [454] or this map [455]) for $5 for all day. Other visitor Parking at the University of Nevada, is available for 2 hours at a time at paid metered parking on campus ($1.50 per hour). You can park at any meter on campus for free on Saturday and Sunday.

Directions for campus parking [456]

Please plan to use our conference shuttle service, or the city's free Sierra Spirit shuttle.

City Shuttle - Sierra Spirit:

Sierra Spirit Route Map [446]
This is a free public bus that you can ride, every 10 minutes, between the University and downtown (where the Silver Legacy Hotel is) between 7:00am and 7:00pm every day.

Conference Shuttle:

The conference hotel and conference venue are about 1.5 miles apart, therefore we are offering a free shuttle between the hotel (Silver Legacy Valet area) and the University before and after conference & 2-day workshop events.

Busing will begin at 7:45am each morning, and will finish at approximately 9:15/9:30am.  We will have multiple coaches and shuttles looping in the morning. If you do your math, you'll see that if you catch the shuttle bus after 8:45am, you'll be late!  This also means that if everyone attending the conference tries to catch the bus at the exact same time, you all won't make it.  Please consider this when planning for the shuttle.  As early as 8:00am we'll have coffee & tea up at the university for you and you'll have access to the conference bookstore if you'd like to take that time to peruse the books (the bookstore will be closed in the morning on Saturday & Monday).

We will have shuttles in the evening to take you back to the hotel after events at the JCSU.

Reno City Buses:

City bus information is available on the RTC website [457].

Car Rental:

You can rent with Hertz at the Silver Legacy [458]. All other car rentals can be obtained at the airport.

Traveling to San Francisco:

A number of people have already told me that they are planning to go to San Francisco after the conference.  San Francisco is a terrific city and I highly recommend it.  You can take the Amtrak train, or I would recommend taking Southwest Airlines into Oakland, or another airline into the San Francisco Airport.  From the Oakland Airport you can get a shuttle to the BART [459] (San Francisco's public transportation train system).  If you fly into the San Francisco Airport, you can directly access the BART, but it's just a few minutes farther away than Oakland. You can drive to San Francisco, but be prepared to pay $20-$30 per day for parking. When I go there, I try to stay in the "Union Square" area.  It's a nice area and fairly central, although there are other great areas to stay in.  Try http://www.hotels.com [445] or Kayak [460] for hotels and neighborhoods.

(If you live in the area, or have visited recently and have other suggestions, please click "Add new comment" at the bottom of this page, and I'll incorporate your info here.)

Pre-Conference Workshops (June 19 & 20, 2010)

transparentBackground copia.thumbnail.pngREGISTRATION HAS CLOSED for these events.

These 2-day workshops will be held the 2-days immediately preceding the ACBS World Conference VIII, at the same venue. (The Meditation workshop is the exception to this.) They will be 9:00-5:00pm on Saturday and Sunday, June 19 & 20, 2010.

*These workshops run concurrently, therefore you may only attend one of the workshops below, and they require their own registration and fee (they are not a part of the ACBS World Conference).

Pre-Conference 2-day Workshops Registration (June 19-20, 2010):

Note: Onsite registration is not available for the pre-conference workshops

  • Students: $170
  • Professionals: $305

 Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the hotel. 

FAP Workshop (June 19-20, 2010) - This workshop has closed.

  • Students: $195
  • Professionals: $325

 Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the hotel. 

Mindfulness & Meditation ACT Workshop (on Lake Tahoe, evening June 18- June 20, 2010)

  • Students: $200
  • Professionals: $365

 Above prices include shared dorm sleeping, 2 breakfasts, 2 lunches, and 2 dinners. 

  • Disarming Anxious Suffering Using Acceptance and Commitment Therapy: A 2-Day Professional Workshop (introductory/ intermediate) [461]: John Forsyth, Ph.D. (CLOSED)
  • Introductory ACT Workshop (introductory/ intermediate) [462]: Steven C. Hayes, Ph.D. (CLOSED)
  • ACT with Children & Families (introductory - advanced) [463]: Lisa Coyne, Ph.D. (CLOSED)
  • An Experiential Introduction to Acceptance and Commitment Therapy (not just for beginners) (introductory - advanced) [464]: Kelly G. Wilson, Ph.D. (CLOSED)
  • Introduction to Relational Frame Theory (RFT) for Clinicians (intermediate) [465]: Niklas Törneke, M.D., & John T. Blackledge, Ph.D. (CLOSED)
  • ACT: Advanced Training in Core Skills and Flexible Use of the Model (intermediate/ advanced) [466]: Robyn Walser, Ph.D. (CLOSED)
  • Functional Analytic Psychotherapy (FAP): New Frontiers in Awareness, Courage, Love, and Behaviorism (introductory/ intermediate) [450]: Mavis Tsai, Ph.D., & Robert Kohlenberg, Ph.D. (CLOSED)
  • Mindfulness & Meditation ACT Workshop Retreat (intermediate) [467]: JoAnne Dahl, Ph.D., Lindsay Fletcher, M.A., Fredrik Livheim (CLOSED)

ACT with Children & Families - Coyne (CLOSED)

LisaCoyneACBS.jpg

ACT with Children & Families

**This workshop has closed.**

Workshop Leader: Lisa W. Coyne, Ph.D., Suffolk University

Dates & Location: June 19 & 20, 2010, 9:00am - 5:00pm at the University of Nevada, Reno.

Continuing Education Credits Available: 14

Workshop Description: Acceptance and mindfulness-based treatment approaches have been developed, applied, evaluated, and disseminated across many types of clinical issue, population, and setting. Acceptance and Commitment Therapy (ACT) is an exemplar of this type of approach, and emphasizes full, non-judgmental awareness and acceptance of ones’ psychological experiences in the context of commited, valued action. Although there are many opportunities for ACT training with adult populations, there are relatively few in which to learn how to apply this approach with children, adolescents, and their families. Yet training opportunities are needed, given the rich developing literature on both basic developmental processes that may be targeted by ACT, as well as emergent adaptations of ACT for youths. Thus, this workshop aims to explore the ways that ACT can be used to address problems of youth and parenting. A basic overview of literature to date regarding children, adolescents, and parents will be presented. Functional assessment strategies, case conceptualization and treatment planning from an ACT perspective will be reviewed. More specifically, the presenters will discuss how treatment goals and the six core components of ACT work can be tailored to youth and parents. Clinical examples will be used to illustrate therapeutic techniques. The workshop will be a mix of didactics and experiential work. Participants will be encouraged to discuss cases as well as treatment ideas, role-play, and participate in a number of exercises.

Learning Objectives:

  1. To learn how conceptualize child cases from an ACT perspective.
  2. To learn about the current assessment of ACT relevant processes in youth.
  3. To address each of the six core components in work with children and families.

Target Audience: Introductory through Advanced.

Registration Rates: Note: Onsite registration is not available for the pre-conference workshops

  • Students: $170
  • Professionals: $305

 Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel. 

ACT: Advanced Training in Core Skills and Flexible Use of the Model - Walser (CLOSED)

robyn_0.JPGACT: Advanced Training in Core Skills and Flexible Use of the Model

**This workshop has closed.**

Workshop Leader: Robyn D. Walser, Ph.D., TL Consultation Services

Dates & Location: June 19 & 20, 2010, 8:30am - 4:30pm at the University of Nevada, Reno.

Continuing Education Credits Available: 14

Workshop Description: In this advanced workshop we will broadly explore the core components of ACT with a specific focus on present moment processes and the therapeutic relationship. We will also focus on the therapy processes that trigger each of the six components. We will address how therapists can flexibly adopt the six ACT processes including work that is linked to personal psychological experience in session. Our focus will include a description of how the most basic part of the ACT therapeutic stance naturally flows from a therapist’s application of the ACT model of language and human functioning to their own professional and personal life as well as that of their clients. Special topics of focus will include compassion and forgiveness. Participants will engage in a number of ACT based activities, including mindfulness, experiential exercises and group activities. Additionally, role-plays with feedback and from therapist and client will be presented. The workshop will provide therapists with group and personal experiences that will allow further development of their ACT skills. We will have a little fun too!

Learning Objectives:

  1. Describe the core components and the processes that trigger these components.
  2. Describe the six core processes and how they lay the groundwork for the therapeutic relationship from an ACT perspective.
  3. Describe how six core processes apply to personal psychological experience in the session.

Target Audience: Intermediate through Advanced.

Registration Rates: Note: Onsite registration is not available for the pre-conference workshops

  • Students: $170
  • Professionals: $305

Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel.

An Experiential Introduction to Acceptance and Commitment Therapy (not just for beginners) - Kelly Wilson (CLOSED)

wilsondkw127-small.jpgAn Experiential Introduction to Acceptance and Commitment Therapy (not just for beginners)

**This workshop has closed.**

Workshop Leader: Kelly G. Wilson, Ph.D., University of Mississippi, Onelife LLC

Dates & Location: June 19 & 20, 2010, 9:00am - 5:00pm at the University of Nevada, Reno.

Continuing Education Credits Available: 14

Workshop Description: In this workshop we will explore a question that is at the heart of ACT. The question is embodied in the six ACT processes described in the Hexaflex.

In this very moment, (present moment) Will you (self-as-context) Accept the sweet and the sad, (acceptance) Holding lightly stories about what is possible, (defusion) Be the author of a valued pattern of living, (values) And turn gently, in kindness, toward your own life? (commitment)

As a treatment, ACT is based on a model that does not draw hard lines between sick and well, between client suffering and therapist suffering. We are not a different species than our clients. This is not to say that some lives, some struggles, are not harder than others. They certainly are. However, you can look deeply at your own lived suffering and struggles and find kinship with your most distraught client.

There is a source of suffering that is shared by language-able humans. The source of that suffering can be found in language itself and the way language works. This is not the only source of suffering, of course, but evidence is mounting that language processes are capable of compounding suffering. Humans seem to be the only creatures on the planet that don’t just suffer but also suffer that they suffer. Humans suffer that they have suffered in the past, and they suffer that they might suffer later.

How do we “save” ourselves from this abundance of suffering? We apply problem-solving mode of mind. This mode of mind has been marvelously fruitful in helping us to produce food, shelter ourselves from the elements, and avoid predators. Problem-solving mode of mind allows us to categorize, evaluate, and tell stories about anything and everything—including anything that exists, that did exist once, that might exist, and even things that could not possibly exit.

Many of our stories are quite useful. Consider stories about how to preserve food for the winter or stories about the value of vaccinations in disease prevention. Some are benign. I have been reading science fiction for decades. But some stories we tell about ourselves about the world around us narrow the place we get to inhabit. Some stories describe limitations and necessities that squeeze us into tiny little life spaces. And once our stories effectively downsize our world, we try to make the best of those cramped quarters.

Have you ever looked deeply into your client’s eyes and seen someone who once dreamed that there would be more to life? Seen someone who just stopped dreaming because the world is just not that kind of place? Seen someone who stopped dreaming because they knew that they did not deserve more?

The people we call clients represent a subset of a greater human condition. Many, many of us live much, much smaller lives than we need to. ACT is based on a basic science that suggests that we can loosen the grip that these stories have us and, in doing so, make possible richer and more varied lives.

Join me for a couple of days and learn about ACT from the inside out. We will take an experiential walk around the hexaflex. We will learn ways to bring ourselves into the present moment. We will learn ways to accept the sweet and the sad. We will learn ways to let go of limiting stories about ourselves and about the world around us. We will learn to intentionally author a valued direction. And, finally, we will practice the lovely human art of returning in kindness to our own lives.

Learning Objectives:

  1. Attendees will be able to identify the six dimensions of the ACT model of psychological flexibility.
  2. Attendees will be able to describe two major obstacles to valued living from an ACT perspective.
  3. Attendees will be able to describe an ACT approach to negative cognition about self.

Target Audience: Beginner through Advanced.

Registration Rates: Note: Onsite registration is not available for the pre-conference workshops

  • Students: $170
  • Professionals: $305

 Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel. 

Disarming Anxious Suffering Using Acceptance and Commitment Therapy: A 2-Day Professional Workshop - John Forsyth (CLOSED)

forsyth_CBT_0.jpgDisarming Anxious Suffering Using Acceptance and Commitment Therapy: A 2-Day Professional Workshop

**This workshop has closed.**

Workshop Leader: John Forsyth, Ph.D., University at Albany, SUNY

Dates & Location: June 19 & 20, 2010, 9:00am - 5:00pm at the University of Nevada, Reno.

Continuing Education Credits Available: 14 

Workshop Description:
ACT is a newer third-generation evidence-based behavior therapy that balances mindfulness and acceptance processes with commitment and behavior change processes to (a) undermine unhelpful thoughts and emotional avoidance, while (b) promoting greater experiential and psychological flexibility in the service of valued ends. In short, ACT teaches clients how to be with their hurts and do what works – to live well, richly, and meaningfully, without first having to defeat sources of emotional and psychological pain.

ACT is a broadly applicable process-guided approach to human suffering and its alleviation, not simply a set of intervention technologies for specific psychological disorders. Thus, this two-day workshop will introduce ACT, both as a model and intervention technology, and illustrate its practical application with an eye on processes that feed and maintain anxious suffering.

Our two days together will be filled with didactic teachings, live and video demonstrations, and practical experiential exercises that will be done individually, in dyads, and small groups. The exercises will highlight the integration of mindfulness and acceptance strategies (along with kindness and compassion exercises) to disarm forms of anxious suffering and also focus on strategies to promote greater clarity of values and action in the service of living well. Participants will be encouraged (but never forced or coerced) to engage the material at a personal level, as it applies to their own lives, and then also in the context of their clinical work. All I ask is that participants are willing to get inside the ACT model and approach, if only for just 2-days. Clinical worksheets and other practical tools will be provided.

Workshop Overview & Program: This 2-day introductory workshop will explore the use of ACT with clients suffering from anxiety and related disorders. A general familiarity with ACT will be helpful, but is not required. The only requirement is that participants come with an openness to learn.

Day 1 – June 19, 2010 (approximate schedule)
9am – 12pm: Session One

When and how psychological and emotional pain turns into human suffering

  • ACT#1: The ACT model of human suffering and its successful alleviation: Overview, processes, and outcomes

12pm – 1pm: Lunch

Dr. Forsyth will provide a luncheon presentation of his research, and that of others, using ACT for anxiety-related disorders.

1pm – 2:30pm: Session Two

  • ACT #2: Creative hopelessness: Making room for new possibilities

    Strategies to weaken the struggle and control agenda as a way out of anxiety and fear.

2:45pm – 4:30pm: Session Three

  • ACT #3: Values clarification: A context for the work & what are we working toward

    Identifying values and barriers that get in the way of vital action.

Day 2 – June 20, 2010
9am – 12pm: Session Four

  • ACT #4: Disarming an unhelpful mind: Acceptance, mindfulness & defusion.

    Cultivating space, self-kindness & compassion, and a new relationship with anxiety

12pm – 1pm: Lunch
1pm – 4:30pm: Session Five

  • ACT #5: Framing exposure-based strategies: Nurturing willingness and valued action

    Getting with anxious discomfort in the service of a more vital life.

Learning Objectives:
Over the 2-days, several core ACT themes will be cultivated and participants will have an opportunity to learn how to:

1. Develop an understanding of the ACT model of human suffering and its alleviation, with emphasis on the conceptualization of anxiety and related clinical concerns within an ACT framework;
2. identify and weaken excessive struggle and avoidance (i.e., experiential avoidance) while promoting more defused and mindful actions in the service of valued living;
3. integrate experiential exercises, metaphors, and mindfulness (defusion) techniques seamlessly into their clinical work;
4. develop and apply new metaphors and mindfulness exercises to foster compassion, kindness, and greater experiential and psychological flexibility;
5. help clients balance acceptance and change while moving in the direction of their chosen values and life goals;
use exposure-like exercises in an ACT consistent fashion; and
6. to apply ACT flexibly and appropriately while also gaining insight into the ACT therapeutic stance and how not to do ACT.

Target Audience: Introductory through Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: $170
  • Professionals: $305

Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel.

Functional Analytic Psychotherapy (FAP): New Frontiers in Awareness, Courage, Love, and Behaviorism - Tsai & Kohlenberg (CLOSED)

kohlenbergphoto.jpgtsaiphoto.jpg Functional Analytic Psychotherapy (FAP): New Frontiers in Awareness, Courage, Love, and Behaviorism

**This workshop has closed.**

Workshop Leaders: Mavis Tsai, Ph.D., Independent Practice and University of Washington, & Robert Kohlenberg, Ph.D., ABBP, University of Washington

Dates & Location: June 19 & 20, 2010, 9:00am - 5:00pm at the University of Nevada, Reno.

Continuing Education Credits Available: 14

Workshop Description:
Functional Analytic Psychotherapy (FAP) is a "here and now" therapy that focuses on the subtle ways clients' daily life problems occur in the therapy session. Based on behavioral functional analysis and a contextual world view, FAP implements awareness, courage, and love in the therapist-client relationship to create deep, meaningful and healing interactions. This approach can be applied to a wide range of clinical problems, including: depression, anxiety, intimacy difficulties, personality disorders, problems of the self, substance abuse, and OCD.

All FAP interventions are informed by clearly stated behavioral principles. FAP embraces a wide range of therapeutic stances and techniques, and is intended to help answer the perennial and elusive key question: "What is the theoretically sound basis for selecting the technique that is most appropriate for a particular client at a certain time?"

Considered one of the new generation innovative Cognitive Behavior Therapies identified as "Third Wave", FAP is integrative, and provides a conceptual and practical framework that will help super-charge your next therapy session. The workshop will include videotaped therapy sessions, experiential exercises, demonstrations and handouts that can be used with clients.

Learning Objectives:

1. Learn five strategies to increase connection and intensity in your therapeutic interventions and to facilitate client change.
2. Learn how commonly used interventions can be inadvertently counter-therapeutic.
3. Learn how to best use yourself as an instrument of change.

Target Audience: Beginner & Intermediate.

Registration Rates for FAP Workshop:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: $195
  • Professionals: $325

Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel.

Introduction to Relational Frame Theory (RFT) for Clinicians - Törneke & Blackledge (CLOSED)

tornekephoto.jpgBlackledge.jpgIntroduction to Relational Frame Theory (RFT) for Clinicians

**This workshop has closed.**

Workshop Leader: Niklas Törneke, M.D., Private Practice, & John T. Blackledge, Ph.D., Morehead State University

Dates & Location: June 19 & 20, 2010, 8:30am - 4:30pm at the University of Nevada, Reno.

Continuing Education Credits Available: 14

Workshop Description: Relational frame theory (RFT) is the theoretical base for Acceptance and Commitment Therapy. Even if you can do ACT well without an understanding of this background we believe understanding RFT can enrich clinicians and help them improve their work. This understanding is also essential to take part in further development of clinical strategies and techniques. This workshop will describe all basic concepts in RFT. Some basic experimental work will be used to illustrate central issues in the theory but the focus will not be experimental but conceptual. The workshop will also describe how RFT is related to basic behavioral principles and how clinical problems and interventions can be understood from the perspective of RFT. Some experiential exercises will be included for illustration of central concepts, but the workshop is mainly didactic. Day 1- Functional Contextualism: What is it, and how does it inform an understanding of RFT and ACT?

  • A Crash Course in Basic Behavioral Principles: Operant conditioning, classical conditioning, & generalization. How do these principles work and how are they relevant to psychotherapy?
  • Why Do We Need RFT Anyway? RFT vs. Cognitive Theory and a Skinnerian account of verbal behavior.
  • Transforming Stimulus Functions: The continuity between basic behavioral principles and RFT.
  • RFT: Terms & Processes.
  • RFT’s Experimental Basis.
  • The Benefits & Banes of Derived Relational Responding: What does DRR allow us to do that nonverbal organisms can’t?

Day 2- What does RFT have to do with ACT?

  • RFT and rule-governed behavior: Toward psychological inflexibility
  • RFT and the enhancement of human suffering
  • RFT and experiential avoidance
  • RFT and self as context, self as content, & self as process
  • RFT and metaphor
  • RFT and cognitive defusion
  • RFT and valued living

Learning Objectives:

  1. 1. Participants will learn how RFT is related to basic behavioral principles.
  2. Participants will learn the basic concepts of RFT and how they are related to each other.
  3. Participants will learn how RFT informs clinical practice.

Target Audience: Intermediate clinicians.

Registration Rates: Note: Onsite registration is not available for the pre-conference workshops

  • Students: $170
  • Professionals: $305

Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel.

Introductory ACT Workshop- Hayes (CLOSED)

Steve Hayes head shot circa 2007.JPGIntroductory ACT Workshop

Workshop Leader: Steven C. Hayes, Ph.D., University of Nevada

**This workshop has closed.**

Dates & Location: June 19 & 20, 2010, 9:00am - 5:00pm at the University of Nevada, Reno. 

Continuing Education Credits Available: 14

Workshop Description: Acceptance and mindfulness is having a profound impact on clinical practice. Both empirically supported and focused on deep clinical issues, acceptance and mindfulness approaches have been shown to help clients cope with a wide variety of clinical problems, including depression, anxiety, stress, substance abuse, and even psychotic symptoms, with benefits as important for the clinician as they are for clients. ACT has been a leading force in this transition. ACT is based on the idea that psychological suffering is usually caused by experiential avoidance, cognitive entanglement, and the resulting failure to take needed behavioral steps in accord with core values.

This two-day workshop will discuss and demonstrate ACT processes and techniques. You will be taught how to recognize ACT targets in your clients and in yourself, and how to generate methods of intervention that embody those principles and to integrate these with other methods you may prefer. Participants will be shown how embodying, targeting, and using these processes provides a working model of a powerful therapeutic relationship. The workshop will at times be experiential, not merely didactic. The intention of the workshop is to provide clinicians with an introduction to ACT, a beginning set of skills, and with personal experiences that will direct further development of these skills.

Learning Objectives:

Attendees will learn:
1. Why ACT processes underlie most forms of psychopathology
2. How to formulate cases in terms of ACT processes
3. The major steps in ACT
4. How to recognize ACT processes in flight
5. The relevance of ACT processes to the practitioner

Target Audience: Beginner/ Intermediate.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

  • Students: $170
  • Professionals: $305

Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel.

Mindfulness & Meditation ACT Workshop Retreat - Dahl, Fletcher, & Livheim (CLOSED)

Fredrik Livheim. 250kB.jpgLindsay.jpgJOANNE.jpg Mindfulness & Meditation ACT Workshop Retreat

**This workshop has closed.**

Workshop Leader: JoAnne Dahl, Ph.D., University of Uppsala, Lindsay Fletcher, M.A., University of Nevada, Fredrik Livheim, Ph.D., Karolinska Institutet

Dates & Location: June 18, 5:00pm - June 20, 2010, 4:00pm at Camp Galilee [468] in Glenbrook, Nevada, on the shores of Lake Tahoe.

*** Please note (above) that this workshop begins on the evening of June 18th.

Continuing Education Credits Available: 12

Workshop Description: Meditation practice provides the context for deepening all of the core processes of ACT. Learning how to strengthen your own experience of these processes will help you in your personal life and will help you help your client. Learning how to focus in the present moment, take the perspective of the observer self, defuse from thoughts, impulses and feelings, accept experiences, and identify and persist in valued directions, are all practiced in meditation training. The aim of this meditation ACT retreat is to help you to deepen your own experience in these core processes by means of your own meditation practice and learn how meditation practice translates to being present in your relationships. More specifically, participants will learn to: focus attention in the present moment using breathing techniques, defusion from impulses by means of sitting still and observing and sitting still, training in self-as-context by means of body scan technique, and training in acceptance of experiences as thoughts, feelings and or physical sensations. Meditation practice will be combined with and tailored to each of the ACT core processes throughout the retreat. These meditation exercises will be interspersed with ACT exercises focused on building mindfulness skills in relationships.

Learning Objectives:

1. Learn now to strengthen your own experience of the ACT core processes through meditation practice.
2. Learn how to focus your attention, act rather than react, and see impulses for what they are.
3. Train self as context with a body scan technique.

Target Audience: Intermediate & Advanced.

Registration Rates:
Note: Onsite registration is not available for the pre-conference workshops

Students: $200
Professionals: $365

  • Above prices include shared dorm sleeping, 2 breakfasts, 2 lunches, and 2 dinners.

 

Special notes to attendees of this workshop:
This workshop retreat will take place at beautiful external" href="http://galileetahoe.org/gecccpics.shtml">Camp Galilee, on the shores of Lake Tahoe. This is a camp, which means, that you are provided with dorm style sleeping, in single person beds. There will be a men's dorm, and a women's dorm.

Meals are served at 8:00am, noon, and 6:00pm.

What you should plan to bring...

1. Wear comfortable, soft training clothes. I recommend bringing at least one pair of long pants, and one sweatshirt (it can get cool in the evening, and along the water).
2. Bring a meditation pillow.
3. You will need to bring your own sheets/blanket, towel, pillow, toiletries (toilet paper will be provided). (Remember, a pillowcase and your towel can make a great pillow.)
4. You are welcome to bring snacks/ drinks with you to eat during breaks or to supplement your meals. You will be provided with meals, but the meals served are typically intended for younger campers, and depending on your appetite, you may want a little more. (There is not a store within walking distance.)
5. Sunscreen. Tahoe, and Reno for that matter, are at a high elevation with a dry climate, which means that you will get a sunburn far faster than other parts of the world.
6. Optional: Shower shoes (flip-flops), ear plugs, travel alarm, small flashlight, sunglasses.

Getting there...

I highly recommend car pooling or taking the airport shuttle [469] from Reno. (Parking is limited.) Find others to car pool with using the Room Share/ Ride Share page [470]. With just one other person sharing a rental car, it should be less expensive than taking the airport shuttle, so I highly recommend it. If you take the airport shuttle, you'll need to get off the shuttle at a hotel in Stateline, NV, then get a taxi to Camp Galilee (map) [471].

Travel time from Reno to Camp Galilee by car: please allow 1 hour
Travel time from Reno to Camp Galilee if traveling by shuttle: please allow 2 hours

You are allowed to begin arriving at Camp Galilee on Friday, June 18, as early as 4:00pm. We will begin handing out badges/ materials at 5:00/ 5:30pm. Dinner will begin at 6:00pm, with your first workshop session to follow.

Our group must depart Camp Galilee by 4:00pm on Sunday, June 20 (as they will be expecting another group). Remember this is not a hotel, we need to leave Camp Galilee in the same beautiful (and clean) condition it was in when you arrived.

Directions... (map) [471]

From Reno: Take US Highway 395 South through Carson City. South of Carson City turn RIGHT on US Highway 50 West to Lake Tahoe. Pass over Spooner Summit and continue on US 50 toward South Lake Tahoe. As the road approaches the edge of Lake Tahoe and you pass Glenbrook on the right, watch for the Fire Station and Post Office on the Left. Look for green sign saying Galilee with an arrow pointing the way.

From North Lake Tahoe: Take State Route 28 around the east shore of Lake Tahoe. At the intersection with US Highway 50 turn right toward South Lake Tahoe and follow the directions above into Glenbrook

From South Lake Tahoe: Take US highway 50 East toward Carson City. After passing through the tunnel at Cave Rock begin looking for the green sign saying Galilee with an arrow pointing the way.

Physical Address: 1776 Highway 50, Glenbrook, Nevada 89413

Program, June 21-24

VerySmallSizeLogo bluepng.pngBelow is a working list of the sessions that will be presented at the WC8. A complete program will go online as soon as it is complete.

View/download the final World Conference 8 Program [472] (PDF file, 2.86MB)

 

Workshops

Symposia

Invited Events

Panel Discussions

Workshops

 

  • Stress Less, Live More: How Acceptance and Commitment Therapy Can Help You Lead a Busy yet Balanced life --- RICHARD BLONNA, EdD
  • Matrix Workgroups for Adolescents --- SAM FARLEY, MSW, KEVIN POLK, Ph.D.
  • Eating Dialog – An academic program for physician and dietitian using ACT to make the shift from the diet paradigm focuses on weight to the HAES paradigm focuses on well being. --- AYELET KALTER, MSc. RD
  • An Engaging Partnership: Integration of ACT and the Motivational Interviewing Model --- KRISTIN L. DEMPSEY, MFT, Member, Motivational Interviewing Network of Trainers (MINT), Ali Hall, JD, MINT
  • ACT with Depression --- ROB ZETTLE, Ph.D.
  • ACT With Challenging Patients --- KIRK STROSAHL, Ph.D.
  • ACT as a Brief Intervention --- KIRK STROSAHL, Ph.D.
  • RFT Basis of ACT and Third Wave CBT --- LOUISE MCHUGH, Ph.D., IAN STEWART, Ph.D. , NIC HOOPER, EMILY SANDOZ, MS
  • ACT-consistent relaxation techniques: “Body- and Mindfulness” in practice. --- GRACIELA ROVNER, MSc Physical Therapist, Pain Specialist
  • Ongoing Defusion and Deliteralization of Language in ACT --- ZAMIR KORN, Ph.D.
  • Enhancing ACT-Based Contextual Behavioral Supervision --- SONJA V. BATTEN, Ph.D., ROBYN D. WALSER, Ph.D.
  • Improving clinicians' empathy skills with ACT --- MATTHIEU VILLATTE, PH.D, JEAN-LOUIS MONESTES, ROGER VILARDAGA
  • Linking RFT to the Hexaflex: How basic principles apply to clinical issues and ACT techniques. --- MATTHIEU VILLATTE, Ph.D , JEAN-LOUIS MONESTES
  • The Matrix and the Art of Improvisation: Making snap decisions in psychotherapy that work --- KEVIN POLK, Ph.D., & JEROLD HAMBRIGHT, Ph.D.
  • Supporting self-help ACT with e-mail counseling --- KARLEIN SCHREURS, Ph.D., MARTINE FLEDDERUS, MSC
  • Sticky Thoughts & Other Unwanted Experiences --- MARTIN J BROCK, MSc, ROBYN D WALSER, Ph.D
  • Yoga and Mindfulness: Flexibility and strength for body and mind --- GRACIELA ROVNER, MSc Physical Therapist, Pain Specialist
  • ACT-Based Family Intervention for Adolescents with Anorexia Nervosa --- RHONDA M. MERWIN, Ph.D., ALIX C. TIMKO, Ph.D., NANCY L. ZUCKER, Ph.D., Lindsay Martin, BS, Ashley A. Moskovich, BA
  • ACT for Spiritual Development --- HANK ROBB, Ph.D., ABPP
  • Doing ACT While Still Recalling Your A-B-C’s --- HANK ROBB, Ph.D., ABPP
  • Using Acceptance and Commitment Group Training in Vocational Rehabilitation Programs with Special Needs Veterans. --- JOHN P. BILLIG, Ph.D., JOHN MERLADET, Ph.D., DIANE ACORD, MA, CRC, CBIS
  • How to integrate ACT into your existing treatments for OCD --- MICHAEL P. TWOHIG, Ph.D., JEFF SZYMANSKI, Ph.D.
  • ACT in Real Time: A workshop to ACTively Refine your ACT skills --- MARY SAWYER, ROBYN WALSER
  • Standing Your Ground: Why Philosophy Matters for Clinicians --- JOANNE STEINWACHS, LCSW, ARNICA BUCKNER, Ph.D., MATT HEERMAN, M.A.
  • Values and Willingness: New Strategies to Enhance Willingness in ACT Values Work --- MATTHEW MCKAY, Ph.D.
  • ACT Group Treatment for Health Anxiety --- LISBETH FROSTHOLM, Ph.D., TRINE EILENBERG, M.SC.
  • Social Communication and Relational Frame Theory --- LOUISE MCHUGH, MATTHIEU VILLATTE, ROGER VILARDAGA, M.A.
  • ACT according to RFT. Transformation of functions involved in values clarification and defusion. --- CARMEN LUCIANO, Ph.D., FRANCISCO J. RUIZ, MARISA PÁEZ-BLARRINA
  • ACT Training: What is carried forward, what might be left behind, and does it matter? --- DARRAH WESTRUP, Ph.D.
  • Creating Real Behavior Change in Primary Care: Providing ACT for the Masses --- PATRICIA ROBINSON, Ph.D., DEBRA A. GOULD, MD, MPH
  • Using ACT to Enhance Mindfulness and Engagement in Primary Care Practice --- PATRICIA ROBINSON, Ph.D., DEBRA A. GOULD, MD, MPH, KIRK D. STROSAHL, Ph.D.
  • ACT Treatment for Depression in Groups --- KIRK STROSAHL, Ph.D., PATRICIA ROBINSON, Ph.D.
  • The shaping game – using DBT, FAP & ACT for clients with chronic distress --- SANDRA GEORGESCU, PSY.D., Paul Holmes, Psy.D.
  • Experiential Metaphor: The life line --- JOANNE DAHL, Ph.D.
  • An Experiential Journey Through the Matrix --- KEVIN POLK, Ph.D., MARK WEBSTER, BENJAMIN SCHOENDORFF
  • Transformation in Psychotherapy --- BEATE EBERT
  • ACT Noodles in the Soup of Dharma --- JAMES SACAMANO, MD, FRCPC
  • Using Appreciation in ACT --- KELLY WILSON, PH.D, MAUREEN FLYNN, M.A., NADIA LUCAS, B.A.
  • Doing ACT research: An interactive primer for beginners --- JASON LILLIS, Ph.D.
  • Single Case Designs for Clinicians- Bridging the gap between research and practice --- JENNIFER BOULANGER, M.A., MERRY SYLVESTER, M.A.
  • Enhancing Values Work in Psychotherapy: Practical Tools and Exercises --- JOANNE DAHL, Ph.D., JENNIFER PLUMB, M.A.
  • Using the Matrix and FAP tools to conceptualize and strengthen the therapeutic relationship in ACT --- BENJAMIN SCHOENDORFF
  • How do we ACT in teams? --- PETER HEUTS, MD, Ph.D., KARLIN SCHREURS, Ph.D.
  • ACT in the Treatment of Psychosis --- PATRICIA BACH, Ph.D.
  • ACT for Anxious Children, Adolescents, and Families --- LISA COYNE, PH.D, ELIZABETH DAVIS, M.A.
  • Acceptance and Commitment Therapy for Body Image Dissatisfaction: A 3 Hour Clinician's Workshop --- ADRIA PEARSON, Ph.D.
  • RFT and the Self: Theory, Research and Applications --- JENNIFER BOULANGER, M.S., IAN STEWART, Ph.D.
  • Things Might Go Terribly, Horribly Wrong --- KELLY WILSON, PH.D, REGAN M. SLATER
  • The Wisdom to Know the Difference --- TAMI JEFFCOAT, MIKAELA HILDEBRANDT, JAMES YADAVAIA
  • ACT on Happiness?? --- KATHRYN JARDINE, Ph.D.
  • The Basic Behavior Analytic Principles of Psychotherapy --- WILLIAM FOLLETTE, Ph.D., GLENN CALLAGHAN, Ph.D., SABRINA DARROW, M.A., JORDAN BONOW, M.A.
  • ACT in Practice: Case Conceptualization in Acceptance & Commitment Therapy --- PATRICIA BACH, Ph.D., DANIEL J. MORAN, Ph.D., BCBA-D
  • ACT for Safety --- DANIEL J. MORAN, Ph.D., BCBA-D
  • Finding Hope Inside Creative Hopelessness --- JENNIFER BOULANGER, M.A.
  • ACT for Conceptualization, Assessment, and Treatment of Disordered Eating --- EMILY SANDOZ, M.S., KATIA MANDUCHI, NANNI PRESTI, M.D.
  • ACT on Living and Dying: End-of-life, meaning, and mechanisms of longevity --- JENNIFER GREGG, Ph.D.
  • ACT for young adults (16-28 year olds) – ACT used in group format as prevention or an early intervention aimed towards psychological ill-health and stress --- FREDRIK LIVHEIM, clinical psychologist
  • ACT with Young People: Exploring Ways to Create Experiential Exercises --- DR. LOUISE HAYES
  • ACT-Enhanced Behavioral Parent Training --- CLINT FIELD, Ph.D., ANDREW ARMSTRONG, M.S., JESSICA MALMBERG, M.S.
  • ACT for Addiction --- KELLY WILSON, PH.D

Symposia: Symposium title in italics with papers following

  • Further Developments in Measuring Cognitive Fusion --- HELEN BOLDERSTON, DAVID GILLANDERS, Lindsey Campbell, Sian Kerr
  • Clinical validation of the Cognitive Fusion Questionnaire --- HELEN BOLDERSTON, Sue Clarke
  • Further developments of the CFQ in community samples --- DAVID GILLANDERS, Lindsey Campbell, Louise Tansey
  • Cognitive Fusion, Beliefs about Thinking and Rumination in Depression --- DAVID GILLANDERS, Sian Kerr
  • ACT with Students and Educators: A Review of Successes and Challenges --- ANTHONY BIGLAN, ROSA M. VIZCAINO, NADIA LUCAS, TAKASHI MUTO , MICHELLE WOIDNECK, M.A.
  • Evaluation of an Acceptance and Mindfulness Training for Elementary Staff, Educators, and Administrators --- MICHELLE WOIDNECK, M.A., Micheal P. Twohig, Ph.D., Donna Gilbertson, Ph.D., Jesse M. Crosby
  • A Randomized Controlled Trial of an ACT Intervention to Support Teacher Wellbeing --- ANTHONY BIGLAN, Ph.D., LAURA BACKEN JONES, Christine Cody, KATHLEEN FORRESTER, Erika Hinds
  • Deictic framing protocols to increase discrimination of own behavior and reduce maladaptive behavior --- ROSA M. VIZCAINO, Carmen Luciano, Francisco Ruiz, Vanessa Sánchez, Enrique Gil
  • Why Am I In College? Bringing Values to the Classroom --- NADIA LUCAS, Maureen Flynn, M.A., Kelly Wilson, Ph.D., Kate Kellum, Ph.D.
  • Using ACT Bibliotherapy to Reduce Distress Among Japanese International College Students --- TAKASHI MUTO, Ph.D., Steven C. Hayes, Ph.D., Tami Jeffcoat
  • Testing the efficacy of third wave interventions --- LOUISE MCHUGH
  • How deictic relational responding can improve mindfulness skills --- MATTHIEU VILLATTE, Suzy Yardley, Roger Vilardaga, M.A., Jean-Louis Monestès, Louise McHugh
  • Decision making deficits after Acquired Head Injury: Mindfulness as a potential intervention --- LOUISE MCHUGH, Rodger Wood
  • The Role of Mindfulness on the Relations between Disordered Eating-Related Cognition and Psychological Distress --- AKIHIKO MASUDA, Ph.D.
  • Development of a novel mode of service-delivery (PH-ACT) to promote autonomy in socially-isolated older people --- ANDREAS LARSSON, Lisa Osborne, Phil Reed, Louise McHugh
  • Research and Therapeutic Application in the Context of Valued Living --- STEPHANIE L. NASSAR
  • Exploring the Use of the Hexaflex Functional Dimensional Experiential Interview (HFDEI) --- MAUREEN K. FLYNN , Kelly G. Wilson, Ph.D., Kate Kellum, Ph.D., Stephanie L. Nassar, Regan M. Slater
  • Update on Values-Centered Adaptation of The Expressive Writing Paradigm --- STEPHANIE L. NASSAR, Kelly G. Wilson, Ph.D., Kate Kellum, Ph.D.
  • Exploring Values and Present Moment: An Examination of the Sweet Spot Exercise --- REGAN M. SLATER, Kate Kellum, Ph.D., Kelly G. Wilson, Ph.D.
  • ACT and Trauma: New Data and Directions --- VICTORIA FOLLETTE, Ph.D., Chair, ROBYN WALSER, Ph.D., Discussant, SONJA BATTEN, Ph.D., Discussant
  • Experiential Avoidance and Anger in Veterans with PTSD --- SONJA BATTEN, Andrew P. Santanello, m.b. ranucci
  • Mindfulness and Acceptance-Based Group Treatment for Uniformed Services Professionals with Complex Trauma --- JAMES BASTIEN, Barbara Hermann, Dana Moore
  • Acceptance and Commitment Therapy Group Treatment for Veterans with Posttraumatic Stress Disorder --- ALETHEA A VARRA, Tracy L. Simpson, Matthew Jakupcak
  • ACT for Complex PTSD in Trauma Survivors --- VICTORIA FOLLETTE, Ph.D., Devika Ghimire, Jessica Heaton
  • Intensive Outpatient PTSD Treatment --- KEVIN POLK
  • Developing behavioral measures of ACT/RFT processes: An international lab meeting --- Douglas M. Long, TAHASHI MUTO, Ph.D., CHAD E DRAKE, Ph.D., MICHAEL LEVIN, NIC HOOPER
  • Is Interresponse time (IRFT) variability useful for a measurement for psychological flexibility? --- TAHASHI MUTO, Ph.D.
  • IRAPing our Way to Psychological Flexibility --- CHAD E DRAKE, Ph.D.
  • Using derived relations to model thought suppression: Combining cognitive paradigms with behavioral preparations --- NIC HOOPER
  • Testing the Impact of a Brief Acceptance, Mindfulness and Values Intervention on Multiple Features of Task Persistence --- MICHAEL LEVIN
  • Modeling key psychological phenomena using RFT --- LOUISE MCHUGH
  • Modeling the direct and indirect effects of thought suppression on behavioral preference --- NIC HOOPER, Louise McHugh, Ian Stewart
  • Contextual control over non arbitrary relational responding and pragmatic verbal analysis --- IAN STEWART, Ph.D. , Gillian Kelly, Louise McHugh, Dermot Barnes-Holmes, Denis O’Hora
  • Complex hierarchical relational networks: analysis of the transformation of functions --- Enrique Gil , Carmen Luciano, Ph.D., FRANCISCO J. RUIZ
  • Transformation of functions through temporal relations --- Juan C. López, CARMEN LUCIANO, Francisco J. Ruiz
  • ACT for the Spectrum of Body-Image and Disordered Eating-Related Concerns: Theory, Assessment, and Practice --- AKIHIKO MASUDA, Ph.D.
  • The Validation of Italian Version of Body Image Acceptance and Action Questionnaire (BIAAQ) --- ELISA RABITTI PsyD, Katia Manduchi PsyD, Giovanni Miselli PsyD, Giovambattista Presti MD, Paolo Moderato PsyD
  • The Role of Psychological Flexibility in the Relations between Eating Disorder-Related Cognition and Psychological Distress Specific and Non-specific to Disordered Eating Spectrum Problems --- AKIHIKO MASUDA, Ph.D., Johanna W. Wendell
  • Acceptance and Commitment Therapy for Obesity and Weight Management: A Preliminary Investigation --- Giovambattista Presti, MD, Katia Manduchi, Psy D, FRANCESCA SCAGLIA, Psy.D., Giovanni Miselli, Psy. D, Elisa Rabitti, Psy.D
  • Mindfulness and Acceptance and Commitment Therapy in Eating Disorders Treatment: A Single Case Study --- SARA BORELLI, Psy D, Ronchei, M. Psy
  • Acceptance and Commitment Therapy in Eating Disorders: Clinical Practice with a complex case --- KATIA MANDUCHI, Psy.D, Giovambattista Presti, MD, Giovanni Miselli, Psy.D, Elisa Rabitti, Psy.D
  • Psychological Health/Flexibility in the context of Behavioral Medicine --- AKIHIKO MASUDA, Ph.D.
  • Pain Intensity, Psychological Inflexibility, and Acceptance of Pain as Predictors of Functioning in Adolescents with Juvenile Idiopathic Arthritis --- Amanda B. Feinstein, Evan M. Forman, AKIHIKO MASUDA, Ph.D., Lindsey L. Cohen, James D. Herbert
  • Pain Intensity, Psychological Inflexibility, and Acceptance of Chronic Illness as Predictors of Quality of Life in Adolescents with Sickle Cell Disease --- Lindsey Cohen, AKIHIKO MASUDA, Ph.D., Amanda B. Feinstein, Josie Welkon, Kevin E Vowles
  • Emotional awareness and acceptance predict coping with cancer screening and protect mental health --- JODIE LANDSTRA, M.A., JOSEPH CIARROCHI, Ph.D., Frank Deane, Ph.D., Leon Botes, Richard Hillman
  • From Basic Science to Clinical Application: Empirical Advances in ACT Research with Children and Families --- LISA W. COYNE, CHAIR, AMY R. MURRELL, DISCUSSANT, ALYSHA D. THOMPSON, JASON J. BENDEZU, MELINDA I. MORRILL
  • ACT-Relevant Constructs in Child Therapy Process: The Role of Child Experiential Avoidance, Willingness, and Safety Seeking Behaviors in a Family-Based CBT for Young Children with OCD --- ELIZABETH DAVIS, EVAN R. MARTINEZ, Lisa W. Coyne, Angela M. Burke, Abbe M. Garcia
  • Experiential Avoidance of Parenting Questionnaire (EAP): Development Study --- MELINDA I. MORRILL, Katy Crowe, James V. Cordova
  • Maternal Emotion Regulatory Strategy Mediates Maternal Depression and Child Internalizing Problems --- ALYSHA D. THOMPSON
  • Maternal Avoidant Emotion Regulation and its impact on Emotion Regulation in Early Childhood --- JASON J. BENDEZU, Angela M. Burke, Jaclyn Jenkins, Evan Martinez, Mia Bensouda
  • ACT and RFT Analog Component Research --- JARED DILLOW, B.S., J.T. Blackledge, Ph.D., NIC HOOPER, LOUISE MCHUGH, Ph.D., MARISA PÁEZ-BLARRINA, AKIHIKO MASUDA, JOHANNA W. WENDELL, AMANDA B. FEINSTEIN, & SHAWN SHEEHAN
  • The Effects of Cognitive Defusion vs Restructuring on Distress --- JARED DILLOW, B.S., J. T. Blackledge, Ph.D.
  • Thought suppression versus defusion in the mitigation of learned helplessness --- NIC HOOPER, LOUISE MCHUGH, Ph.D
  • A RFT analysis of the verbal processes involved in acceptance, suppression, and distraction --- MARISA PÁEZ-BLARRINA, Carmen Luciano, Olga Gutiérrez-Martínez, Francisco J. Ruiz, Ph.D., Sonsoles Valdivia-Salas
  • Cognitive Defusion versus Thought Distraction: A Clinical Rationale, Training, and Experiential Exercise in Altering Psychological Impacts of Negative Self-Referential Thoughts --- AKIHIKO MASUDA, Ph.D., Johanna W. Wendell, Amanda B. Feinstein, Shawn Sheehan
  • Implementing ACT Online: Past and Future Projects --- MICHAEL LEVIN
  • Supporting people diagnosed with cancer: Developing an ACT intervention for the internet --- JOSEPH CIARROCHI
  • Strategies and difficulties in building, administering and testing ACT based and CBT based podcasts in a university counseling project. --- ANNA BIANCA PREVEDINI, M.A. , Giovanni Miselli, Psy. D., Francesco Pozzi, M.S., Elisa Rabitti, M.A., Giovanbattista Presti, M.D.
  • The Red Room: ACT interventions on television and online in the Netherlands --- ANDO ROKX, Msc
  • Smoking cessation and prevention of mental health problems: Discussing two ongoing projects --- MICHAEL LEVIN, Jacqueline Pistorello, Ph.D., Steven C. Hayes, Ph.D., John Seeley, Ph.D., Jennifer Plumb, M.A.
  • Developing ACT-based web treatment for Eating Disorders --- PÄIVI LAPPALAINEN, MA, Marja Koskinen, Raimo Lappalainen
  • Perspectives on Applied Clinical Processes Involved in Compassion-Focused Psychotherapy Techniques in ACT --- DENNIS TIRCH, Ph.D., Chair, KELLY WILSON, Ph.D., Discussant
  • An ACT-Consistent, Compassion-Focused Intervention for Generalized Anxiety Disorder --- DENNIS TIRCH, Ph.D., Chair
  • Different Roads, Same Direction: DBT and ACT Processes --- JENNIFER TAITZ, Ph.D., Dennis Tirch, Ph.D., Robert Leahy, Ph.D.
  • Relationships among Emotional Schemas, Psychological Flexibility, Dispositional Mindfulness, and Emotion Regulation --- LAURA SILBERSTEIN, Ph.D., Dennis Tirch, Ph.D., Robert Leahy, Ph.D.
  • Applied ACT and RFT processes relevant to self-compassion --- BENJAMIN SCHOENDORFF, M.A.
  • Leadership in Times of Change --- RAMONA HOUMANFAR, PH.D, Chair, IAN STEWART, Ph.D., Discussant
  • The Additive Impact of Values Clarification Training to an Online Goal Setting Module on Academic Performance and Student Retention Rates --- JARED CHASE, M. A., RAMONA HOUMANFAR, PH.D., JENNIFER C. PLUMB, TODD A. WARD, M. A.
  • The Potential Role of Motivative Augmentals in the Analysis of Cooperative Behavior in Organizations --- SHARLET RAFACZ, M. A., RAMONA HOUMANFAR, PH.D.
  • Psychological Flexibility and Innovative Leadership --- TODD A. WARD, M. A., RAMONA HOUMANFAR, PH.D
  • Functional Eclecticism: Four Conversations about Complex Behavior --- CHAD E DRAKE, Ph.D.
  • The Treachery of Language: Do Emerging Artistic Styles throughout Human History Parallel the Pattern of Relational Frame Development for the Individual? --- DANIEL J. MORAN, Ph.D., BCBA-D, Julie L. Giampaolo
  • Pulling the listener into the present moment: Using a self-assessment of verbal behavior to drive conversations that make a difference --- SCOTT A. HERBST
  • Transforming The Matrix into a Measure of Psychological Flexibility --- BENJAMIN SCHOENDORFF, Benjamin Putois
  • Fooling around with Definitions of Psychological Flexibility --- CHAD E DRAKE, Ph.D.
  • Taking it Out of the Box: Multilevel ACT/RFT Applications inside Clinical Behavior Analysis --- MERRY SYLVESTER, MA
  • An Investigation of Language-Building Procedures on Derived Relations of Coordination and Distinction: Implications for Comprehension. --- KENDRA RICKARD, MA, BCBA, Kimberly Nix-Berens Ph.D., BCBA-D, Patrick Ghezzi, Ph.D., BCBA-D, Tiffany Humphreys
  • Improving Social Skills by Building Fluency on Deictic Framing and Relevant Relational Classes --- DONNY NEWSOME, MA, W. Larry Williams, Ph.D., BCBA-D
  • The Implicit Relational Assessment Procedure (IRAP) in an Organizational Context: An Initial Field Study --- THOMAS G. SZABO, MA, BCBA, Merry Sylvester, MA, W. Larry Williams, Ph.D., BCBA-D
  • Taking the Barrier with You: An ACT Group Treatment to Improve Behavior Plan Compliance Among Parents of Children with Autism and Developmental Disabilities. --- MERRY SYLVESTER, MA, Ashley Greenwald, MA, Thomas G. Szabo, MA, BCBA, Donald Jackson, Ph.D.
  • Speaking across islands: Building communication between ACT and other approaches to clinical psychology --- MATTHIEU VILLATTE, PH.D
  • ACT, RFT, & “Conventional” Behavior Analysis: Bridges, Gaps, and Group Hugs --- JOHN T. BLACKLEDGE, Ph.D.
  • Integrating CBT and ACT --- JOSEPH CIARROCHI, Ph.D.
  • Humanists and ACT --- HANK ROBB, Ph.D.
  • Perspectives on Perspective Taking --- ROBERT D. ZETTLE, Ph.D., Chair, JASON LUOMA, Ph.D., Discussant
  • Who Am I Now?: Perspectives on Self Following a Disabling Injury. --- MERRY SYLVESTER, MA , Steven C. Hayes, Ph.D.
  • Enhancing Self as Context and Pain Tolerence --- NAKISHA CARRASQUILLO , Robert Zettle, Ph.D
  • Developing a Spirituality Inventory --- SUZANNE GIRD , Robert D. Zettle, Ph.D. , Debra Renollet , Blake K. Webster , Britania Latronica
  • Associations among Deictic Relational Responding, Empathy, Experiential Avoidance and Social Anhedonia in a sample of College Students --- ROGER VILARDAGA, M.A. , Ana Estévez , Michael Levin , Steven C. Hayes, Ph.D.
  • Positive growth without Pollyannas thinking: Integrating ACT with Positive Psychology interventions --- JOSEPH CIARROCHI, Ph.D. , TODD KASHDAN, Ph.D.
  • New Directions in ACT for Addiction ---
  • Telephone-delivered Acceptance & Commitment Therapy (ACT) for adult smoking cessation: A feasibility study --- JONATHAN BRICKER, Ph.D.
  • The role of brief residential programs in alcohol addiction treatment: presentation of an ACT consistent program --- GIOVANNI ZUCCHI, Psy.D. , Giovanni Miselli, Psy.D. , Elena De Bernardis, Psy.D.
  • Mindfulness and Acceptance Processes in Relation to Weight-Related Difficulties and Diabetes ---
  • Experiential avoidance and obesity: A random population study of adult women. --- CAROLINE HORWATH, Ph.D., Clara Madden, Sookling Leong
  • Understanding values associated with weight control problems among Finnish obese subjects --- PÄIVI LAPPALAINEN, MA, Essi Sairanen, Henna Tuomela
  • Psychological Inflexibility and Symptom Expression in Anorexia Nervosa --- RHONDA M. MERWIN, Ph.D., Ashley Moskovich, Nancy L. Zucker, Ph.D.
  • The role of thought believability in the relationship between depression, diabetes, and stress. --- ERIC SCHMIDT, B.A., Kate Ward, Jennifer Gregg, Ph.D.
  • The Influence of Summer Camps for Adolescents with Type 1 Diabetes Mellitus on Acceptance of Chronic Disease --- ELISA RABITTI, PsyD, Valerio Miselli, MD, Tosca Soprani, MD, Giovanni Miselli PsyD, Giovanni Zucchi PsyD, Paolo Moderato PhD.
  • Assessment of Mindfulness and Acceptance Processes in ACT ---
  • Mindfulness and Experiential Avoidance as Predictors of Posttraumatic Stress Disorder Avoidance Symptom Severity --- BRIAN L. THOMPSON, Ph.D., Jennifer Waltz, Ph.D.
  • Measuring cognitive fusion and defusion in depression using a modified Dysfunctional Attitudes Scale. --- BRIAN KEARNEY
  • Continuing Assessment of the Bullseye Survey of Valued Living --- JOHN T. BLACKLEDGE, Ph. D., Cory Ruffing, Jennifer Taylor
  • What is the Role of Self in ACT and Mindfulness? Are the Two Accounts Similar in this Regard? --- MAIREAD FOODY, Yvonne Barnes-Holmes, Dermot Barnes-Holmes
  • New Interventions and Applications of ACT ---
  • Preliminary results from the Lifengage trial - a randomised controlled trial of acceptance and commitment therapy for medication-resistant psychosis  --- JOHN FARHALL, Ph.D., Neil Thomas, Frances Shawyer
  • The role of values in suicidal patients --- GIOVANNI ZUCCHI, Psy.D., Annalisa Oppo, Psy.D., Giovanni Miselli, Psy.D.
  • Acceptance and Commitment Therapy for Treatment-Severe and Resistant Obsessive-Compulsive Disorder: A Case Study --- MASSIMO RONCHEI, Psy.D
  • A four session Acceptance and Commitment Therapy for depression --- RAIMO LAPPALAINEN, Ph.D., Elina Timo, Aino Kohtala
  • Interventions to Foster Resilience and Psychological Flexibility in Non-Clinical Populations ---
  • ACT on stress: The efficacy of ACT for reducing stress and improving the quality of therapy in clinical psychology interns. --- MS JEANIE STAFFORD-BROWN, Kenneth I Pakenham
  • Evaluation of an ACT Resilience Intervention for Adults --- KENNETH PAKENHAM, Ph.D, Nicola Burton, Ph.D., Wendy Brown, Ph.D.
  • Parenting, Families, and Couples: ACT Applications ---
  • Acceptance and Commitment Therapy as a Treatment for Couple Dysfunction: the six core ACT processes in relationship issues. --- MASSIMO RONCHEI, Psy.D
  • Treatment of Pediatric Obsessive Compulsive Disorder: Utilizing Parent-Facilitated Acceptance and Commitment Therapy --- JENNIFER YARDLEY
  • Acceptance and action or experiential avoidance in parents: can temperament make a difference? --- ELDA ANDRIOLA, PSY.D, GIOVANNI MISELLI, PSY.D, Georgianna G. Gardner, Psy.D

Invited Events

  • Training and Assessment of Relational Precursors and Abilities (TARPA): Preliminary findings and future directions --- IAN STEWART, Ph.D.
  • Pillars and Posts and Arches, Oh Boy!: What's Up With This Response Style Business Anyway? --- KIRK STROSAHL, Ph.D.
  • For the Benefit of My Patients, A Family Physician's Journey into ACT --- DEBRA A. GOULD, MD, MPH
  • Many Hands: Raising the Single-Case Design Collaboration! --- KELLY KOERNER Ph.D.
  • Translating the Progress in Contextual Behavioral Science into the Creation of More Nurturing Cultures --- ANTHONY BIGLAN, PH.D.
  • Balancing Clinical Innovation with the Imperative to Utilize Best Available Practices --- JAMES HERBERT, PH.D.
  • Using the Hexaflex Model to Develop Depth in a Dynamic ACT Conceptualization --- BRENT G. RYDER, M.S., MELISSA ROWLAND, M.A., D.J. MORAN, PH.D, BCBA
  • The client's perspective on a preliminary brief group intervention for chronically depressed treatment resistant people. --- DR JACOPO PISATURO, MARK WEBSTER
  • Multi professional pain rehabilitation based on ACT principles. --- PER-OLOF OLSSON, LENA THERMAENIUS-SPÅNGMARK, Åsa Storkamp, Anna-Maria Weingarten
  • Cultivation is not control: Broadening and Building on ACT --- TAMARA LOVERICH, Ph.D., Eric Miller, M.A, Sarah Wice, M.A.
  • Dissemination of Acceptance and Commitment Therapy for Depression in the Veterans Health Administration --- BRADLEY KARLIN, Ph.D., ROBYN WALSER, Ph.D.

Panel Discussions

  • ACT Peer Consultation Groups: Opportunities for Learning and Supporting --- JONATHAN BRICKER, Ph.D., JOEL GUARNA, Ph.D., TRYM JACOBSEN, Cand.psych, SANDRA GEORGESCU, Psy.D, MATTHEW SMOUT, Ph.D.
  • ACT Based Preventive Programming on College Campuses --- CHARLES MORSE, MA, LMHC, JACQUELINE PISTORELLO, Ph.D., MICHAEL LEVIN
  • Special Issues in ACT Supervision: Training, Trauma, and Context --- VICTORIA FOLLETTE, RAIMO LAPPALAINEN, IRMELI SILTAKOSKI
  • Evolving as an ACT trainer: What is working and where are we going? --- JOEL GUARNA, Ph.D., KEVIN POLK, Ph.D., GIOVANNI MISELLI, PsyD, JEAN-LOUIS MONESTES
  • ACT/CBS Chapters: Serving Regional Needs of Clinicians, Scientifists, and Clients --- JONATHAN B. BRICKER, Ph.D., GIOVANNI MISELLI, Psy.D, CARMEN LUCIANO, Ph.D., JOSEPH CIARROCHI, Ph.D., JENNIFER PLUMB, M.A.
  • ACT and the Full Spectrum of Disordered Eating: Challenges and Possibilities --- C. ALIX TIMKO, Ph.D., RHONDA MERWIN, Ph.D., NANCY ZUCKER, Ph.D., EMILY SANDOZ, MS, RAIMO LAPPALAINEN, Ph.D., MATTHEW BOONE, LCSW-R, ADRIA PEARSON, Ph.D., CARLA WALTON, B.Sc, D.Psyc.
  • Surfing the Learning Curve: ACT, RFT, and Functional Contextualism --- MATTHEW BOONE, LCSW-R, KEVIN POLK, Ph.D., JOANNE STEINWACHS, LCSW, KELLY MINOR, Ph.D., ROB ARCHER, MSc , CATHY STONE, MSW,LISW-CP
  • Implementing ACT in Large Clinical Institutions --- P. R. MITCHELL, B.S., MICHAEL P. TWOHIG, Ph.D. , DON HEBERT, Ph.D., LMFT, TERA L. LENSEGRAV-BENSON, Ph.D. , SONJA V. BATTEN, Ph.D., ANDO ROKX, Msc, GRANT CLOWERS, MSW, PAUL R. BENSON, Ph.D.
  • Reconstructing Measurement Theory From a Contextualist Perspective --- KELLY WILSON, PH.D , FRANK BOND, PH.D, JOSEPH CIARROCHI, PH.D, STEVEN HAYES, PH.D, MICHAEL BORDIERI, M.S., Chair
  • Efficacious and effective practice: from clinical trials to everyday therapeutic routine. A panel discussion --- GIOVAMBATTISTA PRESTI, JENNIFER PLUMB, M.A., MICHAEL TWOHIG, KELLY KOERNER, Ph.D., JOSEPH CIARROCHI, Ph.D.
  • Toward a contextual neuroscience? --- BENJAMIN SCHOENDORFF, STEVEN HAYES, PH.D, LINDSAY FLETCHER, M.A.
  • Analysis of “Intrapersonal” Psychological Processes from an “Interpersonal” Perspective --- JORDAN T. BONOW, M.A., GLENN CALLAGHAN, Ph.D., BARBARA KOHLENBERG, Ph.D., WILLIAM C. FOLLETTE, Ph.D.
  • Contributions of a Contextual Behavioral Approach to the Assessment and Treatment of Trauma --- JORDAN T. BONOW, M.A., VICTORIA M. FOLLETTE, Ph.D., ROBYN D. WALSER, Ph.D., SONJA V. BATTEN, Ph.D., ALETHEA VARRA, Ph.D., WILLIAM C. FOLLETTE, Ph.D.
  • Developments in RFT --- STEVEN C. HAYES, Ph.D., KELLY G. WILSON, Ph.D., IAN STEWART, NIGEL VAHEY, LOUISE MCHUGH
  • ACT and RFT --- CARMEN LUCIANO, Ph.D., KELLY G. WILSON, Ph.D., STEVEN C. HAYES, Ph.D., JOHN T. BLACKLEDGE, Ph.D., LOUISE MCHUGH
  • IRAP round table: Relational Frame Theory is more “Cognitive” than Mainstream Social-Cognitive Psychology: How Weird is That? --- DERMOT BARNES-HOLMES (via WebConference), NIGEL VAHEY, CHAD E DRAKE, Ph.D., IAN STEWART
  • Where is the field going in the treatment of anxiety disorders? --- MICHAEL TWOHIG, Ph.D., TODD KASHDAN, Ph.D., JEFF SZYMANSKI, VICTORIA FOLLETTE, Ph.D., JAMES HERBERT

Registration & Fees

We have CLOSED REGISTRATION for the World Conference; our venue is full!

(Onsite registrations can not be accepted.)

We apologize in advance for any inconvenience.


 

World Conference

World Conference VIII (June 21-24, 2010):

  • Students: $220
  • Professionals: $420

Above prices include 4 lunches, 1 dinner, coffee/tea on site, 1 opening cocktail reception (June 20), as well as transportation to/from the conference hotel and conference venue.

Pre-Conference Workshops

2 Day Workshops (June 19-20, 2010)

  • Students: $170
  • Professionals: $305

Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel.

FAP Workshop (June 19-20, 2010)

  • Students: $195
  • Professionals: $325

Above prices include 2 lunches, coffee/tea on site, as well as transportation to/from the conference hotel.

Mindfulness & Meditation ACT Workshop Retreat (Lake Tahoe, evening June 18- June 20, 2010)

  • Students: $200
  • Professionals: $365

Above prices for the Meditation Retreat include shared dorm sleeping, 2 breakfasts, 2 lunches, and 2 dinners.

 

Regular and Onsite (Late) Registration:

  • Online registration will end June 1, 2010. (Due to catering deadlines.)
  • Onsite (Late) registration fees will be the regular registration fees plus $100.
  • No onsite registration is available for the World Conference or any pre-conference workshops.

Refunds:

A $25 processing fee will be charged for World Conference & Pre-conference registration refunds up to June 1, 2010. We regret that after June 1, 2010, refunds can not be made.

Enrollment limitations:

Enrollment may be limited due to the limitation of our venue to accommodate additional sessions and attendees.

Reno Conference Maps

General Reno Information [430]

University of Nevada Campus Map [454]
We'll be in the Joe Crowley Student Union (building number 087, near the very center of campus).

University of Nevada Parking Map [455]

Sierra Spirit Route Map [446]
This is a free public bus that you can ride, every 10 minutes, between the University and downtown between 7:00am and 7:00pm every day.


View World Conference VIII [473] in a larger map

Reno Dining

Reno is home to a vast selection of diverse dining experiences.

 

Walkable from Campus/Silver Legacy:

Archie's

N. Virginia St (just north of campus)

College atmosphere with beer, burgers and pub food. Price Range: $5-10

Chocolate Bar

California Ave and Arlington St

SoHo-style bar serves up creative martini concoctions and offers a small selection of well-crafted appetizers, entrees and desert options. A local favorite is the chocolate fondue. Price Range: $10-20

Beaujolais Bistro

130 West Street

This charming country French bistro is set ½ a block from the riverfront with carefully prepared entrees and a friendly atmosphere. It is satisfying, classy, and a local favorite for dinner! Entrees: $20+

Blue Moon

California Ave and Virginia St

Gourmet pizza options are creative and filling and served in a hip pizza parlor atmosphere. Slices and full pizzas available. 

Louis’  Basque Corner

301 E. 4th Street

Family style seating and food from the Basque country. Simple comfort food and wine served in humble surroundings. Menu is evening specials. Price Range: about $20

Nugget Diner

233 N. Virginia Street (about 1/2 block south of the Reno Arch)

This is one of those completely unhealthy, but famously yummy greasy spoons. The "Awful Awful" burger & fries (more than you could ever eat), and "The Hangover Omelet" (served with a Bloody Mary) are probably their most famous meals, but they have all kinds of American food.  If no seats during peak hours, you can always elbow your way to the counter and get it to go. Open 24 hours; breakfast served anytime; Cash Only. Price Range: $4-$9

Peg’s Glorified Ham and Eggs

420 South Sierra Street

Yummy breakfast and lunch options with Texas-sized portions. Price: $8-15

Sterling’s Seafood Steakhouse

Inside the Silver Legacy

Sterling’s opens at 5 p.m. and reservations are recommended and can be made by calling 775-329-4777. Outstanding and unique steak and seafood finely presented.

La Famiglia Ristorante

180 E. 1st Street

Homemade pasta, creative daily specials, and an extensive wine list make this family-owned and cozy Italian restaurant a worthwhile visit. Entrees: $20+

Harrah’s Steak House

Inside Harrah’s Casino

The finest “old school” steak house in Reno. Bring your wallet and your appetite. Bring fire to the table by ordering Diablo Coffee with your dessert. Entrees: $30+

Silver Peak

135 N Sierra St 89501. 

This microbrewery boasts the “best suds in town”(with seasonal specials) and offers a creative pub-style menu with large portions and includes items as humble as hot wings and as sophisticated as pistachio crusted salmon. Prices from $8-$20, and excellent happy-hour choices.

Wild River Grille 

17 S. Virginia St

Wide-ranging menu options appeal to any taste and serves good food at affordable prices. This restaurant boasts patio seating along the Truckee River in downtown Reno. Lunch: $10. Dinner: $20.

Zagol Ethiopian Restaurant 

855 E. 4th St

If you are looking for something a little different, Ethiopian fare is a bright and delightful alternative to the burger or pasta platter. For those unfamiliar, most dishes are served with a light and fluffy sponge-like bread instead of utensils - don't be afraid to get your hands dirty for this delicious treat!

Entrees: $10+

Buffets:

Looking for a buffet downtown? Plan wisely, depending on the time of day & day of the week your wait can be 15 - 90 minutes, but some of them are worth it.  In the downtown area I would try The Buffet (Eldorado) or Carvings Buffet (Harrah's).

Looking for a seafood buffet? Most only have seafood on Friday and/or Saturday night, however Carvings Buffet (Harrah's) and the Lodge Buffet (inside Grand Sierra Resort, near the airport) have snow crab nightly. 

 

Here are some favorites of the lab students, a listing of local favorites, a sample of fine-dining Reno hotspots, and a more complete list of choices within 10 minutes of downtown Reno.

The Wolfpack Labbie Picks for Eating in Reno:

Lillis' Pick: Silver Peak

135 N Sierra St 89501. 

This microbrewery boasts the “best suds in town”(with seasonal specials) and offers a creative pub-style menu with large portions and includes items as humble as hot wings and as sophisticated as pistachio crusted salmon. Prices from $8-$20, and excellent happy-hour choices. The original location (1 mile south of downtown): 124 Wonder Street 89502. (Sierra location walkable from hotel).

Doug (Doogie)'s  Pick: Bangkok Cuisine

55 Mount Rose St 89509.

Well known in Reno for its delicious Thai food.  It gives filling portions at very reasonable prices. We recommend the Pad Thai. (A short cab ride away).

Jamie's Pick: India Kabab and Curry

1091 S. Virginia Street 89502

Good, vegetarian-friendly Indian food (especially saag paneer). You never have to wait for a table, and there is a lunch buffet for $8.95 that will only satisfy. Truly a no-holds-barred orgiastic gustatory experience! Entrees $8.95 - $12.95. (A short cab ride away)

Jenn (Boo)'s Pick: Pneumatic Diner

501 W. 1st St. 89503

Vegetarian comfort food. Nothing fancy and very small.  A healthier, hipper version of the classic greasy spoon. Don't be afraid to wait for a seat – it's worth it! Prices: $5-12. (Walkable from hotel).

Mistress Merry's Pick: El Adobe

55 W Arroyo St 89509

El Adobe serves excellent Mexican food, and the best mole rojo sauce in Reno. They boast world-class tequila selections for their killer margaritas. You will enjoy the traditional Mexican atmosphere with friendly staff. One of our labbies might fly back to Reno just for the mole enchiladas! Plates range from $8.00 to $15.00. (A short cab ride away).

Jen (Hum)'s Pick: Sup

719 S Virginia St 89501

 This stylish hole-in-the-wall offers tempting salads, sandwiches, and scrumptious homemade soups that won't dent the budget. At dinnertime this casual lunch place transforms into a swanky but homey establishment with dinner options available for more discerning tastes. Lunch: $7-15, Dinner: about $25. (A very short cab ride away).

Lindsay (Fletch)'s Pick: Bertha Mirada's

336 Mill St. 89501

Mexican food at its best. Comfortable, open setting with traditional Mexican atmosphere puts you in the mood for a margarita and home-made tortilla chips.  Reasonably priced.  Family friendly. Entrees: $10-15.  (A very short cab ride away).  
 
Tuna's Pick: Stone House Café

1907 S Arlington Ave 89509.

A European style, fine dining café with an interesting selection of items. Indoor and patio seating. Open for breakfast, lunch, and dinner. Entrees: $8-18. (A short cab ride away).

Mikaela (Mac)'s Pick: Newman's Deli

20 California Ave 89509.

A local favorite and very busy at lunch.  A fast-paced counter serves up a killer sandwich and some of the best Pastrami in town. Price: $5-10. (A very short cab ride/long walk away).

Mike (Soup)'s Pick: The Golden Flower

205 W. 5th St 89503.

A humble Vietnamese place with delicious down-to-earth Pho for the starving student’s budget. Price: $5-12. (Across  from hotel).

Tami's Pick: The Little Waldorf Saloon

1661 N Virginia St 89503.

Pizzas, burgers, sandwiches, beer and Wolfpack history. Located just across the street from campus, the “Wal” probably fed your elders if they lived in Reno. The menu also includes some cool items outside the ‘bar’ box. Price: $5-12. (Across from campus).

  

Fine Dining a short cab-ride away:

Rapscallion Seafood House and Bar:

1555 S. Wells Ave  89509

This place has served reliably great seafood in Reno for years. Seafood, steaks, old-New-England-style ambiance, and an outstanding wine list. Open for lunch and dinner.  Price: $15+

4th St. Bistro

3065 W. 4th St 89523.

Excellent French-inspired cuisine. Contemporary fresh, sustainable, local, seasonal, with most of the menu featuring local, organic farm produce. Open for dinner Tuesday through Saturday from 5 pm. Reservations recommended - (775) 323-3200‎. Entrees: $20+

Sezmu

670 Mount Rose St

One of the hipper fine dinning favorites in Reno.  Each dish is made with love and more than a  touch of flair. Open California ambiance and extensive house-designed cocktail and wine selections make this experience truly satisfying.  Reservations recommended - (775) 327-4448‎. Entrees: $25+

Lulu's Restaurant

1470 S. Virigina St 89502

Carefully crafted cuisine worthy of the big-city. Seasonal specials and an excellent wine selection highlights this cozy establishment. Reservations recommended - (775) 329-9979‎. Entrees: $25+

Charlie Palmer’s Steakhouse and Fin Fish

2500 E 2nd St

Inside the Grand Sierra Resort

These two fine options are located together inside the Grand Sierra Resort (formerly the Hilton hotel). The steaks and wine list are superb and, in each of Palmer’s places, the menu is a work of delicious culinary creativity. Entrees: about $30

Reno/ Tahoe Attractions

Reno Attractions

www.visitrenotahoe.com [430] for additional options!

UNIVERSITY OF NEVADA AREA

Fleischmann Planetarium and Science Center 
1650 N. Virginia St. 
University of Nevada, Reno 
http://planetarium.unr.edu/index.html [474]

Showtime hotline: (775) 784-4811, Business office: (775) 784-4812

The planetarium’s uniquely shaped building, officially termed a “hyperbolic parabaloid,”  was designed by famed Reno architect Ray Hellman, and is now listed on the National Register of Historic Buildings. It houses: 
• An exhibit hall with changing hands-on displays 
• A 30-ft. diameter, 60-seat theater with both a state-of-the-art digital star projector and a large-format film projector, as well as a powerful surround-sound system 
• A gift shop stocked with high-quality science-related toys, clothing, software, and books 

Nevada Historical Society Museum

1650 N. Virginia St.

University of Nevada, Reno

Phone: (775) 688-1190

http://museums.nevadaculture.org/ [475]

As the oldest museum in the State of Nevada, the Society's museum collection consists of more than 15,000 artifacts and works of art. The permanent exhibition on Nevada history illustrates the highlights of the state's history, including the lives of the earliest inhabitants of the Great Basin, the desert stretches of the Immigrant Trail, the Comstock era, the effects of Nevada's liberal marriage and divorce laws, and the rise of the gambling industry.

DOWNTOWN AREA

Nevada Museum of Art

160 West Liberty St.

Phone: (775) 329-3333

www.nevadaart.org [433]

The Nevada Museum of Art is the only accredited art museum in the state of Nevada. The Museum features 15,337 square feet of gallery space, museum store and Café Musée, as well as ground level and rooftop sculpture galleries offering views of Reno’s skyline as well as the Sierra Nevada mountain range. The Permanent Collection consists of over 2,000 works of nineteenth through twenty-first century art and is divided into five focus areas that are unified by an overarching focus on natural, built and virtual environments.

Wingfield Park

First & Arlington Streets

http://visitreno.com/parks/wingfield.php [476]

Wingfield Park occupies two islands in the Truckee River as well as some land along the banks. Within and around the park, you can find picnic shelters, barbeque, basketball courts, an ampitheater, pathways and trails along the Truckee River. It's a great place to relax if you're in the downtown area. Surrounding the park are some charming restaurants, stores, and coffee shops. The Pioneer Center for the Performing Arts and Brucka Theater (see below) as well as the Riverview Movie Theater are all within walking distance.

Reno Arch

The iconic Reno Arch spans N. Virginia St. between 2nd and 3rd Streets right in the heart of the casino glitz. Although the Arch enshrines Reno’s distinction as “The Biggest Little City in the World,” it does not make any reference to functional contextualism. Visit the surrounding casinos and drop some money in the slots so that we have some tax money for education.

National Automobile Museum: The Harrah Collection

10 South Lake St.

www.automuseum.org [432]

Phone: (775) 333-9300

A place where time, culture, beauty, history, human invention, ingenuity, and frivolity merge to fascinate us in the form of cars. Voted one of the top ten automobile museums in the country and the best 16 in the world, the National Automobile Museum houses an astounding collection, where visitors can explore decades of intriguing automobiles, stroll down period-style street scenes and stand inches from cars once owned by the rich and famous.

Pioneer Center for the Performing Arts

100 South Virginia Street

Phone: (775) 686-6600

http://www.pioneercenter.com/index.htm [477]

The Pioneer Center is the home of our area’s most prominent performing arts organizations: Broadway comes to Reno, Reno Philharmonic Orchestra [478], Nevada Opera Association [479], Roman" size="3">A.V.A. Ballet Theatre [480], Reno Concerts [481].

Bruka Theater

99 N. Virginia St.

Phone: (775) 323-3221

http://www.bruka.org/Index.html [482]

The seats in the Bruka theater are actually couches, making for a casual and intimate theater experience. Call or visit the Web site to see what’s playing.

ADDITIONAL FAMILY FUN

Wild Island Family Adventure Park

250 Wild Island Court, Sparks

www.wildisland.com [483]

With a water park, go-karts, mini-golf, bowling, birthday parties and group parties - at Wild Island there is something fun for everyone. During the summer months, Wild Island’s water park has everything from daredevil slides, to the kiddy areas for the tamer adventure. Take a dip in the wave pool, or float the afternoon away on an inner tube. If miniature golf is your thing, Wild Island’s links are some of the best in the region, with holes that are both challenging and fun. Grab the putter and enjoy a round. Go indoors for some 10-pin action at Coconut Bowl. In addition to blacklit lanes that get the party started, there is an arcade area, food and beverage, and even an adult lounge.

Ultimate Rush Thrill Park

2500 E. 2nd St, Reno

(at the Grand Sierra Resort)

www.grandsierraresort.com/activities/recreation/ultimate_rush/ [484]

Take the most thrilling aspects of hang-gliding, the most perilous moments of bungee jumping and the adrenaline inducement of sky diving. Combine these elements with a fall from a 185-foot tower and you have the once-in-a-lifetime experience called the Ultimate Rush, the Grand Sierra Resort’s family park. The park also offers miniature golf, a racing oval and road course for go-kart fun, along with bumper cars and other family friendly fair.

Wilbur D. May Center at Rancho San Rafael Regional Park

1595 N. Sierra St, Reno

www.maycenter.com [485]

The Wilbur D. May Center is an adventure for people of all ages. It is a Museum, a collection of rare and exotic artifacts, a place to experience fun traveling exhibits and special moments. The Arboretum is where gardeners gather seeds of knowledge; an incomparable display and living museum of colorful flowers, creekside meadows, outdoor courtyards and secluded benches. The Great Basin Adventure is a fun-filled family experience where kids can pet animals, ride a pony, pan for gold, ride an old fashioned log flume, or explore in our "touch anything" Discovery Room.

Sierra Safari Zoo

10200 N Virginia Street, Reno

www.sierrasafari.org [486]

Sierra Safari Zoo is Nevada’s largest zoo and the only zoo in Northern Nevada. It houses dozens of animals, from cats to sloths, marsupials, rodents, small mammals and hoof stock. It is located in northern Reno.

Animal Ark Wildlife Sanctuary

1265 Deerlodge Road, Reno

www.animalark.org [487]

Animal Ark is a 38-acre wildlife sanctuary and nature center northwest of Reno, Nevada. This facility’s rural setting provides an ideal place to house non-releasable wildlife and allows the public a unique opportunity to view these animals in natural habitat exhibits through glass viewing areas.

 

Lake Tahoe Attractions

Tahoe Boat Cruise

Cruise Emerald Bay at the southern end of Lake Tahoe on the M.S. Dixie or the Tahoe Queen

http://www.zephyrcove.com [488]

Tahoe Rim Trail

For breath-taking views of the lake, pick a section of the Tahoe Rim Trail and go for a day hike.

We especially recommend the hike up Mt. Rose if you are looking for a challenging day hike with rewarding views. It is just 30 minutes from Reno to the trailhead.

http://www.tahoerimtrail.org [489]

Thunderbird Lodge

Tour the historic home of local eccentric George Whittell, Jr. who once housed elephants and lions on this incredible property on the eastern shore of Lake Tahoe.

http://www.thunderbirdlodge.org/index.html [490]

Rafting on the Truckee River

For a leisurely 5 mile float down the Truckee River, check out these outfits for rentals. BYOB.

http://www.truckeeriverraft.com [491]

http://www.tahoetruckeerafting.com/ [492]

Tahoe City

For excellent cuisine, cute coffeeshops, and shopping, visit Tahoe City on the western shore of Lake Tahoe. You will also enjoy beautiful views of the lake from Commons Beach.

http://www.visittahoecity.com/ [493]

Room Share/ Ride Share

transparentBackground copia.thumbnail.pngPlease use this page to find hotel roommates, rides to the World Conference, and/or rental car sharing.

To post your need, click "add new comment" (which appears in blue below). It is recommended that you list your email address so that you may be contacted directly, but that is up to you.

To respond to a posting, click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us" above in the header of the site for feedback or assistance. You only need a login to interact with this page, paid membership is not required to participate.)

Schedule of Events

transparentBackground copia.thumbnail.pngGeneral Schedule of Events:

  • June 19 & 20: Pre-conference, 2-day, Experiential Workshops
  • June 20, 7:00pm-9:00/9:30pm: Poster Session, Early Registration, & Social event at the Silver Legacy Hotel - Room "Silver Baron E"

ACBS Chapters & Special Interest Groups: Come Socialize & Have a Drink with Your Fellow Members & Potential Members - 8:00-9:30pm, June 20, Silver Legacy Hotel - Room "Silver Baron D"

This will be informal in the service of building community.

  • June 21- 24: World Conference VIII (June 24th will conclude at 1:45pm)
  • June 21 evening: BBQ & Evening Social Event - UNR campus

This BBQ is part of the ACBS conference, and will begin immediately after the final plenary on June 21, so please dress accordingly. If you would like to bring spouses or children you are welcome, and we will email attendees about the costs and method of payment for additional guests as soon as we have it finalized (because we need to notify the caterer, we will need to know about these extra guests at least 3 weeks before the conference). We will have BBQ and delicious vegetarian fare, a cash bar, and a beautiful setting on the south side of the University campus (only a few blocks from the conference hotel).

  • June 22 evening: Reno Aces baseball (minor league) game & social

ACBS Goes to the Aces: Baseball, Food and Family Fun

Tuesday evening, join ACBS at the Reno Aces minor league baseball game! This is a great opportunity to enjoy Reno's newly built ballpark with fun for the whole family. The ticket you collect in Reno in your registration packet includes admission to a reserved section of the lawn seating just for us, which is situated for excellent views, is cool and comfortable, and allows for easy mingling (there is a playground directly behind the grass berm where we'll be sitting and kids are invited to run the bases after the game). ACBS will make a splash at the game, with Steve Hayes throwing out the first pitch, and one of our members signing the National Anthem to start off the game. Once in the park, there is access to concession food and drinks. If baseball is not quite your cup-of-tea, your ticket also buys admission into the Freight House District adjacent to the park; an awesome new complex of restaurants and bars. The District is high class with swanky outdoor bars and terrace areas but has moderately priced food for all tastes, including a Sports Bar (with up-scale pub food and views of the game), an Irish pub (with 100 beers on tap and wood-fired pizzas), an industrial loft/bistro (with Cajun-style entrees) that becomes a dance club later on, and a fresh Mexican place. Your game ticket covers admission to the Freight House District and you can easily move back and forth between it and the park. Both are centrally located, within walking distance of the Silver Legacy; convenient for those who might like to stay out late after the game.

Not going or need another ticket for a family member? We'll have a Leave-A-Ticket, Take-A-Ticket basket at the registration desk to make swapping easier. Or you can purchase these lawn tickets for your family at the ballpark for $5. Don't forget to bring a towel or blanket to sit on at the game!

  • June 23, evening: Follies - Reno Ballroom (next to the Silver Legacy Hotel)

The Follies began as a manifestation of one of our CBS values -- remembering to hold ourselves and the work lightly -- and what better way to do so than through humor? Today it consists of songs, skits, and funny powerpoint presentations related to the conference, ACT, RFT, and psychology, put together by conference attendees, and coordinated by our own lovely Sonja Batten. (When you get to Reno, if you have an event to add to the follies let Sonja know so that she can help you and get you on the schedule.)

While not an official ACBS event, ACBS has always made room for this popular night. This event is open to conference attendees and spouses/partners (even though they may not understand all of the psychology humor!); we request that children are not brought to this event, as the content is sometimes not kid friendly. A reasonably priced cash bar will be available.

Program & Schedule

  • Click Here to View the Session Schedule [494]

After the call for submissions is complete, and the program is finished, the detailed program will be loaded to this website.

WC8 Conference Committee

Thank you to our generous volunteer Conference Committee!

Conference Chair:
Jason Luoma, Ph.D.

Program Committee:
Linda Bilich, University of Wollongong, Australia
Frank Bond, Goldsmiths, University of London, UK
Jennifer L. Boulanger, University of Nevada, Reno
Martin Brock, Nottingham Psychotherapy Unit, UK
Lisa Coyne, Suffolk University, Boston, MA
Brandon Gaudiano, Brown University, Providence, RI
Steven C. Hayes, University of Nevada, Reno
Jason Luoma, Portland Psychotherapy Clinc, Research, & Training Center, PC, Portland, OR
Louise McHugh, University of Wales, Swansea, UK
Giovanni Miselli, ASCCO-Parma; IULM University-Milan; AUSL-Reggio Emilia, Italy

On Site Event Planners:
Jennifer Boulanger, University of Nevada, Reno
Lindsay Fletcher, University of Nevada, Reno
Mikaela Hildebrandt, University of Nevada, Reno
Tami Jaffcoat, University of Nevada, Reno
Mike Levin, University of Nevada, Reno
Jennifer Plumb, University of Nevada, Reno
Emily Rodrigues, ACBS
Merry Sylvester, University of Nevada, Reno
Jamie Yadavaia, University of Nevada, Reno

WC8 General Flier for Distribution

If you are interested in downloading a general flier advertising the conference, please do so here. We recommend emailing the flier as an attachment to groups that allow attachments.

In the case that you'd prefer to send an email blurb, we have some sample text below that you can use as a starting point; feel free to edit for your purposes.

We're hoping for record numbers, so spread the word!

-----------------------------------------------EMAIL TEXT-----------------------------------------------------

I am writing to inform you of a very exciting opportunity this summer! The Association for Contextual Behavioral Science World Conference will take place JUNE 21-24, 2010 at the University of Nevada, Reno.
http://www.contextualscience.org/wc8

The World Conference will bring together clinicians and researchers from all over the globe to present cutting-edge research and provide intensive and expert clinical training in Acceptance and Commitment Therapy (ACT), Relational Frame Theory (RFT) and other modern acceptance- and mindfulness-based therapeutic approaches.

All health professionals, researchers and students/trainees are invited to attend.

Learn core skills and case conceptualization in ACT, mindfulness methods, Functional Analytic Psychotherapy, Motivational Interviewing, group treatment methods, supervision skills, brief intervention strategies, and attend panel discussions, plenary sessions, and symposia on cutting-edge research topics.

CONFERENCE HIGHLIGHTS:

• FREE CEs in Psychology, Social Work* & MFT* (*CA approval; national SW & LPC approval pending)

• Registration is all-inclusive: lunch, evening activities, all clinical workshops

• Discounted hotel rates, free parking at hotel, transportation provided to campus

• Gain intensive clinical training and network locally and internationally

• Invited Speakers: James Gross, Daniel Wegner, G. Terrance Wilson discuss cutting edge research in emotion regulation, thought suppression and the progression of CBT as a field

• Leading statistician Robert Gallop provides ½ day workshop on HLM and Multi-level modeling

• Learn about recent advances in basic and applied research topics such as RFT, behavioral health, prevention science, clinical methods development, conducting research within clinical practice, and discuss the progression of clinical science.

PRE-CONFERENCE WORKSHOPS (June 19-20)

Immediately preceding the main conference, these intensive workshops provide focused training. Registration is separate from the main conference and start times and locations vary. Visit the website for details and register early as these tend to fill quickly.

• Two-day intensive and experiential training in ACT: beginner, intermediate, & advanced workshops offered by Steve Hayes, Kelly Wilson, John Forsyth, & Robyn Walser

• Two-day intensive training in ACT with Children & Families (Lisa Coyne)

• Two-day intensive training in Functional Analytic Psychotherapy (Bob Kohlenberg & Mavis Tsai)

• Mindfulness Meditation & ACT Retreat at a rustic and relaxing setting over-looking Lake Tahoe (Joanne Dahl, Lindsay Fletcher & Fredrik Livheim)

• Two-day introduction to Relational Frame Theory for clinicians (Niklas Törneke & John T. Blackledge)

PLEASE VISIT http://www.contextualscience.org/wc8 FOR MORE INFORMATION AND TO REGISTER.

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WC8 Powerpoints / Handouts

We have collected many of the powerpoint presentations and handouts from presenters at the ACBS World Conference VIII, which took place June 21-24, in Reno, Nevada. These are available for download for any current, paid ACBS member. It can cost you as little as $10 to join, so please consider it! Find out how to join [495] and learn about the benefits of membership [496].

 
  • ACT and Trauma: New Data and Directions (Mindfulness and Acceptance-Based Group Treatment for Uniformed Services Professionals with Complex Trauma) - Bastien, Hermann, & Moore [497]
  • ACT as a Brief Intervention - Strosahl [498]
  • ACT-Based Family Intervention for Adolescents with Anorexia Nervosa - Merwin, Timko, & Zucker [499]
  • ACT Based Preventive Programming on College Campuses - Levin [500]
  • ACT Based Preventive Programming on College Campuses - Morse [501]
  • ACT for Anxious Children, Adolescents, and Families - Coyne & Davis [502]
  • ACT for Conceptualization, Assessment, and Treatment of Disordered Eating - Sandoz, Manduchi, & Presti [503]
  • ACT for Conceptualization, Assessment, and Treatment of Disordered Eating (Anorexia case) - Sandoz, Manduchi, & Presti [504]
  • ACT for Spiritual Development - Robb [505]
  • ACT for the Spectrum of Body-Image and Disordered Eating-Related Concerns: Theory, Assessment, and
    Practice (Acceptance and Commitment Therapy in Eating Disorders: Clinical Practice with a complex case) - Manduchi
    [506]
  • ACT for young Adults (16-28 year olds): ACT used in group format as prevention or an early intervention aimed towards psychological ill health and stress - Livheim [507]
  • ACT for young Adults (16-28 year olds): ACT used in group format as prevention or an early intervention aimed towards psychological ill health and stress - Livheim (Handout) [508]
  • ACT Group Treatment for Health Anxiety - Eilenberg & Frostholm [509]
  • ACT in Practice: Case Conceptualization in Acceptance & Commitment Therapy - Bach & Moran [510]
  • ACT on Living and Dying - Gregg [511]
  • ACT with Challenging Patients - Strosahl [512]
  • ACT with Children & Families (2-day workshop) - Coyne [513]
  • ACT with Depression - Zettle [514]
  • ACT [515] with Students and Educators (Evaluation of an Acceptance & Mindfulness Training for Elementary Staff, Educators, & Administrators) - Woidneck [516]
  • ACT with Young People - L. Hayes [517]
  • Applied ACT and RFT processes relevant to self-compassion - Benjamin Schoendorff [518]
  • The Art and Science of Thought Suppression - Wegner [519]
  • Assessment of Mindfulness and Acceptance Processes in ACT (Measuring cognitive fusion and defusion in
    depression using a modified Dysfunctional Attitudes Scale) - Kearney
    [520]
  • Assessment of Mindfulness and Acceptance Processes in ACT (Mindfulness and Experiential Avoidance as
    Predictors of Posttraumatic Stress Disorder Avoidance Symptom Severity) - Thompson
    [521]
  • The Basic Behavior Analytic Principles of Psychotherapy - W. Follette, Callaghan, Darrow, & Bonow [522]
  • Building a Firm Foundation: Intervention Development from the Bottom Up - Hayes, Wegner, Gross, & Kashdan [523]
  • Developing behavioral measures of ACT/RFT processes: An international lab meeting (IRAPing our Way to Psychological Flexibility) - Drake [524]
  • Developing behavioral measures of ACT/RFT processes: An international lab meeting (Testing the Impact of a Brief Acceptance, Mindfulness and Values Intervention on Multiple Features of Task Persistence) - Levin [525]
  • Doing ACT Research: An interactive primer for beginners - Lillis [526]
  • Doing ACT while still recalling your A-B-Cs - Robb [527]
  • Eating Dialog: An Academic program for physician and dietitian - Kalter [528]
  • An Engaging Partnership: Integration of ACT and the Motivational Interviewing Model - Dempsey [529]
  • Enhancing Psychotherapy With Values: Practical Tools & Exercises - Dahl & Plumb [530]
  • Enhancing Psychotherapy with Values (Handouts) - Dahl & Plumb [531]
  • An Experiential Journey Through the Matrix - Polk, Webster, & Schoendorff (Handout) [532]
  • Finding Hope Inside Creative Hopelessness - J. Villatte [533]
  • From Basic Science to Clinical Application: Empirical Advances in ACT Research with Children and Families (ACT-Relevant Constructs in Child Therapy Process: The Role of Child Experiential Avoidance, Willingness, and Safety Seeking Behaviors in a Family-Based CBT for Young Children with OCD) - Davis, Coyne, & Martinez [534]
  • From Basic Science to Clinical Application: Empirical Advances in ACT Research with Children and Families (Experiential Avoidance of Parenting Questionnaire (EAP): Development Study) - Morrill, Crowe, & Cordova [535]
  • From Basic Science to Clinical Application: Empirical Advances in ACT Research with Children and Families
    (Maternal Avoidant Emotion Regulation and its impact on Emotion Regulation in Early Childhood) - Bendezu
    [536]
  • From Basic Science to Clinical Application: Empirical Advances in ACT Research with Children and Families
    (Maternal Emotion Regulatory Strategy Mediates Maternal Depression and Child Internalizing Problems) - Thompson
    [537]
  • Functional Eclecticism: Four Conversations about Complex Behavior (Fooling around with Definitions of Psychological Flexibility) - Drake [538]
  • Implementing ACT Online: Past and Future Projects (Smoking cessation and prevention of mental
    health problems: Discussing two ongoing projects) - Levin
    [539]
  • Improving CBT: Problems and Prospects - T. Wilson [540]
  • Improving Clinicians' Empathy Skills with ACT - Villatte, Monestes, & Vilardaga [541]
  • Interventions to Foster Resilience and Psychological Flexibility in Non-Clinical Populations (ACT on stress: The efficacy of ACT for reducing stress and improving the quality of therapy in clinical psychology interns) - Stafford-Brown & Pakenham [542]
  • Introduction to Longitudinal Data Analysis - Gallop [543]
  • Introduction to RFT for Clinicians (Pre-Conference Workshop) - Torneke & Blackledge [544]
  • Linking RFT to the Hexaflex - M. Villatte & Monestes [545]
  • The Matrix and the Art of Improvisation - Polk & Hambright (Handout) [532]
  • Mindfulness and Acceptance Processes in Relation to Weight-Related Difficulties and Diabetes (Experiential avoidance and obesity: A random population study of adult women) - Horwath [546]
  • Mindfulness and Acceptance Processes in Relation to Weight-Related Difficulties and Diabetes (The role of thought believability in the relationship between depression, diabetes, and stress) - Schmidt, Ward, Gregg, Tarango, & Vanveghel [547]
  • New Directions in ACT for Addiction (Experiential Avoidance and Self-Stigma in Addiction: Two New Measures) - Luoma [548]
  • New Directions in ACT for Addiction (Telephone-delivered Acceptance & Commitment Therapy (ACT) for adult
    smoking cessation: A feasibility study) - Bricker
    [549]
  • Perspectives on Applied Clinical Processes Involved in Compassion- Focused Psychotherapy Techniques in
    ACT (Relationships among Emotional Schemas, Psychological Flexibility, Dispositional Mindfulness, and Emotion Regulation) - Silberstein
    [550]
  • Perspectives on Perspective Taking (Associations among Deictic Relational Responding, Empathy, Experiential Avoidance and Social Anhedonia in a sample of College Students) - Vilardaga [551]
  • Perspectives on Perspective Taking (Developing a Spiritual Invetory) - Gird [552]
  • Perspectives on Perspective Taking (Enhancing Self as Context and Pain Tolerence) - Carrasquillo [553]
  • Pillars and Posts and Arches, Oh Boy - Strosahl [554]
  • Psychosis and ACT (Preliminary results from the Lifengage trial - a randomised controlled trial of acceptance and commitment therapy for medication-resistant psychosis) - Farhall [555]
  • Psychosis and ACT (Rule-Governed Behavior as delusion maintenance factor in schizophrenia) - Monestes, Stewart, & M. Villatte [556]
  • Reconstructing Measurement Theory From a Contextualist Perspective - Wilson, Bond, Ciarrochi, Hayes, & Bordieri [557]
  • Research and Therapeutic Application in the Context of Valued Living - Nassar, Flynn, & Slater [558]
  • RFT Basis of ACT and Third Wave CBT - McHugh, Stewart, Hooper, & Sandoz (Handout) [559]
  • The Road Ahead: Developing an ACT research and publication strategy consistent with Contextual Behavioral
    Science - Hayes
    [560]
  • The Shaping Game: Using DBT, FAP & ACT for clients with chronic distress - Georgescu [561]
  • Speaking Across Islands: Building Communication Between ACT and Other Approaches to Clinical Psychology - M. Villatte, Blackledge, Ciarrochi, & Robb [562]
  • Single Case Designs for Clinicians: Bridging the Gap Between Research and Practice - J. Villatte [563]
  • Standing Your Ground: Why Philosophy Matters for Clinicians - Steinwachs, Buckner, & Heerman [564]
  • Stress Less, Live More - Blonna [565]
  • Stress Less, Live More - Blonna (Handout) [566]
  • Supporting self-help ACT with email counseling - Schreurs & Fledderus [567]
  • Taking it Out of the Box: Multilevel ACT/RFT Applications inside Clinical Behavior Analysis (Improving Social Skills by Building Fluency on Deictic Framing and Relevant Relational Classes) - Newsome [568]
  • Toward a contextual neuroscience? - Fletcher [569]
  • Toward a contextual neuroscience? - Hayes [570]
  • Toward a contextual neuroscience? - Benjamin Schoendorff [571]
  • Transformation in Psychotherapy - Ebert [572]
  • Transforming The Matrix into a Measure of Psychological Flexibility - Benjamin Schoendorff, Benjamin Putois [573]
  • The truth about Functional Contextualism - Hayes, Moderato, Miselli, & Biglan [574]
  • Using Acceptance and Commitment Group Training in Vocational Rehabilitation Programs with Special Needs Veterans - Billig, Merladet, & Acord [575]
  • Using the Matrix and FAP tools to conceptualize and strengthen the therapeutic relationship in ACT - Benjamin Schoendorff (Handout) [576]
  • Values and Willingness: New Strategies to Enhance Willingness and ACT Values Work - McKay [577]
  • Values, Verbal Relations, and Compassion: We can do a better job of facing global challenges (plenary) - Hayes [578]
  • The Wisdom to Know the Difference - Jeffcoat, Yadavaia, & Hildebrandt [579]
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ACBS Annual World Conference X

RFT CBS

Acceptance and Commitment Therapy

 DClogo2dates10a.png

Intensive Pre-conference Workshops [580] will be held July 21-22, 2012

Looking to share a room/ride with someone? Try posting here [581]. 

Registration for Conference & Pre-Conference - [582]

Registration is closed for this event as it is past.

Program

Schedule (posted June 18, 2012) [583]

(Here's a version with RFT presentations highlighted [584].)

Complete Program - including schedule (posted June 29) [585]

What is the World Conference?

The World Conference brings together clinicians and researchers to present cutting-edge research in ACT, RFT, and Contextual Behavioral Science, as well as experienced trainers to lead experiential workshops so that you can learn how to better serve your clients.

The World Conference is for psychologists, social workers, professional counselors, marriage and family therapists, psychiatrists, physicians, drug counselors, health researchers, language researchers, behavior analysts, students and more.... Anyone in a similarly related helping or research field is invited to attend.

We offer CEs in Psychology, LPC, Social Work* & MFT* (these are USA based credits). (more information coming soon)

Registration in the full conference is all-inclusive and includes lunch, coffee/tea breaks, open access to workshops, research symposia, posters, panel discussions, plenary sessions with CBS researchers and practitioners, and our new IGNITE sessions and Research and Program Develpment Forums.

Pre-Conference Intensive Workshops [580]

First class intensive (2-day & 1-day) workshops held the 2 days prior to the World Conference get things started off right.  Learn ACT, RFT, CBS, FAP, Compassion Focused Therapy, and more from leaders in their field.... Darin Cairns, Lisa Coyne, Joanne Dahl, John Forsyth, Dermot Barnes-Holmes, Steve Hayes, Jonathan Kanter, Todd Kashdan, Matt McKay, Ian Stewart, Robyn Walser, and Kelly Wilson to name just a few.

Conference Highlights

  • Invited Speakers: Tara Brach, Michelle Craske, Louise McHugh, Robert Whitaker, David Sloan Wilson, Paul Gilbert... learn more about them here [586]
  • A great venue for networking & fostering local and international collaboration
  • Lunches and coffee/tea are included so that you have more time to network
  • Conference activities take place just downstairs from your hotel [587] room - Book your room now! [587]
  • Bring the family! - Our conference hotel is right beside a DC Metro stop so you have easy access to downtown
  • Evening events provide additional opportunities to network and relax after other conference activities are done for the day
  • Workshops, Workshops, Workshops. Half-day workshops are included (no extra charge), with your conference registration.  These 30+ workshops are one-of-a-kind learning opportunities.
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Call for Submissions - Closed

Call for Submissions for the ACBS World Conference X
(posters, expo posters, and chapter/sig meetings have a submission deadline of April 12, 2012)
Washington, DC
July 22-25, 2012

Submission Types (click on a link below to view the submission form for each type):

Poster - closed

Posters usually report empirical research and will be organized into one or more sessions, during which attendees will be invited to review the research presented and discuss findings with poster presenters. Presenters must be at their poster during their assigned time of the poster session and may choose to provide handouts.

Expo Poster [588]*New this year

The World Con Expo is a special poster session for presentations of graduate training programs, internship and employment opportunities, special interest groups (SIGs), chapters, boards and committees, and CBS-related associations around the world.

Plenary/ Invited Address [589] (use only if instructed)

 

Chapter/SIG/Committee Meeting [590]

This is for Chapters/SIGs/Committees or (forming chapters and sigs) the opportunity to reserve a space time to get together and plan, meet, hang out, etc.  This form allows you to request space before or during the conference day (early am, during the conference, during lunch, etc.) (not intended for late night parties... although we're sure those will be happening elsewhere. :)

Research and Program Development Forum - closed *New this year

Research and Program Development Forum submissions consist of a 10-minute presentation (followed by 20-30 minutes of discussion) of a research or program development project in the conceptual, preliminary, and/or planning stages presented to an audience with specific questions that will help guide or improve their project. No presentation technology (e.g., powerpoint) is allowed. Completed projects will not be accepted. Accepted submissions will be organized into Forums of 80 or 110 minutes.

These forums will be based on the BRIDGE model. For more information, see:

http://www.psad-easd.eu/templates/main.php?recordID=52 [591]

IGNITE - closed *New this year

The Ignite presentation is a short, structured talk in which presenters present on ideas and issues they are most passionate about using a “deck” of 20 slides that auto-advance every 15 seconds (no exceptions). Exactly 5 minutes total. Topics may be empirical, conceptual, philosophical, historical, or methodological. Presentation should be well-practiced and high energy (perhaps even... fun!).

For more on Ignite presentations, see:

http://igniteshow.com/ [275]
http://www.speakerconfessions.com/2009/06/how-to-give-a-great-ignite-talk/ [276]

Panel Discussions - closed

Panel discussions consist of 3 to 5 speakers selected for some shared interest or expertise in an area. Panelists respond to one or more questions or issues, with time allotted for interaction among the speakers and with the audience. A panel discussion is organized by a chairperson who serves as the session’s moderator.

Symposia (chair, 3 papers and a discussant) - closed

Organized by a chairperson who moderates the 80–minute session, symposia are a series of three 20–minute presentations focused on either empirical research or conceptual, philosophical, historical, or methodological issues. A discussant highlights and integrates the contributions of various speakers in the symposium and moderates questions from the audience. Chairpersons are encouraged to use symposia as an opportunity to integrate related work by: 1) bringing speakers of different affiliations together rather than showcasing the work of a single group and 2) incorporating different kinds of talks (e.g., historical, conceptual and research-based) on the same topic into one symposium. Papers from submissions that are not accepted may be considered for a poster session.

Paper (not part of a pre-arranged symposium) - closed

Paper submissions are individual, oral presentations, usually concerned with conceptual, philosophical, historical, or methodological issues. A paper submission may report empirical research if it is too complex for effective presentation in a poster (e.g., an integrated series of experiments). Otherwise, all data-based and single-study paper submissions will be accepted as poster presentations. All paper presentations will be 20 minutes long. Accepted addresses will be organized into paper sessions of 50 or 80 minutes. Submissions not accepted will be considered for a poster session.

Workshop - closed

Workshops are training sessions of 3 hours and usually focus on some combination of experiential and/or didactic exercises. Workshops should be regarded as opportunities to directly train specific skills rather than to present research findings, discuss conceptual, philosophical, or methodological issues, or share opinions. Submissions that are not clearly focused on training will be considered for other formats.

Continuing Education (CE) Credits

DClogo2dates.jpgPossible credit hours:

  • 2-day pre-conference workshops: 13 hours
  • 1-day pre-conference workshop: 6.5 hours
  • ACBS World Conference X (attending all events): approx. 23.75 hours

Types of Credit Available:

  • CE credit is available for psychologists. (APA type)
  • CE credit is available for LCSW and MFT credits with the State of California.
  • CE credit is available for Counselors from NBCC (National Board of Certified Counselors) [449]. 
  • CE credit is available for Social Workers from the National Association of Social Workers (NASW) [343]. 
  • CE credit for BCBAs is available for select events (all pre-conference workshops and other sessions highlighted in yellow here [592].... about 50% of the sessions). You can indicate your desire to earn these credits when you register (under the area regarding CEs), payment will be collected after the conference after it is know how many credits have been earned. These credits will cost $8 per credit. (If you have already registered, but would like to earn BCBA credits, please email acbs@contextualscience.org and we'll update your registration.
  • (We applied for CME credits for physicians this year, but we did not get them.  It was not a failing of the content or application, it was a hiccup with the institution that was going to sponsor our credits.  We're very sorry that it didn't work out this year, but we will try again in the future.)

This program is sponsored by the Association for Contextual Behavioral. The Association for Contextual Behavioral Science is approved by the American Psychological Association to sponsor continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for this program and its content. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

ACBS is an approved provider of continuing education for MFCCs and/or LCSWs by the California Board of Behavioral Sciences, provider #PCE 4653.

This program has been approved by the National Board for Certified Counselors, NBCC Approval Number; SP-2055.

This program is Approved by the National Association of Social Workers (Approval #886495791-1125) for 37 Clinical Social Work continuing education contact hours.

Fees:

A $45 fee will be required to earn CEs.  If you attend either a pre-conference workshop, World Conference, or both, only $45 is due.  If you register for multiple events seperately, please only pay the fee one time.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Neilan Rodrigues, 1-269-267-4249 or through the Contact Us [294] link on this website.

  • CEs are only available for events that qualify as workshops, symposia, invited lecture, panel discussion, or end of the day plenary sessions. Poster sessions, Research and Program Development Forums, and IGNITE sessions do not qualify for Continuing Education.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)
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General Schedule of Events

DC conference logo cropped.jpg

2-day Pre-Conference Workshops

July 21, 2012 - 9:00am-5:15pm

July 22, 2012 - 9:am-5:00pm 

1-day Pre-Conference Workshop

July 22, 2012 - 9:am-5:00pm 

ACBS World Conference X

July 22, 2012 - 7:00pm - July 25, 2012 - 5:45pm


By day...

Friday, July 20, 2012

6:00pm-8:00pm

Registration

Saturday, July 21, 2012

7:30am-9:00am

Registration

9:00am-5:15pm (Break, 10:45am-11:00am; Lunch, 12:30pm-1:30pm; Break,  3:15pm-3:30pm)

Workshops

Sunday, July 22, 2012

8:00am-9:00am

Registration

9:00am-5:00pm (Break, 10:45am-11:00am; Lunch, 12:30pm-1:45pm; Break, 3:15pm-3:30pm)

Workshops

5:30pm-7:30pm

Registration

7:00pm-8:30pm

ACBS World Conference X Opening Session & Invited Lecture Understanding the Self from a Functional Contextual perspective

8:30pm-10pm

Poster Session #1

8:30pm-10:30pm

Cocktail Social

Monday, July 23, 2012

7:00am-8:00am

Morning Movement & Meditation sessions

7:30am-4:30pm

Registration

8:00am-9:00am

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Break, 10:30am-10:45am; Lunch, 12:00pm-1:15pm; Break, 2:45pm-3:00pm)

Conference Sessions

8:00pm-9:30pm

Poster Session #2

8:00pm-10:30pm

Chapter/SIG Expo & Cocktail Reception

8:30pm-9:30pm

Author Book Signing Event

Tuesday, July 24, 2012

7:00am-8:00am

Morning Movement & Meditation sessions

8:00am-9:00am

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Break, 10:30am-10:45am; Lunch, 12:00pm-12:45pm; SPECIAL LUNCH TIME PLENARY, 12:45pm-2:00pm; Break, 2:00-2:15pm)

Conference Sessions

8:00pm-11:00pm (Follies begin at 8:30pm)

Follies & Cocktails

11:00pm-Midnight

Dance Party!

Wednesday, July 25, 2012

7:00am-8:00am

Morning Movement & Meditation sessions

8:00am-9:00am

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Break, 10:30am-10:45am; Lunch, 12:00pm-1:15pm; Break, 2:45pm-3:00pm)

Conference Sessions

Getting There, Getting Around

By Airplane:billboardmontage3.jpg

You have three airport options.

Washington, DC/Dulles - IAD    Hotel direction: 25 mile(s) NE

Ronald Reagan Washington National - DCA    Hotel direction: 23 mile(s) NW

Baltimore/Washington International Thurgood Marshall Airport - BWI    Hotel direction: 36 mile(s) SW

Reagan is the most convenient to fly into (because of direct DC Metro access), but it has fewer flights per day and thus the ticket prices are usually the most expensive. All three will get you there.

Airport Transfer:

The easiest way to get from the airports to the hotel is via the Super Shuttle shared van shuttle. Click here to book: http://www.supershuttle.com/ [593]

The Super Shuttle does transfers from all 3 major airports. 

***COUPON CODE! Enter "AAWAY" and get a 10% discount on your Super Shuttle.***

The approximate (one way, based on round trip) cost is:

Dulles - $31

Baltimore Washington - $42

Reagan - $30

From Reagan airport, however, I would recommend taking the DC Metro instead.  At peak time, it will not cost more than $5.20, and will take approximately the same amout of time.

(Take the Yellow line toward Fort Totten or Mt. Vernon Sq. 7th St. - Convention Center, get off at Gallery Place - Chinatown, then take the Red line toward Shady Grove and exit at the White Flint Station.)

Your destination is the Bethesda North Marriott & Conference Center, 5701 Marinelli Road · Bethesda, Maryland 20852 USA. There are multiple Marriott's in the region, please make sure you have found the right one.

***Update regarding the Metro (Subway)*** (update posted June 14) We just learned that on Saturday & Sunday, July 20 & 21, the DC Metro will not be operating trains between Friendship Heights & Grosvenor on the Red line. http://www.wmata.com/rail/trackwork.cfm [594] If you're staying at the Holiday Inn above, or another hotel in Rockville, you will not be affected and can take the subway one stop to White Flint, but if you are staying closer in to DC, this is probably your route in to the conference. The Metro will supplement with busing in between the stations, but please allow extra time for this change. The Metro will run normally on week days.

A Taxi will cost $55-$70 (each way), depending on the airport.

By Train:

Go to Washington, D.C.'s Union Station, and exit to the DC Metro Station, and take the Metro to the hotel. Take the Red Line toward Shady Grove, exit at the White Flint Station (no train changes required).

By Car:

Use the convenient tool here for driving directions: http://www.marriott.com/hotels/maps/travel/wasbn-bethesda-north-marriott-hotel-and-conference-center/ [595]

Bethesda North Marriott Hotel & Conference Center, 5701 Marinelli Road, Bethesda, Maryland 20852 USA

Parking at the hotel is $5 per hour, or $15 per day. HOWEVER our conference attendees can park at the hotel for the discounted rate of $6 per day (whether you're staying at the hotel or not).

You can also park at the White Flint Metro Station (if you prefer).  The overnight fee, for non-commuters, is $8.50. http://www.wmata.com/rail/parking/parking_detail.cfm?station=15 [596]

You must pay for parking at the White Flint Metro Station with a "SmarTrip Card" (no exceptions). You can purchase this rechargable card online or at any DC Metro station. (The card costs $5.)

How to Use the DC Metro Rail (Subway) [597]:

***Update regarding the Metro (Subway)*** (update posted June 14) We just learned that on Saturday & Sunday, July 20 & 21, the DC Metro will not be operating trains between Friendship Heights & Grosvenor on the Red line. http://www.wmata.com/rail/trackwork.cfm [594]If you're staying at the Holiday Inn above, or another hotel in Rockville, you will not be affected and can take the subway one stop to White Flint, but if you are staying closer in to DC, this is probably your route in to the conference. The Metro will supplement with busing in between the stations, but please allow extra time for this change. The Metro will run normally on week days.


It's extremely convenient and easy to use. Trying to drive and park within DC is not recommended if you can help it.

1. Purchase a fare card at a machine in the Metro Station. (If you need assistance there is an attendant on duty in most stations during the day.  Fewer have a staff person available in the evenings to assist you.). You need at least enough money on your card to make the shortest trip possible. ($1.95 or $2.15 depending on the time of day; Yes, fares do vary a bit depending on the time of day/ day of the week.) There is a "SmarTrip card [598]" which is a rechargeable plastic card.  It costs $5 to purchase, then you just recharge it.  (You can purchase a paper fare card to avoid this charge, but a $1 surcharge is added to each ride.)

2. Put your fare card into the gate (at hip level) and retrive it when it comes out the top of the gate, and step through. KEEP YOUR FARE CARD! (you need it to exit). (If you have a SmarTrip card, you just wave it over the circular pad with the SmarTrip logo.)

3. Take the correct colored Metro line (if multiple train lines come through the station you're at) going in the right direction.  For example, if you're at our conference hotel, and get on at the White Flint station, the trains that say Shady Grove on the front are going away from DC. Trains to Glenmont are going toward DC. Check out the maps to see what I mean. [599]

4. Transfer as many times as you like. Do not go through a gate/turnstile until you've reached your final destination.

5. When you've reached your destination, and are ready to exit the Metro system completely, you need to put your fare card into the exit gate (just like you did when entering the Metro). If you do not have enough money on your card, the gate will not open and your card will be given back.  Don't worry, in each Metro Station, before the exit gate, there is a machine where you can add money to your card.  You will be informed about how much money you need to add to your card in order to exit.

Each person needs his/her own farecard or pass to ride Metrorail. A pass or farecard cannot be shared with another person (during the same trip). Farecards hold between $1.60 and $45 and are available at fare vending machines in Metrorail stations. These papercards are rechargeable as long as they remain undamaged. Unused fare credit is non-refundable.

Putting your farecard into any Metro Passes/ Farecards machine will tell you how much money is left on the card.

$14 One Day Pass [600](Unlimited Trips) - With a One Day Pass, you can ride Metrorail as much as you want in a day. Buy online or at any Metro station from a Passes/Farecards machine. See bus & rail pass options here [600].

Children 4 years old and under ride free.  5 years old, and up, pay adult fares.

How to use the DC Metro Bus

You can use the same fare cards for the Bus as you do for the Rail.  If you have a SmarTrip card [598] (rechargeable, plastic card which costs $5 to purchase), the bus costs $1.60 per trip (you may transfer or even do a round trip on that $1.60 if all of your travel occurs within 2 hours). If you don't have a SmarTrip card, the bus fare is $1.80. The bus driver can not make change, so exact fares are required. For more about the Bus fares check here [601].

If you are staying at the Holiday Inn Express (Rockville-Bethesda North) (formerly the Legacy Hotel and Meeting Center), you can take the following bus routes to the conference at the Marriot:

• Ride on Bus 46 (pickup at ROCKVILLE PIK & THOMPSON AVE)

• Ride on Bus 26 (pickup at CHAPMAN AVE & BOUIC AVE)

• Ride on Bus 5 (pickup at HALPINE RD & ROCKVILLE PIKE)

• all buses drop off location at » ROCKVILLE PIK & MARINELLI RD

• Alternately, you can take the metro (Red line) from the Twinbrook station to the White Flint station (1 stop)

• For departure and arrival times, go to http://www.wmata.com/rider_tools/tripplanner/tripplanner_form_solo.cfm [602]

For starting point, enter: 1775 ROCKVILLE PIKE (or Twinbrook metro station)
For ending point, enter: 5701 Marinelli Road (White Flint metro station)
 

Local Attractions and Dining:

Interested in the sights, foods, and activities near the conference? There is plenty to see and do! Read more here [603].

Or download the amazing document [604] that the local MAC-ACBS (Mid-Atlantic Chapter), has put together with local dining, transportation, sites, etc. Thanks for this MAC-ACBS!

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Hotel, Venue, & Maps

Conference Venue:

Conference events will all be held at the beautiful Bethesda North Marriott Hotel & Conference Center [605], 5701 Marinelli Road · Bethesda, Maryland 20852 USA. Marriott Bethesda - LOGO.JPG

Our discounted rate is $179 per night for 2 doubles or a King room. Free Wireless internet is included only within our room block (A $12.95 per night value.). (Room block available until June 20.)

Interested in the local attractions and dining near the hotel? Read more here [603]. 

Click below to reserve your room in our block!

room.png [606]

(As of July 6, there is 1 room available at the Marriott for the nights of July 22, 23, 24 in our block.   I'll update it here though if any rooms are cancelled and become available on those nights.)


Overflow Hotel Room Block

Just one Metro [607] stop away (Twinbrook Station), or 1.2 miles (23 minutes walking), is the Holiday Inn Express (it was the Legacy Hotel up until early June 2012), 1775 Rockville Pike, Rockville, MD 20852. (Room block available until July 5.)

Our negotiated room block there is $159 per night (single/double occupancy; $10 extra for additional people).

This rate includes Complimentary Breakfast, Complimentary Parking, Complimentary Internet in the Sleeping Rooms, and Complimentary Shuttle Service within 5 miles (based on first come, first served; you can call the front desk for it to see if it's available when you need it).

You can go here to book a room in this block [608]. This block is available for the nights of July 19-25, 2012.

Another Hotel Option

In case you have any trouble booking at the Holiday Inn Express, I wanted to also let you know that there is a Hilton hotel next door to it at 1750 Rockville Pike, Rockville, MD 20852. It is also 1.2 miles from our WC 10 conference location, and very walkable.

***Update regarding the Metro (Subway)*** (update posted June 14) We just learned that on Saturday & Sunday, July 20 & 21, the DC Metro will not be operating trains between Friendship Heights & Grosvenor on the Red line.  http://www.wmata.com/rail/trackwork.cfm [594] If you're staying at the Holiday Inn above, or another hotel in Rockville, you will not be affected and can take the subway one stop to White Flint, but if you are staying closer in to DC, this is probably your route in to the conference.  The Metro will supplement with busing in between the stations, but please allow extra time for this change. The Metro will run normally on week days.


Roommate?

Looking for a roommate look here or post here: http://contextualscience.org/wc10_room_share [581]

 


 

The Bethesda North Marriott is conveniently located (see map [595]) with access to Washington, DC via the White Flint Metro Station [609].

 


View ACBS World Conference 10 (July 2012) [610] in a larger map

Invited Speakers for the World Conference X

Register Now! [582]

Invited Speakers - Confirmed


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Tara Brach, Ph.D.

Tara Brach, Ph. D., is founder and senior teacher of the Insight Meditation Community of Washington, and teaches Buddhist meditation at centers in the United States and Canada. A clinical psychologist, she has taught extensively on the application of Buddhist teachings to emotional healing. Dr. Brach is the author of Radical Acceptance- Embracing Your Life with the Heart of a Buddha [611] (Bantam, 2003,) and the upcoming book True Refuge- Three Gateways to a Fearless Heart (Bantam, 2013.)
 


craske.jpgMichelle Craske, Ph.D.

Dr. Craske is Professor of Psychology, Psychiatry and Biobehavioral Sciences, and Director of the Anxiety Disorders Research Center, University of California, Los Angeles. She has published widely on the topics of fear and anxiety disorders, their etiology, assessment and treatment. She has been the recipient of continuous NIMH funding since 1993 for research projects pertaining to risk factors for phobias, anxiety disorders and depression; attentional biases and psychophysiological fear responding; the translation of basic science of fear extinction to human phobias and mechanisms of exposure therapy; and the development and implementation of treatments for anxiety and related disorders. Dr. Craske was Associate Editor for the Journal of Abnormal Psychology and is currently Associate Editor for Behaviour Research and Therapy is a Scientific Board Member for the Anxiety Disorders Association of America, and a member of the Anxiety Disorders Work Group for DSM-V.


Louise McHugh, Ph.D.Louise_ACBS.jpg

Louise McHugh is currently a faculty member at University College Dublin in Ireland. Louise's research interests are centered on the experimental analysis of language and cognition from a behavior analytic and Relational Frame Theory perspective, including especially the development of complex cognitive skills such as as perspective-taking and the process-level investigation of behavioral and cognitive psychotherapies including Acceptance and Commitment Therapy. She has published over 40 papers on these topics and has received funding from several sources including the British Academy, the Leverhulme Trust, the Waterloo Trust and the Welsh Assembly. Most recently she was awarded a European Marie Curie career integration award to join the faculty at UCD.


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Robert Whitaker

Robert Whitaker is the author of four books, two of which tell of the history of psychiatry. His first, Mad in America: Bad Science, Bad Medicine and the Enduring Mistreatment of the Mentally Ill was named by Discover magazine as one of the best science books of 2002, while the American Library Association named it one of the best history books of that year. His newest book on this topic, Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America, won the Investigative Reporters and Editors book award for best investigative journalism in 2010. Prior to writing books, Robert Whitaker worked as the science and medical reporter at the Albany Times Union newspaper in New York for a number of years. His journalism articles won several national awards, including a George Polk award for medical writing, and a National Association of Science Writers’ award for best magazine article. A series he co-wrote for The Boston Globe was named a finalist for the Pulitzer Prize in 1998. 


PaulGilbert.jpg

Paul Gilbert, Ph.D.

Paul Gilbert is the head of the Mental Health Research Unit as well as Professor of Clinical Psychology at the University of Derby. He has a degree in Economics (Wolverhampton, 1973), Masters in Experimental Psychology (Sussex, 1975), PhD in Clinical Psychology (Edinburgh, 1980) and a diploma in Clinical Psychology awarded by the British Psychological Society (1980). He was made a fellow of the British Psychological Society for contributions to psychological knowledge in 1993, and was president of the British Association for Cognitive and Behavioural Psychotherapy in 2003. He has also served on the government depression NICE guideline committee. He has published and edited 21 books, over 100 academic papers and 39 book chapters. He is currently a series editor for a 'compassionate approaches to life difficulties' series. After years of exploring the processes underpinning shame and its role in a variety of psychopathologies, his current research is exploring the neurophysiology and therapeutic effectiveness of compassion focused therapy.


David Sloan Wilson, Ph.D.

David Sloan Wilson is SUNY Distinguished Professor in Binghamton University’s Departments of Biology and Anthropology. He is an evolutionist who studies all aspects of humanity in addition to the biological world. He manages a number of programs designed to expand the influence of evolutionary theory in higher education (EvoS), public policy (The Evolution Institute), community-based research (The Binghamton Neighborhood Project), and religion (Evolutionary Religious Studies). He communicates to the general public through a ScienceBlogs site and trade books, including Evolution for Everyone: How Darwin’s Theory Can Change the Way We Think About Our Lives and The Neighborhood Project: Using Evolution to Improve my City, One Block at a Time. He is also interested in how evolutionary theory and contextual behavioral science can converge to provide a science of intentional change.


Kirk J. Schneider, Ph.D.

Kirk J. Schneider is a licensed psychologist and leading spokesperson for contemporary humanistic psychology. Dr. Schneider is current editor of the Journal of Humanistic Psychology, vice-president of the Existential-Humanistic Institute (EHI), and adjunct faculty at Saybrook Graduate School, the California Institute of Integral Studies, and the Institute for Transpersonal Psychology. He is also a Fellow of three divisions of the American Psychological Association (Humanistic, Clinical, and Independent Practice) as well as a frequent speaker at conferences and in the media. Dr. Schneider has published over 100 articles and chapters and has authored or edited eight books.

 


Kelly Koerner, Ph.D.

Kelly Koerner, Ph.D., is Creative Director and CEO of the Evidence-Based Practice Institute, where she explores how technology can scale learning and collaboration so practitioners get better clinical outcomes. She is a clinical psychologist and an expert clinician, clinical supervisor and trainer in Dialectical Behavior Therapy (DBT). She has served as: Director of Training for Marsha Linehan’s research investigating the efficacy of DBT for suicidal and drug abusing individuals with borderline personality disorder; Creative Director at Behavioral Tech Research where she developed e-learning and other technology based methods to disseminate evidence-based practices; and co-founder and first CEO of Behavioral Tech, a company that provides training in DBT. Her most recent publications include Doing Dialectical Behavior Therapy: A Practical Guide (Guides to Individualized Evidence-Based Treatment) and Dialectical Behavior Therapy in Clinical Practice: Applications across Disorders and Settings. 


Ruth Anne Rehfeldt, Ph.D., BCBA

Dr. Ruth Anne Rehfeldt is a Professor in the Rehabilitation Services undergraduate program and an affiliated faculty in the Behavior Analysis and Therapy program at Southern Illinois University. She holds a Ph.D. (1998) and M.A. (1995) from the Behavior Analysis Program (in Psychology) at the University of Nevada. Dr. Rehfeldt has authored over 60 articles and book chapters, primarily in the areas of stimulus equivalence and verbal relations, autism, developmental disabilities and verbal behavior. Dr. Rehfeldt is currently the Editor of The Psychological Record and an editorial board member for the Journal of Applied Behavior Analysis, Journal of the Experimental Analysis of Behaviour, the Behavior Analyst and Education and Treatment of Children. Dr. Rehfeldt's book, co-edited with Yvonne Barnes-Holmes, is entitled Derived Relational Responding: Applications for Learners with Autism and other Developmental Disabilities: A Progressive Guide to Change. New Harbinger: Oakland, CA, 2009.


James D. Herbert, Ph.D.

James D. Herbert, Ph.D., is a clinical psychologist specializing in cognitive-behavior therapy (including mindfulness and acceptance-based models), mood and anxiety disorders, teletherapy, the distinction between science and pseudoscience, and the promotion of evidence-based practice in mental health. He is Professor of Psychology and Director of the Anxiety Treatment and Research Program at Drexel University, where he also serves as Associate Dean of the College of Arts and Sciences. He also served for several years as Director of Clinical Training of Drexel's Ph.D. Program in Clinical Psychology. He is a Fellow of the Academy of Cognitive Therapy as well as the Commission for Scientific Medicine and Mental Health, and is active in several professional organizations. He is currently an Associate Editor of The Scientific Review of Mental Health Practice, and serves on the editorial boards of several additional journals, including the Journal of Anxiety Disorders.


Antonette M. Zeiss, Ph.D.

Dr. Zeiss serves as Chief Consultant for Mental Health at the Department of Veterans Affairs (VA) Central Office. Previously, Dr. Zeiss served as Assistant Chief and Director of Training at the VA Palo Alto Health Care System. Among her academic appointments, Dr. Zeiss has served as Clinical Lecturer in the Stanford University Department of Medicine, Visiting Professor of Psychology at Stanford University, and Assistant Professor of Psychology at Arizona State University. Dr. Zeiss received her Ph.D. in Clinical Psychology from the University of Oregon in 1977.  Dr. Zeiss’ honors and awards include the Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapy (2011), the United States Presidential Rank Award of Meritorious (2009), the Presidential Citation from the American Psychological Association (2007), APA Division 12’s Clinical Geropsychologist Distinguished Clinical Mentorship Award (2004). In 2010, the Association for VA Psychology Leaders established the Antonette Zeiss Distinguished Leadership Award.

 

 

 


Pre-Conference Workshops 2012

DClogo2datessquareblockpixels.png [253]

About ACBS Pre-Conference Workshops

Unforgettable. Inspiring. Cutting-edge. Inviting. ACBS Pre-Conference Workshops are well-known as a source for world-class ACT and RFT trainings. Here is the heart of ACBS. Where therapists and researchers of all ages sharpen their skills, and push their limits. Where expert trainers from across the globe converge as a creative force aiming to shape and support all those in attendance. Where life-long friends reconnect, or meet for the first time. 

What to Expect

The 2012 Pre-Conference Workshops offer exciting new opportunities that will engage therapists and researchers of any skill level. Highlights include:

  • Acceptance and Commitment Therapy (ACT): Participate in experiential and didactic workshops to learn this empirically supported therapy
  • Relational Frame Theory (RFT): Apply this modern perspective on cognition and language to your own research or practice
  • Contextual Behavioral Science (CBS): Explore the foundations of ACT and RFT, and start your own line of CBS research
  • Functional Analytic Psychotherapy (FAP): Supercharge your therapy practice with FAP's relationship-enhancing approach
  • Compassion Focused Therapy (CFT): Engage compassionate emotions within your clients in order to target shame and self-criticism

Combining therapy role-plays, experiential exercises, case presentations, data graphics, focused lectures, and small group discussions, you can expect high-quality training from ACBS Pre-Conference Workshops. Continuing Education Credits [612] are available. New this year are several research-focused workshops on CBS and RFT. Be sure to review the menu below to see your full list of options.

When, Where, and How Much?

These workshops will be held the two days immediately preceding the ACBS World Conference X.

Saturday, July 21, 2012 - 9:00am-5:15pm
Sunday, July 22, 2012 - 9:00-5:00pm
(Except for the one-day RFT research workshop and the one-day Strosahl workshop, which will meet Sunday only).

*These workshops run concurrently. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

They will be held at the Bethesda North Marriott Hotel & Conference Center [587].

All Registration Rates can be found here [582].

Select a workshop from the list below.

ACT from The Bottom Up: How learning principles of human behavior can enhance your ACT skills - Dahl, Törneke - (Clinical, Beginner, Intermediate, Advanced)

ACT from The Bottom Up: How learning principles of human behavior can enhance your ACT skills

Torneke.jpegJOANNE_0.jpgWorkshop Leaders:
JoAnne Dahl, Ph.D, University of Uppsala, Uppsala Sweden
Niklas Törneke, MD, Private Practice, Psychiatry Sweden

Dates & Location: 
Bethesda North Marriott Hotel & Conference Center [587]
9:00-5:15pm on Saturday July 21, 2012
9:00-5:00pm on Sunday July 22, 2012

Continuing Education Credits Available [612]: 13

Workshop Description:
ACT has gained empirical and popular support over the past decade becoming a widespread clinical therapy. ACT has grown out of behaviour analysis and basic behavioural principles have originally been at the backbone of all ACT practitioners. Now that ACT has penetrated the general field of psychotherapy this has changed somewhat, ACT practitioners may not have training in basic learning principles. This two day workshop will provide training in basic principles of human behaviour for ACT practitioners within the context of therapy. The workshop will include a theoretical component wherein behavioural principles - operant, respondent and relational - are presented. A major emphasis will be on practical training, e.g., conducting functional analysis of behaviour in a psychotherapeutic setting. Participants will learn how these skills can directly apply to enhancing their clinical work in ACT. The workshop will include in session exercises including role playing.

About JoAnne Dahl
JoAnne Dahl, Ph.D., is senior lecturer and associate professor of psychology at the University of Uppsala in Uppsala, Sweden. She is a prominent ACT researcher, therapist, and trainer who specializes in the use of ACT to treat chronic pain and epilepsy. She is the primary author of Acceptance and Commitment Therapy for Chronic Pain, Living Beyond Your Pain, and numerous scientific articles. She recently won an award, from the Swedish Government and the Epilepsy Organization, for her involvement in developing psychological treatment for epilepsy.

About Niklas Törneke
Niklas Törneke, MD, is a psychiatrist and has worked as a senior psychiatrist in a department of general psychiatry from 1991 until he started private practice 1998. He earned license as a psychotherapist in 1996 and was originally trained as a cognitive therapist. Since 1998 he has worked mainly with ACT, both in his own practice and as a teacher and clinical supervisor. His clinical experience ranges from psychiatric disorders such as schizophrenia to common anxiety and mood disorders with high prevalence in the general population.

Learning Objectives:
1. The learner will be able to describe principles of human behaviour as they relate to clinical psychological problems.
2. The learner will be able to discuss ACT from the perspective of learning principles.
3. The learner will be able to describe key processes in operant, respondent and relational learning.
4. The learner will be able to describe a clinical psychological problem with the help of learning principles.
5. The learner will be able to use operant, respondent and relational learning principles in analysing a therapeutic interaction in ACT.
6. The learner will be able to identify the key components of a functional analysis.
7. The learner will acquire the skills necessary to conduct a functional analysis in a clinical interaction.
8. The learner will be able to apply principles of human behaviour in an ACT clinical setting.
9. The learner will be able to identify the relationship of principles of human behaviour and ACT.
10. The learner will understand the historical roots of ACT within the context of behaviour analysis.

Target Audience: Clinical; Beginner; Intermediate; Advanced

Components: Conceptual analysis; Experiential exercises; Didactic presentation; Case presentation; Role play

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

Acceptance, Compassion and Vitality: Building Skills in ACT Beyond the Basics - Walser - (Clinical, Intermediate, Advanced)

Acceptance, Compassion and Vitality: Building Skills in ACT Beyond the Basics

robyn_0.JPG [582]

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Workshop Leader:
Robyn D. Walser, Ph.D., TL Consultation Services/NCPTSD

Dates & Location:
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:15pm on Saturday July 21, 2012 
9:00-5:00pm on Sunday July 22, 2012 

Continuing Education Credits Available [612]: 13

Workshop Description:
The workshop will focus on creating flexible awareness, openness and compassion. The session is designed to build ACT skills beyond the basic introduction to ACT. The goals will be to help create flexible use of the 6 core processes and tackle multiple layers of what it means to do ACT. The session will include techniques designed to broaden your scope of practice and skill with your own clients, while also broadening your personal willingness and sense of acceptance and compassion as an ACT therapist. A focus on the interpersonal relationship between therapist and client and how the 6 core processes in ACT are used in the same will be included. Specifically, there will be a focus on the therapy processes that trigger each of the six components. We will address how therapists can flexibly adopt the six ACT processes including work that is linked to personal psychological experience in session. The focus will include a description of how the most basic part of the ACT therapeutic stance naturally flows from a therapist’s application of the ACT model to their own professional and personal life. In addition to didactics, the workshop will include experiential exercises and activities designed to enhance personal development in application of ACT. Role-play methods, including role-plays conducted by the presenter and opportunity for personal role-plays with feedback on implementation of skills will be provided. It is expected that some personal work will occur to expand your understanding of the intervention and increase personal action related to values and vitaltiy. Please join. I look forward to this workshop and hope you will come, heads and hearts.

About Robyn Walser
Robyn Walser, PhD, is the associate director for dissemination of training at the National Center for PTSD at the Veterans Affairs Palo Alto Health Care System. She is a recognized expert in Acceptance and Commitment Therapy and has authored several books including Acceptance and Commitment Therapy for the Treatment of Post-Traumatic Stress Disorder, The Mindful Couple, and Learning ACT.

Learning Objectives:
1. The participant will be able to describe how to recognize and address in session the pathological processes as theorized in the ACT model.
2. The participant will be able to formulate how personal willingness plays a role in the therapeutic relationship.
3. The participant will be able to describe how to detect present moment barriers that lead therapy sessions into a content oriented rather than experience oriented flow.
4. The participant will be able to describe what is meant by compassion, have the opportunity to develop the same and describe it's role in the therapeutic relationship.
5. The participant will be able to describe how the timing in use of ACT metaphors and exercises plays a role in session,(e.g. how timing can support the therapeutic process or interfere with the same).
6. The participant will be able to describe how to troubleshoot common pitfalls in ACT therapy.
7. The participant will be able to describe how the sequence and patterns of the 6 core processes help to develop psychological flexibility in application of ACT.
8. The participant will be able to describe how using ongoing functional analysis of client behavior directs ACT intervention.
9. The participant will be able to list at least 5 of the core competencies of the ACT therapeutic relationship. 

Target Audience: Clinical; Intermediate; Advanced

Components: Conceptual analysis; Experiential exercises; Didactic presentation; Role play

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

Becoming an RFT researcher - Stewart, M. Villatte, McHugh - (Research, Advanced)

Becoming an RFT researcher

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Louise_ACBS_0.jpgMattVillatte.JPGian stewart_1.jpgWorkshop Leaders:
Ian Stewart, Ph.D., National University of Ireland Galway
Matthieu Villatte, Ph.D., University of Louisiana, Lafayette
Louise McHugh, Ph.D., University College Dublin

Dates & Location: 
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:00pm on Sunday July 22, 2012

Continuing Education Credits Available [612]: 6.5

Workshop Description:
Relational Frame Theory (RFT) is a modern behavioral theory which adopts the generic concept of derived stimulus relations as a means of explaining the basic processes that underpin human language and cognition. RFT has gained empirical support both from basic research as well as through its application. Behavioral psychology has always sought a comprehensive naturalistic scientific theory of human behavior rooted in empirical research: a unified paradigmatic psychology. This is an ambitious goal but the advances being seen in RFT increase the possibility that this promise might one day be fulfilled. The aim of this workshop is to teach the basics of RFT as well as the research methods to conduct an RFT study, and to explore the current and future areas of research that this framework offers. This training will be particularly useful for researchers and students who intend to develop an RFT research program in their laboratory or for their dissertation and thesis projects. It will also provide primers for presenting RFT in academic courses and conference talks. The workshop will start with a very accessible and relatively comprehensive presentation of RFT basic principles. This will allow beginners to discover RFT and more advanced participants to learn new ways of presenting this model of language and cognition to colleagues and students who have never heard about this approach. Then, research methods employed in RFT (e.g. matching to sample, IRAP) will be taught to allow participants to start their own research project after the workshop. Finally, we will consider recent advances in RFT research in a variety of areas, and what the future developments of RFT should be in order to move a contextual behavioral science approach forward to the goal of a comprehensive psychology. Areas to be addressed include basic research paradigms, education, and social and clinical issues.

About Ian Stewart
Ian Stewart received a BA from NUI Galway, a first class honours Higher Diploma in Psychology from University College Cork and a PhD from NUI Maynooth (NUIM). Having completed his PhD, he spent one further year at NUIM conducting postdoctoral research and he was appointed to the staff at NUI Galway in August, 2002. His current research focuses on the analysis of language and cognition from a behaviour analytic and more specifically Relational Frame Theory (RFT) perspective.

About Matthieu Villatte
Matthieu Villatte, PhD, is Assistant Professor of Psychology at the University of Louisiana, Lafayette. Among his current interests are the use of perspective-taking to enhance mindfulness, empathy and self-compassion, and the use of ACT processes in prevention interventions. He is also dedicated to the linking of RFT to ACT in research and clinical settings. Also trained as an ACT therapist, Matthieu has authored a French ACT Handbook and conducts workshops in France and in the USA.

About Louise McHugh
Louise McHugh is currently a faculty member at University College Dublin in Ireland. Louise's research interests are centered on the experimental analysis of language and cognition from a behavior analytic and Relational Frame Theory perspective, including especially the development of complex cognitive skills such as as perspective-taking and the process-level investigation of behavioral and cognitive psychotherapies including Acceptance and Commitment Therapy. She has published over 40 papers on these topics. Most recently she was awarded a European Marie Curie career integration award to join the faculty at UCD.

Learning Objectives:
1. Describe the basic concepts in RFT
2. List and discuss a number of key empirical studies in RFT
3. Discuss the methods used in a number of key empirical domains in RFT
4. Critically analyse procedures used in a limited number of RFT studies
5. Design a study on an aspect of RFT  

Target Audience: Research, Advanced

Components: Didactic presentation

Package Includes: A general certificate of attendance, and AM & PM coffee/tea break on site. Lunch break is 1 hour.

Brief Interventions for Radical Change: The Practice of Focused Acceptance and Commitment Therapy - Strosahl, Robinson, Gould, Gustavvson - (Clinical, Intermediate, Advanced)

Brief Interventions for Radical Change: The Practice of Focused Acceptance and Commitment Therapy

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Gustavvson.jpgDeb's Head Shot001.jpgRobinson4 2.JPGKirk Brochure Picture-1.jpgWorkshop Leaders:
Kirk Strosahl, PhD, Mountainview Consulting
Patricia Robinson, PhD, Mountainview Consulting
Debra Gould, MD, MPh;
Thomas Gustavvson, PhD

Dates & Location:
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:00pm on Sunday July 22, 2012 

Continuing Education Credits Available [612]: 6.5

Workshop Description:
This 6.25-hour workshop begins with a review of evidence concerning client participation and preferences for behavioral health treatment and moves quickly into a description of a tool kit for conceptualizing and intervening in brief treatment settings. Presenters include both mental health and medical providers who face the challenges of time constraints for care, limited financial resources to support care and patients who are reluctant to engage in treatment. Participants will watch videos and live role-plays to learn specific focusing questions, apply two basic interventions supported by worksheets (True North and Life Path) and employ a case conceptualization tool (Four Square). In the second half of the workshop, participants will practice these in role-plays in both individual and group treatment formats.
 

About Kirk Strosahl
Kirk Strosahl Ph.D. is currently principal and consultant for the Mountainview Consulting Group Inc., a firm specializing in providing consultation, program implementation and training services for health care systems seeking to integrate behavioral health and primary medical services and/or develop effective methods for collecting and using clinical outcome data. From 1981-1984, he was a faculty member at the Department of Psychology, University of Washington, where he published numerous articles on, and gained national recognition for, his innovative approaches to the assessment and treatment of suicidal patients. He joined Group Health Cooperative in 1984 and served as the Research and Evaluation Manager for the Division of Behavioral Health Services until his departure in 1999. During his tenure at Group Health, Dr. Strosahl was the primary architect of a pioneering effort to integrate behavioral health providers into primary care medicine settings in a multi-site delivery system serving over 400,000 consumers. He participated in several studies looking at the clinical and cost results of integrated care services. Dr Strosahl has consulted extensively with both public and private health and mental health care systems on the design and implementation of clinically effective models integrative behavioral care. His major projects include the Adult Primary Care Project of Kaiser Permanente Northern California, the United States Air Force Behavioral Health Optimization Program, the United States Navy Behavioral Health Integration Program and the Veteran?s Administration Service Network-Region 2 Project. He is also the lead consultant for the HRSA Bureau of Primary Health Care, Managed Care Technical Assistance Program, and has helped community health centers across the nation to design and implement primary care behavioral health integration programs. Dr. Strosahl is the author of numerous articles on the subjects of primary care behavioral health integration, outcome assessment in behavioral health and the use of practice guidelines and other empirically based methods in clinical practice. He has also co-authored books on the clinical treatment of the suicidal patient and Acceptance and Commitment Therapy.

About Patti Robinson
Patricia Robinson Ph.D. is currently principal and consultant for the Mountainview Consulting Group Inc., a firm specializing in providing consultation, program implementation and training services for health care systems seeking to integrate behavioral health and primary medical services and/or develop effective methods for collecting and using clinical outcome data. Dr. Robinson worked in a student health setting at Kansas State University several years before joining the Mercer Island School District in 1981, where she served as Director of Childfind. During her employment at Mercer Island, Dr. Robinson developed school-based group treatment programs for behaviorally disabled adolescents and socially isolated elementary students. Dr. Robinson joined Group Health Cooperative in 1985 and began to develop programmatic services for the department of behavioral health services. Her work there included development of manualized treatments for adolescents in crisis, depressed adolescents and their families, depressed adults, adults with panic disorder, adults with generalized anxiety disorder, and adults with primary partner relationship problems. Dr. Robinson developed and delivered primary care based interventions for stressed and demoralized older adult primary care patients as part of NIH grant from 1988-1990. She was a key participant in a system wide initiative to integrate behavioral health providers into primary care medicine settings in the Group Health system. She joined Dr. Wayne Katon?s research team in 1991 and participated as a co-investigator in two randomized clinical trials examining the clinical and cost effectiveness of integrative behavioral treatments for depressed primary care patients. She has worked with multidisciplinary health care teams to develop, implement, and evaluate innovative, primary care focused programs for frail older adults, older high utilizers of primary care services, and chronic pain patients. Dr. Robinson has published extensively in the area of primary care behavioral health. She is the author of two books which introduce a model of integrated care for depressed primary care patients. Dr. Robinson has consulted with health care clinics and systems across the United States, including the United States Air Force, Kaiser Permanente Northern California & Unity Health Care Systems on the development and implementation of integrated behavioral health primary care service models. She is a primary consultant for the HRSA Bureau of Primary Health Care, Managed Care Technical Assistance Program, offering technical assistance to community health centers across the nation.

Learning Objectives:
· Learn how to interview patients with greater focus
· Practice brief approaches to assessment
· Experiment with case formulation
· Plan powerful interventions to improve client openness, awareness and engagement
· Practice intervention tools that work with a wide variety of patients in a wide variety of treatment settings

Target Audience: Clinical; Intermediate; Advanced

Components: Didactic presentation; Case presentation; Role play

Package Includes: A general certificate of attendance, and AM & PM coffee/tea break on site. Lunch break is 1.25 hours.

Introduction to Acceptance and Commitment Therapy - McKay, Ona - (Clinical, Beginner, Intermediate)

Introduction to Acceptance and Commitment Therapy

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McKayMatt-BW_0.jpgWorkshop Leaders:
Matthew McKay, Ph.D., The Wright Institute;
Patricia E. Zurita Ona, Psy.D., East Bay Behavior Therapy Center

Dates & Location:
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:15pm on Saturday July 21, 2012 
9:00-5:00pm on Sunday July 22, 2012 

Continuing Education Credits Available [612]: 13

Workshop Description:
This workshop is an introduction to Acceptance and Commitment Therapy (ACT). The workshop will cover case conceptualization from an ACT perspective and how to use all six ACT processes in session: Contact with the present moment, Mindfulness, Defusion, Self-as-Context, Values, Committed Action. The delivery of the workshop will be fundamentally experiential. We’ll start with a description of how RFT and ACT understands human suffering, move onto directly experiencing many ACT interventions and processes, case formulation from an ACT point of view, and finally develop a clear grasp of how to implement ACT interventions in the course of treatment.  Experiential exercises will be conducted through out the workshop individually, in dydas, and small groups. The exercises will help integrate mindfulness and acceptance strategies that guide our client’s relationship to pain and move them toward values-based action.  

About Matthew McKay
Dr. McKay cofounded the Haight Ashbury Psychological Services agency in 1979 and served as its Clinical Director for 25 years. Dr. McKay has an active private practice in Berkeley where he sees clients with diverse clinical issues including anxiety, phobias, depression, and abuse. Dr. McKay is the coauthor of more than 25 psychology self help and therapist texts. He has taught courses at several Bay Area graduate schools. Dr. McKay's interests extend to writing poetry, fiction, and music, and he has a published novel and two books of poetry.

About Patricia E. Zurita Ona
Dr. Zurita Ona is a Licensed Clinical Psychologist in California. Dr. Zurita Ona provides empirically-supported treatments for older adolescents and adults with mood, anxiety, eating disorders, and body-image concerns; particular areas of expertise are Obsessive-Compulsive Disorder and Post-Traumatic Stress Disorder. Dr. Zurita Ona also provides specialized services for individuals with complex emotional problems including self-harm behaviors, suicidal behaviors, and emotional dysregulation problems. In addition to her clinical practice Dr. Zurita Ona is the Training Director for a doctoral training program where she supervises students and teaches evidence-based treatments. 

Learning Objectives:
1. A basic theoretical understanding of RFT.
2. Conceptualize human suffering from an ACT framework.
3. Understand each component of the hexaflex, didactic and experientially.
4. How and when to use the six core processes of the hexaflex: contact with the present moment, self-as-context, acceptance, defusion, values, and committed action.
5. Establish a moment of "creative hopelessness" in therapy.
6. Formulation/Case conceptualization of clinical cases from an ACT point of view.
7. How to make moment-to-moment decisions in session using all ACT processes.
8. Deliver interventions in order to promote "willingness" in session.
9. How to develop an order of treatment based on the client’s level of experiential avoidance.
10. How to simultaneously work all processes of the hexaflex. 

Target Audience: Clinical; Beginner; Intermediate

Components: Experiential exercises; Didactic presentation; Role play

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

Introduction to Compassion Focused Therapy for Shame and Self-Critical Difficulties - Gilbert, Tirch - (Clinical, Beginner, Intermediate)

Introduction to Compassion Focused Therapy for Shame and Self-Critical Difficulties

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Workshop Leaders: 
Paul Gilbert PhD, OBE, Derbyshire Healthcare NHS Foundation Trust Mental Health Research Unit;Tirch.jpgGilbert.jpg
Dennis Tirch PhD, The American Institute for Cognitive Therapy

Dates & Location:
Bethesda North Marriott Hotel & Conference Center   [587]
9:00-5:15pm on Saturday July 21, 2012
9:00-5:00pm on Sunday July 22, 2012

Continuing Education Credits Available [612]: 13

Workshop Description:
This workshop will introduce participants to the basic ideas and interventions used in Compassion Focused Therapy (CFT). CFT was originally developed with people with high shame and self-criticism. These individuals often come from difficult backgrounds where there are low levels of affiliation and affection. This is problematic because from infancy onwards attachment and affiliative experiences play a major role in brain development and regulation of threat-based emotion. Indeed, individuals from these backgrounds can find experiencing positive, affiliative emotions (accepting compassion and being self-compassionate) difficult. This workshop will explore the role of the evolution of mammalian attachment and affiliation in threat regulation with a focus on the complexity of threat processing systems and its regulation through affiliative processing. This workshop will be led by the founder of CFT, Professor Paul Gilbert, with the help of Dr. Dennis Tirch.

What will we learn?
Participants will learn the evolutionary model, the nature of our three basic emotions regulation systems and how to apply it to case formulation. There will also be a to focus on the forms and functions of shame and self-criticism and how to treat them by developing self and other directed compassion. CFT aims to develop care and affiliative-focused motivation, attention, emotion behaviour and thinking. Key skills include the use of compassion focused imagery, building the compassionate self and using the sense of a compassionate self to engage with areas of personal difficulty. Conceptual bridges between CFT and contextual behavioral science will be illustrated. The workshop will use a range of PowerPoint presentations, DVD presentations and some limited personal practice. 

About Professor Gilbert 
Paul Gilbert is Professor of Clinical Psychology at the University of Derby and Head of the Mental Health Research Unit, Derbyshire Mental Health Services NHS Trust. He is a Fellow of the British Psychological Society and has written, taught and researched extensively in the areas of mood disorders and shame. He is a former President of the British Association for Behavioural and Cognitive Psychotherapists. He has published over 150 academic papers and 20 books. he is a series editor foe the “Compassion Mind Approaches to various psychological difficulties. He set up the charity The Compassion Mind foundation in 2006 (www.compassionatemind.co.uk) and was award an OBE in March 2011.

About Dennis Tirch PhD 
Dr. Dennis Tirch is the Associate Director of the American Institute for Cognitive Therapy and Director of The Center for Mindfulness and Compassion Focused CBT in NY. He also teaches at Weill-Cornell Medical Center. Dr. Tirch is the author of four books, including The Compassionate Mind Approach to Overcoming Anxiety. Dr. Tirch is a founding member and Co-President of the New York City Chapter of the Association for Contextual Behavioral Science. More information can be found at mindfulcompassion.com.

Some resources
Gilbert, P. (ed.). (2005). Compassion: Conceptualisation, Research and Use in Psychotherapy. London: Routledge.
Gilbert, P. (2009). The Compassionate Mind. A New Approach to the Challenges of Life:. London: Constable & Robinson.
Gilbert, P. (2009). An introduction to compassion focused therapy. Advances in Psychiatric Treatment, 15, 199-208.
Gilbert, P. (2010). Compassion Focused Therapy. Distinctive Features. London: Routledge.
Gilbert, P. (ed.). (2010). Compassion Focused Therapy: Special Issue. International Journal of Cognitive Therapy. 3, 97-201
Tirch, D. (2012). The Compassionate Mind Guide to Overcoming Anxiety: Using CFT to Overcome Panic, Worry and Fear. Oakland: New Harbinger. 

Learning Objectives:

Participants will be able to:
1. Explain how evolutionary concepts can be used to help us understand psychopathology and psychotherapy processes
2. Distinguish different types of positive emotions (e.g. activating versus soothing emotional experiences)
3. Describe the importance of the attachment system and its link to the experience of vulnerability
4. Explain the complexities of threat processing, and our "multiple selves"
5. Distinguish internal shame from external shame, and guilt
6. Discriminate the two psychologies of compassion: engagement and alleviation
7. Work in the affiliative soothing system by utilising compassion focused imagery and process
8. Utilize compassion focusing in different types of therapy 

Target Audience: Clinical; Beginner; Intermediate

Components: Conceptual analysis; Original data; Experiential exercises; Didactic presentation; Role play

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

Listening with ACT Ears, Seeing with ACT Eyes: Experiential Case Conceptualization - Wilson - (Clinical, Research, Beginner, Intermediate, Advanced)

Listening with ACT Ears, Seeing with ACT Eyes: Experiential Case Conceptualization

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Workshop Leader:
Kelly G. Wilson, Ph.D., University of Mississippi
(student assistants: Olga Berkout, Solomon Kurz, Lindsay Schnetzer, Kerry Whiteman)

Dates & Location:
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:15pm on Saturday July 21, 2012 
9:00-5:00pm on Sunday July 22, 2012 

Continuing Education Credits Available [612]: 13

Workshop Description:
The psychological flexibility model has become increasingly well developed and as a means of understanding psychological difficulties and guiding treatment. This workshop will be guided by chapter four of the Second Edition of Acceptance and Commitment Therapy and by the psychological flexibility worksheets found in Mindfulness for Two. Solid case conceptualizations are critical to guiding therapy, but there is a problem with case conceptualization--they are often too conceptual. At times we clinicians can become too caught up in concepts and lose the persons in the process. In order to bring vitality and presence to the making of case conceptualization, we will engage in training activities that will intentionally move between conceptual and experiential components.

ACT does not allow a neat division between people doing treatment and people needing treatment. It is hard to get what is important about ACT without confronting the fact that in a very deep sense, we are all in the same boat. The purpose of this workshop will be to increase the depth and integration of knowledge about ACT case conceptualization, but, more importantly, to learn some things that are not well transmitted in written form. The workshop will contain a mix of didactics and experiential work. Through didactics and experience we will teach you to see with ACT eyes and to hear with ACT ears.

The workshop will begin with a very brief introduction to the hexaflex multidimensional diagnoses, assessment, and treatment and to the psychological flexibility worksheets. This fully dimensional model allows clinicians to examine psychological difficulties across a wide range of presentations. For example, examining fusion/defusion, we will see how it is possible to view problems in thinking ranging from full-fledged thought disorders seen among psychotic patients to the “thought disorders” of everyday life. The linkage between assessment and intervention on these various dimensions will be examined throughout the workshop in the context of a series of experiential exercises and observation of these exercises.

Exercises will be completed in groups and the results will be processed both within the small group and in the workshop as a whole. Psychological flexibility worksheet conceptualizations will be applied to both the therapist and the client in the exercises. Therapist fusion and non-acceptance is often as much an obstacle as client fusion and non-acceptance. Both observing and participating pairs will work out case conceptualizations. Through the series of exercises, we will examine a variety of interventions stemming from the psychological flexibility model.

About Kelly G. Wilson
Kelly G. Wilson, Ph.D., is an Associate Professor of psychology at the University at Mississippi. He is Past President of the Association for Contextual Behavioral Science. Wilson has devoted himself to the development and dissemination of ACT and its underlying theory and philosophy for the past 20 years, and has published numerous articles and chapters, as well as 6 books including Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change and his newest books Mindfulness for Two and Things Might Go Terribly, Horribly Wrong. He has central interests in the application of behavioral principles to understanding topics such as purpose, meaning and values, therapeutic relationship, and mindfulness. Wilson is the founder of Onelife Education and Training, LLC and has presented workshops and provided consultancy in 20 countries.

Learning Objectives:
1. Participants will be able to make client case conceptualizations using the psychological flexibility model
2. Participants will be able to conceptualize therapist obstacles using the psychological flexibility model.
3. Participants will be able to create mindfulness interventions for their clients stemming from the conceptualization.
4. Participants will be able to create values and commitment interventions for their clients stemming from the conceptualization.
5. Participants will be able to name and discuss the six facets of the psychological flexibility model.  

Target Audience: Clinical; Beginner; Intermediate; Advanced

Components: Conceptual analysis; Experiential exercises; Didactic presentation; Role play

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

Strategies and Tactics of Contextual Behavioral Science Research: What is It, How to Do It, and How to Fund It - S. Hayes, D. Barnes-Holmes, Kashdan, Ciarrochi - (Research, Beginner, Intermediate, Advanced)

Strategies and Tactics of Contextual Behavioral Science Research: What is It, How to Do It, and How to Fund It

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Joe.jpgtodd.jpgDermot_pic.jpgSteve Hayes head shot circa 2007.JPGWorkshop Leaders:
Steven C. Hayes, Ph.D., University of Nevada, Reno;
Dermot Barnes-Holmes, Ph.D., National University of Ireland, Maynooth;
Todd Kashdan, Ph.D., George Masan University; 
Joseph Ciarrochi, Ph.D., University of Wollongong

Dates & Location:
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:15pm on Saturday July 21, 2012 
9:00-5:00pm on Sunday July 22, 2012 

Continuing Education Credits Available [612]: 13

Workshop Description:
“Contextual behavioral science” (CBS) is a term for a strategic and tactical vision of research and practice in the behavioral sciences. CBS is a reticulated functional contextual approach that seeks the development of a psychology more adequate to the challenge of the human condition. It is an extension and elaboration of the traditional behavior analytic approach of refined observations and experimental analysis of situated actions leading to basic principles that have high precision and scope, and application of these principles to the analysis of complex behavioral episodes and patterns. In a CBS approach, each wing of the research and application community takes responsibility for the whole enterprise. For example, practitioners are concerned with basic issues, and basic scientists are concerned with issues of application. As a way of addressing the ongoing act-in-context, variation and selective retention is applied to all streams of development relevant to human complexity (genetic, epigenetic, behavioral, and symbolic), and to scientific analysis itself. This broad research approach embraces many research nodes, but takes a radically pragmatic approach to each. For example, non-technical concepts are allowed to guide clinical application, provided they can be linked to a technical account. This approach liberalizes traditional functional analysis using basic behavioral principles, but maintains the ability to fit what is known to given individuals and settings. It also holds out hope to significantly broaden the development community and to better interlink their specific roles and activities.

In this two-day workshop four leaders in the field will consider the strategy and tactics of CBS research. We will examine research in the following specific areas, in each case considering the role of this kind of research in the overall enterprise, and how best to do research of this kind:

• Basic RFT research
• Research on implicit cognition
• Modeling clinical processes using RFT
• Laboratory-based component research
• Correlational and longitudinal research on psychological flexibility processes
• Functional / transdisagnostic approaches to problem categorization
• Creating assessment tools
• Mediation research
• Moderation research
• Clinical outcome research
• Research on prevention and dissemination
• Neurobiological research

We will discuss how to obtain funding for CBS research, and strategies of career development, knowledge dissemination, and the construction of cooperative communitarian efforts. For example, we will consider how to position the results of research, or to respond to rejections and criticism.

Participants are assumed to have basic knowledge of ACT and RFT. Those actively considering or doing CBS research, and wishing help with specific areas, are welcome to bring these issues to the workshop. The workshop will use didactic discussions and small group work to establish greater competence in the areas identified. 

About Steven C. Hayes
Steven C. Hayes, Ph.D. is Nevada Foundation Professor at the Department of Psychology at the University of Nevada. An author of 34 books and over 470 scientific articles, his career has focused on an analysis of the nature of human language and cognition and the application of this to the understanding and alleviation of human suffering. Dr. Hayes has developed "Acceptance and Commitment Therapy" a powerful therapy method that is useful in a wide variety of areas. His work has been recognized by several awards including the Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapy.

About Dermot Barnes-Holmes
Dermot Barnes-Holmes is foundation Professor of Psychology at the National University of Ireland, Maynooth. He has published over 200 scientific articles, book chapters, and books, and he was recently ranked as the most prolific author in the world in the Experimental Analysis of Human Behavior during the period 1980 to 1999 (Dymond, 2002). He has graduated 25 doctoral research students and has been directly involved in attracting over 1,000,000 euro in competitive research funding. He served on the Health Research Board from 2002-2005 and was elected to the Council of the Psychological Society of Ireland from 2004-2007.

About Todd Kashdan
Todd Kashdan, Ph.D. is devoted to increasing the amount of well-being in this world. He received the 2010 Distinguished Faculty Member of the Year at George Mason University. He has published 100+ articles in peer-reviewed journals. To date, his work has primarily focused on how to foster and sustain happiness and meaning in life, strength use and development, stress and anxiety, mindfulness, gratitude, social relationships, and self-regulation. He regularly gives keynotes and workshops to business executives, organizations, schools, parents, retirees, and health professionals on these topics and others.

About Joseph Ciarrochi
Dr. Joseph Ciarrochi is an Associate lecturer at University of Wollongong and has been extensively involved in ACT sense 2001. He has authored and edited five books, and over 60 peer reviewed articles related to the promotion of mental health and emotional well-being. He’s written a book on integrating ACT with CBT, and is currently working with community members on several other books. He is the editor of the new Journal of Contextual Behavioral Science, a journal that is intended to be of interest to both scientists and practitioners.  

Learning Objectives:
1. Describe and define contextual behavioral science (CBS)
2. List at least three key features of a CBS research strategy
3. List at least five methodological issues that need to be addresses in laboratory based component research
4. Describe mediation and challenges in researching it
5. Distinguish analytic abstractive theory from hypothetico-deductive theory
6. Formulate a research question in each area of CBS with an eye toward a reticulated research program
7. Explain the role of neurobiological research in a CBS approach
8. Give at least three coherent ways that traditional cross-sectional self-report measures can be supplemented by other assessment options
9. Give at least five key strategies that will help obtain research funding in CBS
10. Describe what is known currently about ACT mediators and moderators and suggest at least one possible avenue for future development
11. Describe an effective strategy for dealing with a “revise and resubmit” decision in a way that maximizes the likelihood of acceptance

Target Audience: Research; Beginner; Intermediate; Advanced; Participants are assumed to have basic knowledge of ACT and RFT.

Components: Conceptual analysis; Literature review; Experiential exercises; Didactic presentation; Case presentation

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

 

The Compassionate Use of Exposure Strategies in ACT - Forsyth - (Clinical, Beginner, Intermediate, Advanced)

The Compassionate Use of Exposure Strategies in ACT

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Workshop Leaders: John P. Forsyth, Ph.D.; University at Albany, SUNY  

Dates & Location: 
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:15pm on Saturday July 21, 2012
9:00-5:00pm on Sunday July 22, 2012

Continuing Education Credits Available [612]: 13

Workshop Description:
Understanding the application and integration of exposure-based strategies within an ACT approach is essential for effective ACT work.

ACT teaches clients how to be with their hurts and do what works—to live well, richly, and meaningfully, without first having to defeat or eliminate sources of emotional and psychological pain. This is often challenging for both therapists and clients alike, and without a solid grounding in the compassionate use of exposure, these efforts can easily fail or backfire.

This 2-day workshop, offered by one of the world’s leading experts in the field of ACT and Anxiety disorders, is for health professionals who are already familiar with the basics of ACT and wish to further enhance their knowledge, skill, and clinical sensibilities using exposure-based strategies within the ACT model. The main focus will be on anxiety and fear, but additional attention will be devoted to other sources of pain (e.g., anger).

The workshop will cover traditional cognitive-behavioral (CBT) interoceptive and exteroceptive exposure strategies, and then show how they are modified, framed and applied within ACT. Thus, this workshop will go more deeply into the nuanced application of exposure-based interventions within ACT, and its use in helping those suffering from anxiety, depression, and other related clinical concerns.

This workshop will use a combination of didactic and experiential activities. The exercises will highlight a gentle and compassionate stance when using exposure strategies in the context of mindfulness, acceptance, and values work. Participants will be encouraged (but never forced or coerced) to engage the material at a personal level, as it applies to their own lives, and then also in the context of their clinical work. Worksheets and other practical tools will be provided.

About John P. Forsyth
John P. Forsyth, Ph.D. is Professor of Psychology at the University at Albany, SUNY, and Faculty Director of the Anxiety Disorders Research Program (ADRP) in Albany, NY. He has received several national and international awards for his scholarly work in the areas of behavior analysis and therapy, anxiety disorders, and experimental psychopathology. In 2000 he received the B. F. Skinner New Researcher Award from Division 25 of the American Psychological Association for innovative and important behavioral research by a new investigator. He has authored and co-authored over 70 articles, four books, several book chapters, routinely leads professional workshops on ACT, and has presented numerous papers at professional meetings. Dr. Forsyth's research, some of which has been funded by NIMH and more recently by the Department of Defense, focuses on restoring lives that are not working by getting at the root of human suffering. 

Learning Objectives:
1. Conceptualize and apply exposure-based strategies in a traditional sense (CBT), and then in the context of ACT;
2. Frame exposure exercises within ACT
3. Address and overcome client resistance
4. Help clients move from a stance of unwillingness to one of willingness
5. Infuse acceptance, mindfulness, and defusion strategies with loving-kindness and self-compassion
6. Create a healthy space for exposure work while moving clients in the direction of their chosen values and life goals.

Target Audience: Clinical; Beginner, Intermediate, Advanced

Components: Conceptual analysis; Experiential exercises; Didactic presentation; Role play

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

Using Functional Analytic Psychotherapy (FAP) to Maximize the Power of Your Acceptance and Commitment Therapy (ACT) Interventions - Kanter - (Clinical, Beginner, Intermediate, Advanced)

Using Functional Analytic Psychotherapy (FAP) to Maximize the Power of Your Acceptance and Commitment Therapy (ACT) Interventions

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Workshop Leaders: Jonathan W. Kanter, Ph.D.Kanter picture.JPG       

Dates & Location: 
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:15pm on Saturday July 21, 2012
9:00-5:00pm on Sunday July 22, 2012

Continuing Education Credits Available [612]: 13

Workshop Description:
FAP and ACT have been hailed as fellow travelers and brethrens by both FAP and ACT experts and practitioners. FAP promotes an intense and powerful interpersonal context in which both therapist and client evolve and grow together by taking risks and providing authentic feedback that deepen the therapeutic intimacy of the relationship and consolidate interpersonal skills. ACT also leads to an intense and powerful psychotherapeutic relationship in which both client and therapist defuse, accept and connect in the present moment to foster psychological flexibility and value-guided actions. Together the two approaches can integrate into a full approach to the psychotherapeutic relationship (FAP) and value-guided actions (ACT) that maximizes your power, courage, awareness and humanity as a therapist.

This workshop will help you explore how the primary features of FAP can maximize the power of your therapeutic relationships as you conduct ACT with clients. The emphasis will be experiential, geared toward active learning, interaction and engagement. Participants will get a chance to explore new FAP experiential exercises as well as ACT exercises with an interpersonal FAP twist. They will be encouraged to take strategic interpersonal risks to facilitate personal growth while cultivating mindfulness of the relationship. FAP encourages bringing out the best in who you are so you can fully commit to your relationships with those who are important to you, including your clients, and to make space for the vulnerability that entails. FAP is about expanding and living up to our full potential as human beings for whom loving and living with other human beings is fundamental. An important assumption in FAP is that the therapy relationship is a real relationship; therefore this workshop aims to train you in FAP skills through practicing your increased ability to connect with and be fully present in your relationships. In so doing, you will also explore how using FAP skills can help therapy get unstuck even with the most difficult clients.

About Jonathan W. Kanter
Dr. Jonathan Kanter is an Associate Professor of Psychology at the University of Wisconsin-Milwaukee and Assistant Clinical Professor of Psychiatry at the Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin. His research covers FAP, Behavioral Activation, and stigma related to depression. He has written numerous articles on FAP and provided workshops to student and professional audiences. He is the author of over 50 peer-reviewed articles and book chapters and has edited or co-authored 5 books, including “A Guide to Functional Analytic Psychotherapy: Awareness, Courage, Love, and Behaviorism.”

Learning Objectives:
1. Gain a deeper understanding of and skill in using FAP and ACT together
2. Deepen your awareness of what is occurring in the moment between you and others such that you notice and are able to respond to key moments in both therapeutic and personal relationships
3. Improve your ability to take strategic risks and act with courage in the therapy relationship and other relationships
4. Practice repeatedly giving feedback that will shape improvements in others
5. Sharpen your ability to notice key ACT processes as they occur in therapy

Target Audience: Clinical; Beginner, Intermediate, Advanced

Components: Conceptual analysis; Experiential exercises; Case presentation; Role play

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

***(Due to the impending arrival of a little one for Benjamin Schoendorff, right around the time of this workshop, he will be unable to speak as previously planned.  We wish you and your family the best Benji!)

Using RFT to Supercharge ACT Interventions with Youth and Parents - Cairns, Coyne - (Clinical, Research, Beginner, Intermediate, Advanced)

Using RFT to Supercharge ACT Interventions with Youth and Parents

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Lisa author photo cropped_0.jpgDarin_0.jpgWorkshop Leaders:
Darin Cairns, Ph.D., Senior Psychologist at the Child Wellbeing Centre, Perth, Australia; 
Lisa Coyne, Ph.D., Suffolk University

Dates & Location:
Bethesda North Marriott Hotel & Conference Center  [587]
9:00-5:15pm on Saturday July 21, 2012 
9:00-5:00pm on Sunday July 22, 2012 

Continuing Education Credits Available [612]: 13

Workshop Description:
This workshop will provide participants with foundational knowledge of RFT, at explore its use of Acceptance and Commitment Therapy (ACT) with children and their parents. The application of RFT principles and ACT theory, exercises, and treatment goals to a younger population requires thoughtful adaptation. Thus, this workshop has two explicit goals: to tailor intervention to children and parents using RFT, and to explicitly address ways to use ACT in a developmentally sensitive way. This will include how RFT informs how to apply core ACT components to work with children and parents, and how to explore and implement values-based work. When working with children and parents, it is also imperative to consider the family context, including the ways in which parents model how to handle emotional experiences as well as how they may manage challenging child behaviors. Thus, we will also discuss using ACT in concert with skills-training approaches for children and parents.
We will address functional assessment strategies, case conceptualization and treatment planning from an RFT/ACT perspective. More specifically, we will demonstrate through experiential exercises how RFT can inform the tailoring of ACT for youth and parents. Clinical examples will be used to illustrate therapeutic techniques, and participants will have opportunities to participate in experiential work and role plays, in addition to the workshop’s didactic content. Participants are encouraged to bring cases to discuss. 

About Darin Cairns
Darin Cairns, Ph.D., is a Clinical Psychologist who has worked in the field of autism and child development for over 15 years. He has specialised in applications of learning theory to promote development and family functioning, and is a firm believer in evidence based practice. Darin has presented internationally on developments in psychology, and is highly sought after as a trainer. Darin works from a view that families and children should become self reliant and resilient as a result of therapy, and sees partnership and collaboration as essential for long lasting success.

About Lisa Coyne
Lisa Coyne, Ph.D., is an assistant professor of psychology and director of the Early Childhood Research Clinic (ECRC) at Suffolk University in Boston, MA. She has adapted and used acceptance and commitment therapy (ACT) for families of young children struggling with emotional and behavioral problems, and applies her research to clinical work with young children living in poverty.

Learning Objectives:
1. How to conceptualize child, teen, and parenting cases from a contextual behavioral RFT/ACT perspective, including functional assessment, structuring of treatment goals, and monitoring progress
2. How to harness values-based work in treating children and parents
3. Specific applications of RFT and the 6 core ACT processes in developmentally sensitive ways 

Target Audience: Clinical; Beginner; Intermediate; Advanced

Components: Conceptual analysis; Literature review; Original data; Experiential exercises; Didactic presentation; Case presentation; Role play

Package Includes: A general certificate of attendance, 1 boxed lunch (July 21), and AM & PM coffee/tea break on site. Lunch break on first day is 1 hour; lunch break on second day is 1 hour and 15 minutes.

Registration & Fees - WC10 & Pre-Conference Workshops

Online Registration has finished, however you may still register onsite.  We'll see you there!

(We apologize that we may not be able to accommodate special meal requests (kosher, gluten free, vegan) for onsite registrations.)

World Conference 10 Registration Rates (July 22 evening -25, 2012)

  Onsite Registration
Professional $535
Student $295
Professional, Non-Member $595
Student, Non-Member $325

Above prices include 3 lunches, AM & PM coffee/tea on site, and a general certificate of attendance.


Pre-Conference Workshop Registration Rates (July 21-22, 2012)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference X. They will be 9:00-5:15pm on July 21 (Saturday) and 9:00-5:00pm, July 22 (Sunday), 2012.

*The workshops below [580] run concurrently, therefore please double check the dates of the pre-conference workshops you are interested in. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

  Onsite Registration
  2-day workshops 2-day Hayes CBS 1-day Strosahl (July 22) 1-day Stewart RFT (July 22)
Professional $405 $335 $265 $195
Student $255 $215 $185 $165
Professional, Non-Member $465 $395 $325 $255
Student, Non-Member $285 $245 $215 $195

Above prices include 1 lunch (July 21 only), AM & PM coffee/tea on site, and a general certificate of attendance.


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Please Note:

  • To qualify for the rates above, registration as well as payment must be received in Hammond, Louisiana by the dates listed.
  • Additional fees are required for certificates that track the number of hours you attended ($10) and CEs ($45). These fees cover all events from July 21-25, 2012 and does not need to be paid twice for attending multiple events. Find out more information here.
  • Lunches are only provided on July 21 (Saturday) for any workshop. (1 day workshops, held on July 22 do not include lunch.)
  • To register via Mail or Fax please use this Printable Version.
  • Online or fax (1 (225) 302-8688) registration is not available after July 17, 2012.
  • Registration by mail is not available after July 10 (registration and payment must be received by July 10). 
  • Student Registration/Membership is available to individuals who are enrolled in a program of study leading to a bachelor’s, master’s, or doctoral degree, are interns, or are postdoctoral candidates. Postdoctoral candidates qualify for Student Registration for up to 2 years, with proof of status from their employer. After this time, they need to register as a Professional. Note: Those registering for the conference as a student are ineligible to earn any kind of CE credits.

Refunds:
A $35 processing fee will be charged for World Conference & Pre-conference registration refunds up to June 29, 2012. (Per refund transaction.)

We regret that after June 29, 2012, refunds can not be made. If you need a refund, please contact us [294] via email.

Room Share/ Ride Share

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Please use this page to find hotel roommates or rides for the World Conference X and/or pre-conference workshops.

Please be sure to post a "check-in" and "check-out" date in your posting and if you already have a room reserved or not (and where).

To post your need: click "add new comment" (which appears in blue below). It is recommended that you list your email address so that you may be contacted directly, but that is up to you.

To respond to a posting: click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).

See the "Example Post" and "Example Reply" below to understand what this will look like.

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us [304]" above in the header of the site for feedback or assistance. You only need a login to interact with this page, paid membership is not required to participate.)

WC10 Posters

Poster files added where available. If you would like your poster file to be added to this list, please email it to Kate Morrison [613].

Sunday, July 22 - Poster session #1 

Monday, July 23 - Poster Session #2

 

 

 

Sunday, July 22 - Poster session #1

Behavioral Medicine

1. A Look at Body Mass Index, Experiential Avoidance, Mindfulness, Emotional Dysregulation, and Weight-related Excessive Behaviors in a College Population
Subtopic: Obesity
Tamara Loverich, Ph.D., Eastern Michigan University
Matt Sabo, M.S., Eastern Michigan University
Ashley Wiedemann, M.S., Eastern Michigan University

A correlation between experiential avoidance and BMI was reported in a previous study. This study sought to replicate that finding in a college population and to examine whether BMI could be effectively predicted through experiential avoidance, mindfulness, and emotional dysregulation. The relationships among these variables and related excessive behaviors including binge eating and smoking were evaluated in a group of 220 undergraduates. Preliminary analyses indicate that the relationship between EA and BMI is not as strong in this sample as was reported by another research group; however, the relationships among EA, mindfulness, emotional dysregulation and excessive behaviors are significant and in the expected directions. More complex analyses of these data, implications, and future directions for this research will be presented. Special attention will be given to discussing levels of BMI as grouping variables and impact on outcomes.

2. Implicit cognitive processes in people with seizures
Subtopic: IRAP, Non-epileptic attack disorder.
Lian Dimaro, B.Sc., University of Nottingham, UK
Markus Reuber, M.D. Ph.D., University of Sheffield, UK
Ian Brown, D.Clin.Psy., Nottinghamshire Healthcare NHS Trust, UK
David Dawson, D.Clin.Psy., University of Lincoln

Current research on non-epileptic seizures offers a complex psychological aetiology, however does not address implicit processes or offer empirical evidence for the theory of repressed emotion or unconscious awareness. Two constructs that are highlighted in existing implicit cognition research are anxiety and self-esteem. The implicit relational assessment procedure supersedes earlier implicit measures and was utilised to examine these implicit constructs in people with epileptic and non-epileptic seizures. From a relational frame theory perspective, this study aims to give clinicians a better understanding of non-epileptic seizures, with the hope that psychological interventions can be tailored to achieve better outcomes, and in turn lower the financial and psychosocial cost to both patients and healthcare providers.

3. ACT for Weight Loss Plan Adherence
Subtopic: Weight Loss Plan Adherence
Julie E. Angiola, M.S., Ph.D. Candidate, Psychology Department, University of Wyoming and Geisinger Medical Center (Adult Behavioral Medicine Resident)
Anne M. Bowen, Ph.D., School of Nursing, University of Wyoming

Overweight and obesity are an increasing problem among adults in the United States. Research suggests that a psychological intervention specifically aimed at addressing experiential avoidance of distressing thoughts, feelings, and memories may result in sustained weight loss. Acceptance and Commitment Therapy (ACT) decreases experiential avoidance, thus creating psychological flexibility, which may in turn, lead to an ability to endure cravings, emotional eating, and negative self-talk. Furthermore, ACT empowers individuals to commit to behaviors congruent with their specific concept of valued living; for those looking to lose weight these values may be better health, arrived at through food journaling and increased exercise, and engaging in a greater breadth of experiences (e.g., being able to go on a city walking tour with a spouse).
The area where many individuals attempting weight loss appear to “struggle” is in long-term adherence to weight loss plans. Therefore, we specifically recruited participants who had difficulty maintaining weight loss motivation. The study, of single-subject, multiple baseline design, enrolled six current Weight Watchers® (WW) members who had been “struggling” to adhere to WW for at least the past month. The intervention consisted of four, once weekly, 50-minute ACT sessions. Sessions were tailored to address specific barriers to adherence including one’s “minding” in the context of journaling, or “tracking,” mindful eating, and discovery of personally salient values. We hypothesized that the intervention would decrease experiential avoidance and increase valued living. Thus, we hoped to create greater food and weight-related psychological flexibility to garner better adherence to WW. Date will be presented for baseline, intervention sessions, 1-week post-treatment, 1-month follow-up, and 3-month follow-up.

4. Do Telephone-Delivered Self-Management Interventions for Chronic Pain in Persons with Disabilities Promote Pain-Related Acceptance that Contributes to Treatment Gains? [614]
Subtopic: Chronic Pain
Sarah J. Sullivan, University of Washington
Dawn M. Ehde, University of Washington
Judith Turner, University of Washington
Tiara Dillworth, University of Washington

Self-management interventions for patients with chronic pain have been demonstrated effective in improving important pain-related outcomes. The aim of this study was to explore whether such interventions decrease distress by increasing pain-related acceptance (willingness to experience pain in the service of pursuing valued goals). Individuals with chronic pain and multiple sclerosis, spinal cord injury, or amputation (N = 135; 61% female; age M = 54.11, SD = 10.4 years) were randomized to two different types of 8-session telephone-delivered chronic pain self-management interventions. We used hierarchical linear regression analyses to evaluate whether pre-posttreatment change in pain-related acceptance (Chronic Pain Acceptance Questionnaire) was associated with post-treatment depressive symptoms (PHQ-8), controlling for pre-treatment depressive symptoms and pre-posttreatment change in pain intensity (mean of three ratings over one week). Pre-post increases in acceptance were associated with lower depression scores at post-treatment (β = -.15, p < .01, ΔR2 = .02), controlling for baseline depression (β = .79, p < .001, ΔR2 = .58) and pre-post change in pain intensity (β = .13, p < .05, ΔR2 = .03). Further investigation of the extent to which pain-related acceptance mediates effects of various chronic pain self-management interventions is warranted.

5. Application of the Six Core Processes of ACT to a Fitness Walking Program [615]
Subtopic: Cardio-respiratory Fitness
Neville Galloway-Williams, M.S., Virginia Polytechnic Institute and State University
Emily C. Martin, M.S., Virginia Polytechnic Institute and State University
Richard S. Winett, Ph.D., Virginia Polytechnic Institute and State University

Emerging research suggests that ACT is an effective therapy for a number of health-related issues, including pain, obesity, epilepsy, and smoking. The theoretical underpinnings of ACT seem to render it particularly appropriate in merging well with behavioral medicine. The authors of the current study sought to target cardiorespiratory fitness and developed a treatment manual to promote fitness walking. The six core processes were applied in discussions and exercises specifically adapted for fitness walking. In particular, participants were encouraged to identify values related to fitness as well as associated goals and behaviors and to foster present moment contact with feelings about exercise. The program encourages defusion from negative thoughts about the state of one’s health, acceptance of internal barriers to walking and a view of self-as-context in order to be mindful of thoughts while walking as well as thoughts about walking.

6. Adding Internet-delivered interventions to a pain management program: Experiences from a randomized controlled clinical trial
Subtopic: Pain, Internet
Nina Bendelin, MSc, Pain and Rehabilitation Centre, Linköping, Sweden
Marie Blom, MSc, Pain and Rehabilitation Centre, Linköping, Sweden
Martin Södermark, Pain and Rehabilitation Centre, Linköping, Sweden

Background: Longstanding pain is central in much suffering. Studies have shown small to medium effect sizes, e.g. for pain management programs and acceptance-based interventions, and more research is needed.
Design: Patients participating in a 6-week acceptance-based multidisciplinary pain management program (PMP) in the Pain and Rehabilitation Centre, Linköping, Sweden, are asked to participate in a randomized controlled trial. The hypothesis is that the participants will benefit from Internet-delivered interventions added during and after the PMP.
Results: The trial is not yet finished so data will not be presented. However, during the 1½ years the trial has been going on, we have learnt a lot. In this poster we share our experiences as reseachers and clinical psychologists, both the do's, don'ts and how to's. We hope it might make the bumpy road a little smoother for those that plan to use internet-delivered interventions for patients with or without longstanding pain, and for those doing a RCT in a clinical setting.

Clinical Interventions and Interests

7. Neuroticism, Symptoms of Psychological Distress, and Life Satisfaction: The Indirect Effects of Experiential Avoidance
Subtopic: Depression, Anxiety, Experiential Avoidance
Thomas A. Altro, B.S., University of Central Florida
Jonathan C. Mitchell, M.A., University of Central Florida
Jeffrey E. Cassisi, Ph.D., University of Central Florida

The purpose of the present study was to investigate the mediating effects of experiential avoidance on the relationships between neuroticism and depressive and anxiety symptoms and life satisfaction. Specifically, 622 undergraduate students from a large university in the southeastern United States completed self-report measures of neuroticism (EPQ-R-S), experiential avoidance (AAQ), life satisfaction (TSWLS), and depressive (BDI-II) and anxiety (BAI) symptoms. Mediation analyses were conducted by implementing bias-corrected bootstrapping procedures (5,000 resamples) to estimate the total, direct, and indirect effects. Neuroticism exerted significant indirect effects on depressive and anxiety symptoms and life satisfaction through experiential avoidance, with higher levels of experiential avoidance associated with increased depressive and anxiety symptoms and decreased life satisfaction, after controlling for the direct effects of neuroticism. Examination of effect ratios revealed that the proportion mediated by the impact of experiential avoidance on depressive and anxiety symptoms and life satisfaction were 40%, 20%, and 60%, respectively. Implications for extant theoretical models of unipolar depression and anxiety disorders as well as appropriate targets for clinical intervention are discussed.

8. Acceptance and Commitment Therapy with Adolescents: A Randomized Trial of Group Therapy [616]
Subtopic: Adolescent group therapy ACT
Sheri Turrell, Ph.D., Trillium Health Centre, Mississauga, Ontario, Canada
Marci Vickar, M.A.Sc., OISE/University of Toronto, Toronto, Ontario, Canada
Mary Bell, MSW, RSW, Trillium Health Centre, Mississauga, Ontario, Canada
Catherine Huddleston, M.A.Sc., Trillium Health Centre, Mississauga, Ontario, Canada
Linda Ivan, MSW, RSW, Trillium Health Centre, Mississauga, Ontario, Canada
Sheryl Parks, MSW, RSW, Trillium Health Centre, Mississauga, Ontario, Canada

Recently, the efficacy of ACT in group format has been the subject of empirical research. Studies have reported significant improvements in valued living and mindfulness, and a decrease in avoidance for adult participants with social anxiety. The aim of the present study is to evaluate the effectiveness of a new group based ACT intervention that targeted the adolescents in an out-patient clinic; participation was not diagnosis specific but rather included a heterogeneous group representative of the population served in this setting. A treatment as usual design was used with participants randomized to an immediate or delayed (i.e., wait list) treatment group. Questionnaires were administered pre and post treatment, as well as at 3 month follow up. Dependent measures assessed through questionnaires included outcome measures of mood symptoms and three process measures (i.e., mindfulness, avoidance, and valued living). Preliminary analyses suggest an increase in valued living and mindfulness for adolescents.

9. Anxious Attachment in Social Anxiety Disorder: Relationships between Anxious Attachment and Clinical Severity, Perceived Stress, Emotion Dysregulation, and Core Beliefs
Subtopic: Social Anxiety Disorder
Alexandra Davidson, PGSP-Stanford Consortium
James Gross, Ph.D., Stanford University
Philippe Goldin, Ph.D., Stanford University

Social Anxiety Disorder (SAD) is a psychiatric condition that encompasses individuals with markedly different presentations, levels of functioning, and responses to treatment (Moscovitch, 2008). Attachment style is an important framework for understanding perceived stress and affect regulation in social interactions. It is one area of individual difference that has been largely overlooked in the context of SAD but that may help to explain this heterogeneity. In the present study, we looked at the anxious dimension of attachment insecurity among individuals with generalized SAD (n=119). We tested the hypotheses that anxious attachment would be related to: (1) severity of clinical symptoms (social anxiety and depression) and lesser quality of life, (2) perceived stress and emotion dysregulation, and (3) strength of SAD core beliefs. As expected, anxious attachment was associated with social anxiety severity (r=.44, p<.001), depression (r=.31, p<.001), quality of life (r=-.42, p<.001), perceived stress (r=.34, p<.001), and strength of SAD core beliefs (r=.47, p<.001), and these associations remained significant when social anxiety severity was entered as a covariate. However there were only small associations with emotion regulation subscales like frequency of suppression in specific situations (r=.19, p<.04) and reappraisal self-efficacy (r=-.21, p<.02), and no associations with other emotion regulation subscales. These findings provide preliminary evidence for further investigation of attachment style in SAD, and suggest that it may be an important target for assessment and treatment.

Reference:
Moscovitch, D. A. (2009). What is the core fear in social phobia? A new model to facilitate individualized case conceptualization and treatment. Cognitive and Behavioral Practice, 16 (2), 123-134.

10. Examining the Psychometric Properties of the Valued Living Questionnaire
Subtopic: Measurement, Values
Brandon Sanford, M.S., Missouri State University
Ann Rost, Ph.D., Missouri State University
David Houghton, B.A., Missouri State University
David Bauman, M.A., Forest Institute
Bridget Beachy, M.A., Forest Institute

The Valued Living Questionnaire (VLQ; Wilson, Sandoz, Kitchens, & Roberts, 2010) represents the first attempt to measure values concordance and has been used increasingly as both a process and outcome measure in clinical research. One psychometric concern of the measure appears to be the interpretation of items assessing value domains in which individuals are not currently engaged. We hypothesize that the domains of parenting and occupation have inflated error variance among younger populations. Removing these items should increase construct and convergent validity within this younger population but should show little effect within an older population. Additionally we compared the validity of scoring the VLQ in three different ways: a composite score (Wilson, et al, 2010), a difference score (Rost, 2010; Dalrymple & Herbert 2007), and the behavioral consistency score. Participants (N = 245; ages 17 to 51) completed the VLQ, POMS, BDI, BAI and the Values Bull’s Eye (Lundgren, 2006). The 8-domain version of the VLQ correlates higher with every measure of psychological distress (e.g. for the 10-domain version of the VLQ and POMS: r(207) = .195, p < .01, as compared to the 8-domain version: r(209) = .286, p < .001). Data collection is still currently in process, but preliminary tests reveal support for both the removal of items and the difference scoring method.


11. Effects of Expressive Writing on Values Concordance
Subtopic: Values
Ann Rost, Ph.D., Missouri State University
Brandon Sanford, M.S., Missouri State University

Past research has shown that writing about emotional experiences leads to significant reductions in physiological and psychological distress (e.g. Hughes, Uhlmann, & Pennebaker, 1994). The therapeutic benefits of this type of writing experience have been examined in many samples. However, there has not been a controlled experiment utilizing this writing paradigm in combination with the underlying theory of Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, and Wilson, 1999). The current project was developed to examine the effects of expressive writing on personal values and valued living. Based upon scores obtained on the Valued Living Questionnaire (VLQ), individuals who are deemed highly concordant and highly discordant were randomly assigned to one of three conditions: (1) writing about their deepest thoughts and feelings related to a traumatic event, (2) their personal values, or (3) their shoes, closet, and living room furniture. In all three conditions, participants wrote about their topic for three, 20 minute sessions scheduled over the course of 3 weeks. A 3 x 2 x 4 factorial ANOVA was used to analyze the data. The preliminary results indicate that those participants who wrote about their values and value-based behavior showed a significant change in behavior, becoming increasingly concordant with their values, over the course of the study t(20) = 3.19, p< .005. This finding may suggest that simple, values-focused interventions can impact valued behavior, and may be useful in combination with therapy.

12. An Investigation into the Relationships Among Adult Child and Parent Experiential Avoidance, Mindfulness, Emotional Dysregulation, and Excessive Behaviors
Subtopic: Experiential avoidance
Tamara Loverich, Ph.D., Eastern Michigan University
Matt Sabo, M.S., Eastern Michigan University

Experiential avoidance is presumed to be, at least partially, a product of learning. As a result, it has been assumed that levels of experiential avoidance correlate in parents and their children. This study sought to evaluate that assumption by recruiting 28 adult children and their former primary caregivers in pairs to assess their experiential avoidance (AAQ-II), emotional dysregulation (DERS), Mindfulness (MAAS), and use of excessive behaviors (CMPB). Early data analyses indicate that adult child and parent experiential avoidance, mindfulness, and emotional dysregulation correlate significantly and that parental EA is the best predictor of adult child EA. Greater experiential avoidance and less mindfulness were associated with greater utilization of harmful excessive behaviors in adult children and parents. Additional findings, implications, and future directions for this research will be presented.

13. Are self-loathing and perfectionist beliefs (verbal relations) implicated in the onset of disordered eating?
Subtopic: Disordered eating behaviours
Amanda Tetley, Trent Doctorate in Clinical Psychology
Nima Golijani-Moghaddam, Trent Doctorate in Clinical Psychology
David L Dawson, Trent Doctorate in Clinical Psychology
Michael Rennoldson, Trent Doctorate in Clinical Psychology

Introduction: Since the 1970s there has been much interest in the precipitants of disordered eating. Recently, it has been suggested that it might occur as a result of a pervasive negative view of self and high standards for self-achievement. This poster describes a study proposed to test this hypothesis. Specifically, the study aims to determine the extent to which implicitly- and explicitly-measured self-loathing, and high standard for self, beliefs can prospectively predict disordered eating in an at-risk group of female students.

Methodology: We will assess self-loathing, and high standard for self, beliefs in female students at the beginning of university and determine whether these predict disordered eating six months later. Self-beliefs will be assessed explicitly, using self-report scales, and implicitly, using the Implicit Relational Assessment Procedure (IRAP).

Clinical implications: This study will further our understanding of the factors implicated in the development of disordered eating. This could inform the development of prevention strategies and identify novel targets for psychological interventions.

14. Psychological Inflexibility, Personality, and Treatment Outcome Following a Mindfulness-based Intervention for Stress
Subtopic: Mindfulness
Megan S. Steven-Wheeler, D.Phil., The Catholic University of America
Carol R. Glass, Ph.D., The Catholic University of America
Kevin J. Crowley, M.A., The Catholic University of America
Robert K. Hindman, M.A., The Catholic University of America
David D. Maron, M.A., The Catholic University of America
Elizabeth W. Hirschhorn, The Catholic University of America

Psychological inflexibility (PI) is a common factor in psychopathology (Bond et al. 2011) and is inversely correlated with positive therapeutic outcome (e.g., Berking et al., 2009). However, little is known about the relations between PI, trait personality, and outcomes of mindfulness-based interventions. The current study used data from 34 undergraduate and graduate students who volunteered for a 6-week mindfulness-based workshop for stress. Personality was measured using the NEO five-factor inventory (Costa & McCrea, 1989), and PI with the Acceptance and Action Questionnaire II (Bond et al., 2011).

Preliminary results indicated that neuroticism was significantly correlated with PI (r = .78, p < .001), whereas agreeableness and conscientiousness were significantly inversely correlated with PI (r = -.36 and -.38, p < .05, respectively). Given that personality is predictive of the existence of psychopathology (e.g. Carey & DiLalla, 1994), these results raise the possibility that psychological inflexibility is a key construct linking personality to psychopathology. Subsequent analyses will examine the role of PI and personality as predictors of treatment outcome.

15. PsyMate: An instrument for ecological, momentary assessment of behavior and its context [617]
Subtopic: Assessment
Tim Batink, MSc, Maastricht University, School for Mental Health and Neuroscience, Division 2: Mental Health.
Inez Myin-Germeys, Prof. Dr., Maastricht University, School for Mental Health and Neuroscience, Division 2: Mental Health.
Marieke Wichers, Dr. (Assistant Professor), Maastricht University, School for Mental Health and Neuroscience, Division 2: Mental Health.

ACT teaches us to deal with our experiences in the present moment, in such a way that we can behave according to our values. However, clients do have to get out of their lives and into our therapy-office to learn to work with ACT. I will introduce a new digital momentary behavioral assessment and intervention technology; the PsyMate, that allows to move the therapy out of the office and back into the patient’s day to day experience. The PsyMate is an electronic device that is designed for recording overt (actions) and covert (thoughts, emotions, bodily sensations) behavior in daily life. The PsyMate can be used to assess present moment experiences as well as provide treatment interventions in real-world settings. I will introduce the PsyMate as well as its options for real-life feedback and interventions.

16. The implicit relational assessment procedure (IRAP) and the malleability of negative implicit cognition toward women.
Subtopic: IRAP
Kerry Sheldon, Ph.D, University of Nottingham
Dr David L. Dawson, University of Lincoln
Dr Nina Golijani-Moghaddam, University of Lincoln

The sexual objectification of women in the media, and the supposedly negative effects of pornography on male attitudes towards women, are regularly debated. Yet one major flaw of the pornography effects literature is their reliance on self-report or “explicit” measures, rather than on more direct measures of cognitions known as “implicit” measures. Explicit measures asking questions about sexism and violence against women are problematic because people do not have access to much of their cognitions, have to compare themselves to others on the measures, and may deliberately choose to lie on them. In contrast, implicit measures infer attitudes or cognitions through a pattern of responses on a task. They are subject to less social desirability and are thought to be tapping into cognitions which are automatic. This implies such cognitions are resistant to change and raises the important question of how malleable implicit cognitions are, for instance can they be primed? The main aim of this study is to explore whether implicit cognitions toward women can be primed through pornography exposure. The sample will include students across two UK Universities. The Implicit Relational Assessment Procedure (IRAP) will be used as the primary outcome measure. Three further objectives include whether any effects are maintained over 48 hours and whether priming with pornography exposure produces similar, or different effects, across the IRAP and two self-report questionnaires measuring sexism and negative attitudes toward women. Finally, the study proposes exploring whether implicit and explicit measures predict behavioural outcomes, in this case, chair proximity to the experimenter and rating of experimenter competence and friendliness.

17. Validation study of the Italian version of the Cognitive Fusion Questionnaire (CFQ)
Subtopic: Cognitive Fusion
Francesco Dell'Orco, M.A., IULM University, Milan - IESCUM, Parma
Anna Bianca Prevedini, M.A., IULM University, Milan - IESCUM, Parma
Annalisa Oppo, M.A., IULM University, Milan - IESCUM, Parma
Giovanbattista Presti, Ph.D., IULM University, Milan - IESCUM, Parma
Paolo Moderato, Ph.D., IULM University, Milan - IESCUM, Parma

In the perspective to make available for the Italian community a specific instrument psychometrically sound for measuring cognitive fusion, we translated and back translated an Italian version of the Cognitive Fusion Questionnaire (CFQ; Gillanders, D.T., Bolderston, H., Bond, F.W., Dempster, M., Campbell, L., Kerr, S., Tansey, L., Clarke, S., Remington, B., Flaxman, P., Deans, G. , 2010), an instrument which is focused on cognitive fusion, intended as the process in which a subject mingles thoughts about an event with the present experience of it. In Acceptance and Commitment Therapy, cognitive fusion is related to experiential avoidance, thought control strategies, distress, rumination, life satisfaction and quality of life.
CFQ was administered to a sample of non-clinical and clinical population. Respondents indicate how frequently they have the experience described in each statement using a 7-point Likert scale from 1 (always true) to 7 (never true), where high scores reflect more cognitive fusion. Correlations with other instruments (SCL90, AAQ-II, EQ, DASS) were investigated. Data will be discussed

18. Investigating implicit attitudes to the therapeutic relationship and their impact on outcomes in therapy.
Subtopic: IRAP
Michael Oddi, University of Nottingham / University of Lincoln
Dave Dawson, DClinPsy, University of Lincoln

The idea that the therapeutic relationship can influence outcomes in therapy above specific therapeutic techniques has a large history in the literature. Measures of this can be problematic as they all rely on participant self-report which can be subject to various social desirability biases. Research suggests that measures of implicit attitudes can be a more accurate reflection of attitudes and a better predictor of behaviour in socially sensitive areas.

This study aims to investigate implicit attitudes to the therapeutic relationship for clients in receiving therapy in primary care settings and to determine how predictive they are of outcomes in therapy.

19. Implicit Relational Assessment Procedure: Assessing the Effectiveness of a Brief Cognitive-Behavioural Analogue Intervention in Relation to Restructuring Implicit Rape Supportive Verbal Relations
Subtopic: IRAP
Anna Brown, MSc, University of Lincoln
Dr David Dawson DClinPsy, University of Lincoln
Dr Nima Golijani-Moghaddam DClinPsy, University of Lincoln

Research into sexual aggression and cognition has been impeded by methodological concerns. The Implicit Relational Assessment Procedure (IRAP Barnes-Holmes et al., 2006) has addressed some of these concerns by being less susceptible to socially desirable responding than other measures. Derived from relational frame theory (RFT; Hayes et al., 2001) the IRAP provides a direct measure of implicit cognition. The primary aim of the study is to examine the malleability of implicit beliefs as measured using the IRAP. The second aim is to investigate whether IRAP scores can predict behavior. The Acceptance of Modern Myths about Sexual Aggression scale (AMMSA; Gerger et al., 2007) will be used to screen university males. High-scorers will be randomly assigned to an analogue-Cognitive Behavioral Therapy (CBT) intervention group or a problem-solving control group and will complete the IRAP pre- and post-intervention. Participants will complete behavioral outcome measures: a behavioral rating scale and a forced-choice measure.

20. Nonaggressive Rules and Provocation
Subtopic: Aggression
Andrew M. Sherrill, B.S., Northern Illinois University
Kathryn M. Bell, Ph.D., Capital University
Joseph Magliano, Ph.D., Northern Illinois University
Alan Rosenbaum, Ph.D., Northern Illinois University
Patricia Wallace, Ph.D., Northern Illinois University
Aaron Briggs, Northern Illinois University

Nonaggressive rules specifying punishments following aggressive behavior or benefits following nonaggressive behavior may function to inhibit aggressive behavior or promote alternative prosocial behavior. To examine the impact of nonaggressive rules on aggressive responding, this study used a behavior analog measure of aggression requiring participants to exchange noise blasts with a fictitious opponent under the cover story of a reaction time game. Before competing, participants assigned to a “nonaggressive rule group” were informed that using low intensity noise blasts against opponents typically results in opponents reciprocating with high intensity noise blasts. In comparison to a “no rule group,” participants in the nonaggressive rule group delivered lower noise blast intensities across all 30 trials of gradually increasing provocation; however, as provocation increased, the two groups increased their noise blast levels at similar rates. Findings suggest that nonaggressive rules may function to partially suppress aggressive responding, although provocation also influences aggressive responding.

21. ACT-enhanced Parent Training for parents of ADHD children.
Subtopic: Children, ADHD, Parent Traning
Anna Bianca Prevedini, M.A., IULM University Milan-Italy; IESCUM Italy
Francesca Pergolizzi, PsyD, IESCUM Italy
Laura Vanzin, PsyD, Istituto Scientifico Eugenio Medea IRCCS – Bosisio Parini -Italy
Massimo Molteni, MD, Istituto Scientifico Eugenio Medea IRCCS – Bosisio Parini -Italy
Giovambattista Presti, Ph.D., IULM University Milan; IESCUM Italy
Paolo Moderato, Ph.D., IULM University Milan; IESCUM Italy

Attention Deficit/Hyperactivity Disorder (ADHD) is a disorder that affects between 8 and 12% of children worldwilde (Polanczyk, 2007). Children with ADHD are typically characterized by inattention, hyperactivity and impulsivity, but many of them show pattern of problem behaviors such as non-compliance and aggression too. Current evidence suggests that parent training programs based on behavioral and cognitive behavioral principles are reasonably effective in producing behavioral changes both in children with ADHD and in their parents and family members (e.g. Anastopuolos and Farley, 2003).

A twelve-session Cognitive and Behavioral Parent Training (CB-PT) is offered for parents of ADHD children at the Istituto Scientifico Eugenio Medea, IRCCS – Bosisio Parini – Italy, a clinical and research hospital for the diagnosis and treatment of children with different neurological and psychological disorders. The manualized training (Vio et al, 1999) is mainly psychoeducational and aims to help parents in 1) acquiring correct information about ADHD 2) becoming aware of their attributional styles and their impact on emotions and behaviors, and to change them with more effective ones, and 3) learning effective behavioral strategies to manage their ADHD children difficulties and problematic behaviors (including functional assessment of children behaviors and contingencies modification). Given the recent evidence and theorization of the role of Experiential Avoidance (e.g of feeling incompetent and ineffective) and Fusion (e.g. with thoughts and stories about their own child’s disorder and misbehaviors) processes in the impairment of parents’ ability to develop effective parenting skills (e.g. Coyne & Wilson, 2004; Greco et al. 2005), the present research attempts to enhance the above PT protocol with ACT, used as a way to reduce parents’ psychological barriers that may restrict new skill acquisition (Murrell & Scherbarth, 2011).

The ACT-enhanced twelve-session Parent Training (ACT-PT) for parents of children diagnosed with ADHD will be presented. It will be discussed the role of ACT processes in: 1) contacting the unworkability of parental strategies based on Experiential Avoidance and Fusion, 2) lessening the automaticity of those strategies to make the parental repertoire more flexible and contingency based, 3) and placing parental goals in the context of clarified personal values. Epistemological, theoretical and practical differences between the CB-PT and ACT-PT will also be discussed.

22. Psychological acceptance and impulsivity: Interaction predicts disordered eating behavior
Subtopic: eating behavior
Stephanie P. Goldstein, Drexel University
James D. Herbert, Ph.D., Drexel University
Evan M. Forman, Ph.D., Drexel University
Adrienne Juarascio, M.S., Drexel University
Breann Erford, Drexel University
Amanda Barbieri, Drexel University

Recent research has shown that increased mindfulness, an enhanced awareness and nonjudgmental acceptance of a particular experience accompanied by an attitude of openness, might be related to decreased self-reported disinhibition for individuals with low impulsivity (Lattimore et al., 2011). This finding strengthens past research relating disinhibition to impulsivity and further elucidates the impact of mindfulness on disinhibition. Whereas these findings are novel, they rely on self-reported disinhibition and it is unclear how they will translate to overt behavior. The current study examined this relationship with behavioral measures of disinhibition and impulsivity, and more specific facets of mindfulness (acceptance and awareness). Participants were 95 female undergraduate students. Measures of impulsivity (Go/No Go Association Task; GNAT), psychological acceptance and awareness, self-reported and behavioral disinhibited eating (mock taste test) were administered. Results revealed a negative relationship between psychological acceptance and both self-reported disinhibited eating, r=-0.47, p<.001, and behavioral impulsivity, r=-0.21, p=.042. Additionally, it was found that GNAT scores interacted with acceptance to predict self-reported, b=0.01, t(90)= 2.14, p=.035, and behavioral, b= 0.03, t(90)=2.58, p=.012, disinhibited eating. These relationships show that higher psychological acceptance leads to lower levels of disinhibited eating for individuals who are less impulsive; however the same pattern was not observed for psychological awareness. These findings have potential for implicating psychological acceptance more specifically in interventions targeting disinhibited eating.

23. Experiential Avoidance, Anxiety Sensitivity, Coping and Smoking
Subtopic: Smoking and Expiriential Avoidance
Vasos Pavli, University of Cyprus

Background: Anxiety sensitivity (AS) is the term used to describe the fear of anxiety and physical sensations related to anxiety, and consists of beliefs that the experiences of anxiety/fear and related physical sensations have harmful somatic, psychological or social consequences (Reiss, 1991; Reiss & McNally, 1985). Experiential Avoidance (EA) occurs when a person is unwilling to stay in contact with particular "stressful" and unpleasant experiences (e.g., bodily sensations, emotions, thoughts, memories) and takes steps to change the form or frequency of these events or tend to escape (Hayes et al., 1996). One important issue it’s the relation between AS and smoking. There is an extend research past work trying to specify this relationship. According to resources, the latter produces bodily sensations common to anxiety-related states, including heart palpitations, elevations in blood pressure, and increased coronary blood flow (Benowitz, 1996; Pickering, Schwartz, & James, 1995). For example it was found that cigarettes smokers who are high in AS are more apt to report smoking because they believe that smoking serves as a coping function to down regulate negative affective states (e.g. anxiety, Brown, Kahler, Zvolensky, Lejuez, & Ramsey, 2001; Comeau & Loba, 2001). Other evidence suggests that negative reinforcement available through experiential avoidance is an important component of nicotine dependence (Shiffman, 1993). According to Kenford et al., 2002 suggest that the basis of smoking is nicotine exposure, tolerance development, and withdrawal symptoms in the absence of nicotine

Our research aims to: 1) clarify whether EA mediates the relation between AS and Smoking, 2) examine gender differences in AS between smokers and non smokers, and 3) whether smoking is used as a coping function for both male and female smokers. We collected data from male and female Cypriot Smokers and Non-Smokers, to examine the variables mentioned above.
Measures: Anxiety Sensitivity Index (ASI-16; Reiss, Peterson, Gursky, & McNally, 1986), Fagerström Test for Nicotine Dependence (FTND; Fagerström, 1978; Heatherton et al., 1991), Acceptance and Action Questionnaire II (AAQ II; Bond et al, 2010) and COPE-Brief (COPE-B; Carver, 1997).

Participants: 176 college smokers (91 female Mage = 20.70, S.D.=1.95, M = 17.53, S.D= 8.58 cigarettes per day) and 168 college nonsmokers (84 female, Mage = 20.61 S.D. = 1.20).
Results: Independent Sample T-tests and ANOVA (GLM) were used to examine differences in Anxiety Sensitivity among men and women. Women in the overall sample scored higher than men on the ASI, t(342) = 6.92, p < .001 (women: M = 22.94, SD = 10.97; men: M = 14.64, SD = 11.28).Male smokers had significantly higher ASI scores compared to male non-smokers, t(99.69) = 7.94, p < .001,(male smokers: M =20.47, SD =1.12; male nonsmokers: M =8.74 SD =1.29) but no such difference was found between smoking and non-smoking women, t(101.08) = 0.32, p > .05 (female smokers: M =23.70, SD=1.08; female non smokers: M =22.10, SD =1.29).

***Preliminary analysis showed that Smoking is used as a coping function for both men and women. Preliminary mediation analysis showed that AS mediates the relationship between Smoking and EA.

24. Self-Compassion and Social Anxiety: The Mediating Role of Shame [618]
Subtopic: Social Anixety
Emily Winch, M.A., La Salle University
Valerie Saxton, M.A., La Salle University
Kimberly Aker, M.A., La Salle University
Lienna Wilson, B.A., La Salle University
LeeAnn Cardaciotto, Ph.D., La Salle University
Edie Goldbacher, Ph.D., La Salle University

Self-compassion correlates negatively with depression, anxiety, and rumination (Neff, 2003). It may be particularly relevant to social anxiety due to the high levels of self-criticism characteristic of the disorder; additionally, individuals with social phobia report less self-compassion than do healthy controls (Werner et al., in press). Social anxiety has also been linked to shame, and the two have been found to correlate highly (Gilbert, 2000). Compassion-focused therapy purports to decrease shame by cultivating the ability to self-soothe through compassion (Gilbert & Proctor, 2006). The present study further examines the relationships among self-compassion, social anxiety, and shame, hypothesizing that shame mediates the relationship between self-compassion and social anxiety. Participants were 150 student volunteers from a small urban Catholic university. Results of bootstrapping analyses indicated that shame partially mediated the relationship between self-compassion and social anxiety (z = -5.175, p < .001). Clinical implications and future directions for research will be discussed.

25. Acceptance and Commitment Therapy as an Alternative to Exposure: A Pilot Study in the Treatment of Veterans Diagnosed with PTSD. [619]
Subtopic: PTSD
Katharine C. Sears, Ph.D., VA National Center for PTSD
Varvara Mazina, BA, VA National Center for PTSD
Amy Wagner, Ph.D., Portland VA Medical Center
Robyn Walser, Ph.D., VA National Center for PTSD

There is a need to provide alternative therapies to the evidence-based standards for the treatment of PTSD. Drop-out rates and refusal rates for exposure-based therapies, the main empirically-based intervention for PTSD, range from 40-50% (Schnurr et al., 2007; van Minnen, Arntz, & Keijsers, 2002). In this ongoing multi-site VA pilot study, Acceptance and Commitment Threapy (ACT) was offered to Veterans diagnosed with PTSD who had already declined or dropped out of exposure treatment. Six male Veterans (mean age 52.6, 50% Caucasian) completed a 12-week ACT protocol and answered a series of questionnaires at pre-, post-, and 3-month follow up. Preliminary results suggest a reliable decrease in average PTSD scores on the PTSD Checklick (PCL-C; Weathers, 1993) from pre- to post-treatment (average ∆ = -5.84, range 5 to -24), and a clinically significant decrease from pre-treatment to 3 month follow-up (average ∆ = -21.25, range -5 to -36). Participants reported successive improvements from pre-treatment to follow up in three domains of the World Health Organization Quality of Life Scale (WHOQOL-BREF; World Health Organization, 1993): social relationships (average ∆ = .88), psychological health (average ∆ = 1.47), and physical health (average ∆ = 2.93); as well as improvements in values-based living as measured by questionnaires designed for the pilot study. According to their responses on the Treatment Credibility/Expectancy Questionnaire (CEQ; Borkovec & Nau, 1972), Veterans had realistic expectancies about ACT treatment and their beliefs about its credibility were solidified over time. While there was no apparent change in Veterans' willingness to engage in exposure-based treatments as a result of the treatment, there was an upward trend in patients’ self-reported acceptance as measured on the Acceptance and Action Questionnaire (AAQ-2; Bond et al., 2011) from pre- to post-treatment (average ∆ = 9) and pre- to follow-up (average ∆ = 11.3). In addition, there was a downward trend in scores on the White Bear Suppression Inventory (WBSI; Wegner & Zanakos,1994) from pre- to post-treatment (average ∆ = -2) and pre- to follow-up (average ∆ = -8.83). Individual data will be presented and the implications for implementing ACT as an alternative PTSD treatment will be discussed.

26. Body-related acceptance as a potential mediator of body image dissatisfaction and eating pathology
Subtopic: Disordered Eating, Body Image, Acceptance
Alyssa Matteucci, Drexel University
Adrienne Juarascio, M.S., Drexel University
Evan Forman, Ph.D., Drexel University
James Herbert, Ph.D., Drexel University

Body dissatisfaction is highly predictive of eating pathology; however, many more individuals experience body dissatisfaction than disordered eating. Although several variables appear to influence the relationship between body dissatisfaction and disordered eating, one potential under-studied factor is experiential avoidance (EA) of somatic internal experiences. Individuals with high EA may be more likely to engage in behaviors designed to reduce body dissatisfaction, including engaging in pathological eating behaviors. The current study will longitudinally examine whether EA mediates the relationship between body image dissatisfaction and disordered eating in a sample of undergraduate students from a large urban university in the Mid-Atlantic United States. It is hypothesized that those with high body image dissatisfaction and high EA will show the most increases in disordered eating symptoms. 284 undergraduates were assessed at the beginning of the academic year and preliminary results replicated prior work (Martin, Juarascio, Faherty, Kalodner, & Timko, under review) suggesting that BIAAQ mediated the relationship between body image dissatisfaction and disordered eating cross-sectionally (EDE global: z=-2.99, p<.01, 95% CI: -.0340 to -.0342). Data collection is underway for a 3 month and 6 month follow-up and longitudinal results will be presented.

27. Quantitative Functional Evaluation: an Alternative to Categorical and Dimensional Approaches of Depression [620]
Subtopic: Depression
Jean-Louis Monestès, Ph.D., Mental Health Services - CHU de la Réunion
Jonathan Delsaux, M.D., Ph Pinel Hospital, CHU Amiens
Matthieu Villatte, Ph.D., University of Louisiana, Lafayette
Cyril Ferdynus, Ph.D., CHU de la Réunion
Gwenole Loas, M.D., Ph.D., Ph Pinel Hospital, CHU Amiens
Stéphane Rusinek, Ph.D., PSITEC, Lille 3 University

Major flaws have been pointed out with the utilisation of categorical (DSM, CIM) approach of depression (importance of comorbidity and of “non otherwise specified” cases). These problems limit the usefulness of categorical approach in clinical setting and research.

Several dimensional propositions have been made to improve categorical approach by quantitatively evaluating the intensity of depression. As for categorical classifications, they fail to evaluate the psychological processes underlying depression. A quantitative functional analysis is warranted to evaluate these psychological processes.
We compared these three approaches in a group of 130 inpatients with depression and 152 non-clinical participants. The participants filled the BDI-II, and a group of scales measuring each psychological process of the hexaflex (AAQ-II, CFQ13, MAAS, VLQ, PP items of IRI).

An ANOVA with post-hoc tests revealed no difference between moderate, mild, and severe depression, for psychological inflexibility and cognitive fusion. On the opposite, participants with severe depression were the only ones to present significantly lower scores for mindfulness, perspective taking, and values importance and consistency. Scores of participants with mild and moderate depression did not differ from non-depressed participants for these last three psychological processes.

These results constitute a first functional approach that would help evaluating psychological processes in depression, to improve clinical work and research.

28. Application of Acceptance and Commitment Therapy in obsessive symptomatology: A case study
Subtopic: OCD
Abraham Álvarez-Bejarano, Universidad de Almería
Sara de Rivas, Universidad Autónoma de Madrid

First of all, obssessions are analyzed as active episodes of experiential avoidance. Then, the history of the patient is exposed and a functional analysis of problematic behaviors is presented. This is followed by a description of the intervention carried out, with an order that tries to clarify the goals of the therapy. Self-informed measures (AAQ-II, VLQ, MAAS) varied coherently with the ACT predicted change process. Finally, these results are discussed and related to certain implications for obssesions´ treatment, with special emphasis on defusion techniques.

29. Utilizing Fluency-Building to Train Deictic Relational Responding in a Young Child with Autism [621]
Subtopic: Perspective-Taking
Brooke M. Berry, Fit Learning
Kendra Brooks Rickard, Ph.D., BCBA, Fit Learning

Children with autism show marked deficits in perspective-taking abilities compared to typically developing children (Baron-Cohen et al., 1985). Such deficits could account for the impairment of social skills characteristic of this population. In an attempt to train a perspective-taking repertoire, researchers have employed methods derived from Relational Frame Theory to directly train the deictic relations I-You, Here-There, and Now-Then utilizing discrete trials (Rehfeldt et al., 2007, Weil et al., 2011). However, deictic relational training in children with autism has been relatively limited (Gould et al., 2011; Candido & Jackson, 2012). The present case study replicated and extended Weil et al. (2011) by examining whether a perspective-taking repertoire could be established in a young child with autism utilizing a fluency-building paradigm, in which rate of response was shaped to reach a specific frequency goal. Each relation was trained to fluency at the simple, reversed, and double-reversed levels. Traditional Theory of Mind skills were assessed at baseline and after mastery was achieved at each difficulty level. A multiple probe element was also included to evaluate the potential generative impact on untrained relations as a function of training on initial deictic relations.

30. ACT Goes to Hollywood: Lessons Learned from the Trenches When Developing Multimedia Enhancements of an Acceptance and Commitment Therapy-Based Online Treatment Program
Subtopic: Acceptance and Commitment Therapy
Charles Raffaele, University at Albany
Matthew R. Donati, University at Albany
Christopher R. Berghoff, University at Albany
Allyson Delprino, University at Albany
Edward Hickling, Capital Psychological Associates
John P. Forsyth, University at Albany

Researchers are adapting cognitive-behavioral interventions, including Acceptance and Commitment Therapy (ACT), to online formats. One key aspect of such undertakings within an ACT context is to ensure participants’ engagement and use of multimedia is currently being explored as one possible medium to aid in this pursuit. However, creating compelling ACT-based video presentations is a complex undertaking with many pitfalls. And yet, educational research suggests several principles that, when followed, tend to lead to more effective learning, and reduced distraction and confusion, in technological environments.

We introduce a 10-week, modularized, multimedia-based online program grounded in ACT, designed for veterans experiencing difficulties adjusting to civilian life after returning from deployment in support of Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF). The visual design of the online program is presented and several specific multimedia techniques designed to enhance participant engagement with the treatment are highlighted. Discussed in the context of utilizing technology to advance the communication of behavioral principles within an ACT context, we illustrate the implementation of several research-based recommendations in the creation and design of (a) title screens, (b) effective use of supportive overlays (i.e. text and/or images), (c) ‘green screen’ technologies to vary setting (i.e. outdoors, creating a virtual therapy room), and (d) implementing multiple teaching strategies, including didactic instruction, demonstrations, and role-plays. Future directions include implementing multiple versions of multimedia-based therapies to examine both the effectiveness of individual techniques and the applicability of existing educational research to the field of contextual-behavioral science when delivered in an online format.

31. The acceptance-based treatment and the acceptance plus defusion exercise treatment for non-criterion A1 stressors
Subtopic: PTSR cased by non-A1 criterion stressors
Miki Uruwashi, Master, Waseda University
Hiroaki Kumano, M.D., Waseda University

This study investigates the effectiveness of Acceptance and Commitment Training (ACT) for attenuating the three major symptoms of posttraumatic stress reactions (PTSR) cased by the stressors other than definition of DSM-IV posttraumatic stress disorder’s (PTSD) traumatic stressor criterion (A1). Fifteen participants showing PTSR were randomly divided into two groups, the "acceptance and education group (G1)" and the "acceptance and education plus dyfusion exercise group (G2)”. Participants were evaluated at pre, post1, post 2 and followed up a month later with the Impact Event Scale-Revised (IES-R) criteria, namely avoidance, hyper-arousal and re-experiencing. When comparing the two groups, G2 showed significantly lower levels of avoidance on the IES-R at post1. At the same time, all three criteria on IES-R avoidance, hyper-arousal and re-experiencing rates at post1 and post2 in both groups were significantly lower compared with the rates at pre. These results suggest that acceptance-based interventions may be helpful in attenuating all PTSR, and that dyfusion exercises may be effective in alleviating avoidance symptoms.

32. Psychological Inflexibility and Smoking in a sample of adolescents.
Subtopic: substance misuse
Georgia Nathanail, University of Cyprus
Maria Koushiou, University of Cyprus

Based on 2005 Cyprus national data, 10% of high school students admitted to be smokers, while this percentage reached 28.7% for lyceum students. What is the role of experiential avoidance in the smoking habit?
The aim of this study (which constitutes part of a combating smoking intervention in Cyprus schools) is to examine psychological inflexibility, as measured by the Acceptance and Action Questionnaire – II (AAQ-II) in smokers and non-smokers lyceum students.

Preliminary analysis was conducted to examine the difference between the two groups of students (N=471) in terms of their psychological flexibility. Results suggest that there is a significant difference (t(119,124)= -2.94, p ≤ .01) between the two groups and that adolescents who report high levels of psychological inflexibility present a higher risk for smoking. These findings are in convergence with previous ones, exploring the role of psychological flexibility in substance abuse. Implications of the current study involve the improvement of the manual used including more practical applications of the concept of psychological flexibility.

33. When I feel your pain: Perspective taking and relational aggression among young adults
Subtopic: relational aggression, perspective taking
Sarah E. Allen, University of Mississippi
Olga V. Berkout, M.A., University of Mississippi
Alan M. Gross, Ph.D., University of Mississippi

Relational aggression was defined as indirectly harming others through damaging interpersonal relationships (Archer & Coyne, 2004). Relational aggression is exceedingly common among young adults (Ellis, Crooks, & Wolfe, 2009; Goldstein, Chesir-Teran, & McFaul, 2008) and victimization is associated with a number of negative consequences (Goldstein et al., 2008; Gomes, Davis, Baker, & Servonsky, 2009; Gros, Gros, & Simms, 2010). Perspective taking is defined as the ability to understand others internal states (cognitive perspective taking i.e. mentalizing) and share others’ internal experience (affective perspective taking, i.e. empathy; Feshbach & Feshbach, 1969; Singer & Fehr, 2005). Experiencing distress upon harming another may be contingent upon the ability to take on the cognitive and affective perspectives of others. The current study will examine the relationship between perspective taking and relational aggression in a sample of 300 undergraduates. We expect that relational aggression will be inversely related to affective, but not cognitive, perspective taking.

34. Contextual behavioral skills training in group for adults with Asperger syndrome – a pilot study
Subtopic: Asperger Syndrome, mindfulness, stress
Johan Pahnke, Psychologist, Karolinska Institute Stockholm, KIND (Karolinska Institutet Center of Neurodevelopmental Disorders)/Dep. of Clin. Neuroscience
Johan Bjureberg, Psychologist, Psychiatry Northwest, Stockholm
Sven Bölte, prof., Karolinska Institute Stockholm, KIND (Karolinska Institutet Center of Neurodevelopmental Disorders)
Jussi Jokinen, Ph.D., MD, Karolinska Institute Stockholm, Dep. of Clin. Neuroscience
Tatja Hirvikoski, Ph.D., Psychologist, specialist in neuropsychology, Karolinska Institute Stockholm, KIND (Karolinska Institutet Center of Neurodevelopmental Disorders)/Dep. of Clin. Neuroscience

OBJECTIVES. Asperger syndrome (AS) is a neurodevelopmental disorder characterized by difficulties in social interaction, communication and behavioral flexibility, and associated with high rates of co-morbidity and decreased quality of life. In a previous study an adapted treatment program in group, based on a contextual behavioral approach, showed reduced stress in adolescents with AS (Pahnke et al, ms in prep).
METHODS. In the current study we performed an open trial to evaluate feasibility, treatment acceptability, and efficacy of contextual behavioral skills training in adults with AS (n=10; age range 25-65 years) in an outpatient psychiatric context.
RESULTS. Overall treatment acceptability and feasibility was good. There was a significant reduction in subjective stress and improvement in quality of life and psychiatric co-morbidity.
CONCLUSIONS. The treatment program can be effective to reduce stress and co-morbid psychiatric symptoms, and increase quality of life, in AS. We are currently conducting a randomized controlled trial.

35. A therapeutical approach to subjective memory complaints in elderly people
Subtopic: elderly people
Tomás Quirosa-Moreno, Ph.D., University of Almería (Spain)
Enrique Gil-González, Ph.D, University of Almería (Spain)
MªTeresa Lorente-Molina, M.A., University of Almería (Spain)

Subjective memory complaints are very frequent among elderly people (O´Connor, 1990). Programs on memory training have proliferated in last decades. Thus, it is needed to assess the impact of these programs on both decreasing subjective memory complaints and quality of life. The function of private events in the person, who is remembering, displays discriminative properties to behave in incompatible ways of paying attention to stimuli (Ruiz-Jiménez, 2006). This could be considered as a result of controlling private events such as feelings, sensations, problematic thoughts and behaviors.

Our study examined this question in a sample of elderly people (aged 60 to 83 years; n=37) without dementia or other psychiatric disorders. The aim of the current study was to explore the efficacy of a brief Acceptance and Commitment Therapy-based protocol of 8 sessions applied to healthy elders. Psychological measures were: “Catch My Oversights” Register; Memory Failures Everyday Life Questionnaire -MFE- Sunderland, Harris, and Gleave (1984); Geriatric Depression Scale -GDS- Yesavage (1983) and the credibility of private events with a Spanish version of the AAQ-II (Ruiz et al., in press). Improvements in all psychological measures were found in the treatment-group versus control-group.

36. Does Values Clarification Impact salivary cortisol levels following a social stressor: A follow-up Study
Subtopic: Stress
Walter Louie, San Jose State University
Benjamin Ramos, San Jose State University
Justine Preza, San Jose State University
Evelyn Shieh, San Jose State University
Meghana Kotwal, San Jose State University
Gabriella Alshafie, San Jose State University

In a previous study, we examined the impact of a brief values clarification task on stress responding as measured by salivary cortisol following a standardized social stressor. Findings indicated that the brief values intervention had little or no impact on salivary cortisol levels in college student participants (N = 53). Subsequently, we enhanced the values clarification task to include specific actions taken and to be taken for each valued domain in order to increase the effect size of the intervention. This enhanced intervention was then examined with more college student participants (N =99). Repeated measures ANOVA results indicate that the enhanced values clarification task did indeed significantly reduce cortisol responding when compared to a control condition of trivia questions, and a significant relationship was found between Experiential Avoidance and baselines cortisol level. Results are discussed in terms of potential mechanisms for values clarification in health domains.

37. A Multiple Mediation Analysis of ACT and CBT Self-Help Treatments for Anxious Suffering: What Are the Underlying Mechanisms of Action?
Subtopic: Bibliotherapy
Matthew R. Donati, University at Albany, SUNY
Eric Petrone, University at Albany, SUNY
Amanda R. Russo, University at Albany, SUNY
Samantha Callahan, University at Albany, SUNY
John P. Forsyth, University at Albany, SUNY

In recent years, there has been a move in behavioral research to go beyond simply demonstrating a link between treatments and outcomes and explicate the particular change processes at work. With such information, researchers and clinicians can identify and target the key features of a treatment and the change processes that influence them. Indeed, current work in behavioral and emotion science has emphasized common processes that transcend diagnostic categories, resulting in unified treatment protocols targeting these processes for a wide range of psychological problems. Yet, despite increased focus on mechanisms of action in outcomes research, and specifically common change processes, few studies have employed analytic strategies (e.g., multiple mediation) that allow for simultaneous consideration of the role of multiple mediators in relation to clinical outcomes. Such work, in turn, is particularly important when comparing interventions that include unique intervention strategies linked to different models of psychopathology and its alleviation. Moreover, such work may help resolve recent debates about whether newer third generational behavior therapies, such as Acceptance and Commitment Therapy (ACT), are unique relative to more traditional CBT, particularly at the level of processes of change (i.e., how they work). Multiple mediation analyses can help to (a) clarify such issues (Preacher & Hayes, 2008), and (b) position researchers and clinicians to utilize the important mechanisms of change in creative ways, and thus may foster dissemination efforts that are efficient, focused, and broadly impactful. In short, knowledge of change processes allows researchers and clinicians to ensure that necessary mechanisms of action are not removed or modified as new dissemination methods are enacted (Kazdin & Blase, 2011).

The main aim of this study is to describe results of multiple mediational analyses of a randomized controlled trial evaluating the effectiveness of two self-help workbooks designed for the treatment of anxiety: a traditional cognitive behavioral therapy workbook (CBT; the Cognitive Behavioral Workbook for Anxiety; Knaus, 2008), as well as a workbook based in Acceptance and Commitment Therapy (ACT; the Mindfulness and Acceptance Workbook for Anxiety; Forsyth & Eifert, 2007). Cognitive behavioral therapy (CBT) and Acceptance and Commitment Therapy (ACT) differ in terms of their treatment targets and interventions, yet utilize several shared empirically supported change strategies (e.g., exposure). Participants (N = 207) suffering from anxiety in the United States and abroad were randomized to receive either the CBT workbook (n = 104) or the ACT workbook (n = 103). Participants were instructed to work with the material in the workbook for a period of 12 weeks on their own, and assessment of distress indices (e.g., depression, anxiety), ACT-and CBT-relevant processes of change (e.g., mindfulness, psychological flexibility), and overall quality of life occurred pre- and post-treatment. This paper will report on the results of multiple mediational analyses evaluating the relative contributions of ACT- and CBT-relevant processes in relation to a range of assessed outcomes. Results will be discussed with an eye on attention to process variables in the context of dissemination of effective interventions via alternative delivery models such as bibliotherapy or self-help.

38. ACT for Insomniacs [622]
Subtopic: Insomnia
Guy Meadows Ph.D., The Sleep School

Acceptance and Commitment Therapy (ACT) offers a unique and gentle non-drug based approach to overcoming chronic insomnia. It seeks to increase people’s willingness to experience the conditioned physiological and psychological discomfort commonly associated with not sleeping.

Such acceptance paradoxically acts to lessen the brains level of nocturnal arousal, thus encouraging a state of rest and sleepiness, rather than struggle and wakefulness. Additional focus on valued driven behaviour also acts to avert unhelpful patterns of experiential avoidance and promote the ideal safe environment from which good quality sleep can emerge.

The application and merits for using ACT approaches such as acceptance and willingness, mindfulness and defusion and values and committed action for the treatment of chronic insomnia are discussed and compared to the traditional cognitive behavioural strategies.

39. ACT with Yoga for Anxiety Pilot Study
Subtopic: Yoga
Kate Morrissey, LCSW, Rubber Soul Yoga, Advantage Behavioral Health
Chad Drake, Ph.D., Universtiy of South Carolina, Aiken

This pilot study explores a group approach incorporating both ACT and yoga to address the needs of clients who self identify as having struggled with anxiety. Two six-week groups were conducted (N =8 and N =6) with two hour groups incorporating one half ACT interventions and one half doing yoga and applying the principles from the first half of group. Outcomes were measured using the AAQ-II, GHQ, VLQ-M measures and a weekly evaluation of treatment. Mixed outcomes from the groups are compared and discussed. [the second group will be finished in late February]

Educational Setting

40. The Contributions of Religiosity, Perspective Taking, and Experiential Avoidance to Medical Trainees’ Openness to Spirituality Discussions [623]
Subtopic: Physician-patient communication
Amy House, Ph.D., Georgia Health Sciences University

The majority of patients believe physicians should address their spiritual or religious beliefs, and such discussions increase patient comfort and improve health outcomes. However, few physicians regularly engage in spirituality discussions. Experiential avoidance may explain physicians’ reluctance to engage in these and other difficult conversations. This study assessed experiential avoidance and perspective taking as potential contributors to physician trainees’ attitudes and willingness to engage in spirituality communication. Physician trainees’ self-reported religiosity, perspective taking (Interpersonal Reactivity Index), and experiential avoidance (Acceptance and Action Questionnaire-II) independently predicted attitudes toward spirituality communication with patients. Trainees who were more religious, higher in perspective taking, and lower in experiential avoidance reported more openness toward spirituality-related communication. However, such attitudes do not necessarily translate into clinical practice. This research is part of a larger effort to examine psychological flexibility as a modifiable contributor to physician-patient communication. Future research will focus on communication behaviors as outcomes.

41. Developing an iPad App for designing and managing RFT trainings with autistic children
Subtopic: Autism, Relational Training
Giovambattista Presti, Ph.D., M.D., IULM University, Milan
Francesco Pozzi, IULM University, Milan
Luciano Baresi, Politecnico of Milan
Michele Amori, Politecnico of Milan
Melissa Scagnelli, IULM University, Milan
Edoardo Vannuttelli, Politecnico of Milan

Purpose of our research is the development of an iPad app to assist educators in designing and managing RFT trainings while working with autistic children. The main problem for educators in managing RFT training during regular training sessions is the difficulty in managing a high number of items, present them correctly and record all answers.
Working in collaboration with engineers from the Politecnico of Milan we developed an app to automatically build and manage a classical RFT training with up to eight items once the educator has selected the visual o textual stimuli to be included in the training. A first (beta) version of the app has been tested with autistic children 4 to 9 years old, to verify its functionality, evaluate the involvement of the child during training sessions and identify usability and managing issues. First results are shown, with a presentation of the app functionalities and future developments.

Functional Contextual Neuroscience and Pharmacology

42. Relational Frame Theory and Executive Functioning: Preliminary Data
Subtopic: Neuropsychology, brain-behaviour relations, IRAP
Daniel Stark, MSc, University of Nottingham
David Dawson, DClinPsy, University of Lincoln
Dermot Barnes-Holmes, D.Phil, National University of Ireland, Maynooth

Background: Within neuropsychology, the "executive functions" (EFs) are regarded as the "highest mental processes" (Alvarez & Emory, 2006), and are a central and defining feature of human cognition. Despite their first inception over 35 years ago, no consensus exists as to their definition (Banich, 2009). However, with RFT’s precisely defined component processes, it has the potential to bring a new level of construct validity to the study of the EFs.

Method: A battery of tests of intellectual efficiency and the EFs were administered. Following this, four sequential IRAPs were administered to train participants in a novel relational network, before their ability to derive and respond flexibly was assessed.

Results: The results indicated that greater fluency on tasks of derivation and flexibility were differentially associated with both tasks of intellectual efficiency and executive functioning.

Discussion: These preliminary results indicate that what are commonly referred to as the EFs can be accounted for within a framework of arbitrarily applicable relational responding. These results have exciting implications for the construct validity of the EFs, and clinical implications for the assessment and rehabilitation of these abilities.

Organizational Behavior Management

43. ACT and Organizational well being in an intensive care unit: an exploratory open study
Subtopic: Psycological Flexibility
Francesco Dell'Orco, M.A., IULM University, Milan - IESCUM, Parma
Simonetta Protti, MD, A.O. della Provincia di Lodi
Giovanbattista Presti, Ph.D., IULM University, Milan - IESCUM, Parma
Lucio Raimondi, A.O della Provincia di Lodi
Paolo Moderato, Ph.D., IULM University, Milan - IESCUM, Parma

In Italy most of hospital’s intensive care units (ICU) have very restrictive visiting policies for relatives. Many of them are now rethinking their policies. The hospital's intensive care unit of Lodi allows families to visit their relatives for 10 hours a day. Contact with family members has important benefits for patient care but also implies a greater level of stress for doctors and nurses. Sometimes this situation can have negative effects on organizational climate. Inspired by the model proposed by Bond and Bunce (2000) we conducted an exploratory study on the effectiveness of an ACT program in increasing levels of psychological flexibility and consequently the quality of the organizational climate within the ICU. 19 people (doctors and nurses) attended at 3 half-day ACT group sessions: two on consecutive weeks and a third 1 month later. Preliminary results will be discussed.

44. Using ACT workshops in career transition: A pilot study
Subtopic: Psychological distress, coping with job loss
Julie Ménard, Ph.D., University of Quebec at Montreal
Eric Tremblay, M. Psy., André Filion and Associates inc.

A group of workers who recently lost their jobs due to downsizing and corporate restructuring were invited to participate to complimentary stress management workshops by their career transition services providers. Fifteen participants voluntarily attended to two 3-hour acceptance commitment therapy training sessions followed by a reminder session based on an adapted version of Bond & Bunce’s (2000) intervention. Participants completed a questionnaire package assessing psychological flexibility (AAQ-II, Bond et al., 2011), psychological distress (PSI, Ilfeld, 1976), vitality (SV, Ryan & Frederick, 1997) and committed actions (Monestes & Villatte, 2011), before attending to the workshops (i.e., baseline) and at follow-up (i.e., 2 months after the second workshop). A control group of fifteen participants receiving the career transition services from the same provider also completed the same questionnaire package. Results comparing the two groups at follow-up will be provided.

Other

45. Beliefs About the Biological (vs. Nonbiological) Origins of Mental Illness and the Stigmatization of People with Mental Illness
Subtopic: Mental illness, substance abuse
Patrick Sears, M.A., CADC, The Chicago School of Professional Psychology

The present study focuses on the relationship between an individual’s attributions of cause regarding mental illness (i.e., the degree by which psychopathology is perceived as biologically or nonbiologically caused) and resulting stigmatization (particularly social distancing, a form of social rejection). To date, much of the research concerning attributional beliefs and stigma use general terms such as ‘‘mental patient’’ and ‘‘psychiatric client,’’ thereby overlooking the variance apparent between individuals of varying pathology. When specific pathologies have been mentioned, nearly all the research has focused on the diagnoses of schizophrenia, depression, and alcoholism. In this study, one hundred eighteen Midwestern university students were surveyed regarding their attributional beliefs toward mental illness. Regression analysis found that attributional beliefs, both biological and nonbiological, failed to predict social distance. A repeated-measures ANOVA revealed significant variance between conditions; this variance was then investigated with paired-samples t tests. Participants preferred more social distance for the vignettes portraying schizophrenia and alcohol dependence, the latter being the most stigmatized and socially rejected mental illness.

46. Does Mindfulness and Psychological Flexibility predict Somatization, Depression, Anxiety and General Psychological Distress in a Non-clinical Asian American College Sample? [624]
Subtopic: Mindfulness and Psychological Flexibility
Amar Mandavia, Georgia State University
Akihiko Masuda, Ph. D, Georgia State University

The present study examined the relations among mindfulness, psychological flexibility, and a various forms of psychological distress (e.g., general distress, somatization, depression, and anxiety) in Asian American undergraduate students (N=87). We hypothesized that Mindfulness and Psychological flexibility would be uniquely and separately associated with various forms of psychological distress.

Data are gat1hered from an ethnically diverse sample of nonclinical undergraduate students (Mage =19.76, SD=2.7). We used the Brief Symptom Inventory-18 (BSI-18) to measure psychological distress. To measure psychological flexibility we used the Acceptance and Action Questionnaire-16 (AAQ-16) and the Mindful Attention and Awareness Scale (MAAS) for mindfulness.

Results of regression analyses revealed that Mindfulness and psychological flexibility were significantly and uniquely associated with depression, anxiety and general psychological distress. But contrary to our hypothesis, we found that PF but not Mindfulness, was associated with somatization.

These findings suggest the applicability of psychological flexibility and mindfulness to understand the various distresses experienced by Asian American students

47. Is Experiential Avoidance a mediator of the association between Anxiety Sensitivity and Social Anxiety?
Subtopic: Social Anxiety
Elena Charalambous, MSc, University of Cyprus
Georgia Panayiotou, Ph.D., University of Cyprus
Georgina Christodoulou, University of Cyprus
Antri Nicolaou, University of Cyprus

It is well documented that anxiety sensitivity constitutes a significant predictor of anxiety disorders. Socially anxious individuals are highly concerned about the presence of signs of anxiety and how visible these signs are to others, and therefore anxiety sensitivity may contribute in social anxiety as well. Its association with other disorders, like depression, was found to be mediated by experiential avoidance. This study examines if experiential avoidance is a mediator of the association between anxiety sensitivity and social anxiety. A group of high socially anxious individuals compared to a control group. The ability of this model to distinguish between the two groups was examined. The results indicate that the mediation model is not fully supported. Experiential avoidance is not a mediator between anxiety sensitivity and social anxiety, and both constructs do not add significant variance on top of more traditional predictors of social anxiety, named self-consciousness and sensitivity to punishment.

48. Experiential avoidance and study-aholism:Relationship to motivation to valuing studying and mental health.
Subtopic: Workaholism
Jaqueline Pistorello, Ph.D., University of Nevada, Reno
Jose Arauz, Suffolk University

The present study explored the relationship between experiential avoidance and values motivation to “studyaholism.” Specifically, the researchers sought to determine if students categorized as studyaholics displayed greater psychological inflexibility and negative mental health outcomes, and if this relationship was partly contingent on motivation to study (appetitive vs. aversive, as measured by the Personal Values Questionnaire). A total of 739 college students were recruited via a psychology participant pool system at a mid-size Western University. These participants completed questionnaires measuring tendency towards studyaholism (adapted from an established workaholism scale), general mental health, values motivation, and interpersonal relationship satisfaction. Results indicated students scoring higher on a studyaholism scale also scored higher on experiential avoidance and other negative outcomes, including depression. Similar to what has been found with workaholism, our data suggested that the relationship between studyaholism and students’ well-being also depends partly on students’ motivation to study. Between-subject t-tests showed that those who are “studyaholics” mostly for appetitive reasons score lower in experiential avoidance and depression, and higher in student role adjustment than those high in studyaholism who report doing so mostly due to aversive motivation. The implications of these results are discussed, along with suggestions for avenues of future research.

49. Effects of select or reject controls on stimulus-class formation and transfer of function
Subtopic: Equivalence
William Ferreira Perez, M.D., Universidade de Sao Paulo, Brazil
Gerson Yukio Tomanari, Ph.D., Universidade de Sao Paulo, Brazil

In a matching-to-sample task, participants may learn to respond under control of S+ (select control) and/or S- (reject control). The present study used a single-subject design to evaluate the effects of select or reject control on equivalence class formation and transfer of function. By means of a biasing procedure that manipulated observing responses towards the comparison stimuli, four three-member equivalence classes were formed, two under select (A1B1C1, A2B2C2) and two under reject control (D1E2F1, D2E1F2). Participants were tested for transitivity, symmetry and reflexivity; after learning a simple discrimination, they were also tested for transfer of function. Under select control, participants had high scores on equivalence tests; transfer of function was attested for the S+s programmed to belong to each class. Under reject control, participants had high scores only on the symmetry test; transfer of function was attested to stimuli programmed as S-. A relational responding account is discussed.

50. The Role of Values in Obsessive-Compulsive Disorder Severity
Subtopic: OCD
Chad T. Wetterneck, Ph.D., University of Houston - Clear Lake
Eric B. Lee B.S., University of Houston - Clear Lake
Angela H. Smith M. A., University of Houston
John M. Hart, The Menninger Clinic

Acceptance and Commitment Therapy (ACT) has shown promise as an effective treatment for OCD. In ACT, the goal is to help individuals engage in values-guided behaviour instead of behaviour guided by attempts to control one’s private events. The relationship between one’s values and their anxiety levels is an area of research with little data at this time. To date, research has yet to examine the relationship between OCD and values. The research presented examines the role that values play in the severity of OCD. It examines value domains (e.g., family, work, education) as well as specific values (e.g., self-compassion, pride, courage). Data were collected from 115 participants who reported OCD symptoms. Results show significant correlations between some values (both domains and specific) and OCD severity.

51. Validating the Functional Analytic Psychotherapy Intimacy Scale Therapist Version (FAPIS-T)
Subtopic: Functional Analytic Psychotherapy
Chad T. Wetterneck, Ph.D., University of Houston - Clear Lake
Gareth Holman Ph.D.,
Eric B. Lee B.S., University of Houston - Clear Lake
Jared Broussard, University of Houston - Clear Lake

Functional Analytic Psychotherapy (FAP) is a third wave treatment approach based on the principles of radical behaviorism, developed by Kohlenberg & Tsai (1994). Most therapeutic modalities have scales to measure if therapists are employing techniques relevant to that modality. However, there is no established measure to assess a therapist’s level of FAP knowledge and technique. This study seeks to validate the Functional Analytic Psychotherapy Intimacy Scale Therapist Version (FAPIS-T). The FAPIS-T is a measure designed to assess therapists in their knowledge and use of FAP. The study currently has 155 participants and we plan to collect well over 200 before the time of the conference. Currently, data have been collected from a wide range of therapists and therapists-in-training who report a variety of therapeutic backgrounds, years of experience, work settings, and experience treating different problems and disorders. Other validated measures are being used to establish construct validity. Validation of the FAPIS-T could assist future FAP related research and training.

Performance-Enhancing Interventions

52. Mindfulness, conative processes and well-being. [625]
Subtopic: Mindfulness
Simon Grégoire, Ph.D., Université du Québec à Montréal (UQAM)

The aim of this study was to contribute to the efforts put forward by others in order to better understand how mindfulness affects change and contributes to well-being. More precisely, its goal was to explore the nature of the relationship between mindfulness, well-being and a conative process, namely personal goal pursuit. University students (n=114) were asked to complete questionnaires aimed at assessing both their subjective and psychological well-being as well as their dispositional mindfulness. They were also asked to identify five personal and significant goals in which they were involved and indicate the reasons why they were pursuing such goals (extrinsic, introjected, identified or intrinsic reasons). The results indicate that mindfulness is correlated with both well-being and self-determined goals and that the relationship between a person’s dispositional mindfulness and level of well-being is mediated by the motives behind his personal goals. Students who reported being more attentive and aware tended to be engaged in personal ventures that were more autonomously or self-determined driven, which in turn appeared to foster their well-being. These results suggest that the beneficial effects of mindfulness on well-being are partly mediated by conative processes.

53. The effect of cognitive defusion on attentional biases towards negative stimuli in high-anxiety participants
Subtopic: Cognitive Defusion
Christopher Wilson, Ph.D., Teesside University

A number of studies have demonstrated the benefits of ACT components such as cognitive defusion in the treatment of anxiety. The aim of the current study is to examine whether the success of a brief cognitive defusion intervention results in reduced attentional facilitation – conventionally associated with anxiety – or attentional interference – implicated in recent studies – towards negative stimuli in participants with high anxiety levels. In the pre-intervention stages, participants levels of cognitive fusion with negative stimuli are recorded followed by measures of attentional bias and attention facilitation towards the stimuli. Participants are then exposed to either a cognitive defusion intervention (Experimental Group) or no intervention (Control Group). Cognitive fusion, attentional bias and facilitation are then recorded post-intervention. Pre- and post-intervention differences in attentional facilitation and bias are examined in both groups for paraticipants who demonstrate reduced cognitive fusion with negative stimuli. The results have implications for our understanding of cognitive defusion processes and the treatment of anxiety.

54. Components Of Mindfulness As Predictors Of Sleep Quality: The Contribution Of Acceptance And Awareness [626]
Subtopic: mindfulness, sleep quality, acceptance, college
Christina Barrasso, BA, Kean University
Karolina Kowarz, BA, Kean University
Dasa Jendrusakova, M.A., Kean University
Jennifer Block-Lerner, Ph.D., Kean University
LeeAnn Cardaciotto, Ph.D., La Salle University

Mindfulness and acceptance-based behavioral interventions, such as ACT, have received support for improving sleep quality across multiple populations, including undergraduate students for whom sleep may be a critical issue (Brown, Buboltz, & Soper, 2001; Klatt, Buckworth, & Malarkey, 2008). The present study is unique in its examination of two facets of mindfulness (i.e., acceptance and awareness) and their association with sleep quality. Forty-nine participants (42 female) completed questionnaires that assessed mindfulness and sleep behaviors. Regression analyses examined the separate roles of acceptance and awareness in sleep quality. The findings demonstrate that awareness and acceptance were significantly associated with sleep quality in opposite directions, suggesting that increasing awareness without increasing acceptance may result in poorer sleep quality. These results have implications for the implementation of interventions that target acceptance for improving sleep quality in the college population.

Prevention and Community-based Settings

55. ACT - enhanced classes on academic and studying skills in a university setting.
Subtopic: college students; drop-out prevention; study skills; groups
Anna Bianca Prevedini, M.A., IULM University Milan; IESCUM Italy
Francesco Pozzi, Ph.D., IULM University Milan; IESCUM Italy
Francesco Dell’Orco, M.A., IULM University Milan; IESCUM Italy
Anna Missaglia, PsyD, IULM University Milan
Vincenzo Russo, Ph.D., IULM University Milan; IESCUM Italy
Paolo Moderato, Ph.D., IULM University Milan; IESCUM Italy

One of the main goals of the Italian University Counseling Services is to prevent students’ dropouts during the first years of college. In fact, in Italy dropouts and delay in holding by the academic schedule seem to reach higher rate than in other European countries (ISTAT, 2009).
With the aim of helping college freshmen and students to adjust previous studying strategies to the new requests of the university setting a Counseling Service at IULM University-Milan built an ACT - enhanced set of classes on academic and studying skills. In this context, ACT may provide a compelling model to merge the need for learning more effective academic and studying strategies with the abilities to overcome all the internal barriers that may arise during the implementation of these strategies. Two four-lesson groups aiming at improving students’ academic abilities have been proposed. Students who signed in have been assigned to one of the two groups: a more traditional psycho-educational group on study methods (e.g. time management skills, learning and memory techniques, etc.) and a psycho-educational group including ACT interventions (e.g. values, defusion and mindfulness elements). Students have been evaluated pre and post intervention on different ACT and psychometric self-report and satisfaction measures, which will be presented and discussed.

56. Impact of Mindfulness versus Control instructions on stigmatizing behaviors with an HIV patient
Subtopic: Stigma
Gabriela L. Alshafie, San Jose State University
Ruthie Ayzenberg,

Stigma in relation to HIV and AIDS is often characterized by emotional response – i.e., anger or fear directed at an individual with HIV, and corresponding behavioral responses. Thus, individuals with medical illnesses such as HIV/AIDS report not only higher levels of stigmatizing attitudes directed toward them, but also harmful stigmatizing behaviors, such as behavioral avoidance following disclosure of HIV status. Mindfulness interventions assist individuals in observing their thoughts and feelings before reacting to them, and may provide a useful intervention for reducing stigmatizing behaviors toward individuals with HIV/AIDS. The present study seeks to determine the effect of a mindfulness educational program for reducing stigma, compared to a more traditional anti-stigma message. Participants (N = 53) were randomly assigned to mindfulness training or traditional anti-stigma training prior to sitting in a room with a confederate thought to have HIV/AIDS. Outcomes include distance from HIV+ individual, quality of social interactions, and ratings of emotional reactions.

Professional Development

57. Do we practice what we teach: Psychological inflexibility and value incongruence in student health care providers
Subtopic: Psychological flexibility and value congruence in RNs, NPs, and clinical psychology students
David Bauman, M.A., The School of Professional Psychology at Forest Institute
Bridget Beachy, M.A., The School of Professional Psychology at Forest Institute
Christopher Neumann, Ph.D., The School of Professional Psychology at Forest Institute
Kathryn Hope, Ph.D., RN, Missouri State University
Kerri Miller, RN, DNP, ANP-BC, Missouri State University

Over the past few decades, ACT has gained support to be applied in medical/health settings (McCracken, 2011; Robinson et al., 2010). While ACT has amounted research in health settings to support its use, little research has been done to assess the psychological flexibility and value congruence of the individuals, both students and professionals, who may be offering such services. As suggested by Robinson et al. (2010), avoidance, inflexibility, and value incongruence can lead to high stress levels, burn out, and incompetent care.
The Acceptance and Action Questionnaire (AAQ) and the Valued Living Questionnaire (VLQ) measures one’s overall psychological inflexibility/experiential avoidance and overall importance/congruence with their values, respectively (Bond et al., 2011; Wilson et al., 2011). The AAQ has been reduced from its original 49 items to a more practical seven item AAQ – II (Bond et al., 2011). While data is currently being collected, this project sets out to assess psychological inflexibility and value congruence among healthcare provider students (i.e., clinical psychology, nursing, Nurse Practitioner) and to see if these groups differ in their scores on the AAQ, AAQ – II, and VLQ.

Relational Frame Theory

58. The transfer of sameness and opposition contextual-cue functions through equivalence classes
Subtopic: Transfer of function
William Ferreira Perez, M.D., Nucleo Paradigma de Analise do Comportamento, Brazil
Daniel Caro, Nucleo Paradigma de Analise do Comportamento, Brazil
Adriana Fidalgo, M.D., Nucleo Paradigma de Analise do Comportamento, Brazil
Roberta Kovac, M.D., Nucleo Paradigma de Analise do Comportamento, Brazil
Yara Nico, M.D., Nucleo Paradigma de Analise do Comportamento, Brazil

According to the Relational Frame Theory, relational responding is always under control of contextual cues (CRel). The present study aimed to investigate if the contextual control of relational responding is transferred through equivalence classes. First, participants were exposed to a nonarbitrary training in order to establish two nonsense figures as contextual cues for sameness and opposition. After that same and opposite relations were establish among arbitrary stimuli (Same/A1–B1; Same/A1–C1, Opposite/A1–B2; Opposite/A1–C2) and entailed relations were tested. In the next phase, contextual cues for sameness and opposition were included in the equivalence class of horizontal and vertical lines, respectively. Transfer of contextual control was tested replacing the nonsense figures originally established as contextual cues by the vertical and horizontal lines during training and test trials without feedback. Data collection with four participants is still in progress.

59. Transfer of conditional control and the expansion of equivalence classes
Subtopic: Transfer of function
William Ferreira Perez, M.D., Nucleo Paradigma de Analise do Comportamento, Brazil
Adriana Fidalgo, M.D., Nucleo Paradigma de Analise do Comportamento, Brazil
Yara Nico, M.D., Nucleo Paradigma de Analise do Comportamento, Brazil
Roberta Kovac, M.D., Nucleo Paradigma de Analise do Comportamento, Brazil

The contextual control over transfer of function and its maintenance while relational networks expand is a key issue for understanding language and cognition. Four adults were exposed to a series of three experiments that aimed to investigate this topic in a computerized task. In Experiment 1, two three-member equivalence classes were formed; then, participants were taught to press specific keys given the presence of one stimulus of each class conditionally to the background color of the stimulus. The transfer of conditional control by background color was tested with other stimulus from the same equivalence class. Transfer of function was attested for all participants. In Experiment 2 equivalence classes were expanded to five members and the transfer of conditional control was kept for all participants. In Experiment 3, the background color was established as equivalent to line patterns; the transfer of conditional control was maintained having line patterns as backgrounds. Implications for language development are discussed.

Supervision, Training, and Dissemination

60. The role of an ACT experiential workshop on clinical psychologists in training
Subtopic: training, experiential workshop, defusion
Annalisa Oppo, D. Psych., b. Institute of Behavior, Consumers, Communication, IULM University, Milan (Italy), Dep. of Psychology, University of Parma
Giovambattista Presti, M.D., b. Institute of Behavior, Consumers, Communication, IULM University, Milan (Italy)
Anna Bianca Prevedini, D. Psych., b. Institute of Behavior, Consumers, Communication, IULM University, Milan (Italy)
Francesco Dell'Orco, D.Psych., b. Institute of Behavior, Consumers, Communication, IULM University, Milan (Italy)
Paolo Moderato, Ph.D., b. Institute of Behavior, Consumers, Communication, IULM University, Milan (Italy)

Psychological flexibility and the ability to observe own’s thoughts simply for what they are, thoughts, represent one of the core skills that psychologists in training in the ACT model have to enhance. The aim of this pilot study was to assess the role of an experiential workshop versus a clinical workshop on increasing decentering in clinical psychologists in training. 93 psychologists in training were recruited during a summer school: 42 attended an ACT workshop (AW) and 51 attended a workshop focusing on BT assessment and functional analysis (control workshop (CW)). Both workshops consisted of three-day session (8 hours per day). The AW included a mixture of mindfulness, perspective taking and values-based action exercises; the CW included lessons on basic principles of behavior therapy (BT) with exercises focused on BT consistent case conceptualization. Participants completed a number of measures including Acceptance and Action Questionnaire (AAQII; Bond et al., 2010), Penn State Worry Questionnaire (PSWQ; Meyer et al., 1990), Experiences Questionnaire (EQ; Fresco et al., 2007), and State-Trait Anxiety Inventory (STAI, Spielberg et al.,1987) at baseline (T0) and at the end of the workshop (T1). A 1 month follow up (T2) was further scheduled. Our results showed an increase in cognitive decentering in the AW not in the BW condition (interaction effect; F (1,74)=4.46; p=0.038). Psychological flexibility did not change from baseline to T1, while worry (main effect; F (1,73=7.10; p=0.009) and state anxiety (main effect; F (1,71=11.77; p<0.001) decreased from baseline to T1 in both groups. Using a linear regression model, we found that psychological flexibility (β=0.465) and worry (β=-0.625) predicted the increase in decentering at T1 (AdjR-square=0.269). This study provided a preliminary support on the role of psychological flexibility in promoting cognitive decentering in psychologists. Further research is needed to analyze psychological flexibility throughout a clinical psychologist’ training and describe the mediators of change in order to provide clinicians with a more effective training.

61. Becoming a Mindful Supervisor: Using mindfulness both as an intervention and supervisory-style
Subtopic: Mindfulness
Kyle C. Horst, M.A. LMFT, Kansas State University
Marcie Lechtenberg, M.A., Kansas State University
Sandra Stith, Ph.D., Kansas State University

Mindfulness-based applications have been applied to multiple contexts of psychotherapy; however, little to no application has been derived for supervision. This poster will suggest both practical ways to integrate mindfulness into supervision as well as using mindfulness as a conceptual approach to supervision. Additionally, we will illustrate these applications by considering how mindfulness can be used to address issues of power and power imbalance in supervision. We emphasize that the incorporation of mindfulness into supervision not only enhances the work and understanding of the supervisee but also positively influences the work of the supervisor and their relationship with the supervisee.

Theoretical and Philosophical Foundations

62. Evaluating the Impact of ACT and CBT Processes on Quality of Life: A Path Analysis
Subtopic: Quality of Life
Allyson Delprino, University at Albany, SUNY
Christopher R. Berghoff, University at Albany, SUNY
Amanda Russo, University at Albany, SUNY
Charles Raffaele, University at Albany, SUNY
Matthew R. Donati, University at Albany, SUNY
John P. Forsyth, University at Albany, SUNY

Anxiety disorders tend to be chronic, debilitating, and are associated with a decreased quality of life (QOL). Traditional Cognitive Behavior Therapy (tCBT) and newer third generation CBT’s such as Acceptance and Commitment Therapy (ACT) appear efficacious for such disorders, yet emphasize difference processes that affect QOL. Whereas tCBT employs symptom reduction methods in order to increase QOL, ACT suggests that symptom reduction is neither necessary nor sufficient for such change. Rather, ACT suggests that mindfulness and acceptance process, such as experiential avoidance (EA) and cognitive fusion, influence QOL directly, over and above symptom reduction. Thus, ACT theory suggests that behavioral processes should directly influence QOL. By contrast, tCBT theory suggests that such processes impact QOL by first passing through changes in distressing symptomology.

Path analysis was used to investigate the differing models posited by tCBT and ACT. Data was reanalyzed from two randomized clinical trials investigating the effectiveness of ACT and tCBT self-help books in non-clinical international community samples of anxiety sufferers (N = 503 and N = 208). Measures were taken to assess relationships between tCBT (anxiety sensitivity) and ACT processes (EA and cognitive fusion), anxiety symptoms, and QOL. In the ACT model, EA and cognitive fusion were allowed to effect both AS and QOL. The tCBT model included paths from ACT processes to AS, AS to symptoms, and symptoms to QOL. It was hypothesized that the ACT model would demonstrate a significantly better fit to the data than the tCBT model, and that this outcome would replicate across samples.

In both samples, the ACT model was found to provide a good fit to the data (e.g., GFI = .98, CFI = .98, NNFI = .94). The tCBT model demonstrated a poor fit across fit indices (e.g., GFI = .89, CFI = .87, NNFI = .74). Additionally, the chi-square differences tests indicated a significantly better fit of the ACT model in both samples (Δχ2(2) = 48.87 and 107.64, both p < .05). Of particular interest, the ACT model accounted for approximately three times the variance of QOL as did the tCBT model, and this effect also replicated across samples. Thus, it appears that ACT-based theory may provide a more accurate representation of psychopathology, particularly in relation to QOL, than that provided by tCBT-based theory. Implications of the findings will be discussed.

63. Acceptance and Mindfulness-Based Processes Fully Mediate the Relation between Worry and Quality of Life: A Multiple Mediation Analysis
Subtopic: Chronic Worry
Matthew R. Donati, University at Albany, SUNY
Kristin N. Herzberg, University at Albany, SUNY
Samantha Callahan, University at Albany, SUNY
Krystal N. Cox, University at Albany, SUNY
Eric Petrone, University at Albany, SUNY
John P. Forsyth, University at Albany, SUNY

Chronic and excessive worry is a core concern of those suffering from General Anxiety Disorder (GAD). Excessive worry and GAD have been linked to impaired well-being, diminished life satisfaction (Stein & Heimberg, 2004), and poor quality of life (QoL) (Henning et al., 2007). Though the prevalence and deleterious effects of excessive worry are well documented, far less is known about the functions of worry and how and why it contributes to human suffering and diminished QoL (Roemer & Orsillo, 2007). Recent work, grounded in the model of psychopathology underlying Acceptance and Commitment Therapy (ACT), suggests that the deleterious impact of chronic worry on a range of psychosocial outcomes can be traced back to specific maladaptive processes, chief among them being experiential avoidance (EA). Furthermore, EA, as well as related elements, including a lack of mindfulness and self-compassion, are thought to contribute to maladaptive control over private content, further leading to psychological and behavioral inflexibility, impeding effective action toward valued ends, and yielding a decreased quality of life. Several studies have demonstrated a significant link between EA and worry (Roemer et al., 2005) and suggested inverse relations between GAD and ACT-related elements, such as self-compassion (Roemer & Orsillo, 2007), mindfulness (Roemer et al., 2009), and valued action (Michelson et al., 2011). However, further research is necessary to understand the exact role of these proposed mechanisms of change in relation to worry. Moreover, few studies to date have examined the relations between worry and quality of life in the context of putative ACT-relevant processes that may, either in whole or in part, mediate such relations (Roemer & Orsillo, 2007). Thus, the aim of the present study was to examine the relation between worry and QoL and the proposed mechanisms of change that may account for this relation.

To examine these relations, healthy undergraduates from the University at Albany, State University of New York (N = 433) completed a battery of well-established and psychometrically sound measures assessing excessive worry, QoL, and several ACT-related mechanisms of change, including acceptance (or conversely EA), mindfulness, and self-compassion. We predicted that, taken together, the posited ACT-related process variables, including EA, would account for the relationship between worry and QoL. Indeed, using a series of tests of multiple mediation, we found that the relation between worry and QoL was fully mediated by the assessed ACT-related process variables. These results as well as the implications of the findings will be presented in the context of understanding the toxic nature of worry itself and interventions that may ameliorate worry-related suffering from an ACT point of view.

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Monday, July 23 - Poster Session #2

Behavioral Medicine

1. Exercise behavior and the Acceptance & Action Questionnaire for Exercise (AAQ-Ex) [627]
Subtopic: Exercise and physical activity
Sarah B. Staats, BA, Wichita State University
Robert D. Zettle, Ph.D, Wichita State University

Background: As reflected by the prevalence of obesity and weight-related diseases, many individuals stand to benefit from regular exercise, but find themselves avoiding it.
Psychological flexibility is one’s willingness to remain in contact with unpleasant thoughts, emotions, memories, and physical sensations in the service of chosen values (Hayes et al., 1999).
Psychological flexibility, and its converse, experiential avoidance, may impact willingness to approach and sustain exercise behavior in the face of unpleasant private experiences.
The current study seeks to validate an exercise-specific measure of psychological flexibility, examining its internal reliability, as well as its concurrent predictive, convergent, and discriminant validity.

Method: Participants were 322 undergraduate students at a Midwestern university.
Gender: 66.8% female (n=215)
Age: M=22.37, SD=6.9; 1Min=18, Max=55; 75.3% were age 18-22
Ethnicity: 83.2% White (n=268), 9.6% Asian (n=31), 6.5% Black or African American (n=21), 6.5% Hispanic or Latino/Latina (n=21), 2.5% American Indian or Alaskan Native (n=8), 0.6% Native Hawaiian or other Pacific Islander (n=2)

Results: Four items with low item-total correlations were removed from the original scale in order to increase internal reliability and face validity. Descriptives for the 11-item scale are given.
A correlation matrix displays relationships between the AAQ-Ex, AAQ-II, BI-AAQ, DTS, self-reported exercise behavior and history, self-reported level of physical fitness, and BMI.
Using t-tests, the self-reported exercise behavior and physical fitness of high- and low-avoiders are compared.

Discussion: These results demonstrate this context-specific measure of exercise-related experiential avoidance possesses strong internal reliability and performs better at predicting relevant behavior than does the general AAQ-II or other measures.

The AAQ-Ex also seems to possess discriminant validity, shown by its moderate correlations with similar, neighboring instruments.
The AAQ-Ex may be an important tool for researchers and clinicians working with exercise behavior.

2. The short form of the Chronic Pain Acceptance Questionnaire: Factor Structure and Convergent Validity
Subtopic: Chronic Pain
John Baranoff, M Clin Psych, University of Queensland
Stephanie Hanrahan, Ph.D, University of Queensland
Dilip Kapur, MBBS, Flinders Medical Centre
Jason Connor, Ph. D, University of Queensland

The Chronic Pain Acceptance Questionnaire (CPAQ) is a 20-item scale used to assess two related behavioural processes: Activity Engagement and Pain Willingness (McCracken et al., 2004). An 8-item version has recently been developed (Fish et al., 2010). The two factor structure has been confirmed in an internet, non-treatment seeking sample. The current study examined the construct and convergent validity of the CPAQ-8 in a treatment seeking sample. Participants were 334 patients attending a multidisciplinary pain service. A Confirmatory Factor Analysis identified the two factor model consisting of Activity Engagement and Pain Willingness factors (SRMR = .039, RMSEA = .063, CFI = .973, TLI = .960) was superior to other models tested. The correlation between the Activity Engagement and Pain Willingness factors was r = .42.The 20-item and 8-item total CPAQ scores were highly correlated (r = .93), as were the Activity Engagement and Pain Willingness factors (r = .92, r = .88). Internal consistency was comparable to the long-form. Scores on both factors were significantly higher for depressed patients, compared to non-depressed patients. The results provide support for the use of the CPAQ-8 in a treatment seeking sample of chronic pain patients.

3. Restore Hope to HIV and TB Patients
Subtopic: People Living with HIV/AIDS and TB
Christian Vonjoe, Health Education Division - Ministry of Health and Sanitation, New England Ville, Medical Stores Freetown

The course of HIV/AIDS and TB elimination in Sierra Leone depends on the level of community knowledge, social stigma, risk behavior modification, provision and uptake of HIV counseling and testing, and access to preventive and treatment facilities.

My main role include counseling, community sensitization, mass media campaign and interpersonal communication for HIV and TB patients to reduce stigma, marginalization and to help restore their psychological suffering.

Survey conducted by the SLDHS 2008, revealed that 83% of men and 69% of women are aware of HIV/AIDS issues with 1.5% prevalence among 15-49yrs Sierra Leoneans. Unfortunately, stigma and discrimination against People Living With HIV ( PLWHIV) still remain a challenge as 5% of women and 15% of men expressed accepting attitude of PLWHIVs. There is TB Stigma and marginalization attached to the disease especially. in poor communities with high illiteracy and may lead to delay in care seeking.

Clinical Interventions and Interests

4. PTSD Intensive Outpatient Program at Togus VAMC: Changes in Mindful Awareness and Acceptance on the Philadelphia Mindfulness Scale (PHLMS)
Subtopic: Mindfulness or PTSD
Erica L. England, Ph.D., VA Maine Healthcare System (Togus VAMC)
Jerold Hambright, Ph.D., VA Maine Healthcare System (Togus VAMC)
Kevin Polk, Ph.D., VA Maine Healthcare System (Togus VAMC)

This program evaluation study examined pre- and post-treatment scores on the Philadelphia Mindfulness Scale (PHLMS; Cardaciotto et al., 2008) for 39 male veterans who participated in the ACT-based PTSD Intensive Outpatient Program (PTSD IOP) at Togus VAMC for clinical care. Data were collected solely for the purpose of evaluating this program’s effectiveness. The PHLMS is a 20-item, bi-dimensional self-report measure assessing the two key components of mindfulness: experiential awareness and non-judgmental acceptance. A significant increase in Awareness (t (38) = -3.17, p < .01) occurred from pre-treatment (M = 33.95, SD = 5.38) to post-treatment (M = 36.33, SD = 5.47). Conversely, Acceptance did not change significantly (t (38) = .64, p = .53, pre-treatment M = 21.49, SD = 5.61, post-treatment M = 20.92, SD = 6.29). Results suggest that participation in the PTSD IOP is associated with an increase in self-reported mindful awareness, but not necessarily increased acceptance.

5. Veteran Improvement Following 5-Day ACT Treatment for PTSD: Pre- and Post-Test Differences Based on Commuter Status
Subtopic: PTSD
Abby Hurley, M.A., Wheaton College
Marjorie Crozier, M.A., LaSalle University

This poster will provide supply data regarding the efficacy of a 5-day ACT partial treatment program at the Maine VAMC for decreasing symptom distress (depression, avoidance) and increasing valued living amongst the veteran population diagnosed with PTSD. It will present a comparison of pre- and post-test performance on the Acceptance and Action Questionaire-2 (AAQ-2), the Physical Health Questionnaire – 9 (PHQ-9) and the Valued Living Questionnaire (VLQ) with discussion of both statistical and clinical significance. The study also assesses whether pre- and post-test performance differs depending on commuter vs. lodger status. Given these findings, future considerations for working with rural populations will be provided.

6. Sport Anxiety and Aspects of Mindfulness in Athletes: Implications for Mindful Sport Performance Enhancement (MSPE) [628]
Subtopic: Mindfulness, Sport Psychology, Anxiety
Timothy R. Pineau, M.A., The Catholic University of America
Carol R. Glass, Ph.D., The Catholic University of America
Keith A. Kaufman, Ph.D., The Catholic University of America

Preliminary analysis of data collected in a controlled study of MSPE (N = 55 Division I cross-country runners) examined how different measures of mindfulness, the Five Facet Mindfulness Questionnaire (FFMQ; Baer et al., 2006) and the Philadelphia Mindfulness Scale (PHLMS; Cardaciotto et al., 2008), differentially related to state and trait sport anxiety. Total mindfulness scores were inversely related to trait sport anxiety (FFMQ) and state cognitive anxiety before a race (PHLMS). However, only the Act with Awareness, Nonjudge (FFMQ), and Acceptance (PHLMS) subscales were significantly inversely correlated with total or cognitive trait sport anxiety. Conversely, the Observe subscale (FFMQ) was negatively related to state cognitive anxiety, while the Observe, Describe, Nonreact (FFMQ), and Awareness (PHLMS) subscales were positively related to state sport confidence. These results elucidate the nature of the relationship between mindfulness and anxiety in athletes, and have implications for how to tailor MSPE to help athletes manage anxiety.

7. Psychological inflexibility and experiential avoidance as a predictor of posttraumatic stress disorder (PTSD) in war Veterans
Subtopic: PTSD
Eric C. Meyer, Ph.D., VA VISN 17 Center of Excellence for Research on Returning War Veterans
Richard Seim, Ph.D., VA VISN 17 Center of Excellence for Research on Returning War Veterans
Jonathan Tekell, Baylor University
Matthew Woodward, VA VISN 17 Center of Excellence for Research on Returning War Veterans
Nathan A. Kimbrel, Ph.D., VA VISN 17 Center of Excellence for Research on Returning War Veterans
Marc I. Kruse, VA VISN 17 Center of Excellence for Research on Returning War Veterans

While much is known regarding predictors of PTSD, relatively little of this knowledge directly informs treatment. This study examined whether psychological inflexibility and experiential avoidance, measured using the Acceptance and Action Questionnaire-II (AAQ-II), accounted for unique variance in PTSD symptoms over and above the “Big 3” personality factors and other well-established predictors of PTSD (trauma severity, perceived threat, peritraumatic dissociation, recent life stress, social support). We also examined whether AAQ-II scores accounted for unique variance after controlling for the avoidance symptoms of PTSD. Trauma-exposed Iraq and Afghanistan war Veterans (n=109), of whom 44% had current PTSD, completed a structured interview and self-report measure of PTSD, and self-report measures of the other predictors. Using hierarchical regression, higher AAQ-II scores demonstrated incremental, predictive validity by accounting for unique variance in PTSD symptoms after controlling for all other predictors, including the avoidance symptoms of PTSD. Psychological inflexibility and experiential avoidance may represent a malleable risk factor for PTSD.

8. The effect of cognitive defusion on self -relevant negative thought : Examining the impact of "I think that" phrase.
Subtopic: defusion
Yuki Shigemoto, graduate student of psychology, Doshisha University
Muto Takashi, Department of Psychology, Doshisha University

This study investigated the impact of defusion with dufusion protocol and telling participants the effect of defusion on a non-clinical sample in the context of negative self-statement. Defusion was also manipulated through the visual presentation of self-statements, with each presented in two formats (defusion and neutral). Neutral format consist of 10 negative self-statements. Defusion format consist of adding “I think that” phrase to neutral phrase. Fifty-four undergraduate students (22 male, 32 female) were assigned one of three conditions (identify, non-identify, and explanation). Identify condition was built with defusion protocol and explanation about the effect of defusion. In non-identify condition, explanation about the effect of defusion changed into explanation that the effect of defusion is not clear. Explanation condition consist of only defusion protocol. Participants rated each self-statement for comfort, believability and willingness. Results showed that defusion format decreased discomfort and increase willingness and believability relative to neutral format. Non-identify condition decrease discomfort and increase willingness relative to identify condition.

9. The Automatic Thoughts Questionnaire-Believability Scale as a Measure of Cognitive Fusion [629]
Subtopic: depression
Suzanne R. Gird, M.A., Wichita State University
Robert D. Zettle, Ph.D., Wichita State University
Blake K. Webster, M.A., Wichita State University
Alexandra L. Wagener, M.A., Wichita State University
Charles A. Burdsal, Ph.D., Wichita State University

The psychometric properties of a believability scale added to the Automatic Thoughts Questionnaire (ATQ-B; Hollon & Kendall, 1980) as a putative measure of cognitive fusion was examined in college student and clinically depressed samples. The scale demonstrated adequate test-retest reliability (r = .81) over 3 months with a college student sample, high levels of internal consistency in both student and clinical samples, and an ability to discriminate between the two. Exploratory factor analyses with the two samples revealed unique factor structures for each. These findings as well as subsequent regression analyses using factor scores suggest that the fused thoughts of college students and those seeking treatment for depression differ not only in their dimensionality, but also in their relationship to depression. Implications of the results for further use of the ATQ-B as an index of cognitive fusion in clinical process research are discussed.

10. A Preliminary Study on Examining the Effects of Creative Hopelessness
Subtopic: Creative Hopelessness, Change Agenda, Rule-governed behavior
Mie Sakai, Graduate School of Psychology, Doshisha University
Takashi Muto, Department of Psychology, Doshisha University
Akihiko Masuda, Department of Psychology, Georgia State University
Naoko Kishita, Graduate School of Psychology, Doshisha University, Research Fellow of the Japan Society for the Promotion of Science

Although, Creative Hopelessness has been considered to be an important intervention component designed to reduce Experimental Avoidance, the empirical evidence to support its effect is relatively limited employing a single-group pre-post quasi-experiment design. The present study examined the effect of a Creative Hopelessness Protocol on the subjective measures of believability and motivation of Change Agenda. The Creative Hopelessness protocol included a CH rationale, CH-based homework, and Acceptance exercise. The CH rationale included a session and metaphors. Thirteen undergraduate students who had anxiety tendencies completed the protocol, and data were collected at pre-intervention, post-CH session, post-CH metaphors, post-homework, and post-acceptance exercise. The believability and motivation scores following the Acceptance exercise were lower compared to those of the pre-intervention (believability; p<.05, motivation; p<.10). However, the significant decreases following the CH session and CH metaphors were not found in the both scales. We will also present findings of other study variables.

11. Preliminary results of an ACT-based group program for patients with anxiety disorders
Subtopic: Anxiety
Nina Stoeckel, Ph.D., Geisinger Medical Center
Hope C. Mowery, Ph.D., Geisinger Medical Center
Linda F. Brown, Ph.D., Indiana University Bloomington
Charlotte Collins, Ph.D., Geisinger Medical Center

The literature on ACT-based group therapy for patients with anxiety disorders is limited and focuses primarily on specific diagnostic categories.

The aim of our project was the development, implementation, and evaluation of an ACT-based therapy group for broad-based treatment of a variety of anxiety disorders. The ten session program has its roots in Eifert & Forsyth’s (2005)¹ approach. Participants were assessed following the first, fifth, and tenth session using the Generalized Anxiety Disorder-7 (GAD-7), the State Trait Anxiety Inventory-Trait Scale (STAI-T), the Acceptance & Action Questionnaire-II (AAQ-II), and the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF). Analyses are presented for the first 15 participants. Results reveal that anxiety decreases over the course of the program whereas psychological flexibility and quality of life increase.

These preliminary results suggest that participants with a variety of anxiety disorders benefit from this type of group.

¹ Eifert, G.H., & Forsyth, J. P. (2005). Acceptance and commitment therapy for anxiety disorders: A practitioner’s treatment guide using mindfulness, acceptance, and values-based behavior change strategies. New Harbinger: Oakland, CA.

12. Mindfulness, Psychological Flexibility, and Quality of Life: The Mediating Role of Rumination
Subtopic: Rumination
Daniel Millstein, Yale University, Department of Psychology
David Klemanski, Yale University, Department of Psychology

In light of research on interventions incorporating mindfulness and acceptance into the treatment of depression, the present study sought to highlight the relationship between these constructs and depressive rumination. Rumination, a passive, repetitive focus on one's symptoms, has been implicated as a key process in depression. Viewed as a form of avoidance, rumination can be conceptualized as a psychologically inflexible attempt to turn away from painful experiences present in depression. Using measures of rumination, psychological flexibility, and mindfulness, we investigated their direct and indirect effects on quality of life in a clinical sample. Results indicated that psychological inflexibility and decreased mindfulness were significantly associated with reduced quality of life. In both models, rumination was shown to mediate this association. While future research will need to clarify the directionality of the findings over multiple timepoints, these data further support the underlying models of mindfulness and acceptance-based therapies for depression.

13. WorkACTive: Design of an ACT based inpatient intervention for Return To Work [630]
Subtopic: Return to work / Vocational Psychology
Sigmund Gismervik, M.D., Ph.D. candidate, Norwegian University of Science and Technology
Egil Fors, MD, Ph.D., Norwegian University of Science and Technology
Marius Fimland, Post Doc., Norwegian University of Science and Technology

BACKGROUND: In occupational medicine, there has been a paradigm shift from disease treatment to disability rehabilitation and management. Long term sick leave is now considered to be the result of interactions between the worker, her social surroundings and three systems: the healthcare system, workplace environment and financial compensation system (Franche 2002; Loisel 2001; van Oostrom 2009). This calls for complex interventions integrated with physical exercise (Lambeek 2010).

Acceptance and Commitment Therapy (ACT) using an individual outpatient worker intervention, has been evaluated for return to work (RTW) in one preliminary RCT (Dahl 2004). ACT has been proposed as effective treatment for a wide range of disorders (Pull 2009). Little evidence exists though on the effectiveness of inpatient ACT group interventions for complex symptom disorders, the effect on return to work (RTW) and the health economic aspects.

OBJECTIVES: In Trondheim, Norway we want to examine the effect of ACT based inpatient rehabilitation with RTW as the main outcome. Secondary outcomes will be quality of life, change in symptoms and health economic analysis.

DESIGN / TREATMENT: All patients treated will be on sick-leave for a multitude of different diagnoses but mainly musculoskeletal pain conditions and/or psychological disorders. Patients receive a letter of invitation from the Norwegian National Labor and Welfare Service. Those who agree to participate will take part in a prospective, consecutive RCT. The treatment group will receive 2 or 4 weeks of inpatient rehabilitation in a newly established rehabilitation center.

A complex intervention is designed integrating:
1) A physical (exercise) intervention
2) Collaboration between stakeholders and
3) An ACT based group intervention tailored for patients on sick leave

14. “Mi Amiga Dolores”:Culturally Informed Acceptance and Commitment Therapy for Puerto Rican adults with Fibromyalgia [631]
Subtopic: Culture
Yari Colon, Ph.D., VA Caribbean Healthcare System
Mayra Berrios-Hernandez, Ph.D., VA Caribbean Healthcare System
Karina Navas-Martinez, Ph.D., VA Caribbean Healthcare System
Iris Abreu-Colon, M.A., VA Caribbean Healthcare System

There is a call for evidenced based treatments to be adjusted to better meet the needs of different cultural groups (Sue, et al., 2009) and for these adaptations to be reported (Bernal et al., 2009). Hayes and colleagues (2011), suggest that cultural modifications may make Acceptance and Commitment Therapy (ACT) more effective. Despite ACT’s proven effectiveness with multiple health-related problems, particularly chronic pain, minorities continue to be underrepresented in the general ACT treatment literature (Woidneck, et.al., in press). Moreover, little is known on how ACT has been culturally-adapted and implemented for use with Puerto Rican adults. The aim of this poster is to describe efforts to culturally adapt ACT for the treatment of Fibromyalgia with Puerto Rican adults. We will describe an eight week ACT intervention for Puerto Rican veterans and portray: 1) efforts to link cultural knowledge to ACT model and techniques 2) benefits and limitations of cultural adaption 3) recommendations and future directions. The hope is to contribute to the discussion of the cultural adaption of ACT and foster fertile ground for feasibility and efficacy studies of culturally informed ACT for Fibromyalgia.

15. Beyond the disciplining parent: building parental acceptance [632]
Subtopic: parenting
Oana Gavita, Ph.D., Babes-Bolyai University

Reviews (see also Dix & Meunier, 2009) showed that parental emotion-regulation deficits often reflect incompatibility between parental mood and the requirements of effective parenting (Downey & Coyne, 1990; Lovejoy, Graczyk, O’Hare, &
Neuman, 2000). In line with this, research efforts have been directed recently towards understanding factors that contribute to parental emotional-regulation processes. There are incipient efforts to address parental emotion-regulation aspects (e.g., emotional and behavioral; Ben-Porath, 2010) in parenting programs for reducing child disruptive behavior, and it was proposed that such programs could be enhanced by additional investigation of parental emotion-regulation strategies as a distal etiopathogenetic mechanism of children psychopathology.

16. Relationships between acceptance-related constructs, anxiety, and speaking performance in public speaking anxiety
Subtopic: Public Speaking Anxiety, Defusion, Acceptance, Awareness
Lisa Glassman, M.S., Drexel University
Alyssa Matteucci, Drexel University
Evan Forman, Ph.D., Drexel University
James Herbert, Ph.D.,
Meltem Izzetoglu, Ph.D., Drexel University
Lauren Bradley, Drexel University

Acceptance and Commitment Therapy (ACT) strategies teach individuals how to co-exist with anxiety without expending cognitive resources on suppression or reframing. Thus, ACT may free up resources for engaging in behaviors related to enhancing performance. However, it is unclear how the interrelated constructs of defusion, awareness, and acceptance are associated with performance and the subjective experience of anxiety. We examined correlations (n=19) between psychological acceptance, defusion, and awareness, self-reported anxiety, and observer-rated performance in a population with public speaking anxiety. Acceptance and defusion were negatively correlated with anxiety (r=-.46, p=.05; r=-.24, p=.31). Awareness was not associated with anxiety, but was strongly negatively associated with performance quality (r=-.42, p=.08). Defusion and acceptance were moderately positively associated with performance (r=.26, p=.30; r=.35, p=.15); acceptance predicted observer-rated anxiety (β=-.46, t=-2.11, p=.05). Findings suggest that interventions utilizing acceptance and defusion may enhance performance and reduce anxiety, and awareness may be detrimental to performance improvements.

17. Do Social Psychology constructs such as Need for Cognitive Closure have utility in treatment component matching in ACT? A Preliminary analysis
Subtopic: Treatment development
Taleisha Jones, San Jose State University
Jennifer Gregg, Ph.D., San Jose State University

The need for cognitive closure (NFCC) is a social psychology construct that has been investigated in it’s relationship to needs-based values assessment but not in its relationship to meaning-based personal values, such as those targeted in ACT, nor in its potential utility as a screening tool to guide treatment decisions (i.e., whether to start with values or mindfulness). The present study examines the relationship between meaning-based personal values and NFCC in both college students (N =125) and distressed breast cancer survivors (N = 41) in order examine these relationships and take a preliminary look at its usefulness. Results indicate that specific values such as health, education, and friendship values relate significantly to the need for cognitive closure in both populations, with relationship values having a stronger relationship in cancer survivors. Reasons for these findings are discussed in terms of increasing the clinical utility of the measurement of such constructs.

18. The Use of Acceptance and Commitment Therapy to Reduce Distress Caused by Auditory Hallucinations and Increase Value-Based Living with Individuals Diagnosed with Schizophrenia in a Community Mental Health Clinic: A Pilot Study [633]
Subtopic: Schizophrenia
Aaron Fett, M.A., Palo Alto University
Julia Hernandez, M.S., Palo Alto University

The present study examined the effectiveness of acceptance and commitment (ACT) therapy for clients diagnosed with schizophrenia, experiencing distress over auditory hallucinations. Eight participants in a community mental health setting, diagnosed with schizophrenia attended 12 one hour weekly group therapy sessions. Data is collected at pre and post treatment, measuring the frequency, duration, amount of distress, and functional impairment caused by their auditory hallucinations (as measured by the PSYRATS-AHRS), the amount of distress and functional impairment caused by their delusions (as measured by the PSYRATS-DRS), their level of acceptance and ability to defuse from their auditory hallucinations (as measured by the VAAS) and their level of engagement with valued-based activities (as measured by the VLQ). It is expected that participants will see a reduction in distress and functional impairment caused by auditory hallucinations, and increase their engagement in individualized value-based activities.

19. Understanding and Caring of Children at Ankur Counseling Center,Nepal [634]
Subtopic: Children
Chhori Laxmi Maharjan, Friends of Needy Children/Ankur Counseling Center,Nepal

Friends of Needy Children(FNC-1996) is a social organization working with/for Nepalese children/youths who have had traumatic past experiences through poverty, extreme domestic violence, orphaned, HIV/AIDs, as well as thousands of girls working as indentured servants.
Despite a nurturing environment and excellent education, the children continued to experienced cases of lower educational achievement, separation anxiety, low self-esteem as well as psychological crises. Therefore, Ankur Counseling Center (ACC) was established in 2006 with an aim to improve quality of life for children of FNC.
Due to lack of technical knowledge and skills, Nepalese psychologists have been facing challenges in counseling and treatment planning. Psychotherapeutic interventions are still a new born child in Nepal.

With an introductory class by Dr. Louise, ACC have been using basic components of ACT to children/youths. Additional training on ACT seems importantly needed and it would be effective for the Nepalese children, youths and Adults as well.

20. An Interactive Health Communication Application as a platform for disseminating ACT: A pilot study
Subtopic: Web-based application
Arne Lillelien, Vestre Viken HF, Norway
Trym Nordstrand Jacobsen, Molde DPS, Norway
Didrik Heggdal, Vestre Viken HF, Norway
Deede Gammon, Oslo University Hospital, Norway

Interactive Health Communication Applications (IHCAs) are online systems used by patients to support them in managing their health issues. IHCAs can include modules such as self-guided treatments, social support, evidence-based educational material and secure communication with care providers. The current paper reports from a pilot project aiming to incorporate components of ACT into a research-based IHCA that can be used for self-management in collaboration with care providers. Mental health service users and clinicians who have experience with ACT have collaborated in specifying user requirements for an IHCA referred to as PsyConnect. Preliminary user requirements include; 1) support for mapping values and aims along life domains, 2) ACT homework exercises, 3) feedback systems for tracking changes in status.

The paper discusses some of the challenges in adapting ACT into a IHCA in ways that are clinically sound and feasible organizationally.

21. Attitudes and Internalized Homophobia in Gay and Lesbian College Students [635]
Subtopic: GLBT
Mickey White, B.S., University of North Texas
Amy Murrell, Ph.D., University of North Texas

Stigma towards gays and lesbians has existed for many years. Previous studies since the 1980s have shown that heterosexuals often express homonegative attitudes towards homosexuals. These negative attitudes have also been theorized as being adopted by and internalized within the stigmatized individual, known as internalized homophobia. The current study explored the predictive qualities of homonegative attitudes on internalized homophobia in a sample of 79 gay, lesbian and bisexual college students. It was found that both modern [Beta = .582, p < .01 (in men); Beta = .605, p < .001 (in women)] and traditional attitudes [Beta = .730, p < .001 (in men); Beta = .621, p < .001(in women)] towards homosexuality are significant predictors of internalized homophobia, and also that traditional attitudes are better predictors of internalized homophobia.

22. A Review of Acceptance and Commitment Therapy with Anxiety Disorders [636]
Subtopic: Anxiety
Katie Sharp, University of Kansas

Anxiety disorders are the most widespread cause of distress among individuals seeking treatment from mental health services in the United States However, despite the prevalence of research on effective therapeutic interventions and their promising outcomes, significant shortcomings remain. In response to these drawbacks, a novel treatment acceptance and commitment therapy was developed in attempt to revolutionize the conceptualization and treatment of anxiety disorders. The new treatment takes advantage of the power of exposure therapies while simultaneously addressing issues of comorbidity, fear, and avoidance related to them, as well as adding emphasis on clients’ overall quality of life. Although the research base is small, a review of the current literature supports the notion that the ACT model of anxiety may be appropriate for how these disorders are conceptualized and subsequently treated.

23. A parent of a child with disabilities : A case presentation. [637]
Subtopic: Parent having a child with disabilities
Shinji Tani, University of Ritsumeikan
Kotomi Kitamura, Osaka Univirsity of Human Sciences

This research reports the progress of ACT intervention for a parent of a child with severe disabilities.
Methods: Case formulation was completed to the point of ACT. Experiential exercises were introduced to the parent on the basis of the case formulation. Intervention sessions lasting 40 minutes were held once a weak, and a total of 12 sessions were conducted. Four measures BDI-II, POMS (Profile of Mood States), DACS (Depression and Anxiety Cognition Scale) and AAC-II were analyzed to investigate the effects of the intervention at the time of the first, seventh, and final sessions. All dialogues of the session were transcribed, and the transcript was coded into 12 categories, consisting of six psychological flexibilities and six psychological inflexibilities. The relations among these 12 categories were analyzed using the SPSS Text-Analysis. Result: The BDI-II score, which was 12 at the first session, decreased to 8 at the seventh and 4 at the final session. On the POMS, the scores of Anger-Hostilitye and Fatigue, which were “moderately high” at the first session, decreased to the usual level at the seventh session, and Vague increased remarkably by the final session. On the DACS, the Future Denial score, which was “high“ at the first session, improved to the usual level. AAQ-II was 46 points at the first, 49 at seventh, and 52 at the final session. The text-analysis revealed that as the sessions proceeded, the amount of the parent’s psychological inflexibility reduced. These results show that ACT is useful in helping parents of children with disabilities to increase their psychological flexibility.

24. Resiliency Training for About-to-be-Deployed Submariners [638]
Subtopic: Military, PTSD, Anxiety
Robert Astur, Ph.D., University of Connecticut
Jacqueline Pistorello, Ph.D., University of Nevada-Reno
Steve Hayes, University of Nevada-Reno
Lisette Roman, Connecticut College
Bryan Still, Naval Submarine Base, New London
 
Up to 33% of enlisted submariners do not complete their first enlistment due to mental health or misconduct reasons. In efforts to increase the ability of our sailors to deal with the inevitable stressors of the submarine environment, we designed and implemented an ACT-based resiliency training program. 290 active duty male US Navy members reporting to New London submarines were recruited and received 4 hours of skill training from ACT protocols tailored for submariner populations. Additionally, we characterized psychological risk using measures of childhood and family adversity, acceptance, dissociation, and depression. Lastly, we assessed efficacy of our resiliency training by examining change in personal values as measured by the Personal Values Questionnaire (Blackledge & Ciarrocchi, 2005). Examining those sailors likely embracing their values for avoidance reasons, we observe a significant post-training improvement in personal values for career, but not for relationships. Additional and long-term Navy performance results will be discussed.
 
25. The Role of Experiential Avoidance and Other Related Constructs in Anxiety Disorders
Subtopic: Experiential Avoidance
Brian Pilecki, M.A., Fordham University
Dean McKay, Ph.D., Fordham University
Patrick Milgram
 

Experiential avoidance (EA) is a core construct of Acceptance and Commitment Therapy (ACT), and is defined as the attempt to escape or avoid the form, frequency, or situational sensitivity of private events, even when the attempts to do so causes psychological harm (Hayes et al., 1996). Experiential avoidance shares several conceptual features, namely the negative reaction to one’s private experiences, with other concepts related to anxiety disorders that include anxiety sensitivity, obsessive beliefs, health anxiety, and distress tolerance. Assessments measuring these constructs were completed by 248 undergraduate participants.. It is expected that these constructs will be significantly related. Moreover, it is believed that a model with negative affect as a mediator will account for differences in experiential avoidance amongst participants who score high on the other related constructs. This would suggest a role for underlying mood processes in conceptualizing experiential avoidance. Recommendations for future research will be made.

26. A Transdiagnostic Group Therapy Treatment for Emotional Dysregulation: Preliminary Investigation of a New Protocol
Subtopic: Emotion Dysregulation, Group Therapy, Transdiagnostic Interventions
Amynta Hayenga, Wright Institute
Patricia Zurita Ona, The Berkeley Cognitive and Behavioral Therapies Clinic

Recent research conceptualizes emotional dysregulation as a transdiagnostic process that heightens pathology across a variety of psychological disorders. Given the utility and efficiency of treating this process across diagnostic categories, a universal group therapy protocol has been developed for clients with anxiety disorders, mood disorders, and/or chronic anger, shame, and guilt. Treatment will entail twelve weekly sessions teaching a set of skills that were carefully integrated from several third-wave behavioral therapies: Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Acceptance and Commitment Therapy. At the poster session, pilot data will be presented from the first round of the group. We will examine changes in symptomatology (DASS), maladaptive coping behavior (CCI), and the process variables of experiential avoidance (AAQ) and difficulties in emotion regulation (DERS). Details about the group protocol, skills covered, and client handouts will be provided accordingly.

27. An investigation of the structural and predictive validity of the Acceptance and Action Questionnaire-II among treatment seeking substance users.
Subtopic: Substance Use, AAQ-II
Kenneth M Carpenter, Ph.D., Columbia University/New York State Psychiatric Institute
Magdalena Kulesza, Ph.D., Lousiana State University
Frank W. Bond, Ph.D., Goldsmiths, University of London
Laura Feder, Psy.D., Rutgers University
Frances Levin, M.D., Columbia University/New York State Psychiatric Institute
Edward V. Nunes, M.D., Columbia University/New York State Psychiatric Institute
 
Aim. The structural and predictive validity of the Acceptance and Action Questionnaire – version II (AAQ-II), a self-report measure of experiential avoidance and psychological inflexibility, were tested. Method. Five-hundred and twenty individuals seeking outpatient treatment for substance misuse (Heroin, Cocaine, Cannabis, Alcohol) completed the 49-item trial version of the AAQ-II, the Beck Depression Inventory-II (BDI-II), and a structured clinical interview as part of an intake screening protocol. Results. Confirmatory Factor Analyses (CFA) supported the single-factor structure (Bond et al., 2011) (X2 /df= 2.8; CFI= 0.98; SRMR= 0.03) and strong internal consistency (Cronbach’s alpha = 0.90) of the AAQ-II. The AAQ-II and BDI-II scores were significantly correlated (r=0.73, p <.001) and both were significantly associated with the amount of cannabis smoked per smoking day in the past month among individuals seeking treatment for cannabis dependence (AAQ-II r=0.40, p <.001; BDI=II r=0.37, p=.001). Results of a multiple regression analysis indicated the AAQ-II remained a significant predictor of cannabis use after controlling for BDI-II scores (B=.44, p <.007); the BDI -II was not predictive of cannabis use after controlling for the AAQ-II (B=.03, p < .83). Among cocaine users, the AAQ-II was associated with the frequency of use (r=.22; p < 05); this effect was significantly diminished when controlling for BDI-II scores. The AAQ-II was not significantly related to substance use measures among heroin and alcohol dependent individuals. Conclusion. The AAQ-II has favorable psychometric properties among treatment seeking substance dependent participants and suggests experiential avoidance, as measured by the AAQ-II, may be an important factor in understanding variability in cannabis use among those seeking treatment for its use.
 
28. Using Acceptance and Commitment Therapy in the rehabilitation of women on long-term sick leave due to mental ill-health and/or pain - A preliminary randomized controlled trial
Subtopic: Return to work
Anna Finnes, M.S., University of Uppsala, Sweden
Carina Wennman, M.S., Uppsala academic hospital, Sweden
 
The sick-listing pattern differ between men and women in Sweden. Women overall have longer periods of sick leave. Their complex of problems are generally more often vaguely described which may hinder implementation of adequate rehabilitation. Due to changes in the regulations of the Swedish health insurance system, approximately 1 100 women in Uppsala County on long-term sick leave due to pain and/or psychological illhealth are calculated to be transferred from the National Insurance Office to the Employment Office between March 2010 and June 2011. The aim of the study is to evaluate the effects of three different rehabilitation models carried out along with the process of transference in the insurance system.

The study is an ongoing RCT (n= 247) with repeated measures and three conditions: 1) Acceptance and Commitment Therapy (ACT), 2) multidisciplinary team intervention (MDT) and 3) Treatment as Usual (TAU) comprising the standard program offered by the public employment office. Dependent variables include employment status, extent of sicklisting, general health, satisfaction with life, depression, anxiety, self-efficacy and level of pain.

Data collection is ongoing and results and one-year-follow-up data will be evaluated during spring 2012 and presented at the ACBS Annual World Conference X in Washington, D.C., 2012.

29. Integrating Acceptance and Commitment Therapy (ACT) into traditional Cognitive Behaviour Therapy (CBT) [639]
Subtopic: Depression
Leandra Hallis, M.A., Psy. D. cand., Douglas Mental Health University Institute
Frédérick Dionne, Ph.D., Centre universitaire de Québec (Canada)
Bärbel Knäuper, Ph.D., McGill University
Luisa Cameli, Ph.D., The Emotional Health CBT Clinic

Traditional CBT (i.e., Beck’s cognitive therapy) has proven to be an empirically effective treatment for various psychological disorders. However, since the main focus in traditional CBT is on modifying the content of cognitions, specific techniques that train people to accept and detach from painful thoughts and emotions are lacking but are equally important. Acceptance and Commitment Therapy (ACT) can help clients change the way they interact with their thoughts and feelings and such skills can be used to optimize traditional CBT treatment for psychological disorders. We propose that offering a therapy that includes both CBT and ACT strategies allows people to have more options for dealing with distressing thoughts and emotions and thus increases the probability that change will occur without being incompatible. This poster will examine the feasibility, applicability and coherence of integrating strategies coming from traditional CBT and ACT.

30. ACT for Insomniacs
Subtopic: Insomnia
Guy Meadows Ph.D., The Sleep School

Acceptance and Commitment Therapy (ACT) offers a unique and gentle non-drug based approach to overcoming chronic insomnia. It seeks to increase people’s willingness to experience the conditioned physiological and psychological discomfort commonly associated with not sleeping.

Such acceptance paradoxically acts to lessen the brains level of nocturnal arousal, thus encouraging a state of rest and sleepiness, rather than struggle and wakefulness. Additional focus on valued driven behaviour also acts to avert unhelpful patterns of experiential avoidance and promote the ideal safe environment from which good quality sleep can emerge.

The application and merits for using ACT approaches such as acceptance and willingness, mindfulness and defusion and values and committed action for the treatment of chronic insomnia are discussed and compared to the traditional cognitive behavioural strategies.

31. Developing therapeutic Self-service in South Africa
Subtopic: Developing Nations
Yoav Van der Heyden, Private

Power imbalance is present on all levels of social engagement, including the therapeutic setting. In South Africa, the legacy of colonialism and it's child, Apartheid, continue to permeate social relations, and this is not always filtered by the desire to 'Do good'. Having trained as a Clinical Psychologist, I believe that in ACT I have found an approach that allows the dissemination of psychotherapeutic knowledge and practice in a manner that can overcome the historical ‘North-South’ approach of the ‘knower’ that provides for the ignorant’. Through my own experience of experientially learning ACT and CBS, I have learned a new way of engaging with clients and sharing the power of knowledge. Through this poster I hope to be able to share my experiences of discovery as well as the dreams I have of empowering a therapeutic self-service that can help to dissolve power issues, whilst growing self-fulfillment.

32. ACT for Sierra Leone
Subtopic: youth trauma/rape
Hannah Bockarie, DONBOSCO Fambul

I work with DONBOSCO Fambul at a girls shelter and I find that in Sierra Leone, domestic sexual abuse is increasing and it takes place as a result of parental ignorance and lack of knowledge. Most times it is manifested through parents given husbands to there children at an early childhood stage.e.g. Woman telling her 6 years old girl to say good morning to her husband of 40 and above. This statement exposes the girl to sexual abuse even though the mothers say it ignorantly. However, with the use of an ACT approach many clients that are stigmatized, and have abnormal behavior leading to stress and psychological problems, now positively cope.

Educational Settings

33. Can a short ACT intervention targeting defusion from self-judgments undermine the negative effects of shame on academic performance?
Subtopic: Shame
Brian D. Cooper, University of Nevada, Reno
Julian Bartke, University of Nevada, Reno
Steven C. Hayes, Ph.D., University of Nevada, Reno

Shame stems from the dysphoric emotions that involve negative evaluations and conceptualization of one’s own self (Niedenthal, Price, Tangney, & Gavanski, 1994), and is generalized as an intense emotion associated with serious failures and moral transgressions (Dalgleish & Power, 1999). Students often experience the self-conscious emotion shame in academia when their thoughts begin to focus on the negative aspects of themselves in an academic environment. Acceptance and Commitment Therapy (ACT) is a psychotherapeutic modality focused on creating fundamental changes in how to approach and deal with emotions (Hayes et al., 1999), such as those associated with shame. The present study uses ACT as a model to target identification with negative self-judgments by emphasizing the standpoint of self-as-context. 60 university undergraduate students who meet a criteria associated with internalized shame are randomly assigned to 2 conditions: the ACT group will be exposed to an ACT-based process intervention that focuses on self-as-context. The control intervention group will receive an inactive process intervention. The two groups will also complete an intellectual performance task. We will see if the ACT intervention group shows better results than the control intervention group at the intellectual performance task, thus demonstrating the beneficial effects of targeting detachment from negative and inhibiting self-judgments. We will see if the results will have potential implications for refinement of ACT-based adjustments to college programs.

Functional Contextual Approaches in Related Disciplines

34. Emotion Regulation and Socialization in Racial-ethnic Minority Families
Subtopic: Children and families
Marie-Christine Andre, Suffolk University
Lisa Coyne, Suffolk University
Jadig Garcia, Suffolk University
Alysha Thompson, Suffolk University
Xheni Vaqari, Suffolk University
Angela Burke Currie, Suffolk University

In the adult ACT literature, emotion suppression tends to be associated with negative outcomes. Yet, little is known about how these processes work in children and in ethnic minority families in the U.S. Although it has been suggested that the socialization of emotion in young children may be affected by cultural factors, research on the impact of parental and societal expectations on the emotion regulation of racial-ethnic minority children in the U.S. is very scarce. Thus, our study sought to investigate the relationship between child and parent emotion regulation in a diverse sample of African-American, Latino and White mother-child dyads recruited from Head Start centers in the U.S. Mothers completed the Emotion Regulation Questionnaire, the Coping with Children's Negative Emotion Scale, the Depression Anxiety and Stress Scales, and two self-expressiveness questionnaires. Mothers and children's teachers completed the Emotion Regulation Checklist about the children's regulation. Preliminary results suggest that racial-ethnic minority mothers perceive their children as significantly less regulated compared to White mothers (p=.003). Additional results, implications and limitations will be presented.

Other

35. Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in Iranian patients with chronic pain
Subtopic: chronic pain
Fatemeh Mesgarian, MSc, Shahed University
Ali Asghari, Ph.D., Shahed University
Mohammad Reza Shaeiri, Ph.D., Shahed University

This paper examines the psychometric properties of a Persian language version of the Chronic Pain Acceptance Questionnaire (P-CPAQ), in the Iranian population. After translation of the CPAQ from English into Persian and pilot testing, a total of 245 patients with chronic pain completed the P-CPAQ and measures of depression, anxiety, self-efficacy, disability, catastrophizing and pain intensity. Test-retest reliability was examined by completing the P-CPAQ twice, 14 days apart, by 24 chronic pain patients. Principal Components factor analysis confirmed the same 2-factor solution as the original English CPAQ (activity engagement and pain willingness). Furthermore, results showed that the P-CPAQ presents a good internal consistency (α= 0.84), an acceptable test-retest reliability (r = 0.71). The authors suggest that the P-CPAQ is sufficiently valid and reliable for clinical and research purposes in the Iranian population.

36. Acceptance and pain-related interference in Iranian women with chronic pain
Subtopic: chronic pain
Fatemeh Mesgarian, MSc, Shahed University
Ali Asghari, Ph.D., Shahed University
Mohammad Reza Shaeiri, Ph.D., Shahed University

The association between pain-related interference and acceptance has been shown in previous studies. However little is known about whether acceptance can predict pain-related interference when the relationship is controlled for pain intensity, depression and anxiety.
In this study 176 Iranian women with chronic pain (mean age=45.6 years; S.D=12.5) completed measures of pain intensity, pain-related interference, chronic pain acceptance, depression and anxiety.

Correlation analysis revealed that the relationship between acceptance, pain intensity, pain-related interference, anxiety and depression was significant (p < 0.01).
In hierarchical multiple regression analyses, after controlling for patients’ pain intensity, depression and anxiety, pain acceptance accounted for significant variance (β= -0.51, P < 0.001) in pain-related interference. Pain acceptance was more strongly related to pain related-interference than pain intensity, depression and anxiety. In general, consistent with the studies in other countries, the results of the present study suggest that pain acceptance plays an important role in adjustment to chronic pain regardless of cultural and language differences between countries.

Performance-Enhancing Interventions

37. Using ACT in the workplace [640]
Subtopic: Emotion-regulation
Oana Gavita, Ph.D., Babes-Bolyai University

While maladaptive emotion-regulation strategies have been quite constantly linked to psychopathology (for a review see Aldao, Nolen-Hoeksema, & Schweizer, 2010), other adaptive emotion-regulations strategies, like acceptance, were linked to mental health, well-being, job satisfaction and to high performance (Daus & Ashkanasy, 2005). However, recent findings on emotion-regulation processes have rarely been integrated in the work performance context-specificity (i.e., emotional regulation to work
performance; Aldao, Nolen-Hoeksema, & Schweizer, 2010). The aim of this research is to document the comparative efficacy of reappraisal and acceptance based emotion-regulation strategies on work performance. Implications of the findings are discussed relative to specific relevant processes for organizational and individual performance contributing to the development of intervention programs for enhancing work productivity.

Prevention and Community-based Interventions

38. Brief ACT Workshops for Parents in Community Settings [641]
Subtopic: Parents
Alexis Llewellyn, Ph.D., Katy Center for Psychology & Counseling Services
Candice Baugh, M.A., LMHC, NYU School of Medicine

Brief ACT workshops can be presented to parents in local communities within support groups, churches, and social clubs. Values driven decision making is highly congruent and consistent with organizational efforts toward better living. Additionally, the prevalence and cost of experiential avoidance is often consistent with missions of these groups and ACT based interventions are very useful in highlighting these topic areas. Activities and content of successful workshops in this setting are highlighted in this poster. Areas of hexaflex topic coverage for one-time, brief workshops to help parents in coping and decision making are presented.

39. Significant correlation between social anxiety disorder and higher education: results from a community sample
Subtopic: Social Anxiety Disorder
Marsha Chinichian, B.S., Michelle G Craske, Ph.D., University of California, Los Angeles
Taylor Harris, B.A., Michelle G Craske, Ph.D., University of California, Los Angeles
Halina Dour, M.A., Michelle G Craske, Ph.D., University of California, Los Angeles

Problem Statement: Epidemiological studies suggest that anxiety disorders are associated with significant functional impairment (Wittchen and Beloch, 1996). This relation may be moderated by demographic factors. For example, those with lower education level or occupational status may have fewer cognitive, financial, social, and medical resources to cope with their anxiety and thus demonstrate increased functional impairment compared to those with higher levels of education or occupation.

Purpose of Study: The current study sought to examine whether demographic factors such as occupational status predicted functional interference as a result of social anxiety. Further, age was tested as a moderator to this relation. We hypothesized that lower levels of occupational status would be associated with poorer outcome only among a lower age group; however, among older age groups, with greater resources (increased financial and social stability) occupational status would have a diminished effect on impairment.
Research Methods: Data were collected at baseline from 182 participants treated for social anxiety in a randomized treatment trial using standard evidence-based treatments. Participants’ current psychopathology was assessed using the Anxiety Disorder Interview Schedule (ADIS-IV) – a structured interview that generates an interference rating on a 0-8 scale. Higher scores indicate greater symptom impairment. Hierarchical regression analysis was conducted to test the moderation model.

Findings: As expected, occupational status was associated with impairment as a result of social anxiety (r=0.16, p<0.05). Further, age moderated this relation (b=-0.31, SE=0.012, p<0.05). Post hoc analyses indicated a significant relation between occupational status and impairment only among those whose ages were below the mean (age 37).

Conclusions: These findings suggest that lower occupational status is associated with decreased impairment as a result of their social anxiety among younger adults. Implications of these results for treatment and education will be discussed.

Keywords: age, education, anxiety, distress, interference

40. Increasing global freedoms: preliminary insight into the role of psychological flexibility in helping behaviour
Subtopic: Psychometric assessment
Miles Thompson, DClinPsy, Institute of Management Studies, Goldsmiths, University of London
Frank Bond, Ph.D., Institute of Management Studies, Goldsmiths, University of London

Around the world, the endeavours of individuals, families and communities continue to be constrained and thwarted by poverty, lack of resources and a lack of basic human rights. While much of the work to increase these global freedoms takes place in the developing world, parallel work is also warranted in the developed world. Psychology might help such endeavours by predicting and influencing the helping behaviour of members of the general public. This poster presents the preliminary validation of five questionnaires designed to increase our understanding of helping behaviour, particularly the impact of ACT processes. The five questionnaires assess: the perceived importance of helping, actual helping behaviour, everyday psychological flexibility, cognition and emotion. Data from 600 individuals is presented and the inter-relationship between the five measures is discussed. The findings from this research will inform the development and implementation of brief ACT intervention designed to increase helping behaviour.

41. Parenting and psychological flexibility in adolescents: a six-year longitudinal study
Subtopic: adolescents; parenting; psychological flexibility
Kathryn Williams, B.A., University of Wollongong
Joseph Ciarrochi Ph.D., University of Western Sydney
Patrick Heaven Ph.D., Australian Catholic University

Psychological flexibility is a broad construct that describes mindful, flexible, values-congruent responding to environmental demands and internal experiences. We examined links between parenting and the development of psychological flexibility among 749 students at five Australian schools over six years, beginning in Grade 7 (50.3% female, mean age 12.30 years). Parenting was measured in Grades 7 and 12, and psychological flexibility from Grade 9 through 12. Psychological flexibility decreased, on average, with age. Multi-level modelling confirmed that authoritarian (high control, low warmth) parenting in Grade 7 predicted lower psychological flexibility in Grades 9 to 12. Low psychological flexibility in Grade 12 was associated with increasing control and decreasing warmth (i.e., more authoritarian, less authoritative parenting) over time. Structural Equation Modelling revealed that adolescent psychological flexibility in Grade 9 predicted later changes in parenting. This study highlights the role of parenting in the development of psychological flexibility and the possibility that inflexible adolescents may influence their parents to become less flexible.

42. Evaluation of Bicyclists' Behavior Before and After a Share the Road Campaign
Subtopic: University populations
Mariel Parman, University of Mississippi
Karen Kate Kellum, University of Mississippi
Kelly G. Wilson, University of Mississippi

The Office of Sustainability and Associated Student Body developed and implemented a Share the Road campaigned which aimed to promote safety awareness for all users of the road. For one week at the student union, people signed pledges to share the road with others and received information on how to increase their safety. Pledges have been found increase pedestrian safety (Boyce & Geller, 2000), but there is no published evidence to date about using such pledges in bike safety campaigns. The campaign also included various public service announcements and stories in local media. Observers recorded a number of key safety behaviors of bicyclists at a busy intersection on campus for 4 weeks prior to the intervention for the remainder of the semester (10 weeks). Safe behaviors included riding in the correct lane, stopping at the stop sign at the intersection and wearing a helmet. Unsafe behaviors included riding in the wrong lane, riding on the sidewalk, running the stop sign, and talking on the phone while riding. The Office of Sustainability and Associated Student Body developed and implemented a Share the Road campaigned which aimed to promote safety awareness for all users of the road and put these users in a frame of coordination. For one week at the student union, people signed pledges to share the road with others and received information on how to increase their safety. Pledges have been found increase pedestrian safety (Boyce & Geller, 2000), but there is no published evidence to date about using such pledges in bike safety campaigns. The campaign also included various public service announcements and stories in local media. Observers recorded a number of key safety behaviors of bicyclists at a busy intersection on campus for 4 weeks prior to the intervention for the remainder of the semester (10 weeks). Safe behaviors included riding in the correct lane, stopping at the stop sign at the intersection and wearing a helmet. Unsafe behaviors included riding in the wrong lane, riding on the sidewalk, running the stop sign, and talking on the phone while riding.

Professional Development

43. Relational Insight Meditation as a Practice for Therapists Interested in Enhancing Psychological Flexibility [642]
Subtopic: Mindfulness
Lori Ebert, Ph.D., Duke University Medical Center
Gregory Kramer, Ph.D., Metta Foundation

In order to be able to effectively deliver ACT it is essential that therapists be able to apply the ACT frame in their own lives. Cultivating a personal meditation practice is one vehicle for deepening the psychological flexibility established through the core processes of ACT. Research also suggests that meditation can enhance therapeutic factors beneficial for delivering ACT skillfully including attentional capacity, empathy, and self compassion. Meditation is traditionally an individual silent practice. Conversely, psychotherapy in an inherently relational practice that involves speaking and listening. Insight dialogue (Kramer, 2007) is a relational insight meditation practice designed to bring the mindfulness and reflection of silent meditation directly into interpersonal relationships. As such, Insight Dialogue offers therapists who are interested in cultivating a meditation practice the potential for greater integration between meditation and psychotherapy. This presentation will provide an overview of Insight Dialogue, including an explanation the six practice guidelines and discussion of applications to ACT. Evaluation findings examining the impact of Insight Dialogue retreat participation on measures of mindfulness and self-compassion and perceptions of self and others will also be presented.

Relational Frame Theory

44. What kind of “non-verbal” intelligence predicts relational flexibility? : The relationship between performance on IRAP and Das-Naglieri Cognitive Assessment System (DN-CAS).
Subtopic: IRAP
Asako Sakano, Graduate school of psychology, Doshisha University
Takashi Muto, Department of Psychology, Doshisha University
Naoko Kishita, Doshisha University, Research Fellow of the Japan Society for the Promotion of Science
Tomu Ohtsuki, Faculty of Human Sciences, Waseda University

The current study investigated the relationship between psychological flexibility assessed by Implicit Relational Assessment Procedure (IRAP) and non-verbal intelligence assessed by Das-Naglieri Cognitive Assessment System (DN-CAS), a measure of four cognitive processes; planning, attention, simultaneous processing, and successive processing. Forty-nine high school students (10 male, 39 female) completed a before/after and similar/different IRAP tasks, and subsequently took DN-CAS. The response latencies and the difference-score provided measures of psychological flexibility. Results showed that higher total IQ, especially attention IQ, predicted faster responding on consistent and inconsistent trials of both IRAP tasks. On the other hand, there were not consistency between response latencies and other three IQ subtests. These findings suggest that attention is essential for relational flexibility. In addition, higher IQ score on DN-CAS predicted more difference between consistent trials and inconsistent trials. Further study is needed to investigate the relationship between accuracy on IRAP and score of DN-CAS.

45. Experimental analysis of cognitive defusion from RFT perspective: Effect of contextual control over transformation of stimulus function
Subtopic: cognitive defusion
Tomu Ohtsuki, Ph.D., Waseda University
Naoko Kishita, M.A., Doshisha University
Takashi Muto, Ph.D., Doshisha University

To analyze the nature of cognitive defusion from RFT, we investigated the effect of multiple exemplar training procedure on establishment of generalized contextual control over the transformation of stimulus function. Two 4-member stimulus equivalence classes (A:linear, B:circular, C:triangle, D:quadrangle) were established using MTS task. Following the MTS training and testing, two B stimuli were used to establish the discriminative functions. After that, participants were exposed to training in which behaving in accordance with transformation of function was differentially reinforced (C stimuli) or punished (D stimuli) depending on the presence of a class of physical features of the stimuli. Finally, new equivalence classes were established and test for generalized contextual control were presented. If participants failed to show the generalized contextual control, they were exposed to same training again. These MTS, test, and training were repeated up to 3 stimuli sets. Seven of 8 participants showed the generalization of contextual control.

46. Are people more accepting of others than they are of themselves? An IRAP Study of perfectionism, acceptance & perspective taking.
Subtopic: IRAP
Rachel Lowdon, NHS Lothian
David Gillanders, University of Edinburgh
Massimo Tarsia, NHS Lothian

Background: This research examines associations between perfectionism and acceptance for the self and others, alongside their link with psychological health.

Method: Ninety-nine university students completed measures of self-oriented and other-oriented perfectionism, unconditional self-acceptance, acceptance of others and general health; together with an IRAP computer task that operationalised acceptance, perfectionism and perspective taking.

Results: Self-perfectionism scores were observed to be significantly higher than other-perfectionism scores on both explicit and implicit measures. Acceptance of others was significantly higher than self-acceptance on explicit measures; however the two were not significantly different on the IRAP. In addition, explicit measures did not correlate with implicit measures. Low levels of explicit self-acceptance were the biggest predictor of psychological distress.

Conclusions: These data provide further support for the use of acceptance-based strategies in the treatment of maladaptive perfectionism. The divergence between implicit and explicit findings is discussed.

47. Coherence as a Generalized Conditioned Reinforcer [643]
Subtopic: Rule Governed Behavior
Desiree Carnathan, B.A., University of Mississippi
Michael J. Bordieri, M.S., University of Mississippi
Karen Kate Kellum, Ph.D., University of Mississippi
Kelly G. Wilson, Ph.D., University of Mississippi

The purpose of this investigation is to extend our understanding of the role coherence plays in complex human verbal behavior. Put simply, coherence can be defined as relating arbitrary concepts in ways that go together and it is the means by which humans make sense of the world. Previous research has demonstrated that this act of coherent relational responding has many of the same properties of non-verbal behavior in that it can be shaped and reinforced by the environment. It has long been theoretically assumed that coherence itself serves as a reinforcer in verbally competent humans; yet to our knowledge this claim only been subjected to limited empirical testing. Preliminary data collected demonstrated that undergraduate participants asked to match novel stimuli in a computerized match to sample preparation allocated responding in ways consistent with previous non-reinforced testing trials in the absence of any programmed consequences. These obtained results lend support to the view that coherence is a generalized conditioned reinforcer and additional participants will be assessed to further examine this phenomenon. Results and implications for future inquiry into coherence and higher order verbal behavior will be discussed.

Supervision, Training, and Dissemination

48. Preliminary study of therapist training for acceptance and commitment therapy (ACT) therapists in Japan
Subtopic: Anxiety
Takashi Mitamura, Ph.D., Department of Psychology, Doshisha University
Takashi Muto, Ph.D., Department of Psychology, Doshisha University

As cognitive behavioral therapy has recently been proven effective, therapist training is in urgent need. As part of the third wave of behavior therapy, acceptance and commitment therapy (ACT) requires highly trained ACT therapists. In this preliminary study, a workshop for Japanese therapists, who already administer ACT or intend to do so, is conducted, and the purpose of the study is to examine the effectiveness and challenges of the workshop. A seven-hour workshop was conducted for twenty-four trainees; consequently, their competency in ACT therapy improved statistical significantly. Future challenges include the need for developing standard measures of therapist competence and determining the specific components of the workshop that improve trainee competency.

49. Assessing the effectiveness of ACT training in Sierra Leone
Subtopic: Low and Middle Countries
Ross White, Ph.D., DClinPsy, University of Glasgow
Corinna Stewart, University of Glasgow
Beate Ebert, commit + act

Commit + act is dedicated to bringing psychotherapeutic support to traumatized people in areas of conflict. In February/March of 2012, representatives of commit + act visited Sierra Leone to deliver workshops in Acceptance and Commitment Therapy to local health and social workers. A 3-day introductory workshop and a 2-day advanced workshop were held in Freetown, followed by a 3-day intrdouctory workshop in Bo. A total of over 90 people attended the various workshops. To help evaluate the impact of the training, attendees completed measures both immediately before and after the workshops. The measures included the Acceptance and Action Questionnaire-II, the Valuing Questionnaire, the Primary Care PTSD Screen, the Satisfaction With Life Scale, and the Utrecht Work Engagement Scale. In addition, attendees completed a demographics form and a survey evaluating the workshops. This poster presents data relating to changes in attendees’ pre and post-workshop scores on the various measures used.

50. A Training Program in Third-Generation Psychotherapy based on Contextual Behavioral Science
Subtopic: dissemination, training
Lic. Juan Pablo Coletti, Fundacion Foro

The poster shows a training program in Third-Generation Psychotherapy conducted in Argentina and rooted in Functional Contextualism. The program is one year long and develops a solid foundation in the theory and practice of this approach to psychotherapy. It covers the philosophical rationale behind its therapeutic models and the practical experience gathered through its application in clinical practice. The objective of the course is to complement the training provided through workshops conducted by visiting international experts. The program currently has fifteen students -thirteen psychologists and two psychiatrists. The poster shows the advantages of a program of this type.

Theoretical and Philosophical Foundations

51. The Impact of Acceptance, Suppression, and Cognitive Reappraisal of Emotion on Hunger, Desire, Craving, and Eating Behavior
Subtopic: Obesity and eating behavior
Jill Stoddard, Ph.D, Alliant International University, CSPP
Jacqueline W. Israel, B.A., Alliant International University, CSPP
Niloo Afari, Ph.D, University of California, San Diego

The current study will aim to better understand potential cognitive mechanisms involved in overeating among overweight and obese individuals. Specifically, the proposed study will investigate the relative impact of acceptance, suppression, and cognitive reappraisal of emotion on cravings, distress, and eating. 180 overweight and obese individuals will be randomly assigned to an Acceptance, Suppression, Cognitive Reappraisal, or No Instruction group. Participants will be asked to undergo an emotion induction exercise, after which they will receive instructions, based on group assignment, for how to manage any emotions that arise during the induction. Measures of craving, distress, and eating behavior will be taken at baseline and after recovery. Additional measures of cognitive control, acceptance, mindfulness, and food and eating will also be taken at baseline. Repeated measures ANOVA will be used to investigate main effects and interactions of time and group. Multiple regression analyses will be used to identify baseline predictors. Data collection is expected to begin March 2012. Results of this study may provide a greater understanding of the cognitive mechanisms underlying food-related behaviors in overweight and obese individuals. Findings may inform prevention efforts, treatment development, or treatment improvement for the ongoing obesity health crisis.

52. Characteristics of behavioral variability in experiential avoidance students.
Subtopic: AAQ
Aiko Oya, Graduate School of Psychology, Doshisha University
Kazuha Nakase, Undergraduate School of Psychology, Doshisha University
Takashi Muto, Department of Psychology, Doshisha University

The behavioral variability is said to be relate to the human creativity. This study examined whether the response sequences generated by the students with high experiential avoidance are more rigid compared to those of the students with high acceptance, and whether the sequence variability in those can be increased by providing the direct reinforcement. Thirty-nine undergraduate students completed the Acceptance and Action Questionnaire-II (AAQ-II). Participants were divided into two groups; the high experiential avoidance group and high acceptance group. All students participated in a computer-game consisted of two phases. The response sequence variability during the computer-game was recorded. When reinforcement was provided independently of the sequence variability, the participants in the experiential avoidance group showed higher variability in their responding compared to the acceptance group. When high sequence variability was required, the variability significantly increased in all participants, with the participants in the experiential avoidance group achieving the same level of the variability as the acceptance group.

53. Experiential Avoidance Relates to Sensitivity to Punishment and High Risk Driving Behavior
Subtopic: High Risk Driving
Anthi Loutsiou, Univeristy of Cyprus
Georgia Panayiotou, Univeristy of Cyprus

We investigated the relation between Experiential Avoidance (EA) and sensitivity to reward or punishment in a community sample of male drivers (N=202, M age=19.5, S.D=1.29). EA was expected to have a stronger correlation to sensitivity to punishment and to worse driving behaviors. Participants completed the Greek versions of the Acceptance and Action Questionnaire (AAQ) (Hayes et al, 2004), the Sensitivity to Punishment/Sensitivity to Reward Questionnaire (SPSRQ - Torrubia et al. 2001), and the Driving Behavior Questionnaire (DBQ) (Reason et al., 1990). High-risk drivers (N=46; score≥5.06) included participants who scored 1SD or higher above the mean of the sample (M=4.10, sd=1,05) on the DBQ/Ordinary Violations. Those who scored 1SD or more below the mean were classified as the low risk drivers (N=48; score≤3.05). Drivers high on EA (i.e. low scores on AAQ) reported higher sensitivity to punishment on the SPSRQ (r=-.19, p≤.01). The correlation between AAQ and Sensitivity to Reward was not significant (r=-104, p=.17). An ANOVA showed significant differences in AAQ scores among high and low risk drivers (F(1,78)=4.32, p≤.05). Specifically, low-risk drivers scored higher on the AAQ, suggesting more emotional flexibility, (M=38.89, sd=5.14) as compared to the high-risk drivers who scored lower on the AAQ, suggesting more experiential avoidance, (M=36.69, sd=4.22). Findings point to an escape-from-punishment function of EA. Risky driving behaviour may function to escape from internal experience.

54. Acceptance and Mindfulness-Based Processes Fully Mediate the Relation between Worry and Quality of Life: A Multiple Mediation Analysis
Subtopic: Chronic Worry
Matthew R. Donati, University at Albany, SUNY
Kristin N. Herzberg, University at Albany, SUNY
Samantha Callahan, University at Albany, SUNY
Krystal N. Cox, University at Albany, SUNY
Eric Petrone, University at Albany, SUNY
John P. Forsyth, University at Albany, SUNY

Chronic and excessive worry is a core concern of those suffering from General Anxiety Disorder (GAD). Excessive worry and GAD have been linked to impaired well-being, diminished life satisfaction (Stein & Heimberg, 2004), and poor quality of life (QoL) (Henning et al., 2007). Though the prevalence and deleterious effects of excessive worry are well documented, far less is known about the functions of worry and how and why it contributes to human suffering and diminished QoL (Roemer & Orsillo, 2007). Recent work, grounded in the model of psychopathology underlying Acceptance and Commitment Therapy (ACT), suggests that the deleterious impact of chronic worry on a range of psychosocial outcomes can be traced back to specific maladaptive processes, chief among them being experiential avoidance (EA). Furthermore, EA, as well as related elements, including a lack of mindfulness and self-compassion, are thought to contribute to maladaptive control over private content, further leading to psychological and behavioral inflexibility, impeding effective action toward valued ends, and yielding a decreased quality of life. Several studies have demonstrated a significant link between EA and worry (Roemer et al., 2005) and suggested inverse relations between GAD and ACT-related elements, such as self-compassion (Roemer & Orsillo, 2007), mindfulness (Roemer et al., 2009), and valued action (Michelson et al., 2011). However, further research is necessary to understand the exact role of these proposed mechanisms of change in relation to worry. Moreover, few studies to date have examined the relations between worry and quality of life in the context of putative ACT-relevant processes that may, either in whole or in part, mediate such relations (Roemer & Orsillo, 2007). Thus, the aim of the present study was to examine the relation between worry and QoL and the proposed mechanisms of change that may account for this relation.

To examine these relations, healthy undergraduates from the University at Albany, State University of New York (N = 433) completed a battery of well-established and psychometrically sound measures assessing excessive worry, QoL, and several ACT-related mechanisms of change, including acceptance (or conversely EA), mindfulness, and self-compassion. We predicted that, taken together, the posited ACT-related process variables, including EA, would account for the relationship between worry and QoL. Indeed, using a series of tests of multiple mediation, we found that the relation between worry and QoL was fully mediated by the assessed ACT-related process variables. These results as well as the implications of the findings will be presented in the context of understanding the toxic nature of worry itself and interventions that may ameliorate worry-related suffering from an ACT point of view.

EXPO

55. Contextual behavioural science needs you to become a trainer!
Subtopic: Training (ACT Peer reviewed trainer process)
David Gillanders, Chair ACBS Training Committee, University of Edinburgh

Contextual behavioural science represents a progressive science of human functioning, with tight coherence between philosophy, theory, technology, effectiveness and training. An important vehicle for pursuing these values is the growth of a community of scientists and practitioners, across the whole world. CBS’s growth is rapid. Anecdotal evidence suggests that in areas where ACBS peer reviewed ACT trainers live and work, there are growing communities of ACT and CBS practitioners. The peer review process ensures that trainers are delivering high fidelity, high quality training. The community of trainers is an important vehicle for the growth of CBS. If you delivering or are thinking of delivering training, stop by this poster and have a conversation. We’ll answer questions and give you advice and encouragement about the ACT peer review for trainer process. If growing CBS is a value for you, come by – this community needs you to help it grow!

56. MSc Global Mental Health, University of Glasgow
Subtopic: Recruiting Students
Ross White, Ph.D., DClinPsy, University of Glasgow

The new MSc Global Mental Health programme at the University of Glasgow aims to educate people about inequalities in how mental health difficulties are treated across the globe. Students will gain the skills and knowledge to develop and implement policies aimed at reducing the burden of mental illness worldwide. Students will learn how to integrate mental health initiatives into the wider aims of international development and address the global inequities in the provision of mental health services. Teaching will be delivered in intensive two-week blocks delivered on campus, enabling students to undertake the programme alongside existing career and training commitments. The learning outcomes for the programme are based on the Grand Challenges in Global Mental Health that were identified in a 2011 issue of Nature. We have collaborative partnerships with organisations working in low and middle income countries. Students will have opportunities to complete placements and projects with these organisations.

57. Doctoral Programs in Psychology at the University of Mississippi
Subtopic: Recruiting
Solomon Kurz, B.A., University of Mississippi
Karen Kate Kellum, Ph.D., University of Mississippi
Kelly G. Wilson, University of Mississippi

The Department of Psychology at the University of Mississippi offers programs of study that lead to the doctor of philosophy in two separate areas: clinical psychology and experimental psychology. The clinical program has been fully accredited by the American Psychological Association since 1974. It is a scientist-practitioner model program that emphasizes an empirical approach to clinical practice. Clinical and research supervision is available from behavioral and cognitive behavioral approaches. The clinical program is designed to provide a sequence of research and practical experiences that require students to function at increasing levels of autonomy and independence. We provide the grounding for these experiences in a rigorous sequence of courses that are taken early in the program. The experimental program includes a behavioral neuroscience program of study. Experimental students in this area of concentration take courses and seminars in neuroscience methods, neurobiology, psychopharmacology, pharmacology, toxicology, and biostatistics. State-of-the-art research experiences are offered in the study of the behavioral effects of psychotherapeutic and abused drugs, neurochemical analysis of monoamines using in vivo dialysis, striatal and hippocampal behavioral function using stereotaxic techniques, and evaluation of neural tissue through histological techniques.

58. University of Louisiana at Lafayette Master's Program in Psychology
Subtopic: Recruitment
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette
Matthieu Villatte, Ph.D., University of Louisiana at Lafayette
David R. Perkins, Ph.D., University of Louisiana, Lafayette

59. ACBS - SIG for the Advancement of Contextual Education Science
Subtopic: SIG Information/Recruiting
ACBS SIG for the Advancement of Contextual Education Science, ACBS

The mission of the Contextual Behavior Science- Education Special Interest Group is to provide a forum to organize, discuss, debate, and foster the products of Contextual Behavior Science as they relate to all matters of education. The SIG embraces traditional educational topics, populations, and settings but also topics and populations characteristic of clinical, social, business, and public settings. All approaches based on a contextual approach are welcome such as precision teaching, RFT based approaches, or direct instruction. The membership will be open to anyone interested in matters of education and instruction from a contextual science perspective. The list includes but is not limited to those who practice or are interested in basic researcher, education, instruction, training, learning, Acceptance and Commitment Therapy, Applied Behavior Analysis, Behavior Analysis, Direct Instruction, Precision Teaching, standard measurement, Evidence Based Instruction, staff training, educational policy, philosophy, Early Intensive Behavioral Intervention, School Psychology. Take the opportunity to find out more about how to get involved with the ACBS ACES!

60. Pic a Practice, Training yourself to experience the intrinsic values of our core being. [644]- Pic Image [645]
Linda Hamilton, Beyond Addiction

Activate simultaneously self as content, self as context and self as process to regain the experience of wholeness in the present moment. I developed this as a practice personally and then introduced the practice to my clients. By daily meditating with the CHANGE PURSE and Pic-ing a new value to become your daily intention and behavior we can consciously create a day of choice.

61. Postdoctoral Fellowship at the University of Texas MD Anderson Cancer Center, Department of Behavioral Science

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WC10 Powerpoints & Handouts

Please note: You must be logged in as an ACBS member in order to view the content below.

WC10 Powerpoints & Handouts [646]

WC10 Program Committee

These are the folks dedicating themselves to making this the best World Conference ACBS has ever had...DClogo2dates.jpg

 

Emily Sandoz, Ph.D., University of Louisiana, Lafayette - Chair

Paul Atkins, Ph.D., Australian National University

Andrew Gloster, Ph.D., Technical University of Dresden, Germany

Louise Hayes, Ph.D., University of Melbourne, Australia

Kate Kellum, Ph.D., University of Mississippi

Corey Porche, M.S., University of Louisiana, Lafayette

Rob Purssey, Functional Contextual Psychiatrist, Australia

J. Vince Roca, Ph.D., Central Arkansas Veterans Healthcare System

Members of the RFT track program subcommittee:
Matthieu Villatte (Chair), University of Louisiana, Lafayette
Louise McHugh, University fo Swansea, UK
Francisco Ruiz-Jimenez, University of Almeria, Spain
Sean Hughes, University of Ireland, Maynooth

ACBS Training Institute 2014

This 3 day event will bring together expert trainers in Acceptance and Commitment Therapy (ACT), Relational Frame Theory (RFT), and Contextual Behavioral Science. This psychology training will be relevant to clinical practice, and other behavioral health applications.

Cet événement de 3 jours réunira des formateurs experts en thérapie d'acceptation et la thérapie d'engagement (ACT), la Théorie des Cadres Relationnels (RFT), et les sciences contextuelles comportementales. La formation sera utile pour votre pratique clinique, et vos interventions en santé comportementale.

Onsite Registration available/Inscription

formulaire d'inscription en français,doc [647] [648]/ pdf [649]

[650]

3 & 4 October/Octobre

We have intensive 2-day Intensive Workshops with:

Nous vous proposons des ateliers intensifs de 2 jours  avec:

JoAnne Dahl, Ph.D., University of Uppsala, Sweden - ACT for Chronic Pain [651]

Matthieu Villatte, Ph.D., Evidence Based Practice Institute, Seattle, Washington, USA - ACT/RFT Applications for Clinicians [652]

Benjamin Schoendorff, M.A., MSc, MPs, Université du Québec à Montréal, Canada (training in French; formation en français) - Introduction à l'ACT [653]

Jason Luoma, PhD, & Jenna LeJeune, PhD Portland Psychotherapy Clinic, Research, and Training Center, Portland, Oregon, USA - ACT Core Skills [654] (Introductory)

Lisa W. Coyne, Ph.D., Harvard Medical School/McLean; Suffolk University, Suffolk, Massachusetts, USA - ACT with Children and Adolescents [655]

Evening of 3 October, we will have a research poster [656] and cocktail event followed by optional Case Conceptualization and Role Plays [657] (in English and French).

Soirée de 3 Octobre, nous aurons une soirée de présentation de posters de recherche autour d'un cocktail amical [657].

5 October/Octobre

This day will consist of a series of 1.5 hour and 3 hour clinical workshops by our 2-day workshop presenters as well other peer selected trainers. See the program here! [658]

Cette journée consistera en une série d'ateliers cliniques de 1,5 heures et 3 heures par nos présentateurs de l'atelier de 2 jours et d'autres formateurs sélectionnés. 1 série d'ateliers sera en français. Voir le programme ici! [658]


Networking lunches, coffee/tea breaks, and evening activities included!

Réseau déjeuners, les pauses café / thé, et les activités du soir inclus!

 

 

 

 

 

 

Location/ Hotel

Sheraton Brussels [659] - RESERVE YOUR ROOM NOW [659]
Place Rogier, 3 · Brussels/Bruxelles, 1210 · Belgium/Belgique

 

[660]

 

 

 

 

 

 

 

2-Day Intensive Workshops

Choose your 2-day Intensive Workshop, 3-4 October, to be followed by a full day of 1.5 hour and 3 hour workshops on 5 October.

Return to the ACBS Training Institute Home Page [661]

ACT Applied to Pain - Dahl (Clinical, Research; Intermediate, Advanced)

Workshop Leader:
JoAnne Dahl, Ph.D., University of Uppsala, Uppsala Sweden

Dates & Location:
3 October 9am-5:00pm
4 October 9am-5:00pm

Registration
[650]

Registration also includes access to the Training Institute's 16 workshops on [658]5 October [658]!

Workshop Description:
Pain itself has no behavior. What we call pain is mostly resistance and avoidance behavior of pain. In this workshop we will do 'online' behavior analyses of pain resistance and patterns of reactions. ACT processes such as acceptance (exposure) and defusion (self as context) will be subsequently applied to help you help you clients to approach and explore the pain phenomena. People with chronic pain need to be able to take the perspective of curious researcher of their pain. Practicing 'self as context' is probably one of the most effective ways to 'control' the pain experience. This is a hand's on workshop full of practical tools. Be ready to study your own pain and experience new ways to open up, explore and gain 'control' in a whole different way.

About JoAnne Dahl:
JoAnne Dahl, Ph.D, Professor of Psychology at Uppsala University in Uppsala Sweden and licensed Clinical psychologist and psychotherapist. JoAnne is an internationally recognised ACT Trainer and conducts ACT workshops around the world. Her areas of ACT research include applications primarily with chronic illness such as Chronic pain, epilepsy, asthma, obesity. JoAnne has spent considerable time developing and implementing ACT programs in the developing countries for war victims suffering from trauma, as well as epilepsy and HIV. JoAnne is lead author of ACT books in treatment of chronic pain, epilepsy, love and intimate relationships and weight reduction. She also has 30 scientific articles concerning development and assessment ACT applications. JoAnne is the present chairman of Swedish Chapter of ACBS.

Learning Objectives:
Participants will be able to:
1) Create an 'on line' behavior analysis on central pain resistant (unwillingness, avoidance) patterns
2) Describe how to use new assessment tools for willingness in exposure procedures
3) Demonstrate the use of process assessment using physical signs of changes in sympathetic/parasympathetic activity
4) Apply a single subject design ABC while working directly with client
5) Design treatment steps based on the on line behavior analysis for the client with pain
6) Create a safe place for exposure using compassion methods correlated with Oxytozin
7) Do an exposure of pain, hands on with minimal languaging.
8) Assess exposure procedures on line using the principles outlines av Craske
9) Apply the life line for skill training, valued direction and generalization
10) Evaluate recent research about values in terms of prosocial behavior

Target Audience: Intermediate, Advanced, Clinical, Research

Components: Conceptual analysis, original data, experiential exercises, didactic presentation, case presentation, role play

ACT for Children, Teens, & Parents - Coyne (Clinical; Beginner, Intermediate, Advanced)

Workshop Leader:
Lisa W. Coyne, Ph.D., Harvard Medical School/McLean; Suffolk University

Dates & Location:
October 3rd 9am-5:00pm
October 4th 9am-5:00pm

Registration

[650]

Workshop Description:

This workshop will explore the use of Acceptance and Commitment Therapy (ACT) with children and adolescents, and their parents. The application of ACT and RFT theory, exercises, and treatment goals to a younger population requires thoughtful adaptation; thus, this workshop will explicitly address ways to use ACT in a developmentally sensitive way. When working with children and adolescents, it is imperative to consider the family context, including the ways in which parents model how to handle emotional experiences. Recent data suggest that parents’ emotion regulatory and expressive strategies have an impact on how children develop psychological flexibility in the face of unwanted emotional experiences. If parents model emotional avoidance for their children, children may in turn learn avoidant coping strategies. Additionally, parent emotion avoidance has been linked with self-reported stress, harsh and punitive discipline strategies, and higher levels of internalizing and externalizing behavior problems in children. Therefore, it is essential to consider the role of parent behaviors and familial interactions when using an ACT approach with children and adolescents.

About Lisa W. Coyne:
Lisa W. Coyne, Ph.D., is an internationally recognized ACT Trainer, and is on the Faculty at Harvard Medical School, where she directs the Pediatric Program for OCD and Related Disorders. She is an Associate Clinical Professor at Suffolk University in Boston, MA, and is also a licensed Clinical Psychologist. Lisa has published numerous peer-reviewed articles and chapters on ACT and related constructs for children, teens, and families, and is the author of the recently released book for parents of young children The Joy of Parenting: An Acceptance and Commitment Therapy Guide to Effective Parenting in the Early Years.

Learning Objectives:
Participants will be able to:
1. Describe an overview of ACT for use with children, teens, and parents.
2. Provide a rationale for why a contextual behavioral approach may be useful across both internalizing and externalizing behavior, as well as parenting issues.
3. Provide an overview of RFT and illustrate its use in case conceptualization, assessment, and treatment of youngsters and parents
4. Define and illustrate all ACT components and describe their adaptation for use with young people.
5. Conceptualize child, adolescent, and parenting cases from an ACT perspective, including functional assessment, structuring of treatment goals, and monitoring progress.
6. Illustrate how to harness values-based work more specifically and deeply in treating children and adolescents.
7. Demonstrate the skills they learn through role plays, dyads, and small group work.
8. Illustrate how to harness ACT to deepen parent-child relationships.
9. Describe how to approach child and adolescent internalizing and externalizing behaviors from an ACT perspective.
10. Present cases and obtain consultation on using ACT with young people and parents.

Target Audience: Clinical, Begginner, Intermediate, Advanced

Components: Conceptual analysis, literature review, original data, experiential exercises, didactic presentation, case presentation, role play
 

Developing the Core Skills and Competencies of Acceptance and Commitment Therapy - Luoma & LeJeune (Clinical; Beginner, Intermediate)

Workshop Leaders:
Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, and Training Center
Jenna LeJeune, Ph.D., Portland Psychotherapy Clinic, Research, and Training Center

Dates & Location:
October 3rd 9am-5:00pm
October 4th 9am-5:00pm

Registration
[650]

Workshop Description:
This workshop focuses on developing a more flexible and integrated use of ACT with clients. Clinicians with a basic understanding of the ACT model will have the opportunity to put their knowledge into action and broaden their repertoire of ACT skills for each of the 6 ACT processes. Focusing on providing practical tools via a variety of learning opportunities, this training will include didactic presentations, demonstrations of various ACT interventions, and guided hands-on practice with feedback. This will be an interactive, experiential workshop, focused on providing opportunities to learn and practice numerous ACT tools that can be put into practice with a wide range of client problems. This workshop will help participants: 1) better understand the ACT therapeutic model and its application to a variety of clinical situations; 2) develop more skill in implementing the core competencies of ACT; and 3) better discriminate therapeutically-relevant client behaviors such as avoidance, cognitive fusion, and values-oriented behavior/vitality.

About Jason Luoma & Jenna LeJeune
Jason Luoma, Ph.D., is a clinical psychologist and director of the Portland Psychotherapy Clinic, Research, and Training Center in Portland, Oregon, a unique research and training clinic where all profits go to fund scientific research. In addition to directing the center and conducting research, he maintains a clinical practice focused on helping people who suffer from chronic shame, self-criticism, and low self-esteem. Dr. Luoma has been studying ACT for about 15 years and spent 4 years at the University of Nevada, Reno, studying ACT with its creator, Dr. Steven Hayes. Dr. Luoma is an internationally recognized trainer in ACT, former chair of the ACT Training Committee, and current president of the Association for Contextual Behavioral Science. He is lead author of Learning Acceptance and Commitment Therapy, one of the best-selling ACT books for therapists. He has conducted ACT-related research for over a decade and has over 30 publications related to ACT, including research on psychotherapy training and dissemination.
Jenna LeJeune, Ph.D. is the Director of Clinical Services at Portland Psychotherapy Clinic, Research, and Training Center in Portland, Oregon. In her clinical practice, Jenna specializes in working with adults who struggle with intimacy and relationship problems, trauma-related difficulties, and problematic eating/body image utilizing Acceptance and Commitment Therapy (ACT). She also provides training in ACT to other professionals around the world. Her research focuses on stigma and specifically how to use contextual behavioral science to target stigma within the higher education system, in which she has been teaching for many years.

Learning Objectives:
1. Develop a more thorough and integrated understanding of the ACT model.
2. Use the different ACT processes and move more flexible and nimbly between them.
3. Be able to identify contextual cues for determining which process to focus on with a particular client.
4. Understand the ACT therapeutic model and its application to a variety of clinical situations
5. Develop more skill in implementing the core competencies of ACT
6. Better discriminate therapeutically-relevant client behaviors such as avoidance, cognitive fusion, and values-oriented behavior/vitality.
7. Demonstrate increased skill in conceptualizing cases using the ACT model.
8. Use at least two new defusion and acceptance techniques.
9. Use new techniques for helping clients articulate their values and identify workable actions
10. Demonstrate how the different ACT techniques relate to each other and to the basic principles of ACT.

Target Audience: This workshop is intended for those with a very basic knowledge of ACT to those with intermediate experience. Some previous familiarity with ACT would likely be helpful for this workshop as much of the workshop will be spent learning and practicing specific ACT interventions and exercises.

Components: Experiential exercises, didactic presentation, case presentation, role play

Promouvoir des changements rapides et durable avec la matrice ACT - Schoendorff (Clinical; Beginner, Intermediate, Advanced)

Animateur:
Benjamin Schoendorff, MSc, UISMM, Montréal et Institut de Psychologie Contextuelle

Dates & Lieu:
3 Octobre 9am-5:00pm
4 Octobre 9am-5:00pm

Inscription

formulaire d'inscription en français, doc [662] / pdf [663]

Description de l'atelier:

Cet atelier présente une approche de l'ACT permettant aux thérapeutes de mettre les clients sur la voie d'un changement rapide et durable. À travers un protocole modulaire de 4 sessions, plus modules supplémentaires, et en combinant la matrice ACT et une approche centrée sur la relation thérapeutique, vous apprendrez comment aider vos clients à retrouver la voie d'une vie riche de sens.

Sur Benjamin Schoendorff
Benjamin Schoendorff est psychologue clinicien et directeur de l'Institut de Psychologie Contextuelle à Montréal, Québec, centre de formation à l'ACT et aux thérapies de troisième vague. Benjamin est formateur ACT international reconnu et formateur FAP certifié. Il est membre du comité de formation de l'ACBS et anime de nombreux ateliers sur plusieurs continents: Amérique du Nord, Europe, Amérique du Sud, Australie et Afrique. Président de la branche francophone de l'ACBS, l'AFSCC, Benjamin est un des pionniers de l'ACT francophone et auteur ou co-auteur de plusieurs livres et chapitres en français et en anglais dont l'ouvrage de référence La Thérapie d'acceptation et d'engagement, guide clinique (2011). Ses ouvrages les plus récents sont The ACT Matrix et The Science of Compassion (2014). Benjamin est à la pointe de l'intégration de l'ACT avec les outils centrés sur la relation thérapeutique de la thérapie basée sur l'analyse fonctionnelle (FAP). Il est réputé pour son approche humaine empreinte de compassion, la profondeur expérientielle de ses ateliers, et le caractère directement pratique des outils qu'il transmet.

Objectifs d'apprentissage:
1. Savoir présenter le poin de vue ACT
2. Savoir aider le client à analyser l'efficacité de ses stratégies de lutte contre la souffrance
3. Savoir présenter les hameçons au client
4. Savoir utiliser la fiche des hameçons
5. Savoir faire pratiquer l'Aikido verbal et utiliser la fiche
6. Savoir favoriser la compassion pour soi
7. Savoir cibler les interventions de pleine conscience
8. Connaitre les trois habiletés de base et savoir les pratiquer
9. Savoir comment utiliser la prise de perspective
10. Augmenter sa flexibilité psychologique de thérapeute ACT

Public Cible:  Clinique, Débutant, Intermédiaire, Avancé

Composants: Exercices pratiques et expérientiels, présentation didactique, présentation de cas, jeux de rôle
 

Wielding the Double-Edged Sword: How to Use Relational Frame Theory to Master Verbal Interactions, Experiential Exercises, and Metaphors in Therapy - Villatte (Clinical; Beginner, Intermediate, Advanced)

Workshop Leader:
Matthieu Villatte, Ph.D., Evidence-Based Practice Institute, Seattle

Dates & Location:
October 3rd 9am-5:00pm
October 4th 9am-5:00pm

Registration
[650]

Workshop Description:
Acceptance and Commitment Therapy (ACT) and other contextual behavioral therapies emphasize the use of experiential techniques to undermine the problematic impact of language and thinking processes, which can lead to experiential avoidance, cognitive inflexibility, and insensitivity to new and changing contexts. But language is not only a weapon; it is a powerful tool that can foster a flexible sense of self, build meaning and purpose, enhance and sustain motivation, and promote adaptive responses to an ever-changing world. From this perspective, language is not only a vehicle for delivering therapeutic interventions, it is a powerful intervention in its own right.

Relational Frame Theory (RFT) is a contextual behavioral account of human language and cognition that provides a framework for therapists and their clients to harness these key psychological processes in the service of living well. This workshop will provide a pragmatic framework for understanding the role of language in psychological functioning and how RFT principles can be used to strengthen therapeutic alliance, activate behavior change, and enhance generalization of therapeutic progress beyond the therapy room. We will show you how to activate experiential processes on the fly, in the course of natural and fluid interactions- including those built around silence, introspection, and emotional intimacy. This training will thus focus on ways to speak and listen in the therapy room that increase clients’ awareness, flexibility, and autonomy. The structure of the training is designed to build expert performance, not just knowledge. Didactic presentations will be skills-focused and opportunities for deliberate practice with informative feedback will be emphasized. Workshop exercises will include opportunities to practice clinical case analysis, to observe therapeutic demonstrations, and to actively participate in role plays.

About Matthieu Villatte: Matthieu Villatte, Ph.D., is a Research Scientist at the Evidence Based Practice Institute of Seattle. He is an ACBS peer-reviewed ACT trainer who has facilitated workshops focusing on clinical applications of RFT in the US, Canada, Australia, and Europe. He obtained his Ph.D. in France, with an emphasis on clinical behavior analysis and relational frame theory, and completed a post-doctoral fellowship at the University of Nevada, Reno under the mentorship of Steve Hayes.

Dr. Villatte is the co-author of the first ACT manual published in French and is associate editor of the Journal of Contextual Behavior Science. He also published a number of articles and chapters on ACT and RFT appearing in books such as The Self and Perspective Taking [664] and The Big Book of ACT Metaphors [665]. His upcoming book, The Language of Psychotherapy: Strengthening Clinical Practice with Relational Frame Theory, is co-authored by Jennifer Villatte and Steve Hayes and will be released by Guilford.
 

Learning Objectives:
1. Describe with RFT principles the role of language processes in psychological problems
2. Describe with RFT principles the role of language in psychological interventions
3. Use the CBS/RFT framework in psychotherapy
4. Apply different types of relational framing with intention in psychotherapy
5. Use RFT principles to enhance clients’ experiential skills through natural, less structured verbal interactions.
6. Use RFT principles to create therapeutic metaphors.
7. Use RFT principles to deliver therapeutic metaphors.
8. Use RFT principles to create experiential exercises.
9. Use RFT principles to deliver experiential exercises.
10. Use RFT principles to deal with problems occurring in experiential practice (e.g. resistance, compliance, rupture in the therapeutic alliance)

Target Audience: This is an intermediate to advanced training for professionals of any discipline who are interested in broadening and building their core therapeutic skills. Though we believe RFT is useful in training novices, this workshop will be tailored to the unique learning needs of more experienced clinicians. However, ACT expertise is not necessary and practitioners using other 3rd wave therapies (e.g. DBT, MBCT) will find the material relevant and readily integrated into these models. The content of the training is broadly applicable to practitioners working with any population in any treatment setting, including education, business, and medicine. Participants who have previously attended a clinical RFT workshops will discover new topics, videos, exercises, and examples.

Components: Experiential exercises, didactic presentation, case presentation, role play

3 October evening/ 3 Octobre soirée

Poster Session/ Séance d'affiches & Cocktail/ Hors D'oeuvres 5:30-6:00pm

Third Floor/ troisième étage, Sheraton Hotel

We will have a small poster session and cocktails and hor d'oeuvres, followed by...

Nous aurons une petite séance d'affiches et des cocktails et hors d'œuvre , suivi par ...

Case Conceptualizations & Role Plays/ Cas conceptualisations et jeux de rôle 6:00-7:30pm

In addition to the fantastic workshops available at the ACBS ACT Training Institute in Brussels, we will also be offering some unique training opportunities during the evening. On Friday, 3 October from 6:00-7:30 all Institute participants will have to opportunity to attend small group case consultations with some of the workshop presenters, including case consultations offered in both English and French. This is a fantastic opportunity to get expert consultation on your own cases from some of the leading ACT trainers.

Alternatively, attendees can choose to see some of the other trainers “in action”, doing live role plays. These role plays will give folks the opportunity to see more extended clinical demonstrations of how many of the ACT processes and strategies they will be learning about during their workshops might look when woven into a therapy session. Because more than one trainer will be doing the role plays, it is also a great chance to see different the flexibility of ACT and how it can be utilized with various therapists’ styles.

En plus des ateliers fantastiques disponibles à l'Institut de formation ACT ACBS à Bruxelles , nous offrirons également des possibilités uniques de formation au cours de la soirée. Le vendredi 3 Octobre à partir de 6:00-7:30 participants au colloque devront occasion d'assister à cas conceptualisations avec quelques-uns des animateurs d'ateliers, y compris les consultations de cas offerts en anglais et en français. C'est une occasion fantastique pour obtenir une consultation d'experts sur vos propres cas de certains des plus grands entraîneurs de l'ACT.

Alternativement, les participants peuvent choisir de voir quelques-uns des autres formateurs "en action", faire des jeux de rôle. Ces jeux de rôle seront donner aux gens l'occasion de voir des démonstrations cliniques plus étendues de la façon dont la plupart des processus et des stratégies ACT qu'ils vont apprendre à propos lors de leurs ateliers pourraient regarder quand tissé dans une séance de thérapie. Parce que plus d'un formateur fera les jeux de rôle, c'est aussi une grande chance de voir différente de la flexibilité de l'ACT et comment il peut être utilisé avec tous les styles différents thérapeutes.

5 October program / 5 Octobre programme

[661]

Updated 11 September 2014

Program for sessions in English (PDF) [666]

Programme pour les sessions en français (PDF) [667]

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Continuing Education (CE) Credits

Possible credit hours:

  • 2-day workshops (3-4 October):  approx. 12.5 hours
  • 5 October (attending all CE events): 6 hours

Types of Credit Available:

  • CE credit is available for psychologists. (APA type, USA)
  • CE credit is available for LCSW and MFT credits with the State of California, Board of Behavioral Sciences.

 

 

 

 

 

The Association for Contextual Behavioral Science is approved by the American Psychological Association to sponsor continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for this program and its content.

APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

ACBS is an approved provider of continuing education for MFCCs and/or LCSWs by the California Board of Behavioral Sciences, provider #PCE 4653.

Fees:

A €33/$45 fee will be required to earn CEs.  

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Rodrigues, 1-269-267-4249 or through the Contact Us [294] link on this website.

  • CEs are only available for events that qualify as workshops, some other specialty sessions do not qualify for Continuing Education.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

Hotel & Transport - Reserve your room today!

Sheraton Brussels [668]

Place Rogier, 3 · Brussels, 1210 · Belgium

 

 

 

We have negotiated special rates of 175,00 € for week nights, and 105,00 € for Friday and Saturday nights.

(additional 20,00 € per night for second occupant... includes breakfast)

Rates include 1 buffet breakfast per room and complimentary WiFi Internet in guest rooms booked in our room block. Rates include all taxes.

Rooms may be cancelled without penalty up to 72 hours prior to the arrival date.

Nous avons négocié des tarifs spéciaux de 175,00 € pour les soirs de semaine, et 105,00 € pour les vendredis et samedis soirs. (20,00 € supplémentaires par nuit pour la deuxième occupant ... comprend le petit déjeuner) Les tarifs comprennent 1 petit déjeuner buffet par chambre et l'accès Internet Wi-Fi dans les chambres réservées dans notre bloc de chambres. Les tarifs comprennent toutes les taxes. Les chambres peuvent être annulées sans pénalité jusqu'à 72 heures avant la date d'arrivée. S'il vous plaît cliquer sur le bouton vert ci-dessous pour réserver votre chambre.

Click below to reserve your room in our block!

room.png [669]

 

Go to the Hotel's webpage for airport transfer, driving, and parking [670] information.

Options de transport [671]

Registration - Training Institute

[661]

   [672]
Onsite Registration is available, 3 October, 08:00-09:00, in the Rembrandt room, 3rd Floor, in the Sheraton Brussels.

 

*(consider joining ACBS and register as a member [673])

en français - DOC [648]   PDF [674]

  REGISTRATION (20 September - 5 October)
Professional €557 / $715USD
Student €408 / $524USD
Professional, Non-Member €601 / $771USD
Student, Non-Member €435 / $558USD

Above prices include lunch each day (3-5 October), 2 dinners, AM & PM coffee/tea on site, and a general certificate of attendance.

(Rates above from 22 September, 2014; 1 EUR = 1.28 USD)  21% VAT included


Please Note:

  • To qualify for the rates above, registration as well as payment must be received in Jenison, Michigan, USA by the dates listed (if using printed or faxed form).
  • Additional fees are required for certificates that track the number of hours you attended (€7 / $10) and CE credits [675] (€33 / $45). These fees cover all events from 3-5 October, 2014.
  • Lunches are provided, 3-5 October with the purchase of registration, as well as coffee/tea during the AM & PM breaks (approx. 10:30am & 3:30pm).
  • All credit card charges will be made in US Dollars, but the Euro amount is the fee amount. Regardless of market fluctuation the fee will remain the Euro fee. ACBS will adjust the USD amount every 2 weeks to conform to current Euro/USD exchange rates. Because of this, you may see a slight variation in the fee charged (higher or lower) if your currency is Euros. We are unable to refund any difference in rates due to market variation or bank/currency charges.
  • We apologize that we may not be able to accommodate special meal requests (gluten free, vegan, allergy meals, or other) for registrations received after 12 September.
  • To register via Mail, Email or Fax please use the Printable Version. DOC [676] or PDF [677]
  • Online registration is not available after 26 September, 2014.
  • Faxed (1 (225) 302-8688) or mailed registrations must be received at P.O. Box 655, Jenison, MI, 49429, USA, by 19 September, 2014.  (Note that prevailing rates will apply upon receipt.)
  • Student Registration/Membership is available to individuals who are enrolled in a program of study leading to a bachelor’s, master’s, or doctoral degree, are interns, or are postdoctoral candidates. Postdoctoral candidates qualify for Student Registration for up to 2 years, with proof of status from their employer. After this time, they need to register as a Professional. Note: Those registering for the conference as a student are ineligible to earn any kind of CE credits.

Refunds:
A €26/$35 processing fee will be charged for registration refunds requested until 12 September, 2014. (Per refund transaction.)

We regret that after 12 September, 2014, refunds can not be made, however we will allow a substitute registrant. If you need a refund, please contact us [294] via email. (Note: Shared registrations are not permissible... meaning that you can't attend one day and your colleague the next, etc.)

Photograph/Video Release:
ACBS may have official photographers/videographers for this meeting. Photographs/video taken at ACBS's Training Institute may be used in future marketing, publicity, promotions, advertising and training activities for ACBS. By registering for this meeting, you agree to allow ACBS to use the photographs/video—which may include you—in all media formats worldwide. If you do not want to be photographed or videotaped, please notify the individuals capturing the information.

Waiver of Liability:
Each individual attending ACBS's Training Institute assumes all risks associated with his/her attendance and participation in all on- and off-site activities that occur during this time. By registering for this meeting, you agree to indemnify and hold harmless ACBS and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to your attendance and participation at ACBS's Training Institute.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

ACBS World Conference 12

 

 

Conference: June 18th (evening)- June 22nd (mid-day), 2014
Pre-conference workshops [678]: June 17th & 18th, 2014

 

 

 


Registration for this event is now closed.
Consider joining us in 2015 in Berlin! [250]

 

Program

The Program Schedule & Session Info is available here [679]!

Download our World Conference Program App [680], with schedules, maps, the Twitter feed, and more!

What is the World Conference?

The World Conference brings together clinicians and researchers to present cutting-edge research in ACT, RFT, and Contextual Behavioral Science, as well as experienced trainers to lead experiential workshops so that you can learn how to better serve your clients.

The World Conference is for psychologists, social workers, professional counselors, marriage and family therapists, psychiatrists, physicians, drug counselors, health researchers, language researchers, behavior analysts, students and more.... Anyone in a similarly related helping or research field is invited to attend.

We offer CEs [681] in Psychology, California BBS credits for LCSWs & MFT, NBCC, NASW* (these are USA based credits; * pending approval).

Registration in the full conference is all-inclusive and includes lunch, coffee/tea breaks, one dinner, open access to workshops, research symposia, posters, panel discussions, plenary sessions with CBS researchers and practitioners, and our new IGNITE sessions and Research and Program Develpment Forums.

Pre-Conference Intensive Workshops [678]

First class intensive (2-day & 1-day) workshops held the 2 days prior to the World Conference get things started off right.  Learn ACT, RFT, CBS, FAP, Compassion Focused Therapy, and more from leaders in their field.... Tony Biglan, Darin Cairns, Joseph Ciarrochi, Lisa Coyne, Russ Harris, Jonathan Kanter, Bob Kohlenberg, Carmen Luciano, Matt McKay, Nanni Presti, Ian Stewart, Kirk Strosahl, Niklas Törneke, Mavis Tsai, Mike Twohig, Matthieu Villatte, Kevin Vowles, Robyn Walser, and Kelly Wilson to name just a few.

Conference Highlights

  • Invited Speakers: Sonja Batten, Frank Bond, Kelly Brownell, Jan De Houwer, Harold Green, Gregory Madden, D. J. Moran, Susan Schneider, Zindel Segal, David Sloan Wilson ... learn more about them here [682]
  • A great venue for networking & fostering local and international collaboration
  • Lunches, one dinner, and coffee/tea are included so that you have more time to network
  • Conference activities take place just downstairs from your hotel [683] room - Book your room now! [683]
  • Bring the family! - We're in beautiful downtown Minneapolis, with its clean streets and unparalleled arts & culture scene, and amazing green spaces.
  • Evening events provide additional opportunities to network and relax after other conference activities are done for the day
  • Workshops, Workshops, Workshops. Half-day workshops are included (no extra charge), with your conference registration.  These 30+ workshops are one-of-a-kind learning opportunities.

Airport Transfer Information

From Minneapolis/St. Paul Airport, MSP to the Minneapolis Marriott City Center [684] (12.5 miles NW of the airport)

Light rail - METRO Blue Line: $1.75 USD; $2.25 USD during rush hour time periods (6:00–9:00 am and 3:00–6:30 pm)

Accessible from both the Humphrey and Lindbergh Terminals. Follow signs toward “ground transportation.” The Blue Line services downtown and runs every 10 minutes during rush hour and every 10–15 minutes otherwise. For a full schedule, please click here [685].

Take the Blue Line northbound towards downtown Minneapolis. Proceed for approximately 25 minutes until you reach the Nicollet Mall Station (5th Street and Nicollet). Walk two blocks to the south along Nicollet Mall, then take a right on 7th Street and go west for about 300 feet.  The Marriott Hotel will be on your right.

(How does the ticketing work?: Before you get on, you'll see a small yellow machine.  You can put in a credit card or cash to purchase your ticket (it will give change if you don't have exact cash).  The ticket comes out and you just keep it with you when you ride.  You do not have to swipe your ticket anywhere.  The train police conduct random ticket inspection, when you'll need to show your ticket.)

Airport shuttle service: $15 USD one way or $24 USD round trip (per person in a shared van) through SuperShuttle. To receive this discounted pricing, you can schedule online [686] or walk up to the ACBS welcome sign at the SuperShuttle service desk at the airport.

Estimated taxi fare: $50 USD one way

Driving Directions:
From Minneapolis/St. Paul Airport, MSP (see below or use Google Maps [687]):

1. Head southwest on Glumack Dr  for 0.4 mi
2. Continue onto Airport Ser Rd for 0.1 mi
3. Continue onto Glumack Dr for 0.3 mi
4. Slight left to stay on Glumack Dr for 66 ft
5. Keep left at the fork and merge onto MN-5 E for 0.8 mi
6. Take the MN-55 W/MN-55 E exit toward Minneapolls Fort Snelling/Hastings for 0.4 mi
7. Keep left at the fork, follow signs for MN-55 W and merge onto MN-55 W for 0.7 mi
8. Continue onto MN-62 W for 3.9 mi
9. Take the Interstate 35W N exit for 0.3 mi
10. Merge onto I-35W N for 4.5 mi
11. Take exit 16A W on the left toward Downtown/I-94 W for 0.2 mi
12. Continue straight for 0.8 mi
13. Continue straight onto 5th Ave S for 0.2 mi
14. Turn left onto 7th St S
15. The Minneapolis Marriott City Center will be on the right in 0.5 miles

Need parking information for the Marriott City Center?  Please click here [688].
 

App for the ACBS World Conference 12

Get the free App:

Go to the link: http://my.yapp.us/ACBS
 [689]

  • Tap or input it from your iOS or Android device.
  • You'll be directed to your app store to download our FREE container app, Yapp, if you don't already have it on your device.

  • Once Yapp is downloaded, open it, scroll to the right and click "View a Yapp" and the ACBS WC12 app will install automatically.

Tweet with us:

During the conference (and before) you can follow the ACBS tweets (@myacbs) and tweet yourself and reference #acbs2014

Follow us on Twitter:

https://twitter.com/myACBS [690]

[690]

Call for Submissions - Closed

Call for Submissions for the ACBS World Conference 12

[691]

(Deadline for posters and chapter/sig meetings - March 21, 2014.)

This year, our conference theme is “Using Contextual Behavioral Principles for Large Scale Behavior Change.” Although notable exceptions exist, contextual behavioral principles have been primarily targeted at the individual, small group, or unit level. However, due to the focus on the behavior within a context, CBS practices may be especially well suited to improving human lives through cultural change and decreasing suffering across organizational, national or international populations. We are greatly looking forward to all of the fascinating presentations focusing on how to utilize our methods to effect change among large groups of people. Although we welcome submissions for presentations outside this topic, you are encouraged to be mindful of our theme as appropriate, and special consideration will be given to presentations that add to this year's theme.

We are striving to be more research and data aware in our presentations this year. Although we continue to encourage workshops to remain chiefly experiential and panel discussions to continue to emphasize thought-provoking discussion, we encourage the inclusion of a slide or two citing related research or data. We are also welcoming more research-related presentations this year in addition to our more traditional clinical offerings. So, if you have those numbers… flaunt them!

If you have any problems submitting, please contact support@contextualscience.org(the call for the session types below has closed........)

Poster

Posters usually report empirical research and will be organized into one or more sessions, during which attendees will be invited to review the research presented and discuss findings with poster presenters. Presenters must be at their poster during their assigned time of the poster session and may choose to provide handouts.

Chapter/SIG/Committee Meeting

This is for Chapters/SIGs/Committees or (forming chapters and sigs) the opportunity to reserve a space time to get together and plan, meet, hang out, etc.  This form allows you to request space before or during the conference day (early am, during the conference, during lunch, etc.) (not intended for late night parties... although we're sure those will be happening elsewhere. :)

Plenary/ Invited Address (use only if instructed)

 

IGNITE

The Ignite presentation is a short, structured talk in which presenters present on ideas and issues they are most passionate about using a “deck” of 20 slides that auto-advance every 15 seconds (no exceptions). Exactly 5 minutes total. Topics may be empirical, conceptual, philosophical, historical, or methodological. Presentation should be well-practiced and high energy (perhaps even... fun!).

For more on Ignite presentations, see:

http://igniteshow.com/ [275]
http://www.speakerconfessions.com/2009/06/how-to-give-a-great-ignite-talk/ [276]

Panel Discussions

Panel discussions consist of 3 to 5 speakers selected for some shared interest or expertise in an area. Panelists respond to one or more questions or issues, with time allotted for interaction among the speakers and with the audience. A panel discussion is organized by a chairperson who serves as the session’s moderator.

Symposia (chair, 3 papers and a discussant)

Organized by a chairperson who moderates the 80–minute session, symposia are a series of three 20–minute presentations focused on either empirical research or conceptual, philosophical, historical, or methodological issues. A discussant highlights and integrates the contributions of various speakers in the symposium and moderates questions from the audience. Chairpersons are encouraged to use symposia as an opportunity to integrate related work by: 1) bringing speakers of different affiliations together rather than showcasing the work of a single group and 2) incorporating different kinds of talks (e.g., historical, conceptual and research-based) on the same topic into one symposium. Papers from submissions that are not accepted may be considered for a poster session. This year, we are prioritizing submissions that are research and data driven. In service of being more data aware, we encourage you to include research citations (data citations) with your proposal.

Paper (not part of a pre-arranged symposium)

Paper submissions are individual, oral presentations, usually concerned with conceptual, philosophical, historical, or methodological issues. A paper submission may report empirical research if it is too complex for effective presentation in a poster (e.g., an integrated series of experiments). Otherwise, most data-based and single-study paper submissions will be accepted as poster presentations. All paper presentations will be 20 minutes long. Accepted addresses will be organized into paper sessions of 50 or 80 minutes. Submissions not accepted will be considered for a poster session. This year, we are prioritizing submissions that are research and data driven. In service of being more data aware, we encourage you to include research citations (data citations) with your proposal.

Workshop

Workshops are training sessions of 3 hours (or less) and usually focus on some combination of experiential and/or didactic exercises. Workshops should be regarded as opportunities to directly train specific skills rather than to present research findings, discuss conceptual, philosophical, or methodological issues, or share opinions. Submissions that are not clearly focused on training will be considered for other formats. In service of being more data aware, we encourage you to include research and data citations supporting your topic with your proposal, and to briefly present these (1-2 slides) during your workshop.

Conference Bookstore Signing Schedule

Stop by the ACBS Bookstore to Meet the Authors!

(in Maple Lake/ Birch Lake rooms near the ACBS Registration Desk)

Thursday, 6/19

10:00am Ruth A. Baer, PhD
Author of The Practicing Happiness Workbook and more.

10:30am Rochelle I. Frank, PhD
Co-author of The Transdiagnostic Roadmap to Case Formulation and Treatment Planning.

12:00pm Jan E. Fleming, MD &Nancy L. Kocovski, PhD
Co-authors of The Mindfulness and Acceptance Workbook for Social Anxiety and Shyness and more.

12:00pm Matthew S. Boone, LCSW
Editor of Mindfulness and Acceptance in Social Work.

2:00pm Kevin L. Polk, Phd
Co-author of The ACT Matrix and more.

2:30pm Russ Harris
Author of Getting Unstuck in ACT and more.

Friday, 6/20

10:00am Matthew McKay, PhD
Publisher, New Harbinger Publications

10:30am Nick Turner, MSW & Phil Welches, PhD
Co-authors of Mindfulness-based Sobriety and more.

12:00pm Akihiko Masuda, PhD
Editor of Mindfulness and Acceptance in Multicultural Competency.

12:30pm Rochelle I. Frank, PhD
Co-author of The Transdiagnostic Roadmap to Case Formulation and Treatment Planning.

2:00pm Jill A. Stoddard, PhD
Co-author of The Big Book of ACT Metaphors.

2:30pm Niloofar Afari, PhD
Co-author of The Big Book of ACT Metaphors.

Saturday, 6/21

10:00am Darrah Westrup, PhD
Author of Advanced Acceptance and Commitment Therapy and more.

10:30am Emily K. Sandoz, PhD
Co-author of Living with Your Body and Other Things You Hate and more.

12:30pm Benjamin Schoendorff, MA, MSc
Co-author of The ACT Matrix.

2:00pm Jason Lillis, PhD
Author of The Diet Trap and more.

Continuing Education (CE) Credits

DClogo2dates.jpgPossible credit hours:

  • 2-day pre-conference workshops: 13 hours
  • 1-day pre-conference workshop: 6.5 hours
  • ACBS World Conference 2014 (attending all CE events): 29 hours

Types of Credit Available:

  • CE credit is available for psychologists. (APA type)
  • CE credit is available for LCSW and MFT credits with the State of California, Board of Behavioral Sciences.
  • CE credit is available for Counselors from NBCC (National Board of Certified Counselors) [449].*
  • CE credit is available for Social Workers from the National Association of Social Workers (NASW) [343].
  • CE credit for BCBAs is available for select events. The exact sessions are here [692] (indicated in yellow on the attached sheet). Please note the multiple tabs on the attached sheet. The following Pre-Conference workshops are eligible for BCBA credits: Exploring ways of doing ACT with kids and parents; Wielding the Double-Edged Sword; Treatment Anxiety Disorders from a Contextual Behavioral Science Viewpoint; RFT for Clinical Use
  • (We tried like the dickens to get CME credits for physicians this year, but we weren't able to find a reasonably priced co-sponsor for them. If you know of a way for future events, we'd love to hear from you.)

This program is sponsored by the Association for Contextual Behavioral Science. The Association for Contextual Behavioral Science is approved by the American Psychological Association to sponsor continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for this program and its content. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

ACBS is an approved provider of continuing education for MFCCs and/or LCSWs by the California Board of Behavioral Sciences, provider #PCE 4653.

*This program has been approved by the National Board for Certified Counselors. *With the exception of the following sessions: 22. The Art of Speaking in Soundbytes; 62. Contextual Behavioral Science and Social Work; 100. Connecting to your Clients, Connecting to your Community: Psychological Flexibility & Social Work Values.

This program is Approved by the National Association of Social Workers (Approval #886495791-2816) for 42 Clinical continuing education contact hours.

BCBA credits are sponsored by Foxylearning [693].  Thank you Foxylearning! [693]

Fees:

A $45 fee will be required to earn CEs.  If you attend either a pre-conference workshop(s), World Conference, or both, only $45 is due.  If you register for multiple events seperately, please only pay the fee one time.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Rodrigues, 1-269-267-4249 or through the Contact Us [294] link on this website.

  • CEs are only available for events that qualify as workshops, symposia, invited lecture, panel discussion, or plenary sessions. Poster sessions, IGNITE sessions, and some other specialty sessions do not qualify for Continuing Education.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)
This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Explore Minneapolis!

Click on an image below, or scroll down to find more information to make your trip a great one!

Photo credit: "Meet Minneapolis"

Art & Culture

Image shown above: The Walker Art Center [694]
After being around for over 100 years, the Walker Art Center now brings over 600,000 visitors each year, making it into the United States' top five most popular modern/contemporary art museums. In addition to its various exhibits featuring visual and media arts, the center also includes a performing arts theater, cinema for film screenings, and an outdoor sculpture garden [695].

Guthrie Theater [696]
This theater is among the most well-respected theaters in the United States and is known for its focus on classic plays and the need to develop new classics for future generations.  The Guthrie is situated along the Mississippi River and features three stages for various types of performances. Some popular attractions at the theater include Shakespeare at The Guthrie [697], as well as backstage tours [698].

More Art & Culture:

Ballet Minnesota [699]
Science Museum of Minnesota [700]
Minnesota Opera [701]
Additional ideas here [702]!

Back to the top
 

Parks & Outdoor Recreation

Image shown above: Minnehaha Falls [703]
This beautiful 53 feet tall waterfall is located in Minnehaha Park [704], which is one of the oldest parks in Minneapolis.  The park attracts over 800,000 visitors annually with its gorgeous river views, nature paths, family wading pool, and summer concerts in the evenings.

Above the Falls Sports [705]
Check out the views of Minneapolis from the water by renting a kayak, canoe, or rowing boat and gliding along the Mississippi.  Or, you could join one of the various special tours [706] on the water including a lunch/brunch cruise, a trip to the locks, or float by the gorge near St. Anthony Falls.

More Parks & Outdoor Recreation:

Lake Nokomis Park [707]
Como Park Zoo & Conservatory [708]
Fort Snelling State Park [709]
Additional ideas here [710]!

Back to the top
 

Sports

Image shown above: Target Field (home of the Minnesota Twins) [711]
Come check out some hard-hitting action by the Minnesota Twins MLB team at Target Field.  There are several home games that take place near or during the conference event, and you can find the June 2014 schedule online [712].

Minnesota Lynx [713]
See the Minnesota Lynx, Minnesota's women's WNBA basketball team, take the court at Target Center [714]. This talented team of women have made it to the WNBA Finals for the past three seasons.  You can view their full schedule here [715].

More Sports:

Father's Day 5K in Saint Paul [716]
2014 USA Volleyball Girls’ Junior National Championships [717]
The MN-Wounded Warrior Charity Golf Tournament [718]
Additional ideas here [710]!

Back to the top
 

Shopping

Image shown above: Mall of America [719]
With over 500 stores, more than 4 miles of store front footage, and over 400 events held there annually, it's no surprise that the Mall of America receives more than 40 million visitors every year.  This mega shopping center even includes an indoor amusement park and the SEA LIFE Minnesota Aquarium [720].  Use the shopping directory [721] to make the most out of your trip.

The Shops at West End [722]
This shopping center offers a stylish and unique experience with its combination of eateries, one-of-a-kind shops [723], and various events throughout the year.  View what's happening at the West End here [723]!

More Shopping:

Midtown Global Market [724]
Candyland Store [725]
Antiquified [726]
Additional ideas here [727]!

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Events in June 2014

Image shown above: Orpheum Theatre [728] (which is showing "Ghost - the Musical" [729] in June)
The Orpheum Theatre, open since 1921 and home to extravagant Broadway productions, will be featuring "Ghost - The Musical" from June 18-June 23, 2014.  This musical is adapted from the popular 1990 film by Academy Award-winning screenwriter Bruce Joel Rubin.

Cher: Dressed to Kill Tour [730]
On Wednesday, June 11, 2014, Cher will take the stage at the Target Center [714] in Minneapolis.  This show is 1 of only 49 performances in North America for this "Dressed to Kill" tour.

More Events in June 2014:

Finland: Designed Environments Exhibit at the Minneapolis Institute of Arts [731]
Curio Dance - Drop the Mic! at the Cowles Center [732]
Back to the 50s Weekend at the Minnesota State Fairgrounds [733]
Additional ideas here [734]!

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Popular Attractions

Image shown above: "Spoonbridge and Cherry" at Minneapolis Sculpture Garden [695]
This sculpture garden is a big hit with visitors to the city because it combines the beautiful outdoor atmosphere with over 40 cultural works to view. Highlights include the Standing Glass Fish, the Cowles Conservatory, and the Walking Man. You can learn more about these works and others here [695]. The park is open seven days a week, and admission is free!

Taste Twin Cities - Food and Drink Tours [735]
This company offers a variety of exciting tours that allow you to experience not only the cuisine and beverages of the area, but also teaches you a great deal about the history of Minneapolis.  You can see the Mill District on the Riverwalk Tour [736], sample truffles and other fine chocolates on the Chocolate & Wine Decadence Tour [737], or check out the local beers of the Twin Cities on one of the brewery tours [738]. 

More Popular Attractions:

The Brave New Workshop Comedy Theatre [739]
Landmark Center [740]
Historic Fort Snelling [741]
Cathedral of St. Paul [742]
Additional ideas here [743]!

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Restaurants & Bars

Image shown above: The Red Stag Supper Club [744]
Not only is dining at this restaurant an entertaining experience, but it's environmentally-friendly as well. The Red Stag Supper Club as all about organic and local foods, energy efficiency, and conserving resources.  Not to mention the musical entertainment [745], fine wines [746], and succulent [747]entrees [747].

Brit's Pub [748]
This restaurant is more than just your typical tavern-style dining establishment. Brit's Pub features a 10,000 square foot green in its English Garden Park [749] that is used for the popular "Lawn Bowling [750]" game (similar to bocce ball), and all the excitement can be viewed from the outdoor rooftop Veranda Bar.

More Restaurants & Bars:

Chiang Mai Thai [751]
Hell's Kitchen [752]
Vincent - A Restaurant [753]
The Shout House Rock 'N Roll Dueling Pianos [754]
Additional ideas here [755], or check out the Minneapolis Restaurants & Bars guide and map [756] to find out about some more tasty selections.
Also, check out the Walk-to Dining Guide [757]for great restaurants within blocks of the Marriott!

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Flight Discounts to Minneapolis on ALL domestic & select international fares with Delta and Partners

[272]Delta Air Lines, Air France, KLM, and Alitalia are pleased to offer up to 10% discount off applicable worldwide airfares for the ACBS World Conference 12 in Minneapolis, Minnesota (MSP).

Domestic USA flights:

ALL domestic Delta and Delta Connection flights are discounted 2% - 10% off of published fares.

To take advantage of these discounts, follow one of these 3 booking options:

1) Click on www.delta.com [272], click "Book a Trip", then "More Search Options" to open the screen to enter the Meeting Event code and search for your flight. Enter the Meeting Event Code NMGVN in the box and continue with the booking process.

Or go directly here [273] and enter the Meeting Event Code NMGVN.

2) Call Delta Meeting Network® Reservations in the USA 1-800-328-1111, Monday - Friday, 7:30 a.m. - 7:30p.m. (Central Time) and refer to Meeting Event Code NMGVN  (**There is a $25 service fee for booking via the 800 number. Online booking is free!)

3) Call your Travel Agent and reference Meeting Event Code NMGVN

This discount will vary based on the booking class, availability, and departure location. A discount is valid only for the travel dates over this program (June 12-28, 2014).

DELTA BOOKING CLASS PERCENTAGE OFF
F / G / J / C / D / Y /A / P / I - 10%
B / M / S / H / Q / K / L - 5%
U / T / V / X - 2%

International flights to the USA:

Delta, KLM, and Air France discounts are as follows, based on the fare class/code (valid June 8-July 2, 2014):

1) Click on www.delta.com [272], click "Book a Trip", then "More Search Options" to open the screen to enter the Meeting Event code and search for your flight. Enter the Meeting Event Code NMGVP in the box and continue with the booking process.

Or go directly here [758] and enter the Meeting Event Code NMGVP.

2)  Call your Travel Agent and reference Meeting Event Code NMGVP.

Fares as referred below. These discounts are valid on Delta International, KLM, and Air France (DL, KL, AF) codeshare flights (must be DL designated). All percentage discounts will also apply from MSP/DTW/ATL airports.
DELTA BOOKING CLASS-PERCENTAGE OFF
J / C / D / W / Y / B / M - 10%
S / H / Q / K / L / U - 5%
T - 3%
X / V - 0%

The following discounts are valid on Alitalia published fare basis codes and can be booked as Alitalia (does not have to be booked as a Delta flight).
J / E / P / A / Y / B / M - 10%
D / I / H /K / V / T / N - 5%
S - 3%
L / O - 0%

(Why is ACBS doing this? 1. To give you the chance to lessen your airfare, if the flights/schedules/prices work for you. 2. ACBS can earn credit toward flights it can use for invited speakers, staff, etc.  If the rate here is the same as you can find elsewhere it will still help ACBS if you enter our Meeting Event Code when you purchase your ticket on Delta.com or with your Travel Agent.)

General Schedule of Events - June 17-22

Pre-Conference Workshops (2-day & 1-day)

June 17, 2014 - 9:00am-5:15pm

June 18, 2014 - 9:00am-5:15pm 

ACBS World Conference XII

June 18, 2014 - (approx.) 7:30pm - June 22, 2014 - 12:00pm noon


By day...

Note: The break and lunch times listed below are approximate.

Monday, June 16, 2014

4:30pm-6pm

Registration (registration desk on 4th floor of Marriott City Center, near Ballroom))

Tuesday, June 17, 2014

7:30am-9am

Registration (registration desk on 4th floor of Marriott City Center, near Ballroom))

9:00am-5:15pm (Breaks, 10:30-10:45am; Lunch, 12:00pm-1:15pm; Break, 3:30-3:45pm)

Workshops

Wednesday, June 18, 2014

7:30am-9:00am

Registration (registration desk on 4th floor of Marriott City Center)

9:00am-5:15pm (Breaks, 10:30-10:45am; Lunch, 12:00pm-1:15pm; Break, 3:30-3:45pm)

Workshops

3:00-4:30pm

Registration (registration desk on 4th floor of Marriott City Center)

7:00-7:30/45pm

Rookies Retreat: First ACBS Conference Orientation (St. Croix I, 6th floor)

7:30-9:00pm

Registration (registration desk on 4th floor of Marriott City Center)

7:30pm -10:30pm

Opening Social and Chapter & SIG Event (Grand Ballroom)

Thursday, June 19, 2014

7:30am-4:30pm

Registration (registration desk on 4th floor of Marriott City Center)

7:00am-8:00am

Morning Yoga session

8:00am-9:00am

Morning Mindfulness session

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:30pm)

Conference Sessions

7:00-10:00pm

Nicollet Island Pavilion Event & Dinner (40 Power Street, Minneapolis)

Friday, June 20, 2014

7:00am-8:00am

Morning Yoga session

8:00am-9:00am

Morning Mindfulness session

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:30pm)

Conference Sessions

7:30pm-10:00pm

Poster Session (Grand Ballroom, Marriott City Center)

Saturday, June 21, 2014

7:00am-8:00am

Morning Yoga session

8:00am-9:00am

Morning Mindfulness session

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:30pm)

Conference Sessions

8:00pm-10:30pm (Follies begin at approx. 8:30pm)

Follies! in the ballroom at the Marriott City Center (A cash bar will be available. All family & friends are welcome at this event.)

10:30pm-1:00am

Dance Party!

Sunday, June 22, 2014

7:00am-8:00am

Morning Yoga session

9:00am-12:00pm noon (Break, 10:15am-10:30am)

Conference Sessions

Hotel & Venue

Conference Venue:

Conference events will all be held at the beautiful Minneapolis Marriott City Center [684], 30 South 7th Street, Minneapolis, Minnesota 55402, USA.

Our discounted rate is $175 per night for 2 doubles or a King room. Free Wireless internet is included only within our room block (A $10.95 per night value.). (Room block available for booking only until May 23, 2014, while rooms last!)

Our roomblock is now closed.

Still need a room?, search for something near "30 South 7th Street, Minneapolis, Minnesota 55402" on Kayak [759].


Roommate?

Looking for a roommate look here or post here: http://contextualscience.org/wc12_room_share [760]


Invited Speakers for the World Conference 12

Sonja Batten, Ph.D.*

Sonja Batten is a Senior Associate with Booz Allen Hamilton and clinical psychologist. She was formerly Deputy Chief Consultant for Specialty Mental Health with the U.S. Department of Veterans Affiars, with extensive experience in traumatic stress, postdeployment psychological health, substance use disorders, and women’s health. She has many years of experience in the Department of Veterans Affairs (VA), working on national mental health policy for United States veterans. Sonja has been active in the ACT community for almost two decades, providing ACT training in the United States and internationally for the past 15 years. She is one of the original ACT trainers recognized by the Association for Contextual Behavioral Science, is currently President of ACBS, and is the author of the well-received text, Essentials of Acceptance and Commitment Therapy.


PaulGilbert.jpg

Frank Bond, Ph.D.* (Co-author: Ross White, Ph.D.)

Frank Bond, Ph.D., is Professor of Psychology and Management at Goldsmiths College, University of London, where he is also Director of the Institute of Management Studies. His research and practice focus on identifying the psychological processes by which ACT, leadership and organisational interventions impact the health and productivity of organisations and their employees. Frank is a Fellow and Past-President of the Association for Contextual Behavioral Science.


Kelly D. Brownell, Ph.D.*

Kelly Brownell is Dean of the Sanford School of Public Policy at Duke University, and is Professor of Public Policy and Professor of Psychology and Neuroscience. He also serves on the Board of Directors of the Duke Global Health Institute. Prior to joining the faculty at Duke, Brownell was at Yale University where he was the James Rowland Angell Professor of Psychology, Professor of Epidemiology and Public Health, and Director of the Rudd Center for Food Policy and Obesity. While at Yale he served as Chair of the Department of Psychology and as Master of Silliman College.

Brownell has been elected to membership in the Institute of Medicine and has received numerous awards and honors for his work, including the Lifetime Achievement Award from the American Psychological Association, Graduate Mentoring Award from Yale, and Distinguished Alumni Awards Purdue and Rutgers. In 2006 Time magazine listed Kelly Brownell among “The World’s 100 Most Influential People” in its special Time 100 issue featuring those “.. whose power, talent or moral example is transforming the world.”


Jan De Houwer, Ph.D.* (Co-authors: Yvonne Barnes-Holmes, Ph.D. & Dermot Barnes-Holmes)

After receiving his Ph.D. from the University of Leuven (Belgium) in 1997, Jan De Houwer was a Lecturer at the University of Southampton (UK) from 1998 to 2001. Since 2001, he has worked at Ghent University (Belgium) where he heads the Learning and Implicit Processes Laboratory. His research is related to the manner in which spontaneous (automatic) preferences are learned and can be measured. Regarding the learning of preferences, he focuses on the role of stimulus pairings (associative learning). With regard to the measurement of preferences, he developed new reaction time measures and examined the processes underlying various measures. Jan De Houwer (co-)authored more than 190 publications in international journals including Psychological Bulletin and Behavioral and Brain Sciences. He was co-editor of the journal Cognition and Emotion and is a member of the editorial board of several journals including Journal of Experimental Psychology: General and Psychological Bulletin.


Harold D. Green, Jr., Ph.D.*

Harold D. Green, Jr. (Hank) is a Senior Behavioral Scientist at the RAND Corporation in Santa Monica, where he is the director of the RAND Center for Applied Network Analysis and Systems Science. Hank uses network analyses to understand the social and cultural determinants of health. He leads an NIH-funded longitudinal study that investigates influence and selection processes associated with substance use and other risk behaviors among American adolescents (including an exploration of how the transition to high school may impact those processes). Other projects focus on the propagation of HIV-related conspiracy beliefs among HIV+ African-Americans in Los Angeles; sexual health and sexual risk-taking among Lebanese men who have sex with men, commercial sex workers, and trans-gender individuals in Beirut; and how changing network composition and structure are linked to HIV care adherence among HIV+ Ugandans. High-risk populations are also a focus, investigating connections among network structure, network composition, substance use, and risky sexual behavior for homeless women, homeless men, and homeless youth. His funding sources include the University of California Tobacco Related Disease Research Program, the National Institute for Child and Human Development, the National Institute on Alcohol Abuse and Alcoholism, the National Institute on Drug Abuse, the National Institute on Mental Health, and the MacArthur Foundation. He holds a Ph.D. in Anthropology from the University of Florida and is an Alumnus of the University of Illinois Training Grant in Quantitative Psychology, of the National Center for Supercomputing Applications Center for the Humanities, Arts and Social Sciences, and of the Science of Networks in Communities Research Group.


Zindel Segal, Ph.D.*

Zindel Segal, Ph.D., is Distinguished Professor of Mood Disorders at the University of Toronto Scarborough and a Senior Scientist in the Campbell Family Research Institute at the Centre for Addiction and Mental Health. Dr. Segal has studied and published widely on psychological treatments for depressive and anxiety disorders for more than 30 years. Most recently, he and his colleagues have pioneered the combined use of mindfulness meditation and cognitive therapy as an effective relapse prevention treatment. Both clinical and neural findings indicate that patients who practice mindfulness develop meta-cognitive awareness of their emotions which, in turn, reduces their reactivity to negative affect. Dr. Segal's publications include Mindfulness-based Cognitive Therapy for Depression, and The Mindful Way Through Depression, and The Mindful Way Workbook, a patient guide that outlines this approach.


Gregory Madden, Ph.D.

Gregory J. Madden received his Ph.D. degree from West Virginia University in 1995. He began his study of behavioral economics during his post-doctoral years at the University of Vermont. Dr. Madden’s research is largely focused on the behavioral economics of addiction and health decision-making. Much of Dr. Madden’s research has focused on impulsive decision-making. His early research documented extreme impulsivity in individuals addicted to illicit drugs and cigarettes. Later research revealed that impulsive decision making predicted cocaine self-administration in rats. His current work is exploring the possibility of reducing impulsivity. Dr. Madden’s second line of research explores behavioral economic approaches to influencing the dietary choices of children. These research endeavors are supported by grants from the National Institute on Drug Abuse and the US Department of Agriculture. Dr. Madden serves on several advisory committees and ad-hoc grant-review panels, and his peer reviewed publications have been cited more than 3,500 times. He is currently the Editor of the Journal of the Experimental Analysis of Behavior; he co-edited Impulsivity: The Behavioral and Neurological Science of Discounting (APA Books), and served as the Editor-in-Chief of the two-volume APA Handbook of Behavior Analysis.


Susan Schneider, Ph.D.

Biopsychologist Susan Schneider obtained her graduate education from Brown University (mechanical engineering) and the University of Kansas (developmental psychology/behavior analysis), and is currently a Visiting Scholar at the University of the Pacific. A research pioneer, Schneider was the first to apply the generalized matching law to sequences and to demonstrate operant generalization and matching in neonates. She's proposed a new mathematical model for sequence choice, and her publications also cover the history and philosophy of behavior analysis and the neglected method of sequential analysis. Schneider has long championed the inclusive “systems theory” approach to nature-nurture, and published several influential journal reviews in that area. Her recent book for the public, The Science of Consequences: How They Affect Genes, Change the Brain, and Impact Our World, describes operant behavior principles, their important role in the larger realm of nature and nurture, and their full range of applications. It's a selection of the Scientific American Book Club and received coverage in the journal Nature (see scienceofconsequences.com [761]). Schneider was a friend of B. F. Skinner.


Daniel "D.J." Moran, Ph.D.

I’d prefer my biography to reflect the most vital and meaningful things in my life, so I should prioritize writing about my family, friends, and love for heavy metal. Alas, this is a professional biography, so it is more appropriate to focus on the fact that I am the founder of the MidAmerican Psychological Institute, a thriving behavior therapy clinic in Chicagoland. I am also the founder of Pickslyde Consulting, an organization aimed at using evidence-based applications to improve performance and wellness in the workplace. Because I have excellent colleagues helping me run these organizations, I was able to accept a position as Senior Vice-President for Quality Safety Edge, a pioneering organization aimed at implementing behavior-based safety processes worldwide.

I earned my Ph.D. from Hofstra in 1998, worked as a university professor for a decade, helped treat dozens of people with Discovery Studio’s Hoarding: Buried Alive show, and currently serve the ACBS Board as secretary-treasurer. I co-authored ACT in Practice (New Harbinger) with my friend Patty Bach. Last year, I published the book Building Safety Commitment in an effort to help front-line workers and leaders improve their safety by learning about mindfulness and values-based motivation.


David Sloan Wilson, Ph.D.

David Sloan Wilson is President of the Evolution Institute and SUNY Distinguished Professor of Biology and Anthropology at Binghamton University. He uses evolution as a general theoretical framework to understand and improve the human condition, in the same way that evolutionary theory functions in the life sciences. He has been working with ACBS founder Steve Hayes and other ACBS members to integrate principles of ACT and RFT with evolutionary theory. One result of this collaboration is an article in Behavioral and Brain Sciences titled "Evolving the Future: Toward a Science of Intentional Change", which will be published in late 2014 and is currently available online at the BBS website.
 


* Denotes a Plenary Speaker at WC12

Minneapolis Conference Map

The Minneapolis Marriott City Center is conveniently located in downtown Minneapolis.


View ACBS World Conference Minneapolis 2014 [762] in a larger map

Nicollet Island Pavilion Evening Event

Join us at the beautiful Nicollet Island Pavilion for an evening full of food, drinks, and fun with the ACBS community!

Date:
Thursday Evening, June 19th, 2014
7:00pm-10:00pm

Admittance:
Admittance included with ACBS World Conference registration; guest ticket prices $50 Adult, $30 children (ages 5-12)

ACBS WC12 attendees MUST have their namebadge to gain entrance.

Online registration for Guests is no longer available, however you may purchase guest tickets at the ACBS Registration desk on the 4th floor of the Minneapolis Marriott City Center until 5:00pm, Thursday, June 19.  (Tickets are not available for sale at Nicollet Island.)

What will be there?
Music, dinner (salads, BBQ, vegetarian options, cheese/fruit, open bar for the first hour or two), a beautiful venue in the middle of the Mississippi River, and all of your new (and old) conference buddies.

Location:
Nicollet Island Pavilion [763]
40 Power Street
Minneapolis, MN 55401

Directions from the conference venue can be found here [764].

This event is an easy 15 minute walk away from the conference venue (exactly 1 mile) or a quick taxi [765] ride. You can ride half way there on the free Minneapolis Metro Transit [766] if you prefer. (Organized transportation is not provided.) (If you have a disability that would make this walk difficult, please contact ACBS and we'll work something out. Please indicate if wheelchair accessibility will be necessary for the transportation. support@contextualscience.org )

Or if you prefer to drive, you may park in the lot off of Wilder Street or in the lot alongside the Nicollet Island Pavilion for $.75 per hour.

 


View Larger Map [767]

Parking at the Marriott (WC12 Venue)

Parking Options:

On-site parking fee: 19 USD daily (as of May 1, parking now $21)
Valet parking fee: 29 USD daily (as of May 1, valet now $31
Off-site parking fee: 19 USD daily (can be found at area lots I'm told)

The Marriott City Center front desk sells discount parking for 21 USD Monday-Friday. Special weekend and hourly rates apply for on-site self-parking.

On-site Parking Information:

The Marriott City Center on-site parking is located in the Central Parking structure at 10 7th St. S, Minneapolis, MN.  The entrance to the parking structure is located just 30-40 feet beyond the entrance to the hotel. The street is one-way going northwest, so the parking entrance will be on your right just after the hotel entrance.

To make your way to the hotel from the any level of the parking structure, find the elevator located on your level and take it down to the first floor. Then take a right when you get off the elevator and follow the signs to the Marriott City Center.

Please click here [768] to find directions to the parking structure. You can also view the map below highlighting the location of the parking structure.
 


View Larger Map [769]

Parking Information for the Evening Event at Nicollet Island Pavilion on Thursday, June 19th, 2014:

If driving, you may park in the lot off of Wilder Street or in the lot alongside the Nicollet Island Pavilion for $.75 per hour.  Driving/walking directions and more information on the event can be found here [770].

Photos of the 2013 Sydney World Conference

Some cool images from the ACBS World Conference in Sydney. Too many great moments...

Copyright to images maintained by ACBS.  Please contact us for permission to use a photo.

Pre-Conference Workshops for WC12

June 17-18, 2014, at the Marriott City Center, Minneapolis, MN, USA

Unforgettable. Inspiring. Cutting-edge. Inviting. ACBS Pre-Conference Workshops are well-known as a source for world-class ACT and RFT trainings. Here is the heart of ACBS. Where therapists and researchers of all ages sharpen their skills, and push their limits. Where expert trainers from across the globe converge as a creative force aiming to shape and support all those in attendance. Where life-long friends reconnect, or meet for the first time.
 

What to Expect

The 2014 Pre-Conference Workshops offer exciting new opportunities that will engage therapists and researchers of any skill level. Highlights include:

Acceptance and Commitment Therapy (ACT): Participate in experiential and didactic workshops to learn this empirically supported therapy
Relational Frame Theory (RFT): Apply this modern perspective on cognition and language to your own research or practice
Contextual Behavioral Science (CBS): Explore the foundations of ACT and RFT to enrich your understanding
Functional Analytic Psychotherapy (FAP): Supercharge your therapy practice with FAP's relationship-enhancing approach

Combining therapy role-plays, experiential exercises, case presentations, data graphics, focused lectures, and small group discussions, you can expect high-quality training from ACBS Pre-Conference Workshops. Continuing Education Credits are available.

Be sure to review the lists of workshops below to see your full list of options.

When, Where, and How Much?

These workshops will be held the two days immediately preceding the ACBS World Conference XII.

Tuesday, June 17, 2014 - 9:00am-5:15pm
Wednesday, June 18, 2014 - 9:00am-5:15pm

They will be held at the Marriott City Center [684] in Minneapolis, Minnesota, USA.  You can find parking information for the venue here [688]. The Registration Desk will be on located on the 4th floor of the Marriott, by the Ballroom.

More general Registration information can be found here [771].

Pre-Conference Workshop Registration Rates (June 17-18, 2014)

Registration for this event is now closed.
Consider joining us in 2015 in Berlin! [250]

 

*The workshops below run concurrently, therefore please double check the dates of the pre-conference workshops you are interested in. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference). CE credits [681] are available.

 


Learn about the specific workshops below:

Full list of Pre-Conference Workshops

ACBS World Conference 12, Pre-Conference workshops

June 17-18, 2-day workshops:

  • Acceptance and Commitment Therapy: Using Mindfulness and Values to Make Powerful Life Enhancing Changes [772]

Robyn Walser, Ph.D.
(Clinical; Beginner, Intermediate)

  • An Experiential Introduction to Acceptance and Commitment Therapy (not just for beginners) [773]

Kelly Wilson, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Applying Contextual Behavioral Science Beyond the Clinic: Practical and Scientific Considerations [774]

Tony Biglan, Ph.D.
(Community Applications/ Relational Frame Theory; Intermediate, Advanced)

  • Exploring ways of doing ACT with kids and parents [775]

Nanni Presti M.D., Ph.D., Giovanni Miselli, Ph.D., & Ian Stewart, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Focused Acceptance and Commitment Therapy (FACT): Mastering The Basics [776]

Kirk Strosahl, Ph.D., Patti Robinson, Ph.D., & Thomas Gustavsson, M.Sc.
(Clinical, Behavioral medicine; Beginner, Intermediate, Advanced)

  • Functional Analytic Psychotherapy (FAP): Deepening Your Clinical Skills of Awareness, Courage, Therapeutic Love and Behavioral Interpretation [777]

Mavis Tsai, Ph.D., Robert Kohlenberg, Ph.D., & Jonathan Kanter, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • How to give your sessions IMPACT: Interpersonal Mindfulness Processes in Acceptance & Commitment Therapy [778]

Russ Harris, M.D.
(Clinical; Beginner, Intermediate, Advanced)

  • The Science of Compassion and ACT – Deepening a Compassionate Focus in Applied CBS [779]

Benjamin Schoendorff, MSc, & Dennis Tirch, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Wielding the Double-Edged Sword: How to Use Relational Frame Theory to Master Verbal Interactions, Experiential Exercises, and Metaphors in Therapy [780]

Matthieu Villatte, Ph.D., Jennifer Villatte, Ph.D., & Sonja Batten, Ph.D.
(Clinical, RFT; Intermediate, Advanced)


June 17, 1-day workshops:

  • Acceptance and Commitment Therapy: The Basics [781]

Matthew McKay, Ph.D., & Patricia Zurita Ona, PsyD
(Clinical; Beginner, Intermediate)

  • From ACT Gone Wild to Verbal Aikido: Exploring the Simplicity of the ACT Matrix [782]

Kevin Polk, Ph.D., & Mary Burkhart, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Let's talk about Sex: Integrating Acceptance and Commitment Therapy (ACT) and Functional Analytic Psychotherapy (FAP) to work therapeutically with sexual issues- Cancelled [783]

Aisling Curtin, Ph.D.
We apoligize, but this workshop has been cancelled due to unforeseen circumstance.

  • The Weight Escape Practitioner [784]

Joseph Ciarrochi, Ph.D.
(Behavioral medicine; Beginner, Intermediate)

  • Therapist use of self in ACT [785]

Helen Bolderston, Ph.D. & David Gillanders, DClinPsy.
(Clinical; Intermediate, Advanced)

  • Treatment Anxiety Disorders from a Contextual Behavioral Science Viewpoint [786]

Michael Twohig, Ph.D.
(Clinical; Intermediate)


June 18, 1-day workshops:

  • ACT Supervision: What the Func? [787]

Amy Murrell, Ph.D., & Rawya Al-Jabari, M.S.
(Training, Clinical; Beginner, Intermediate)

  • ACT in Groups [788]

Joann Wright, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Fear & Flexibility: Acceptance and Commitment Therapy for Anxiety and OCD -Spectrum Disorders in Children, Teens & Adults [789]

Lisa Coyne, Ph.D., Jeff Szymanski, Ph.D., & Denise Egan Stack, MA, LMHC
(Clinical; Beginner, Intermediate, Advanced)

  • RFT for clinical use [790]

Niklas Törneke, M.D., Yvonne Barnes-Holmes, Ph.D., & Carmen Luciano, Ph.D.
(Clinical; Relational Frame Theory, Advanced)

  • Using ACT to treat anorexia nervosa across the lifespan [791]

Ronda Merwin, Ph.D. & Ashley Moskovich, M.A.
(Clinical; Intermediate, Advanced)

  • Working with Acceptance, Mindfulness, and Values in Chronic Pain: An Introduction and Skills Building Seminar [792]

Kevin Vowles, Ph.D.
(Clinical, Behavioral medicine; Beginner, Intermediate)
 

2-day Pre-Conference Workshops June 17-18

[251]

Return to the main Pre-Conference Workshops page [678].

View the 1-day Pre-Conference Workshops on June 17 here [793].

View the 1-day Pre-Conference Workshops June 18 here [794].


Acceptance and Commitment Therapy: Using Mindfulness and Values to Make Powerful Life Enhancing Changes - Walser (Clinical; Beginner, Intermediate)

Acceptance and Commitment Therapy: Using Mindfulness and Values to Make Powerful Life Enhancing Changes

Workshop Leader:
Robyn D. Walser, Ph.D., University of California, Berkeley; NCPTSD
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

Acceptance and Commitment Therapy (ACT) is a model of behavioral treatment that emphasizes acceptance of emotion and thought while maintaining a focus on positive behavior change that is meaningful and consistent with personal values. ACT uses a variety of verbal, experiential and homework techniques plus mindfulness to help clients make experiential contact with previously avoided private events (thoughts, feelings, sensations), without excessive verbal involvement and control – and to make powerful life enhancing choices. This workshop will explore and demonstrate ACT techniques that may be broadly useful for intervening with multi-problem clients dealing with issues such as anxiety, substance abuse, depression, and human struggle. The workshop will provide clinicians with a basic understanding of ACT, and with personal experiences that will allow further development of these skills based on their application. We will focus on experiential work and include personal feedback, practice with ACT core processes skills, and have a little fun too!

About Robyn D. Walser:
Robyn D. Walser, Ph.D., is the Associate Director for dissemination of training at the National Center for PTSD at the Veterans Affairs Palo Alto Health Care System and an Assistant Clinical Professor at the University of California, Berkeley. She is a recognized expert in Acceptance and Commitment Therapy and has authored several books including Acceptance and Commitment Therapy for the Treatment of Post-Traumatic Stress Disorder, The Mindful Couple, and Learning ACT.
 
Learning Objectives:

The attendee will be able to:

1) Describe the psychopathological impact of experiential avoidance.
2) Describe how human language participates in suffering and effects our relationship with private internal experiences.
3) Describe how mindfulness is related to ACT.
4) Describe the major steps in ACT.
5) Describe how ACT techniques are broadly related to the therapeutic relationship.
6) Describe the role of personal values in guiding the work done in therapy.
7) Describe how acceptance can promote positive functioning.
8) Describe how ACT techniques are broadly useful for intervening with multi-problem patients.
9) Describe a basic understanding of ACT skills combined with personal experiences that will guide application of the therapy.
10) Help clients make powerful life enhancing choices through ACT processes. 

 
Target Audience: Beginner, Intermediate
 
Components: Conceptual analysis, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

An Experiential Introduction to Acceptance and Commitment Therapy (not just for beginners) - Wilson (Clinical; Beginner, Intermediate, Advanced)

An Experiential Introduction to Acceptance and Commitment Therapy (not just for beginners)

Workshop Leader:
Kelly G. Wilson, Ph.D., University of Mississippi
(Graduate Assistants: Lindsay Schnetzer, Kerry Whiteman, Solomon Kurz, Emily Jacobson, & Emmie Hebert)
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

In this workshop we will explore a question that is at the heart of ACT. The question is embodied in the six ACT processes described in the Hexaflex.
In this very moment, (present moment)
Will you (self-as-context)
Accept the sweet and the sad, (acceptance)
Holding lightly stories about what is possible, (defusion)
Be the author of a valued pattern of living, (values)
And turn gently, in kindness, toward your own life? (commitment)

As a treatment, ACT is based on a model that does not draw hard lines between sick and well, between client suffering and therapist suffering. We are not a different species than our clients. This is not to say that some lives, some struggles, are not harder than others. They certainly are. However, you can look deeply at your own lived suffering and struggles and find kinship with your most distraught client.

There is a source of suffering that is shared by language-able humans. The source of that suffering can be found in language itself and the way language works. This is not the only source of suffering, of course, but evidence is mounting that language processes are capable of compounding suffering. Humans seem to be the only creatures on the planet that don’t just suffer but also suffer that they suffer. Humans suffer that they have suffered in the past, and they suffer that they might suffer later.

How do we “save” ourselves from this abundance of suffering? We apply problem-solving mode of mind. This mode of mind has been marvelously fruitful in helping us to produce food, shelter ourselves from the elements, and avoid predators. Problem-solving mode of mind allows us to categorize, evaluate, and tell stories about anything and everything—including anything that exists, that did exist once, that might exist, and even things that could not possibly exit.

Many of our stories are quite useful. Consider stories about how to preserve food for the winter or stories about the value of vaccinations in disease prevention. Some are benign. For example, I have been reading science fiction for decades. But some stories we tell about ourselves about the world around us narrow the place we get to inhabit. Some stories describe limitations and necessities that squeeze us into tiny little life spaces. And once our stories effectively downsize our world, we try to make the best of those cramped quarters.

Have you ever looked deeply into your client’s eyes and seen someone who once dreamed that there would be more to life? Seen someone who just stopped dreaming because the world is just not that kind of place? Seen someone who stopped dreaming because they knew that they did not deserve more? Or, perhaps even sadder, never dreamed at all.

The people we call clients represent a subset of a greater human condition. Many, many of us live much, much smaller lives than we need to. ACT is based on a basic science that suggests that we can loosen the grip that these stories have us and, in doing so, make possible richer and more varied lives.

Join me for a couple of days and learn about ACT from the inside out. We will take an experiential walk around the hexaflex. We will learn ways to bring ourselves into the present moment. We will learn ways to accept the sweet and the sad. We will learn ways to let go of limiting stories about ourselves and about the world around us. We will learn to intentionally author a valued direction. And, finally, we will practice the lovely human art of returning in kindness to our own lives.

About Kelly G. Wilson:
Kelly G. Wilson, Ph.D., is an Associate Professor of psychology at the University at Mississippi. He is Past President of the Association for Contextual Behavioral Science. Wilson has devoted himself to the development and dissemination of ACT and its underlying theory and philosophy for the past 20 years, and has published numerous articles and chapters, as well as 6 books including Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change and his newest books Mindfulness for Two and Things Might Go Terribly, Horribly Wrong. He has central interests in the application of behavioral principles to understanding topics such as purpose, meaning and values, therapeutic relationship, and mindfulness. Wilson is the founder of Onelife Education and Training, LLC and has presented workshops and provided consultancy in 20 countries.
 
Learning Objectives:

1. Attendees will be able to identify the six dimensions of the ACT model of psychological flexibility.
2. Attendees will be able to describe two major obstacles to valued living from an ACT perspective.
3. Attendees will be able to describe an ACT approach to negative cognition about self.
4. Attendees will be able to use "birds of a feather" worksheets to promote delusion.
5. Attendees will be able to use "how does your garden grow" worksheets to promote development of valued patterns.
6. Attendees will be able to use the "whole life garden" worksheets to promote development of valued patterns.
7. Attendees will be able to use "values feeding values" worksheets to resolve values conflicts.
8. Attendees will be able to use mindfulness processes in interviewing in order to deepen experiencing of values and committed action work.
9. Attendees will be able to enhance delusion and acceptance by the addition of perspective taking questions.
10. Attendees will be able to facilitate compassion and self compassion focused practices within clinical interviews.

 
Target Audience: Beginner, Intermediate, Advanced, Clinical, Research
 
Components: Experiential exercises, Didactic presentation
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Applying Contextual Behavioral Science Beyond the Clinic: Practical and Scientific Considerations - Biglan & Lee (Community Applications/ Relational Frame Theory; Intermediate, Advanced)

Applying Contextual Behavioral Science Beyond the Clinic: Practical and Scientific Considerations

Workshop Leaders:
Anthony Biglan, Ph.D., Oregon Research Institute
Jean Lee, M.S., Oregon Research Institute
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

Human behavior dominates the planet, often with adverse consequences for individuals, families, groups, and whole communities. As a species, humans represent an evolutionary paradox as both the principle vertebrate predator and protector of its own species. Contextual behavioral science offers the best analysis of this paradox to date, and offers the best potential experimental science for improving our own condition. For the most part, contextual behavioral science has been used clinically to remediate problematic human behaviors. Another possibility exists: using contextual behavioral science to protect and improve human wellbeing at an organizational, community, national and even world level. This possibility is consilient with human history of using empirical advances to improve our wellbeing, although imperfectly.

In this workshop, we will review the currently proven tools, scientific principles, examples of using contextual behavioral psychology, and ethical principles for population-level change. Foundational thinking for this workshop can be found in a series of publications (1-7). In this workshop, we will explore with participants:

  • Understanding a Public Health Framework, and generally what a public health framework looks like compared to clinical treatments and how CBS can contribute to the movement toward public health approaches.
  • Examine how CBS knowledge about the behavior of individuals:
  • Might take a developmental perspective and describe key developmental milestones and the context that facilitates “successful” or problematic development.
  • Might be changed by CBS clinical and preventive interventions that can affect wellbeing at multiple levels
  • Mapping the generic features or nurturing environments, which might be impacted by evidence-based kernels, strategies and evidence-based programs congruent with CBS.
  • Framing larger social context of selection by consequences on direct and indirect impact on human development:
  • Examples of direct: marketing
  • Example of indirect: effect of poverty on family stress
  • Exploring evidence-based policy interventions that reflect CBS thinking
  • Mapping interventions that are designed to affect entire populations (e.g., Triple P, Reward & Reminder) for core principles that can be staged for CBS–based or related strategies (e.g., PAX GBG for states/provinces) with the possibility of population-level effects.
  • Using successful models to develop and ACT interventions for population-level health (e.g., what if CBS created an ACT-based TV strategy tested in the San Francisco Depression TV program to reduce depression.
  • Creating a mass movement across North America, Europe, and other settings.

References Cited

1) D. S. Wilson, S. C. Hayes, A. Biglan, D. D. Embry, Evolving the Future: Toward a Science of Intentional Change. Brain and Behavioral Sciences, (2014).
2) A. Biglan, D. D. Embry, A Framework for Intentional Cultural Change. Journal of Contextual Behavioral Science, (in press).
3) Department of Health and Human Services, Best Intentions are Not Enough: Techniques for Using Research and Data to Develop New Evidence-Informed Prevention Programs (1317, 2013 http://aspe.hhs.gov/hsp/13/KeyIssuesforChildrenYouth/BestIntentions/rb_bestintentions.cfm).
4) A. Biglan, B. R. Flay, D. D. Embry, I. N. Sandler, The critical role of nurturing environments for promoting human well-being. American Psychologist 67, 257-271 (2012)10.1037/a0026796).
5) D. D. Embry, Behavioral Vaccines and Evidence-Based Kernels: Nonpharmaceutical Approaches for the Prevention of Mental, Emotional, and Behavioral Disorders. Psychiatric Clinics of North America 34, 1-34 (2011)10.1016/j.psc.2010.11.003).
6) D. D. Embry, A. Biglan, Evidence-Based Kernels: Fundamental Units of Behavioral Influence. Clinical Child & Family Psychology Review 11, 75-113 (2008); published online EpubSeptember, 2008 (10.1007/s10567-008-0036-x).
7) D. D. Embry, Community-Based Prevention Using Simple, Low-Cost, Evidence-Based Kernels and Behavior Vaccines. Journal of Community Psychology 32, 575 (2004).

About Anthony Biglan:
Anthony Biglan, Ph.D., is a Senior Scientist at Oregon Research Institute and the Co-Director of the Promise Neighborhood Research Consortium. He has been conducting research on the development and prevention of child and adolescent problem behavior for the past 30 years. His work has included studies of the risk and protective factors associated with tobacco, alcohol, and other drug use; high-risk sexual behavior; and antisocial behavior. He has conducted numerous experimental evaluations of interventions to prevent tobacco use both through school-based programs and community-wide interventions. And, he has evaluated interventions to prevent high-risk sexual behavior, antisocial behavior, and reading failure.
 
In recent years, his work has shifted to more comprehensive interventions that have the potential to prevent the entire range of child and adolescent problems. He and colleagues at the Center for Advanced Study in the Behavioral Sciences published a book summarizing the epidemiology, cost, etiology, prevention, and treatment of youth with multiple problems (Biglan et al., 2004). He is a former president of the Society for Prevention Research. He was a member of the Institute of Medicine Committee on Prevention, which recently released its report documenting numerous evidence-based preventive interventions that can prevent multiple problems. As a member of Oregon’s Alcohol and Drug Policy Commission, he has helped to develop a strategic plan for implementing comprehensive evidence-based interventions throughout Oregon.
 
About Jean Lee:
Jean Lee is a researcher at Oregon Research Institute and received a MS from the University of Oregon. She has been a part of applied research looking at neuroimaging and basic physiological measurements focused on the effects of mindfulness and meditation on stress reduction and human factors. Recently her work has included interventions working with parents and adolescents in group and community settings.
 
Learning Objectives:

The attendee will be able to:

1) Identify the multiple levels of how selection by consequences operates to change behavior in cultural contexts.
2) Provide three examples of each the four-types of evidence-based kernels.
3) Identify how Relational Frame Theory was used in two case examples taught.
4) Map the four principles of the nurturing environments model to case examples on non-clinical applications.
5) Design an improvement strategy using principles taught for an existing non-clinical program or practice.
6) Summarize how strategies presented could be applied in participants’ community.
7) Participate in a “design team” to solve a new population level, behavioral problem in different world contexts that could be tested.
8) Consider one or more projects that could be tested across multiple contexts by persons present to improve valued outcomes.
9) Describe how Relational Frame Theory is the same or different across individual, dyadic, small group, and large group contexts.
10) Make and present a plan to use the strategies from this work to a personal problem of interest.

Participants will benefit by reading some papers beforehand available online:

Wilson, D. S., Hayes, S. C., Biglan, A., & Embry, D. D. (2014). Evolving the Future: Toward a Science of Intentional Change. Brain and Behavioral Sciences, in press.

Biglan, A., Flay, B. R., Embry, D. D., & Sandler, I. N. (2012). The critical role of nurturing environments for promoting human well-being. American Psychologist, 67(4), 257-271. doi: 10.1037/a0026796

Embry, D. D., & Biglan, A. (2008). Evidence-Based Kernels: Fundamental Units of Behavioral Influence. Clinical Child & Family Psychology Review, 11(3), 75-113. doi: 10.1007/s10567-008-0036-x

 
Target Audience: Intermediate, Advanced, Research
 
Components:  Original data, Experiential exercises, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Exploring ways of doing ACT with kids and parents - Presti, Miselli, & Stewart (Clinical; Beginner, Intermediate, Advanced)

Exploring ways of doing ACT with kids and parents

Workshop Leaders:
Giovambattista Presti, M.D., Ph.D., University Kore, Enna (Italy)
Giovanni Miselli, Ph.D., IESCUM (Italy)
Ian Stewart, Ph.D., NUI Galway (Ireland)
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

Acceptance and Commitment Therapy (ACT) was originally developed mainly for and with verbally competent adults. However there is nothing in the clinical model and in Relational Frame Theory (RFT), the underline theory of language and cognition, that suggests it might not be effective with verbally competent children or younger adults. ACT therapy with kids does not depart from the traditional hexaflex based protocols. However some tweaks are necessary to metaphors and experiential exercises. To create clinically meaningful context of changes it is necessary to (re)create overarching verbal environments familiar to children. The tweaks used in the clinical examples that will be illustrated and discussed are inspired to tales and stories that kids learn to love. Tales (verbal contexts) can also be purposefully built from scratch to vehicle metaphors and experiential exercises that may promote change.

Within the family context changes can be promoted also by working with parents too. ACT based interventions offer a wide arrays of tools that are flexible enough to place an intervention within the continuum that goes from kids to parents, so that the Therapist can define the level of intervention that the circumstances request.

This workshop will explore how ACT can be applicable to help children and parents develop psychological flexibility and get unstuck from the functionally same language traps that catch children as well adults. During workshop contribution from audience will also be encouraged. Data derived from clinical cases will also be discussed and reviewed to examine how experiential avoidance arises in children while language develops, with the same effects as in adults. An RFT based explanation of psychopatological processes and clinical intervention will be offered to help clinicians develop their own tools and tailor ACT therapy on their client characteristics.

About Giovambattista Presti:
Giovambattista (Nanni) Presti, is a physician, a psychotherapist and behavior analyst. He is Associate Professor of Psychology at Kore University in Enna (Italy). He has interest in basic and applied research and has worked extensively with kids in educational and clinical settings. In the last 5 years he has worked at the Clinical Specialization School in Milan for kids and adolescents with his supervisees in developing experiential exercises, metaphors and models for applying Acceptance and Commitment Therapy to these populations.

About Giovanni Miselli:
Giovanni Miselli, Ph.D., is a Clinical Psychologist and a Psychotherapist. Graduated from Parma University he completed his PsyD at ASCCO in Parma and his Ph.D. at IULM University in Milan. Currently serves in the Italian NHS Program for Autism and DGS working with Family and Children. He is a member of the Board of IESCUM, the ABA International Italian Chapter, a Charter Member of the Association for Contextual Behavioral Science, and ACT-Italia (ACBS Italian Chapter) First President, is actively involved in the application and research of Acceptance and Commitment Therapy in Italy since 2005. From the beginning of his training in University he studies the processes and applications of behavior analysis to clinical settings and training.
 
About Ian Stewart:
Ian Stewart received a BA from NUI Galway, a first class honours Higher Diploma in Psychology from University College Cork and a PhD from NUI Maynooth (NUIM). Having completed his PhD, he spent one further year at NUIM conducting postdoctoral research and he was appointed to the staff at NUI Galway in August, 2002. His current research focuses on the analysis of language and cognition from a behaviour analytic and more specifically Relational Frame Theory (RFT) perspective.
 
Learning Objectives:

1. Make an ACT case conceptualization referred to kids and parents
2. Apply ACT based metaphors and experiential exercises to kids
3. Elaborate their own metaphors and experiential exercises to kids
4. Understand child psychopathology in RFT terms
5. Plan ACT based protocols for parents and kids
6. Understand how RFT can be used to strengthen the clinical practice
7. Design clinical interventions with kids and parents
8. Build hierarchies of reinforcers from edible to social to values to work with kids
9. Work along the continuum of traditional behavioral interventions for kids and ACT
10. Integrate working with both kids and parents in one unique effective framework

 
Target Audience: Beginner, Intermediate, Advanced
 
Components: Original data, Experiential exercises, Didactic presentation, Case presentation
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Focused Acceptance and Commitment Therapy (FACT): Mastering The Basics - Strosahl, Robinson, & Gustavsson (Clinical, Behavioral medicine; Beginner, Intermediate, Advanced)

Focused Acceptance and Commitment Therapy (FACT): Mastering The Basics

Workshop Leaders:
Kirk Strosahl, Ph.D., Central Washington Family Medicine
Patricia Robinson, Ph.D., Mountainview Consulting Group
Thomas Gustavsson, M.Sc., HumanAct
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

This two-day pre-conference workshop is designed to help you learn basic FACT assessment, case formulation and intervention skills. We will first conduct a quick overview of evidence supporting brief interventions and evidence suggesting that clients prefer briefer interventions. The bulk of the workshop will focus on teaching participants basic assessment and intervention skills that support delivery of Focused Acceptance and Commitment Therapy. Participants will learn to conceptualize FACT Interventions using the Psychological Flexibility Profile and to plan interventions using the Four Square Tool. Additionally, participants will learn about use of FACT in groups. Didactic lectures, experiential exercises, small group exercises roleplays and live clinical demonstrations will be used to demonstrate core FACT skills.

About Kirk Strosahl:
Dr. Strosahl obtained his Ph.D. in Clinical Psychology from Purdue University in 1981. He is one of the founders of Acceptance and Commitment Therapy and specializes in the application of ACT as a brief intervention. He continues to work as a practicing clinician, working side by side with Family Medicine Physicians in daily practice at Central Washington Family Medicine, in Yakima, Washington. His work extends well beyond the application of ACT principles in brief interventions. He has been a key influence in the movement to the redesign of the United States primary care system. He has consulted extensively with both public and private health and mental health care systems on the design and implementation of clinically effective models integrative behavioral care. He also served as the lead consultant for the HRSA Bureau of Primary Health Care, Managed Care Technical Assistance Program, and has helped community health centers across the nation both design and implement primary care behavioral health integration programs. Dr. Strosahl is the author of numerous articles on the subjects of primary care behavioral health integration, outcome assessment in behavioral health and the use of practice guidelines and other empirically based methods in clinical practice. He has also co-authored professional and self-help books on the brief applications of ACT, including Brief Interventions for Radical Change: Principles and Practice of Focused Acceptance and Commitment Therapy. (Robinson & Gustavsson, co-authors, 2012, New Harbinger Publications).

About Patricia Robinson:
Patricia J. Robinson, Ph.D., is an ACT practitioner and trainer who has focused on use of ACT in primary care settings for over twenty years. Current activities include providing consultation services to health care systems that are (1) integrating behavioral health services into primary care and attempting to create a Patient Centered Medical Home (PCMH); (2) increasing use of ACT as a team-based treatment in the PCMH, and (3) seeking to apply ACT to improve primary care treatment outcomes for patients with chronic disease, distressed children and families, underserved populations and clinicians stressed by current day practice challenges. She is an author of numerous articles and book chapters and has published eight books, including In This Moment: Five Steps to Transcending Stress Using Mindfulness and Neuroscience, Brief Interventions for Radical Change: Principles and Practice of Focused Acceptance and Commitment Therapy, Real Behavior Change in Primary Care: Improving Patient Outcomes and Increasing Job Satisfaction (New Harbinger, 2010), Behavioral Consultation and Primary Care: A Guide to Integrating Services (with Jeffrey T. Reiter) (Springer, 2007) (Second edition expected Summer 2014).
 
About Thomas Gustavsson:
Thomas Gustavsson, M.Sc, and clinical psychologist has worked with brief interventions based on ACT and other contemporary behavior therapies within different organizations for the last 10 years. He is one of the founders of Psykologpartners, a fast growing company working with consulting services both for health care services and others. During the last 6-7 years main focus has been on developing brief interventions in psychiatric clinics for clients with self harming, eating disorders, anxiety and depression. One of the concepts developed and evaluated in psychiatric care is trans diagnostic group therapy. A model that increases availability to treatment and shortens time on waiting list for clients. That model has been trained in numerous workshops in Swedish health system and implemented in different settings. Besides this work Thomas has been working with training, supervision and clinical work based on ACT and behavior therapy.
 
Learning Objectives:

Attendees will be able to:

1) Gain evidence pertaining to radical change in therapy
2) Practice brief approaches to assessment and clinical reframes
3) Utilize brief, accurate case formulation strategies
4) Plan powerful interventions to improve client openness, awareness and engagement and promote motivation to change
5) Demonstrate FACT interventions with common clinical problems
6) Apply FACT in a group setting
7) Appreciate the art and science of reframing operations in therapy
8) Demonstrate use of the life path intervention to enhance motivation to change
9) Use the bulls-eye planning tool to support brief intervention
10) Demonstrate the use of in-session assessment questions to track progress and refine treatment

 
Target Audience: Beginner, Intermediate, Advanced
 
Components: Conceptual analysis, Literature review, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Functional Analytic Psychotherapy (FAP): Deepening Your Clinical Skills of Awareness, Courage, Therapeutic Love and Behavioral Interpretation - Tsai, Kohlenberg, & Kanter (Clinical; Beginner, Intermediate, Advanced)

Functional Analytic Psychotherapy (FAP): Deepening Your Clinical Skills of Awareness, Courage, Therapeutic Love and Behavioral Interpretation

Workshop Leaders:
Mavis Tsai, Ph.D., Independent Practice & University of Washington
Robert J. Kohlenberg, Ph.D., ABPP, University of Washington
Jonathan Kanter, Ph.D., University of Washington
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

Whether you are new to FAP or have had previous training, this workshop will deepen the emotional intensity, power and interpersonal focus of your therapeutic work. Using awareness, courage, and therapeutic love (behaviorally defined), FAP augments the impact of treatment by focusing on the special therapeutic opportunities presented by the subtle ways that clients' daily life problems occur in the therapy session.

A conceptual and practical framework will be provided that will help super-charge your next therapy session. Content will include videotaped therapy sessions, experiential exercises, demonstrations and handouts that can be used with clients. Experiential work will be book-ended with clear behavioral rationales and how the exercises can be relevant to your clinical work and life.

The behavioral underpinnings of FAP facilitate its use with other treatments and calls for therapeutic stances and techniques that no single therapeutic orientation would predict and is intended to help answer the perennial and elusive key question: "What is the theoretically sound basis for selecting the technique that is most appropriate for a particular client at a certain time, As a fellow traveler with functional contextual underpinnings, FAP is coherent with ACT and the workshop will include ways to blend these two treatments.

The vision of this workshop is not only to enhance your competence in FAP, but to bring more intimacy and joy into your life by deepening your awareness of the immediate, present moment experience, exploring with compassion the deeper recesses of your true self, giving you opportunities to engage in courageous actions to express your true self more whole-heartedly, and to facilitate this growth in others.

About Mavis Tsai:
Mavis Tsai, Ph.D., is a psychologist in independent practice and a clinical instructor at the University of Washington where she is involved in supervision and research. The list of publications and presentations by Dr. Tsai indicates the breadth of her expertise and includes work on healing PTSD interpersonal trauma with FAP, disorders of the self, power issues in marital therapy, incorporating Eastern wisdom into psychotherapy, racism and minority groups, teaching kids to be peace activists, and women’s empowerment via reclaiming purpose and passion. She has led numerous workshops nationally and internationally and is known for her engaging interpersonal style as well as her behaviorally informed multi-modal approach to healing and growth that integrates mind, body, emotions, and spirit.

About Robert Kohlenberg:
Robert Kohlenberg, Ph.D., ABPP, is a professor of psychology at the University of Washington where he was the Director of Clinical Training from 1997 – 2004. The WA State Psychological Association honored him with a Distinguished Psychology Award in 1999. He has presented “Master Clinician” and “World Round” sessions at the Association for the Advancement of Behavior Therapy and has published papers on migraine, OCD, depression, intimacy of the therapeutic relationship, and a FAP approach to understanding the self. He has presented FAP workshops both in the US and internationally. He has received research grants for FAP treatment development, and his current interests are identifying the elements of effective psychotherapy, the integration of psychotherapies, and the treatment of co-morbidity. He and Dr. Tsai are co-authors of Functional Analytic Psychotherapy: A guide for creating intense and curative therapeutic relationships. New York: Plenum. (1991).
 
About Jonathan Kanter:
Jonathan Kanter, Ph.D., is a Functional Analytic Psychotherapy Term Professor at the University of Washington. His research covers FAP, Behavioral Activation, and stigma related to depression. He has written numerous articles on FAP and provided workshops to student and professional audiences. He is the author of over 50 peer-reviewed articles and book chapters and has edited or co-authored 5 books, including “A Guide to Functional Analytic Psychotherapy: Awareness, Courage, Love, and Behaviorism.”
 
Learning Objectives:

1. Understand the basic FAP techniques and what it takes to become fully competent in FAP.
2. Describe awareness, courage and therapeutic love in behavioral terms and practice these behaviors in the workshop.
3. Increase intensity and connection in your therapeutic relationships.
4. Understand the basic functional analytic underpinnings of FAP and the relationship between functional analysis and clinically relevant behaviors (CRBs).
5. Learn how to recognize and therapeutically respond genuinely to client in-session problematic behaviors.
6. Make the hidden meanings of your clients' communications more visible.
7. Identify and address what you avoid in the moment and with your clients.
8. Learn when commonly used interventions can be inadvertently counter-therapeutic.
9. Describe FAP’s functional contextual view of awareness, courage and therapeutic love, and how it maps onto ACT processes.
10. Explore and express the deeper recesses of your true self; see more clearly your behaviors that distance others versus those that invite closeness.

 
Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components: Conceptual analysis, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

How to give your sessions IMPACT: Interpersonal Mindfulness Processes in Acceptance & Commitment Therapy - Harris (Clinical; Beginner, Intermediate, Advanced)

How to give your sessions IMPACT: Interpersonal Mindfulness Processes in Acceptance & Commitment Therapy

Workshop Leader:
Russ Harris, M.D., Private Practice
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

How to turbo-charge your ACT sessions through a focus on interpersonal mindfulness processes.

The therapeutic relationship is of primary importance in ACT. The ACT therapist aims to build authentic, caring and deeply-connected relationships with her clients, with an emphasis on courage, compassion, and willing vulnerability. The ACT model also encourages therapists to disclose their authentic emotional & psychological responses to client behavior - as it occurs, moment-to-moment, in the session - in order to model, instigate and reinforce psychological flexibility.

The therapeutic relationship can also provide a powerful model for addressing other relationship issues that occur outside the therapy room.
Unfortunately, most ACT textbooks and trainings under-emphasize this important and essential interpersonal aspect of the model. In order to address this issue, this workshop will introduce you to IMPACT: Interpersonal Mindfulness Processes in ACT. Through demonstration, role play and experiential exercises, you will gain a thorough overview of the four key strategies for IMPACT:

1. WHAT’S GOING ON?
A mindful focus on the therapeutic relationship, and what is happening within it, in order to develop a) general ACT skills and b) specific relationship skills, which can be transferred to other important relationships. The therapist notices and comments on what is happening in the therapeutic relationship - and encourages the client to do the same. (I notice X, Y, Z. What do you notice?)

2. WHAT’S SHOWING UP?
Judicious use of therapist self-disclosure in order to interrupt unworkable behavior and reinforce more workable behavior. The therapist frequently discloses genuine thoughts and feelings that are ‘showing up’ in response to the client’s in-session behavior – and encourages the client to do the same. (I’m feeling/thinking X, Y, Z. What are you feeling/thinking?)

3. HOW’S THIS WORKING?
The mindful and compassionate assessment of the client’s in-session behaviour, in terms of how it affects the therapeutic relationship. (Is this a ‘towards move’ or an ‘away move’; improving or impairing the relationship?)

4. HOW CAN YOU USE THIS?
Helping the client to use her new ACT skills & interpersonal skills in session, and transfer them to other relationships outside the therapy room

By the end of this workshop, you will know:
• How to do all the core ACT processes through overtly and mindfully focusing on what is happening in the relationship between therapist and client – on a moment-to-moment basis, as it occurs in the session
•How to overtly use the therapeutic relationship as a model to build vital relationship skills and address other relationship issues that occur outside the therapy room
•How to use authentic self-disclosure of a) your values and b) your own emotional and psychological reactions to the client’s in-session behavior, in order interrupt unworkable behavior and reinforce more workable behavior, thereby increasing psychological flexibility 

About Russ Harris:
Russ Harris is a medical practitioner, psychotherapist, and leading expert in acceptance and commitment therapy (ACT). His books include ACT with Love, ACT Made Simple, The Confidence Gap, and The Happiness Trap, which has now been translated into twenty-two languages. He lives in Melbourne, Australia, and travels internationally to train mental health professionals in the ACT approach.
 
Learning Objectives:

The attendee will be able to:

1) Build authentic, caring and deeply-connected relationships with clients
2) Gain permission to comment on what is happening in the relationship
3) Emphasise courage, compassion, and willing vulnerability in the therapeutic relationship
4) Do all the core ACT processes through overtly and mindfully focusing on what is happening in the relationship between therapist and client – on a moment-to-moment basis, as it occurs in the session
5) Overtly use the therapeutic relationship as a model to build vital relationship skills and address other relationship issues that occur outside the therapy room
6) Use authentic self-disclosure of a) your values and b) your own emotional and psychological reactions to the client’s in-session behavior, in order interrupt unworkable behavior and reinforce more workable behavior, thereby increasing psychological flexibility
7) Give negative feedback compassionately and non-judgmentally to the client
8) Effectively address highly problematic interpersonal in-session behaviours, such as agression or silence
9) Overcome your own psychological barriers to using the IMPACT approach
10) Flexibly use the four basic IMPACT questions in conjunction with any other ACT tool or technique

 
Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components: Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

The Science of Compassion and ACT – Deepening a Compassionate Focus in Applied CBS - Schoendorff & Tirch (Clinical; Beginner, Intermediate, Advanced)

The Science of Compassion and ACT – Deepening a Compassionate Focus in Applied CBS

Workshop Leaders:
Benjamin Schoendorff, MSc, Montreal University Mental Health Research Center
Dennis Tirch, Ph.D., Cornell Weill Medical College
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

Recent advances in psychological research, theory and practice have suggested that compassion may be a significant, active process in psychotherapy effectiveness. This two day clinical/experiential workshop is specifically designed to help ACT practitioners deepen their understanding and practice of compassion. Participants will learn an evolutionary model of compassion grounded in Compassion Focused Therapy (CFT), Functional Analytic Psychotherapy (FAP) and psychological flexibility. Direct, experiential exercises, including a range of CFT imagery practices, will invite participants into contact with their compassionate minds. Using FAP derived practices for shaping a compassionate therapeutic relationship, participants will learn the fundamentals of a relational approach to developing compassion for others, and for themselves. Participants will learn how cultivating compassion can undermine fusion with shame based self-criticism, help address the narrowing influence of threat based behavioral patterns, and how the experience of compassionate courage can help to mobilize us to move towards lives of greater meaning and vitality. Integrating a range of contextual approaches, this workshop has its roots in basic behavioral science, affective neuroscience, and applied functional contextualism. In addition to didactic learning, video examples, and role-play exercises, participants will be introduced to the foundational research in the science of compassion. This workshop is well suited to ACT therapists wishing to integrate work with self-compassion into their practice, clinicians seeking to further their training in CFT, and scientist-practitioners seeking to further our comprehension and command of the science of compassion.

About Benjamin Schoendorff:
Benji is a peer-reviewed international ACT trainer and a certified FAP trainer. He is the author and coauthor of several books and chapters on ACT, FAP and the integration of ACT and FAP. Over the past few years he has led or coled close to a hundred workshops in France, Canada, the USA, Australia, Switzerland, Brazil, Argentina, the Netherlands, Itlay, Belgium, Sweden and Denmark. He has trained psyhcotherapists, psychologists, psychiatrists, social workerrs, nurses, dieticians, coaches in diverse settings: universities, hospitals, research centers and private institutions. He is currently editing with Kevin Polk PhD the first English-language book about the ACT matrix for New Harbinger publications (due out in february 2014), co-writing with Dennis Tirch PhD and Laura Silberstein PsyD a book on ACT and self-compassion for New Harbinger and writing a French-language FAP manual for Masson (Paris).

About Dennis Tirch:
Dr. Dennis Tirch is the Associate Director of the American Institute for Cognitive Therapy and Director of The Center for Mindfulness and Compassion Focused CBT in NY. He also teaches at Weill-Cornell Medical Center. Dr. Tirch is the author of four books, including The Compassionate Mind Approach to Overcoming Anxiety. Dr. Tirch is a founding member and Co-President of the New York City Chapter of the Association for Contextual Behavioral Science. More information can be found at mindfulcompassion.com.
 
Learning Objectives:

1. Participants will learn the relationship between fundamental psychological flexibility processes and the cultivation of compassion.
2. Participants will learn how the evolutionary model of compassion found within CFT can be integrated into ACT in theory and practice.
3. Participants will learn how to give an account of self-compassion in terms of relational frame theory
4. Participants will operationalize the emergence of human compassion in evolutionary terms, involving our attachment responses,
affiliative emotions, and human cooperative behaviors.
5. Participants will practice a variety of mindfulness and compassion focused exercises.
6. Participants will practice a number of compassion based intervention strategies for addressing problems related to shame and self-criticism.
7. Participants will learn how to use the therapeutic relationship focus of FAP to shape compassion and self-compassion.
8. Participants will learn how to use the ACT matrix to foster compassion and self-compassion
9. Participants will learn how to assess compassion and self-compassion skills in clients and in themselves
10.Participants will engage in specific exercises designed for self-practice and self-reflection for therapists, in the service of cultivating their own compassionate mind training.

 
Target Audience: Beginner, Intermediate, Advanced, Clinical, Research
 
Components: Conceptual analysis, Literature review, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Wielding the Double-Edged Sword: How to Use Relational Frame Theory to Master Verbal Interactions, Experiential Exercises, and Metaphors in Therapy - M. Villatte, J. Villatte, & Batten (Clinical, RFT; Intermediate, Advanced)

Wielding the Double-Edged Sword: How to Use Relational Frame Theory to Master Verbal Interactions, Experiential Exercises, and Metaphors in Therapy

Workshop Leaders:
Matthieu Villatte, Ph.D., Evidence-Based Practice Institute
Jennifer Villatte, Ph.D., University of Washington
Sonja Batten, Ph.D., Department of Veterans Affairs (VA)
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 13
 
Workshop Description:

Acceptance and Commitment Therapy (ACT) and other contextual behavioral therapies emphasize the use of experiential techniques to undermine the problematic impact of language and thinking processes, which can lead to experiential avoidance, cognitive inflexibility, and insensitivity to new and changing contexts. But language is not only a weapon; it is a powerful tool that can foster a flexible sense of self, build meaning and purpose, enhance and sustain motivation, and promote adaptive responses to an ever-changing world. From this perspective, language is not only a vehicle for delivering therapeutic interventions, it is a powerful intervention in its own right.

Relational Frame Theory (RFT) is a contextual behavioral account of human language and cognition that provides a framework for therapists and their clients to harness these key psychological processes in the service of living well. This workshop will provide a pragmatic framework for understanding the role of language in psychological functioning and how RFT principles can be used to strengthen therapeutic alliance, activate behavior change, and enhance generalization of therapeutic progress beyond the therapy room. We will show you how to activate experiential processes on the fly, in the course of natural and fluid interactions- including those built around silence, introspection, and emotional intimacy. This training will thus focus on ways to speak and listen in the therapy room that increase clients’ awareness, flexibility, and autonomy. The structure of the training is designed to build expert performance, not just knowledge. Didactic presentations will be skills-focused and opportunities for deliberate practice with informative feedback will be emphasized. Workshop exercises will include opportunities to practice clinical case analysis, to observe therapeutic demonstrations, and to actively participate in role plays.

Target Audience: This is an intermediate to advanced training for professionals of any discipline who are interested in broadening and building their core therapeutic skills. Though we believe RFT is useful in training novices, this workshop will be tailored to the unique learning needs of more experienced clinicians. However, ACT expertise is not necessary and practitioners using other 3rd wave therapies (e.g. DBT, MBCT) will find the material relevant and readily integrated into these models. The content of the training is broadly applicable to practitioners working with any population in any treatment setting, including education, business, and medicine. Participants who have previously attended our clinical RFT workshops will discover new topics, videos, exercises, and examples.

After completion of this training, participants will be able to:
1. Use RFT principles to enhance clients’ experiential skills through natural, less structured verbal interactions.
2. Use RFT principles to create, adapt, and deliver therapeutic metaphors that are personalized to the client.
3. Use RFT principles to select, create, and deliver practice exercises that enhance experiential learning and minimize over-compliance or resistance.

About Matthieu Villatte:
Matthieu Villatte is a Research Scientist at the Evidence Based Practice Institute of Seattle. He is an ACBS peer-reviewed ACT trainer who has facilitated workshops focusing on clinical applications of RFT in the US, Canada, Australia, and Europe. He obtained his Ph.D. in France, with an emphasis on clinical behavior analysis and relational frame theory, and completed a post-doctoral fellowship at the University of Nevada, Reno under the mentorship of Steve Hayes. He is the co-author of the first ACT manual published in French and is associate editor of the Journal of Contextual Behavior Science. His upcoming book, The Language of Psychotherapy: Strengthening Your Clinical Practice with Relational Frame Theory, is co-authored by Jennifer Villatte and Steve Hayes and will be released by Guilford Press.

About Jennifer Villatte:
Jennifer Villatte is an NIMH postdoctoral fellow at the University of Washington’s Center for Healthcare Improvement for Addictions, Mental Health, and Medically Vulnerable Populations. She received her doctorate in clinical psychology under the mentorship of Steve Hayes at the University of Nevada, Reno and specializes in the treatment of chronic suicidality and interpersonal problems. Her research focuses on improving the public health impact of behavioral interventions through evidence-based training and implementation practices. She has served on the ACBS board of directors, is a founding member of the Research in Clinical Practice SIG, and currently serves on the Training Task Force and Developing Nations Committee.
 
About Sonja Batten:
Sonja Batten is a clinical psychologist with extensive experience in traumatic stress, postdeployment psychological health, substance use disorders, and women’s health. She has many years of experience in the Department of Veterans Affairs (VA), working on national mental health policy for United States veterans. Sonja has been active in the ACT community for almost two decades, providing ACT training in the United States and internationally for the past 15 years. She is one of the original ACT trainers recognized by the Association for Contextual Behavioral Science, is currently President of ACBS, and is the author of the well-received text, Essentials of Acceptance and Commitment Therapy.
 
Learning Objectives:

1. Use RFT principles to enhance clients’ experiential skills through natural verbal interactions.
2. Use RFT principles to create therapeutic metaphors that are personalized to the client.
3. Use RFT principles to deliver therapeutic metaphors.
4. Use RFT principles to select and create exercises that enhance experiential learning and minimize over-compliance or resistance.
5. Use RFT principles to deliver experiential exercises.
6. Use RFT principles to integrate diverse treatment techniques, components, and modalities from various clinical models into a coherent framework.
7. Use RFT principles to foster therapeutic alliance based on experience, trust, and intimacy.
8. Use RFT principles to foster meaning and motivation.
9. Use RFT pricinples to foster a flexible sense of self.
10. Use RFT principles to activate and shape behavior change.

 
Target Audience: Intermediate, Advanced, Clinical
 
Components: Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

1-day Pre-Conference Workshops June 17

[251]

Return to the main Pre-Conference Workshops page [678].

View the 1-day Pre-Conference Workshops on June 18 here [796].

View the 2-day Pre-Conference Workshops June 17-18 here [797].


Acceptance and Commitment Therapy: The Basics - McKay & Zurita Ona (Clinical; Beginner, Intermediate)

Acceptance and Commitment Therapy: The Basics

Workshop Leaders:
Matthew McKay, Ph.D., The Wright Institute
Patricia Zurita Ona, Psy.D., The Wright Institute
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

This workshop is an introduction to Acceptance and Commitment Therapy (ACT). Using powerful mindfulness and acceptance based processes, the workshop focuses on ACT as a universal treatment for emotional disorders. We will cover case conceptualization from an ACT perspective, treatment order and planning, and how to use all six ACT treatment processes (mindfulness, self-as-context, defusion, acceptance, values, and committed action). The focus will be experiential.

In the beginning, we'll examine how Relational Frame Theory (RFT) and ACT explain and conceptualize human suffering, then continue on to directly experience many ACT interventions and processes, and finally develop a clear grasp of how to implement ACT interventions at each stage of treatment. Experiential exercises will be conducted individually, in dyads, and small groups. The exercises will help integrate mindfulness and acceptance strategies that can change clients' relationship to pain, and move them toward values-based action.

Toward the end of the workshop, we'll focus on how to navigate the hexaflex during a session, choosing interventions and processes based on a client's level of avoidance and willingness in the moment.We'll also identify transitional interventions for moving back and forth from acceptance to behavioral interventions.

About Matthew McKay:
Dr. McKay cofounded the Haight Ashbury Psychological Services agency in 1979 and served as its Clinical Director for 25 years. Dr. McKay has an active private practice in Berkeley where he sees clients with diverse clinical issues including anxiety, phobias, depression, and abuse. Dr. McKay is the coauthor of more than 25 psychology self help and therapist texts. He has taught courses at several Bay Area graduate schools. Dr. McKay's interests extend to writing poetry, fiction, and music, and he has a published novel and two books of poetry.
 
About Patricia Zurita Ona:
Dr. Zurita Ona is a Licensed Clinical Psychologist in California. Dr. Zurita Ona provides empirically-supported treatments for older adolescents and adults with mood, anxiety, eating disorders, and body-image concerns; particular areas of expertise are Obsessive-Compulsive Disorder and Post-Traumatic Stress Disorder. Dr. Zurita Ona also provides specialized services for individuals with complex emotional problems including self-harm behaviors, suicidal behaviors, and emotional dysregulation problems. In addition to her clinical practice Dr. Zurita Ona is the Training Director for a doctoral training program where she supervises students and teaches evidence-based treatments.
 
Learning Objectives:

The attendee will:
 

1) Develop a basic theoretical understanding of Relational Frame Theory (RFT).
2) Use the ACT conceptualization of clean vs. dirty pain (unavoidable stress vs. avoidance-based suffering).
3) Conceptualize the major emotional disorders from an ACT perspective.
4) Clinically implement the six core processes of the hexaflex.
5) Make moment-to-moment decisions in session based on the level of avoidance and willingness.
6) Select the order of early treatment processes.
7) Navigate the key transitional moment in therapy -- creative hopelessness.
8) Use emotion exposure to increase acceptance.
9) Promote mindfulness for exposure to present moment experiences.
10) Promote change with experiential learning.

 
Target Audience: Beginner, Intermediate
 
Components:  Conceptual analysis, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

From ACT Gone Wild to Verbal Aikido: Exploring the Simplicity of the ACT Matrix - Polk & Burkhart (Clinical; Beginner, Intermediate, Advanced)

From ACT Gone Wild to Verbal Aikido: Exploring the Simplicity of the ACT Matrix

Workshop Leaders:
Kevin L. Polk, Ph.D., The Psychological Flexibility Group
Mary Alyce Burkhart, Ph.D., The Psychological Flexiblity Group
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

A graduate student uttered "This is ACT Gone Wild" while sitting in Kelly Wilson's living room in April of 2007. He was listening to Kevin Polk present about ACT and PTSD. After thousands of hours of additional work the Matrix emerged. It's been described as immediately useful and set in science. The almost instant utility of the matrix lead to it being adopted in hospitals, clinics, schools, prisons, boardrooms, team meetings and beyond. It begins with an instant shot of psychological flexibility that is quickly followed with values and experiential avoidance work. It invites people to categorize while at the same time freeing them from the tyranny of the right-wrong, black-white (sticky) verbal molasses we humans are prone to.

After learning the initial set-up of the Matrix, basic sorting, and then how to 'Yes and' for psychological flexibility, you will begin to get a feel for the work. Then we will switch gears and take a light-hearted romp through the philosophy at the root of ACT (functional contextualism). Really, it will be light and fun. You will get it. Next we will take another light turn through the wonderful world of Relational Frame Theory (RFT). No worries, no heavy lifting, just the light stuff that adds meaning to your matrix work. Finally we will return to The ACT Matrix and discover how Functional Contextualism and RFT are working as a unit within the matrix. This is the 'juice' at the heart of the matrix and you will have a good idea of how to start harnessing that juice for psychological flexibility and valued living.

Then we will turn back to matrix work and discover how knowing some of the philosophy and theory behind it turbocharges the psychological flexibility and improvisation. We will work it until you "see" the process at work and how you can adjust to each utterance that comes your way. By the end of the day you will be on your way to what is termed by some as Verbal Aikido--how to immediately redirect stuck words and stories toward psychological flexibility and creating valued living.

In one day you will learn how to use the Matrix from it's initial set up, through simple sorting and into moment-to-moment improvisation aimed directly at increasing psychological flexibility to promote valued living.

About Kevin L. Polk:
Kevin Polk, Ph.D. is a clinical psychologist with a background in both industrial organizational and experimental psychology. He has been in mental health management for many years and has specialized in working with people with trauma memories and substance use problems. He first learned about ACT while working to use exposure treatments with people struggling with trauma memories. That lead to thousands of hours of reading about, discussing and using ACT in a variety of settings, and that work resulted in the Matrix diagram. Kevin continually works at refining the science and art of increasing psychological flexibility.
 
About Mary Alyce Burkhart:
Dr. Burkhart is a clinical psychologist who has been assessing and treating children, adolescents and adults for more than 25 years. She integrated ACT into her practice in 2005 and has been an avid user of the ACT Matrix diagram for several years. She most often weaves the matrix into her conversations with clients such that she seldom needs to show them the diagram. She also seamlessly integrates the ACT Matrix with other treatments for trauma memories, anxiety disorders, depression and more. She is the happily married mother of three wonderful children.
 
Learning Objectives:

The attendee will:
 

1) Demonstrate setting up the Matrix (perspective taking).
2) Demonstrate simple values work using the matrix.
3) Demonstrate matrix style experiential avoidance work.
4) Demonstrate how to do the unworkable change agenda on the matrix.
5) Demonstrate sorting (perspective taking) with "Yes-And".
6) Demonstrate the "Time Sharing" routine.
7) Demonstrate the Noticing Hooks Homework.
8) Discuss the basics of Functional Contextualism.
9) Discuss the basics of RFT.
10) Show how to go about practicing Verbal Aikido.

 
Target Audience: Beginner, Intermediate, Advanced, Clinical, Research
 
Components:  Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Let's talk about Sex: Integrating Acceptance and Commitment Therapy (ACT) and Functional Analytic Psychotherapy (FAP) to work therapeutically with sexual issues - CANCELLED

Let's talk about Sex: Integrating Acceptance and Commitment Therapy (ACT) and Functional Analytic Psychotherapy (FAP) to work therapeutically with sexual issues

Workshop Leader:
Aisling Curtin, M.Sc., ACT Now Ireland
 
We apologize, but this workshop has been cancelled due to unforeseen circumstances.

The Weight Escape Practitioner - Ciarrochi (Behavioral medicine; Beginner, Intermediate)

The Weight Escape Practitioner

Workshop Leader:
Joseph Ciarrochi, Ph.D., University of Western Sydney
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

Are you a dietician, psychologist, nutritionist, doctor, or other health professional? Are you interested in learning how to apply Acceptance and Commitment Therapy (ACT) to promoting healthy behavior? Have you noticed how hard it is to motivate yourself or others to engage in healthy behavior, even when their life is at stake? There is a gap between what people know they "should" do and what they actually do. Our practitioner workshop will help you bridge that psychological gap.

The Weight Escape Practitioner workshop will show you how to help your clients make positive health choices. The workshop uses an experiential approach, which means you will learn how to apply Weightescape principles to yourselves and that will give you the best chance of being able to apply it to others.

After the workshop, you will receive an 8 week ecourse, along with other support materials that will help you to promote positive health behaviors in others. This step will help practitioners consolidate what they learned in the workshop.

About Joseph Ciarrochi:
Dr. Joseph Ciarrochi is a professor at the University of Western Sydney and has been extensively involved in ACT sense 2001. I have authored and edited five books, and over 60 peer reviewed articles related to the promotion of mental health and emotional well-being. I've written a book on integrating ACT with CBT, and am currently working with community members on three books related to adolescence, weight issues, and ACT and positive psychology. I am the Chief Editor for JCBS, the new journal for ACBS, a journal that is intended to be of interest to both scientists and practitioners. My main mission is to build a community that can better support people in the field to conduct psychological interventions.
 
Learning Objectives:
 
Practitioners will learn to:
 

1) This workshop will help practitioners apply ACT principles to promoting positive health behaviors.
2) Utilize self-compassion to help people rebound from setbacks
3) Teach clients how to effectively handle urges, cravings, and difficult thoughts and feelings
4) Identify what people most want in life, and link these to health behaviors
5) Help clients take control of actions, so they can behave like the person they want to be (commitment processes)
6) Help clients motivate themselves in the face of ongoing challenges
7) Use values and strengths to give life direction, and make it richer and more rewarding
8) Eat mindfully and intuitively (and thereby get far more satisfaction from food)
9) Overcome common psychological barriers to healthy eating
10) Live fully in the present moment

 
Target Audience: Beginner, Intermediate
 
Components: Original data, Experiential exercises, Didactic presentation, Case presentation
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Therapist use of self in ACT - Bolderston & Gillanders (Clinical; Intermediate, Advanced)

Therapist use of self in ACT

Workshop Leaders:
Helen Bolderston, Ph.D., Private Practice
David Gillanders, DClinPsy., University of Edinburgh
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

Skillful ACT requires the therapist to use their own moment-by-moment experiences to inform their interactions with clients - the use of self as an instrument of therapeutic change. Accounts of ACT in textbooks can neglect these aspects of the therapy in favour of descriptions of exercises and metaphors, as the latter are more readily explored on the page, compared to the subtleties of therapist ways of being and relating. Cognitive behaviour therapy training has not traditionally emphasised therapists cultivating the awareness, willingness, and skills to be present psychologically and to use that presence therapeutically, unlike other approaches such as humanistic psychotherapies.

This workshop, drawing on understanding from ACT, Mindfulness, FAP, and humanistic approaches such as Gestalt, will emphasise the use of therapist self-exploration, experiential exercises, small group work, and facilitator demonstration, to support participants to consider, cultivate, and use these important inter and intra-personal abilities within the context of ACT. Participants should have a basic familiarity with ACT and be working with people.

Suitable for intermediate and advanced practitioners.

About Helen Bolderston:
I am a chartered clinical psychologist with 25 years experience working predominantly in mental health settings. I was a consultant psychologist in the UK National Health Service for many years, heading up the adult mental health psychology and counselling service for Bournemouth, Dorset. My particular area of expertise is acceptance-based psychotherapies, especially Acceptance and Commitment Therapy and mindfulness taught in the form of Mindfulness Based Stress Reduction and Mindfulness Based Cognitive Therapy. I have also trained in Dialectical Behaviour Therapy. My NHS clinical work and research over the last few years has predominantly been with people with complex, chronic psychological difficulties; people who are often given personality disorder diagnoses. In others settings I have worked with people with a broad range of mental health difficulties, as well as physical health issues such as obesity and pain. I also have a particular interest in clinician self-compassion and self-care. I have recently completed a PhD entitled "Acceptance and Commitment Therapy: Cognitive Fusion and Personality Functioning."

About David Gillanders:
I am a chartered clinical psychologist, and also a peer-reviewed ACT trainer and founding member of ACBS. I work for the University of Edinburgh as Academic Director of the Doctoral Programme in Clinical Psychology. I lead a programme of research and postgraduate teaching into adjustment to chronic physical illness. I provide training and supervision to a range of different professional groups in UK National Health Services and internationally. I am the co-author of ‘Living with IBS’ a self-help book delivering evidence based Acceptance and Commitment Therapy. For more information about me, go to: http://www.ed.ac.uk/schools-departments/health/clinical-psychology/people/teaching-staff [798], or check out my training page here on contextual science.org: http://contextualscience.org/david_gillanders_training_page  [799]

Learning Objectives:

The attendee will be able to:

1) Describe a range of ways in which ACT therapists can use self in the service of effective psychotherapy.
2) Explain the rationale for the various possibilities of use of therapist self, in ACT terms.
3) Describe the use of therapist self in other psychotherapeutic traditions.
4) Increase their ability to track their own moment-by-moment awareness, particularly of the psychological flexibility processes, whilst in relation to others.
5) Increase their ability to track the moment-by-moment experiences of clients, particularly in relation to the psychological flexibility processes.
6) Increase their capacity to use the “personal data” from tracking moment-by-moment experiences to influence clients towards greater psychological flexibility.
7) Increase their capacity to embody qualities related to psychological flexibility, such as defusion.
8) Increase their capacity to embody other qualities valued in ACT, such as compassion, and appreciation of imperfection.
9) Have a greater awareness of their own psychological vulnerabilities as therapists, in order to guide self-support and nurturing.
10) Increase their capacity to use the self to support and nurture self in difficult therapeutic moments.

Target Audience: Intermediate, Advanced, Clinical
 
Components:  Literature review, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Treatment Anxiety Disorders from a Contextual Behavioral Science Viewpoint - Twohig (Clinical, Intermediate)

Treatment Anxiety Disorders from a Contextual Behavioral Science Viewpoint

Workshop Leader:
Michael P. Twohig, Ph.D., Utah State University
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Tuesday, June 17, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

A contextual behavioral viewpoint is made up of many distinct but related elements. Underlying all the work is a philosophical viewpoint that guides the research and therapy and helps define the goals. Next, is the basic research that informs the applied work. The basic research in this area comes from multiple fields but is most guided by behavior analytic work on extinction and cognition. The research on extinction comes from animal laboratories as well as brief clinical preparations. This work has greatly affected the field of Cognitive Behavior Therapy and has offered major insights into how the treatment of anxiety disorders should occur. Relatedly, the work on language and cognition coming out of relational frame theory is guiding the way in which we deal with inner experiences.

There are certain hypothetical constructs which are targeted as a result of this work and measures and methods have been developed to do so. Next, certain clinical methods have been developed and tested to address these processes. Some of these methods come from Acceptance and Commitment Therapy (ACT), whereas other largely based on basic behavioral work. These smaller techniques have been combined into larger treatment packages that have been tested out in single subject designs, open trials, and randomized controlled trials. Finally, dissemination methods are being developed for these manuals.

This is a one day workshop. Approximately half the workshop will focus on the philosophy, basic research, assessment methods, research on treatment techniques, as well as data on treatment outcomes based on contextual behavioral treatments for anxiety disorders. The other half of the day will focus on training in the use of these methods in the treatment of anxiety disorders. Much of the treatment techniques come from ACT, but a fair amount of time will be spent integrating the recent research on fear toleration and how that fits within the larger contextual behavioral model. There is a second separate workshop by my colleagues Drs. Coyne, Szymanski, and Stack which would nicely compliment this one.

About Michael P. Twohig:
I received my B.A. in Psychology and M.S. in Behavior Analysis from the University of Wisconsin-Milwaukee, my Ph.D. in Clinical Psychology from the University of Nevada, Reno, and completed my clinical internship in the CBT track at the University of British Columbia. I am a licensed psychologist in Utah and an Associate Professor of Psychology at Utah State University. I run a research laboratory and a university based clinic that focuses on using ACT and exposure therapy to treat anxiety disorders. I also do translational research on basic behavioral principles. I have published over 80 scholarly works including two books. My research is funded through multiple sources including the NIMH and International OCD Foundation.
 
Learning Objectives:

The attendee will:
 

1) Learn about functional contextualism and how it guides this research
2) Learn about the basic work on extinction
3) Learn about the applied work on extinction
4) Learn how RFT guides the treatment of anxiety disorders
5) Learn what processes to assess in the treatment of anxiety disorders
6) Learn how to assess the processes involved in anxiety disorders
7) Learn the most important techniques in the treatment or anxiety disorders
8) Establish more skills in the use of ACT in the treatment of anxiety disorders
9) Learn how recent work on fear toleration fits into the treatment of anxiety disorders
10) Learn how to do exposure exercises from a contextual behavioral model

 
Target Audience: Intermediate, Clinical
 
Components:  Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

1-day Pre-Conference Workshops June 18

[251]

Return to the main Pre-Conference Workshops page [678].

View the 1-day Pre-Conference Workshops on June 17 here [793].

View the 2-day Pre-Conference Workshops June 17-18 here [797].


ACT Supervision: What the Func? - Murrell & Al-Jabari (Training, Clinical; Beginner, Intermediate)

ACT Supervision: What the Func?

Workshop Leaders:
Amy R. Murrell, Ph.D., University of North Texas
Rawya Al-Jabari, M.S., University of North Texas
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

Clinical supervision plays an integral role in the continual development of clinicians’ therapeutic skills. Supervision can appear different based on the style of the supervising psychologist and the needs of the supervisee. ACT supervision is based on a functional contextualistic philosophy of science and is concerned with the prediction and influence of behavior related to psychological flexibility as a therapeutic outcome. An emphasis on function in the supervisory context allows for generalizability to a more effective therapeutic application. Given that clinicians, and client-clinician relationships, are contextual factors that influence clients, it is important to be aware of our impact and to shift context accordingly. Clinicians may affect clients when they become fused with private events. Supervisors may ask supervisees to process personal content, as it affects their professional development, or if they appear removed from the present moment or behaviorally rigid. Attention to this process may parallel or mimic therapy for the clinician due to an experiential nature and active involvement. With supervision, our humanity can be addressed - in the service of providing more effective treatment,  by focusing in depth on the therapist, the client, and/or their relationship. ACT supervision can remind us that we humans are all whole, complete, and perfect.

This work shop will utilize experiential demonstrations, role plays, case conceptualizations, and didactic presentation to promote ACT clinical supervision. How the six ACT treatment processes (acceptance, mindfulness, defusion, self-as-context, values clarification, and commitment) impact clinical supervision will be addressed. In addition, the workshop will present data on how training in ACT impacts student clinicians’ perceived supervisory skills, avoidance, fusion, emotion dysregulation, mindfulness skills, values, and burnout.

About Amy R. Murrell:
I am an Associate Professor in the Clinical Psychology Program at the University of North Texas, in Denton, Texas. Since coming to UNT in 2005, I have taught graduate-level Cognitive Assessment, Clinical Practicum, Child Psychopathology, and a course about ACT, entitled ACT: Psychotherapy Theory, Research & Practice. I also regularly teach undergraduate-level Abnormal Child Psychology. I run a research team that is focused on Relational Frame Theory and Acceptance and Commitment Therapy and am a Recognized ACT Trainer. I am also the Director of the Undergraduate Program in Psychology at UNT. In addition to writing multiple articles and chapters about ACT and RFT, I coauthored The Joy of Parenting, a self-help book that approaches parenting and parenting concerns from an ACT perspective.

About Rawya Al-Jabari:
I am in the Clinical Psychology program at the University of North Texas. I was born in Palestine, but grew up in Texas. Mental health was (and is) a taboo topic in my culture; yet, I was drawn to this profession despite the disproval of my family and relatives. At first, I wanted to “fix” and take away pain and suffering. Then, my mentor Dr. Murrell introduced me to functional contextualism and ACT and I learned that people do not need “fixing,” they have everything they need within themselves to attain their desired life. ACT has made a difference for me and I hope to make a difference for others through ACT.

Learning Objectives:

The attendee will be able to:

1) Apply functional contextualistic philosophy and functional analyses to clinical work and clinical supervision
2) Learn how the ACT processes apply to clinical supervision
3) Identify one’s own barriers while working with supervisors/supervisees (and clients)
4) Review data on how ACT training impacts clinicians’ perceived skills in supervision and their psychological flexibility
5) Gain skills in identifying and addressing avoidance within the supervisory relationship
6) Learn techniques to promote psychological flexibility in supervision
7) Analyze the function of supervisory behaviors to promote generalizability to clinical work
8) Identify ways that ACT supervision differs from other forms of supervision
9) Identify ways ACT supervision impacts the therapeutic and supervisory relationships
10) Learn how to shape supervision based on the supervisee’s needs

Target Audience: Beginner, Intermediate, Clinical
 
Components: Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

ACT in Groups - Wright (Clinical; Beginner, Intermediate, Advanced)

ACT in Groups

Workshop Leaders:
M. Joann Wright, Ph.D., Linden Oaks at Edward 
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

This workshop will explore and illustrate ways to incorporate the methods and principles of Acceptance and Commitment Therapy (ACT) into group therapy sessions utilizing core ACT principles and exercises. The workshop will both broaden the appeal of and support the practical applications of the ACT model to include group work.

This workshop will give clinicians detailed group activities, setting considerations, group-member considerations, experiential activities, and an opportunity to create and share new group exercises all related to how to conduct ACT for the variety of clinical concerns characterized by emotional avoidance and loss of contact with value-laden behavior.

Through case examples, user-friendly worksheets, and experiential demonstrations, this workshop is designed assist those who are new to ACT a comprehensive understanding of utilizing the six core aspects of the model, and how to impart these practices to therapy groups, as well as imparting fresh techniques to veteran consumers of the model. By the end of the workshop, attendees will be ready to start a new ACT group as soon as they return from the conference!

About M. Joann Wright:
Dr. Wright is dedicated to reducing human suffering. To this end, for over 20 years she has been devoted to teaching and delivering the most innovative and empirically-based therapy techniques including Acceptance and Commitment Therapy, Dialectical Behavior Therapy and Mindfulness-Based Cognitive Therapy. Dr. Wright has presented scholarly papers, presentations and workshops at national and international psychological conferences. In addition, Dr. Wright is a regular guest on television and radio talk shows and news programs. Dr. Wright is currently the Director of Clinical Training and Anxiety Services at Linden Oaks at Edward, where she trains over 20 doctoral students annually. Prior to moving to the Chicago area, she was a faculty member at Hofstra University’s Psychology Department from 1992-2008 where she taught graduate and undergraduate courses and served as a psychologist for the Student Counseling Center. She has served as the Chair of the Social Media Task Force and Coordinator of Academic and Professional Issues for the Association of Behavioral and Cognitive Therapies (ABCT) and was recently the President of the Chicago Chapter of the Association of Contextual Behavioral Sciences (ACBS). She is currently the Program Coordinator for the ACBS 2014 convention.

Learning Objectives:

The attendee will be able to:

1) Demonstrate an increased knowledge about the application of the ACT model and core processes in a group format.
2) Participate in group-related activities and compare/contrast them with those used with other models.
3) Create new group activities relevant to their target groups.
4) Describe specific needs for different group formats (e.g., community-based, inpatient).
5) Prepare group activities that reflect each core principle of the ACT model.
6) Plan specific group activities for their group relavent to several factors; type of group, diagnosis, setting, etc.
7) Participate in experiential activities tailored for the audiences' specific groups.

Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components:  Experiential exercises, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Fear & Flexibility: Acceptance and Commitment Therapy for Anxiety and OCD-Spectrum Disorders in Children, Teens & Adults - Coyne, Szymanski, and Egan Stack (Clinical; Beginner, Intermediate, Advanced)

Fear & Flexibility: Acceptance and Commitment Therapy for Anxiety and OCD-Spectrum Disorders in Children, Teens & Adults

Workshop Leaders:
Lisa W. Coyne, Ph.D., Suffolk University, New England ACT Institute
Jeff Szymanski, Ph.D., New England ACT Institute, International OCD Foundation
Denise Egan Stack, MA, LMHC, Cape & Islands Cognitive Behavioral Institute
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

Prevalence rates suggest that in a given year, 18.1% of adults experience clinically significant anxiety symptoms, with onset, on average, at 11 years old. In fact, anxiety is arguably the most prevalent of the mental health issues in children, and may be the earliest emerging of all forms of psychopathology. Moreover, 1 in 100 adults, and 1 in 200 children and teens struggle with OCD-spectrum disorders. Unfortunately, only about 1/3 of individuals with anxiety disorders are receiving “minimally adequate treatment.” Those rates drop precipitously in youth populations. Even in our best treatment approaches, a sizeable portion of sufferers drop out of treatment, or do not make clinically significant gains. We need to do better than this.

Acceptance and Commitment Therapy (ACT) offers an opportunity to address anxiety and OCD from a functional contextual perspective, such that individual sufferers can flexibly choose rich, whole, meaningful and valued lives. Thus, the goal of this workshop is to teach the use of ACT with anxiety and OCD-Spectrum disorders, including treatment refractory cases, in children, teens and adults. Workshop leaders will address the phenomenology of anxiety and OCD-spectrum disorders, provide a rationale for using ACT and ACT-augmented ERP, and through densely experiential exercises, role plays, and dyadic and small-group activities, will teach case conceptualization, functional assessment, and intervention from an ACT perspective. We anticipate paying particular attention to the experience of transitioning from exposure-based CBT to ACT, treatment-refractory cases, complex presentations, and the developmental and familial issues (e.g., accommodation, coercion) involved in working with youngsters aged 5 - 17. Day 1 will involve an overview of anxiety and OCD-spectrum disorders and evidence-based treatment (morning), and a rationale for ACT, as well as case conceptualization, using experiential exercises and role-play demonstrations from a functional contextual perspective (afternoon). Day 2 will be entirely application, involving opportunities to practice perspective-taking in coached role plays of challenging moments in therapy and specific ACT components, to participate in experiential exercises, and observe group leader modeling. Participants are encouraged to bring one or two cases to discuss/workshop, and will be provided with reading materials and worksheets prior to the workshop. Because we have 3 presenters, each with slightly different areas of expertise, we hope that this will be unique opportunity to workshop ACT applications with varied populations. We will assume some familiarity with the ACT model, as well as some basic knowledge of anxiety and OCD-Spectrum disorders.

About Lisa W. Coyne:
Lisa Coyne, Ph.D., is an assistant professor of psychology and director of the Early Childhood Research Clinic (ECRC) at Suffolk University in Boston, MA. She has adapted and used acceptance and commitment therapy (ACT) for families of young children struggling with emotional and behavioral problems, and applies her research to clinical work with young children living in poverty. She also the New England ACT Institute Co-Founder and Vice President.

About Jeff Szymanski:
Dr. Jeff Szymanski received his Ph.D. in Clinical Psychology from Northern Illinois University in 1997 following his internship at McLean Hospital/Harvard Medical School. Following the completion of his degree, Dr. Szymanski specialized in treating outpatients with Borderline Personality Disorder using Dialectical Behavior Therapy. In 2001, he returned to McLean Hospital as a Behavior Therapist at the Obsessive Compulsive Disorder Institute, a residential facility for individuals with severe and refractory OCD, and in 2006 he became the Director of Psychological Services there. As a Clinical Instructor in Psychology at Harvard Medical School, Dr. Szymanski has supervised pre-doctoral psychology interns, psychiatry residents, and has run CBT seminars. In 2008, Dr. Szymanski began working at the International OCD Foundation as the Executive Director.

About Denise Egan Stack:
Denise Egan Stack, LMHC, is co-founder and Director of the Cape & Islands Cognitive Behavioral Institute. Shortly after finishing her graduate school training at McLean Hospital, Ms. Stack became involved in the development and launching of the OCD Institute (OCDI) at McLean Hospital, the first residential treatment program for OCD in the United States. On staff for ten years, Ms. Stack developed and managed both counseling and research programs at the OCDI. As a result of this unique experience, Ms. Stack has become a highly sought after consultant in both program development and clinical consultation.

Ms. Stack has published numerous peer-reviewed articles on OCD and related disorders and has presented nationally on such topics. Additionally, for over ten years, Ms. Stack has been involved in the International OCD Foundation, a non-profit organization devoted to increasing awareness of the disorder as well as providing education, training and research opportunities. Ms. Stack initially became involved in the Foundation as the President of the Massachusetts affiliate, and now serves as the President of the parent organization. In addition, she is a member of the Cape Cod Hoarding Task Force Steering Committee and a member of the New England ACT chapter.

Learning Objectives:

The attendee will be able to:

1) Become familiar with the phenomenology of anxiety and OCD-spectrum disorders in young people and adults
2) Contact, experientially, barriers to treatment utilization & response & learn ways to address these
3) Articulate a rationale for ACT with anxiety and OCD-spectrum disorders
4) Differentiate between exposure-based CBT and ACT approaches to anxiety/OCD, specifically, how each differ in how they “look,” as well as in their function
5) Conduct a functional assessment of behavior in individuals struggling with anxiety/OCD from an ACT perspective
6) Develop and articulate a case-conceptualization of children, teens, or adults from an ACT perspective
7) Demonstrate how to handle challenging moments in therapy in an ACT-consistent way when working with individuals with anxiety/OCD
8) Demonstrate how to effectively and creatively work through creative hopelessness, acceptance, values, and self-as-context in a developmentally sensitive way
9) Learn how to engage family members in an ACT-consistent way to support the individual client’s progress
10) Experience working with values and self-as-context (perspective-taking) with children and adults struggling with anxiety and OCD

Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

RFT for clinical use - Törneke, Barnes-Holmes, & Luciano (Clinical, Relational Frame Theory; Advanced)

RFT for clinical use

Workshop Leaders:
Niklas Törneke, M.D., Private Practice
Yvonne Barnes-Holmes, Ph.D., National University of Ireland Maynooth
Carmen Luciano, Ph.D., University Almería, Spain
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

Relational frame theory (RFT) as a scientific research program was developed parallel with an effort to apply central findings to clinical use in acceptance and commitment therapy (ACT). This reflects an assumption from the developers both of the basic research and the clinical work, namely that the two grow stronger if they grow together. At the same time, on and off, there are questions raised as to whether the ties are really that close or even necessary to foster.

In this workshop we will argue that an understanding of RFT can indeed both deepen and simplify clinical work. Areas of special relevance to psychological problems and treatment, such as our experience of self and our ability to follow instructions, will be analysed from an RFT perspective. How this analysis leads directly to clinical strategies and techniques will be illustrated. Special emphasis will be given to the use of metaphor and experiential exercises in affecting clinical change.

The workshop will not include presentation of experimental work but will use RFT as a conceptual tool and have a clear clinical focus. A basic understanding of relational frame theory is assumed.

About Niklas Törneke:
Niklas Törneke, M.D., is a psychiatrist and has worked as a senior psychiatrist in a department of general psychiatry from 1991 until he started private practice 1998. He earned license as a psychotherapist in 1996 and was originally trained as a cognitive therapist. Since 1998 he has worked mainly with ACT, both in his own practice and as a teacher and clinical supervisor. He is co-author of a book about basic behavioral principles in clinical work: "The ABCs of human behavior" and author of a book on relational frame theory and it's clinical applications: "Learning RFT".

About Yvonne Barnes-Holmes:
Yvonne Barnes-Holmes, Ph.D., is a tenured lecturer at the National University of Ireland. She has published almost 100 articles and book chapters mostly on RFT and ACT and has delivered over 300 papers, addresses, etc.  Yvonne has been an ACT World Trainer for around 10 years. During that time, she has seen many clients and conducted ACT supervision and many training workshops.

About Carmen Luciano:
I am Full Professor of Psychology (1995-present) at the University of Almeria, Spain after a long period in the University of Granada (1979 to 1994). I received my doctoral degree at the University Complutense, Madrid in 1984. I got a Post-doc-Fulbright fellowship in Boston University and Cambridge Center for Behavioral Studies (USA) to do research in the emergence of complex behavior in 1985. I has done basic and applied research since 1981 from a functional-behavioral perspective examining such topics as verbal behavior programs for children with mental retardation and the emergence of new behavior, the formation of symmetry and equivalence and other relational responding focused in the Relational Frame Theory as well as ACT research on defusion and values clinical methods, acceptance vs control pain protocols applied to smoking, cancer, impulsivity, affective disorders, and other areas. I have published over 150 paper and chapters/books and have graduated 22 students. I have been in charge of the research group in Experimental and Applied Analysis of Behavior from 1986 and I am the director of Master/Doctorate Program in the University of Almería (www.postgradoanalisis.com) and of the Master on Contextual Therapies (ACT and FAP) in the ACT Institute in Madrid (www.institutoact.es). My research group, in collaboration with Sonsoles Valdivia-Salas, Olga Gutiérrez, Fran Ruiz, Miguel Rodríguez, Marisa Paez and others as well as in collaboration with Dermot and Yvonne Barnes-Holmes in Maynooth (Ireland) and Michael Dougher in Albuquerque (USA), has been funded from National and Autonomic agencies. The research conducted have been related to emerging complex verbal behavior and the analyses of contextual methods and change processes in Acceptance and Commithment Therapy. In the latter area, I have published several books (as an ACT case-studies book in 2001 and 2012, the ACT book with Kelly Wilson in 2002, and the ACT book focused on Pain with Dahl, Wilson and Hayes in 2004). My actual research interests are focused in the behavioral-contextual approach to the self and the role in behavior regulation as well as its implication in building effective regulation of behavior and, conversely, the building of psychological inflexibility.

Learning Objectives:

The attendee will be able to:

1) Conceptually analyse our experience of self from an RFT perspective
2) Describe rule-governed behavior (following instructions) from an RFT perspective
3) Describe typical psychological problems using RFT
4) Apply RFT to central therapeutic strategies
5) Apply RFT to specific therapeutic tools used in ACT
6) Improve in the skill of doing a functional analysis including RFT
7) Improve in the skill of constructing metaphors for use in therapy
8) Improve in the skill of construction experiential exercises in therapy
9) Improve in the skill of timing in ACT
10) Improve in the skill of finding and sticking to central issues in doing ACT, such as defusion and valued action

Target Audience: Advanced
 
Components:  Conceptual analysis, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Using ACT to treat anorexia nervosa across the lifespan - Merwin & Moskovich (Clinical; Intermediate, Advanced)

Using ACT to treat anorexia nervosa across the lifespan

Workshop Leaders:
Rhonda M. Merwin, Ph.D., Duke University Medical Center
Ashley A. Moskovich, MA, Duke University
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

Anorexia nervosa (AN) is a devastating condition characterized by rigid adherence to rules at the expense of felt experience. That is, rather than integrate signals originating from the body (hunger, satiety, the somatic constitutes of emotional states, pain, fatigue, etc.) into flexible decision-making, individuals with AN impose a strict, inflexible rulebook. In doing so, they insist that the body not be tired, that it not be hungry, that it not feel or have needs, that it just do. Think of a military sergeant demanding that the troops march harder and faster, regardless of the danger of the situation. Such rigid self-regulation has a profound impact on the physical body and on life vitality. As a result, AN is designated as one of the leading causes of disability of young women in the US and has mortality rates that far exceed those of any other mental health condition (approximately 20-40% of these deaths resulting from suicide).

AN is one of the most challenging conditions to treat. This difficulty is due to a multitude of factors: devastating, life-threatening symptoms are seemingly valued by the affected individual, impacting treatment engagement and striking fear and frustration in the hearts of clinicians. Significant weight loss further impairs the affected individual’s emotional and cognitive abilities, blunting or heightening affect (depending on stage of undernourishment) and impairing ability to change cognitive sets and response options. Starvation also dramatically alters somatosensory experience, potentially causing (or exacerbating) perturbations in the sense of self and ability to relate to others. As if this were not enough, AN occurs on a backdrop of temperament variables such as perfectionism and high harm avoidance that support symptoms and increase resistance to change. Finally, AN is rather unique in that the symptoms are visible. As such, others can readily notice and evaluate symptom progress, which can be a source of interpersonal strain and symptom reinforcement.

In this workshop, we will use a combination of didactic and experiential methods to provide clinicians with the necessary tools to treat AN from an ACT perspective. This includes addressing key issues in AN, such as encouraging efficient re-nourishment, engaging the client's family and other members of the treatment team (e.g., medical providers, nutritionists), and dealing with issues that arise for therapists when working with symptoms that are highly evocative and ego-syntonic. Participants will learn how to adapt openness interventions to address perfectionism and high harm avoidance that interferes with trying new things and being with others in a meaningful way; centeredness interventions to address issues of poor interoceptive awareness, alexithymia, and a sense of self defined by one’s body and achievement; and engaged interventions to address the often vacuous state created by a life defined by endless meal planning and calorie counting. Participants will also be informed of our latest outcome data using these methods to treat AN.

This workshop will assume a basic knowledge of ACT. Methods and strategies will be relevant to the spectrum of AN; that is, eating disorders which include restrictive eating as one behavioral manifestation (e.g., Avoidant/Restrictive Food Intake Disorder (ARFID), selective eating, food restriction punctuated with episodes of binge-eating as in bulimia nervosa).

About Rhonda M. Merwin:
Dr. Merwin completed her Ph.D. at the University of Mississippi under the mentorship of Dr. Kelly G. Wilson, co-founder of ACT. She completed her Predoctoral Internship at Duke University Medical Center in the Cognitive Behavioral Research and Treatment Program with a rotation in the Duke Center for Eating Disorders (with whom she continues to be closely affiliated) and a 2-year NIH sponsored Postdoctoral fellowship in Behavioral Medicine before joining the Duke faculty in July 2008. Dr. Merwin has expertise in ACT and ACT-related processes (acceptance, mindfulness), Relational Frame Theory (RFT), and eating disorders. She is recognized as an ACT trainer by the Association of Contextual Behavioral Science (ACBS) and has presented on ACT nationally and internationally; conducting workshops and presenting relevant data at the annual meetings for the Association for Behavioral and Cognitive Therapies, the International Conference for Eating Disorders, the Association for Contextual and Behavioral Sciences, among others. Dr. Merwin's research is funded by the National Institute for Diabetes, and Digestive and Kidney Diseases and the National Institute of Mental Health. She is the lead author of a book on using ACT to treat anorexia nervosa across the lifespan expected in 2015.

About Ashley A. Moskovich:
Ashley Moskovich, M.A., is currently a Pre-Doctoral Psychology Intern at the UCLA Semel Institute for Neuroscience and Human Behavior and will earn her Ph.D. in Clinical Psychology from Duke University in 2014. During her graduate training, Ms. Moskovich worked in the Duke Center for Eating Disorders under the combined mentorship of Dr. Nancy Zucker (Center Director) and Dr. Rhonda Merwin, where she developed clinical and research expertise in eating disorders and Acceptance and Commitment Therapy (ACT). Ms. Moskovich’s own research focuses on rule-governed behavior in anorexia nervosa. Clinically, she is focusing on the application of ACT to children and adolescents with eating disorders in an inpatient setting.

Learning Objectives:

The attendee will be able to:

1) Describe anorexia nervosa (AN) spectrum issues; including clinical presentation and key treatment challenges
2) Appreciate the impact of starvation on behavior and understand how to facilitate weight restoration in an ACT-consistent manner
3) Formulate AN spectrum issues from an ACT perspective
4) Use and adapt ACT interventions to address unique facets of AN
5) Understand how to integrate a treatment team when working with AN from an ACT perspective
6) Use ACT to address therapist barriers to treating AN
7) Describe the role of the family and support people in an ACT-based treatment for AN
8) Compare and contrast historical treatment approaches for AN with an acceptance-based model and discuss emerging data on using ACT with AN

Target Audience: Intermediate, Advanced, Clinical

Components:  Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play

Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Working with Acceptance, Mindfulness, and Values in Chronic Pain: An Introduction and Skills Building Seminar - Vowles (Clinical, Behavioral medicine; Beginner, Intermediate)

Working with Acceptance, Mindfulness, and Values in Chronic Pain: An Introduction and Skills Building Seminar

Workshop Leaders:
Kevin E. Vowles, Ph.D., University of New Mexico
 
[795]
 
Dates & Location:
Marriott City Center, Minneapolis, Minnesota, USA
9am-5:15pm on Wednesday, June 18, 2014
 
Continuing Education Credits Available: 6.5
 
Workshop Description:

Chronic pain can be a source of immense human suffering and disability. There is emerging evidence indicating that as pain sufferers set aside struggles for control over pain, attend to present experiences, and engage in meaningful activities, they suffer less and function better, even while pain persists. These treatment processes are respectively referred to as acceptance, mindfulness, and values-based action. The extant literature suggests these processes are highly relevant in the treatment of chronic pain, where the best researched therapy model has been Acceptance and Commitment Therapy (ACT), a form of CBT that directly targets them. This seminar will provide a brief overview of the theoretical model underlying ACT and will include significant opportunities for clinical practice. The majority of the seminar will be spent in experiential, skill building, and case conceptualization exercises with training modalities including include a mix of didactic instruction, modeling, and practice/role play. Opportunities for consultation, instruction, and feedback will also be provided. At the conclusion of the class, participants will be able to more adequately identify targets for treatment in those suffering from chronic pain and directly apply interventions to augment acceptance, mindfulness, and values.

About Kevin E. Vowles:
Kevin completed his Ph.D. in clinical psychology at West Virginia University and post-doctoral fellowship at the University of Virginia. From 2005 to 2012, he lived and worked in the UK, where he held joint positions in academia and with the UK National Health Service. In 2012, he moved back to the United States to take up a position within the Department of Psychology at the University of New Mexico. His clinical and academic activities have focused on the assessment and formation of effective rehabilitative treatments for individuals experiencing chronic pain or physical health conditions.

Learning Objectives:

After completion of this workshop, participants will be able to:

1) Articulate the key processes being targeted for change in individuals with chronic pain who are treatment within the ACT model
2) Demonstrate increased knowledge about the application of the ACT model to chronic pain.
3) Intervene with chronic pain patients using specific ACT skills designed to augment acceptance and mindfulness.
4) Structure treatment in a way that aids in in values clarification and promotes values-based action in chronic pain treatment settings.
5) Engage in case conceptualization from an ACT perspective.
6) Describe the evidence base with regard to ACT for chronic pain.
7) Reference training materials to be used in clinical practice.

Target Audience: Beginner, Intermediate
 
Components:  Original data, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site. 

Program - World Conference 12 - Minneapolis

WC12 Complete Program [800] - posted May 15, 2014

Go here for information about our Intensive Pre-Conference Workshops [678]

Below is the brief schedule for the ACBS World Conference 12.

PDF version of brief WC12 schedule [801] - posted May 15, 2014

Excel version of brief WC12 schedule (note multiple tabs [802]) - posted May 15, 2014

For more detail check out our poster list with abstracts [803], and symposia detail [804] with individual paper abstracts.

  [771]

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Program Committee

[251]

Here are the folks who are going to put it all together and make WC12 a success:

M. Joann Wright, Ph.D., Linden Oaks at Edward, Chicago, USA - CHAIR

Tony Biglan, Ph.D., Oregon Research Institute, USA

Trent Codd III, Ed.S., LPC, FACT, BCBA, Cognitive-Behavioral Therapy Center of WNC, P.A., Asheville, North Carolina, USA

Aisling Curtin, MSc, ACT Now Ireland

Andrew Gloster, Ph.D., University of Basel, Switzerland

Margherita Gurrieri, Psy.D., IESCUM Italy, Bologna, Italy

Louise Hayes, Ph.D., Orygen Youth Health Research Centre and Centre for Youth Mental Health, University of Melbourne, Australia

Teri Hull, Ph.D., Rush University Medical Center, Chicago, USA

Laura Koehler, Psy.D., Linden Oaks at Edward, Naperville, Illinois, USA

Igor Krnetic, Ph.D., University of Banja Luka & Private Practice, Bosnia and Herzegovina

Andreas Larsson, Ph.D., Swansea University, U.K.

Nanni Presti, Ph.D., IULM University Milan, IESCUM Italy

Margie Provenzano, Psy.D., Private Practice, Chicago, USA

Graciela Rovner, Ph.D., Rehabilitation Medicine, Neurosciences, Gothenburg University, Sweden

Laura Silberstein, Psy.D., Private Practice, New York, USA

Wanda Smith, Ph.D., Private Practice & McMaster University, Hamilton, Ontario, Canada

Public Transportation Info

Whether you prefer the bus, light rail (train), bike, or taxi, there are plenty of ways to explore the city of Minneapolis!

Metro Transit Buses and Light Rail (Train)

Metro Transit buses and trains make it extremely easy to get around Minneapolis with numerous routes and the high frequency of departures.  The bus/train fares are $2.25 during rush hours (Monday-Friday 6 to 9am and 3 to 6:30pm), and $1.75 for all other times.  Each fare also includes a 2.5 hour transfer at no additional cost. (tickets "expire" 2.5 hours after purchase) If you ride in the downtown zone [805] only, then your fare is just $0.50.  On the buses, you will need to pay at the farebox when boarding by placing cash (no change given back) or by swiping your Go-To card on the blue card reader.  On the trains, you will need to pay at the station platform before getting on by using either cash, credit card, or by validating your Go-To card on the reader.

Go-To cards [806] are convenient because they allow you to store a monetary value or a certain number of rides so that you don't have to make a separate transaction every time you ride. These cards can be purchased at Go-To card retailers [807], at Metro transit stores [808], or online [809].

You can find maps and schedules for all of the various routes as well as get your own personalized schedule online here [810].  If the online information seems a little too overwhelming, feel free to call Metro Transit at 612-373-3333 to speak to a helpful representative who can tell you exactly what route to take and what stops you need to utilize in order to get to your destination.

Free Nicollet Mall Bus

You can ride for free along Nicollet Mall between the Convention Center and the METRO Hiawatha Blue Line along 5th Street. The conference venue (Minneapolis Marriott City Center [811]) is located near Nicollet Mall and S. 7th St., so just hop on a bus labeled "Free Ride" any day of the week between 5:00am and 1:00am.  The buses come every 10-15 minutes northbound and every 10-30 minute southbound.  For more details and a bus stop map, click here [766].

Nice Ride Bike System

Want to get out in the fresh Minneapolis air and make your way around the city?  Use the Nice Ride [812] bike system for convenient, easy-to-use bikes all around the city. To use a bike for a day, you will need to purchase a 24-hour subscription ($6.00 USD) by inserting your credit card at one of the pay stations located at each of the Nice Ride stations [813]. Then simply take a bike and go!  You can return the bike to any station later on in the day. Please keep in mind the details of the pricing [814] for the additional trip fees.

Taxi Options

Suburban Taxi [815]
Online booking, Call 612-522-2222, or Text your pick-up address to 651-433-6333

Blue & White Taxi Service [816]
Online pre-pay booking or Text your pick-up address to 612-963-7173

Red & White Taxi [817]
Call 612-871-1600

Airport Taxi MN [818]
Online booking or Call 612-721-0000


Want to go check out the Mall of America? 

Jump on the METRO Blue Line light rail. You can board the train at the Nicollet Mall Station just a couple blocks from the conference venue. View the full Blue Line Mall of America schedule [819] for departure times.

Need information on parking at the Marriott City Center?  Please click here [688].

Registration & Fees - WC12 & Pre-Conference Workshops

[251]

   [820] [821]
 

[822]  [823]

*(consider joining ACBS and register as a member [673])

World Conference 12 Registration Rates (June 19 -22, 2014)

  REGULAR REGISTRATION (ends May 30) ONSITE REGISTRATION
Professional $579 $629
Student $329 $379
Professional, Non-Member $639 $689
Student, Non-Member $359 $409

Above prices include 3 lunches, AM & PM coffee/tea on site, one dinner (June 19), and a general certificate of attendance.


Pre-Conference Workshop Registration Rates (June 17-18, 2014)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference 12. They will be 9:00-5:15pm on each day.

*The workshops [678]run concurrently, therefore please double check the dates of the pre-conference workshops you are interested in. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

  REGULAR REGISTRATION (ends May 30) ONSITE REGISTRATION
  2-day workshops (or two 1-day workshops) 1-day workshop (June 17 or 18) 2-day workshops (or two 1-day workshops) 1-day workshop (June 17 or 18)
Professional $379 $229 $429 $279
Student $229 $155 $279 $205
Professional, Non-Member $439 $289 $489 $339
Student, Non-Member $259 $185 $309 $235

Above prices include lunch each day, AM & PM coffee/tea on site, and a general certificate of attendance.

[771]


Please Note:

  • To qualify for the rates above, registration as well as payment must be received in Jenison, Michigan, USA by the dates listed.
  • Additional fees are required for certificates that track the number of hours you attended ($10) and CE credits [681] ($45). These fees cover all events from June 17-22, 2014 and does not need to be paid twice for attending multiple events.
  • Lunches are provided, June 17-21 if a corresponding registration is purchased, as well as coffee/tea during the AM & PM breaks (approx. 10:30am & 3:30pm).
  • All rates in US Dollars.
  • We apologize that we may not be able to accommodate special meal requests (gluten free, kosher, and vegan) for registrations received after June 2.
  • To register via Mail or Fax please use the Printable Version. DOC [824] or PDF [825]
  • Online registration is not available after June 13, 2014.
  • Faxed (1 (225) 302-8688) or mailed registrations must be received at P.O. Box 655, Jenison, MI, 49429, USA, by June 2.  (Note that prevailing rates will apply upon receipt.)
  • Student Registration/Membership is available to individuals who are enrolled in a program of study leading to a bachelor’s, master’s, or doctoral degree, are interns, or are postdoctoral candidates. Postdoctoral candidates qualify for Student Registration for up to 2 years, with proof of status from their employer. After this time, they need to register as a Professional. Note: Those registering for the conference as a student are ineligible to earn any kind of CE credits.

Refunds:
A $35 processing fee will be charged for World Conference & Pre-conference registration refunds up to June 2, 2014. (Per refund transaction.)

We regret that after June 2, 2014, refunds can not be made, however we will allow a substitute registrant. If you need a refund, please contact us [294] via email. (Note: Shared registrations are not permissible... meaning that you can't attend one day and your colleague the next, etc.)

Photograph/Video Release:
ACBS has official photographers/videographers for this meeting. Photographs/video taken at ACBS's Annual World Conference may be used in future marketing, publicity, promotions, advertising and training activities for ACBS. By registering for this meeting, you agree to allow ACBS to use the photographs/video—which may include you—in all media formats worldwide. If you do not want to be photographed or videotaped, please notify the individuals capturing the information.

Waiver of Liability:
Each individual attending ACBS's Annual World Conference assumes all risks associated with his/her attendance and participation in all on- and off-site activities that occur during this time. By registering for this meeting, you agree to indemnify and hold harmless ACBS and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to your attendance and participation at ACBS's Annual World Conference.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Room Share/ Ride Share

Please use this page to find hotel roommates or rides for the ACBS World Conference 12 and/or pre-conference workshops.

Please be sure to post a "check-in" and "check-out" date in your posting and if you already have a room reserved or not (and where).

To post your need: click "add new comment" (which appears in blue below). It is recommended that you list your email address so that you may be contacted directly, but that is up to you.

To respond to a posting: click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).

See the "Example Post" and "Example Reply" below to understand what this will look like.

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us [304]" above in the header of the site for feedback or assistance. You only need a login to interact with this page, paid membership is not required to participate.)

Please note that it becomes the responsibility of each participant in the program to communicate with and to work out an agreement with a potential room sharer. ACBS's role is strictly limited to the maintenance of this website page who have signified interest in the program and will maintain the page but will not (a) screen participants, (b) make any determination as to the appropriateness of any resulting room share, or (c) represent that any room share which may follow use of the service will prove to be satisfactory to the participants.

Training Observations for Peer Review at the ACBS World Conference

If you are building a portfolio of materials to submit for peer review to become a Peer Reviewed ACT trainer [1], the World Conference can be a place where you may be able to be observed delivering training. The process for requesting an observation must be done in advance and involves completing the Observation request form on the Training Page at: http://contextualscience.org/training_standards [213], under the link 'How can my training be observed?" We will do our best to arrange an observation, though this is dependent on the availability of reviewers and so we can not guarantee it.

In addition, that page details exactly the kinds of materials you need to show to successfully achieve peer review. Please only request an observation if you are committed to the process, have self-assessed that you are ready to make an application and have already begun to work on your portfolio. If you are thinking you might one day apply, please don't request an observation at this stage. Instead, you can read more about the process on the Training Page and you can contact the Training Committee Chair (details on the training page) for further advice and support about the peer review process.

David Gillanders
ACBS Training Committee Chair

WC12 Symposia Detail

[251]

Thursday, June 19
Friday, June 20
Saturday, June 21
Sunday, June 22

 

Thursday, June 19

15. Thinking Fast and Slow: Recent Theoretical Developments in the Study of Implicit Cognition
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Original data
Categories: Theory & Philo., Related FC approaches, RFT, Relational Elaboration and Coherence (REC) Model; Propositional Model
Target Audience: Beg., Interm., Adv.
Location: Excelsior Bay & Lafayette Bay

Chair: Sean Hughes, National University of Ireland Maynooth (NUIM)
Discussant: Ian Stewart, National University of Ireland Galway (NUIG)

Over the past twenty years, researchers from nearly every corner of psychological science have devoted considerable time and energy to the study of a phenomenon known as implicit cognition. Much of this work has centered on the finding that people can think, feel and behave in ways that are beyond their control, outside of their awareness, that defy their intention and that occur in the blink of an eye. Perhaps more importantly, these ‘automatic cognitions’ influence the way we subsequently behave: they shape our decisions, warp our judgments and bias the way we respond to both ourselves and others. In this session we reflect on a number of functional/cognitive theories and methods that are currently shaping our understanding of thinking fast and slow. Hughes will begin with an overview of this research area and offer the Relational Elaboration and Coherence (REC) model as a new RFT-inspired account that contextual behavior scientists can use to further our understanding of this class of behaviors. Barnes-Holmes will then consider an RFT-inspired measure known as the Implicit Relational Assessment Procedure (IRAP) and discuss just what it does and does not measure. Finally, De Houwer will close the session by drawing attention to the fact that (under certain conditions) developments at the cognitive (propositional) level may feed into and drive developments at the functional (RFT) level and vice-versa.

• Holding on to our Functional Roots when Exploring New Intellectual Islands: A Voyage through Implicit Cognition Research
Sean Hughes, National University of Ireland Maynooth

Over the last twenty years contextual behavioral scientists have focused their attention on a whole host of complex psychological phenomena. This voyage into uncharted waters has brought with it exciting new developments at the methodological and theoretical levels as well as increased contact with different traditions occupying foreign intellectual islands. One such (cognitive) tradition living on a foreign island (mentalism) has discovered an exciting new class of behaviors typically referred to as ‘implicit’ or ‘automatic’ cognition. In the current talk I provide a brief overview of this research literature as well as the conceptual, theoretical and methodological tools that have typically been used to understand this phenomenon. Thereafter, I offer the Relational Elaboration and Coherence (REC) model as a RFT inspired means for contextual behavioral scientists to explore this domain from a purely functional perspective.

• Why the IRAP is NOT a Measure of Implicit Cognition
Dermot Barnes-Holmes, National University of Ireland Maynooth

The phrase “implicit cognition” simply serves to orient behavior-analytic researchers towards a particular domain in psychological research and thus neither word can be considered a technical term. Technically speaking, therefore, the IRAP is not a measure of implicit cognition. Rather the IRAP is more appropriately considered a measure of the probabilities in previously established patterns of brief and immediate arbitrarily applicable relational responding. The current paper will reflect upon the possible pros and cons of using a popular or “trendy” verbal stimulus to label a new functional-analytic procedure or measure.

• Implicit Cognition: A functional-Cognitive Perspective
Jan De Houwer, Ghent University

Whereas most cognitive psychologists subscribe to the position that automatic (implicit) behavior is mediated by the automatic spreading of activation along associations in memory, I put forward the idea that automatic behavior is mediated by propositional knowledge. Unlike associations, propositions contain information about how events are related (e.g., A causes B, A is an effect of B, …). I review several studies showing that automatic responses can be moderated by relations cues, at least under certain conditions. At the cognitive level, these findings support propositional theories of implicit cognition. At the functional level, these findings show that relational responding can be automatic and reveal the need for the further development of measures such as the IRAP that can capture automatic relational responding.

Educational Objectives:
1. Describe the current state-of-the-art in implicit cognition research. 2. Outline a new RFT inspired (REC) model and procedure (IRAP). 3. Discuss the relation between the functional and cognitive traditions in this research area.

 

17. The Power of Therapeutic Relationship: an Approach to Why and How People Change in Functional Analytic Psychotherapy (FAP)
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data
Categories: Performance-enhancing interventions, Clin. Interven. & Interests, Functional Analytic Psychotherapy
Target Audience: Interm.
Location: Lake Calhoun

Chair: Daniel W. M. Maitland, Western Michigan University
Discussant: Jonathan Kanter, University of Washington

One of the biggest questions in the mainstream of clinical psychology is the role of therapeutic relationship in client outcomes. This symposium provides three data-based examples of the Functional Analytic Psychotherapy approach to this topic. We present four research studies exploring how the interaction between the therapist and the client can be maximized to produce client improvements both in and out of the session. Specifically, we discuss the importance of: (a) the therapist’s active vs. passive role, (b) different therapeutic actions throughout the therapeutic process, and (C) the use of several forms of verbal behavior to shape clinically relevant behavior. Results suggest explanations for the mechanism of the therapeutic relationship from a contextual behavioral perspective and provide support for FAP in particular.

• How does FAP work? The differential effect of therapist behavior on client behaviors in and
Amanda M. Muñoz-Martínez, M.S., Fundación Universitaria Konrad Lorenz (presented by Jonathan Kanter)
Natalia Esparza Lizarazo, Fundación Universitaria Konrad Lorenz

Functional Analytic Psychotherapy’s mechanism of therapeutic action has been described in terms of behavioral principles such as reinforcement, discriminative control, and functional equivalence. This talk presents two experimental single-case research designs in which these principles were differentially emphasized. The first study involved a crossover design that demonstrated variation in the frequency of client problems and improvements when the therapist focused solely on evoking behavior (Rule 2 in FAP) versus evoking and reinforcing behavior (Rules 2 and 3 in FAP). The second study used a simple A-B design with follow-up. Results showed parallel changes in the behavior of the clients in and out of session only after application of Rule 2 and Rule 3. We will discuss methodological issues, the importance of increased research on mechanisms of change in FAP, and the relevance of the therapeutic relationship. Educational Objective: Plan researches in FAP which integrate coherently methodological and theoretical issues from a contextual science.

• What Kind of Talk Matters in Functional Analytic Psychotherapy? A Single-Case Experimental
Alessandra Villas-Boas, University of São Paulo
Sonia Beatriz Meyer, University of São Paulo
Jonathan Kanter, University of Washington

All psychotherapeutic interventions involve relational transformations of function at a fundamental level. FAP focuses on two processes within this verbal framework. First, Rules 1-4 involve verbal behavior to shape improvements in clinically relevant behavior. Then, Rule 5 helps the client develop effective rules to describe the shaping process that previously occurred. One question in FAP is if Rule 5 is necessary. A single-case experimental design, A-B1-BC1-B2-BC2 is being conducted with two clients: A is baseline; B represents FAP shaping strategies (Rules 1–4); and BC represents FAP shaping strategies plus verbal descriptions of the contingencies (Rule 5). An increase in the frequency of in session improved behavior was observed in Phase B, suggesting a positive impact of Rules 1–4. In Phase BC, the frequency of the clients’ descriptions of contingencies increased, but there is not enough data to conclude that Rule 5 impacted behavior out-of-session.

• Evaluating the Efficacy of FAP for Enhancing Social Connectedness in a Distressed College Student Population
Daniel W. M. Maitland, Western Michigan University
Rachel A. Petts, Western Michigan University
Christopher A. Briggs, Western Michigan University
Julissa A. Duenas, Western Michigan University
Justin A. Moore, Western Michigan University
Scott T. Gaynor, Western Michigan University

Functional Analytic Psychotherapy (FAP) is a radical behavior form of therapy. This therapy focuses on contingently responding to clinically relevant behavior as it occurs in the room. To date, little research been conducted exploring the differential impact of FAP compared to other therapeutic conditions. The current study investigates the differences between FAP and a watchful waiting condition in a distressed population recruited from a large Midwestern university. Participants in this study scored one standard deviation below the mean on a measure of social intimacy and met diagnostic criteria for Social Anxiety Disorder, General Anxiety Disorder, a Major Depressive Disorder, Avoidant Personality Disorder, or Dependent Personality Disorder. Participants were then given 6 sessions of FAP or 6 sessions of a watchful waiting condition. Data presented will highlight the impact of FAP on measures of social intimacy and the differential impact compared to the watchful waiting condition. Currently 13 participants are enrolled in the study, it is expected that 20-30 will be available for the presentation at the conference

Educational Objectives:
1. Analyze the research process and the use of different methodological approaches to exploring FAP process and outcomes. 2. Discuss the importance of the therapeutic relationship to create client changes, and how to assess this mechanism. 3. Plan research in FAP which integrates methodological and theoretical issues from a contextual behavioral science perspective.

 

18. ACT for Parents
Symposium (10:30am-Noon)
Components: Original data
Categories: Clin. Interven. & Interests, Clin. Interven. & Interests, parents
Target Audience: Beg., Location: Lake Nokomis

Chair: Meredith Rayner Ph.D., Parenting Research Centre and Murdoch Children's Research Insitute
Discussant: Louise Hayes, Ph.D., Univeristy of Melbourne

ACT and parenting is a growing area of research and clinical interest. Current research from several aspects of parenting are presented including evaluations of parent interventions, emotional regulation and expression, psychological flexibility, and maternal mental health. The first paper presents data from a pilot of a five-session ACT parenting workshop with parents of children with severe emotional and behavioral difficulties in a day-treatment school setting. The second paper presents a model of the proposed relationships between maternal and child depressive symptomatology by assessing psychological flexibility, perceived parental social support, and family environment in mother-child dyads. The third paper presents preliminary data from a group intervention to reduce the long term traumatic emotional responses to the child’s illness in parents of children diagnosed with a life threatening illness or injury. The final paper explores the relationship between emotion regulation, expression, and mental health outcomes in a sample of low-income mothers.

• ACT for Parents: An Open Trial with Parents Raising a Child with Severe Emotional and Behavioral Problems
Lisa Coyne Ph.D., Suffolk University/The New England ACT Institute
Mitch Abblett, Ph.D., The Manville School/Judge Baker Children’s Center at Harvard Medical School

The present study presents the pilot a five-session ACT parenting workshop with parents of children aged 5-17 with severe emotional and behavioral difficulties in a day-treatment school setting. We expected that parents would find the program acceptable and feasible. Further we anticipated that those who reported post-program increases in acceptance and mindfulness would also report reduced parenting stress, distress, improved quality of life, improved parenting efficacy, and increased reliance on positive, rather than maladaptive, parenting strategies. We also explored the relationship between improvements in parent functioning and their relationship to parent and teacher-reported child behavioral and emotional functioning. The first wave (n=7) is completed and the second wave (N = 8) is underway. Data includes parent stress/distress, quality of life, perceptions of parenting and child behavior problems, ACT processes and treatment feasibility and acceptability (baseline, post-treatment, and 3-month follow-up). Study strengths and weaknesses, as well as implications for future work, will be discussed.

• The role of social support and psychological flexibility in the transmission of depression from mother to child
Alysha D. Thompson, Ph.D, Suffolk University
Lisa W. Coyne, Ph.D., Suffolk University

This research examines the contribution of parental emotion coping and social support to child depression. Participants were 348 mother-child dyads (children ages 11-14). Child self-report measures assessed depressive symptoms, psychological flexibility, and perceived parental and peer social support. Mother self-report measures assessed, depressive symptoms, psychological flexibility, and family environment. This study aimed to create a comprehensive model of the proposed relationships and to assess the influence of psychological flexibility, perceived parental social support, and maternal depressive symptomatology on child depressive symptomatology. Structural equation modeling was utilized to test the goodness of fit of the proposed model. Results indicated maternal depression significantly predicted maternal experiential avoidance, parent social support, and child depression. In addition, maternal psychological flexibility mediated the relationship between maternal symptoms of depression and parent support, parent support mediated the relationships between maternal and child symptoms of depression and maternal and child psychological flexibility.

• Take A Breath: Increasing psychological flexibility and reducing traumatic emotional response in parents of a child with a life threatening illness or injury
Meredith Rayner Ph.D., Parenting Research Centre and Murdoch Childrens Research Institute
Frank Muscara Ph.D., Murdoch Childrens Research Institute

The diagnosis of a child with a life threatening injury or illness places severe stresses on parents and has been linked to high parental risk of Acute Stress Disorder and Post Traumatic Stress symptoms. This paper presents preliminary data from an RCT of an ACT group intervention to increase parental flexibility and reduce the long term traumatic emotional responses to the child’s illness in parents of children diagnosed with a life threatening illness or injury. The groups are delivered online using web-conferencing to increase accessibility for this population of parents who have illness and treatment related barriers to attendance. Quantative data are presented along with data from semi structured interviews.

• The Role of Emotion Regulation and Expression on Mental Health Outcomes for Racial-Ethnic Minority Mothers
Marie-Christine André, M.A., Suffolk University, Department of Psychology
Carlos Rivera, B.S., Suffolk University, Department of Psychology
Jadig Garcia, M.A., Suffolk University, Department of Psychology
Lisa Coyne, Ph.D., Suffolk University, Department of Psychology

Although emotion regulation and expression are hypothesized as important in psychopathology, studies examining these processes in diverse populations are scarce. Thus, this study aimed at exploring the relationship between emotion regulation, expression, and mental health outcomes in a diverse sample of low-income mothers. Mothers completed the Emotion Regulation Questionnaire and the Depression, Anxiety, Stress Scale. Mothers and children's teachers completed the Emotion Regulation Checklist about the children's regulatory skills. Although no significant difference in emotion expression was observed between the groups, Latina mothers were significantly more likely to use suppression as a strategy compared to African-American mothers (p <.01). Expression of negative emotions and depressive symptoms were positively correlated for the African-American mothers (p<.01), but not for the other two groups. Expression of positive emotions and the use of cognitive reappraisal were positively correlated for the whole sample (p <.01). Additional results and implications for acceptance-based interventions will be discussed.

Educational Objectives:
1. Describe the role of social support and psychological flexibility in the transmission of depression from mother to child. 2. Utilize outcomes/implications of current pilot studies to design and implement similar programs in your own institution/facility. 3. Discuss how emotional regulation and expression relates to mental health outcomes for racial-ethnic minority mothers.

 

19. PTSD: ACT, Mindful and Compassionate Approaches
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation, Case presentation
Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Performance-enhancing interventions, Beh. med., Theory & Philo., Repetitive Thought, PTSD, shame, compassion, Posttraumatic Stress Disorder
Target Audience: Beg., Interm. Location: Cooks Bay

Chair: Michael Skolnik Discussant: Olga Berkout, M.A., University of Mississippi

With a growing focus on Post-traumatic Stress Disorder (PTSD) due to an alarming growth in our returning veterans, we are wise to turn our efforts toward increasing our knowledge in this area. 3 researchers focused on using ACT, mindfulness, and compassion-focused approaches when examining new approaches for alleviating the suffering in PTSD individuals will discuss their studies and findings.

• Immune-Spectrum Disease and Repetitive Thought in Female Veterans
Elizabeth A. Mullen-Houser, Ph.D., University of Iowa, Department of Psychology
Susan K. Lutgendorf, Ph.D., University of Iowa, Departments of Psychology, Obstetrics and Gynecology and Urology
Anne G. Sadler, Ph.D., Iowa City VA Health Care System; University of Iowa Department of Psychiatry
Michelle A. Mengeling, Ph.D., Iowa City VA Health Care System; University of Iowa Department of Internal Medicine
James C. Torner, Ph.D., University of Iowa Departments of Epidemiology & Neurosurgery and Surgery
Brian L. Cook, D.O., University of Iowa Department of Psychiatry and VISN 23 Mental Health, Department of Veterans Affairs
Skylar Johnson, M.S., Iowa City VA Health Care System
Brenda M. Booth, Ph.D., Central Arkansas Healthcare System and University of Arkansas Department of Psychiatry

Female veterans are at risk for stress-related physical disorders given high rates of trauma exposure and a heightened physiologic stress response. Identification of modifiable risk factors for stress disorders is necessary to develop evidence-based interventions that help minimize the emergence and impact of veteran illness. The present study used structural equation modeling to investigate the contributions of maladaptive repetitive thought (RT), posttraumatic stress symptoms, depression, childhood trauma and health behaviors to immune-spectrum disease and functional disability. Female Reserve or National Guard veterans (N = 643) completed a computer-assisted telephone interview through the Iowa City VA. Results indicated that physical disease was associated with greater depression and childhood trauma after accounting for covariates. Unexpectedly, higher maladaptive RT was associated with less physical disease, although only when depression was included as a covariate. Maladaptive RT parsed for negative affect associated with depression may conceptually resemble adaptive RT. Adaptive RT has previously been found to be protective of physiologic disease response. Interventions which promote adaptive RT, such as mindfulness and values clarification, may protect female veteran health.

• Developing a Compassion-Based Therapy for Trauma-Related Shame and Posttraumatic Stress
Teresa Au, M.A., Boston University, VA Boston Healthcare System
Brett Litz, Ph.D., Boston University, VA Boston Healthcare System

Interpersonal trauma survivors often suffer from shame and self-blame, which heighten the sense of internal threat that maintains PTSD. However, current evidence-based treatments for PTSD primarily target fear responses arising from life-threat trauma and fail to directly address shame. We will describe a compassion-based therapy that we have developed to reduce trauma-related shame and PTSD symptoms. For six weekly individual therapy sessions, participants engage in experiential exercises designed to promote self-compassion in response to shame in everyday contexts as well as shame directly related to a traumatic experience. We will report preliminary results from our multiple baseline study evaluating the efficacy, feasibility, and acceptability of this therapy for individuals struggling with shame and posttraumatic stress after a potentially traumatic event. We will also provide details on the study’s multiple baseline design as a time- and cost-effective method for evaluating novel treatments.

• Acceptance and Commitment Therapy for improve the quality of life in people with Complex Post Traumatic Stress Disorder.
Nathalia Vargas Ph.D., Mexico Association for Contextual Behavioral Science
Michel Reyes Ph.D, Mexico Association for Contextual Behavioral Science

The objective of this study is to evaluate the effectiveness of a group treatment model based on acceptance and commitment therapy for improve the quality of life of the participants with complex PTSD. The sample is 30 patients randomized at two groups of 15 patients each one; they were assessed with the Clinician-Administered PTSD Scale (CAPS), the posttraumatic Stress Disorder Check list (PCL-V) and Quality of Life WHOQOL- Bref. It is a clinical trial with measurements pretest -test -posttest with follow up over six months with a control group. This study is in progress and preliminary results will be presented

Educational Objectives:
1. Describe both maladaptive and adaptive repetitive thought, including ACT-related interventions that are associated with increasing adaptive repetitive thought. 2. Discuss the association of repetitive thought with physical disease, especially in the female veteran population and the theoretical rationale for using compassion-based therapy to reduce trauma-related shame and posttraumatic stress. 3. Implement experiential exercises to promote self-compassion in traumatized individuals and describe the ACT characteristics and benefits for the improve the quality of life, compare and assess with the usual treatment (Prolonged Exposure Therapy).

 

29. Promoting Exposure Therapy in Practice and Research: The Role of ACT and Citizen Science
Symposium (2:45-4:15pm)
Components: Original data
Categories: Clin. Interven. & Interests, Superv., Train. & Dissem., Exposure Therapy
Target Audience: Beg., Interm. Location: St. Croix I

Chair: Brooke M. Smith, Utah State University
Discussant: Brian Thompson, Portland Psychotherapy Clinic, Research, and Training Center

Exposure therapy is widely recognized as a highly effective and empirically supported treatment for a number of anxiety disorders. However, negative beliefs about exposure therapy, both in the professional and lay communities, may lead to its underutilization in many treatment settings (Olatunji, Deacon, & Abramowitz, 2009). In addition, researchers have begun to investigate the various processes through which exposure may impact client outcomes (Twohig, Whittal, & Cox, 2010) and methods of promoting exposure therapy in both clinical and research contexts. The papers presented in this symposium discuss empirical work addressing the impact of treatment rationale on treatment utilization, as well as a research protocol designed to promote investigation into the various processes of change underlying exposure therapy.

• The Impact of ACT versus CBT Rationale for Exposure Therapy
Joanna J. Arch, Ph.D., University of Colorado at Boulder
Michael P. Twohig, Ph.D., Utah State University
Brett J. Deacon, Ph.D., University of Wyoming
Lauren N. Landy, M.A., University of Colorado at Boulder
Ellen J. Bluett, M.S., Utah State University

Exposure provides a potent treatment for anxiety disorders. Yet exposure therapy suffers from a “serious public relations problem” (p. 172, Olatunji, Deacon & Abramowitz, 2009) and is highly underutilized in most treatment settings. Further, exposure has been employed recently within mindfulness and acceptance based treatments such as ACT, shifting how the process and aims of exposure are framed. As evidenced within the behavior change and treatment credibility literatures, differences in framing and rationale can impact whether people are willing to engage in an intervention. No research to date, however, has examined how different ways of framing exposure – that is, different treatment rationale for exposure – may impact willingness to engage in it. In this study, we explore how systematically varying the treatment rationale for exposure, based on components of ACT and CBT such as fear reduction versus fear acceptance, testing thoughts versus defusing from thoughts, and so forth, impacts willingness to consider exposure therapy and treatment credibility. This internet based study will recruit a large (n = 964) adult sample randomized to receive different exposure therapy rationale. Our goal is to inform whether framing exposure in more ACT versus CBT terms impacts ratings of treatment willingness and credibility. We will also examine baseline moderators of these ratings, including anxiety and depression symptoms, trait acceptance, and anxiety sensitivity, to explore the possibility of treatment matching. Our findings will inform practical considerations of how different rationale for exposure therapy impact willingness to engage in this powerful yet underused treatment for anxiety.

• Does Exposure Framing Matter? Comparing Models of Exposure in a Brief Intervention for Social Anxiety
Ellen J. Bluett, M.S., Utah State University
Lauren N. Landy, M.A., University of Colorado at Boulder
Michael P. Twohig, Ph.D., Utah State University
Joanna J. Arch, Ph.D., University of Colorado at Boulder

Exposure therapy is considered a first line treatment for various anxiety disorders, but only a subset of anxious individuals are treated with exposure. One potential target for narrowing this gap is the framing of exposure therapy. Exposure is typically presented from a fear-reduction perspective. This study investigates how alternative perspectives based in Acceptance and Commitment Therapy might impact engagement in and effectiveness of exposure. A brief exposure intervention was presented from one of four perspectives: (a) fear reduction (b) psychological flexibility (c) personal values, and (d) active control. 53 socially anxious individuals from Utah State University and the University of Colorado at Boulder participated. Results revealed that all active conditions evidenced significantly more improvement in self-reported social anxiety (Liebowitz Social Anxiety Scale-Self Report; Liebowitz, 1987) pre-post than did control condition, b = -2.23, t(73) = -2.50, p = .02. Psychological flexibility or values frameworks are viable options for framing exposure.

• Exposure Procedure Research within a Post-Tribal Practice-Research Network
Kelly Koerner, Ph.D., Evidence-Based Practice Institute

Various change processes are hypothesized to distinctly produce the improvements seen as a result of undergoing exposure procedures. For example, Twohig et al (2010) found that processes of change in exposure treatments for OCD were at least somewhat distinct from each other, but treatment packages impacted multiple processes. This line of research highlights how single-case experimental design may offer important insights into how therapist behaviors impact client change processes. In this presentation, Koerner describes a research protocol in which a distributed network of therapists and clients can use experimental multiple baseline design to understand how specific session level therapist interventions move client change processes in exposure therapy. "Citizen science" projects such as this tackle scientific problems by recruiting volunteers to make a meaningful contribution to research.

Educational Objectives:
1. Explain the results of a study on rationales for exposure therapy. 2. Discuss the effects of rationales for exposure from an ACT model. 3. Describe how a distributed network of therapists and clients using single case designs study change processes in exposure therapy.

 

32. Inside the Belly of the Beast: Does the Implicit Relational Assessment Procedure Really Do What it’s Supposed to Do?
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Literature review, Original data
Categories: RFT, Related FC approaches, IRAP
Target Audience: Beg., Interm., Adv.
Location: Excelsior Bay & Lafayette Bay

Chair: Sean Hughes, National University of Ireland Maynooth (NUIM)
Discussant: Jan De Houwer, Ghent University

Since its inception, the IRAP has stimulated a rapidly growing body of work on implicit cognition, or from an RFT perspective, relational responses that are low in derivation and complexity. We now know that this procedure captures a wide range of behaviors that self-report measures fail to pick up on and predicts meaningful real-world outcomes such as substance abuse, clinical fears and obsessive-compulsive tendencies. Given the rising popularity of the measure it seems important to take a step back and consider a host of questions that determine our confidence in the above outcomes. For instance, is it possible to fake how one responds on the IRAP? What does it mean to say that the IRAP effect is reliable and what influence do contextual factors (such as the specific stimulus relations assessed) play on the outcomes obtained? In this session we ‘lift the lid’ on the IRAP and explore a number of conceptual and methodological issues that any researcher who uses this tool needs to know. Topics will include recent studies on “fakeability” and reliability, a functional analysis of the IRAP effect, and the challenges and pitfalls of the traditional psychometric concept of reliability from a functional contextual perspective.

• Mirror Mirror on the Wall: is the IRAP Reliable, Relativistic and Fakeable at all?
Sean Hughes, National University of Ireland Maynooth
Ian Hussey, National University of Ireland Maynooth

Since its inception, the IRAP has stimulated a rapidly growing body of empirical work on implicit cognition - or from an RFT perspective - relational responses that are low in derivation and complexity. We now know that the procedure captures a wide range of behaviors that self-report methodologies fail to pick up on and predicts meaningful real-world outcomes such as substance abuse, clinical fears and obsessive-compulsive tendencies. Given the rising popularity of the measure it seems important to take a step back and consider a host of questions that determine our confidence in the above outcomes. For instance, is it possible to fake how one responds on the IRAP? What does it mean to say that the IRAP effect is reliable and what influence do contextual factors (such as the specific stimulus relations assessed) play on the outcomes obtained? In this talk we take a closer look at these three questions and discuss their potential impact on past, present and future IRAP research.

• Back to Basics: Units of Analysis, RFT and the IRAP
Dermot Barnes-Holmes, National University of Ireland Maynooth
Ian Hussey, National University of Ireland Maynooth
Yvonne Barnes-Holmes, National University of Ireland Maynooth

The IRAP was developed in response to the question “How do we catch relational frames in flight”. As such, it was originally conceptualized, programmed and developed by relational frame theorists to capture the strength or probability of previously established patterns of relational framing. On balance, it appears from informal discussions with both students and colleagues that the relationship between the IRAP and RFT remains somewhat unclear. The current paper aims to clarify this relationship and to describe more precisely than hitherto exactly how the IRAP provides a measure of what it was designed to measure – relational framing in flight.

• The Many Faces of Reliability: Implications for the IRAP and other Implicit Measures
Maarten De Schryver, Ghent University
Sean Hughes, National University of Ireland Maynooth

Within mainstream psychology, reliability refers to a family of statistics that determine just how precise we are when measuring behavior in specific situations. Many of these statistics are based on the assumption that if people complete the same test under the exact same conditions (e.g., if they were ‘brainwashed’) the amount of variance that they share would reflect our measurement precision. Researchers use these reliability measures to make claims about behavior and this is particularly the case with regard to procedures like the IRAP and IAT. Upon closer inspection, however, many of the underlying assumptions of reliability statistics fail to hold true - and perhaps more importantly - are incompatible with the philosophical foundations of contextual behavior science. With this in mind, we will discuss the notion of reliability as it applies to the IRAP and other implicit measures from a traditional psychometric and then functional contextual perspective. The challenges and pitfalls in confounding these two approaches will be highlighted and effective strategies for future work outlined.

Educational Objectives:
1. Discuss methodological issues like the fakeability, reliability and relativity of the IRAP effect. 2. Describe what the IRAP measures from a functional contextual point of view. 3. Outline issues and challenges when using the notion of reliability to evaluate outcomes like the IRAP effect.

 

33. Perspective Taking, Empathy, and Self as Context: Empirical Investigations
Symposium (2:45-4:15pm)
Components: Original data
Categories: RFT, Prevention & Comm.-Based, Children, Adolescents
Target Audience: Interm., Adv.
Location: Spring Park Bay

Chair: Louise McHugh, University College Dublin
Discussant: Tim Weil, University of South Florida

Arguably, nothing in human psychology is as important as the abilities to understand oneself and to take the perspective of others. The current symposium comprises of three papers on the training of deictic relational responding. The first paper presents a multiple baseline design on a deictic training protocol with three children diagnosed with Autism Spectrum Disorder using wireless app technology. The second paper discusses an analogue model of the effects of cyber exclusion and the preventative impact that self as context training has on cyber exclusion. The final paper covers a deictic training intervention with adolescents. The adolescents were trained in deictics, emotional deictics, and self as context, respectively. The impact of the training on well-being was tested at pre, post, and three week follow-up. Together the findings from the three papers support the utility of training perspective taking, empathy, and self as context across different populations.

• Training perspective taking and empathy in children diagnosed with ASD using wireless technology
Louise McHugh, University College Dublin
Corinne Ginty, University College Dublin
Aisling McGee, University college Dublin
Anita Munnelly, University College Dublin
Ian Stewart, National University of Ireland Galway

Children learn to relationally frame their own behaviour as different from that of others by learning three key deictic relations: “I versus YOU”, “HERE versus THERE” and “NOW versus THEN”. They learn to respond appropriately to questions such as ‘What are YOU doing HERE?’, ‘What am I doing NOW?’, ‘What was I doing THEN?’ etc. As they learn to respond to these questions they see that whenever they are asked about their own behavior they always answer from the point of view of ‘I’, ‘HERE’ and ‘NOW’ and that this perspective is consistent and different from that of other people. For example, if you ask me about my behavior, I will always answer from the position of ‘I’, ‘HERE’ and ‘NOW’ in response to your question asked by YOU, THERE (where you are) and THEN (when you asked – a few seconds ago). The current paper presents data from a multiple baseline design deictic wireless app intervention that trained three children diagnosed with ASD in deictic relational responding. The findings indicated that the deictic training generalized to (1) theory of mind tests and (2) perspective taking questions about cartoon characters that had not been directly trained.

• Testing a self as context intervention for preventing the negative effects of cyber exclusion
Ann Zedginidze, University of Wisconsin - La Crosse
Anita Munnelly, University College Dublin

Previous studies have found that social exclusion can cause distress to those excluded. One method used to study social exclusion is through a virtual ball-toss game known as Cyberball. In this game, participants may be excluded from or included in the ball-toss game and typically report lower feelings of self-esteem, control, belonging and meaningful existence following exclusion. The current experiment sought to explore the effect of a self as context intervention on cyber exclusion. 30 participants were randomly assigned to either a self as context induction or a relaxation control. Post intervention all participants played cyberball. Changes in mood and self-esteem were measured from pre to post cyberball game. The findings indicate the find the while the cyberball game had a negative impact on the mood and self esteem of the participants in the relaxation group, the negative impact of cyberball did not emerge post self as context intervention.

• Training Self-Flexibility in Young People
Orla Moran, University College Dublin
Louise McHugh, University College Dublin

Recent data indicates that three quarters of all mental health problems in Ireland emerge before 25 years of age and the emergence of these problems can be linked to a dysfunctional sense of self. Widespread empirical evidence indicates the importance of self-development during adolescence (12-25 years). With this in mind, the present study aimed to develop and implement a Flexible Self Intervention, specifically for adolescents. 150 participants (M= 16 years) were recruited from Irish secondary schools. The Flexible Self Intervention involved three interactive sessions with short video clips and audio recordings. Session one involved training perspective relational frames (I-YOU, HERE-THERE, NOW-THEN). Session two involved empathy training via the transformation of emotional functions using deictic relational frames. Session three involved deictic Self-as-Context training. Process measures of mindfulness and cognitive avoidance, and outcome measures of self-esteem, self-compassion, anxiety, well-being, emotional acceptance, empathy and reaction to ostracism, were examined at pre, post and 3 week follow-up. The findings indicated that the intervention had positive outcomes in terms of general well being and self esteem for the adolescents from pre intervention to follow up.

Educational Objectives:
1. List new research in the area of deictics 2. Design better deictic interventions 3. Demonstrate the ability to apply RFT principles within ACT

 

34. Shame Behind Labels: Conceptualization, Assessment and Treatment of Health Related Stigmatization
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data
Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Psychological Flexibility, Deictic Relational Responding
Target Audience: Beg., Interm., Adv.
Location: Lake Calhoun

Chair: Emily Squyres, University of Louisiana at Lafayette
Discussant: Akihiko Masuda, Ph.D., Georgia State University

Health-related outcomes are often complicated and even threatened by the stigma that accompanies diagnosis. Papers in this symposium will explore applications of the CBS perspective to the conceptualization, assessment, and treatment of health-related stigmatization. The first paper will consider the role that social categorization and deictic relational responding play in self-stigma among the obese. The second paper will discuss the results of an ACT intervention on stigma among those with HIV. The third paper will discuss the cultural adaptation of the Substance Abuse and Self-Stigma Scale in Puerto Rico, using a Latino population living with HIV.

• Sticks & Stones: The Social Context for Learning Self-Stigma Amongst the Obese
Emily Squyres, University of Louisiana at Lafayette
Emily Sandoz, Ph.D., University of Louisiana at Lafayette

Humans readily engage in social categorization on the basis of both physical and arbitrary features of the individual. Once these categories, or stimulus classes, are formed, functions are easily transformed among members of the classes. Preliminary research has shown, for example, that arbitrary stimuli can easily acquire stigma functions when derived as equivalent to obese. The most basic form of social categorization is the distinction of “I” from “you” and, by extension, “us” from “them.” It is commonly assumed that functions of outgroup and ingroup members diverge in such as way as to protect the self from taking on aversive functions. This is not the case, however, for obese individuals, who demonstrate explicit and implicit weight bias. This conceptual paper will explore the learning history that might contribute to self-stigma among the obese. Particular attention will be paid to the transformation of function across deictic relations that might result in such self-stigmatization, and the social context that might control it.

• Using ACT to address HIV/AIDS Stigma in Ethnoracial Communities
Kenneth Fung, M.D., FRCPC, M.S., Toronto Western Hospital
Josephine Wong, Ph.D., Ryerson University

HIV stigma impedes HIV prevention, testing, and care, and leads to discrimination and suffering. This is an especially important issue in ethnoracial communities who face intersectional marginalizations. The Community Champions HIV/AIDS Advocates Mobilization Project (CHAMP) is a community-based research project by CAAT* which evaluated the use of ACT and Social Justice Capacity Building (SJCB) to decrease HIV/AIDS stigma among People Living with HIV/AIDS (PHAs) and non-PHAs Community Leaders (CL) from ethnoracial communities. 35 participants received SJCB only and 31 received ACT+SJCB. Participants had significantly decreased stigma; increased valued living; and increased readiness to engage in HIV championship post-intervention and at 9-month follow-up. There were no group differences by participant type (PHA vs CL) or by intervention (SJCB vs ACT+SJCB) based on quantitative data. Qualitative data documented different impact of the two interventions. Activity logs captured personal and collective meaningful activities that included improvements in self-care, resilience, and HIV championship. (* Committee for Accessible AIDS Treatment)

• Measuring Stigma: A Cultural Adaptation of the Substance Abuse and Self-Stigma Scale in the Latino Population
Coralee Pérez Pedrogo, Ph.D., University of Puerto Rico
Sugeily Rivera- Suazo, MSW, University of Puerto Rico
Gabriela Román-Colón, B.A., University of Puerto Rico
Jason B. Luoma, Ph.D., Portland Psychotherapy Clinic, Research, and Training Center
José Noel Caraballo, Ph.D., University of Puerto Rico
Carmen E. Albizu-García, M.D., University of Puerto Rico

Self-stigma refers to the effects of social stigma on the individual with the stigmatized attribute, which may include self-devaluation, and fear of being identified as part of a socially stigmatized group. It is a barrier to treatment access and adherence for substance use disorders and HIV/AIDS. The experiences of self-stigma among incarcerated Latinos with SUD and HIV, a population in which both conditions are over-represented, and its impact on treatment entry, retention, and outcomes are not well understood. A first step in our research agenda involves the cultural adaptation of the Substance Abuse and Self-Stigma Scale in Puerto Rico. Through an iterative process that included literature review, translation and back-translation, bilingual assessment panel, in-depth interviews, and focus groups, changes were made to the measure. We present results from individual interviews and focus groups with 20 participants recruited at a community treatment center for drug users with and without HIV/AIDS. Using qualitative methods with emphasis on content and semantic equivalence we obtained a culturally adapted measure which is relevant and responsive to our context. We will present methodological challenges for adaptation and measurement of the construct as well as suggestions assesses convergent validity. This study aspires to contribute to the progress of research on self-stigma among Latinos with HIV and a SUD given the absence of appropriate measures for the construct. 1 University of Puerto Rico, Medical Sciences Campus
2 Portland

Educational Objectives:
1. Create a culturally sensitive self-stigma measure 2. Describe the use of ACT strategies to address HIV/AIDS stigma in PHAs and non-PHAs in the service of personal values and HIV championship 3. Discuss the systematic process of translating and a self-stigma measure focusing on conceptual and cross-cultural equivalence

 

35. Community-Based Applications of Contextual Behavioral Sciences
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Didactic presentation
Categories: Prevention & Comm.-Based, Clin. Interven. & Interests, Org. Beh. Management, Superv., Train. & Dissem., Theory & Philo., RFT, Autism, Intentional Cultural Change, dissemination, Future oriented behavior
Target Audience: Beg., Interm., Adv.
Location: Lake Nokomis

Chair: Whitney Skold, M.A., The Chicago School
Discussant: J. Neil Mulholland, Ph.D., University of Alberta, Alberta Health Services

This symposium emphasizes the theme of this year’s conference; disseminating contextually-based sciences to large groups. The participants of this symposium have specialized in community-based outreach, and will discuss their work and possible future directions for ACBS as an organization. A broad variety of areas for community outreach will be discussed, including, autism, ACBS and advocacy, functional contextualism and future oriented behavior, and environmental issues related to mental health. The panelists will share their views on each topic, and bring their prolific knowledge regarding community-based work to the discussion.

• Maximizing ABA-treatment outcomes for children with autism through an organization-wide adoption of ACT
Evelyn R. Gould, M.S. BCBA, Center for Autism and Related Disorder, Inc.
Jonathan Tarbox, Ph.D. BCBA-D, Center for Autism and Related Disorder, Inc.

Rapid increase in prevalence of autism spectrum disorder (ASD) has resulted in an increasing demand for evidence – based treatment. Applied Behavior Analysis (ABA) is currently the treatment of choice for ASD. This paper will discuss how Acceptance and Commitment Therapy (ACT) might be implemented at various different levels within the context of ABA treatment services, in the service of achieving best outcomes for every child. At the practitioner level, ACT training might improve staff well-being and productivity, decrease burn-out and increase retention, and foster stronger, more empathetic parent-practitioner partnerships. At the parent level, ACT might improve behavioral parent training outcomes, and the well-being and mental health of parents. At the client level, ACT might improve client outcomes were verbal processes play a role in problematic patterns of behavior. Implications will be discussed in relation to current and future research and practice.

• Enhancing Wellbeing Through Contextual Behavioral Science: What Actions Can ACBS Take to Advance This Goal?
Anthony Biglan, Oregon Research Institute

This paper examines the role of advocacy organizations in bringing about cultural change. Intentional cultural change requires well organized, well-funded, organizations that can articulate the need for specific cultural changes, organize a constituency that favors the change, and influence policies and practices that bring about the changes. This paper will explore the question of whether ACBS should engage in advocacy relevant to its mission. Specifically, it has been suggested that “…the ultimate purpose of behavioral science is to change the world in a positive and intentional way.” (Hayes, Barnes-Holmes, & Wilson, 2012). This paper will describe advocacy actions that ACBS could take that could advance this goal. They include: (a) articulation and media advocacy about the value of societies promoting psychological flexibility; (b) identification of policies that would foster psychological flexibility and the nurturance of human wellbeing; (c) advocacy for policies that would leverage cultural change (d) joining and/or creating coalitions of organizations that are working for societal change that is consistent with our vision; (e) training members and organizations in increasing their advocacy skills.

• How to show love and hope on a large scale? Whys and hows of ACT dissemination in Poland.
Stanislaw Malicki, University of Social Sciences and Humanities (SWPS), Warszawa, Poland

Although traditional, bio-medical model of psychiatry affirms the influence of the environment on mental health, it sets an individual apart from the environment and draws relations between the two. Contextualism, in turn, sees the individual as a part of the environment and the environment as a part of the individual. The two constitute a basic and inseparable unit of analysis. This view gains special importance in light of the culturally mediated role of language in maintaining psychological suffering and promoting mental health. The paper describes a strategy for promoting mental health on a large scale in Poland. The strategy is based on the “act-in-context” model of mental health and focuses on creating social contexts that promote psychological flexibility and connectedness instead of treating individuals as those who “have” problems. The core of the strategy is building of a network of self-help groups run on the basis of unified model, which are focused on compassion/self-compassion and connectedness as the context of change.

• Can a Functional Contextual Analysis Improve Our Ability to Act in Light of the Future?
Anthony Biglan, Oregon Research Institute
Yvonne Barnes Holmes, National University of Ireland Maynooth

Despite extensive knowledge about diseases, natural disasters, environmental degradation, and a wide range of other problems, we often fail to take action that that would prevent or mitigate these problems. This paper will argue that our current scientific understanding of how to act in light of the future is limited. It will offer a theoretical analysis of future-oriented behavior at both individual and organizational levels. Specifically, the paper draws on a functional contextualist account of human language and cognition, Relational Frame Theory (RFT), and its integrated therapeutic approach, Acceptance and Commitment Therapy (ACT), and extends this framework to analyzing the evolution of the practices of groups and organizations. This framework can provide an understanding of how human behavior may be modified in the present to improve human wellbeing in the future at individual, organizational, and even national levels.

Educational Objectives:
1. Describe components of an ACT-based approach to improving outcomes for children with autism, through intervention at the practitioner, parent and child level. 2. Identify areas of future research related to improving outcomes of Applied Behavior Analysis (ABA) treatment for children with autism, through ACT-based intervention. 3. Enumerate the role of advocacy organizations in achieving cultural change.

 

39. Technology-Based ACT Interventions to Support Large Scale Behavior Change

Symposium (4:30-5:45pm)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Clin. Interven. & Interests, Clin. Interven. & Interests, Prevention & Comm.-Based, Edu. settings, Superv., Train. & Dissem., Technology, Web/mobile app-based interventions
Target Audience: Beg., Interm., Adv.
Location: Elk Lake

Chair: Michael E. Levin, Ph.D., Utah State University
Discussant: Kelly Koerner, Ph.D., Evidence-Based Practice Institute

Providing psychosocial interventions through web/mobile technologies is a powerful method for supporting behavior change at a public health level. The benefits are numerous, including enhanced cost effectiveness for reaching and treating people in need at the population level, reducing training and fidelity concerns, and reaching those who may not otherwise seek treatment (i.e., due to access, cost, stigma). An increasing number of researchers, providers and organizations have been working on developing such technology-based interventions and this area has recently been growing rapidly in the ACBS community. This symposium will present research from three contextual behavioral science laboratories on delivering ACT through technologies including websites, mobile apps and video conferencing. Dr. Bricker will present on a pilot RCT which compared an ACT mobile app for smoking cessation to another evidence-based app. Dr. Herbert will then present on a series of studies testing ACT-based treatment for anxiety disorders delivered through videoconferencing. Next, Dr. Levin will present recent projects developing and implementing web and mobile-based ACT as an adjunct to face-to-face therapy. Dr. Koerner will lead a discussion of issues and future directions regarding the development, testing and use of technology-based ACT interventions.

• First randomized controlled trial of smartphone-delivered Acceptance & Commitment Therapy (ACT)
Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center & University of Washington
Jaimee Heffner, Ph.D., Fred Hutchinson Cancer Research Center
Roger Vilardaga, Ph.D., University of Washington & Fred Hutchinson Cancer Research Center
Julie Kientz, Ph.D., University of Washington

Introduction: Smartphone apps for changing behavior are ubiquitous. But to date, there are no trials of smartphone-delivered ACT for any behavior outcome. And despite the fact that there are over 400 smartphone applications (“apps”) for quitting smoking, no outcome studies for a general population of adults have been reported on this rapidly growing intervention technology. To address this urgent need, this pilot trial compared an app based on Acceptance & Commitment Therapy (ACT) with the National Cancer Institute’s Quit Guide app which is based on US Clinical Practice Guidelines. Methods: We nationally recruited 196 adult smokers (at least 5 cigarettes/day) wanting to quit within the next 30 days and had iPhone access. Participants were randomized to either an ACT or QuitGuide app. Results: ACT participants opened their app an average of 37 times (vs. 15 for QuitGuide; p = .0001). Regarding receptivity, 86% of ACT participants reported their app was organized (vs. 67% for QuitGuide; p =.003) and 54% reported it was useful for quitting (vs. 38% for Quit Guide; p =.070). ACT participants, but not Quit Guide participants, increased their acceptance of cravings from baseline to follow-up (p =.039 for ACT vs. p = .154 for Quit Guide). The quit smoking outcomes will be presented. Conclusion: This first RCT of smartphone-delivered ACT showed that the ACT app was well-utilized, well-received, and operated consistent with theory.

• ACT-Based Treatment of Anxiety Disorders via Videoconferencing
James D. Herbert, Ph.D., Drexel University
Marina Gershkovich, Drexel University
Erica K. Yuen, Ph.D., University of Tampa
Elizabeth M. Goetter, Ph.D., Massachusetts General Hospital
Evan M. Forman, Ph.D., Drexel University

Despite the effectiveness of exposure-based treatments for anxiety disorders, only a minority of those with anxiety disorders receive any treatment at all, and only a small percentage of those who receive treatment receive a scientifically-supported psychotherapy. Remote treatments, in which interventions are delivered using technologies to patients located at a physical distance from the therapist, hold promise in bridging the gap between patient needs and evidence-based treatment. Videoconferencing is a particularly promising method of remote treatment delivery. We adapted ACT-oriented, exposure-based interventions for anxiety disorders for delivery in a videoconferencing and web-based formats. Pilot studies of social anxiety disorder and obsessive compulsive disorder demonstrated that the programs were well received by patients, and resulted in large within-group effect sizes that met or exceeded those of published trials of traditional face-to-face treatment. We provide an overview of these trials, including lessons learned regarding clinical applications, and discuss directions for future research.

• Using adjunctive web/mobile ACT technologies to augment clinical practice
Michael E. Levin, Ph.D., Utah State University & Contextual Change LLC
Jacqueline Pistorello, Ph.D., University of Nevada Reno & Contextual Change LLC
Steven C. Hayes, Ph.D., University of Nevada Reno & Contextual Change LLC
John Seeley, Ph.D., Oregon Research Institute
Crissa Levin, M.A., Contextual Change LLC
Kristy Dalrymple, Ph.D., Alpert Medical School of Brown University & Department of Psychiatry, Rhode Island Hospital
Brandon Gaudiano, Ph.D., Alpert Medical School of Brown University & Psychosocial Research Program, Butler Hospital
Jack Haeger, Utah State University

One promising direction for implementing web/mobile-based ACT interventions is to integrate them as an adjunct to other face-to-face services. This may simultaneously enhance web/mobile intervention effects by providing guidance and support for program usage while improving face-to-face services. This presentation will describe a series of projects seeking to develop and test adjunctive ACT web/mobile app programs integrated within other clinical services. The primary project to be discussed is a guided self-help prototype ACT website designed for college counselors to use with their student clients. Results from an open trial will be presented in which 30 CCC counselors and 82 of their student clients used the ACT program. Results indicated high program satisfaction for both counselors and students and significant improvements in process and outcome measures among students. Two earlier stage projects will also be discussed: a values-focused adjunctive website for depressed/anxious clients being treated by a psychiatrist and an adjunctive mobile app to support clients’ use of ACT skills learned in therapy. These projects will be discussed in relation to issues in developing and implementing web/mobile-based ACT programs as well as how these technologies can advance contextual behavioral science.

Educational Objectives:
1. Discuss the utilization of smartphone-delivered Acceptance and Commitment Therapy and its application to smoking cessation. 2. Assess the effectiveness of ACT-based treatments for anxiety disorders delivered via videoconferencing, and will appreciate common clinical issues that arise with such applications. 3. Describe innovative ways to develop and integrate web/mobile-based ACT with other face-to-face treatment services.

 

40. Recent Data on ACT for the Treatment of Eating Disorders across Multiple Settings
Symposium (4:30-5:45pm)
Components: Original data
Categories: Clin. Interven. & Interests, Eating Disorders, treatment outcome
Target Audience: Beg., Interm., Adv.
Location: Crystal Lake

Chair: Ellen J Bluett, M.S., Utah State University
Discussant: Emily K. Sandoz, Ph.D., University of Louisiana, Lafayette

Eating Disorders are notoriously difficult to treat. Acceptance and Commitment Therapy is gaining popularity as a promising treatment. While varied treatment settings across the world are beginning to utilize ACT for eating disorders, empirical evidence is at inception. This symposium offers a first look at outcome data on the use of ACT across a variety of settings and eating disorder diagnoses. Specifically, this symposium highlights findings from a small treatment trial on ACT for college students with problematic emotional eating, treatment outcomes of ACT in a family therapy context for individuals with anorexia nervosa, as well as the results of an effectiveness trial on ACT as part of a larger treatment program in a residential treatment facility. Attending this symposium will inform individuals of the current state of the research on ACT for eating disorders.

• Acceptance and Commitment Therapy for Individuals with Problematic Emotional Eating: A Case-Series Study
Mary L. Hill, M.A, Georgia State University
Akihiko Masuda, Ph.D., Georgia State University
Makeda Moore, Georgia State University

Emotional eating (EE) is an often problematic eating behavior characterized by eating when not hungry in response to difficult emotions. Acceptance and commitment therapy (ACT) has shown promise in treating a variety of disordered eating concerns. This case-series design presents a description of ACT for EE and the outcomes from two adults with problematic EE who voluntarily participated in 10 weekly sessions of ACT. The average number of EE episodes per week across both participants at pre-treatment was 9, which decreased to 2 per week at follow-up. Both participants also showed improvement in body image flexibility, a theoretically consistent process of change, and these improvements were maintained at 3-month follow-up. The results are discussed as well as implications for clinical practice and future research.

• Outcomes for an ACT-Based Family Intervention for Adolescent Anorexia Nervosa
Rhonda M. Merwin, Ph.D., Duke University Medical Center
C. Alix Timko, Ph.D., University of the Sciences
Nancy L. Zucker, Ph.D., Duke University Medical Center & Duke University

Anorexia nervosa (AN) often emerges in adolescence and may have devastating consequences for growth velocity and bone health. Intervention must occur quickly and often before the adolescent is ready for change. Recently, empirical support for inclusion of the family in treatment has emerged; however, there is only one model of intervention (“Maudsley”), and thus a need for treatment alternatives. We conducted an open trial of an ACT-based family treatment for adolescent AN. Treatment consisted of 20 sessions over 6 months. Fifty-one adolescents were enrolled at 2 sites with 47 completing baseline assessment. Of these, 23 (48.9%) met criteria for full recovery at treatment end, 14 (29.8%) met criteria for partial recovery, and 10 (21.3%) did not recover. On average, adolescents achieved 97.19% (SD=4.60) of their ideal body weight with a range of 82%-100%. All subscales of the Eating Disorder Examination were significantly improved, with corresponding increases in adolescent and parent acceptance (all ps<.05).

• Examining the Effectiveness of ACT for Eating Disorders in a Residential Setting
Ellen J. Bluett, M.S, Utah State University
Michael Twohig, Ph.D., Utah State University
Tera Lensegrav-Bensen, Ph.D., Avalon Hills Residential Eating Facility
Benita Quakenbush-Roberts, Avalon Hills Residential Eating Facility

Some individuals are nonresponsive to outpatient treatment for eating disorders, making residential treatment a viable option. A longitudinal effectiveness study was conducted at a multi-disciplinary residential treatment setting whose primary modality is ACT. Data was collected over a ~7 year period on adult and adolescent females diagnosed with anorexia nervosa (46.6%) bulimia nervosa (17.4%), or eating disorder not otherwise specified (36.0%). Two-hundred and sixty four patients completed measures on eating disorder severity, depression, anxiety, and quality of life. Analysis show significant improvements on all measures. Results for eating disorder showed that 68% with AN were responders, 47% with BN were responders, and 58% of those with ED-NOS were responders. Across disorders 69.49% were classified as responders on the BDI-II and 29% on the EDQOL. Further analyses are underway.

Educational Objectives:
1. Describe ACT as a treatment for eating disorders. 2. Present the most recent data on ACT for eating disorders in a variety of settings. 3. Discuss future research for ACT and eating disorders.

 

44. Designing and Delivering ACT Interventions for Individuals with Medical Conditions: Transdiagnostic Principles and Key Processes of Change
Symposium (4:30-5:45pm)
Components: Original data, Didactic presentation
Categories: Beh. med., Clin. Interven. & Interests, psychological and physical distress tolerance; resilience
Target Audience: Interm.
Location: Excelsior Bay & Lafayette Bay

Chair: Megan Oser, Ph.D., Brigham and Women's Hospital, Harvard Medical School
Discussant: Joseph Ciarrochi, University of Western Syndey

The purpose of this symposium is to conceptually, empirically, and pragmatically explore ACT interventions for chronic medical conditions with the goal of identifying key change processes, relevant methodological approaches, and necessary modifications to treatment delivery. The impact of ACT group formats will be investigated in three different medical populations: multiple sclerosis, diabetes, chronic pain, and in a heterogeneous group of patients with both psychiatric and medical conditions. Collectively, data from these studies show promise that ACT can be readily modified to fit the needs of medical patient populations and that willingness to allow physical or psychological distress is a key change process. First, Vowles et al will discuss how relinquishing attempts to control pain while increasing values-based activities reduces pain-related disability. Pakenham et al will discuss change processes and outcomes from two intervention studies evaluating an ACT-based resilience program modified for multiple sclerosis and diabetes. Lastly, Oser et al will discuss preliminary data from an ACT group for individuals with medical and psychiatric comorbities highlighting proximal changes and optimizing ACT for multi-problem medically ill populations. Dr. Joseph Ciarriochi, an expert in promoting resilience using ACT processes, will serve as discussant to tie together the presented studies, highlight key areas for future inquiry, and discuss implications of implementing ACT for those struggling to live with chronic medical conditions.

• Acceptance and Commitment Therapy for Chronic Pain: A Diary Study of Treatment Process in relation to Reliable Change in Disability
Kevin E. Vowles, Ph.D., University of New Mexico
Brandi Fink, University of New Mexico
Lindsey L. Cohen, Georgia State University

Often, it is assumed that pain reduction is a necessary precursor to disability reduction in those with chronic pain. Conversely, Acceptance and Commitment Therapy (ACT) posits that pain reduction is not necessary – rather, it is hypothesized that pain responses must change, including reducing unsuccessful struggles for pain control and increasing valued activities (Vowles et al., 2014). To test this hypothesis, we examined how weekly ratings of struggles for pain control and valued activity, in a clinical sample of pain patients (n = 21) completing an interdisciplinary course of ACT, related to the presence or absence of reliable disability change three months after treatment. Overall, 48% of patients evidenced reliable disability reduction. Further, 81% showed the expected change pattern – when pain control attempts decreased and valued activities increased, reliably reduced disability typically occurred, while the absence of this pattern was associated with no reliable change. Pain intensity change was unrelated to reliable change. Results suggest possible requirements for treatment success. Vowles, K. E., Witkiewitz, K., Sowden, G., & Ashworth, J. (2014). Acceptance and Commitment Therapy for chronic pain: Evidence of mediation and clinically significant change following an abbreviated interdisciplinary program of rehabilitation. Journal of Pain, 15, 101-113.

• Preliminary evaluation of an ACT group for patients with psychiatric and chronic medical conditions
Megan Oser, Ph.D., Brigham and Women's Hospital, Harvard Medical School
Vanessa Alvarez, M.A., Suffolk University
Gabe Gruner, LICSW, Brigham and Women's Hospital

Given the transdiagnostic nature of ACT(1,2), we evaluated an ACT group intervention for a heterogeneous group of individuals with medical and psychiatric conditions (N = 20). Treatment completers (n=10) did not differ from non-completers on baseline measures of depression, experiential avoidance, anxiety sensitivity, and distress tolerance. Distress tolerance significantly improved from pre- to post-treatment (t(9) = -2.32; p = .05). Experiential avoidance decreased by 3.4 points, on average, as measured by the AAQ-II (t(9) = .78; p = .46) and sensitivity to anxiety decreased an average of 3.3 points (t(9) = .71; p = .49). Patients screening positive for depression decreased from pre (80%) to post-treatment (60%) (Z = 0.98; p = .16). Improvements were observed on all measures; however, only distress tolerance significantly improved from pre- to post-treatment. Findings will be discussed in terms of clinically significant change, suggestions for refining ACT for medical patients with psychiatric comorbidities, and the incubation period of capturing improvements(2). 1. Levin, M.; Hildebrandt, M.; Lillis, J; Hayes, S. (2012). The Impact of Treatment Components Suggested by the Psychological Flexibility Model: A Meta-Analysis of Laboratory-Based Component Studies. Behavior Therapy 43(4), 741–56. 2. Clarke, S., Kingston, J., Wilson, K.,Bolderston, H., & Remington, B. (2012). Acceptance and Commitment Therapy for a heterogeneous group of treatment-resistant clients: A treatment development study. Cognitive and Behavioral Practice 19(4), 560-72.

• Evaluation of an ACT Resilience Training Program (READY) for People with Diabetes or Multiple Sclerosis
Kenneth I. Pakenham, Ph.D., University of Queensland
Alyssa Ryan, B.A., University of Queensland
Matthew Mawdsley, B.A., University of Queensland
Felicity Brown, Ph.D., University of Queensland

This presentation reports on two intervention studies that evaluate a group ACT resilience training program called READY with two illness populations: diabetes and multiple sclerosis (MS). READY incorporates ACT processes to target empirically identified resilience protective factors (Burton et al, 2010). ACT processes, protective factors and the corresponding domains of human functioning are incorporated into a READY resilience framework. In view of specific illness characteristics, the full 11 x 2 hour weekly session program was used with the diabetes sample (n=20), and a modified program was used with the MS sample (n=30). Both studies had pre- and post-intervention and follow-up assessments, and a single intervention condition design. Preliminary analyses on the diabetes data showed pre- to post-intervention improvements in resilience t(19)=-3.00, p<.01, quality of life t(19)=-4.33, p<.01, anxiety t(19)=2.19, p<.01, depression t(19)=3.57, p<.01 and stress t(19)=3.26, p<.01, which were maintained at follow-up. Scores on measures of ACT processes significantly increased: psychological flexibility t(19)=0.65, p<.01, mindfulness t(19)=0.51, p<.05, values t(19)=0.56, p<.05. Results of final analyses will be reported. Burton, N.W., Pakenham, K.I., & Brown, W.J. (2010). Feasibility and effectiveness of psychosocial resilience training: A pilot study of the READY program. Psychology, Health and Medicine, 15, 266-277.

Educational Objectives:
1. Utilize ACT processes to target resilience, tolerance of distress, and psychological flexibility in the context of chronic illness. 2. Design ACT interventions to manage unique challenges of medical patient populations. 3. Identify two key processes in the treatment of chronic pain and identify how patterns of change in these processes relate to change in disability.

 

48. Pain and Contextual Medicine Jointly Sponsored Symposium: When the Body Hurts: Pain's Many InterACTing Functions
Symposium (4:30-5:45pm)
Components: Original data
Categories: Clin. Interven. & Interests, Beh. med., Pain and Contextual Medicine
Target Audience: Beg., Interm.
Location: Cooks Bay

Chair: Joel Guarna, Ph.D., Mercy Hospital, Eastern Maine Healthcare System
Discussant: Stephen Z. Hull, M.D., Mercy Hospital, Eastern Maine Healthcare System

Chronic pain is a global problem. A systematic review (19 included studies) of published cross-sectional surveys (65 surveys, 34 countries, 182,019 respondents) authored by Elzahaf RA, et al. (Curr Med Res Opin. 2012 Jul;28(7):1221-9) places the prevalence of chronic pain worldwide at 30.3% ± 11.7%. The human and economic cost of chronic pain is enormous. In the United States alone the economic cost of chronic pain was estimated in 2010 at $560-635 billion dollars. The three studies presented in this symposium, co-sponsored by the Pain SIG and the Contextual Medicine SIG represent a spectrum of the relationship between pain and the role of contextual behavioral science in the alleviation of the suffering of patients with chronic pain, addressing the impact of pain on chronic illness; elucidating the relationship between gender, affective disturbance, pain, experiential avoidance, and quality of life; and demonstrating the benefits of ACT on symptom severity and pain interference.

• Pain matters! Implications for acceptance-based interventions with women with co-morbid chronic illnesses
Abbie O. Beacham, Ph.D., Xavier University, Cincinnati, OH, USA
Stacy Lorenz, M.A., Xavier University, Cincinnati, OH, USA

Chronic pain and chronic illnesses are among the most prevalent and costly in health care. Effective behavioral interventions are vital for medical/functional outcomes. Perceived illness-related disability and life satisfaction along with acceptance-based factors are associated with positive outcomes. Less understood are women with co-morbid chronic illness (CI) symptoms including pain. We compared women in online CI groups with “chronic/recurring pain a primary concern” (CIp; n=281; Mean age=51.53) with those without (CIn; n=109; Mean age=54.89). Women were primarily married/partnered (64.8%), white/non-Hispanic (90.5%) and well educated (Mean years=15.2). Mean number CI’s was CIp=2.71 (SD=1.46) versus CIn=1.55 (SD=0.85). Pain Mean= 5.46/10 (SD=1.91). CIp’s were more overweight/obese (p=.013), smoked more, exercised less, “drank more alcohol because of illness” than CIn (10% versus 5%); higher Disability, Negative Affect and Experiential Avoidance; lower Satisfaction, CI Acceptance, Mindfulness and Positive Affect [F(6,205)=6.89; p<.001]. CI interventions should differentiate between those with versus those without pain to enhance outcomes.

• Is the quality of life of chronic pain patients impacted by the presence of psychiatric symptoms, gender and experiential avoidance?
Maria Stavrinaki, M.S., Department of Psychology, University of Cyprus, Nicosia, Cyprus
Michaela Paraskeva-Siamata, M.S., Department of Psychology, University of Cyprus, Nicosia, Cyprus
Vasilis Vasiliou, M.S., Department of Psychology, University of Cyprus, Nicosia, Cyprus
Orestis Kasinopoulos, M.S., Department of Psychology, University of Cyprus, Nicosia, Cyprus
Despina Hadjikyriacou, Ph.D., Department of Psychology, University of Cyprus, Nicosia, Cyprus
Maria Karekla, Ph.D., Department of Psychology, University of Cyprus, Nicosia, Cyprus

Several individual difference risk factors, including comorbid psychiatric problem, and gender have been linked with chronic pain patients diminished QOL. Experiential avoidance was found to moderate symptom presentation in pain patients; however its relation to QOL has not yet been examined. The present study explored differences between 3 levels of anxiety and depression (non-clinical, sub-clinical and clinical levels) on physical and mental QOL in 74 chronic pain patients. Individuals with clinical anxiety levels had significantly lower physical and mental QOL compared to the other two levels. Individuals with clinical depression presented with significantly lower physical and mental QOL but did not differ from sub-clinical levels. There was no significant interaction between gender and anxiety or depression on QOL. EA was found to be a significant moderator only of depression levels on QOL. Implications of the results in regards to the treatment of individuals with chronic pain will be discussed.

• Acceptance and Commitment Therapy (ACT) for Chronic Pain: A Pilot Study of Adolescents with Neurofibromatosis Type 1 (NF1)
Staci Martin, Ph.D., Neurobehavioral Group, Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD
Pam Wolters, Ph.D., Neurobehavioral Group, Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD
Mary Anne Toledo-Tamula, M.A., Neurobehavioral Group, Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD
Andrea Baldwin, PNP, Neurobehavioral Group, Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD
Shawn Nelson Schmitt, Ph.D., Neuropsychology Resident, Alpert Medical School of Brown University
Brigitte C. Widemann, M.D., Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD

Research supports ACT’s effectiveness among adolescents with chronic pain in weekly sessions (Wicksell et al., 2009). This study extends that work through a brief ACT workshop in the NF1 population. Participants included adolescents (12-21 years) with NF1 and chronic pain that interfered with functioning, and their parents. Adolescents and parents completed baseline measures of pain interference, pain intensity, functional disability, pain acceptance, depression, and anxiety, then participated in a 2-day workshop (three 2-hour sessions). A telephone session occurred one month post-intervention; measures were completed again three months post-treatment. Ten adolescents and six parents have provided 3-month data to date. Pre-post comparisons showed lower patient-reported pain intensity and less parent-reported pain interference (ps<.05) and marginally greater acceptance of their child’s pain (p=.06). No changes emerged in functional ability or mood. Findings suggest that a brief ACT intervention may be effective for helping adolescents with NF1 and chronic pain and their parents.

Educational Objectives:
1. Describe the features distinguishing women with chronic illness AND pain from those where pain is not a primary concern. 2. Describe the relationships between gender, affective disturbance, pain, experiential avoidance, and quality of life. 3. Assess the effectiveness of brief ACT intervention on pain and acceptance in a population of adolescents with neurofibromatosis type 1.

 

Friday, June 20

55. Online Acceptance and Values-Based Brief Interventions for Well-Being: Results and Experiences
Symposium (10:30am-Noon)
Components: Original data
Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, acceptance and commitment therapy; web interventions; university students, wellbeing, stress, depression
Target Audience: Beg.
Location: Crystal Lake

Chair: Raimo Lappalainen, Ph.D., University of Jyväskylä, Finland
Discussant: Jacqueline Pistorello, Ph.D., University of Nevada Reno

This symposium will present four randomized controlled studies investigating the effectiveness and acceptability of iACT-based interventions. Two presentations will report results of trials with college students and two with people from the general population. In the first study, a brief ACT-web based intervention was compared to web-based psycho-education and a waiting-list control group for preventing mental health problems in students and increasing wellbeing. In the second study, a web-based iACT intervention included two face-to-face meetings and written feedback from coaches and was compared to a waiting-list control group. The third trial compared the effects of a six weeks iACT with weekly contact via internet with a six sessions ACT face-to-face treatment for participants reporting depression symptoms. The fourth study compared a six weeks iACT with weekly contact via internet, but without face-to-face contact, with a waiting list control group. We will discuss results, and our experiences while also pointing out possible pitfalls in delivering web-based interventions.

• Preventing Mental Health Problems in College Students through Web-Based ACT
Michael E. Levin, Ph.D., Utah State University
Steven C. Hayes, Ph.D., University of Nevada Reno
Jacqueline Pistorello, Ph.D., University of Nevada Reno
John Seeley, Ph.D., Oregon Research Institute

Mental health problems are prevalent among college students and innovative approaches are needed that can help prevent the incidence/worsening of these problems. Promising results were found with initial feasibility research testing a web-based ACT prototype consisting of two sessions targeting values and acceptance. This presentation will report the results of a larger randomized trial with 228 college students comparing the web-based ACT prototype to a psychoeducation website for preventing mental health problems. Results indicated significantly lower user engagement and satisfaction ratings with ACT in this trial and that ACT did not outperform the psychoeducation website on outcome or process measures. However, changes in ACT processes were predictive of improvements in outcome irrespective of condition. Furthermore, ACT program usage variables were predictive of improvements in psychological flexibility processes. Results will be discussed in relation to lessons learned with ACT program development and implementation as well as future directions in this area.

• Internet-based guided self-help ACT intervention for enhancing the psychological well-being of university students: A randomized controlled clinical trial
Panajiota E. Rasanen, M.S., University of Jyväskylä, Finland
Päivi Lappalainen, M.A., University of Jyväskylä, Finland
Raimo Lappalainen, Ph.D., University of Jyväskylä, Finland

University students often experience psychological distress. A web-based psychological intervention, aiming at enhancing the wellbeing of university students could be an effective and practical alternative in reaching the needs of the university population. Finnish university students (N = 68; 19-32 years old) were randomized to receive either a blended 7-week web-based Acceptance and Commitment Therapy (ACT) intervention, named The Student Compass or to a waiting list control condition. Participants were offered two face-to-face meetings, completed exercises online in the course of five weeks and received personal weekly written feedback via the website from their randomly assigned trained student coaches. The results showed that the iACT coach-guided self-help intervention was well-accepted by the participants, it was significantly effective in promoting the general well-being of the students and life satisfaction while it also significantly reduced their self-reported stress and depression compared to the participants in the control group.

• A randomized controlled trial of internet-delivered ACT in the treatment of depression: Efficacy and participant experiences
Päivi Lappalainen, M.A., University of Jyväskylä, Finland
Raimo Lappalainen, Ph.D., University of Jyväskylä, Finland

We developed a 6- week web-based Acceptance and Commitment Therapy program for depression with weekly contact via internet. The impact of the program was investigated in two randomized controlled trials. The first trial compared a 6- week face-to-face ACT-treatment to an ACT-based Internet program (iACT) including two assessment sessions (pre and post). The second trial compared iACT without face-to-face contact to a waiting-list control condition. Outpatients reporting mild to moderate depression symptoms (n=38 study 1; n=39 study 2) were randomized to either approach. In the iACT interventions the results showed a clear reduction in most measures at post-treatment as well as at 18-month follow-up (study 1). Clients were satisfied with treatment and would recommend the treatment to others. The Internet-delivered iACT treatment was well-accepted by the clients. Internet-delivered ACT with or without face-to-face sessions but combined with weekly contact via Internet is possibly an alternative for self-referred mild-to-moderate depression clients.

Educational Objectives:
1. Explain how ACT can be adapted to a web-based intervention. 2. Describe and discuss how to promote wellbeing and alleviate psychological problems in student and other populations through ACT web-based interventions. 3. Discuss potential pitfalls in developing and implementing online ACT interventions based on recent randomized trials.

 

59. Delivering Acceptance and Commitment Therapy in Community-Based Settings: Potential Applications and Preliminary Findings
Symposium (10:30am-Noon)
Components: Literature review, Original data
Categories: Clin. Interven. & Interests, Clin. Interven. & Interests, Prevention & Comm.-Based, Short-term interventions
Target Audience: Beg., Interm.
Location: St. Croix II

Chair: Kristy L. Dalrymple, Ph.D., Warren Alpert Medical School of Brown University
Discussant: Robyn D. Walser, Ph.D., National Center for PTSD, Veterans Affairs Palo Alto Health Care System

Although several studies have demonstrated the efficacy of ACT, more research is needed to examine its effectiveness in community-based settings. To do so, modifications may be necessary to enhance its feasibility/acceptability in such settings. One modification is brief and/or intensive applications, which if found to be effective, have the potential to broaden the reach of ACT due to their short duration. The development and preliminary findings of short/intensive applications of ACT in three different community-based settings will be presented. The first presentation will discuss the development and initial outcomes of an ACT-based partial hospitalization program with a heterogeneous patient population. The second will present results from a one-day application of ACT to address depression and anxiety in patients at risk for vascular disease in a primary care setting. The third will discuss results from a one-school-day ACT intervention for adolescents at risk for drop-out, substance abuse, and depression/anxiety at an alternative high school.

• Development and Pilot-Testing of an Acceptance-Based Partial Hospitalization Program
Theresa A. Morgan, Ph.D., Rhode Island Hospital and the Alpert Medical School of Brown University
Kristy L. Dalrymple, Ph.D., Rhode Island Hospital and the Alpert Medical School of Brown University
Catherine D'Avanzato, Ph.D., Rhode Island Hospital and the Alpert Medical School of Brown University
William D. Ellison, Ph.D., Rhode Island Hospital and the Alpert Medical School of Brown University
Diedre Gale, M.A., Rhode Island Hospital
Sarah McCutcheon, B.A., Rhode Island Hospital

Acceptance and Commitment Therapy (ACT) may be particularly efficacious for comorbid and more severe populations (e.g., Dalrymple et al., in press; Wolitzky-Taylor et al., 2012). However, more research is needed to examine the application and effectiveness of ACT in routine clinical settings. Several challenges exist in applying ACT to partial hospitalization programs, where treatment is brief (5 days on average), group composition changes frequently, and patients are receiving concurrent medication treatment. This presentation will discuss the development and pilot-testing of the Acceptance- and Mindfulness-Based Partial Hospital Program at Rhode Island Hospital. Preliminary data from 58 patients show that 92% were very to extremely satisfied with the program, with another 5.8% moderately satisfied. Depression, anxiety, and anger significantly decreased from pre- to post-treatment (all ps < 0.01). Data collection is ongoing; other findings will be presented, including changes in psychological flexibility, valuing, and mindfulness. Limitations and future directions will be discussed.

• One Day ACT Intervention Targeting Mental Health Risk Factors for Vascular Disease
Lilian Dindo, Ph.D., University of Iowa Carver College of Medicine, Dept of Psychiatry
Jess Fiedorowicz, M.D., Ph.D., University of Iowa Carver College of Medicine, Dept of Psychiatry

Depression and anxiety are commonly present in those at risk for vascular disease, and independently contribute to risk of vascular events and mortality. Effective and accessible treatments that target these clinical symptoms and address related health behaviors are needed for this group. Patients at risk of vascular disease with clinically significant anxiety or depression were randomly assigned to a 1-day Acceptance and Commitment Training plus Illness Management (ACT-IM; N= 26) or to Treatment as Usual (TAU; N= 14). Assessments of quality of life, depression, and anxiety were completed at baseline and over a 6-month follow-up period. At 6-month follow up, participants in the 1-day ACT-IM condition exhibited significantly greater improvements in depressive and anxiety symptoms than patients in TAU. Results suggest that a 1-day ACT-IM workshop is a promising approach for the treatment of depression and anxiety in those at risk for vascular disease.

• Intensive Acceptance and Commitment Therapy with At-Risk Adolescents
Emily Kroska, B.A., University of Iowa, Department of Psychology
Rosaura Orengo-Aguayo, M.A. James Marchman, Ph.D., University of Iowa, Department of Psychology

Given the success of Acceptance and Commitment Therapy (ACT) interventions across multiple mental and physical health conditions, community-based and prevention research is increasingly indicated. Emerging research suggests ACT may be particularly effective in younger age groups (e.g., Horowitz & Garber, 2006; Metzler et al., 2000), which are common targets for primary and secondary interventions. The present study reports on the effectiveness of intensive group intervention with at-risk adolescents. Participants include approximately 120 students aged 14-18 identified as at-risk by the school district and sent to an alternative high school. Subsequently, participants will engage in a one-school-day intervention consisting of ACT-based experiential activities and discussion. Multi-method outcome assessment will include self-report, teacher report, and objective secondary data. Longitudinal follow-up at four intervals (1-, 3-, 6-, and 12-months) will assess changes in a wide variety of health behaviors, psychiatric symptoms, and academic performance. Preliminary results (1- and 3- month follow-ups) will be presented. Implications of the study findings for the use of ACT with at-risk adolescents will be discussed.

Educational Objectives:
1. Describe the application and initial effectiveness of ACT in a partial hospital setting. 2. Report how a one-day ACT intervention can be effectively implemented in a primary care setting. 3. Discuss the effectiveness of a one-school-day ACT intervention for at-risk adolescents in a school setting.

 

62. Contextual Behavioral Science and Social Work
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Didactic presentation
Categories: Related FC approaches, Clin. Interven. & Interests, Prevention & Comm.-Based, Beh. med., Theory & Philo., Social Work
Target Audience: Beg., Interm., Adv.
Location: Spring Park Bay

Chair: Matthew S. Boone, LCSW, University of Arkansas at Little Rock School of Social Work
Discussant: Julie Hamilton, LMSW, ACSW, CAADC, University of Detroit Mercy, School of Dentistry/Private Practice

Social work and Contextual Behavioral Science (CBS) have a lot to offer one another. Though CBS has historically focused on direct interventions with individuals and groups, there is an emerging trend within CBS towards larger scale interventions. Social work has always focused on interventions at the individual and group levels (i.e., "micro" and "mezzo" practice, in social work parlance) as well as the organizational, community, and societal levels (i.e., "macro" practice). CBS offers the profession of social work a coherent and comprehensive model of intervention development, with a clearly articulated philosophy of science as its foundation, a focus on grounding interventions in basic principles, and a growing emphasis on identifying evidence-based processes of change. The profession of social work offers CBS a discipline which is firmly grounded in a contextual understanding of human suffering; to social workers, problems never exist solely within the individual, but rather emerge in the dynamic interaction between individuals and their historical, environmental, and cultural contexts. In social work, this is called the "person-in-environment" perspective. This symposium will explore the intersection of CBS and social work at multiple levels: philosophy, theory, and intervention.

• Social Work and Functional Contextualism Are a Natural and Effective Match
Joanne Steinwachs, LCSW, Private Practice, Denver, Colorado

Social work as a profession has struggled to find a theory that works effectively to inform all levels of practice, micro, mezzo and macro. Although in the past, social workers were regularly trained in radical behaviorism, the limits of Skinner's approach perhaps narrowed its applicability to all social work areas of practice. This presentation makes the argument that functional contextualism is a more effective fit for social work practice and values.

• Mindfulness for Millions: Promoting CBS Through the Practice of Social Work
Matthew S. Boone, LCSW*, University of Arkansas at Little Rock School of Social Work

Though social workers make up the largest group of mental health providers in the US, social workers also serve as case managers, program developers, advocates, community organizers, educators, and policymakers. These diverse roles create a demand for effective interventions which are scalable across multiple levels and contexts. ACT has proven effective and flexible at the individual level. But when behavior change processes are understood as individual-level evolutionary processes, and when ACT is framed as a method of generating better selection criteria (i.e. values) for more adaptive behavior, then the psychological flexibility model can be understood as just one way of harnessing processes of change that also occur at the genetic, cellular, group, and cultural levels. In the face of this scalability, social work would do well to adopt a CBS approach to research and intervention, and the profession of social work would be a perfect fit for the dissemination of CBS interventions.

• Population-Based Health Care and Brief Intervention Competencies in Integrated Health Settings
Patricia J. Robinson, Ph.D., Mountainview Consulting Group, Inc, Zillah, WA
Brian Mundy, LCSW, Institute for Community Living, New York, NY

Population-based health care suggests that much is to be gained in clinical and cost outcomes when resources are focused on helping all people maintain optimal health as long as possible, rather than attending exclusively to people in acute need of services. The emergence of integrated health care in new delivery systems offers behavioral health workers opportunities to effectively serve large and diverse populations via brief intervention models supporting behavior change. The Brief Intervention Competency Assessment Tool, or BI-CAT, is a tool for enhancing understanding and developing a broad range of skills supportive of excellence in brief practice. Presenters will discuss the Primary Care Behavioral Health (PCBH) model and the four skill domains and 20 fundamental competencies that support working briefly with clients.

Educational Objectives:
1. Identify the commonalities between contextual behavioral science and the theory and practice of social work. 2. Assess the viability of drawing on functional contextualism and contextual behavioral science to guide the progress and practice of social work. 3. Describe contextual behavioral science-informed interventions which are a good fit for social work practice.

 

63. Refining Experiential Avoidance: Validity and Utility Across Concerns, Cohorts, and Cultures
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Original data
Categories: Clin. Interven. & Interests, Theory & Philo., Experiential Avoidance
Target Audience: Interm.
Location: Lake Calhoun

Chair: Tamara M. Loverich, Ph.D., Eastern Michigan University
Discussant: Victoria M. Follette, Ph.D., University of Nevada, Reno

Difficulties in emotion regulation are of great interest to health professionals who are invested in preventing and changing a wide range of related problematic behaviors and consequences. The 3 diverse studies that are the focus of this presentation utilized multiple measures of Experiential Avoidance (EA) and found important differences in the strength of its relationships with meaningful clinical outcomes depending on how it was measured. Samples include 738 college students, 60 adult child-parent dyads, and 115 Asian and Majority college students. Parents and their adult children and people of different ethnicities appeared to utilize EA differently. While EA appeared useful in better understanding weight, trauma, and acculturative stress and dissonance-related difficulties, there are nuances to the measurement of the construct, and how it relates to other emotion regulation variables and excessive behaviors, that are important to improving emotion regulation research and clinical intervention.

• Weight-Related Experiential Avoidance, Binge-Eating, and Food Addiction
Ashley A. Wiedemann, M.S., Eastern Michigan University
Tamara M. Loverich, Ph.D., Eastern Michigan University

It has been suggested that binge eating may be a form of experiential avoidance (EA). However, few studies have examined the relationship between EA, and binge eating, and none have compared the primary EA measures in the context of overweight. The purpose of this investigation therefore is to explore the role of EA in weight status and disordered eating behavior. Undergraduate students (n=738) complete an online survey that included the following measures: MEAQ, AAQ-II, AAQW, a measure of binge eating and disordered eating, and the Power of Food Scale (PFS). Contrary to our expectations, EA displayed a low correlation with binge eating and BMI. Weight-related EA displayed the strongest (though moderate) correlations with disordered eating habits, binge eating, and the PFS. Relationships among EA measures and eating behavior and implications for research and treatment will be discussed.

• Experiential Avoidance in Families: Factors Related to Resilience Post-Trauma
Meaghan Lewis, M.S., Eastern Michigan University
Tamara M. Loverich, Ph.D., Eastern Michigan University

Experiential avoidance is receiving increasing conceptual and empirical review in the development and maintenance of posttraumatic stress disorder (PTSD) and appears to underlie engagement in topographically dissimilar problem behaviors (Kingston, Clark & Remington, 2010; Kumpula et al., 2011). The present study sought to test a conceptual model in which parent experiential avoidance, PTSD symptom severity, and problem behaviors predicted exacerbated excessive behaviors in their adult children. Overall, in 60 dyads, parents and adult children evidenced relations between levels of problem behaviors, PTSD symptom severity, and experiential avoidance measured by the AAQ-II. Interestingly, experiential avoidance assessed using the recently validated MEAQ was not associated between dyadic members. Findings suggest experiential avoidance appears linked in parents and children, but given differences in measures, the form of experiential avoidance (e.g., behavioral avoidance, suppression) may be an individual difference characteristic. Conceptual and measurement implications will be discussed.

• Ethnic variation in emotion regulation: Implications for assessing internalizing and externalizing symptoms in culturally diverse populations
Joohyun Lee, M.S., Eastern Michigan University
Tamara M. Loverich, Ph.D., Eastern Michigan University

Emotion regulation has become an important construct in clinical psychology due to its perceived link to various mental health outcomes. However, a small but growing literature suggests there are ethnic differences in how different facets of emotion regulation affect functioning. This study evaluates the role of emotion regulation deficits in internalizing/externalizing problems among individuals of Asian (N = 67) and non-Asian (N = 48) descent. Emotion regulation deficits were found to be concomitants of psychological maladjustment for both groups even after accounting for culture-specific risk factors. However, comparative results revealed that Asian-American participants were more likely to report emotional non-acceptance than their non-Asian counterparts. Furthermore, the relationship of Experiential Avoidance (EA) with the study’s outcome variables differed as a function of ethnicity. Implications for research and intervention will be discussed.

Educational Objectives:
1. Describe the experiential avoidance construct and its factors. 2. Compare experiential avoidance outcomes as a result of conceptual and measurement variance. 3. Utilize advances in experiential avoidance to improve research in the domains of PTSD, overweight and acculturative stress.

 

64. Mind the Gap: Capitalizing on Values and Psychological Flexibility Principles to Reach Diverse Populations
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data
Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Multicultural/Diversity, Parenting, Children, PTSD Target Audience: Beg.
Location: Lake Nokomis

Chair: Rebecca Hamblin, M.A., University of Mississippi
Discussant: Akihiko Masuda, Ph.D., Georgia State University

The foundation of ACT on nomothetic principles (i.e. Behavior Analysis and RFT), in combination with a strong emphasis on context, lends itself to flexible idiographic application across individuals, organizations, and cultures. The United States is home to millions of immigrants and refugees from countries all over the world, many of whom have experienced significant trauma and psychosocial stressors such as war, disaster, and persecution. During the resettlement process, separation from family and culture, discrimination, and acculturative stress all serve to exacerbate the already high risk of emotional distress for these groups. Ethnic minority and economically disadvantaged persons in the U.S. have historically been underserved in mental health care and may have attenuated treatment gains compared to their majority peers. Refugee and immigrant families face even greater barriers to access and effectiveness of treatment, including non-fluency in English and discrepancies in cultural values and practices that threaten acceptability of traditional psychotherapy programs. This symposium will explore programs using ACT principles to reach groups of individuals and families from around the world in partnership with community organizations. Implications for large-scale implementation and policy will be discussed.

• Lessons from the Field: Parenting and Grandparenting Mindfully Together in a Chinese Immigrant Population
Lisa W. Coyne, Ph.D., Suffolk University/New England ACT Institute
Grace Gu, B.A., Suffolk University/New England ACT Institute
Jessica Pan, B.A., Suffolk University/New England ACT Institute

Chinese immigrant families of young children have unique issues that may negatively impact, and should certainly shape both program development and service delivery. It is especially important that any mental health services developed for young children of Chinese immigrants must be mindfully culture-specific. The current program evaluation project had the goals of incorporating ACT principles into an evidence-based parenting program and adapting this program to a Chinese immigrant and Chinese-American population. We have developed a 5-session protocol called “Parenting and Grandparenting Mindfully Together,” and are in our second wave of an open trial of this approach. We evaluated: 1) effectiveness of a culturally adapted comprehensive treatment package in an open trial; and 2) child and family progress and outcome for referred children. Project strengths and limitations, as well as issues around cultural adaptation (e.g., cultural equivalence, issues of assessment, contextual factors), service utilization and delivery, and implications for future work will be discussed.

• Connecting Cultures with ACT: An Eight Module Group Program for Refugee Survivors of Torture and Trauma
Karen M. Fondacaro, Ph.D., University of Vermont/ New England Survivors of Torture and Trauma
Emily Mazzula, Ph.D., University of Vermont/Connecting Cultures
Diane Gotlieb, Ph.D., University of Vermont/Connecting Cultures

This group intervention for refugee survivors of torture utilizes an ACT framework to target post-traumatic suffering. The value-driven and strength-based nature of ACT, allows for a respectful collaboration using mindfulness, metaphors and strategies that easily transcend cultural bounds. Within the ACT framework, this culturally sensitive intervention focuses on eight modules: 1) Safety/ Present Moment; 2) Values /Definition of Torture and Trauma and Post Traumatic Stress; 3) Coping & Committed Action; 4) Cognitive Fusion; 5) Observing Self–Life line; 6) Acceptance; 7) Narrative Exposure to the Traumatic Events; and 8) Good-bye Celebration. Pre-post intervention data collected from refugee torture and trauma survivors from Bhutan and Somalia (N=40) will be presented. Relationships among trauma and torture types, PTSD, anxiety, and depression symptomology, and psychological flexibility will also be presented. Lessons from the field and implications for large-scale implementation will be discussed.

• Global Parenting Skills: Examination of an ACT Model of Parenting Practices to Address the Needs of Refugee Children and Families
Rebecca J. Hamblin, M.A., University of Mississippi
Anne E. Brassell, B.A., University of Vermont
Olga V. Berkout, M.A., University of Mississippi
Karen M. Fondacaro, Ph.D, University of Vermont
Rex L. Forehand, Ph.D., University of Vermont

Behavioral parenting programs in immigrant (non-refugee) populations have shown attenuated treatment gains for parents with high levels of distress despite inclusion of cognitive restructuring techniques to address parental psychopathology. Given the unique psychosocial histories of refugee families, high levels of distress, and cultural variability in values and parenting practices, modification and examination of parenting programs for refugees is warranted. This paper describes such a parenting curriculum delivered to Bhutanese refugee parents. Global Parenting Skills is based on an empirically supported behavioral curriculum and is enhanced with checks for cultural acceptability, values-driven committed action and mindfulness, a module addressing parental psychopathology using ACT principles, and a module addressing children’s internalizing symptoms within an acceptance-based framework. This paper presents pre- to post treatment changes and three-month maintenance in parenting practices and child psychopathology, as well as predictors and moderators of treatment response including parental psychological flexibility and use of acceptance strategies in the context of parenting.

Educational Objectives:
1. Describe unique needs and challenges for immigrant and refugee populations in need of mental health care in the United States. 2. Apply values-based principles to interventions with multicultural populations. 3. Discuss strengths and limitations of using the ACT model with diverse populations with high psychosocial needs.

 

65. Addressing the Needs of the Hispanic Population: Examination of ACT Relevant Constructs
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data
Categories: Clin. Interven. & Interests, Hispanic, AAQ
Target Audience: Beg., Interm., Adv.
Location: Cooks Bay

Chair: Olga Berkout, University of Mississippi
Discussant: Karen Fondacaro, University of Vermont

The Hispanic population represents a growing proportion of the United States. Despite this, a number of our empirically supported intervention and assessment strategies have been examined primarily within Caucasian samples. The speakers in this symposium strive to add to the literature by examining ACT relevant constructs among Hispanic participants. Hispanic individuals within the U.S. face a number of stressors related to acculturation and often present with unmet mental health needs (Chavez, Shrout, Alegria, Lapatin, & Canino, 2010). Adding to the ACT literature among this population will help bridge the gap in reaching underserved individuals. In line with this effort, we present an examination of the psychometric properties of the Acceptance and Action Questionnaire-II (AAQ-II; Bond et al., 2011), the psychometric properties of AAQ health domain variations, and a discussion of psychological dysfunction and acculturation among Hispanic individuals.

• Psychological flexibility and the generational trend toward worse health in U.S. Hispanics
Stephanie Caldas, University of Louisiana at Lafayette
Matthieu Villatte, Ph.D., Evidence-Based Practice Institute
Rick Perkins, University of Louisiana at Lafayette
Emily Sandoz, Ph.D., University of Louisiana at Lafayette
Stephen J. Caldas, Manhattanville College

Research shows a generational trend towards increased risk for mental disorders in the U.S. immigrant Hispanic population. This phenomenon is known as the Hispanic Paradox, because Hispanic immigrants, despite being at a higher risk for the development of mental disorders, fare better than U.S.-born Latinos and even non-Hispanic Whites in many aspects (Alegría et al., 2008). However, this advantage weakens with time spent in the United States. Given this information, there is an opportunity for preventive public health. An account of the components of Hispanic culture, the process of immigration, and acculturation will be given from the perspective of psychological flexibility. Based on preliminary data, this paper offers a functional interpretation of the existing research regarding the Hispanic community and mental health in order to both explain the inherent strengths found in Hispanic culture.

• Examining the Psychometric Properties of the Acceptance and Action Questionnaire-II in a Hispanic Sample
Olga V. Berkout, M.A., University of Mississippi
Maureen K Flynn, Ph.D., University of Texas – Pan American

Acceptance and Action Questionnaire II (AAQ-II; Bond et al., 2011) is a widely utilized measure of avoidance and psychological flexibility. AAQ-II has received psychometric support among primarily Caucasian participants (Bond et al., 2011; Fledderus et al., 2012). However, the psychometric properties of this measure have not been examined among a Hispanic sample. Given the cultural differences within this population, validation of psychological measurement instruments would ensure that constructs are adequately assessed (Dura-Vila & Hodes, 2012). The current study examines the psychometric properties of the AAQ-II within this population. Factor structure of the AAQ-II, internal consistency reliability, and relations to measures of cognitive fusion, acceptance, and present moment awareness will be examined. Multiple indices of model fit will be used to assess the appropriateness of the single factor structure found among Caucasian participants (Bond et al., 2011). Gender differences and comparison to extant norms within Caucasian samples will also be discussed.

• Examination of the Psychometric Properties of Weight-related Adaptations of the Acceptance and Action Questionnaire in a Hispanic Sample
Maureen K. Flynn, Ph.D., University of Texas – Pan American
Olga Berkout, M.A., University of Mississippi
Louelynn Onato, University of Texas – Pan American

Treatment development research in ACT focuses on both outcomes and mechanisms of action. The Acceptance and Action Questionnaire (AAQ; Hayes et al., 2004; Bond et al., 2011) has widely been used to demonstrate treatment outcome mediation by psychological flexibility. There are several domain specific variations of the AAQ (e.g., diabetes). In some studies, the AAQ did not mediate outcomes but the domain specific AAQ did (e.g., Gregg et al., 2007). AAQ adaptations assessing psychological flexibility in relation to weight-related issues have utilized primarily Caucasian participants. The aim of the current study was to explore the psychometric properties of these measures in a Hispanic sample. The following questionnaires were examined: Food Craving Acceptance and Action Questionnaire, Acceptance and Action Questionnaire for Weight-related Difficulties, Body Image Acceptance and Action Questionnaire, Acceptance and Action Questionnaire – Exercise, and Physical Activity Acceptance and Action Questionnaire.

Educational Objectives:
1. Describe the role of psychological flexibility in the Hispanic/Latino population, as it relates to factors such as generation status, ethnic identity, and perceived discrimination. 2. Discuss the utility of the Acceptance and Action Questionnaire II within a Hispanic population 3. Describe the psychometric properties of weight-related ACT measures in a Hispanic sample.

 

75. The Good, the Bad, and the Ugly: How Rules and Instructions Influence Our Behavior for Better or Worse
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Literature review, Original data
Categories: Theory & Philo., Related FC approaches, RFT, Functional-Cognitive Perspective
Target Audience: Beg., Interm., Adv.
Location: St. Croix I

Chair: Sean Hughes, National University of Ireland Maynooth (NUIM)
Discussant: Dermot Barnes-Holmes, National University of Ireland Maynooth (NUIM)

Learning via instruction is a fundamental avenue through which humans adapt to the world around them. Rules and instructions allow us to set and achieve goals, respond to consequences that are extremely abstract in nature as well as profit from other people’s experiences. But this ability comes at a very real cost: rules have a dark side. They can cause us to become stuck in problematic ways of behaving and may to play a role in psychopathologies such as addiction (“I need to smoke in order to feel good”), self-harm (“I always cut myself when I do poorly at school”) and suicide (“My pain will stop after I kill myself”). This collection of talks will introduce the functional and cognitive approaches to learning via instructions, and in doing so, tackle issues that are currently occupying attention in both of these areas. Hughes will open with an emphasis on the functional (RFT) level and consider some of the empirical and conceptual controversies that have shaped our understanding of this phenomenon to date. Kissi will then explore recent work on the adaptive and maladaptive consequences of rule-following while De Houwer will close by examining how recent advances at the cognitive level may accelerate development at the functional level and vice-versa.

• Learning via Instructions and Rules: What We Know and Where We Need to Go…
Sean Hughes, National University of Ireland Maynooth

The capacity for rules (or instructions) to influence how we think, feel and behave is a widely accepted although poorly understood phenomenon. While the positive and negative consequences of rule-following are relatively well-established, remarkably little is known about the origins of this behavior or the basic functional processes that underlie its operation. In the current talk we take the audience on a journey through the functional literature – weaving our way through the empirical and conceptual controversies that have shaped our understanding of this phenomenon to date. We stop and consider the origins of socially or self-generated rules and demonstrate how they can come to exert a significant influence on normal and abnormal behavior. We conclude our talk by equipping the audience with a map for the road ahead – identifying key directions for future work in this area.

• The Adaptive and Maladaptive Consequences of Rule-Following
Ama Kissi, Ghent University
Sean Hughes, National University of Ireland Maynooth
Jan De Houwer, Ghent University
Geert Crombez, Ghent University

Rules enable humans to efficiently adapt to the world around them. They allow us to set and obtain (abstract) goals, delay responding and cope with events before they occur. Research also indicates that rule-following can have detrimental effects: it can prohibit us from contacting important changes in the way the world is organized. This rule-based insensitivity effect appears to be moderated by the type of rules involved and plays an important role in various psychological problems. Yet existing work on the maladaptive consequences of rule-following in healthy versus non-healthy participants has yielded mixed results. In this talk we explore how the type of rule (pliance and tracking), its accuracy and prior effectiveness guide adaptation to the environment and offer several recommendations for future research in this area.

• Learning via instructions: A Functional-Cognitive Perspective
Jan De Houwer, Ghent University

Learning can be defined functionally as changes in behavior that are due to relations between events in the environment (De Houwer et al., 2013). Based on a cognitive propositional theory of learning, one can predict that learning via instructions about events can be functionally similar to learning via the experience of those events. I review studies on mere exposure, evaluative conditioning, fear conditioning, and operant conditioning via instructions that confirmed this prediction. In some cases, however, differences were observed. Although cognitive propositional theories have thus led to interesting novel findings, progress at the cognitive and functional level is hampered by a lack of understanding of how instructions and experience relate at the functional level.

Educational Objectives:
1. Identify current issues and future directions in the study of rule governed behavior. 2. Discuss the impact of rule-type, accuracy and prior efficacy on adaptation to the environment. 3. Assess the utility of the functional-cognitive framework for stimulating empirical and theoretical development in this area.

 

76. Making Addiction Treatment Powerful: New Empirical Results on Contextual Processes in Treating Substance Use
Symposium (2:45-4:30pm)
Components: Original data
Categories: Clin. Interven. & Interests, RFT, Addiction, Clinical Trials, Contextual Processes
Target Audience: Beg., Interm., Adv.
Location: St. Croix II

Chair: Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center & University of Washington
Discussant: Gregory Madden, Ph.D., Utah State University

Treating addiction is challenging. Patient engagement waxes and wanes. Relapse rates are high. Adding to the challenge is the fact that the majority of patients with substance use have co-occurring mental disorders, including depression, PTSD, and psychoses. To address these challenges, contextual behavior theory now focuses on the potential power of avoidance as a clinically changeable process leading to successful cessation and reduction of addictive substances. Our focus will be on the two most common substances of abuse: tobacco and alcohol. First, Dr. Bricker will present results from the first randomized trial of telephone-delivered ACT for smoking. Second, Dr. Kelly will present results from an open trial of ACT for smoking cessation among veterans with PTSD. Turning to alcohol outcomes, Dr. Luoma will show the role of shame and avoidance in alcohol use from an observational study of community adults. Finally, Dr. Vilardaga will share results from an observational study on the role of overt and relational avoidance in alcohol, tobacco, and other drug use among patients with serious mental illness (e.g., psychoses). Tying the talks together will be Dr. Hayes, who will highlight their common empirical thread of avoidance and related contextual processes in making treatments for addictions more potent, powerful, and enduring.

• Randomized Trial of Telephone-Delivered Acceptance and Commitment Therapy vs. Cognitive Behavioral Therapy for Smoking Cessation: A Pilot Study
Jonathan B. Bricker, Ph.D., Fred Hutchinson Cancer Research Center & University of Washington
Terry Bush, Ph.D., Alere Wellbeing
Susan M. Zbikowski, Ph.D.,, Alere Wellbeing
Laina D. Mercer, M.S., Fred Hutchinson Cancer Research Center
Jaimee L. Heffner, Ph.D., Fred Hutchinson Cancer Research Center

Objective: Randomized trial of telephone-delivered Acceptance and Commitment Therapy (ACT) versus Cognitive Behavioral Therapy (CBT) for smoking cessation. Method: Participants were: (1) 121 uninsured South Carolina State Quitline callers who were adult smokers (at least 10 cigarettes/day) wanting to quit within the next 30 days; (2) randomized to five sessions of either ACT or CBT telephone counseling; and (3) offered two weeks of nicotine replacement therapy (NRT). Results: 100% of ACT participants reported their treatment was useful for quitting smoking (vs. 87% for CBT; p =.03). At the three-month follow-up, ACT participants had significantly higher levels of acceptance of cravings to smoke than CBT participants (M = 2.41 for ACT vs. 2.13 for CBT; on a scale of 1 to 5; p = .046). In turn, higher levels of acceptance of cravings to smoke at the three-month follow-up predicted a 4.6 times higher odds of quitting at the six-month follow-up (OR = 4.6; 95% CI = 1.5-14.2; p = .009). Cessation outcomes overall, and among those depressed at baseline, will be presented. Conclusions: ACT is feasible to deliver by phone, highly acceptable to quitline callers, and impacts avoidance processes that contribute to successful smoking cessation.

• A Pilot Study of an Acceptance and Commitment Therapy Smoking Cessation Treatment for Veterans with Posttraumatic Stress Disorder
Megan M. Kelly, Ph.D., Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA & University of Massachusetts
Hannah Sido, Psy.D., Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA
John Forsyth, Ph.D., University at Albany, State University of New York,
Douglas Ziedonis, M.D., M.P.H., University of Massachusetts Medical School
David Kalman, Ph.D., University of Massachusetts Medical School
Judith Cooney, Ph.D., VA Connecticut Healthcare System & University of Connecticut School of Medicine

Veterans with posttraumatic stress disorder (PTSD) have low smoking quit rates, often related to their PTSD symptoms. The present study evaluated Acceptance and Commitment Therapy for Veterans with PTSD and Tobacco Use (ACT-PT), which focuses on helping Veterans overcome emotional challenges to quitting smoking. Nineteen Veterans with PTSD who smoke participated in an uncontrolled trial of ACT-PT and received eight weeks of the nicotine patch. At the end of treatment, 37% of participants were abstinent from smoking and 16% were abstinent at the three-month follow-up. Participants had a 62% reduction in smoking at the end of treatment (p<.001) and a 43% reduction at the three-month follow-up (p=.002). PTSD symptoms significantly decreased from baseline to the end of treatment (p<.001) and the three-month follow-up (p=.025). The retention rate (74%) was good and client satisfaction ratings were high. ACT-PT appears to be a promising smoking cessation treatment for Veterans with PTSD.

• Shame, Self-Criticism, Self-Compassion, and Psychological Flexibility as Predictors of Drinking-Related Behavior
Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, and Training Center
Paul Guinther, Ph.D., Portland Psychotherapy Clinic, Research, and Training Center
Roger Vilardaga, Ph.D., University of Washington & Fred Hutchinson Cancer Research Center

Research has shown that shame is associated with alcohol-related problems. However, the extent to which shame serves as a close temporal antecedent of drinking is not well established and factors which moderate the relationship between shame and drinking have received little attention. This paper will present data from a larger observational study aimed at extracting ecologically valid (real-world) information about drinkers’ daily drinking patterns as they relate to dispositional factors (e.g., demographics, drinking history, global tendency to endorse or express emotions, etc.), contextual factors (e.g., daily negative events and moods), and ongoing experiences of shame. The purpose of gathering this information is to help identify causal variables that lead to increased drinking among the naturallyoccurring range of low- to high-risk drinkers in a community setting, with the hope that the identification of these variables will be useful in the development of drinking interventions. The study sample consists of 88 community adults who had consumed alcohol within the past two weeks. Participants completed a baseline assessment and interview followed by a 21 day online daily diary assessing daytime and evening drinking, mood, psychological flexibility, and self-compassion. Data analyses to be presented will focus on predictors of drinking with a focus on the relationship between shame, self-criticism and drinking and negative drinking-related consequences. Potential moderators of these relationships, including self-compassion and psychological flexibility, will also be explored.

• A Process Analysis of Addictive Behaviors in Adults with Co-Occurring Disorders
Roger Vilardaga, Ph.D., Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine & Fred Hutchinson Cancer Research Center
Emily Leickly, B.A., Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine & Fred Hutchinson Cancer Research Center
Frank Angelo, M.A., Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine & Fred Hutchinson Cancer Research Center
Jessica Lowe, B.A., Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine & Fred Hutchinson Cancer Research Center
Richard Ries, M.D., Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine & Fred Hutchinson Cancer Research Center
Michael McDonell, Ph.D., Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine & Fred Hutchinson Cancer Research Center

Addictive behaviors are highly prevalent among individuals with severe psychopathology (i.e. schizophrenia, schizoaffective, bipolar, or recurrent major depressive disorders). At least 50% percent of these individuals have an alcohol use disorder, 30% an illicit drug use disorder, and up to 90% a nicotine use disorder. Co-occurring psychological disorders and addictive behaviors have dramatic costs for individuals and society. However, from a contextual behavioral perspective, there is little research examining the psychological processes underlying addictive behavior in this population. This paper will present baseline and longitudinal observational data from the 1-month induction period of a randomized controlled trial testing a contingency management intervention to treat alcohol dependence. The data comes from 63 adults recruited from a community mental health clinic in the Pacific Northwest. Consistent with prior ACT research in this population (e.g., Vilardaga et al, 2013) and with the role of overt and relational avoidance in the maintenance of addictive behavior, we expect that higher levels of experiential avoidance will be associated with higher levels of drug, alcohol or tobacco use. This paper will examine the degree in which the results provide support (or not) to our hypothesis, and will discuss its implications for future CBS research.

Educational Objectives:
1. Describe the research evidence on the impact of ACT on acceptance processes and smoking cessation. 2. Learn about new research on the role of avoidance and shame processes underlying alcohol and other substances. 3. Consider ways newest research on acceptance processes can be applied in the treatment of addictions.

 

78. A New Contextual Behavioral Model of Social Connection for Functional Analytic Psychotherapy
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data
Categories: Clin. Interven. & Interests, Theory & Philo., FAP
Target Audience: Beg.
Location: Excelsior Bay & Lafayette Bay

Chair: Gareth Holman, Ph.D., Evidence-Based Practice Institute
Discussant: Kelly Wilson, Ph.D., University of Mississippi

Over the years, FAP has been seen as a fellow contextual behavioral traveler along with ACT, sharing a common set of values, principles and philosophy. However, FAP, perhaps because of its purely functional and idiographic approach, remains an enigma to many, particularly with respect to what the treatment approach is and how to research it. Over the last several years, we have been developing a FAP approach to social connection, a common FAP treatment target, which retains FAP’s emphasis on functional flexibility but may provide clinicians and researchers with a more concrete operationalization. In this symposium, this model will be presented. Then, two clinical-research instantiations will be presented, the first in which the social connection model was used to enhance a brief mindfulness intervention, and the second in the context of a laboratory-based process study to explore components of the model. Kelly Wilson will discuss implications.

• Awareness, Courage, Love and Social Connection: A Draft FAP Model
Jonathan Kanter, Ph.D., University of Washington
Gareth Holman, Ph.D., Evidence-Based Practice Institute
Chad Wetterneck, Ph.D., Rogers Memorial Hospital
Mavis Tsai, Ph.D., University of Washington and private practice
Robert Kohlenberg, Ph.D., University of Washington

In this talk, Jonathan Kanter will describe the working model of social connection that forms the basis of the subsequent research studies. This model integrates information from evolutionary science and neurobiology, basic contextual behavioral principles and philosophy, the logic of FAP’s 5 rules as the basis for intervention, and the rich clinical experiences of FAP’s developers to produce a working framework. Both the underlying science and the clinical instantiation of this model in terms of awareness, courage, and love will be described.

• Awareness, Courage, Love and Social Connection: A Brief Mindfulness Intervention
Robert Kohlenberg, Ph.D., University of Washington
Jianne Lo, University of Washington
Margo Derecktor, University of Washington
Elizabeth Lagbas, University of Washington
Jonathan Kanter, Ph.D., University of Washington

In this pilot randomized trial, 122 undergraduate participants were randomly assigned to receive either a standard intra-personal mindfulness intervention (involving relaxation and other components) or the mindfulness intervention enhanced with an awareness, courage, and love intervention designed to increase social connection. This intervention asked participants, after the intra-personal mindfulness component, to contemplate a significant person in their lives and what steps they might take to move closer to that person (awareness), to optionally share their contemplations in a group (courage), and to optionally give authentic feedback to each other about the sharing (love). A third group was randomly assigned to a no-intervention control. Both groups demonstrated increased mindfulness compared to the control intervention but only the enhanced intervention demonstrated improvements with respect to social connection.

• Awareness, Courage, Love and Social Connection: A Laboratory-Based Component Process Study
Adam Kuczynski, University of Washington
Jonathan Kanter, Ph.D., University of Washington
Kevin Haworth, University of Wisconsin-Milwaukee
Mavis Tsai, Ph.D., University of Washington and private practice
Robert Kohlenberg, Ph.D., University of Washington

This talk reports on two studies that attempted to isolate the impact of courage and love on social connection with undergraduates, using a laboratory-based research methodology. In both studies, participants interacted with a trained research assistant who asked the participant a series of questions requiring personal self-disclosure designed to increase closeness. In the first study, 77 participants were randomly assigned either to a no-intervention control or to the experimental condition in which they were asked to courageously respond to each question, and then received loving feedback from the research assistant. In the second study, 98 undergraduate participants were randomly assigned to either a no-intervention control, a condition in which only the questions were asked but no feedback was provided, or a condition in which the questions were asked and feedback was provided. Both courage and love components demonstrated an impact on social connection and amount of self-disclosure.

Educational Objectives:
1. Describe the developing conceptual model underlying FAP research and clinical training. 2. Describe and critically assess emerging research in light of this model. 3. Discuss the application of this research and the conceptual model to clinical situations.

 

80. Using ACT to Train the Next Generation of ACT Clinicians
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Superv., Train. & Dissem., Edu. settings, Prof. Dev., Clinician Development
Target Audience: Beg., Interm.
Location: Lake Calhoun

Chair: Daniel S. Steinberg, M.A., University of North Texas
Discussant: William D. Norwood, Ph.D., University of Houston-Clear Lake

Acceptance and Commitment Therapy (ACT) research has often included investigation of mechanism and attention to ideographic processes; however, with growing mainstream acceptance and, now, over 75 randomized controlled trials firmly establishing efficacy, even more specific research questions are being asked. One particularly important area of research concerns the training of future ACT clinicians - more precisely, what ways can ACT itself can be used to facilitate this training? This symposium intends to explore several avenues for training graduate students in ACT using the very principles embodied in its philosophy. Three papers will examine: a course on ACT for doctoral students, the impact of a two-week ACT workshop prior to a master’s level practicum, and a conceptual analysis exploring mixed methods approaches to advanced graduate training. Relevant outcome data, benefits/obstacles, and implications for future graduate student training will be discussed.

• Showing Up for Class: Examining a Doctoral Level Course on Acceptance and Commitment Therapy
Danielle N. Moyer, M.S., University of North Texas
Daniel S. Steinberg, M.A., University of North Texas
Melissa L. Connally, M.S., University of North Texas
Amy R. Murrell, Ph.D., University of North Texas

Empirical support and clinician interest in Acceptance and Commitment Therapy (ACT) has grown tremendously (Smout, Hayes, Atkins, Klausen, & Duguid, 2012), increasing the need for quality training. Evidence suggests training workshops based on experiential exercises successfully increase clinician knowledge (Richards et al., 2011), while also improving psychological flexibility and decreasing burnout-related stress (Luoma & Vilardaga, 2013). Although research on the effectiveness of ACT-based workshops is growing, little is known about the effects of graduate level training. Doctoral psychology students completed measures of psychological flexibility, mindfulness, and perceived stress throughout an elective psychotherapy course on ACT; Reliable Change Index scores suggest some positive changes over time. This paper will explore these results, with particular attention paid to the advantages and obstacles of a graduate course on ACT, such as balancing didactic training and experiential learning, and the challenge of covering philosophical and theoretical foundations during the course of a semester.

• Growing Therapists 101: Psychological Flexibility and Relationship Skills in the Developing Clinician
Emmy LeBleu, University of Louisiana at Lafayette
Tracy Protti, University of Louisiana at Lafayette
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette

Quality of the therapeutic relationship is absolutely critical in predicting psychotherapeutic effectiveness. The ACT therapist attempts to create a context in which behavior change can occur, but in the therapy room much of that context is the relationship itself. This study examined skills relevant to the therapeutic relationship in the context of evaluating a therapist training program. Participants were training clinicians who were undertaking their first field placement. Participants’ training focused on building a repertoire relevant to developing a therapeutic relationship. They completed an assessment of empathy, therapist beliefs, psychological flexibility, and relationship flexibility before and after the training, as well as after their field experiences. Measures, and changes in the measures of psychological flexibility, relationship flexibility, and empathy, were examined, and compared with trainee evaluations. Results suggest that psychological flexibility contributes to empathy, with inconsistent impact on therapist skills. Implications for training targets and methods will be discussed.

• Bringing the Workshop to the Classroom – Mixed Method Training During Graduate School
Sandra Georgescu, Psy.D., The Chicago School of Professional Psychology

Including experiential (workshop like) training alongside traditional didactic approaches in a graduate academic setting comes with the typical advantages associated with experiential training and some contextual/procedural considerations. This paper will present the rationale for and procedure used to integrate theory, research and in vivo experiential practice in a 15 week graduate Advanced Intervention: CBT Group course. Conceptual and methodological issues will be addressed including the ethics of experiential training in academia, feasibility and site-specific challenges. Participants will also be directed to the preliminary (dissertation) outcome data on impact of this mixed method training approach [Spyrka, S., (2013, July). The Effects of Experiential versus Didactic Training on Stigma, Thought Suppression, and Experiential Avoidance in Graduate Students. Poster presented at the Annual ACBS World Conference, Sydney, AU].

Educational Objectives:
1. Assess the relationships between psychological flexibility, relationship flexibility, empathy, and clinician development. 2. Describe useful strategies, obstacles, and potential benefits of conducting a one-semester course on ACT for doctoral students. 3. Articulate three possible areas of consideration for the inclusion of experiential training in an academic setting.

 

81. New Applications using ACT
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Clin. Interven. & Interests, Theory & Philo., Depression, Christianity and Psychology, Metaphor, Burnout, Stress, Self-Help, On-line Study
Target Audience: Beg., Interm., Adv.
Location: Lake Nokomis

Chair: Suzanne R. Gird Discussant: Ingrid Ord, Private Practice

As research using the Acceptance and Commitment Therapy model is increasing, newer applications emerge rapidly. During this symposium, 3 outcome studies exploring new uses of the model are shared and discussed. The research covers a broad base of applications (brief ACT for depressive symptoms, experiential exercises for Christians, and self-help burnout), and those in attendance will have the opportunity to learn about some of the newer technologies being used in the field.

• The Effectiveness of Brief Acceptance and Commitment Therapy for Clinical Depression
Heidi Maria Kyllönen, M.S., University of Jyväskylä
Piia Astikainen, Ph.D., University of Jyväskylä
Anne Puolakanaho, Ph.D., University of Jyväskylä
Raimo Lappalainen, Ph.D., University of Jyväskylä

Objective: As Acceptance and Commitment Therapy (ACT) is suggested as efficacious treatment for depression, a study to evaluate the impact of brief ACT on clinical depression was made. Methods: 119 depressed individuals were randomly assigned either to treatment or to waitlist control condition (WLC) group. The treatment outcomes were based on criteria for diagnosing depressive conditions by ICD-10 and on the multiple self-report questionnaires. The group differences were analyzed using hierarchical linear modeling with Mplus version 6 (Muthén and Muthén, 2012). Results: The participants in ACT group showed significant improvement in depression and larger changes than WLC, each of p < 0.001. Moreover, the diagnostic manifestation of depression in ACT-group showed favorable course with remission rate of 60.3%. In addition, clinically significant recovering rates using Jacobson methodology indicated 62.1% at post treatment, 60.3% at 6 - and 56.9% at 12 months follow-up. Conclusions: The findings indicate applicableness of brief ACT on clinical depression.

• Making a Way - metaphor and language to provide a way for engagement in ACT therapy by Christians
Grant Dewar, The University of Adelaide

ACT provides an open door to all to take effective action to enrich their lives. However we have seen a recent spate of literature regarding the accessibility of psychology to those with a Christian faith. Much work has been done by Worthington (2010), Johnson et al (2010) and Tan (2011) to open pathways for engagement by individual Christians, Christian leaders, counselors and psychologists in discussing the use of evidence based psychological interventions by Christians. This paper will present a discussion of the use of metaphor and language to provide a way for engagement in ACT therapy by Christians and those who are engaged in providing therapy to Christians. The presentation will discuss the six elements of ACT utilising the richness of Christian metaphorical representations available to teach the psychological skills needed to accept that which is out of our control, get unstuck, be willing to take perspective, get in touch with the here and now, confirm valued approaches to life and take effective action.

• Effectiveness of ACT Self-Help for Burnout: Preliminary Results from an Exclusively Online Randomized Controlled Trial
Andrew Gloster, Ph.D., University of Basel
Patrizia Hofer, B.S., University of Basel
Marina Milidou, University of Basel
Michael Waadt, Private Practice

Burnout symptoms are prevalent, associated with mental health difficulties, as well as decreased job performance and turnover. Several ACT studies targeting work-related burnout have documented positive results. Unfortunately, individual therapy – especially ACT – is not always feasible, available, or accessible. Self-help books may be viable alternatives, either as stepped-care or in their own right. These require rigorous testing, however, before they can be utilized as part of a wider health-care framework. This randomized controlled trial (RCT) aimed to examine the effectiveness of an ACT Self-Help book without any therapist or staff contact by using an exclusively online assessment platform. Uniquely, participants of this RCT were randomized to either: a) immediate treatment via the self-help book (n =64); b) a 6-week delayed treatment, but with weekly assessments about psychological flexibility (n=32); and c) a 6-week delayed treatment, but without any assessments (n=32). Preliminary post-treatment analyses indicate significant and clinically meaningful reductions in burnout symptoms and increases in psychological flexibility. Three-month follow-up results and differential timing of change across groups will be presented. Conditions that facilitate change (e.g., sensitizing participants to change processes via pointed weekly assessments before receiving the self-help book) and public health implications will be discussed.

Educational Objectives:
1. Conduct a semi-structured and videotaped ACT protocol with clients and describe the effectiveness and maintenance of gains following brief ACT for clinical depression. 2. Provide skills in identifying metaphor and language to provide a way for engagement in ACT therapy by Christians and describe Self-Help ACT for Burnout. 3. Explain conditions that facilitate and don't facilitate change and discuss health-care implications of self-help and online assessment.

 

82. For the Love of the Game: Applying the Third-Wave to Sports and Athletics
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data
Categories: Performance-enhancing interventions, Sport
Target Audience: Beg., Interm. Location: Cooks Bay

Chair: Emily Leeming, M.A., University of Nevada, Reno
Discussant: Emily Leeming, M.A., University of Nevada, Reno

Behavior science has a long-standing history within sports and athletics. Beyond applications to improve technical proficiency, there is now a growing interest in psychological skills applied to sports. Third-wave behavioral approaches to athletic are a natural fit. Athletes, looking for a competitive edge are coming to recognize the benefits of incorporating psychology into training. This symposium will offer conceptual directions for the integration of contextual behavior science to areas of sports and fitness. Recent empirical investigations will present the applicability of ACT and MAC approaches to competitive and recreational sport. As well, psychological flexibility component analyses on athletic populations will be included in this symposium.

• Evaluation of the Effectiveness of the Mindfulness-Acceptance-Commitment (MAC)
Mitch Plemmons, B.S., Appalachian State University
Joshua Broman-Fulks, Ph.D., Appalachian State University
Kurt Michael, Ph.D., Appalachian State University
James Denniston, Ph.D., Appalachian State University

The Mindfulness-Acceptance-Commitment (MAC) approach is a program designed to enhance sport performance through mindfulness and acceptance-based techniques. Although gaining popularity in the field of applied sport psychology, there is little empirical support behind the MAC approach, with only four case studies, two open trials, and one randomized controlled trial examining its efficacy. Moreover, none of these studies have examined the effectiveness of the MAC approach when applied to recreational athletes. The purpose of the present study was to examine the effects of the MAC approach on recreational golfers. Twenty amateur golfers were randomly assigned to the MAC group intervention or a non-intervention control group. Baseline and post-intervention measures of golf performance and mindfulness were administered. Results indicated that the individuals who underwent the MAC approach improved in golf performance and mindfulness levels over the course of the study, but did not differ significantly from the control group. Several potential explanations for these findings are discussed, as well as directions for future research.

• Psychological coaching of a floorball team with acceptance- and value –based group intervention
Raimo Lappalainen, Department of Psychology, University of Jyväskylä, Finland
Vilhelmiina Välimäki, Department of Psychology, University of Jyväskylä, Finland
Annika Kettunen, Department of Psychology, University of Jyväskylä, Finland
Niilo Konttinen, Kihu - Research Institute for Olympic Sports, Jyväskylä, Finland

Acceptance, mindfulness and value –based approaches provides a useful perspective to sport psychology. On the bases of clinical studies it could be expected that athletic performance enhancement may be achieved by developing a mindful, non-judging, state of mind. These processes in combination with a clarification of valued goals and enhanced attention to external cues may have a positive impact in athletic performance. More studies are needed to investigate the effect of acceptance and value approaches within sports. A women’s Floorball team (n = 25; age m = 23.52; sd = 1.08, floorball experience m = 9.24 years, sd = 0.80) was offered an ACT-based group intervention. Intervention lasted over six weeks (one session/week), and included about 30 experiential exercises adjusted to sports, and home practice. The players were instructed to apply ACT methods both during the training hours and matches. During the training the coaches were instructed to cue the players to use the methods. The effects of the intervention were measured at Pre, Post and at 10 week Follow-up using both questionnaires and observations from the coaches. The players were also interviewed individually after the intervention. Another team playing at the same league was used as a comparison group (n = 25; age m = 19.48; sd = 0.46, floorball experience m = 9.40 years, sd = 0.60). The presentation will describe results and experiences of the project.

• ACT for Athletes: an Randomized controlled trial and the AAQ for hockeyplayers: AAQ-H, a psychometric evaluation
Tobias Lundgren Ph.D., Stockholm University
Emil Jader, Stockholm University

The research interest on acceptance, mindfulness and values based skills training for athletes has been growing during the last 10 years but there is a lack of well-designed outcome studies available in the literature (Gardner & Moore, 2009). The aim of the study presented in this symposium was to develop and evaluate a brief 4-session skills training ACT intervention for hockeyplayers. The study employed a randomized controlled two group design with an ACT group and waitlist control. Outcome measures were goals, assists on ice and an expert group rating of performance. The preliminary results show a significant interaction effect on all outcome measures in favor of the ACT group. Final results and follow up will be presented at the conference. Experiential avoidance and psychological flexibility is at the core of psychopathology and has shown to correlate with behavior effectiveness. In this study the AAQ was adjusted to hockey-players and the psychometric properties of the instruments was evaluated. The preliminary results show that AAQ-H predicts outcomes on ice and has good criterion related validity. Results will be presented at the conference.

• Game On: Towards Prediction and Influence of Mental Toughness
Emily Leeming, M.A., University of Nevada, Reno
Steven C. Hayes, Ph.D., University of Nevada, Reno

“Mental toughness,” is said to be a distinguishing feature between good athletes and great athletic champions but this concept has yet to be studies with scientific rigor in athletics and performance. This symposium paper will discuss how advancements within contextual behavior science, may allow for prediction and influence of behavior identified as “mentally tough.” Athletes were exposed to three kinds of specific statements designed to increase performance during demanding training tasks: two were suggested by traditional sports psychology (a statement to focus on the task and a statement to distract from the high demand), and one suggested by relational frame theory (a statement to focus on willingness to persist in the face of aversive emotions). The willingness statement led to great performance. We are currently conducting a larger trial. Implications and future directions from these time-series investigations will also be discussed.

Educational Objectives:
1. Summarize the MAC approach and will be able to explain its application and effectiveness in enhancing athletic performance. 2. Describe the process used to create psychological flexibility for hockey players. 3. Describe s methodology for comparing components of traditional sport psychology and contextual behavior science in athletics.

 

86. Tools for Clinical and Research Targets in the Areas of Interpersonal Functioning and Intimacy: Concepts and Measures from Functional Analytic Psychotherapy
Symposium (4:30-5:45pm)
Components: Original data
Categories: Clin. Interven. & Interests, Intimacy
Target Audience: Beg.
Location: Lake Calhoun

Chair: Chad T. Wetterneck, Ph.D., Rogers Memorial Hospital
Discussant: Frank Bond, Ph.D., Goldsmiths University of London

While multiple measurement strategies are important to a full contextual behavioral science strategy, most research on psychological flexibility and experiential avoidance has been conducted with the AAQ or AAQ-II, self-report questionnaires that have demonstrated utility across a range of research and clinical settings. Functional Analytic Psychotherapy (FAP) is an idiographic approach located within the contextual behavioral tradition, and often targets intimacy and problems with intimacy as a transdiagnostic functional category relevant to a range of clinical populations. Research on client outcomes in FAP is sparse, and, while the available research is supportive, measurement has not focused on intimate responding specifically. A primary problem is that a relevant, self-report measure of changes in a client’s intimate relating as targeted in FAP has yet to be published. This symposium is designed to present data on three measures with FAP consistent targets and to describe the clinical and research uses for each.

• The Functional Idiographic Assessment Template Questionnaire (FIAT-Q): Data for an Assessment used in Contextual Behavioral Interventions
Glenn M. Callaghan, Ph.D., San Jose State University
Chad T. Wetterneck, Ph.D., Rogers Memorial Hospital
Daniel Maitland, M.A., Western Michigan University
Angela Smith, M.A., University of Houston
Eric Lee, B.A., Houston OCD Program
Throstur Bjorgvinsson, Ph.D., Houston OCD Program & Mclean Hospital

The Functional Idiographic Assessment Template (FIAT) system and questionnaire (FIAT-Q) is a functional assessment of client problem behaviors, provides a nomenclature for those, and suggests behavioral interventions. The system moves away from classic nosology and toward identifying problems using clinical behavior analytic terminology, grounding client problems in psychological principles and providing clinicians a structure to both gather data and guide their interventions in the context of evidence based practice. The FIAT-Q have been translated into different languages, and data on the FIAT-Q have recently begun to come forward. This talk presents both the factor analytic findings and data for the FIAT-Q from several non-clinical and clinical populations. Psychometrics are provided for both the FIAT-Q and a newly developed short form. Strengths and weaknesses of this approach to assessment in the context of contemporary contextual behavioral interventions are discussed with suggestions for where this system might be headed in future iterations.

• Exploring Behavior Analytic Constructs of Intimacy: The Development and Use of the Functional Analytic Psychotherapy Intimacy Scale
Chad T. Wetterneck, Ph.D., Rogers Memorial Hospital
Rachel C. Leonard, Ph.D., Rogers Memorial Hospital
Lindsey Knott, M.A., Houston OCD Program
Sonia Singh, M.A., Houston OCD Program
Eric Lee, B.A., Houston OCD Program
Jonathan W. Kanter, Ph.D., University of Washington

Functional analytic psychotherapy often targets issues with intimacy, defined as behavior exchanges that are vulnerable to interpersonal punishment. Although existing measures examine similar constructs to FAP’s conceptualization of intimacy, the literature lacks a FAP-consistent self-report measure that adequately captures intimacy-related behavior with the capacity to assess behavior change, suggest interventions, and aid in clinical outcome research. The Functional Analytic Psychotherapy Intimacy Scale (FAPIS) was developed for both clinicians and researchers to assess intimacy-related behavior from a behaviorally-based perspective. This talk will present results on the psychometric development in two non-clinical samples and utility of the measure in two clinical samples. The FAPIS is psychometrically sound and provides relevant clinical information about the relationship between psychopathology and intimacy in a number of clinical populations. Future directions for the use of the FAPIS will be discussed.

• Social Connection as a Cross-Diagnostic Contextual Behavioral Treatment Target
Jonathan W. Kanter, Ph.D., University of Washington
Chad. T. Wetterneck, Ph.D., Rogers Memorial Hospital
Gareth Holman, Ph.D., Evidence-Based Practice Institute
Glenn M. Callaghan, Ph.D., San Jose State University
Mavis Tsai, Ph.D., University of Washington
Robert Kohlenberg, Ph.D., University of Washington

In ACT, FAP, and many other treatments, social connection emerges as an important value that drives the work of treatment, establishing important goals as well as a framework for therapeutic action. Social connection, in fact, is empirically established as relevant across the spectrum of depressive, anxiety and personality disorders and as a significant factor with respect to physical health and mortality. We have been developing a model of social connection, and a self-report measure based on this model, using FAP’s framework of awareness, courage, and love as the basis of effective social connection across diverse relational contexts. This talk presents an overview of this model and the measure. Data collection to validate and establish the construct validity of this measure is ongoing and the latest data will be presented, including relations of social connection to psychological flexibility, mindfulness, perspective-taking, self-compassion, loneliness, emotional intelligence, and quality of life.

Educational Objectives:
1. Demonstrate the need to study transdiagnostic interpersonal constructs and how they interact with other clinical variables. 2. Describe the concepts and methods for assessing interpersonal functioning and intimacy from a contextual behavior analytic perspective. 3. Learn to implement and interpret measures of interpersonal functioning and intimacy for clinical and research purposes.

 

87. Using Contextually-Based Approaches for Educational Training
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Edu. settings, Theory & Philo., RFT, Supervision Training, Dissemination, Children with learning disabilities
Target Audience: Beg., Interm., Adv.
Location: Lake Nokomis

Chair: Juha Nieminen, Ph.D., Institute of Behavioural Sciences, University of Helsinki
Discussant: Martin Brock, University of Derby

Using various methods of contextually-based models (Relational Frame Theory and ACT), the researchers examined the efficacy of using these approaches to increase the functionality of children with learning disabilities and graduate students. The authors of the papers will share their findings, and compare and contrast the results. A discussion will follow.

• The Transtheoretical Appeal of ACT in Graduate Psychology Training
Frank Masterpasqua, Ph.D., Institute for Graduate Clinical Psychology, Widener University

Graduate training in clinical psychology has traditionally been divided into schools of thought that rarely share common perspectives on theory or practice, e.g. psychodynamic, CBT, humanistic. Based on five years of teaching ACT in the classroom, as well as using it as a framework for supervision I describe how students from seemingly divergent perspectives readily assimilate ACT philosophy and practice into their practices. I will describe how ACT can provide a common landscape of discourse among these three major schools. For instance, ACT's behavioral and empirical roots appeal to students who aim to practice CBT, and they are willing to consider how contextual science adds to the more traditional cognitive interventions. Psychoanalytic students see commonalities between the psychoanalytic construct of mentalizing and attachment theory and ACT's emphasis on curiosity and present moment awareness. Humanistically oriented students recognize values-motivated behavior and a transcendent sense of self in ACT theory and practice. With these and other examples, I will make the case as to how, as well as being transdiagnostic, ACT can be understood as being transtheoretical.

• RFT based training for learning disabilities: an exploratory study
Margherita Gurrieri, IESCUM, Italy
Melissa Scagnelli, IULM University, Milan, Italy
Davide Carnevali, IULM University, Milan, Italy
Giovambattista Presti, University Kore, Enna, Italy
Paolo Moderato, IULM University, Milan, Italy

Poor outcomes are often observed with trainings in children with learning disorders. Relational Frame Theory (RFT) provides both a theoretical and an applied framework to understand language and other related cognitive repertoires including reading and spelling. Applications based on derived stimulus relations have been demonstrated effective in teaching reading, spelling and math skills to persons with different difficulties and learning histories, generating behaviors not explicitly taught. We trained dyslexic and dysgraphic kids who were able to tact (D) pictures to match in a frame of coordination printed words in uppercase letters (A) with pictures (B) and pictures (B) with printed words in lower case letters (C). Each stimulus class included three members. So, after testing for the basic mutual and combinatorial entailment relations, we tested also other combinatorial relations namely A-D (reading printed words in uppercase letters), C-D (reading printed words in lowercase letters) and D-A and D-C (choosing uppercase and lowercase printed words conditionally to an auditory stimulus) relations. With an additional training kids were able to write under dictation too (D-E). Correct responses ranged between 95 to 100% in three consecutive testing trials thus demonstrating the formation of a five-member class. Other stimulus control strategies were used to address problems with particular sign-sound relations that are considered critical for Italian speakers and a sign of dyslexia. Pre-post treatment changes in standardized tests for dyslexia demonstrate an overall effect beyond trained stimuli.

Educational Objectives:
1. Describe reactions of graduate students from different perspectives to ACT's theory and practice. 2. Discuss areas of commonality that ACT provides to the three major approaches to psychotherapy. 3. Explain an RFT based interpretation of reading, writing under dictation, copying and writing under self-dictation and understand the strong connection between the basic analysis and the application in the educational and rehabilitation fields, and compare traditional cognitive based models of rehabilitation with a contextual approach.

 

88. Aspects of Adolescents
Symposium (4:30-5:45pm)
Components: Literature review, Original data, Didactic presentation
Categories: Edu. settings, Clin. Interven. & Interests, Prevention & Comm.-Based, Beh. med., Edu. settings, Superv., Train. & Dissem., adolescence, research, mindfulness, avoidance, cognitive fusion, thought suppression
Target Audience: Beg., Interm.
Location: Cooks Bay

Chair: Mary Bell, MSW, Trillium Health Partners
Discussant: Sheri Turrell, Ph.D., Trillium Health Partners, Ontario, Canada

This symposium will examine several studies focusing on the mental health needs of adolescents. The studied shared and discussed include: The correlation between emotional and mood challenges and the core concepts of ACT; components of emotional awareness and social relationships, and an ACT integrated inpatient program.

• The Pearl in the Oyster: An exploratory study about correlations between anxiety, depression, somatization, dissociation and the main ACT concepts in Adolescence
Emanuele Rossi, Private Practice, AISCC
Erika Melchiorri, Private Practice, AISCC

Patrizia Violini, Private Practice, AISCC Nicoletta Ristè, Private Practice, AISCC Elisa Lijoi, Private Practice, AISCC

• What came first - emotional awareness or good relationships? Exploring the connection between emotional awareness and social wellbeing during adolescence
Claire Rowsell, Ph.D. Candidate, Clinical Psychology, University of Wollongong
Joseph Ciarrochi, Ph.D., University of Western Sydney
Frank Deane, Ph.D., Illawarra Institute for Mental Health, University of Wollongong
Patrick Heaven, Ph.D., Australian Catholic University

Emotional awareness is a key component of mindfulness and contact with the present moment. It is also important for mental and physical health, and social wellbeing. Social relationships are important throughout the lifetime, however, they are of particular significance during adolescent development. Therefore, understanding how emotional awareness develops and influences social wellbeing is essential for developing appropriate interventions to improve socio-emotional wellbeing. This presentation will review past and current research on the connection between emotional awareness and social functioning during adolescence and discuss two longitudinal, empirical studies. The first study assesses the link between emotional awareness and peer nominated friendships during high school. The second study examines the relationships between emotional awareness and social support from Grade 9-12. This presentation aims to discuss the current research, interventions and clinical implications.

• Constructing an Interdisciplinary ACT Team: Lessons learned from a 3 year process to build inpatient services for adolescents.
James Hill, OTR/L, Rush University Medical Center

Reflections on a three year effort to establish a fully integrated interdisciplinary ACT based program for an inpatient adolescent behavioral health unit. Presentation will describe stages that include establishing a single ACT based group, advocacy for an interdisciplinary ACT based approach, development of multiple groups, as well as training and supervision efforts to establish and maintain interdisciplinary staff competency. Presentation will include data from patient and parent questionnaires, staff competency measures, and AFQ-Y measures for clients before and after interdisciplinary training.

Educational Objectives:
1. Critique current literature on the association between emotional awareness and social functioning. 2. Discuss two empirical studies and future directions for research and interventions to improve adolescents’ socio-emotional wellbeing. 3. Identify steps involved refining ACT based group interventions.

 

92. ACTive Parenting: Increasing Parental Involvement Using ACT
Symposium (4:45-5:45pm)
Components: Literature review, Original data, Case presentation
Categories: Related FC approaches, Prevention & Comm.-Based, Edu. settings, Theory & Philo., Parenting, Values, Parenting Adolescents
Target Audience: Beg., Interm., Adv.
Location: St. Croix II

Chair: Anne Brassell, University of Vermont
Discussant: Meredith Rayner, Ph.D., Parenting Research Centre and Murdoch Children's Research Insitute

It is well-documented that parental disengagement often results in children with behavioral problems, and lack of school involvement. Two studies focused on using ACT to increase the values and committed action of parents and children, decrease behavioral problems, and increase school engagement. The authors of these two studies will discuss their findings and compare and contrast results.

• Forging Your Compass: How Parenting Impacts Value Development
Kristi A. Mannon, M.S., University of North Texas
Erin K.M. Hogan, B.S., University of North Texas
Teresa C. Hulsey, B.A., University of North Texas
Rawya M. Al-Jabari, M.S., University of North Texas
Amy R. Murrell, Ph.D., University of North Texas

Emerging adults have a unique opportunity to form their identities, develop values, and notice discrepancies between their parents’ values and society (Arnett, 2000; Hauser & Greene, 1991). Previous studies indicate that parents are influential in values development (Simpson, 2001). The current two part study investigated whether parenting style and parent-child relationships influenced ACT–consistent valuing. Findings indicate female, but not male, caregivers’ parenting styles and closeness of the parent-child relationship have significant direct effects on values purity. Authoritarian parenting style (β = -.43 B = -1.70, p < .001), Authoritative parenting style (β = .12, B = .53, p < .001), and Emotional Support (β = .30, B = 6.80, p < .001) significantly predicted the degree to which young adult values are intrinsically chosen. A path analysis and goodness of fit analyses were conducted; results indicated the proposed path model was a good fit [NFI = .996, [χ2 = (2) = 2.58, p > .05]. A significant positive relationship between authoritative parenting style and quality of parent-child relationship (β = .64, B = .10, p < .001) was found with the male caregivers.

• ACT enhanced parenting intervention to promote at-risk adolescents’ school engagement
Larry Dumka, Ph.D., Arizona State University - Sanford School of Social and Family Dynamics

This paper presents ways ACT principles were implemented to strengthen a universal group-based parenting intervention already been shown to be effective (the Bridges to High School program; http://psycnet.apa.org/journals/ccp/80/1/1/) and increase large-scale dissemination. This skills-focused intervention aims to prevent school disengagement and behavioral health problems in middle school age adolescents (11-13 years old) by increasing parents’ capacity to know what’s going on with their adolescent, have effective limits, and stay connected. ACT enhancements were integrated to increase parents’ psychological flexibility in order to optimize skill learning and committed action. These enhancements are described including activities to clarify parenting values, brief mindfulness exercises to increase parents’ present moment attention when communicating with adolescents, and strategies to promote defusion to reduce parent-adolescent conflict. Data and lessons from a recent pilot of the revised program inform effective rationales and delivery methods for mindfulness activities.

Educational Objectives:
1. Describe how parenting impacts value development from an ACT perspective. 2. Utilize clients' parental relationships and learning history to aid in conceptualization of clients who are struggling with value identification and valued living. 3. Describe ACT enhancements to increase effectiveness of parenting interventions that promote adolescents’ school engagements and apply effective rationales and delivery methods for mindfulness activities in parenting interventions.

Saturday, June 21

104. Exposure & Contextually-Based Models and Health: New Approaches
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Original data
Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Beh. med., Irritable bowel syndrome, Quality of Life, Headache, Physical activity, adults
Target Audience: Beg., Interm.
Location: St. Croix II

Chair: Amy Houston Discussant: Stanislaw Malicki, University of Social Sciences and Humanities

Many health-related issues are behaviorally based and driven by avoidance, lack of motivation, and problematic behavioral repertoires. The authors of four studies focusing on applying exposure and contextually-based models will discuss their findings. These studies all contribute to our understanding of issues related to health. Specifically, Irritable Bowel Syndrome (IBS), increasing physical activity, decreasing the overuse of medications, and decreasing Body Mass Index (BMI).

• Exposure and acceptance based therapy for irritable bowel syndrome – theory and treatment.
Brjánn Ljótsson, Ph.D., Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Erik Hedman, Ph.D., Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden

Irritable bowel syndrome (IBS) is associated with impaired quality of life and high societal costs. Although some studies show large treatment effects for psychological treatments such as psychodynamic psychotherapy, hypnotherapy, stress management, biofeedback, relaxation therapy, cognitive therapy, and cognitive behavior therapy, other studies show very little effect. These interventions target different stressors such as difficult interpersonal relationships, maladaptive coping strategies, negative self-schemas, negative appraisals of daily stressors, or general life difficulties. However, recent research suggests that the primary source of stress that causes symptoms is part of the illness itself. IBS-patients have developed hypervigilance towards their own body and react with fear and avoidance in response to naturally occurring gastrointestinal symptoms, which leads to decreased quality of life and increased awareness of symptoms. I will present an exposure and acceptance based therapy for IBS that has been evaluated series of five published studies, with response rates between 59% and 65%.

• Weighing-in on BMI: psychological flexibility and impulsivity
Lauren Ostarello, Eastern Michigan University
Thomas Waltz, Ph.D., Ph.D., Eastern Michigan University
Cory Stanton, Eastern Michigan University
Keith Davis, Eastern Michigan University

There are many factors that may influence an individual’s excessive body mass index (BMI). Previous research has indicated that psychological inflexibility and impulsivity are two behavioral processes relevant to high BMI. Data discussed in this paper were derived from a large sample of college freshmen that agreed to participate in a study pertaining to freshmen life. This paper extends previous analyses of psychological flexibility and BMI using a social barriers-specific AAQ following an inquiry regarding how being uncomfortable with one’s bodily appearance interferes with pursuing social goals and aspirations. In addition, a behavioral economic measures of impulsivity, and relative rates of negative reinforcement (escape and avoidance) will be used to characterize additional behavioral processes than can contribute to high BMI. The discussion will focus on when it makes sense to weigh-in on BMI in terms of psychological flexibility and impulsivity given equifinality concerns with BMI.

• ACT - MOH (Medication Overuse Headache): an observational study
Giuseppe Deledda, Service Clinical Psycology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy
Fabio Marchioretto, Neurology Unit, Sacro Cuore - Don Calabria Hospital, Verona, Italy
Vittoria Pasetti, Service Clinical Psycology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy
Angela Di Canio, Service Clinical Psycology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy
Federica Maccadanza, Service Clinical Psycology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy
Claudio Bianconi, Neurology Unit, Sacro Cuore - Don Calabria Hospital, Verona, Italy

Background: This study explored the psychological variable on patients with MOH (Medication overuse headache),in order to develop a brief intervention ACT based. Methods: Patients were assessed at pre-treatment ACT based (3 sessions during ten day hospitalization) with standardized self-report measures (MIDAS; SCL-90; Distress Thermometer; AAQ-II; VLQ), and 1-year-follow-up. Results: Fifty two patients (mean age = 48.05 years (SD 10.81); 83% female) were recruited. Data showed high mean scores of Migraine Disability (MIDAS mean=97; SD 85.6), a high distress level (M=6.6; SD 2.4) and psychological symptoms (Somatization M=1.55 (SD 0.9); obsessive compulsive symptoms M=1.54 (SD=9.5), Depression M=1.34 (SD 0.84); Anxiety M=1.05 (SD 0.78); Sleep Disorders M=1.33 (SD 0.81)), and a low degree of acceptance (AAQ2 M=43.9; SD 12.6). Male showed higher degree of acceptance (AAQ2 M=52,5; SD 6.86) and lower psychological symptoms. Conclusions: The brief ACT - MOH, is focused on the psychological flexibility through the increase a non-judgmental attitude and willingness to experience unpleasant thoughts, feelings, and physical sensations, and on the control agenda, in order to live in the present consistently with their values.

• Towards a physically active lifestyle based on one´s own values • : The results of a randomized controlled trial among physically inactive adults •
Anu Kangasniemi, LIKES Research center for Sport and Health Sciences, Finland
Lappalainen raimo, University of Jyväskylä, Finland

Objective. This randomized controlled trial aimed to study the effectiveness of a value based intervention to promote a physically more active lifestyle among physically inactive adults. Methods. Physically inactive participants aged 30 to 50 years (n=138) were randomly allocated to a feedback group (FB, n=69) or an Acceptance and Commitment based group (ACT+FB, n=69). Both groups received written feedback of their objectively measured physical activity and were offered a body composition analysis. In addition, the participants in the ACT+FB group attended six group sessions and were given a pedometer for self-monitoring their physical activity during the 9 weeks intervention. The primary outcome was objectively measured physical activity. In addition, participants´ cognitions related to physical activity were evaluated at baseline, 3 and 6 month follow-ups. The changes in physical activity were analyzed in the mean level and rank order stability with multiple-group modeling techniques. Results. Participants in both groups improved their physical activity, thus there was no difference in the changes of physical activity between the groups at 3 and 6 month follow-ups. However, the cognitions related to physical activity improved more in the ACT+FB group compared to the FB group. Also, higher stability in physical activity at the individual level was observed in the ACT+FB group between 3 and 6 month follow-ups among the non-depressive participants. Conclusions. Acceptance and Commitment based intervention was beneficial to support the cognition related to physical activity and brought more stability to the individual level physical activity behaviour change among the non-depressive participants.

Educational Objectives:
1. Describe the mainstream psychological models of IBS and their empirical base in terms of outcome and mechanistic studies. 2. Explain the role of fear and avoidance in IBS and how exposure and acceptance interventions can be used to decrease symptoms and improve quality of life in IBS. 3. Describe the strength of the relationship between BMI and psychological flexibility and impulsivity.

 

108. Multicultural Research within Acceptance and Commitment Therapy
Symposium (10:30am-Noon)
Components: Original data
Categories: Clin. Interven. & Interests, refugees, treatment engagement, mindfulness
Target Audience: Beg., Interm., Adv.
Location: Lake Calhoun

Chair: Beate Ebert, Private Practice in Aschaffenburg, Germany
Discussant: Akihiko Masuda, Ph.D., Georgia State University

Conceptualization of psychological difficulty and intervention has historically been informed by work done primarily among Caucasian samples within Western countries. However, cultural differences may impact relationships among psychological constructs and their effect on psychological wellbeing and dysfunction. The functional contextual emphasis used within Acceptance and Commitment Therapy may be particularly relevant for understanding diverse populations. This symposium provides interested scholars with data on ACT research within a multicultural framework. Our presenters describe predictors of treatment engagement among refugees receiving an ACT informed treatment, wellbeing and psychological flexibility among healthcare workers in Sierra Leone, and psychological flexibility and mindfulness in relation to internalizing difficulties among Asian Americans.

• Reaching a Diverse Refugee Population: Treatment Engagement Among Individuals Receiving ACT Informed Interventions
Olga V. Berkout, M.A., University of Mississippi
Rebecca J. Hamblin, M.A., University of Mississippi
Karen M. Fondacaro, Ph.D., University of Vermont
Valerie Harder, Ph.D., University of Vermont
N. Doran Capuzzi, University of Vermont

Numerous evidence based interventions have been developed to address trauma and psychological distress and wellbeing. A number of individuals are unable to benefit from these due to failing to attend and engage in treatment. Clients may fail to attend therapy sessions for a number of reasons, ranging from severe psychological distress to tangible economic barriers. These challenges may be particularly salient among a refugee population. The current study examines predictors of treatment attendance and unplanned drop out in a diverse sample of refugees from a broad array of countries (e.g. Somali-Bantu, Nepali-Bhutanese, Congolese, etc.). Symptoms of depression, anxiety, and PTSD, as well as income, family size, gender, and feeling connected with community supports will be examined to determine predictors of treatment engagement difficulties. Intervention delivered uses a functional contextual framework based on the ACT approach, along with skills drawn from other evidence based practices as appropriate to client difficulties.

• Applying ACT in Sierra Leone: Examining the impact of ACT training on health professionals
Corinna Stewart, National University of Ireland
Dr. Ross White, University of Glasgow
Beate Ebert, Private Practice in Aschaffenburg, Germany
Iain Mays, University of Glasgow
Jennifer Nardozzi, Private Practice in Miami, Florida
Hannah Bockarie, commit and act, Bo, Sierra Leone

Research has indicated that mental health counseling interventions can be adapted and implemented with positive outcomes across cultures. However, the treatment gap for mental illnesses in low income countries such as Sierra Leone remains considerable. “commit and act” has been working to address this by training local health care workers in ACT. This research examined the impact of ACT training on the psychological flexibility and wellbeing of participants who attended 2-day Beginners and Advanced ACT workshops in Freetown, Bo and Makeni. Considering the traumatic experiences that significant proportions of the population have endured following the recent civil war and the daily struggles with poverty, gender-based violence, etc., it was hypothesized that a significant proportion of individuals attending the ACT training would present with PTSD symptoms and that they would score significantly lower on measures assessing value-consistent behaviour and satisfaction with life and higher on measures of psychological inflexibility.

• The Role of Psychological Inflexibility and Mindfulness in Somatization, Depression, and Anxiety among Non-clinical Asian Americans
Akihiko Masuda, Ph.D., Georgia State University
Erin C. Tully, Ph.D., Georgia State University
Amar Mandavia, B.S., Georgia State University

The present study examined whether psychological inflexibility and mindfulness, two major emotion/behavior regulation processes that have been associated with internalizing problems in general samples and that have particular relevance for Asian Americans, were related to a range of internalizing problems in a non-clinical U. S. Asian American sample. One-hundred-sixteen participants from various Asian nationality backgrounds completed a web-based survey that included the measures of interest. Results revealed that both regulation processes were uniquely and separately related to somatization, depression, and anxiety after controlling for age and gender: Greater psychological inflexibility was associated with greater internalizing problems, and greater mindfulness was associated with lower internalizing problems. Our findings suggest that both psychological inflexibility and mindfulness are useful concepts for understanding psychological adjustment of Asian Americans.

Educational Objectives:
1. Attendants will gain increased understanding of treatment barriers and predictors of engagement among refugees. 2. Attendants will assess the application and effectiveness of ACT in a west African context and consider the difficulties of measuring outcomes following ACT training using western measures and be able to critique these. 3. Attendants will understand how the psychological inflexibility model explains the range of psychological distresses faced Asian Americans.

 

109. Applications of RFT and ACT to Children with Autism and Their Families
Symposium (10:30am-Noon)
Components: Original data
Categories: RFT, Clin. Interven. & Interests, ACT, autism
Target Audience: Interm.
Location: Lake Nokomis

Chair: Angela Persicke, Center for Autism and Related Disorders; Autism Research Group

Autism Spectrum disorders present widespread challenges to children who have them as well as their families. This symposium consists of three papers that address difficulties of children and their parents. One paper presents data from several studies that used an RFT-based approach to teach children with autism to understand nonliteral language. The second paper uses an RFT approach to teaching children with autism to detect what others want when they don't say what they mean. The third paper examines the relationship between experiential avoidance in parents and depression related to child challenging behaviors.

• An RFT Approach to Teaching Children with Autism to Understand Non-Literal Language
Angela Persicke, M.A., BCBA, Center for Autism and Related Disorders; Autism Research Group
Jonathan Tarbox, Ph.D., BCBA-D, Center for Autism and Related Disorders; Autism Research Group
Megan St. Clair, M.A., Center for Autism and Related Disorders; Autism Research Group
Adel Najdowski, Ph.D., BCBA-D, Center for Autism and Related Disorders; Autism Research Group

Children with autism have documented deficits in the ability to understand complex language, especially non-literal language when the intentional meaning of the utterance does not match its literal meaning. This presentation describes three studies in which children with autism were taught to understand non-literal language in the form of sarcasm, deception, and metaphors using RFT-informed procedures. All children included in the studies learned generalized repertoires of responding that were observed across untrained exemplars and in the presence of novel people, including peers. Procedural requirements and results will be discussed in addition to implications for the use of RFT-based procedures for teaching other complex language repertoires to children with autism.

• Just Tell Me What You Really Want: Teaching Children with Autism to Infer What People Want When they Don’t Say it
Adel Najdowski, Ph.D., BCBA-D, Center for Autism and Related Disorders; Autism Research Group
Ryan Bergstrom, M.A., BCBA, Center for Autism and Related Disorders; Autism Research Group
Jonathan Tarbox, Ph.D., BCBA-D, Center for Autism and Related Disorders; Autism Research Group
Megan St. Clair, M.A., Center for Autism and Related Disorders; Autism Research Group

Skinner’s concept of the “disguised mand” is a verbal response wherein the speaker’s mand does not directly describe its reinforcer. Children with autism often have overly literal language, that is, they say what they actually mean, and therefore often have difficulty understanding the disguised mands of others. From an RFT perspective, understanding disguised mands depends on the listener’s ability to relate what is said to what the speaker actually meant, in terms of a relation of distinction. Further, to infer the true meaning of the disguised mand, the listener must relate the mand to its actual meaning in terms of coordination. The purpose of this study was to determine if a treatment package consisting of rules, multiple exemplar training, role playing, and feedback could teach children with autism to detect and respond appropriately to disguised mands. In other words, behavioral teaching procedures were used to teach children with autism to infer what people actually want when they say something different. For example, when a person says, “Mmm, those cookies look good,” what they actually mean is, “Can I have a cookie?” and a socially successful response might be to offer a cookie. Results indicated that the procedures effectively taught participants to detect and respond appropriately to disguised mands. Additionally, generalization was demonstrated to novel, untrained disguised mands and to other people who were not involved in training.

• Topography of autism spectrum disorders and parent dysfunction: The mediational role of parents’ experiential avoidance
Lisa Coyne, Ph.D., Suffolk University
Kirstin Brown Birtwell, M.A., Massachusetts General Hospital/Harvard Medical School

Independent lines of research suggest the importance of child problems and experiential avoidance (EA) in their contributions to poor outcomes (e.g., stress and depression) in parents of children with autism spectrum disorder (ASD). However, researchers have yet to fully explore the relationship between all of these factors at once, providing vital insight into the potential protective factors (i.e., non-EA coping) of parent functioning. Data from 77 parents of children with ASD was collected to evaluate the mediating role of EA in the relationship between child behaviors and parent dysfunction. Results indicated that EA (β = -.40, B = -.75, t = -8.04, p < .00) fully mediated the relationship between child internalizing symptoms (β = .06, B = .06 reduced from .56, t = .49, p = .62) and parental depression. Results will be presented in detail and implications for future clinical and research directions will be discussed.

Educational Objectives:
1. Describe RFT-based procedures related to teaching the understanding of non-literal language and implications for RFT-based approaches to teaching other complex language repertoires. 2. Describe procedures and results of a treatment protocol teaching children with autism to infer and respond to others’ indirect requests. 3. Elucidate contextual factors that are critical to tailoring ACT-based treatment approaches for families raising children with autism.

 

110. The Role of Psychological Flexibility and Its Application to College Students
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Clin. Interven. & Interests, Edu. settings, Theory & Philo., Procrastination, college students, "studyaholism", ACT & psychological flexibility
Target Audience: Beg.
Location: Cooks Bay

Chair: Colin Stromberg, B.A., Utah State University
Discussant: Kate Kellum, Ph.D., University of Mississippi

Many college students interact with their academic work in ways that negatively impact their well-being and/or academic success. Academic procrastination, an irrational tendency to delay in the beginning and/or completion of an academic task (Senécal et al., 2003), is regarded as an interactive dysfunctional avoidance process (Ellis & Knaus, 2002). “Studyaholism” occurs when students engage excessively with academic work at the expense of other meaningful experiences. To evaluate the theoretical basis for applying ACT to procrastination, researchers investigated the relationships between psychological flexibility and its components to academic procrastination. Two pilot clinical intervention studies were conducted to determine the utility of treating academic procrastination with ACT. To understand the function of studyaholsim, an investigation was conducted that examined the relationships of studyaholism to psychological flexibility, mental health, and values motivation. Results contribute to a functional understanding of these extreme forms of academic involvement and efficacy for treating procrastination with ACT.

• Being flexible academically: • The application of the ACT model to the understanding and treatment of procrastination
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières
Noémie Carbonneau, Ph.D., Université du Québec à Trois-Rivières
Joel Gagnon, B.A., Université du Québec à Trois-Rivières
Alexandre Marseille, B.A., Université du Québec à Trois-Rivières
Charles Bélanger, B.A., Université du Québec à Trois-Rivières

Academic procrastination is regarded as an interactive dysfunctional avoidance process (Ellis & Knaus, 2002), and thus ACT would appear to be particularly suitable for the prevention and treatment of this self-defeating problem (Ellis & Knaus, 2002). However, to our knowledge, no study has yet used the ACT model to better understand and treat procrastination. This paper has two purposes. First, it presents a study on the relationships between ACT variables and procrastination. The results of this study in a sample of 282 undergraduates show that academic procrastination is negatively and significantly related to three dimensions of psychological flexibility, namely mindfulness, acceptance and action, and cognitive defusion. However, when the three dimensions are considered simultaneously in a regression analysis, mindfulness emerges as the only significant predictor of academic procrastination. Second, this paper presents a pilot clinical study that evaluated the content, feasibility and efficacy of a three-session ACT intervention using the Matrix with procrastinators (N=16). In sum, the ACT model is applicable to understanding and treating procrastination.

• Letting Go of Putting Off: Flexibility-Based Intervention for Procrastination
Ashlyne Mullen, B.S., University of Louisiana, Lafayette
Emily K. Sandoz, Ph.D., University of Louisiana, Lafayette

Ninety-five percent of college students procrastinate (O’Brien, 2002), often leading to poor grades (van Eerde, 2003) and anxiety (Rothblum, Solomon, & Murakami, 1986). People seek to avoid aversive stimuli, therefore the more aversive a situation, the more one will avoid (Steel, 2007). This includes avoidance of a task or situation, and experiences associated with that task. Rather than changing ineffective behavior, many suppress or avoid negative experiences, often resulting in ineffective functioning (Hayes, Luoma, Bond, Masuda, & Lillis, 2006). This process, experiential avoidance, is at the core of the psychological flexibility model and is linked to psychopathology (Hayes & Gifford, 1997). Given that procrastination is an avoidant behavior, applying this model can be a useful treatment method. The current study examines the impact of a flexibility-based intervention on procrastination with college students at risk for failing. Preliminary data suggests that using psychological flexibility techniques decreased procrastination while increasing well-being.

• “Studyaholism” in College Students: The Role of Psychological Flexibility and Values Motivation
Jose Arauz, M.A., Suffolk University
Jacqueline Pistorello, Ph.D., University of Nevada, Reno

Some college students report studying too much, to the exclusion of other activities. Within society as a whole, workaholism has been hypothesized to vary in its effects on the individual, depending on the function of the behavior. The present study sought to explore if “study-aholism,” as the counterpart of workaholism among college students, would vary in its association with mental health depending on the function of the behavior. A total of 690 college students completed questionnaires measuring psychological flexibility, tendency towards studyaholism (adapted from an established workaholism scale), general mental health, and values motivation. Results indicated students scoring higher on a studyaholism scale also a) scored higher on psychological distress and b) scored lower on psychological flexibility. Psychological flexibility, but not value motives, contributed significantly to the association between study-aholism and psychological distress.

Educational Objectives:
1. Apply ACT theory and practice to academic procrastination. 2. Assess the strength of evidence of ACT for procrastination. 3. Describe the relationships of studyalohism to psychological flexibility and how they relate to mental health.

 

116. Acceptance and Commitment Therapy: Compassionate Treatment for Underserved Groups
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data, Didactic presentation, Case presentation
Categories: Prevention & Comm.-Based, Performance-enhancing interventions, Underserved Groups
Target Audience: Beg.
Location: Elk Lake

Chair: Victoria Follette, Ph.D., University of Nevada Reno
Discussant: Akihiko Masuda, Georgia State University

While ACT has been used with a range of psychological symptoms and with various populations, there is still a great deal to be learned about working with a range of underserved populations. This work creates some unique challenges in that accessing sufficient numbers of individuals and working with a range of community organizations can present barriers to implementing programs that can be formally assessed. This symposium presents some preliminary data as well as qualitative descriptions of work in the community that can lead to more empirical research. Lappalainen presents some unique data on work with deaf clients. In that language is central to basic tenets of ACT, his discussion of the special needs of delivering the treatment in sign language. Mundy presents some interesting data in working with homeless individuals. He includes infusion of ACT values as not only a method for treating clients but also supporting staff interactions. Finally, Gonzalez will present data from working with Latinas in a primary care setting, with an emphasis on how ACT can be adapted to address special cultural issues. Masuda will comment on the implications of this work and future directions.

• Pilot Implementation of Acceptance and Commitment Therapy in sign language: Training counselors to apply ACT using sign language
Raimo Lappalainen, University of Jyväskylä, Department of Psychology, Finland
Leena Hassinen, University of Jyväskylä, Department of Psychology, Finland

This study evaluated the implementation of Acceptance and Commitment Therapy in sign language in a rehabilitation center for deaf clients. 16 clients and 9 staff members participated in this pilot study. Staff members received a very brief training in Acceptance and Commitment Therapy (ACT) including 16 hours lectures, 15 hours supervision, and study material. Each staff member treated 1-2 clients 8 -10 times. As part of the study several ACT metaphors and exercises were translated into the Finnish sign language. The study indicated that counselors with limited knowledge of psychological interventions were able to deliver an ACT intervention using sign language after a brief training. The intervention was well accepted both by the clients and by the counselors. However, due to problems with the assessment methods translated into the sign language, it was difficult to draw conclusions of the effects of the intervention on clients’ wellbeing. Limitations and experiences of the used approach will also be discussed.

• Utilizing Functional Contextualism in the Implementation of Trauma-Informed Care in Homeless Shelters
Brian Mundy LCSW, Institute of Community Living NYC

The need for trauma-informed care in homeless shelters is clear: roughly 85% of persons who struggle with homelessness have been exposed to severe trauma. Trauma-informed organizations seek to prevent re-traumatization by emphasizing safety and operating on the understanding that traditional service delivery approaches may exacerbate the vulnerabilities of trauma. The implementation of trauma-informed care at two NYC homeless shelters has been aided by a functional contextualist approach. For the past two years the presenter has been partnering and assisting all levels of staff — from security to social workers — with lowering cycles of reactivity through training, organizational support, utilization of present moment awareness, contextualization of relationships in trauma histories, facilitation of staff and client dialog sessions, and the creation of innovative peer involvement programs. Pre and post data on critical incidents demonstrating decreases in frequency and types will be presented.

• Lessons from the front line: Using ACT with a Latino population in a community health care setting
Frances R. Gonzalez, University of Nevada Reno
Victoria Follette, University of Nevada Reno

The Latino population is the largest ethnic group in the United States, and is also the fastest growing (Census, 2010). This community faces many challenges, including low SES, increased barriers to health care and higher rates of both physical and psychological symptomology. The current paper will be examining the results of a needs assessment among a small sample of the Latino community in Northern Nevada. With the results of the study we hope to gain insight on the physical and mental health care needs of this community. Topics addressed will be depression, anxiety, PTSD, psychological flexibility, cultural factors, barriers to care, and physical health disparities (Bridges, Andrews, & Deen, 2012; Ayon et al., 2010). The paper will also address special clinical considerations and adaptations needed to the Acceptance and Commitment Therapy in order to address the needs of the Latino population.

Educational Objectives:
1. List cultural considerations in using ACT in a Latino population. 2. Discuss unique aspects of using ACT in deaf clients where Finnish sign language was used to implement therapy. 3. Describe the use of ACT in a facility for homeless clients. Includes infusion of ACT values as not only a method for treating clients but also supporting staff interactions.

 

117. On Motivation and Activation: Exploring New Self-Report Measures of Values
Symposium (2:45-4:15pm)
Components: Original data
Categories: Clin. Interven. & Interests, Values, Committed Action, Self-Report Measures
Target Audience: Beg., Interm., Adv.
Location: Crystal Lake

Chair: Anke Lehnert, B.S., Southern Illinois University Carbondale
Discussant: Daniel J. Moran, Ph.D., MidAmerican Psychological Institute

Third-wave approaches to therapy emphasize and facilitate values awareness, conviction, and engagement. In spite of the centrality of this component in the psychological flexibility model, few relevant measures are available, and the existing measures have not been well validated as research or clinical tools. Such measures would be indispensable to measuring clinical outcomes as well as mechanisms of action. This symposium explores the content and psychometrics of two new measures of this domain of treatment. The Perceived Life Significance Scale (PLSS) measures an overall sense of purposefulness in life, while the Valued Time and Difficulty Questionnaire (VTDQ) is a derivative of the original Valued Living Questionnaire that assesses committed action. These talks will report on data speaking to the utility of these measures across a variety of populations and their potential for future work in the validation of values-oriented measures.

• Exploring the Psychometrics of a Committed Action Measure with an Undergraduate Sample
Chelsea K. VanderWoude, Southern Illinois University
Katherine Cooper, Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University Carbondale

Emerging third-wave behavioral therapies recognize the importance of values-based intervention, but few values measures are available. Wilson, Sandoz, Kitchens, & Roberts (2010) have published on the psychometric properties of the Valued Living Questionnaire (VLQ). Other related measures include the Personal Values Questionnaire-II (PVQ-II), the Survey of Guiding Principles (SGP), and Card Sorting as measures of client values. In addition to lacking robust information regarding psychometrics, these measures do not explicitly assess one’s engagement in values-consistent action. The Valued Time and Difficulty Questionnaire (VTDQ) is a measure of committed action developed for use in clinical contexts. The ten domains assessed by the VTDQ were drawn from the VLQ. This presentation will report psychometric data on this measure with a large sample of undergraduates, including exploration of the factor structure. Reference: Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. (2010). The Valued Living Questionnaire: Defining and measuring valued action within a behavioral framework. The Psychological Record, 60(2), 249-272.

• Exploring Cultural Differences in Distress, Experiential Avoidance, and Committed Action.
Sam Kramer, M.A., Southern Illinois University
Lindsay Blankenship, Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University
David Dalsky, Ph.D., Kyoto University
Takashi Muto, Ph.D., Doshisha University
Takashi Mitamura, Ph.D., Kyoto-Bunkyo University

Previous research has revealed interesting cultural differences in acceptance-based coping and distress among culturally diverse samples (Cook & Hayes, 2010). The current study sought to investigate cultural differences in reports of distress, avoidance, and committed action among an American and Japanese sample. Additionally, this study sought to examine the psychometric properties of the Valued Time and Difficulty Questionnaire (VTDQ), a measure derived from the Valued Living Questionnaire (Wilson, Sandoz, Kitchens, & Roberts, 2010). Self-reports were administered to 188 American and 223 Japanese university students. Correlational analyses and t-tests were employed to compare and contrast responses to the questionnaires. Results revealed significant differences between the two samples on all measures, with the Japanese sample scoring higher on measures of distress and lower on measures of time spent engaging in valued goals. These results will be discussed in light of possible factors that may drive cultural differences with self-report measures of psychological flexibility. Reference: Cook, D., & Hayes, S. C. (2010). Acceptance-based coping and the psychological adjustment of Asian and Caucasian Americans. International Journal of Behavioral and Consultation Therapy, 6, 186–197.

• The Perceived Life Significance Scale as an Experientially-Based Measure of Valued Living
Rachel Hibberd, Ph.D., Durham VA Medical Center
Kaylin Jones, M.A., University of Missouri - St. Louis
Brian Vandenberg, Ph.D., University of Missouri - St. Louis

A recent literature review identified life significance, or the perception of value attributed to an aspect of life experience, as an important but understudied dimension of "meaning" in the study of trauma and bereavement (Hibberd, 2013). In ACT terms, life significance represents an experiential connection with what's meaningful, as contrasted with definitions of meaning that emphasize the use of verbal relational networks used to "make sense" of one's life experiences. Although originating from a stress and coping perspective, life significance is conceptually and theoretically similar the way that values and valued behavior has been described by the ACT community. This presentation will discuss the utility of a recently-developed measure of life significance, the Perceived Life Significance Scale (PLSS), as a measure of the experiential component of valued living. Research supporting the validity of the PLSS will be briefly discussed, as well as suggestions for future contextual-behavioral research applications of the measure.

Educational Objectives:
1. Describe the three subscales of the Valued Time and Difficulty Questionnaire. 2. Describe the relationship between the three subscales of the VTDQ and measures of psychological distress and experiential avoidance. 3. Describe the development and utility of a novel measure intended to capture the experiential component of valued living: the perception of value associated with daily life experiences, relationships, or activities.

 

121. CANCELLED - Mindfulness and Behavior Change at Work: New directions
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data
Categories: Org. Beh. Management, Prof. Dev., Mindfulness
Target Audience: Interm. Location: St. Croix II

Chair: Paul Atkins, Australian National University

This is a collection of papers from the Leadership, Organizations and Public Policy Sig group. The first paper explores the application of a mindfulness program to a university setting to increase wellbeing, work engagement and performance. The second paper extends recent work showing that self-discrimination in natural language predicts well-being 6 and 12 months later (Atkins and Styles, submitted JCBS) by exploring the relationships between self-discriminations and other-discriminations. This qualitative study provides a way of better understanding the quality of relationships within organizations and links to initiatives to increase prosocial behavior. The third study broadens the level of intervention to include not just ACT but effective principles of working in groups based on Ostrom's work. Outcome measures of this intervention study in the intellectual disabilities field include staff retention, inclusion in decision-making, disciplinary, and conflict resolution processes, and other indices of organizational flexibility. Together these studies explore the ways in which traditional approaches to ACT are being adapted and broadened to emphasize identity and group functioning in the workplace.

• Mindfulness Training Enhances Wellbeing, Work Engagement and Performance of University Staff
Paul Atkins, Australian National University

There is increasing interest in mindfulness training as a way of increasing flourishing in life and work. Mindfulness training has been shown to enhance not just wellbeing at work but also attention, decision making, creativity, relationships and work engagement. In this talk I present evidence regarding mindfulness training with over 200 university staff tested before, immediately after and six months after a mindfulness course for changes in wellbeing, work engagement and self-ratings of performance. The talk discusses the unique contextual demands of being either an academic or general staff member of a university, and the ways in which mindfulness appears to moderate the effects of those demands. I will also consider the how the notion of intrinsic motivation to work can be understood from a behavioural perspective.

• Perspective-taking skills and forms of identity predict wellbeing and positive relations at work
Robert Styles, Australian National University
Paul Atkins, Australian National University

The way we construct a sense of self is critical to our experience of the world. We explore the extent to which different forms of perspective taking (deictic framing) expressed in natural language predict wellbeing and positive relations. Previous work based on the idea that self-discrimination is identity demonstrated that wellbeing is predicted by the extent to which individuals know themselves as the context of their experience and are able to coherently utter value oriented self-rules (Atkins & Styles submitted). In this talk, we extend this work with a study of verbal discriminations of others and their impact upon quality of relationships in the workplace. We discuss the predictive nature of self and other discriminative language in use; and, the impact of listening/perspective taking skills. We aim to show that individuals proficient at perspective taking, i.e., deictic framing of one’s own and others behavior, and able to construct value consistent self-rules will experience increased personal wellbeing and vitality in relationships at work.

• Feeding Two Birds with One Seed: Evaluation of a Psychological Flexibility and Group Sustainability Intervention in the Workplace
Thomas G. Szabo, and Adrienne Kessler, Easter Seals Southern California
Heidi Eilers, Easter Seals Southern California
Adrienne Kessler, Easter Seals Southern California

Caregivers, therapists, and other professionals in the intellectual and developmental disabilities field have shown improved behavioral resilience and overall mental health functioning upon completing acceptance and mindfulness interventions (Noone & Hastings, 201/2011; Stafford-Brown & Pakenham, 2012). However, contingencies that favor unhealthy competition for limited resources can undermine this work over time (Sober & Wilson, 1998). Recently, psychologists teamed with evolutionary biologists and economists to generalize a set of group design principles to apply to a wide range of organizations (Wilson, Ostrom, & Coz, 2013). In this study, we will provide psychological flexibility and community design training to clinical and support staff members across seven counties in Southern California. Outcome measures include staff retention, inclusion in decision-making, disciplinary, and conflict resolution processes, and other indices of organizational flexibility.

Educational Objectives:
1. Discuss the application of ACT to the workplace. 2. Generate inquiry regarding links between RFT and other theories of workplace motivation and identity. 3. Describe how ACT is being broadened to adapt to workplace contexts including at the group level.

 

125. Precision Teaching and Contextual Science: Ground Level Applications of RFT to Improve Reading Comprehension
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data, Case presentation
Categories: RFT, Edu. settings, Precision Teaching; Reading Comprehension
Target Audience: Beg.
Location: Lake Calhoun

Chair: Kendra Brooks Newsome, Ph.D., Fit Learning, Reno
Discussant: Claudia Drossel, University of Michigan

Reading comprehension is of paramount importance to academic success and is pivotal in the development of other academic skills. Deficits in reading comprehension, therefore, can impact a child’s ability to access an appropriate education. Reading comprehension entails complex language abilities such as prediction, inference, integrating text, and relating what is read to what is known. Thus, language abilities are at the foundation of reading comprehension, and academic abilities more generally. Research efforts aimed at assessing and strengthening language abilities to improve comprehension are sparse, however. This symposium will highlight the importance of a language foundation that is both necessary and sufficient for promoting comprehension. Relational Frame Theory serves as the guiding framework for positioning our discussion and Precision Teaching is the paradigm from which discovery initiatives arise. From this position, sufficient language repertoires require both fluency and flexibility. This data based symposium will discuss the importance of strength in foundational language necessary for relational behavior, will highlight how the RFT framework and Precision Teaching methodology can guide academic interventions for comprehension, and will discuss the relationship between relational repertoires and reading comprehension.

• A Contextualist Lens for Understanding Reading Comprehension
Kendra Brooks Newsome, Ph.D., Fit Learning, Reno
Donny Newsome, Ph.D., Fit Learning, Reno

The Center for National Education Statistics estimates that approximately two thirds of fourth graders struggle with reading comprehension. This statistic is concerning when reading is the primary means through which new information is acquired. Various factors play a role in comprehension. The most widely researched is the relationship between reading fluency and reading comprehension. More recently, the role of vocabulary and a student’s ability to apply comprehension strategies has received attention. Nevertheless, many students fail to improve on comprehension tasks despite strong reading abilities; many students also fail to benefit from strategy and piece-meal vocabulary training. These failures suggest that there are language-based operants that enable comprehension, and RFT provides a framework for inquiry to understand the kinds of languaging necessary. Precision Teaching, a measurement system and instructional technology, offers an approach focused on component-composite repertoires and provides a lens for discovery. This presentation will discuss the limitations of contemporary definitions of comprehension and research, and how integrating Precision Teaching and RFT can illuminate both the necessary and sufficient relational language foundations required for reading comprehension.

• How Curriculum Designers are Putting ‘The Purple Book’ to Work
Donny Newsome, Ph.D., Fit Learning, Reno
Kendra Brooks Newsome, Ph.D., Fit Learning, Reno
Staheli Meyer, Fit Learning, Reno

Comprehension of text is a foundational competency for success in any academic enterprise. The highly coveted ability to read has virtually no functional utility in the absence of comprehending. Luckily for teachers, most students acquire sufficient reading comprehension skills with little direct training. Our focus for the purposes of this presentation, however, is on those students who do not. The sub-set of students with severe comprehension deficits often present overarching language deficits that make common comprehension strategy training intractable, thereby compounding the problem. In the absence of well-established or widely available language enrichment curriculum, a small group of Precision Teachers has turned to Relational Frame Theory for help. Guided by the seminal 'Purple Book', this presentation will discuss and demonstrate a relational language curriculum designed to allay comprehension deficits in students with otherwise strong reading abilities. The goal of this presentation is to give a ground-level view of how RFT-based curriculum has been successfully implemented at Fit Learning in Reno, Nevada. Issues of measurement, instructional methods and prerequisites are discussed.

• Fresh Data and Discoveries: Relational Fluency, Reading Fluency and Reading Comprehension.
Donny Newsome, Ph.D., Fit Learning, Reno
Kendra Brooks Newsome, Ph.D., Fit Learning, Reno
J.J. Billet, Fit Learning, Reno
Staheli Meyer, Fit Learning, Reno

A student’s ability to comprehend what he/she reads is evidenced by effective action with respect to textual stimuli. Common tests of reading comprehension include questions about a reading passage that require the student to summarize and recall explicit details or infer new details beyond those explicitly provided. Although such assessments are a useful indicator of the student’s current comprehension repertoire, they do little to inform targeted interventions. In this data-based presentation, we will demonstrate how the treatment-utility of reading comprehension assessments may be improved via direct measurement of the component skills, such as isolated relational operants or phonemic decoding skills, involved in a broader reading comprehension repertoire. In short, direct observation of critical component skills allows for more efficient and effective interventions. Methods for component skill measurement and learning profile analysis are discussed. Both relational fluency and reading fluency are identified as critical for a functional reading repertoire.

Educational Objectives:
1. Describe contemporary approaches to comprehension, factors influencing comprehension and a contextual behavior science approach to comprehension. 2. Describe how relational frame theory can inform instructional design for reading comprehension. 3. Describe the role that relational flexibility plays in reading comprehension.

 

126. Perspective Taking: A Conceptual Analysis and Applications
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Literature review, Original data
Categories: Theory & Philo., RFT, Perspective Taking, Deictic Relational Responding, Empathy
Target Audience: Interm.
Location: Lake Nokomis

Chair: John O'Neill, M.A., BCBA, Southern Illinois University
Discussant: Timothy M. Weil, University of South Florida

Empathy is the capacity to recognize emotions experienced by another and is promoted by the ability to take the perspective of another person. Connecting with others and understanding their point-of-view is of vital importance in the context of the therapeutic environment. Conceptual analysis of the therapeutic relationship and recent research has informed the Flexible Connectedness Model. Perspective, as viewed from the functional contextual approach, emerges through deictic relational responding. Instructional protocols, exclusively limited to multiple exemplar training of deictic relations, have been developed in an attempt to target the basic underpinnings of perspective taking ability. In addition to the formal introduction of the Flexible Connectedness Model, we present preliminary data on an instructional perspective taking protocol for children with autism, as well as a profile of perspective taking in older adults.

• The Flexible Connectedness Model: A Contextual Behavioral Framework for Effective Human Interaction.
Roger Vilardaga, Ph.D., University of Washington
Steven C. Hayes, Ph.D., University of Nevada, Reno
Michael Levin, Ph.D, Utah State University

Human connection is an inherent part of contextual behavioral interventions such as ACT and FAP. Despite this, the process of connecting effectively with our clients has often not been articulated from a contextual behavioral perspective. We made such an attempt in our previous accounts of empathy (Vilardaga, 2009), the therapeutic relationship (Vilardaga & Hayes, 2011), social anhedonia (Vilardaga, Estevez, Levin and Hayes, 2012) and pathological altruism (Vilardaga & Hayes, 2012). The Flexible Connectedness Model has already shown itself to be a valuable research and applied tool for the analysis of the key features of effective human interaction; and it has clear implications for the analysis and remediation of social deficits in the clinic and in the culture. However, in this symposium we will provide the first formal introduction of this model, and we will present a summary of recent research from our labs and from independent investigators supporting its promise.

• Examining Deictic Relational Responding and Social Skills in Autism.
Samantha Broderick, B.A., University of South Florida
Timothy M. Weil, Ph.D., BCBA-D, University of South Florida

Perspective taking is a pivotal behavioral repertoire essential for social interaction and reciprocity, as well as a hallmark deficit of Autism Spectrum Disorder. Mainstream cognitive developmental literature provides a mechanistic account of ASD known as Theory of Mind. Alternatively, researchers in Relational Frame Theory offer an account of perspective taking as involving deictic relational responding with respect to the self, place, and time. Studies in training deictic responding hold promising implications for individuals with ASD, but to this point have not demonstrated an effect on social interactions, more generally. This paper attempts to 1), present a conceptual/theoretical framework for understanding perspective taking as relational responding, and 2), discuss research examining the effects of multiple exemplar training of deictic frames on social interactions in children with ASD.

• A Profile of Perspective Taking in Older Adults
John O'Neill, M.A., BCBA, Southern Illinois University
Ruth Anne Rehfeldt, Ph.D., BCBA-D, Southern Illinois University

Recent findings suggest that older adults perform more poorly than younger adults on cognitive perspective taking tasks and those deficits may be significantly larger in magnitude as compared with matched control tasks. The evidence suggests that older adults may experience a decline in perspective taking ability over the years and that this particular facet may be measured and targeted for remediation independent of general cognitive functioning. We present preliminary data for a functional contextual profile of perspective taking in older adults with regards to deictic relational responding and suggest some implications for clinical practice.

Educational Objectives:
1. Provide the first formal introduction of the Flexible Connectedness Model and discuss current research supporting the model from our laboratories and from independent investigators. 2. Describe how the functional contextual account of perspective taking differs from previous accounts of perspective taking (i.e. ToM); discuss the conceptualized role of deictic framing in social interactions; implement a training protocol for improving perspective taking in children with high functioning autism. 3. Discuss the existing literature and explain the rationale for developing a profile of perspective taking in older adults. Apply this rationale to the development of an instructional protocol for this underserved population.

 

127. Mindfulness and Self-Compassion within University Settings: Application, Exploration, and Methodology
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data, Case presentation
Categories: Edu. settings, Prevention & Comm.-Based, Meditation
Target Audience: Interm.
Location: Cooks Bay

Chair: Matthew Williams, University of Mississippi
Discussant: Maureen Flynn, Ph.D., University of Texas Pan American

In this symposium, we will explore ways in which processes relevant to the psychological flexibility model are or may be used within the university setting. Our first presenter will report on the results of on 8-week mindfulness mediation intervention for 7 college students diagnosed with ADHD. Our second presenter will show results from an exploratory moderation analysis on the relation between self-compassion and committed action (using the new Committed Action Questionnaire; McCracken, 2013). The final speaker will present single-subject regression models for student and faulty meditators in an examination of meditation in daily life. Attendees should benefit by learning about novel applications of meditation within academe and future directions for theory testing and methodology.

• Mindfulness for the Inattentive College Student Soul
Ethan G. Lester, University of North Texas
Daniel S. Steinberg, M.A., University of North Texas
Amy R. Murrell, Ph.D., University of North Texas

Adult Attention Deficit Hyperactivity Disorder (ADHD) presents a significant challenge to college students when concentration and attention skills are vital. These students report experiencing emotion dysregulation, depression, anxiety, and poor academic skills. Previous studies on mindfulness interventions for ADHD have demonstrated significant pre- to post-test improvements in self-reported ADHD symptoms and reductions in depressive and anxiety symptoms (e.g., Zylowska et al. 2008). The present study, conducted with seven college students with ADHD, examined the impact of an 8-week mindfulness intervention on self-reported levels of mindfulness and symptoms of ADHD, depression, anxiety, and stress. Reliable Change Index scores were calculated; 4 of 7 participants had significant improvements in ADHD symptoms from pre-test to post-test assessment. In addition, several other significant changes were evident. Accordingly, mindfulness seems effective for treating college students dealing with ADHD-related difficulties. The limitations of this study and future directions for similar research will be discussed.

• Investigating the Relation Between Self-Compassion and Values-Based Action in a Sample of College Students
Emily Jacobson, B.A., University of Mississippi
Emmie Hebert, B.S., University of Mississippi
A. Solomon Kurz, M.A., University of Mississippi
Kelly G. Wilson, Ph.D., University of Mississippi
Karen Kate Kellum, Ph.D., University of Mississippi

One of the central aims of the Acceptance and Commitment Therapy model is to increase patterns of values-consistent living—to help clients fully engage in behaviors that are consistent with things that matter to them. Those who are psychologically flexible tend to be more willing to engage in this type of valued living. There is also increasing evidence that self-compassion may be a useful construct for predicting healthy living and for targeting in therapeutic settings (Neff, Kirkpatrick, & Rude, 2007). The current study explored the extent to which psychological flexibility and self-compassion predict values-driven behavior in a sample of college students (N= 317). Results indicated that self-compassion significantly predicted committed action, and the relation was moderated by psychological flexibility (p=0.03). We will discuss the utility of self-compassion in predicting values-consistent behavior, and the potential usefulness of teaching self-compassionate behavior in clinical practice.

• Mindfulness Meditation: Daily Diary Methods and the Single Case
A. Solomon Kurz, M.A., University of Mississippi
Karen Kate Kellum, Ph.D., University of Mississippi
Kelly G. Wilson, Ph.D., University of Mississippi

Many group-based studies show mindfulness meditation can be beneficial for alleviating a variety of symptoms for a wide demographic of practitioners. Exciting as some of these data are, they are limited in that group analyses provide “average” results for” average” participants across standardized time periods (e.g., eight-week protocols). Largely missing from this literature are fine-grained idiographic examinations of what daily practice of mindfulness meditation looks like in terms of frequency, duration, and the influence of the practice on practitioner-specific variables. Using the dynamic-P technique (see Molenaar & Nesselroade, 2009), we will present a series of single case analyses of novice and experienced mindfulness meditation practitioners within the university setting. In addition to meditation frequency and duration, we will present variables such as mood, sleep, and social interactions. Analyses will include graphs and single-case regression-based models. We will include a brief discussion of methods as well.

Educational Objectives:
1. Explain mindfulness meditation for ADHD. 2. Discuss the benefits of self-compassion for committed action. 3. Describe the developments with daily diary methods for meditation research.

 

129. Cultural Consideration in Acceptance- and Mindfulness-Based Interventions: A Functional and Contextual Approach to Sociocultural Diversity
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Original data
Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Cultural consideration
Target Audience: Beg., Interm., Adv.
Location: Elk Lake

Chair: Akihiko Masuda, Ph.D., Georgia State University
Discussant: Jennifer L. Villatte, Ph.D., NIMH Clinical Research Fellow, University of Washington

As acceptance- and mindfulness-based interventions have been applied to a wide range of settings for diverse individuals in recent years, many have become interested in the cultural consideration and cultural adaptation of these interventions. Assembling four experts in cultural competence and diversity, the present symposium addresses some of the key diversity issues, such as whether cultural adaptation is necessary for these interventions when they are applied to individuals from particular sociocultural background, whether their essential concepts and processes, such as acceptance and values, are culturally biased, and how an acceptance- and mindfulness-based intervention is tailored clients from diverse sociocultural contexts. The first presenters are Drs. Drossel and McCausland, who will present cultural adaptation of acceptance and commitment therapy informed by a functional and contextual perspective. Subsequently, Dr. Amy Murrell and colleagues will address religion and spirituality as culturally relevant variables, using clinical examples. Finally, Drs. Fung and Scalcowho will explicate cultural adaptation of ACT for Portuguese-speaking immigrants and Asian clients in Toronto.

• Functional Fidelity and Cultural Competence
Claudia Drossel, Ph.D., University of Michigan Health System Physical Medicine & Rehabilitation Division of Rehabilitation Psychology & Neuropsychology
Claudia McCausland, Ph.D., Memphis Veterans Affairs Medical Center

To promote the culturally competent implementation of treatments grounded in contextual behavioral science across sociocultural and linguistic contexts, we will contrast topographical and functional treatment fidelity, using Acceptance and Commitment Therapy as an example. We briefly will describe the functions of ACT elements and show how their effective replication asks therapists to let go of the topographical agenda, in which manual-based metaphors and exercises are expected to produce predefined outcomes. Functional fidelity relies on an ideographic approach, inherent to contextual behavioral science, that emphasizes genuine interest in and adoption of the client’s frame of reference. We will illustrate functional fidelity and show its inextricable link with cultural competence.

• Religious and Spiritual Concerns in Acceptance- and Mindfulness- Based Intervention
Amy R. Murrell, Ph.D., University of North Texas
Jonathan E. Schmalz, University of North Texas
Aditi Sinha, University of North Texas

As acceptance- and mindfulness-based treatments become increasingly utilized in varied clinical settings, it is important to consider the applicability of these models with diverse client groups. In this talk, the presenter will address religion and spirituality as culturally relevant variables, using clinical examples. The similarities between acceptance- and mindfulness-based psychotherapy and religious and spiritual traditions will also be covered. Finally, I will discuss how to handle difficulties within a functional framework, particularly focusing on ACT, when working with clients who are struggling with religious and/or spiritual issues. In this discussion, data on the development of a measure of flexible religion and spirituality and how to use it for therapeutic assessment will be briefly presented.

• Cultural competent use of ACT in Asian communities and Portuguese-speaking immigrant communities
Kenneth Fung, Department of Psychiatry, University of Toronto
Monica Z. Scalco, Toronto Western Hospital

There is considerable evidence that culture and context influence every aspect of the diagnostic and treatment process, and that language-concordant and culturally competent treatments are more effective than usual care for ethnocultural groups. Additionally, there is growing interest in developing culturally adapted psychotherapies to better meet the needs of immigrants and individuals from diverse sociocutlrual backgrounds. The paper discuss cultural adaptations of ACT and mental health care in general for Portuguese-speaking immigrants and Asian communities in Toronto, considering the cultural values, communication styles, and the socioeconomic and historical context. Dr. Fung will present a cultural competence framework and examine ACT from this perspective, using clinical examples of ACT with several different Asian communities. Dr. Scalco will present and discuss results from an ACT/CBT group at the Portuguese Mental Health and Addictions Clinic, Toronto Western Hospital.

Educational Objectives:
1. Understand functional fidelity in cultural adaption of acceptance and commitment therapy. 2. Discuss at least one way in which religion and spirituality can be functionally addressed in treatment. 3. Describe cultural adaptations to effectively use ACT for Portuguese-speaking immigrants and Asians.

 

130. Impulsive Decision Making: Connecting Behavioral Economics and Contextual Behavior Science
Symposium (4:30-5:45pm)
Components: Literature review, Original data
Categories: Clin. Interven. & Interests, Theory & Philo., Impulsivity, Mindfulness, Acceptance
Target Audience: Beg., Interm., Adv.
Location: Crystal Lake

Chair: Kate L. Morrison, M.S., Utah State University
Discussant: John T. Blackledge, Ph.D., Morehead State University

A robust set of literature has focused on an aspect of impulsive decision making in the field of behavioral economics with human and nonhuman models, referred to as delay discounting. This is the tendency to choose smaller rewards that are more immediate over larger rewards that are more delayed. Higher rates of delay discounting (i.e. more often choosing smaller immediate rewards over larger more distal rewards) is related to various impulsive behaviors: obesity, problematic pornography viewing, problematic gambling, and most prominently substance use. It is indicative of future substance use, relapse, and treatment outcomes. There has been less research on methods to shift discounting rates in order to change the related problem behaviors. This symposium will provide an easy to understand introduction to delay discounting, its relevance to the CBS community, data on its relation with experiential avoidance, and outcomes from both a mindful eating intervention and an acceptance-based intervention targeting delay discounting.

• Understanding the Behavioral Processes Underlying Acceptance and Mindfulness: The Example of Discounting
Thomas J. Waltz, Ph.D., Ph.D., Eastern Michigan University

Life is a series of choices. All other things being equal, organisms tend to choose larger over smaller outcomes. However, “all other things being equal” is seldom the case. Choices typically involve dilemmas: do you order pizza or make a healthy meal? Do you have an uncomfortable conversation with a significant other to repair your relationship, or do you quietly avoid interaction? In both examples a larger outcome (e.g., health, an improved relationship) may be forgone for relatively smaller outcomes that involve greater immediacy, less uncertainty, and less effort. The experimental analysis of this type of choice behavior is a branch of behavioral economics called discounting. This presentation will provide an introduction to discounting and its relevance to “middle level” constructs in ACT such as acceptance, defusion, and mindfulness. In addition to a historical and conceptual overview, data on the relationship between discounting and the AAQ will be presented. Educational Objective: Participants will be able to describe the functional relationships characterized by discounting and apply this analysis to therapeutic situations.

• Effects of Mindful Eating Training on Food and Money Discounting in Obese and Healthy-Weight Adults
Kelsie L. Hendrickson, M.S., Idaho State University
Erin B. Rasmussen, Ph.D., Idaho State University

The present study examined the effects of a mindful eating behavioral strategy on delay and probability discounting patterns for hypothetical food and money. In Session 1, 102 undergraduate participants (n = 73 female) completed computerized delay and probability discounting tasks for food-related and monetary outcomes, along with several self-report questionnaires. In Session 2, they were assigned to participate in a 50-minute workshop on mindful eating or to watch an educational video, and then completed the discounting tasks again. Individuals who participated in the mindful eating session discounted food-related outcomes less steeply compared to their baseline rates, suggesting a more self-controlled and less risk averse pattern of responding after the training. Those in the control condition exhibited discounting patterns that were similar to baseline. There were no changes in discounting for money for either group, suggesting stimulus specificity for the mindful eating condition. This study is the first to show that mindfulness can affect discounting patterns, at least temporarily, for food in a laboratory setting. Educational Objective: To learn about the effect of a mindful eating intervention on delay discounting.

• Altering Impulsive Decision Making with an Acceptance-Based Procedure
Kate L. Morrison, M.S., Utah State University
Gregory J. Madden, Ph.D., Utah State University
Amy L. Odum, Ph.D., Utah State University
Jonathan E. Friedel, M.S., Utah State University
Michael P. Twohig, Ph.D., Utah State University

To the extent that steep delay discounting underlies clinical disorders, it would be advantageous to find psychosocial avenues for reducing delay discounting. Acceptance-based interventions may prove useful as they may help to decrease the distress that arises while waiting for a delayed outcome. The current study was conducted to determine if a 60-90 minute acceptance-based training would change delay discounting rates among 30 undergraduate university students in comparison to a waitlist control. Measures given at pre- and post-training included a hypothetical monetary- delay discounting task, the AAQ-II, and the Distress Tolerance Scale. Those assigned to the Treatment group decreased their discounting of delayed money, but not distress intolerance or psychological inflexibility when compared to the Waitlist Control group. After the waiting period, the control group received the intervention. Combining all participants’ pre- to post-treatment data, the acceptance-based treatment significantly decreased discounting of monetary rewards and increased distress tolerance. The difference in AAQ-II approached significance. Acceptance-based treatments may be a worthwhile option for decreasing delay discounting rates and, consequently, affecting the choices that underlie addiction and other problematic behaviors. Educational objective: To conceptualize delay discounting as an underlying construct of decision making and seeing the utility of altering it with an acceptance-based intervention.

Educational Objectives:
1. Describe the concept of delay discounting. 2. Explain the relevance of delay discounting in the CBS community. 3. Discuss the current research regarding CBS interventions for delay discounting.

 

132. Digging Deep into Relational Frame Theory
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Original data
Categories: RFT, Clin. Interven. & Interests, Related FC approaches, RFT, Experimental research findings, False Memories (DRIFT paradigm), Thought Suppression
Target Audience: Beg., Interm., Adv.
Location: St. Croix II

Chair: Timothy R. Ritzert, B. A., University at Albany
Discussant: Patricia Bach, Ph.D., University of Central Florida

Several studies regarding Relational Frame Theory (RFT) will be discussed. The studies focused on various aspects of RFT including: Transformation of stimulus functions, unidirectional versus bidirectional framing, The Derived Relational Intrusions Following Training (DRIFT), and derived opposite relations. The panel participants were the investigators for the research discussed, and will share their findings and engage in a discussion.

• Derived transformation of functions through hierarchical relational networks: Uni-directional or Bi-directional?
Christopher Wilson, Ph.D., Teesside University
Yvonne Barnes-Holmes, Ph.D, NUI Maynooth

The process of transformation of stimulus functions as been examined extensively in the RFT literature. However, it is only recently that studies have been conducted to examine transformation of functions through hierarchical relations such as containment and belongingness. The few studies to date that have examined this process have found some evidence to support that transformation of stimulus functions does indeed take place in this context. However, some studies have found resultant patterns of framing to be unidirectional (properties transfer only from higher- to lower-order class members), while others have found bi-directional responding (properties transfer either from higher- to lower-order or from lower- to higher-order class members) in nature. The current talk outlines a series of experiments which aimed to examine this process. The results show distinct patterns of bi-directional responding from some participants and unidirectional responding from others. We discuss why this might have occurred.

• An experimental analysis of matching-to-sample and respondent-type training as methods for producing False Memory phenomena.
Luis Jorge Ruiz Sánchez, Universidad de Almería
Carmen Luciano, Ph.D., Universidad de Almería
Paul Guinther, Ph.D., Portland Psychotherapy
Adrián Barbero Rubio, Universidad de Almería

The Derived Relational Intrusions Following Training (DRIFT) paradigm has shown to be an effective procedure to demonstrate the effect of MTS training on False memory phenomena while permitting an exploratory analysis of semantic versus associative (co-occurrence) effects (Guinther & Dougher, 2010). However, this study does not rule out the possibility that stimulus co-occurrence can influence semantic relatedness, associative strength or false memory phenomena. In fact, verbally competent adults can form equivalence relations with respondents-type procedures. The present experiment pretends: a) to explore the influence of co-occurrence effect on the formation of semantic relations and false recalls using a type-respondent training, and b) compare the effectiveness of respondent-type training versus MTS training in formation of false recall. The role of co-occurrence in the formation of false memories and the importance of instructions on subject’s performance are discussed.

• Derived thought suppression: Extending the paradigm
Ian Stewart, National University of Ireland, Galway, Ireland
Nic Hooper, University of Warwick, United Kingdom
Louise McHugh, University College Dublin, Dublin, Ireland

Previous research has demonstrated transfer of thought suppression via equivalence. This study investigated this effect with opposition relations. In Experiment 1 participants were trained and tested for two five-member same and opposite networks. They then had to suppress a target word, from one of the networks, while a number of words appeared on-screen quasi-randomly including the target, and words either in the same (target) or a different (non-target) network. Participants could remove any word by pressing the spacebar. Findings showed more frequent and faster removal of the target than other words, of trained than derived words and of target network words than others. Experiment 2 produced a similar pattern in a network of predominantly ‘opposite’ relations. In both experiments, derived opposite relations produced transfer rather than transformation of suppression functions. Experiment 3 showed this pattern too but also showed that in a non-suppression function context, transformation of functions was displayed.

Educational Objectives:
1. Describe transformation of functions through relational networks and explain some of its applications. 2. Critically discuss the challenges of examining this process empirically. Explore the influence of co-occurrence effect on the formation of semantic relations and false recalls using a type-respondent training; compare the effectiveness of respondent-type training versus MTS training in formation of false recall. 3. List RFT studies that have shown derived thought suppression and describe the latest RFT research on thought suppression, which has shown transfer of thought suppression functions through opposition relations, while showing transformation in a non-suppression context.

 

133. Contextual Behavioral Science at Work
Symposium (4:30-5:45pm)
Components: Original data
Categories: Org. Beh. Management, Performance-enhancing interventions, Perspective taking
Target Audience: Interm.
Location: Lake Calhoun

Chair: Louise McHugh, University College Dublin
Discussant: Daniel J. Moran, Quality Safety Edge

The concept of psychological flexibility emphasizes the need for flexible and varied behaviors (both private and public) that promote effective action in relation to one’s values. Likewise, organizational theorists have long emphasized the importance of flexible organizations, and their ability to adapt across dimensions such as time, range, intention and focus. Very few, however, have discussed the importance of handling, or, indeed, even acknowledging, discomfort in relation to pursuing the aims of an organization. The current symposium comprises of three papers the unifying concern of which is ACT in the workplace. Paper 1 describes how we can scale up the concept of psychological flexibility to the organizational level, thus, producing a contextual behavioral science-informed guide to creating flexible and successful organizations (and employees). Paper 2 is an empirical investigation of the impact of ACT on new graduate law students exit employability. Finally, paper 3 will look present findings from research on the effect of ACT on charismatic behavior in entry level employees in multinational corporations. Taken together the papers provide support for the utility of applying basic knowledge from Contextual Behavioral Science in the workplace.

• Open, Aware and Active: Designing the flexible organisation
Frank Bond, Goldsmiths, University of London

The concept of psychological flexibility emphasises the need for flexible and varied behaviours (both private and public) that promote effective action in relation to one’s values. Likewise, organisational theorists have long emphasised the importance of flexible organisations, and their ability to adapt across dimensions such as time, range, intention and focus. Very few, however, have discussed the importance of handling, or, indeed, even acknowledging, discomfort in relation to pursuing the aims of an organisation. This paper describes how we can scale up the concept of psychological flexibility to the organisational level, thus, producing a contextual behavioural science-informed guide to creating flexible and successful organisations (and employees).

• An empirical investigation of the impact of ACT on new graduate employability
Jonathan Dowling, University College Dublin
Frank Bond, Goldsmith, University College
Aisling Curtin, ACT Now Ireland
Louise McHugh, University College Dublin

Exit employability is the capacity to gain and retain formal employment, or find new employment upon graduation. Research has shown that both economic and psychological factors impact on exit employability. Charisma is one such factor. Charisma is defined as exceptional interpersonal skill that enables someone to inspire others and rapidly engender a deep, magnetic sense of rapport. Recent studies have attempted to enhance charisma through modelling the behaviors of charismatic leaders. This approach is referred to as Charismatic Leadership Tactics Training (CLTT). However, charisma gains from CLTT have been significant but limited relative to controls. One reason for this might be that there are interpersonal skills needed as precursors to charismatic skills. Charismatic interpersonal interaction involves complex psychological processes, such as perspective taking and emotional regulation that difficult thoughts and feelings can easily undermine. Acceptance and Commitment Training (ACT) offers tools that can help leaders navigate those difficult thoughts and emotions so that they can effectively deploy CLTT skills. The Interpersonal impACT project aimed to combine techniques from CCLT and ACT to develop an optimal charisma training package. The current paper presents pilot data on the impact of ACT with undergraduate law students in terms of their exit employability to the big five law firms in Ireland. UG law students were randomly assigned to either an ACT group or a no ACT skills training group. Significantly more UG stuents from the former package were placed in the big five law firms. ACT related gains in general well being also emerged.

• The effect of ACT on charismatic behaviour in entry level employees
Jonathan Dowling, University College Dublin
Frank Bond, Goldsmiths, University of London
Aisling Curtin, Act Now Ireland
Louise McHugh, University College Dublin

Charisma is broadly defined as exceptional interpersonal skill that enables someone to inspire others and rapidly engender a deep, magnetic sense of rapport. Research has identified charisma as a crucial interpersonal competency involved in organisational leadership. Recent studies have attempted to enhance charisma in employees through modelling the behaviours of charismatic leaders. This approach is referred to as Charismatic Leadership Tactics Training (CLTT). However, charisma gains from CLTT have been significant but limited gains relative to controls. One reason for this might be that there are interpersonal skills needed as precursors to charismatic skills. Charismatic interpersonal interaction involves complex psychological processes, such as perspective taking and emotional regulation that difficult thoughts and feelings can easily undermine. Acceptance and Commitment Training (ACT) offers tools that can help leaders navigate those difficult thoughts and emotions so that they can effectively deploy CLTT skills. The Interpersonal impACT project aimed to combine techniques from CCLT and ACT to develop an optimal charisma training package. The present study involved rolling out the interpersonal impACT intervention with entry level employees in order to determine whether the combined training demonstrated high ecological validity by enhancing charisma in organisational populations. Preliminary data analysis suggests increases in charisma, interpersonal communication and job satisfaction for the ACT group from pre intervention to three month follow up.

Educational Objectives:
1. Describe the role and significance of CBS to Organizational Psychology. 2. Learn about new data on ACT and employability of undergraduate students. 3. Learn about new data on the impact of ACT on charisma training.

 

134. Relevance of ACT Processes in Promoting Health Behaviors: Assessment and Intervention
Symposium (4:30-5:45pm)
Components: Original data
Categories: Beh. med., Clin. Interven. & Interests, Prevention & Comm.-Based, Theory & Philo., Health behaviors, physical activity, weight
Target Audience: Interm.
Location: Lake Nokomis

Chair: Robert D. Zettle, Ph.D., Wichita State University
Discussant: Jason Lillis, Ph.D., Brown Alpert Medical School

Among the greatest challenges to the survival and flourishing of the human species are our poor nutrition, lack of physical activity, inadequate sleep, and steadily increasing rates of obesity and weight-related illness. Despite the well-documented physiological and psychological harm caused by these problems, most of us struggle to engage in the healthy behaviors that would prevent or even alleviate our most prevalent and taxing ailments. This collection of presentations seeks to explain the role of processes related to psychological flexibility (e.g., experiential avoidance, defusion, etc.) in health behaviors and weight status. The foci are assessment and description of ACT processes among those with healthy and unhealthy lifestyles, as well as interventions to influence those processes and promote health behaviors. The potential for translation of this work into systems-level intervention and public health initiatives is also discussed.

• Accepting, believing, and striving: Identifying the distinctive psychological flexibility profiles of underweight, overweight, and obese people in a large American sample
Joseph Ciarrochi, Ph.D., Institute of Positive Psychology and Education, Australian Catholic University
Baljinder Sahdra, Ph.D., Institute of Positive Psychology and Education, Australian Catholic University
Sarah Marshall, Ph.D., Institute of Positive Psychology and Education, Australian Catholic University
Philip Parker, Ph.D., Institute of Positive Psychology and Education, Australian Catholic University
Caroline Horwath, Ph.D., University of Otago

Psychological flexibility interventions such as Acceptance and Commitment Therapy have been shown to be beneficial for weight management. Flexibility is often treated as a single, global construct, but it can also be described in terms of interrelated subcomponents (e.g., avoidance, awareness, values). Are some subcomponents of flexibility of greater relevance to weight-related issues than others? We utilized a planned missing data design to administer a large survey to a nationally representative sample of Americans (N = 7884; 3748 males, 4136 females; Age: M = 47.9, SD = 16), and assessed weight status, and global psychological flexibility and its lower order components, including experiential acceptance, emotional awareness, believability of unhelpful thoughts (“fusion”), authentic valuing, and committed action. Profile analyses revealed underweight men show a "defensive but active" pattern, expressing high avoidance on multiple dimensions, high levels of fusion, but also showing high hope and willingness to experience distress when pursuing goals. Overweight men experienced deficits in emotional awareness, but showed no other sign of inflexibility. Amongst women, elements of inflexibility occurred most prominently in the severe obesity category, where there were elevated levels of procrastination and decreases in distress endurance, and diminished levels of self-esteem, hope, and progress in achieving goals. Content analyses of personal strivings indicated that underweight men and women pursued goals focused on making a favourable impression on others, whereas overweight participants pursued goals focused on avoiding something aversive. We conclude that psychological flexibility should not be treated as a unitary construct, and make specific suggestions for future longitudinal and intervention research.

• Development and Validation of the Acceptance and Action Questionnaire for Exercise
Sarah Staats, M. A., Wichita State University

Many obstacles may stand in the way of engaging in recommended levels of physical activity and thus function as health risks. One ostensible psychological barrier to exercise is experiential avoidance (EA). The purpose of this project was to develop and subsequently evaluate the psychometric properties of the Acceptance and Action Questionnaire for Exercise (AAQ-Ex) as a self-report inventory for assessing EA related to physical activity. A series of six studies suggested that the AAQ-Ex is a unidimensional measure that possesses adequate internal and test-retest reliability. Significant relationships with self-reported physical activity frequency provided preliminary support of the questionnaire’s convergent validity; however, it was not as predictive of criterion behavior that was objectively measured. Expected moderate correlations between the AAQ-Ex and measures of global EA, general life satisfaction, body image-related EA, distress tolerance, anxiety sensitivity, neuroticism, and social desirability suggest that the instrument demonstrates sufficient discriminant validity. Preliminary outcomes from a 4-week ACT intervention to promote physical activity within a medically-supervised weight loss program are discussed, and the role of EA as a mediator of health behavior change will also be summarized.

• Building Wellbeing in Diverse Populations: An Examination of ACT for Healthy Living in a Hispanic Sample
Maureen K. Flynn, Ph.D., University of Texas – Pan American
Olga Berkout, M.A., University of Mississippi

A growing body of literature demonstrates that ACT interventions have been beneficial for weight loss and behaviors related to healthy living (e.g., Forman, Butryn, Hoffman, & Herbert, 2009; Goodwin, Forman, Herbert, Butryn, & Ledley, 2012). To date, there are no published studies examining ACT’s effectiveness in this area using a Hispanic sample. Mexican Americans (40.4%) and Hispanics (39.1%) have higher obesity rates compared with non-Hispanic whites (34.3%; Flegal, Carroll, Kit, & Ogden, 2012). This study aimed to contribute to literature by examining the effectiveness of a brief, online ACT-based writing intervention aimed at promoting healthy living related behaviors (i.e., physical activity, eating, and sleep) in a Hispanic sample. Hispanic undergraduates were randomized to receive ACT or a control condition. Participants in the ACT condition completed values, defusion, and committed action writing exercises. Sleep, physical activity, eating behavior, body image satisfaction, and life satisfaction were assessed.

Educational Objectives:
1. Describe the psychological flexibility correlates of different weight categories/sub-populations and identify different ACT interventions for those sub-populations. 2. Assess levels of exercise-related experiential avoidance and explain its role in impeding physical activity. 3. Increase knowledge and understanding of an ACT intervention for healthy living behaviors in a Hispanic sample.

 

135. What's Old is New: Using Matching to Sample Paradigms to Explore Psychological Flexibility
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Literature review, Original data
Categories: RFT, Clin. Interven. & Interests, Match to Sample, Measurement
Target Audience: Beg., Interm., Adv.
Location: Cooks Bay

Chair: Trinity Isaac, University of Louisiana at Lafayette
Discussant: Jonathan Tarbox, Center for Autism and Related Disorders; Autism Research Group

This symposium highlights innovative measurement strategies of core ACT processes. Through a Relational Frame Theory (RFT) lens, the studies attempt to assess the degree to which relational responding is sensitive to various changes in context. The first talk investigates an assumption underlying RFT pertaining to the reinforcing function of coherence, or “making sense.” The remaining talks describe the use of computer-based behavioral tasks designed to measure aspects of psychological flexibility. More specifically, the second presentation discusses the use of a computerized task in detecting cognitive fusion with stimuli related to the self. The third presentation describes the development of a computer-based protocol designed to measure flexible responding in the presence of aversive and appetitive stimuli. Implications for future research will be discussed with an emphasis on further development of behavioral measures of core ACT processes.

• Investigating the Reinforcing Properties of Coherence
Michael Bordieri, University of Mississippi Medical Center
Sean Hughes, National University of Ireland Maynooth
Karen Kate Kellum, University of Mississippi
Kelly G. Wilson, University of Mississippi

For several decades now, Relational Frame Theory (RFT) has unlocked important new insights into a host of complex human behaviors. This account operates from the position that derived stimulus relating is the functional ‘building block’ from which language and cognition spring forth. One of the core assumptions of RFT is that people relate stimuli in ways that “make sense” and that this coherence is (a) an essential component of relating and (b) comes to function as a reinforcer for relational responding in general (Quinones & Hayes, 2014; Wray, Dougher, Hamilton, & Guinther, 2012). The current talk will highlight several recent studies that were designed to assess the relative reinforcing properties of relational coherence. Preliminary findings reveal that coherence functions as a reinforcer for most participants as expected (although a number of key questions remain). We close the talk with a discussion of the basic and applied implications of our findings.

• Fusion with self-referential stimuli: Examining a behavioral measure
Lindsay W. Schnetzer, University of Mississippi
Michael Bordieri, University of Mississippi Medical Center
Karen Kate Kellum, University of Mississippi
Kelly G. Wilson, University of Mississippi

Defusion exercises are designed to disrupt literal interpretation of thoughts so that behavior is more sensitive to direct interaction with one’s environment. Thoughts about oneself, when taken literally, can have a particularly strong influence on behavior. Research has shown decreases in self-reported believability of self-referential stimuli after engaging in defusion exercises. Although demonstrating self-reported changes in believability is an important step in examining defusion interventions, it is worthwhile to develop a behavioral marker that can detect sensitivity to contingencies. Performance on the Matching to Sample (MTS) task can demonstrate whether relating stimuli is disrupted by one’s learning history, making it a potentially useful tool for assessing cognitive fusion. The aim of the current study was to experimentally manipulate the degree to which self-referential stimuli exert control over MTS performance. Results offer preliminary support for using the MTS procedure in this context.

• Seeing is Believing: Behavioral Measure of Psychological Flexibility
Jessica Auzenne, University of Louisiana at Lafayette
Gina Quebedeaux Boullion, University of Louisiana at Lafayette
Emmie Hebert, University of Mississippi
Shelley Greene, University of Louisiana at Lafayette
Michael Bordieri, University of Mississippi Medical Center
Emily Kennison Sandoz, University of Louisiana at Lafayette

The ability to engage in behaviors in service of one’s chosen values in the presence of the accompanying private experiences, or psychological flexibility, is central to psychological health (Kashdan & Rottenberg, 2010). Clinically, the ability to accurately assess this construct becomes important. To date, the only way to determine the status of a person’s psychological flexibility is with self-report measures. However, self-report measures are limited in their ability to always accurately reflect behavior of an individual. This paper will explore a developing computer-based behavioral measure of psychological flexibility based on RFT along with data as to its current validity and utility.

Educational Objectives:
1. Describe the development of and preliminary findings from a task that assesses the relative reinforcing strength of coherence. 2. Describe the development and utility of a behavioral measure designed to detect fusion with self-referential labels. 3. Describe the conceptualization and testing of a new behavioral measure of psychological flexibility, along with its validity and utility.

Sunday, June 22

141. ACTing with Technology: Theory and Practice
Symposium (9:00-10:15am)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Performance-enhancing interventions, Mobile Technology, eHealth, Context-intervention
Target Audience: Beg., Interm., Adv.
Location: Crystal Lake

Chair: Jacqueline Pistorello, Ph.D., University of Nevada
Discussant: Joseph Ciarrochi, Ph.D., University of Western Sydney

Implementing mobile technology in mental health services, using contextual behavioral principles, can serve large groups of people and has the potential to bring about large scale beneficial mental health effects in the population. It is important to understand the possibilities of mobile technology, and how it can be used in treating patients in their natural environments. The theoretical, methodological and analytic implications of these mobile tools will be discussed. Then the focus will be shifted on the practice of ACTing with technology, starting with a technological-enhanced defusion task. Some applications will be described, and the immediate effects of nontechnology and technology-enhanced defusion tasks will be evaluated. Next, a mobile ACT-intervention will be presented, which can help subjects to train with ACT in their natural environment and learn to integrate ACT into their daily lives. The feasibility and effectiveness of this intervention will be evaluated, and future developments will be discussed.

• The promise of mobile technologies and single case designs for the study of individuals in their natural environment.
Roger Vilardaga, Ph.D., University of Washington
Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center
Michael McDonell, Ph.D., University of Washington

Mobile technologies are growing rapidly around the world to broad demographics of society (Smith, 2012). These technologies hold great promise for their integration with Single Case Designs (SCDs) and the study of individuals in their natural environment. This paper discusses the theoretical, methodological and analytic implications of these tools for the advancement of the contextual behavioral etiology of behavioral disorders, and their remediation. We hope this paper will highlight the scientific advantages of combining mobile technologies and SCDs and encourage their adoption among CBS scientists.

• Using mobile technology to test the immediate effect of cognitive defusion in a clinical sample.
Kristy L. Dalrymple, Ph.D., Alpert Medical School of Brown University
Brandon A. Gaudiano, Ph.D., Alpert Medical School of Brown University
Lia Rosenstein, B.A., Alpert Medical School of Brown University
Emily Walsh, B.A, Alpert Medical School of Brown University
Mark Zimmerman, M.D., Alpert Medical School of Brown University

Prior studies on cognitive defusion have found that defusion tasks (e.g., vocal repetition) result in greater reductions in distress and believability towards negative self-referential thoughts relative to thought control or distraction tasks (e.g., Masuda et al., 2009; 2010). This effect also appears in participants with elevated symptoms of depression (Masuda et al., 2010), but few studies have been conducted within clinical samples. Moreover, no known studies have examined the use of mobile technology to enhance the defusion effect; for example, apps exist that electronically alter the voice (e.g., to sound like helium), which may facilitate additional defusion effects. The aim of this study was to test the immediate effects of nontechnology and technology-enhanced defusion tasks compared to a thought distraction task on self-referential negative thoughts in a sample of individuals diagnosed with a depressive disorder. Fifty-eight participants have completed the study thus far, with data collection ongoing. Results, limitations, and implications of the findings will be discussed.

• Mobile technology fostering ACT-practice in daily life.
Tim Batink, Ph.D. Cand., Maastricht University
Marieke Wichers, Ph.D., Maastricht University
Inez Myin-Germeys, Ph.D., Maastricht University
Jim van Os, M.D. Ph.D., Maastricht University

ACT teaches us to deal with our experiences in the present moment, in such a way that we can behave according to our values (Hayes et al, 1999). However, clients do have to get out of their lives and into our therapy-office to learn to work with ACT. Mobile technology can help clients to directly apply beneficial techniques in their natural environment (Heron & Smyth, 2010) and learn to integrate ACT into their daily lives. In this exploratory study, we are examining the feasibility and effectiveness of a mobile ACT-intervention combined with experience sampling (a structured diary method) in a clinical-sample from a mental health center (over 80 participants). The mobile intervention, delivered by the PsyMate (PDA), will be described and preliminary but promising results will be presented. We will conclude with future plans and applications.

Educational Objectives:
1. Provide an overview of recent methodological developments in the analysis of single case design data and their synergy with mobile technology and describe the significance of these methods for contextual behavioral scientists. 2. Describe the effect of a technology-enhanced defusion task on negative self-referential thoughts compared to a nontechnology-based defusion task and thought distraction task. 3. Apply mobile technology in Acceptance and Commitment Therapy, describing feasibility and effectiveness.

 

145. Building Within our World: The Influence Psychological Flexibility has on Well-Being in the Community
Symposium (9:00-10:15am)
Components: Conceptual analysis, Original data
Categories: Prevention & Comm.-Based, Clin. Interven. & Interests, Community
Target Audience: Beg.
Location: St. Croix II

Chair: Shiloh Eastin, University Louisiana at Lafayette

Out in the world, we have the ability to observe how individual’s abilities to adjust to the world around them either help or hinder positive movements in their life. One way to describe an individual’s level of adjustment is in terms of psychological flexibility or the ability to allow painful thoughts and feelings to be present in daily life experience without adverse effects on daily functioning. Flexibility has implications not only for individual well-being, however. Psychological flexibility as individual adjustment has broad reaching implications at the level of the community. The papers in this symposium will explore the impact psychological flexibility has on community well-being. The first paper will examine how psychological flexibility influences bystander efficacy and rape-myth acceptance on a college campus. The second paper investigates a community in the aftermath of a tragedy, looking at the effect different methods of coping have on individual functioning. The third paper considers inflexibility among the previously incarcerated and evaluates inflexibility as a predictor of criminal recidivism. The discussion on this symposium will explore how interventions focusing on psychological flexibility may play a role in the improvement and development of community programs.

• A new perspective: Psychological Flexibility, Attitudes About Sexual Violence, and Bystander Behaviors
Shiloh Eastin, University of Louisiana at Lafayette
Audra Jensen, University of Louisiana at Lafayette
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette
Amy Brown, Ph.D., University of Louisiana at Lafayette

Recently society has begun to take greater action both in spreading awareness and attempting to prevent violence against women. Sexually assaulted women, in particular stand to benefit from heightened awareness within communities of sexual violence as an issue as sexual violence often is the least discussed. Although awareness of sexual violence has increased significantly over the past years, prevention of sexual violence has not seen a corresponding decrease in occurrence. Recently, colleges have been attempting to educate and empower bystanders to confront the problem of sexual violence. Interventions aimed at bystanders benefit from a larger audience and fewer psychological barriers than interventions aimed at potential perpetrators and victims. Although these programs have promising results, there is limited research in the area. Psychological flexibility, or the ability to notice and respond to constant changes in experience with consistent, effective action towards chosen values, is one variable that has not previously been examined in conjunction with bystander attitudes or behaviors. Students at the University of Louisiana at Lafayette completed a series of questionnaires that assessed the participants’ psychological flexibility, rape myth acceptance, and bystander efficacy over a period of four weeks. Preliminary results suggest that flexibility may have an important role in bystander intervention. The relationships among psychological flexibility, rape myth acceptance, reactions to a hypothetical rape victim, and bystander intervention will be discussed.

• Find Mickey: The Impact of Community Tragedy on Valued and Avoidant Behaviors
Owen Rachal, University of Louisiana at Lafayette
Gina Q Boullion, University of Louisiana at Lafayette
Michelle Jeanis, M.S., University of South Florida
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette

Over two thousand Americans are reported missing every day. There are currently over 100,000 active missing persons in the United States. Each of these individuals is connected to not only family and friends, but an entire community that stands to be impacted by their disappearance. Currently communities are blind on how to deal with such tragedies in ways that facilitate well-being, strengthen the community, and provide support for family and friends. This study aims to clarify how a community tragedy impacts individual well-being, and how different ways of coping with tragedy might differ in effectiveness. Participants completed a series of questionnaires online that assessed their psychological flexibility, health and well-being, and the impact of the recent missing person tragedy on their lives and behaviors. The impact of the missing person’s case on the individuals of the community of Lafayette, Louisiana will be discussed in this study.

• Straying from the Straight and Narrow: Psychological Inflexibility and Recidivism among Criminal Offenders
Trinity Isaac, University of Louisiana at Lafayette
Russell Anderson, University of Louisiana at lafayette
Madison Gamble, University of Louisiana at Lafayette
Michelle Jeanis, M.S., University of South Florida
Emily K. Sandoz, Ph.D., University of Louisiana at lafayette

Those recently released from incarceration face various difficulties, including trouble finding jobs and being alienated or ostracized by the community. This limits the ability of past offenders to assimilate back into everyday life, and thus, increases chances of reoffending. Psychological flexibility focused models have been shown to be successful in alleviating numerous adverse behaviors and may offer a means of conceptualizing and intervening criminal recidivism, or reoffending, a primary target in correctional settings. The purpose of the current study is to provide an analysis of psychological inflexibility among those who criminally reoffend and psychological flexibility as a predictor of recidivism over a six-month period at the Lafayette Parish Community Corrections facility in Lafayette, Louisiana. Participants who were recently released from incarceration completed a demographic questionnaire and three separate questionnaires measuring psychological inflexibility, cognitive fusion, and likelihood of recidivism. Limitations and implications for further research and application will be discussed.

Educational Objectives:
1. Describe how improvements in psychological flexibility can impact community well-being. 2. Explain the effects of community-wide tragedy on individual functioning. 3. Assess the usefulness and limitations of EMAs (Ecological Momentary Assessments).

 

148. Recent Research on Applications of RFT to Teaching Perspective Taking to Children with Autism
Symposium (9:00-10:15am)
Components: Original data
Categories: RFT, Clin. Interven. & Interests, autism, children
Target Audience: Interm.
Location: Spring Park Bay

Chair: Megan St. Clair, M.A., Center for Autism and Related Disorders; Autism Research Group
Discussant: Emily Sandoz, Ph.D., University of Louisiana at Lafayette

Perspective taking is a socially critical repertoire of behavior, which impacts academic, social, and familial functioning in a variety of ways. Ample research has demonstrated deficits in perspective taking in children with autism, but little previous research has been published on treatments that remediate those deficits. This symposium consists of three RFT-based experiments that taught core perspective taking skills to children with autism. The symposium concludes with a discussion by Dr. Emily Sandoz.

• Improving perspective-taking repertoires in children with high-functioning autism: An RFT-based approach
Thomas G. Szabo, Ph.D., Easter Seals Southern California
Lisa Stedman-Falls, California State University at Northridge
Ashley Jensen, California State University at Northridge
Ellie Kazemi, California State University at Northridge

Perspective-taking is a requisite skill used for understanding the intentions, thoughts, and feelings of others, and it is a widely recognized deficit in children with autism. Until recently, behavior analysts have not directly addressed this deficit. In this study, we combine three behavioral teaching techniques to improve perspective taking in children with high functioning autism. Specifically, multiple exemplar training, direct instruction, and precision teaching are combined to improve emotion recognition and deictic framing repertoires. We measured performance progress in analogue environments, and then measured performance in real world settings. Using a concurrent multiple probe design across participants, this composite training procedure evaluated children’s behavior in both training and naturalistic settings. Results and future research directions will be presented.

• Using RFT to Train Complex Emotion Recognition Skills
Kerry C. Whiteman, M.A., University of Mississippi
Kate Kellum, University of Mississippi
Michael Bordieri, University of Mississippi Medical Center

This study explored a new behavioral intervention based on relational frame theory for training emotion recognition skills in children on the autism spectrum. Previous research on emotion recognition interventions for this population has demonstrated limited generalization of trained skills to novel emotion stimuli. The application of relational frame theory to interventions has been shown to be an efficient and effective way of producing generalized behaviors in both typically developing and developmentally delayed populations. Using a concurrent multiple probe design across participants, this study investigated whether the incorporation of derived relational responding into emotion recognition training for children on the autism spectrum can address some of the limitations of other approaches. Results of the training will be presented, and implications for future development in this area will be explored.

• Establishing a Generalized Repertoire of Predicting the Cause of Others’ Emotions
Angela Persicke, M.A., Center for Autism and Related Disorders; Autism Research Group
Jonathan Tarbox, Ph.D., Center for Autism and Related Disorders; Autism Research Group
Megan St. Clair, M.A., Center for Autism and Related Disorders; Autism Research Group
Adel Najdowski, Ph.D., Center for Autism and Related Disorders; Autism Research Group

Numerous studies on perspective taking have suggested that children with autism are distinctively deficit in understanding that others’ perspectives are different from their own. These studies often suggest that children with autism may be unable to learn to take another’s perspective, but current research in the field of applied behavior analysis suggests otherwise. The current study evaluated a behavioral teaching procedure in one area of perspective taking: inferring and predicting others’ emotions based on met or unmet desires. The procedure included a multicomponent training package using multiple exemplar training across scenarios in which three children with autism were asked to predict how others may feel given a met or unmet desire or non-desire and why others may feel this way. Results were analyzed using a multiple baseline across participants design and suggest that the multiple exemplar training package was effective for teaching the prediction of others’ desire-based emotions and generalization was observed across novel exemplars, people, and settings.

Educational Objectives:
1. Identify two currently suspected component skills of a perspective-taking repertoire and will be able to describe the results of a three-part intervention designed to improve social perspective-taking in children with autism. 2. Describe the preliminary findings from an RFT-based task designed to train complex emotion recognition. 3. Describe RFT-based procedures and results of a multicomponent treatment protocol for teaching the prediction and cause of others’ emotions based on met or unmet desires.

 

149. There's No I on the Road to Graduate School: The Development and Implementation of Undergraduate Research Labs in Contextual Behavioral Science
Symposium (9:00-10:15am)
Components: Conceptual analysis
Categories: Prof. Dev., Edu. settings, Superv., Train. & Dissem., Undergraduate
Target Audience: Beg., Interm., Adv.
Location: Lake Calhoun

Chair: Jade Genga, University of Mississippi
Discussant: Lindsay Martin, M.A., Drexel University

Undergraduate psychology students who are involved in activities outside their classes, such as being a teacher’s assistant or working on research with a professor, report high academic related satisfaction and academic achievement (e.g. Astin, 1993; Strapp & Farr, 2010). This symposium will discuss efforts made by three universities to get undergraduates involved in Contextual Behavioral Science research. The first presentation will include the establishment and future directions of a new undergraduate research lab from the University of Texas Pan American. The second presentation will discuss the workings of a combined undergraduate and graduate lab from the Applied Psychology Master’s program at the University of Louisiana at Lafayette. The third and final presentation will discuss the roles of undergraduate research assistants in the Doctoral Program at the University of Mississippi. Each presentation will also include outcome variables and anecdotal evidence that supports the development of undergraduate CBS research labs.

• Making a New Home: The Ongoing Development of a Contextual Behavioral Science Research Lab in South Texas
Maureen K. Flynn, Ph.D., University of Texas - Pan American

This paper will discuss the following: 1) the establishment and continued development of a brand new contextual behavioral science research lab at the University of Texas – Pan American (UTPA), 2) the role undergraduates play in the lab and how undergraduates add to the lab culture, 3) how undergraduates grow professionally and personally through their lab experience, and 4) practical considerations regarding lab development. Qualitative data related to the current undergraduate lab members and their experience in lab will also be presented.

• Making a Significant Difference: Creating a Context for the Development of Student Researchers in Psychology
Jessica Auzenne, University of Louisiana at Lafayette
Emmie Hebert, University of Mississippi
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette

For many students pursuing degrees in psychology, research brings high levels of anxiety (e.g. Wise, 1985), contributing to struggles with the very opportunities most likely to increase satisfaction and engagement with their psychology training (Lunneborg & Wilson, 1895; Strapp & Farr, 2010). The Louisiana Contextual Science Research Group (LCSRG) at the University of Louisiana at Lafayette provides a space for undergraduates in psychology to relate to research experiences with their identified values in psychology, while training openness to accompanying thoughts and feelings (e.g., anxiety and anxiety-related thoughts). In other words, the LCSRG aims to build psychological flexibility with research, through doing research on psychological flexibility. Through this functional contextual approach, students are given the opportunity to interact broadly with scientific interest and activities at all levels. Roles of undergraduate students along with other aspects of the group that makes it a beneficial part of undergraduate psychology study will be discussed.

• But Wait! There's More!: The Utility and Efficacy of an Undergraduate Research Lab at Ole Miss
Emmie Hebert, University of Mississippi
Kate Kellum, Ph.D., University of Mississippi
Kelly Wilson, Ph.D., University of Mississippi

Undergraduate students are not guaranteed admission to graduate school in psychology after obtaining their bachelor’s degree. Only about 48% of applicants are accepted into psychology master’s programs and 20% into doctoral programs (Kohout & Wicherski, 2010). These numbers get even smaller when specific fields of psychology are chosen. The Mississippi Center for Contextual Psychology (MCCP) is a research lab designed to enrich undergraduate training with a variety of research experiences to help better prepare these students for graduate school. As research assistants, the undergraduate members of the lab have the opportunity to assist in graduate student research projects, become a teaching assistant for the professors and instructors in the lab, and design and run their own projects for an undergraduate thesis. Structure of the MCCP along with outcome variables of members will be discussed.

Educational Objectives:
1. Describe how undergraduates can participate in research labs and benefit from the experience and identify practical considerations involved in lab development. 2. Assess the utility of the presenters' models for undergraduate participation in research relative to undergraduate experience and outcomes. 3. Utilize ideas and concepts from these discussion in working with undergraduates.

 

150. Disordered Eating: New Findings
Symposium (9:00-10:15am)
Components: Conceptual analysis, Literature review, Original data, Case presentation
Categories: Clin. Interven. & Interests, Theory & Philo., Eating disorder treatment, Disordered eating, Obesity
Target Audience: Beg., Interm., Adv.
Location: Lake Nokomis

Chair: Sarah Potts, Utah State University
Discussant: James Herbert, Ph.D., Drexel University

Momentum for new applications for those contending with disordered eating is growing. The recidivism rate for this group remains astoundingly high, and therefore new technologies are needed. During this symposium, several studies with be shared, discussed and compared. Several methods and constructs will be examined including increasing body image flexibility, Emotion Regulation, ACT and FAP.

• ACT and FAP in the assessment and treatment of a teen client with disordered eating problems
Katia Manduchi PH.D., Iescum, private practice, ACT Italia
Robert Allegri PH.D., Iescum Alumni, private practice
Sara Pezzola Ph.D, iescum alumni, Private practice
Andrea Compiani Ph.D., Iescum alumni, Private practice
Paolo Moderato Ph.D, Ordinary professor, Iescum, Iulm, ACBS, ABA

In this presentation we introduce assessment and treatment of a 16 years old client with a restrictive disordered eating and a BMI of 14. The therapist decided to process the conceptualization and the treatment with the 3rd wave models. The main characteristic of the treatment was working in progress with the therapeutic relationship following the 5 classes of the FIAT q as self observation and using the FAP conceptualization and the hexaflex. In the assessment, at the end of the therapy and in the follow up, were used different measures: the BIAAQ, the self observation of the 5 FIAT q classes and the change in the BMI. Clinically significant improvements where showed in all this areas also in longitudinary follow up. From the single case we can suppose that integrating both models will work even in other cases. Further researches could be an interesting approach for having better results.

• Body image flexibility as a protective factor against disordered eating behavior for women with lower body mass index
Mary L. Hill, M.A., Georgia State University
Akhiko Masuda, Ph.D., Georgia State University
Robert D. Latzman, Ph.D., Georgia State University

The current study examines the relationships among body dissatisfaction, body image flexibility, body mass index (BMI), and disordered eating behavior. The data from two-hundred-fifty-eight female participants who completed the web-based survey will be presented. Body dissatisfaction and body image flexibility were significantly related to disordered eating behavior, and BMI moderated the relation between body image flexibility and disordered eating. For those with low BMI, greater body image flexibility was associated with fewer disordered eating behaviors. Body image flexibility was not associated with disordered eating behavior among those with average or high BMI. These results suggest that greater body image flexibility may serve as a protective factor against disordered eating behaviors for those with lower BMI.

• Does Experiential Avoidance Carry Weight? A Review of Four Studies
Tamara M. Loverich, Ph.D., Eastern Michigan University
Ashley A. Wiedemann, M.S., Eastern Michigan University
Thomas J. Waltz, Ph.D., Ph.D., Eastern Michigan University

It appears obvious that emotional (internally disinhibited) eating is an exemplar of experientially avoidant behavior. As a result, recent research is replete with studies of emotion regulation variables, including experiential avoidance, as predictors, moderators and mediators of high Body Mass Indices (BMI). However, it is unclear if experiential avoidance is the most useful conceptual and empirical tool to utilize in these investigations. This paper brings together data from 4 studies to address the question of relative utility. While experiential avoidance correlated with BMI in each study (r=.08-.27), the strength of relationship varied by sample. Greater within group variability was indicated than that found in previous research. Each study included additional measures of emotion, its regulation, and/or other variables implicated in high BMI. Their added value and implications for eating and excessive behavior research will be discussed.

Educational Objectives:
1. Describe the role of body image flexibility in disordered eating behaviors among women and discuss possible application of body image flexibility in the treatment of disordered eating. 2. Describe the relationship between experiential avoidance and weight-related outcomes and discern the relative value of different ways of measuring experiential avoidance for different research questions. 3. Demonstrate an understanding of the relationship among emotion regulation variables in the context of overweight.

 

151. ACT and…: Blending Functional Contextual Models for Emotion Regulation.
Symposium (9:00-10:15am)
Components: Conceptual analysis, Literature review, Original data
Categories: Clin. Interven. & Interests, Prevention & Comm.-Based, Performance-enhancing interventions, Superv., Train. & Dissem., Theory & Philo., BPD, Nonsuicidal Self-Injury and Mechanism of change
Target Audience: Interm., Adv.
Location: Cooks Bay

Chair: Kristin Whelan, M.A., UCSD Eating Disorders Clinic, Alliant International University
Discussant: Sandra Georgescu, Psy.D., The Chicago School

For years, Dialectical Behavior Therapy (DBT) has been considered the sine qua non for the treatment of emotional dysregulation. Authors of 4 studies which focus on the efficacy of using ACT and DBT along with other functional contextual models (e.g., FAP and Emotion Regulation Group Therapy (ERGT)) for the treatment of emotional dysregulation compare and discuss their findings.

• Emotion Regulation Group Therapy for Nonsuicidal Self-Injury: A Swedish Nationwide Effectiveness Study.
Hanna Sahlin Berg, M.S., Karolinska Institutet
Johan Bjureberg, M.S., Karolinska Institutet
Erik Hedman, Ph.D., Karolinska Institutet
Jussi Jokinen, Associate Professor, Karolinska Institutet
Matthew T Tull, Associate Professor, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center
Kim L Gratz, Associate Professor, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center
Brjánn Ljótsson, Ph.D., Karolinska Institutet
Clara Hellner Gumpert, Karolinska Institutet

Nonsuicidal self-injury (NSSI) is a common and serious global health problem. Emotion Regulation Group Therapy (ERGT) is a 14-week treatment that targets NSSI and its proposed underlying mechanism of emotion dysregulation in women with borderline personality disorder (BPD) and subthreshold BPD features. ERGT has shown promising results in several trials. We will present an ongoing Swedish effectiveness study that evaluates ERGT in a nationwide multi-center within-group study design. The study therapists have different professional backgrounds and have undergone brief intensive training in delivering ERGT. To date, 85 female patients with BPD or subthreshold BPD have been enrolled in the study and started treatment. The primary outcomes of interest are reductions in NSSI on the Deliberate Self-Harm Inventory and improvements in emotion regulation, quality of life, anxiety, and depression. Post-treatment data will be presented for the full sample (N = 95 patients). Dissemination of ERGT will also be discussed.

• Functional Contextualist theory of Borderline Personality Disorder. Implications and challenges for a brief ACT+FAP intervention.
Michel André Reyes Ortega, Ph.D., Mexico Association for Contextual Behavioral Science
María de Lourdes García Anaya, M.D./Ph.D., National Institute of Psychiatry Ramón de la Fuente Muñiz
Angélica Nathalia Vargas Salinas, M.A., Mexico Association for Contextual Behavioral Science
Edgar Miranda Terrés, M.A., National Institute of Psychiatry Ramón de la Fuente Muñiz

Borderline Personality Disorder (BPD) is among the most pervasive behavioral disorders for those who suffer it, their families and public health care systems. As third wave behavioral interventions are among the most effective ones for this disorder, this paper offers a functional contextualist theoretical model of BPD; an empirical review of DBT, ACT and FAP status for its treatment; and a discussion about its principles, and possible integration to enhance brief interventions for this disorder. Finally, a reflection about Mexico interventions for BPD, its challenges and current research lines is shown. BPD clinic at the National Institute of Psychiatry Ramón de la Fuente Muñiz is offered as case study.

• ACT+FAP treatment for Borderline Personality Disorder, description, preliminary data and challenges.
Michel André Reyes Ortega, Ph.D., Mexico Association for Contextual Behavioral Science
Nathalia Vaargas Salinas, M.A., Mexico Association for Contextual Behavioral Science
Edgar Miranda Terrés, National Institute of Psychiatry Ramón de la Fuente Muñiz
Iván Arango de Montis, National Institute of Psychiatry Ramón de la Fuente Muñiz
María de Lourdes García Anaya, M.D./Ph.D., National Institute of Psychiatry Ramón de la Fuente Muñiz

Borderline Personality disorder is a pervasive behavioral disorder for the people who suffer it, their families and the institutions who assume the challenge of its treatment. This paper reviews empirical status of BPD treatments in Mexico and its limitations, describe and intervention consisting of 18 group ACT skills training sessions alternated with 18 ACT+FAP individual sessions, and show preliminary data about its efficacy in a 25 BPD diagnosed group (20 women, 5 men) of the Mexico’s National Institute of Psychiatry in comparison of a group of the same characteristics who received a DBT informed treatment. ACT+FAP group showed better and statistically significant (α=.01) results at posttest and follow up in the Borderline Evaluation of Severity Scale (p=.000), Difficulties in Emotion Regulation Scale (p=.001), Acceptance and Action Questionnaire 2 (p=.01) and the Experience of Self Scale (p=.008). Limitations of the study and challenges of this disorder treatment in México are discussed.

• Emotion Regulation as a Mechanism of Change in the Treatment of Nonsuicidal Self-Injury
Johan Bjureberg, M.S., Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Hanna Sahlin Berg, M.S., Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Matthew T. Tull, Associate Professor, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, USA
Kim L. Gratz, Associate Professor, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS, USA
Erik Hedman, Ph.D., Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Jussi Jokinen, Associate professor, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Clara Hellner Gumpert, Department of Clinical Neuroscience, Karolinska Institutet, Sweden
Brjánn Ljótsson, Ph.D., Department of Clinical Neuroscience, Karolinska Institutet, Sweden

Several treatment models emphasize the central role of emotion regulation in the maintenance of nonsuicidal self-injury (NSSI). Emotion Regulation Group Therapy (ERGT) is a 14-week acceptance-based behavioral intervention that aims to reduce NSSI by improving emotion regulation. However, this proposed mechanism of change in ERGT has been insufficiently investigated. To date, 85 patients have enrolled in an ongoing Swedish multi-center effectiveness trial of ERGT for self-injuring women. Although this study does not include a control group, NSSI frequency and emotion regulation are measured weekly throughout treatment, which allows for statistical modeling of mediational effects. Findings that the effect of treatment on NSSI frequency is mediated by changes in emotion regulation and changes in emotion regulation precede changes in NSSI frequency would support the proposed causal mechanism. Data collection will be completed in May, 2014. Results of these mediational analyses will be presented for the full sample (N=95) of participants.

Educational Objectives:
1. Describe and utilize the model of dissemination we will present, as an emotion regulation group treatment became a Swedish multi-center effectiveness trial. 2. Discuss the findings of ERGT in Sweden and the cultural impact on emotion regulation and NSSI. The learner will be able to analyze BPD cases from a contextual behavioral approach, discuss empirical status of current models, apply its basic principles on a theoretically consistent way, and critique brief psychotherapeutic interventions for this disorder. 3. Describe BPD characteristics from a functional contextualistic approach, explain ACT and FAP benefits for this disorder, compare and asses treatments for this disorder elements, and critique clinical research design used in this study.

 

153. Mind Full or Mindful?: Exploring and Facilitating Mindfulness and Present Moment Processes
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data
Categories: Clin. Interven. & Interests, Edu. settings, Theory & Philo., Mindfulness, Values, Present Moment
Target Audience: Beg., Interm., Adv.
Location: Crystal Lake

Chair: Emily Allen, University of Louisiana at Lafayette
Discussant: Dennis Tirch, Ph.D., The Center For Mindfulness & Compassion Focused Therapy

Mindfulness is generally defined as the non-judgmental attentive awareness of the present moment. This awareness of the present moment results in significant improvements to both mental and physical well-being, even in small doses. Though mindfulness has its roots in ancient spiritual traditions, it has a number of empirically-supported applications in modern behavior therapy and everyday life. The development of assessment and intervention methodologies, however, remains in early stages. The papers in this symposium aim to contribute to the body of knowledge on mindfulness by exploring the shared perception of mindfulness, the impact of mindfulness for effective communication, and the relationship between engaging in the present moment and pursuing values. The first presentation will explore several models of mindfulness and implications for future research and application. The second paper will discuss the identification of present moment behaviors. The final paper will discuss the relationship between engaging in the present moment and valued living.

• The Practice of Presence: Mindfulness Meanings, Methods and Models
Owen Rachal, University of Louisiana at Lafayette
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette
Jada Horton, University of Louisiana at Lafayette

Mindfulness and mindfulness training have experienced a groundswell of scientific and lay interest during the last three decades that continues to grow. Significant research has already shown many valuable benefits stemming from increased mindfulness and the development of a mindfulness practice, but much work remains unfinished. Researchers are now actively developing models that capture the psychological and neurophysiological mechanisms involved in attaining and sustaining states of mindfulness, as well as explaining the associated benefits for practitioners. With increased understanding of these processes, therapeutic approaches that depend upon mindfulness-based interventions - including many of the third-wave behavioral therapies - can be further refined to increase efficacy and efficiency in alleviating unnecessary suffering while improving an individual's capacity for autonomy and valued living. This presentation will review possible meanings of “mindfulness” and a selection of conceptual models, discuss possible avenues of research and highlight some theoretical implications for clinicians and clients alike.

• Sharing More Than Presents: The Identification of Present Moment Behaviors and the Impact of Shared Presence on Communication
Ryan Albarado, University of Louisiana at Lafayette
Stephanie Caldas, University of Louisiana at Lafayette
Ashlyne Mullen, University of Louisiana at Lafayette
Nick Mollere, University of Louisiana at Lafayette
Emily K. Sandoz, University of Louisiana at Lafayette

Despite an extensive literature on the benefits of engaging in the present moment, clear, publicly observable signs indicating that someone is present have not been substantiated. In the context of public speaking, being present might allow for increased sensitivity to audience feedback, overall better presenting, and the facilitation of audience engagement. The studies discussed in this presentation aim to identify if agreement exists among untrained raters in the identification of present moment behaviors of subjects in videos and to investigate how present moment processes contribute to effective communication in the context of public speaking. Preliminary data suggests that untrained raters are quite capable of identifying behaviors as indicative of presence with a high degree of consistency between raters. Additionally, speaker and audience convergence of present moment ratings, as well as shared presence, predicts communication effectiveness in public speaking. Implications for future research, intervention development, and further application will be discussed.

• You Can’t Fly Without Wings: The Relationship between Present Moment and Valued Living
Emily Allen, University of Louisiana at Lafayette
Ashlyne Mullen, University of Louisiana at Lafayette
Emily K. Sandoz, University of Louisiana at Lafayette

From an ACT perspective, engaging in valued living requires one to be present and aware of their environment. Values have been described, from a behavioral perspective, as “freely chosen, verbally constructed consequences of ongoing, dynamic, evolving patterns of activity, which establish predominant reinforcers for that activity that are intrinsic in engagement in the valued behavioral pattern itself" (DuFrene & Wilson, 2006). Emerging research from a variety of disciplines supports the psychological benefits of being in contact with one’s values. The current study examines the relationship between contacting the present moment and engaging in valued living through an Ecological Momentary Assessment (EMA). This method uses text messages to take repeated self-reports of multiple behaviors over the period of time in which the researcher is interested. Pilot data indicates that there is a positive correlation between these two ACT components, supporting the notion that valued living and present moment are interconnected.

Educational Objectives:
1. Explore proposed meanings, theoretical models, and development methods of mindfulness. 2. Identify present moment behaviors and discuss the impact of shared presence on communication. 3. Understand the relationship between engaging in the present moment and the pursuit valued living.

 

155. The Integrative Contribution of Functional Analytic Psychotherapy
Symposium (10:30am-Noon)
Components: Conceptual analysis, Didactic presentation, Case presentation
Categories: Clin. Interven. & Interests, Performance-enhancing interventions, treatment integration
Target Audience: Interm.
Location: St. Croix II

Chair: Luc Vandenberghe, Ph.D., Pontifical Catholic University of Goias - Brazil
Discussant: Jonathan W. Kanter, University of Wisconsin-Milwaukee

This symposium discusses how Functional Analytic Psychotherapy (FAP) can help different treatments work, contributing to the curative potential of a variety of clinical modalities. Several experiences are presented to argue this point. FAP is shown to bring a relevant contribution to IBCT based groups for heterosexual and LGBT couples. The integration of FAP as a clinical approach to the ACT model of depression is discussed in a case study. And finally, a form of FAP enhanced group therapy for depression is presented, as it has been developed during the past decade in a Central Brazilian community setting. Bringing these three papers together, illustrates the potential for FAP principles to be used in a variety of settings and treatment modalities and the benefits the introduction of FAP can bring to these settings and treatment modalities.

• Functional Analytic Psychotherapy enhanced Integrative Behavioral Couples Therapy.
Jaimie Lusk, University of Denver
Margaret McKelvie PH.D., Private Practice, Denver, VA

Fifty percent of marriages end in divorce and relationship dissolution among LGBT populations is thought to be more frequent. Due to fear of judgment, people often remain quiet, if not isolated in their relationship distress, especially if they belong to a sexual minority. Functional Analytic Psychotherapy (FAP) provides a framework to conceptualize and shape effective interpersonal relating. Building upon Integrative Behavioral Couple Therapy (IBCT), presenters developed, delivered and evaluated a brief FAP enhanced group treatment for couple distress in a VA setting with both heterosexual and LGBT couple cohorts. The aims of the group were to increase partners' connection, and decrease perceived isolation as well as interpersonal risk avoidance. Presenters will share program evaluation data of a couples' group which included inter/intrapersonal mindfulness, experiential teaching of behavioral principles, and in vivo shaping of intimacy enhancing behaviors. Results suggest FAP enhanced couple therapy groups are a promising area for future study.

• The effectiveness of the integration of ACT and Fap in the treatment for depression: a case studyKat
Katia Manduchi Ph.D., Private Practice; Affiliated with Iescum
Robert Allegri Ph.D., Private Practice; Affiliated Iescum alumni
Sara Pezzola Ph.D., Private Practice; Affiliated Iescum alumni
Andrea Compiani, Private Practice; Affiliated Iescum alumni
Paulo Moderato Ph.D., Affiliated IULM, Iescum

Presenting a clinical case starting from the ACT model for depression (Zettle 2007), the authors integrated ACT and FAP (Kohlenberg & Tsai 1980) models.The initial assessment was done following CBT traditional measures(as BDI2, BAI) then AAQ2, VLQ and a self measurement of the 5 classes of FIAT-q. Finishing the therapy, made for the 80% on Skype, and 20% in vivo, because the client for her work was moving around in Italy, the results in the re-test showed significant improvements in: intensity of depression and anxiety, relational skills, discriminative skills and self observation. The observations in this case can be seen also in other clients: could be interesting having a larger number of clients to observe the efficacy of both models.

• Functional Analytic Group Therapy for depression in a Latin American Community Setting.
Luc Vandenberghe, Ph.D., Pontifícia Universidade Católica de Goiás

This paper describes how FAP principles have been used to promote therapeutic change in groups for depression in a Central Brazilian community setting. It describes how the group dynamics bring real life challenges and in-vivo learning opportunities into the therapy room. It further explains how functional analysis can help harness what happens in the group for therapeutic change. Examples drawn on material from a series of therapy groups for women suffering from depression show how FAP principles afford emotional depth and offer leverage for in-vivo interventions by the therapist. In conclusion, it discusses how functional analysis is used in helping clients connect to their interpersonal process, how it can be used help the therapist connect to the client’s experience and to enhance culture sensitivity.

Educational Objectives:
1. Share development and program evaluation of a FAP enhanced IBCT couples group intervention implemented at both the VA and in private practice. 2. Discuss the integration of FAP and ACT for the treatment of depression. 3. Describe the rationale and the clinical strategies developed in a Latin American community setting, using FAP principles in group therapy for depression.

 

156. OCD and Similar Disorders: Evaluating Theoretical and Empirical Support for the Use of ACT
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data, Didactic presentation, Case presentation
Categories: Clin. Interven. & Interests, Theory & Philo., OCD, processes of change, trichotillomania, adolescents, misophonia
Target Audience: Beg., Interm.
Location: Spring Park Bay

Chair: Colin Stromberg, B.A., Utah State University
Discussant: Jeff Szymanski, Ph.D., International OCD Foundation

Research supports the efficacy of Acceptance and Commitment Therapy (ACT) for the treatment of obsessive compulsive disorder (OCD); however data on mechanisms of change, quality of life, and OCD related disorders are lacking. A correlational study investigated how cognitive fusion and emotional suppression is related to OCD severity and quality of life. A case study explored the application of ACT for a person with misophonia, a disorder characterized by a hatred of sounds. In a small randomized trial, nine adolescents with trichotillomania were treated with ACT. Collectively, these studies provide evidence on the relevance of ACT processes to the treatment of OCD, explore the clinical implementation of ACT for people and disorders that are not well researched, and contribute to the evidence base supporting the efficacy of ACT for these disorders.

• The Role of Cognitive Fusion and Emotion Suppression • in Obsessive-Compulsive Disorder
Marie-Christine André, M.A., McLean Hospital, OCD Institute; & Suffolk University
Brittany Mathes, B.A., McLean Hospital, OCD Institute
Jesse Crosby, Ph.D., McLean Hospital, OCD Institute; & Harvard Medical School
Jason Elias, Ph.D., McLean Hospital, OCD Institute; & Harvard Medical School

Cognitive fusion and emotion suppression are hypothesized as crucial in maintaining psychopathology. Yet, research examining how specific obsessive beliefs, such as importance and control of thoughts (i.e., cognitive fusion) and avoidant strategies (i.e., emotion suppression) impact symptomatology and quality of life in Obsessive Compulsive Disorder (OCD) is limited. This study investigated the impact of importance of thoughts and emotion suppression on quality of life and OCD symptomatology. The sample consisted of OCD patients from a residential treatment facility who completed the Obsessive Beliefs Questionnaire, the Emotion Regulation Questionnaire, the Yale- Brown Obsessive Compulsive Scale, and the Work and Social Adjustment Scale. Results demonstrated that though importance and control of thoughts and emotion suppression accounted for 20% of the variance in OCD severity (R square change= .20), both processes accounted for 36% of the variance in quality of life (R square change= .36). Additional results, implications, and limitations will be discussed.

• Acceptance and Commitment Therapy as a Treatment for Misophonia in an Adult Female
R. Trent Codd, III, Ed.S., Cognitive-Behavioral Therapy Center of WNC, P.A.
Kate L. Morrison, M.S., Utah State University
Michael P. Twohig, Ph.D., Utah State University

Misophonia is a pattern of symptoms that is commonly confused with OCD. Individuals with misophonia experience high levels of anger and disgust in response to repetitive auditory stimuli (e.g., heavy breathing). These aversive sounds trigger impulsive urges to act aggressively toward the source of the sound (e.g., yelling) and/or avoid the source of the sound (e.g., eating meals with others). Treatments for misophonia are sparse and using ACT may increase quality of life when faced with aversive auditory stimuli. This presentation will present data from a case of individual therapy sessions using acceptance and commitment therapy for an adult female with misophonia. Measures of general functioning and life quality, emotional tolerance and acceptance, and misophonia, anxiety, depression, and anger were given at pretreatment and will be given at posttreatment and at a 3-month follow-up. The level of frustration experienced from sounds and the percentage of time spent avoiding or escaping sounds throughout each week is being tracking at each weekly session.

• Acceptance and Commitment Therapy for Adolescent Trichotillomania
Kendra Homan, M.A., Utah State University
Kate L. Morrison, M.S., Utah State University
Jesse Crosby, Ph.D., McLean Hospital, OCD Institute; & Harvard Medical School
Michael P. Twohig, Ph.D., Utah State University

Extant literature reveals that treatments for adolescent Trichotillomania (TTM) are vastly understudied. While the most supported psychosocial intervention for adolescent TTM is effective, cognitive behavior therapy involving habit reversal is not effective for a significant number of individuals. Additionally, the development of treatments for adolescent TTM is lagging behind the treatment of adult TTM which is expanding in multiple directions and testing a variety of likely effective treatment options including acceptance-based treatments. Acceptance and Commitment Therapy (ACT) is a promising option and has limited support when combined with behavior therapy for adolescent TTM, however, no study has examined the effectiveness of ACT alone for treating TTM. The purpose of this presentation is to present data on the ACT for adolescent TTM. Nine adolescents (M=13.3, SD=1.73) with TTM completed 10 sessions of ACT. While analyses are ongoing, preliminary analysis indicate that ACT alone is an effective alternative for treating adolescent TTM.

Educational Objectives:
1. Describe the role of cognitive fusion and emotion suppression in the maintenance of psychopathology for patients with severe OCD. 2. Describe issues concerning misophonia and its unique symptoms distinct from OCD. 3. Explain the potential relevance of ACT for OCD.

 

157. I Rap, You Rap, We All Love the IRAP: Manipulations of Sample Stimuli and Instructions
Symposium (10:30am-Noon)
Components: Original data
Categories: RFT, Theory & Philo., IRAP
Target Audience: Interm.
Location: Lake Calhoun

Chair: Kail Seymour, Southern Illinois University
Discussant: Kate Kellum, University of Mississippi

Historically in psychology, certain operant responses that appear to be under “automatic” stimulus control are often described as having trait-like properties; this may be due to the relative reliability and inflexibility of such responding. These responses are often labeled with the construct known as implicit bias (a.k.a. implicit attitude). The Implicit Relational Assessment Procedure (IRAP), along with other computerized measures such as the Implicit Association Test (IAT), purportedly enhance our insight into these processes by allowing us to investigate how stimuli and implicit biases interact. Thus, one important aspect of implicit bias research consists of delineating how implicit biases are affected by permutations of both stimulus presentations and instructions. In the series of studies presented herein, manipulations of different sample stimuli (specifically pictures versus words and idiographic versus nomothetic) and/or instructions (how to hide one’s implicit biases) were examined to determine what, if any, effects they have on IRAP responding.

• Seeing Versus Reading Is Believing: A Reliability Study of Sample Manipulations
Travis Sain, Southern Illinois University
Rachel Swiatek, Southern Illinois University
Chad E. Drake, Ph.D, Southern Illinois University

Previous research on the Implicit Relational Assessment Procedure (IRAP) has measured implicit bias towards text-based sample stimuli (e.g., Cullen, Barnes-Holmes, & Barnes-Holmes, 2009) and image-based sample stimuli (e.g., Nolan, Murphy, & Barnes-Holmes, 2007), but no known published studies to date have directly compared these two IRAP compositions. The current study measured relational responses among evaluative words and two historical figures – Abraham Lincoln and Adolf Hitler – using a between-subjects design. One IRAP contained the first and last name of each of these people as samples, while the other IRAP contained an image of each person as samples. All other procedural details were identical. Participants completed three consecutive IRAPs. Analyses compared both IRAP conditions for differences in respect to D scores, as well as accuracy and average latencies. Furthermore, D scores were subjected to Pearson correlations to assess for reliability over the three administrations.

• The Hitler You Know and Love: Piloting an Idiographic IRAP
Anke Lehnert, Southern Illinois University
Kelsey Schuler, Southern Illinois University
Travis Sain, Southern Illinois University
Sam Kramer, Southern Illinois University
Chad E. Drake, Ph.D, Southern Illinois University

Implicit measures of cognition such as the Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998) and the Implicit Relational Assessment Procedure (IRAP; Barnes-Holmes, et al., 2006) have gained widespread popularity over the last few years. There have been attempts to use idiographic versions of the IAT to assess more personalized associations and avoid extrapersonal contamination, which researchers argue may allow for a more powerful interpretation of scores (Olzon & Fazio, 2004; Houben & Wiers, 2007). In this exploratory study, we compared scores on an IRAP configuration assessing evaluations in respect to Abraham Lincoln and Adolf Hitler with scores on an idiographic IRAP that contained names of a positively and a negatively evaluated person provided by each participant. A sample of undergraduate participants completed both versions of the IRAP and a collection of related self-report measures. Statistical comparisons of each IRAP and their relationships with self-reports will be discussed.

• Love/Hate Faked: Manipulating IRAP Performance with Instructions
Kail Seymour, Southern Illinois University
Christine Ryder, Southern Illinois University
Chad E. Drake, Ph.D, Southern Illinois University

One purported advantage of implicit measures compared to self-reports is their relative immunity to intentional efforts to distort responding. Might it be possible to purposely fake performance on an implicit measure? Although the Implicit Associations Test has been successfully faked (e.g., Kim, 2003), the McKenna, Barnes-Holmes, Barnes-Holmes, and Stewart (2007) study indicated that the IRAP may be relatively difficult to fake. The current study sought to replicate McKenna et al. using an idiographic IRAP containing names familiar to the participants as samples. Three IRAPs were administered in succession. Faking instructions were provided between the 1st and 2nd IRAPs in one condition and between the 2nd and 3rd IRAPs in another condition. D scores of each administration were subjected to t-tests to examine for any faking effects. The results have significant implications for the exploration of instructional effects on IRAP performance.

Educational Objectives:
1. Describe any differences obtained between IRAPs containing image and text samples in the first study. 2. Describe any differences obtained between the nomothetic and the idiographic IRAP in the second study. 3. Describe the instructions for faking the IRAP used in the third study.

 

158. Mindfulness in ACT: Theoretical and Practical Implications
Symposium (10:30am-Noon)
Components: Original data
Categories: Theory & Philo., Clin. Interven. & Interests, Mindfulness
Target Audience: Interm.
Location: Lake Nokomis

Chair: Devika Fiorillo, Duke University Medical Center/University of Nevada
Discussant: Victoria Follette, University of Nevada Reno

The past three decades have witnessed a growing interest in mindfulness-based approaches. Acceptance and Commitment Therapy increasing emphasizes mindfulness skills as a vehicle for present moment awareness. However, the core processes of mindfulness have not been clearly delineated. Im presents laboratory research using behavioral and self-report methods to examine convergent and divergent validity of various measurement approaches. Fiorillo presents preliminary data from a pilot study assessing the development and evaluation of an internet-based Acceptance and Commitment Therapy (ACT) program for a community sample of women who have experienced interpersonal trauma. She will focus on the acceptability of the mindfulness portion of the intervention. In addition to the assessment of treatment satisfaction and system usability, changes in psychological flexibility and overall wellbeing will be evaluated. Sherrill will present new data on women with a history of victimization. Participants were assigned to a “concrete rumination” or a control condition and Present Moment Awareness was assessed (PMA). In concrete ruminators, PMA was inversely related to trauma intrusions during written protocols and positively related to positive affectivity. Follette will discuss the theoretical and practical implications of using and evaluating mindfulness based therapy in relation to trauma survivors.

• Evaluation of a web based intervention for trauma: Mindfulness and acceptance measures
Devika Fiorillo, Duke University Medical Center
Caitlin McLean, University of Nevada Reno
Jacqueline Pistorello, University of Nevada Reno
Victoria Follette, University of Nevada Reno

Despite data to suggest that internet based interventions are feasible and effective in the treatment of various disorders, there is limited research on the applicability and efficacy of such treatments for survivors of interpersonal trauma, many of whom present with complex psychological symptomatology which extend beyond PTSD. Experiential avoidance has been theorized and shown to play a key role in explaining trauma-related difficulties and negative outcomes in relation to various forms of interpersonal trauma. The current pilot study involves the development and evaluation of an internet-based Acceptance and Commitment Therapy (ACT) treatment program for a community sample of women who have experienced interpersonal trauma. In this presentation we will focus on the acceptability of the mindfulness portion of the intervention. In addition to the assessment of treatment satisfaction and system usability, changes in psychological flexibility and overall wellbeing will be evaluated. Information regarding the nature and development of the web-based ACT treatment and initial results from this pilot study will be discussed.

• Assessing construct validity in mindfulness
Sungjin Im, University of Nevada Reno
Gideon Caplovitz Ph.D., Univeristy of Nevada Reno
Victoria Follette, University of Nevada Reno

The past three decades have witnessed a growing interest in mindfulness-based approaches. However, the core processes of mindfulness have not been delineated. The current study applied a multi-method approach since combined data from different research methods may overcome each method’s weaknesses and limitations. A total of 162 non-clinical undergraduates completed the Rapid Serial Visual Presentation (RSVP) task and online questionnaires of the Five Facet Mindfulness Questionnaire (FFMQ), Brief Symptom Inventory (BSI), World Health Organization Quality of Life instrument (WHOQOL-BREF), Acceptance and Action Questionnaire (AAQ), and Ruminative Response Scale (RRS). Results revealed that performance in the RSVP task significantly correlated with the Act With Awareness and Non-judging scales of the FFMQ (r=.27 and r=.20 respectively, all ps <.01). Scores on the FFMQ and the RSVP task performance related to other constructs in a similar way suggesting that mindfulness indexed by the FFMQ and RSVP task has good convergent and divergent validity.

• A Mindful Path to Decrease Trauma Intrusions: Utility and Implications of Present Moment Awareness
Andrew M. Sherrill, M.A, Northern Illinois University
Christine E. Valdez, M.A, Northern Illinois University
Michelle M. Lilly, Ph.D., Northern Illinois University

Third-wave approaches to PTSD treatment emphasize “being present” to increase psychological flexibility (Follette et al., 2006). However, researchers have struggled to measure present moment awareness (PMA; i.e., shifting attention to what is happening here and now; Fletcher & Hayes, 2005), and assess its clinical utility. Women with victimization histories were assigned to either a “concrete rumination” or a control condition (see Watkins et al., 2008). After manipulation, participants recalled their trauma, and then wrote down whatever information was present in their awareness (see Cacioppo et al., 1997). PMA was measured in a novel way by coding shifts in attention (e.g., sounds in the environment, interoceptive sensations) within these written protocols. In concrete ruminators, PMA was inversely related to trauma intrusions during written protocols and positively related to positive affectivity. In controls, PMA was unrelated to trauma intrusions and positively related to negative affectivity. Methodological and theoretical implications will be discussed.

Educational Objectives:
1. Describe and assess the clinical utility of present moment awareness in posttraumatic stress symptomatology. 2. Critique a multi-method approach to assessing mindfulness. 3. Discuss issues related to delivering mindfulness training using a Web based platform.

 

159. ACT Applications for Cancer Treatment
Symposium (10:30am-Noon)
Components: Original data
Categories: Clin. Interven. & Interests, Beh. med., Cancer patients, palliative care, depression
Target Audience: Interm.
Location: Cooks Bay

Chair: Jonathan Rhodes, PsyD, Linden Oaks Hospital
Discussant: Jennifer Gregg, Ph.D., San Jose State University

As ACT aims to create lives of purpose, applying the model to those struggling with issues related to their cancer diagnoses is meaningful. This symposium unpacks 3 studies which explored different aspects of cancer survival and applications to reduce the resultant suffering: managing weight loss, increasing psychological flexibility in palliative care, and targeting depressive symptoms in women surviving breast cancer.

• ACT-EAT Brief: a brief intervention based on Acceptance and Commitment Therapy for weight loss in cancer patients.
Giuseppe Deledda, Service Clinical Psycology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy
Chiara Anselmi, U.O. of Ditology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy
Federica Maccadanza, Service Clinical Psycology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy
Angela Di Canio, Service Clinical Psycology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy
Stefania Gori, 2U.O. Oncology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy

Background: The weight gain affects an high number of cancer patients, during and after the treatments. The aim is to evaluate a brief intervention four sessions of ACT – EAT for weight loss in cancer patients. Methods: The intervention consists in a set of four-monthly sessions and a follow up after 3 mounts. At the first and last encounter patients’ weight is reported and questionnaires on clinical state (RSCL, PWBQ, Distress Thermometer), eating behaviour (TFE.Q-51), psychological flexibility (AAQ-2, Bull's-eye) and the BIAAQ are administered. Results: Twenty four consecutive patients have completed the protocol. Data showed a low scores on the Body Image Acceptance (BIAAQ M=32.8; SD 11.8), high mean scores of physical symptoms (M=24.4; SD 23) and psychological symptoms (M=33.7; SD 18), and a low distress (M=3.8; SD 2.7). A high degree of acceptance (AAQ2 M=53.1; SD 10.3), consistency with the values (M=5.7; SD 1.6), psychological well being (M=83; SD 10.3), and quality of life (QoL subscale RSCL M=65.2; SD 21.2). Emerged a weight loss of 11% at fourth encounter (M=8.5 Kg (SD 4.9 kg)). Conclusions: A goal of ACT is to increase a non-judgmental attitude and willingness to experience unpleasant thoughts, feelings, and physical sensations, and to promote the awareness and promote engagement in personally valued behaviors, handling themselves with attentive care.

• The Acceptance and Commitment Therapy for increase the psychological flexibility of cancer patients in palliative care
Giuseppe Deledda, Service Clinical Psycology, Sacro Cuore-Don Calabria Hospital, Negrar, Verona, Italy

The Acceptance and Commitment Therapy proposes the hypothesis that psychological suffering is caused by the interaction between language, cognition and behavioural control. Rather than focus on the reduction of symptoms, the primary purpose is to help the person to accept their thoughts and emotions, and live in the present consistently with their values. The aim of this introduction is to address the ACT Hexaflex processes in order to increase the psychological flexibility of cancer patients in palliative care The results obtained using the ACT approach in oncology, pose a more solid basis to support the importance of a non-judgmental attitude in order to employ the energies toward what we consider most important in our lives. Changes in psychological flexibility predicted changes in distress and mood. Acceptance allows to move more freely without being stopped by distressing feelings.

• Acceptance and Commitment Therapy (ACT) in Women with Breast Cancer
Bahare Dehghani Najvani, graduate student, University of Isfahan, Iran
Mohamad Reza Abedi, University of Isfahan, Iran

Breast cancer is the most common cancer among women. Many women with breast cancer suffer from depression and psychological distress. The present study by the purpose of examining the effect of Acceptance and Commitment Therapy (ACT) on depression and psychological flexibility in women with breast cancer was performed. Among patients who had registered to participate in the research, 20 women were selected randomly and they were randomly divided to two groups of control and experiment. Research tool consisted of Beck Depression Inventory (BDI-II), Acceptance and Action Questionnaire (AAQ-II), and demographic questionnaire. Experimental group received 8 sessions of 2 hours acceptance and commitment group therapy. Follow-up stage was performed at 1 month after the last treatment session. Results showed that ACT significantly decreased scores on the BDI-II and increased score on AAQ-II compared to the control group (p<0.001). ACT may be considered to be an effective intervention approach for treatment depression in woman with breast cancer. Can be said that increasing in acceptance of thought and feeling associated with cancer and increasing in psychological flexibility that is the main goal of ACT has led to these changes

Educational Objectives:
1. Implement the protocols of brief interventions in the field of healthy lifestyles for cancer patients. 2. 2. Implement knowledge about the assessment in oncological setting; to address the ACT Hexaflex processes in order to increase the psychological flexibility of cancer patients in palliative care. 3. Implement knowledge about in the assessment in oncology; Implement Acceptance and commitment therapy among cancer patients.; emphasis on values as important domains among cancer patients.

ACBS World Conference 13 - Berlin

 

 

 

 

 

 

 

Übersetzen auf Deutsch [826]

This event has concluded.  Please join us in June 2016 in Seattle [827], USA or June 2017 in Seville, Spain [828].

 

What is the World Conference?

The World Conference brings together clinicians and researchers to present cutting-edge research in ACT, RFT, and Contextual Behavioral Science, as well as experienced trainers to lead experiential workshops so that you can learn how to better serve your clients.

The World Conference is for psychologists, social workers, professional counselors, marriage and family therapists, psychiatrists, physicians, drug counselors, health researchers, language researchers, behavior analysts, students and more.... Anyone in a similarly related helping or research field is invited to attend.

Registration in the full conference is all-inclusive and includes lunch, coffee/tea breaks, one dinner, open access to workshops, research symposia, posters, panel discussions, plenary sessions with CBS researchers and practitioners, and our IGNITE sessions.

This year's theme: Global Concerns, Global Community -- invites discussion of how the principles of contextual behavioral science can contribute to development of communities capable of addressing human concerns of importance around the planet -- while implementing these principles locally.

Pre-Conference Intensive Workshops

First class intensive workshops held the 2 days prior to the World Conference get things started off right. 14-15 July, 2015

See the complete list of workshops here [829].  Get registration information here [830].

Registration - Closed

 

Program

The Final Program [831] is now available!

Conference App

Download the conference App [832] for all of the World Conference information!

Conference Highlights

  • Invited Speakers: Richard Davidson, Barbara Fredrickson, Steven Hayes, Jason Luoma, Vikram Patel, Martin Bohus, JoAnne Dahl, Lance McCracken ... learn more about them here [833]
  • A great venue for networking & fostering local and international collaboration
  • Lunches, one dinner, and coffee/tea are included so that you have more time to network
  • Conference activities take place just downstairs from your hotel room - Book your room now [834] for €88 per night!
  • Bring the family [835]! - We're in Berlin, one of the most exciting cities in the world with so much to do! [836]
  • Evening events provide additional opportunities to network and relax after other conference activities are done for the day
  • Workshops, Workshops, Workshops. Half-day workshops are included (no extra charge), with your conference registration. These 30+ workshops are one-of-a-kind learning opportunities.
     
Berlin logo [837]

Call for Submissions - closed

Call for Submissions for the ACBS World Conference 13

[838]

(Deadlines have passed.)

Click to jump to submission types (below)

The 2015 annual conference theme -- Global Concerns, Global Community -- invites discussion of how the principles of contextual behavioral science can contribute to development of communities capable of addressing human concerns of importance around the planet -- while implementing these principles locally.

CBS is intended to be a comprehensive account of any and all activity of the human organism. While CBS has historically been most associated with acceptance and commitment therapy, the aims of CBS have always been broader. As ACBS has grown, the association has become increasingly international in character. This year we arrive in a diverse city, with global recognition. Throughout the 20th century Berlin was the epicenter of global change. At times this change was divisive, yet this was met with behaviors large and small that also highlighted some of the best characteristics of humanity. In the years following the reunification, breathtaking change can be viewed in the architecture and is palpable on the streets. It is against the backdrop of this truly global city, that we can examine how contextual analysis plays itself out in the world's citizens and groups.

The 2015 annual conference is dedicated to examining efforts to respond to human difficulties at a global level. This also includes discussion of how CBS principles can be contextualized to various language communities, cultural communities, and other aspects of diversity. Among many others, this raises poignant questions: How can CBS principles be scaled up to reach larger populations? How can the specific cultural practices of CBS be used to foster communities that are more caring, loving, nurturing, compassionate, and values-based? What sorts of cultural practices does CBS need to support in order to make a difference at a global scale? What do we know based on CBS about how to foster greater interconnection, stronger communities, and greater compassion? How can the contextual view inherent in CBS be used to adapt interventions to local conditions involving culture, language differences, and prejudice/stigma? How can CBS principles be used to better manage evolutionary change? How can neuroscience and other basic science accounts help inform and help improve the scope and precision of CBS principles in order to facilitate larger change?

With this ambitious theme, we aim to generate lively discussion around these issues, as well as others. In addition to standard modes of discussion, such as symposia, panels, and workshops, we encourage proposals for innovative ways for this community to interact around these topics.

Please share with us your creative ideas for what you think could move this agenda forward. We look forward to working together with you!

Jason Luoma (President) & Andrew Gloster (Program Chair)

If you have any problems submitting, please contact support@contextualscience.org

Plenary/ Invited Address (use only if instructed) - closed [839]

Chapter/SIG/Committee Meeting - closed

This gives Chapters/SIGs/Committees (or forming chapters and sigs) the opportunity to reserve a space and time to get together and plan, meet, hang out, etc. This form allows you to request space before or during the conference day (early am, during the conference, during lunch, etc.) (not intended for late night parties... although we're sure those will be happening :)

IGNITE - closed

The Ignite presentation is a short, structured talk in which presenters present on ideas and issues they are most passionate about using a “deck” of 20 slides that auto-advance every 15 seconds (no exceptions). Exactly 5 minutes total. Topics may be empirical, conceptual, philosophical, historical, or methodological. Presentation should be well-practiced and high energy (perhaps even... fun!).
For more on Ignite presentations, see:

http://igniteshow.com/ [275]
http://www.speakerconfessions.com/2009/06/how-to-give-a-great-ignite-talk/ [276]

Panel Discussions - closed

Panel discussions consist of 3 to 5 speakers selected for some shared interest or expertise in an area. Panelists respond to one or more questions or issues, with time allotted for interaction among the speakers and with the audience. A panel discussion is organized by a chairperson who serves as the session’s moderator.

Symposia (chair, 3 papers and a discussant) - closed

Organized by a chairperson who moderates the 80–minute session, symposia are a series of three 20–minute presentations focused on either empirical research or conceptual, philosophical, historical, or methodological issues. A discussant highlights and integrates the contributions of various speakers in the symposium and moderates questions from the audience. Chairpersons are encouraged to use symposia as an opportunity to integrate related work by: 1) bringing speakers of different affiliations together rather than showcasing the work of a single group and 2) incorporating different kinds of talks (e.g., historical, conceptual and research-based) on the same topic into one symposium. Papers from submissions that are not accepted may be considered for a poster session. This year, we are prioritizing submissions that are research and data driven. In service of being more data aware, we encourage you to include research citations (data citations) with your proposal.

Paper (not part of a pre-arranged symposium) - closed

Paper submissions are individual, oral presentations, usually concerned with conceptual, philosophical, historical, or methodological issues. A paper submission may report empirical research if it is too complex for effective presentation in a poster (e.g., an integrated series of experiments). Otherwise, most data-based and single-study paper submissions will be accepted as poster presentations. All paper presentations will be 20 minutes long. Accepted addresses will be organized into paper sessions of 50 or 80 minutes. Submissions not accepted will be considered for a poster session. This year, we are prioritizing submissions that are research and data driven. In service of being more data aware, we encourage you to include research citations (data citations) with your proposal.

Poster - closed

Posters usually report empirical research and will be organized into one or more sessions, during which attendees will be invited to review the research presented and discuss findings with poster presenters. Presenters must be at their poster during their assigned time of the poster session and may choose to provide handouts.

Workshop - closed

Workshops are training sessions of 3 hours (or less) and usually focus on some combination of experiential and/or didactic exercises. Workshops should be regarded as opportunities to directly train specific skills rather than to present research findings, discuss conceptual, philosophical, or methodological issues, or share opinions. Submissions that are not clearly focused on training will be considered for other formats. In service of being more data aware, we encourage you to include research and data citations supporting your topic with your proposal, and to briefly present these (1-2 slides) during your workshop.

Registration & Fees - WC13 & Pre-Conference Workshops

[250]

This event has passed.

Online registration is now closed.

Onsite registration is available in the Estrel Berlin Hotel beginning 7:30, 14 July, in the Estrel Passage.
Some pre-conference workshops (14-15 July) may fill. They will be available on a first-come, first-served basis.

 

World Conference 13 Registration Rates (16-19 July, 2015)

  ONSITE REGISTRATION RATES (available online until 10 July)
Professional €579  ($648*)
Student €369  ($413*)
Professional, Non-Member €629  ($704*)
Student, Non-Member €399  ($447*)

Above prices include 3 lunches, AM & PM coffee/tea on site, one dinner (16 July) [844], and a general certificate of attendance.

*(US Dollar amount is provided for information only and may vary slightly based on current exchange rates.  Euro amount will not change. If your bank account or credit card is in Euros, and your bank charges a currency transaction fee to USD, you may see a slight variation in the amout charged, based on the day's exchange rate.)


Pre-Conference Workshop Registration Rates (14-15 July, 2015)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference 13. They will be 9:00am-5:15pm on each day.

The workshops [830]run concurrently, therefore please double check the dates of the pre-conference workshops you are interested in. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

  ONSITE REGISTRATION RATES (available online until 10 July)
  2-day workshops (or two 1-day workshops) 1-day workshop (14 or 15 July)
Professional €389  ($436*) €229  ($256*)
Student €279  ($312*) €169  ($189*)
Professional, Non-Member €449  ($503*) €279 ($312*)
Student, Non-Member €309  ($346*) €199  ($223*)

Above prices include lunch each day, AM & PM coffee/tea on site, and a general certificate of attendance.

*(US Dollar amount is provided for information only and may vary slightly based on current exchange rates. Euro amount will not change. If your bank account or credit card is in Euros, and your bank charges a currency transaction fee to USD, you may see a slight variation in the amout charged, based on the day's exchange rate.)


Please Note:

  • To qualify for the rates above, registration as well as payment must be received in Jenison, Michigan, USA by the dates listed.
  • Emerging Economy Professionals - reduced registration rates available - go here for more information [845]
  • Additional fees are required for certificates that track the number of hours you attended (€9) and CE credits [846] (€38). These fees cover all events from 14-19 July, 2015 and do not need to be paid twice for attending multiple events.
  • Lunches are provided, 14-18 July if a corresponding registration is purchased, as well as coffee/tea during the AM & PM breaks (approx. 10:30am & 3:30pm).
  • All rates in Euros. (US Dollar amounts provided above are for informational use only.  The Euro amount will not change.  The credit card processor however will be in US Dollars, so you may see the actual amount charged vary slightly based on that day's exchange rate.)
  • Registration rates apply as you register.  Subsequent memberships do not qualify those already registered for a refund of the difference between the member and non-member rates. Same is true for students, or other similar status and discounts, unless a full cancellation and refund are issued, and prevailing rates apply.
  • We apologize that we may not be able to accommodate special meal requests (gluten free and vegan and allergy meals) for registrations received after 19 June.
  • To register via Mail or Fax, or pay via PayPal [847], please use the Printable Version. DOC [848] or PDF [849]
  • German VAT registered. VAT invoice will follow upon request (staff@contextualscience.org).
  • Online registration is not available after 10 July, 2015.
  • Faxed (1 (225) 302-8688) or mailed registrations must be received at P.O. Box 655, Jenison, MI, 49429, USA, by 26 June.  (Note that prevailing rates will apply upon receipt.)
  • Student Registration/Membership is available to individuals who are enrolled in a program of study leading to a bachelor’s, master’s, or doctoral degree, are interns, or are postdoctoral candidates. Postdoctoral candidates qualify for Student Registration for up to 2 years, with proof of status from their employer. After this time, they need to register as a Professional. Note: Those registering for the conference as a student are ineligible to earn any kind of CE credits.

Refunds:
A €40 processing fee will be charged for World Conference & Pre-conference registration refunds up to 26 June, 2015. (Per refund transaction.)

We regret that after 26 June, 2015, refunds can not be made, however we will allow a substitute registrant. If you need a refund, please contact us [294] via email. (Note: Shared registrations are not permissible... meaning that you can't attend one day and your colleague the next, etc.)

Photograph/Video Release:
ACBS has official photographers/videographers for this meeting. Photographs/video taken at ACBS's Annual World Conference may be used in future marketing, publicity, promotions, advertising and training activities for ACBS. By registering for this meeting, you agree to allow ACBS to use the photographs/video—which may include you—in all media formats worldwide. If you do not want to be photographed or videotaped, please notify the individuals capturing the information.

Waiver of Liability:
Each individual attending ACBS's Annual World Conference assumes all risks associated with his/her attendance and participation in all on- and off-site activities that occur during this time. By registering for this meeting, you agree to indemnify and hold harmless ACBS and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to your attendance and participation at ACBS's Annual World Conference.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Pre-Conference Workshops for WC13

14-15 July, 2015, Berlin, Germany

[250]

Unforgettable. Inspiring. Cutting-edge. Inviting. ACBS Pre-Conference Workshops are well-known as a source for world-class ACT and RFT trainings. Here is the heart of ACBS. Where therapists and researchers of all ages sharpen their skills, and push their limits. Where expert trainers from across the globe converge as a creative force aiming to shape and support all those in attendance. Where life-long friends reconnect, or meet for the first time.
 

What to Expect

The 2015 Pre-Conference Workshops offer exciting new opportunities that will engage therapists and researchers of any skill level. Highlights include:

Acceptance and Commitment Therapy (ACT): Participate in experiential and didactic workshops to learn this empirically supported therapy
Relational Frame Theory (RFT): Apply this modern perspective on cognition and language to your own research or practice
Contextual Behavioral Science (CBS): Explore the foundations of ACT and RFT to enrich your understanding
Functional Analytic Psychotherapy (FAP): Supercharge your therapy practice with FAP's relationship-enhancing approach

Combining therapy role-plays, experiential exercises, case presentations, data graphics, focused lectures, and small group discussions, you can expect high-quality training from ACBS Pre-Conference Workshops. Continuing Education Credits are available.

Be sure to review the lists of workshops below to see your full list of options.

When, Where, and How Much?

These workshops will be held the two days immediately preceding the ACBS World Conference XIII.

Tuesday, 14 July, 2015 - 9:00am-5:15pm
Wednesday, 15 July, 2015 - 9:00am-5:15pm

They will be held at the Estrel Hotel [834] in Berlin, Germany.  You can find parking and transportation information here [853]. The Registration Desk will be located in the Foyer Estrel Hall .

More general Registration information can be found here [854].

Pre-Conference Workshop Registration Rates (14-15 July, 2015)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference 13. They will be 9:00-5:15pm on each day.

The workshops [829] run concurrently, therefore please double check the dates of the pre-conference workshops you are interested in. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference). CE credits [846] are available.

  ONSITE REGISTRATION
  2-day workshops (or two 1-day workshops) 1-day workshop (14 or 15 July)
Professional €389  ($444*) €229  ($262*)
Student €279  ($319*) €169  ($193*)
Professional, Non-Member €449  ($512*) €279  ($319*)
Student, Non-Member €309  ($353*) €199  ($227*)

Above prices include lunch each day, AM & PM coffee/tea on site, and a general certificate of attendance.

*(US Dollar amount is provided for information only and may vary slightly based on current exchange rates. Euro amount will not change.)

[854]

Additional information about registrations, refunds, etc., can be found here [855].


Learn about the specific workshops here [829].

Complete List of Pre-Conference Workshops - WC13 Berlin

ACBS World Conference 13, Pre-Conference Workshops

14-15 July, 2-day workshops:

  • Mastering the Art of Building Effective and Cooperative Groups: The PROSOCIAL Initiative [856]

Frank Bond, Ph.D.
(Beginner, Intermediate, Advanced)

  • Understanding Relational Responding in Coercive Families & Helping Families and Children develop Psychological Flexibility [857]

Lisa W. Coyne, Ph.D. (Tentative), Darin Cairns, M.S., Giovambattista Presti, M.D., Ph.D., & Giovanni Miselli, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • How to give your sessions IMPACT: Interpersonal Mindfulness Processes in Acceptance & Commitment Therapy [858]

Russ Harris, M.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Thriving: Using contextual behavioural processes to promote vitality with young people 12 to 24 years [859]

Louise Hayes, Ph.D., & Joseph Ciarrochi, Ph.D.
(Intermediate)

  • ACT II: Skill-Building in Acceptance and Commitment Therapy [860]

Steven C. Hayes, Ph.D.
(Clinical; Intermediate, Advanced)

  • ACT with Compassion: Working with Highly Self-Critical and Shame-Prone Clients using Acceptance and Commitment Therapy [861]

Jason Luoma, Ph.D., & Jenna LeJeune, Ph.D.
(Clinical; Intermediate, Advanced)

  • ACT zum Leben und zum Arbeiten - Einführungsworkshop in deutscher Sprache [862]

Jan Martz, MD, & Hagen Boeser, MD
(Klinisch, Anfänger, Fortgeschrittene)

  • RFT for clinical use [863]

Niklas Törneke, MD, & Carmen Luciano, Ph.D.
(Clinical; Intermediate, Advanced)

  • Functional Analytic Psychotherapy (FAP): Deepening Your Clinical Skills of Awareness, Courage, Therapeutic Love and Behavioral Interpretation [864]

Mavis Tsai, Ph.D., & Robert J. Kohlenberg, Ph.D., ABPP
(Clinical; Beginner, Intermediate)

  • Beyond the Basics: Enhancing Your Skills and Building the Therapeutic Relationship in ACT [865]

Robyn D. Walser, Ph.D.
(Clinical; Intermediate, Advanced)

  • Acceptance & Commitment Therapy: Focusing on Values Work, Self-Care, and Self-Compassion [866]

Kelly  G. Wilson, Ph.D.
(Clinical; Research; Beginner, Intermediate, Advanced)


14 July, 1-day workshops:

  • Understanding Relational Responding in Coercive Families: Building Skills for Functional Contextual Intervention [867]

Lisa W. Coyne, Ph.D. (Tentative), & Darin Cairns, M.S.
(Clinical; Beginner, Intermediate, Advanced)


15 July, 1-day workshops:

  • Love 2.0: Creating Happiness and Health in Moments of Connection [868]

Barbara L. Fredrickson, Ph.D.
(Clinical; Research; Beginner, Intermediate, Advanced)

  • Context for Changes: Helping families and children develop psychological flexibility [869]

Giovambattista Presti, M.D., Ph.D., & Giovanni Miselli, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

 

You can also click on the links below to learn about each pre-conference workshop.

ACT II: Skill-Building in Acceptance and Commitment Therapy - S. Hayes (Clinical; Intermediate, Advanced)

ACT II: Skill-Building in Acceptance and Commitment Therapy

Workshop Leader:
Steven C. Hayes, Ph.D., University of Nevada, Reno
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:
This ACT workshop is a single-track program covering two full days that is designed to support clinical-skills building in acceptance and commitment therapy (ACT) and relational frame theory (RFT). The program is designed to present the psychological flexibility model underlying ACT; to relate that model to language and cognition from an RFT point to view; to apply the psychological flexibility model to case conceptualization; to provide experiential training on its key elements; to help attendees detect psychological flexibility processes in session; to develop flexible and productive core intervention skills in ACT; and to relate these skills to the creation of a powerful therapeutic relationship. Data on the effectiveness of ACT will also be presented.
 
About Steven C. Hayes:
Steve is Nevada Foundation Professor at the Department of Psychology at the University of Nevada. An author of 37 books and 535 scientific articles, his career has focused on an analysis of the nature of human language and cognition and the application of this to the understanding and alleviation of human suffering. Dr. Hayes has been President of Division 25 of the APA, of the American Association of Applied and Preventive Psychology, the Association for Contextual Behavioral Science, and of the Association for Behavioral and Cognitive Therapies. He was the first Secretary-Treasurer of the Association for Psychological Science, which he helped form and has served a 5 year term on the National Advisory Council for Drug Abuse in the National Institutes of Health. In 1992 he was listed by the Institute for Scientific Information as the 30th “highest impact” psychologist in the world. His work has been recognized by several awards including the Exemplary Contributions to Basic Behavioral Research and Its Applications from Division 25 of APA, the Impact of Science on Application award from the Society for the Advancement of Behavior Analysis, and the Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies.
 
Learning Objectives:
The attendee will be able to:
 

1) Describe the six processes that underlie psychological flexibility
2) Define the four essential characteristics of the therapeutic relationship
3) State the three essential functions of the ACT clinician in a therapy session
4) Describe the connection between the therapeutic contract and the therapeutic relationship
5) Demonstrate ways to detect presence or its lack during a session
6) List at least three techniques for mindful observation of avoidance and fusion on the part of a client during a session
7) List at least three techniques for mindful observation of pain and engagement on the part of a client during a session
8) Describe at least three ways of reading and responding to mindfulness processes as they show up in session
9) Describe at least three ways of reading and responding to self-as-context processes as they show up in session
10) Describe at least three ways of reading and responding to values processes as they show up in session
11) Describe at least three ways of reading and responding to commitment processes as they show up in session
12) Describe at least three ways of reading and responding to defusion processes as they show up in session
13) Describe at least three ways of reading and responding to acceptance processes as they show up in session
14) List the three essential skills for effective case conceptualization in ACT
15) Describe the essential features of exposure therapy as conducted in an ACT-therapeutic context
16) State three reasons for combining exposure work with defusion-process work
17) Describe the essential features of behavioral activation as conducted in an ACT-therapeutic context
18) Describe how cognitive reappraisal can be recast as both a defusion process and as an incidence of cognitive flexibility

 
Target Audience: Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

ACT with Compassion: Working with Highly Self-Critical and Shame-Prone Clients using Acceptance and Commitment Therapy - Luoma & LeJeune (Clinical; Intermediate, Advanced)

ACT with Compassion: Working with Highly Self-Critical and Shame-Prone Clients using Acceptance and Commitment Therapy

Workshop Leaders:
Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center
Jenna LeJeune, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:
Persistent self-criticism and shame are often central for our most chronic, interpersonally difficult, and stuck clients. Self-criticism and associated emotions such as shame and self-directed contempt have been shown to play an important role in a variety of psychological problems, including depression, post-traumatic stress disorder, borderline personality disorder, eating disorders, schizophrenia, substance addiction, and others. It’s likely that self-criticism is a transdiagnostic process that, if targeted successfully, can improve outcomes across a range of mental health difficulties. Only recently have interventions for shame and self-criticism begun to receive scientific scrutiny and demonstrate evidence for their effectivness. One such intervention is Acceptance and Commitment Therapy (ACT).
 
This workshop will offer a functional evolutionary perspective on shame, which can be used to inform how ACT is implemented to uniquely target problems of shame and chronic self-criticism. A particular focus of this workshop is on the ACT theory of self and its centrality in working with shame, self-criticism, and the development of self-compassion. In looking at the role of both the conceptualized self and conceptualized other, this workshop will provide practical guidelines for incorporating compassion-focused interventions within an ACT model. The workshop will move from the theoretical to the applicable, exploring how ideas such as self as context and flexible perspective taking can have very practical applications in helping clients develop newer and more flexible ways of relating to themselves based on values of self-compassion, kindness, and caring.
 
Participants will have the opportunity to observe and experience a variety of defusion, acceptance, mindfulness, and perspective-taking interventions designed to target shame and self-criticism. They will also engage in experiential practice in small groups using ACT processes as applied to shame and self-criticism. Guidance on how to sequence ACT interventions when specifically targeting these difficulties will be provided. Participants will also receive instruction on specific measures useful in identifying and tracking shame and self-criticism and guidance on how these measures can be used as therapeutic tools. Attendees can expect to walk away with an increased experiential and practical understanding of how to use acceptance, mindfulness, perspective-taking, and values interventions with clients suffering from chronic shame and self-criticism.
 
About Jason Luoma:
Jason Luoma, Ph.D., is Director of Portland Psychotherapy Clinic, Research, and Training Center in Portland, OR, where he also maintains a small clinical practice. After earning his doctorate, Jason spent four years at the University of Nevada, Reno studying ACT with its creator, Dr. Steven Hayes. Jason is an internationally recognized trainer in ACT, former chair of the ACT training committee, and current president of ACBS. He is also an author of Learning Acceptance and Commitment Therapy, a book popular with professionals for its mixture of sophistication and accessibility. He has conducted research on interventions for shame and stigma for over a decade and recently published the first randomized trial of an ACT approach to shame in addiction at the Journal of Consulting and Clinical Psychology.

About Jenna LeJeune:
Jenna LeJeune, Ph.D., is the Director of Clinical Services at Portland Psychotherapy Clinic, Research, and Training Center in Portland, Oregon. In her clinical practice, Jenna specializes in working with adults who struggle with intimacy problems, trauma-related difficulties, problematic eating/body image, and others who tend to experience a high levels of shame and self-criticism. She also provides training in ACT to other professionals around the world. Her research focuses on mental health stigma and specifically how to use contextual behavioral science to impact mental health stigma within the higher education system, in which she taught for many years.
 
Learning Objectives:
The attendee will be able to:
 

1) Understand a functional and evolutionary account of shame and self-criticism
2) Formulate problems with shame in terms of ACT theory
3) Identify ways in which they can work with shame in the present moment with clients
4) Understand how to sequence ACT interventions for chronic shame and self-criticism
5) Increase skills in detecting shame through nonverbal cues
6) Gain better facility with defusion in treating clients with self-critical thoughts
7) Describe how to adapt ACT processes for use with highly self-critical and shame-prone clients
8) Describe how compassion-focused interventions fit inside an ACT model
9) Use theory around flexible perspective taking to guide the implementation of compassion focused interventions
10) Develop a basic understanding of the use of chair work in an ACT approach to shame and self-criticism

Target Audience: Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

ACT zum Leben und zum Arbeiten - Einführungsworkshop in deutscher Sprache - Martz, Boeser, & Ebert (Klinisch, Anfänger, Fortgeschrittene)

ACT zum Leben und zum Arbeiten - Einführungsworkshop in deutscher Sprache

Workshop-Leiter:
Jan Martz, MD, Praxis Zum beherzten Leben, Bildungswerkstatt ACT
Hagen Boeser, MD, Privatpraxis, IF Weinheim Institut
Beate Ebert, Dipl.-Psych., Privat Praxis, Aschaffenburg
 
[870]
 
Termine und Ort:
Das Estrel Hotel, Berlin, Deutschland
9.00 bis 17.15 Uhr am Dienstag, den 14. Juli 2015
9.00 bis 17.15 Uhr am Mittwoch, den 15. Juli 2015
 
Kontaktstunden:13
 
Workshop Beschreibung:
Mit diesem Workshop möchten wir ACT und RFT (Bezugsrahmentheorie) als Ermutigung vermitteln, damit im eigenen Leben und im professionellen Alltag aktiv zu werden. Mit erlebtem Wissen und Kenntnis der Terminologie werden Sie vorbereitet sein, an der anschliessenden Weltkonferenz aktiv teilzunehmen und noch viel mehr zu lernen.

Neben einfacher Vermittlung zugrundeliegender Konzepte (funktionaler Kontextualismus, Bezugsrahmentheorie) werden verschiedene bewährte Arbeitsinstrumente vorgestellt und eingeübt, z.B. ACT-Matrix, Hexaflex, verschiedene Metaphern und erlebnisorientierte Übungen.

Mit einer fehlerfreundlichen und wertschätzenden Atmosphäre möchten wir gute Bedingungen schaffen, um unsere Komfortzone zu verlassen und damit direkter und persönlicher zu lernen - im Dienste von "Mich durch mein Leiden nicht davon abhalten lassen, ein Leben zu leben, das ich leben möchte".
 
über Jan Martz:
Ich bin Psychiater und Psychotherapeut und lebe in Winterthur, Schweiz. Seit2006 habe ich mich in ACT intensiv weitergebildet, mein persönliches Leben und meine klinische Arbeit sind dadurch kreativer, effektiver und intensiver geworden. Im Laufe meines Engagements mit CBS habe ich geholfen, mehrere Konferenzen und Workshops zu organisieren, und selber verschiedene ACT Trainings angeboten. Derzeit bin ich Präsident des Deutschen Kapitels der ACBS, der DGKV. Ich liebe es zu unterrichten und meine Arbeitsweise mit anderen zu teilen.

über Hagen Boeser:
Ich bin Lehrtherapeut in Frankfurt a.M., Deutschland, als Arzt und Psychotherapeut ausgebildet. In meinem Institut für systemische Ausbildung und Entwicklung (www.if-weinheim.de), führen wir Seminare und Supervisionen in ganz Deutschland und in der Türkei durch,, seit 2010 auch ACT-Seminare. In meiner privaten Praxis in Frankfurt biete ich Psychotherapie, Supervision und Coaching an. Für lange Zeit war meine Arbeit meistens systemisch und lösungsorientiert. Inzwischen hat ACT meine Arbeitsweise, Lehre und Alltag zutiefst verändert. Die Förderung menschlicher Entwicklung ist einer meiner wichtigsten Werte und Freuden im Leben. Aktuell bin ich Schatzmeister der Deutsch Kapitel ACBS, der DGKV.

über Beate Ebert:
Beate Ebert ist Diplom-Psychologin und psychologische Psychotherapeutin (Verhaltenstherapie für Erwachsene). Sie arbeitet in privater Praxis in Aschaffenburg, mit den Schwerpunkten Paartherapie und Krisenintervention.
 
Seit 2006 ist sie Mitglied der Association for Contextual Behavioral Science (ACBS) und bildet sich beständig auf dem Gebiet der Verhaltenswissenschaften und der Akzeptanz und Commitment Therapie (ACT) weiter. Seit 2008 leitet sie ACT-Workshops für Kolleginnen und Kollegen und seit 2014 wird sie auf der Website der ACBS als anerkannte Trainerin geführt. Sie ist Gründungsmitglied und Vorstand der deutschsprachigen Abteilung der ACBS, der DGKV (dt. Ges. f. kontextuelle Verhaltenswissenschaften) sowie Mitglied des Diversity Committee der ACBS. Sie hält Vorträge und leitet Workshops im In- und Ausland.

2010 hat sie mit Freunden und Kollegen commit and act gegründet, einen gemeinnützigen Verein, der psychosoziale Unterstützung in Krisengebiete bringt, v.a. durch Weiterbildung einheimischer Therapeuten und Förderung der Übernahme von Verantwortung vor Ort. Während der Ebola Krise wurde bspw. in Sierra Leone der funktional kontextualistische Ansatz erfolgreich zur Prävention eingesetzt. Inzwischen arbeitet ein Team internationaler Experten ehrenamtlich im Vorstand des Vereins.
 
Lernziele:
Der Teilnehmer/die Teilnehmerin wird:
 

1) das Konzept der psychologischen Flexibilität verstehen
2) die Licht- und Schattenseiten von Erfahrungs-Vermeidung und engagiertem Handeln kennen
3) ihr eigenes Verhalten als Kontext für das Verhalten von Klienten verstehen
4) Kernprozesse von ACT / RFT persönlich erleben
5) wichtige therapeutische Techniken aus ACT und RFT einüben
6) Achtsamkeit im Rahmen der ACT / RFT verstehen und üben
7) Möglichkeiten kennenlernen, um Akzeptanzverhalten zu verstärken
8) Wertearbeit nach ACT kennen, und die Verbindung von Werten mit Sorge, Schmerz und Verletzlichkeit verstehen
9) die wissenschaftliche Vorgehensweise in ACT / RFT verstehen und schätzen
10) ACT Kernkompetenzen ins tägliche persönliche Leben und in die klinische Arbeit übertragen können

Zielgruppe: Anfänger, Fortgeschrittene, Klinisch
 
Komponenten: erlebnisorientierte Übungen, didaktische Präsentation, Fallpräsentation, Rollenspiel
 
Inbegriffen sind: Ein allgemeines Teilnahmezertifikat, Mittagessen, Zwischenverpflegung am Veranstaltungsort

Acceptance & Commitment Therapy: Focusing on Values Work, Self-Care, and Self-Compassion - Wilson (Clinical; Research; Beginner, Intermediate, Advanced)

Acceptance & Commitment Therapy: Focusing on Values Work, Self-Care, and Self-Compassion

Workshop Leader:
Kelly G. Wilson, University of Mississippi
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:
What is Acceptance and Commitment Therapy?
Acceptance and Commitment Therapy (ACT) is an evidence-based treatment with over 100 randomized clinical trials. ACT is grounded in emerging clinical science that demonstrates the broad utility of mindfulness and values in human wellbeing. ACT is a hybrid therapy, bringing together aspects of mindfulness, Gestalt therapy, and humanist-existential thought, all organized under a contemporary contextual behavioral framework. The paradox upon which ACT is founded is that radical acceptance of what cannot be changed empowers us to recognize and change the things that we can. The ACT approach is about embracing necessary suffering in order to make more committed, life-affirming choices and live in accordance with deeply held personal values.
 
About This Workshop:
Values, Self-Care and Self-Compassion in a Stressed Out World
 
Living a life that you love, a life that is dedicated to your most profoundly held values, is the ultimate act of self-care and self-compassion.
 
This workshop will provide two days focused on values work in ACT. ACT is an integrated model, so our work together will necessarily touch upon other components of the model. However, our work with other components will show how these other components link to and facilitate values work.
 
In ACT, values work both directs and dignifies the therapy. ACT is not a therapy aimed at symptom reduction. It is a therapy aimed at increasing engagement in abundant, rich, and valued living.
 
We will workshop a variety of challenges and opportunities in doing values work with clients and with ourselves as health care providers.
 
Self-Care and Self-Compassion are often experienced as competing with “other-focused” values, such as parenting, intimate relations, and work. In this workshop, we will learn through direct experience how powerful acts of self-care and self-compassion can enrich and empower all other valued living. Self-care and self-compassion will be explored as foundational values work.
 
ACT principles will guide participants in new interventions, worksheets, and interviews that can be used in any human services environment, including mental health clinics, but also, medical settings, workplaces, schools, and community centers.
 
The workshop will be densely experiential and will focus on a set of tools and skills that participants will be prepared to use immediately following the workshop. We will show how the interface between self-compassion and self-care relate to values work in ACT can promote life enhancing change and powerful therapeutic alliance.
 
The workshop will contain enough of the basic model, no jargon, just plain speaking was to understand this fundamental area of human functioning. Because of the common sense language, even therapists new to ACT will benefit. However, there will be sufficient focus on values work to maintain the interest and engagement of the most seasoned ACT therapists and researchers.
 
About Kelly G. Wilson:
Kelly G. Wilson, Ph.D., is an Associate Professor of psychology at the University at Mississippi. He is Past President of the Association for Contextual Behavioral Science. Wilson has devoted himself to the development and dissemination of ACT and its underlying theory and philosophy for the past 20 years, and has published numerous articles and chapters, as well as 6 books including Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change and his newest books Mindfulness for Two and Things Might Go Terribly, Horribly Wrong. He has central interests in the application of behavioral principles to understanding topics such as purpose, meaning and values, therapeutic relationship, and mindfulness. Wilson is the founder of Onelife Education and Training, LLC and has presented workshops and provided consultancy in 20 countries.
 
Learning Objectives:
Learning objectives will be taught through both direct teaching and through the use of clinical examples. By the end of the workshop participants will be able to:
 
1) Work with clients who feel lost and without a sense of valued direction.
2) Work with clients who are highly inflexible and stuck with specific values outcomes.
3) Work with clients who experience intense emotion around pursuing values including feelings of anger, fear, guilt, or a powerful sense of unworthiness.
4) Work with clients facing enormous systemic obstacles to valued living.
5) Work with values conflicts—when one value seems to work against another.
6) Develop brief one-time values interventions for primary and emergency care.
7) Build dynamic, evolving life practices that support valued living.
8) Incorporate values interventions into therapy that is not ACT-based.
9) As a therapist, embody this work in your therapy sessions, in your health care practice more broadly, and in your personal practice.
 
Target Audience: Beginner, Intermediate, Advanced, Clinical, Research
 
Components:  Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Beyond the Basics: Enhancing Your Skills and Building the Therapeutic Relationship in ACT - Walser (Clinical; Intermediate, Advanced)

Beyond the Basics: Enhancing Your Skills and Building the Therapeutic Relationship in ACT

Workshop Leader:
Robyn D. Walser, Ph.D., University of California, Berkeley; NCPTSD
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:
Acceptance and Commitment Therapy (ACT) as a behavioural intervention is unique in its approach and capacity to address human suffering in mindful and compassionate ways. It also aims to support individuals in engaging commitments to behaviour change that are in line with personal values and well-being. As defined, many clinicians can appreciate the straightforward nature of ACT concepts such as mindfulness and values, and can readily feel a sense of connection to its goals. Nevertheless, using the six core processes in a clinically flexible and fluid way can prove challenging when working in varied settings with multi-problem clients presenting complicated histories. Developing and engendering skill in the six core processes of ACT while remaining theoretically consistent can prove tricky, even for the most skilled clinicians. This workshop will focus on developing flexibility in ACT and using the processes in a fluid and adaptable way. Operating from a bold and compassionate place while also remaining consistent with the model will be explored through a variety of training activities. The workshop will include modelling, role play, group activities and experiential exercises designed to enhance personal capacity in the use of ACT with a focus on not only supporting the client to engage their values but also to enrich the therapeutic relationship. Opportunities for personal feedback and working with challenging clients will be provided. Barriers and faciltators to using this functional behavioural approach will be explored.
 
About Robyn D. Walser:
Robyn D. Walser, Ph.D., is the Associate Director for dissemination of training at the National Center for PTSD at the Veterans Affairs Palo Alto Health Care System and an Assistant Clinical Professor at the University of California, Berkeley. She is a recognized expert in Acceptance and Commitment Therapy and has authored several books including Acceptance and Commitment Therapy for the Treatment of Post-Traumatic Stress Disorder, The Mindful Couple, and Learning ACT.
 
Learning Objectives:

The attendee will be able to:

1) Utilize the 6 core processes in ACT in a more flexible way to both promote client functioning and enhance the therapeutic relationship.
2) Describe how avoidance and other pathological processes as defined by ACT can influence the work done in the therapeutic session.
3) Apply and sustain a more ACT consistent approach more broadly in treatment.
4) Describe how reason-giving/stories can function as a barrier(s) to implementing ACT processes, in the moment, with challenging clients.
5) Assess when and/or how getting caught in content can derail ACT sessions and how to recover from the same.
6) Describe how acceptance and mindfulness can guide the therapeutic relationship and promote positive functioning for the client.
7) Assess how to use the ACT model flexibly to assist clients in making powerful life enhancing choices.
8) Describe how ACT techniques are broadly useful for intervening with multi-problem clients with complex histories.
9) Explain the difference between experiential and verbal knowledge and how this functions in therapy.
10) Describe the role of personal values in the therapeutic relationship and the work done in ACT.

Target Audience: Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Context for Changes: Helping families and children develop psychological flexibility - Presti & Miselli (Clinical; Beginner, Intermediate, Advanced)

Context for Changes: Helping families and children develop psychological flexibility

Workshop Leaders:
Giovambattista Presti, M.D., Ph.D., University Kore, Enna (Italy)
Giovanni Miselli, Ph.D., IESCUM, AUSL RE (Italy)
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 6.5
 
Note: This workshop is also available as Part 2 (Day 2) of a 2-day workshop [857] 14-15 July with additional presenters Lisa Coyne & Darin Cairns, or you can choose to attend just this 1-day workshop on 15 July only.
 
Workshop Description:
Understanding how Relational Responding works in child and parent coercive interactions is a key to develop new intervention that offer a context for change in children and parents repertoire. This workshop will start from the analysis provided by L. Coyne and D. Cairns (on the first pre-conference day, 14 July) and will focus on intervention to developed psychological flexibility as an adaptive behavioral repertoire. Psychological Flexibility will be explored both as a treatment objective, (target behavior) for Children and as a Teaching skill for Parents.

Starting on the children side of the interaction the processes of Psychological Flexibility targeted in ACT protocols and the ACT therapy with kids does not depart from the traditional hexaflex based protocols. However some tweaks are necessary to metaphors and experiential exercises. To create clinically meaningful context of changes it is necessary to (re)create overarching verbal environments familiar to children. The tweaks used in the clinical examples that will be illustrated and discussed are inspired to tales and stories that kids learn to love. Tales (verbal contexts) can also be purposefully built from scratch to vehicle metaphors and experiential exercises that may promote change.
 
Within the family context, changes can be promoted also by working with parents, too. ACT based interventions offer a wide arrays of tools that are flexible enough to place an intervention within the continuum that goes from kids to parents, so that the Therapist can define the level of intervention that the circumstances request. The workshop will provide clinical examples and field tested protocols used to deliver Parent Training intervention that use Psychological Flexibility a) to enhance the parent-caregiver acceptance of difficult personal experiences related to the complexity of the educational and emotional interactions with their child, and b) the ability to choose and create in full awareness teaching experiences and contexts that are effective for children and consistent with the value of parenting, in a context of value and full acceptance of the other as a whole person.
 
This workshop will explore how ACT can be applicable to help children and parents develop psychological flexibility and get unstuck from the functionally same language traps that catch children as well adults. During the workshop, contribution from audience will also be encouraged. Data derived from clinical cases will also be discussed and reviewed to examine how experiential avoidance arises in children while language develops, with the same effects as in adults. Based on the first part of the L. Coyne and D. Cairns workshop, RFT based explanation of psychopathological processes and clinical intervention will be offered to help clinicians develop their own tools and tailor ACT therapy on their client characteristics.
 
About Giovambattista Presti:
Giovambattista (Nanni) Presti, is a physician, a psychotherapist, and a behavior analyst. He is Associate Professor of Psychology at Kore University in Enna (Italy). He has interest in basic and applied research and has worked extensively with kids in educational and clinical settings. In the last 5 years he has worked at the Clinical Specialization School in Milan for kids and adolescents with his supervisees in developing experiential exercises, metaphors and models for applying Acceptance and Commitment Therapy to these populations.

About Giovanni Miselli:
Giovanni Miselli, Ph.D., is a Clinical Psychologist and a Psychotherapist. He graduated from Parma University and completed his Ph.D. at IULM University in Milan. Miselli currently serves in the Italian NHS Program for Autism and DGS working with Family and Children. He teaches in 13 Post Graduate Clinical Programs for Psy.D. in Psychology all over Italy. He is a member of the Board of IESCUM, the ABA International Italian Chapter, a Charter Member of the Association for Contextual Behavioral Science, and ACT-Italia (ACBS Italian Chapter) First President. He has been actively involved in the application and research of Acceptance and Commitment Therapy and RFT in Italy since 2005. From the beginning of his training in University he has studied the processes and applications of behavior analysis and contextual behavioral science to clinical settings and training.
 
Learning Objectives:

The attendee will be able to:

1) Develop an ACT case conceptualization referred to kids and parents
2) Apply ACT based metaphors and experiential exercises to kids
3) Elaborate upon their own metaphors and experiential exercises to kids
4) Understand child psychopathology in RFT terms
5) Plan ACT based protocols for parents and kids
6) Understand how RFT can be used to strengthen the clinical practice
7) Design clinical interventions with kids and parents
8) Help parents to use Psycological Flexibility as a parenting and teaching skill
9) Build hierarchies of reinforcers from edible to social to values to work with kids
10) Work along the continuum of traditional behavioral interventions and ACT for Kids and Parent Training
11) Integrate working with both kids and parents in one unique effective framework

Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components: Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Functional Analytic Psychotherapy (FAP): Deepening Your Clinical Skills of Awareness, Courage, Therapeutic Love and Behavioral Interpretation - Tsai & Kohlenberg (Clinical; Beginner, Intermediate)

Functional Analytic Psychotherapy (FAP): Deepening Your Clinical Skills of Awareness, Courage, Therapeutic Love and Behavioral Interpretation

Workshop Leaders:
Mavis Tsai, Ph.D., Independent Practice & University of Washington
Robert J. Kohlenberg, Ph.D., ABPP, University of Washington
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:
Whether you are new to FAP or have had previous training, this workshop will deepen the emotional intensity, power and interpersonal focus of your therapeutic work. Using awareness, courage, and therapeutic love (behaviorally defined), FAP augments the impact of treatment by focusing on the special therapeutic opportunities presented by the subtle ways that clients' daily life problems occur in the therapy session.
 

A conceptual and practical framework will be provided that will help super-charge your next therapy session. Content will include videotaped therapy sessions, experiential exercises, demonstrations and handouts that can be used with clients. Experiential work will be book-ended with clear behavioral rationales and how the exercises can be relevant to your clinical work and life.

The behavioral underpinnings of FAP facilitate its use with other treatments and calls for therapeutic stances and techniques that no single therapeutic orientation would predict and is intended to help answer the perennial and elusive key question: "What is the theoretically sound basis for selecting the technique that is most appropriate for a particular client at a certain time, As a fellow traveler with functional contextual underpinnings, FAP is coherent with ACT and the workshop will include ways to blend these two treatments.

The vision of this workshop is not only to enhance your competence in FAP, but to bring more intimacy and joy into your life by deepening your awareness of the immediate, present moment experience, exploring with compassion the deeper recesses of your true self, giving you opportunities to engage in courageous actions to express your true self more whole-heartedly, and to facilitate this growth in others.

About Mavis Tsai:
Dr. Tsai, co-originator of FAP, is a clinical psychologist in independent practice, and also works at the University of Washington as a research scientist and as the director of the FAP Specialty Clinic within the Psychological Services and Training Center. She has co-authored four books and over 50 articles, and received the 2014 Washington State Distinguished Psychologist Award in recognition of significant contributions to the field of Psychology. She is on the Fulbright Senior Specialists Roster, has presented “Master Clinician” sessions at the Association for Behavior and Cognitive Therapy, has led numerous workshops nationally and internationally, and trains clinicians all over the world in FAP via Skype.

About Robert Kohlenberg:
Dr. Kohlenberg received his doctorate at UCLA and is a Professor of Psychology at the University of Washington where he served as the Director of Clinical training. He is certified by the American Board of Professional Psychology and received the Washington State Psychological Association’s Distinguished Psychologist Award. He is the co-originator of Functional Analytic Psychotherapy (FAP), has attained research grants for FAP treatment development, has co-published many papers and several books, including Functional Analytic Psychotherapy: A guide for creating intense and curative therapeutic relationships.
 
Learning Objectives:
The attendee will be able to:
 

1) Describe awareness, courage and therapeutic love in behavioral terms and practice these behaviors in the workshop.
2) Increase intensity and connection in your therapeutic relationships.
3) Gain skill in using functional analysis and in understanding clinically relevant behavior (CRB) as functional classes.
4) Recognize and therapeutically respond to client in-session problematic behaviors (CRB1s).
5) Make the hidden meanings of your clients' communications more visible.
6) Identify and address what you avoid in the moment and with your clients.
7) Determine when commonly used interventions can be inadvertently counter-therapeutic.
8) Practice using all five FAP rules in sequence in order to facilitate generalization of client in-session gains.
9) Practice how to blend ACT and FAP.
10) Explore and express the deeper recesses of your true self; see more clearly your behaviors that distance others versus those that invite closeness.

Target Audience: Beginner, Intermediate, Clinical
 
Components:  Conceptual analysis, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

How to give your sessions IMPACT: Interpersonal Mindfulness Processes in Acceptance & Commitment Therapy - Harris (Clinical; Beginner, Intermediate, Advanced)

How to give your sessions IMPACT: Interpersonal Mindfulness Processes in Acceptance & Commitment Therapy

Workshop Leader:
Russ Harris, M.D., Private Practice
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:

How to turbo-charge your ACT sessions through a focus on interpersonal mindfulness processes.

The therapeutic relationship is of primary importance in ACT. The ACT therapist aims to build authentic, caring and deeply-connected relationships with her clients, with an emphasis on courage, compassion, and willing vulnerability. The ACT model also encourages therapists to disclose their authentic emotional & psychological responses to client behavior - as it occurs, moment-to-moment, in the session - in order to model, instigate and reinforce psychological flexibility.

The therapeutic relationship can also provide a powerful model for addressing other relationship issues that occur outside the therapy room.
Unfortunately, most ACT textbooks and trainings under-emphasize this important and essential interpersonal aspect of the model. In order to address this issue, this workshop will introduce you to IMPACT: Interpersonal Mindfulness Processes in ACT. Through demonstration, role play and experiential exercises, you will gain a thorough overview of the four key strategies for IMPACT:

1. WHAT’S GOING ON?
A mindful focus on the therapeutic relationship, and what is happening within it, in order to develop a) general ACT skills and b) specific relationship skills, which can be transferred to other important relationships. The therapist notices and comments on what is happening in the therapeutic relationship - and encourages the client to do the same. (I notice X, Y, Z. What do you notice?)

2. WHAT’S SHOWING UP?
Judicious use of therapist self-disclosure in order to interrupt unworkable behavior and reinforce more workable behavior. The therapist frequently discloses genuine thoughts and feelings that are ‘showing up’ in response to the client’s in-session behavior – and encourages the client to do the same. (I’m feeling/thinking X, Y, Z. What are you feeling/thinking?)

3. HOW’S THIS WORKING?
The mindful and compassionate assessment of the client’s in-session behaviour, in terms of how it affects the therapeutic relationship. (Is this a ‘towards move’ or an ‘away move’; improving or impairing the relationship?)

4. HOW CAN YOU USE THIS?
Helping the client to use her new ACT skills & interpersonal skills in session, and transfer them to other relationships outside the therapy room

By the end of this workshop, you will know:
• How to do all the core ACT processes through overtly and mindfully focusing on what is happening in the relationship between therapist and client – on a moment-to-moment basis, as it occurs in the session
•How to overtly use the therapeutic relationship as a model to build vital relationship skills and address other relationship issues that occur outside the therapy room
•How to use authentic self-disclosure of a) your values and b) your own emotional and psychological reactions to the client’s in-session behavior, in order interrupt unworkable behavior and reinforce more workable behavior, thereby increasing psychological flexibility 

About Russ Harris:
Russ Harris is a medical practitioner, psychotherapist, and leading expert in acceptance and commitment therapy (ACT). His books include ACT with Love, ACT Made Simple, The Confidence Gap, and The Happiness Trap, which has now been translated into twenty-two languages. He lives in Melbourne, Australia, and travels internationally to train mental health professionals in the ACT approach.
 
Learning Objectives:

The attendee will be able to:

1) Build authentic, caring and deeply-connected relationships with clients
2) Gain permission to comment on what is happening in the relationship
3) Emphasise courage, compassion, and willing vulnerability in the therapeutic relationship
4) Do all the core ACT processes through overtly and mindfully focusing on what is happening in the relationship between therapist and client – on a moment-to-moment basis, as it occurs in the session
5) Overtly use the therapeutic relationship as a model to build vital relationship skills and address other relationship issues that occur outside the therapy room
6) Use authentic self-disclosure of a) your values and b) your own emotional and psychological reactions to the client’s in-session behavior, in order interrupt unworkable behavior and reinforce more workable behavior, thereby increasing psychological flexibility
7) Give negative feedback compassionately and non-judgmentally to the client
8) Effectively address highly problematic interpersonal in-session behaviours, such as agression or silence
9) Overcome your own psychological barriers to using the IMPACT approach
10) Flexibly use the four basic IMPACT questions in conjunction with any other ACT tool or technique

 
Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components: Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Love 2.0: Creating Happiness and Health in Moments of Connection - Fredrickson (Clinical; Research; Beginner, Intermediate, Advanced)

Love 2.0: Creating Happiness and Health in Moments of Connection

Workshop Leader:
Barbara L. Fredrickson, Ph.D., University of North Carolina at Chapel Hill
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 6.5
 
Workshop Description:
What if everything you know about love is wrong? Through her ground-breaking research, positive emotions expert Professor Barbara Fredrickson offers you an entirely new way of understanding love and appreciating its benefits. Dr. Fredrickson redefines love not as a status or stable behemoth, but as micro-moments of connection between people – even strangers – and demonstrates that your and your clients’ capacity for experiencing love can be measured and strengthened in ways that can improve health and well-being.
 
In this workshop, Dr. Fredrickson, author of Positivity and Love 2.0, gives you lab-tested insights and practices that you can share with clients to unlock more love and happiness in daily life. You’ll discover how positivity resonates between and among people and how love and positivity can enhance relationships, work, and health, as well as relieve depression, broaden minds, and build resilience and resourcefulness.
 
This is your chance to learn the science of positive emotions from one of the world’s leading experts. By increasing your daily diet of positivity - especially with moments in which positivity resonates between you and others - you’ll come to see new possibilities to connect with others and to build flourishing communities.
 
About Barbara L. Fredrickson:
Dr. Barbara L. Fredrickson is Kenan Distinguished Professor of Psychology and Director of the Positive Emotions and Psychophysiology Lab (a.k.a. PEP Lab) at the University of North Carolina at Chapel Hill. She received her Ph.D. in psychology from Stanford University, with a minor in organizational behavior. She is one of the most highly-cited scholars in psychology and her research on positive emotions and lifestyle change is funded by the U.S. National Institutes of Health (NCI, NIA, NCCAM, NIMH, NINR). Professor Fredrickson has published more than 100 peer-reviewed articles and book chapters and her general audience books, Positivity (2009, Crown, www.PositivityRatio.com [871]) and more recently, Love 2.0 (2013, Penguin, www.PositivityResonance.com [872]) have been translated into more than a dozen languages. She is currently President of the International Positive Psychology Association (www.IPPAnetwork.org [873]). Her scholarly contributions have been recognized with numerous honors, including the inaugural Templeton Prize in Positive Psychology from the American Psychological Association, the Career Trajectory Award from the Society of Experimental Social Psychology, and the inaugural Christopher Peterson Gold Medal from the International Positive Psychology Association. In 2014, she was identified as the 13th most influential psychologist alive today contributing to counseling psychology. Her work has influenced scholars and practitioners worldwide, within education, business, healthcare, the military, and beyond, and she is regularly invited to give keynotes nationally and internationally.
 
Learning Objectives:

The attendee will be able to:

1) Describe how positivity resonates between and among people, creating micro-moments of shared positivity, biobehavioral synchrony, and mutual care.
2) Explain how self-sustaining upward spiral dynamics, triggered by positivity resonance, improve cardiovascular health.
3) Practice ancient meditations techniques that have been shown by modern science to improve health and well-being.
4) Use and describe informal practices that unlock love and compassion in just minutes a day.
5-8) Recognize, describe, analyze, and discuss the active ingredients that account for the benefits of positive psychology.
9-10) Differentiate and subdivide the various effects of positive emotions.
11-12) Identify and practice new ways to intervene in their own lives, and in the lives of others, to bolster health and well-being.
13-15) Interpret and evaluate their own experiences, and experiences shared by others, in relation to scientific evidence and justify the value of the science of positive psychology.

Target Audience: Beginner, Intermediate, Advanced, Clinical, Research
 
Components:  Conceptual analysis, Original data, Experiential exercises, Didactic presentation
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Mastering the Art of Building Effective and Cooperative Groups: The PROSOCIAL Initiative - Bond (Beginner, Intermediate, Advanced)

Mastering the Art of Building Effective and Cooperative Groups: The PROSOCIAL Initiative

 

Workshop Leaders:
Frank Bond, Ph.D., Goldsmiths College, University of London
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:
PROSOCIAL is a practical strategy for improving the effectiveness of groups, no matter what their size or mission; it can help small community groups to multi-national organisations realize their full potential. ACBS is working together with the Evolution Institute to develop, implement and test this approach to maximizing group effectiveness. PROSOCIAL uses fundamental ACT techniques that allow groups to more effectively implement principles from evolution science that can lead to success. ACT, and its underlying construct of psychological flexibility, helps groups realize the eight core design principles that are needed to achieve common goals. The Nobel Prize winning economist, Elinor Ostrom, identified those principles, and they include: creating a shared sense of purpose and decision making, measuring progress, effectively managing things that go wrong and finding ways to successfully relate to other groups.
 
The team that has taken the lead in developing PROSOCIAL has designed this workshop. (This team is led by David Sloan-Wilson and Steven Hayes). This workshop provides a comprehensive introduction to the core ideas and techniques underpinning PROSOCIAL, and it will show how ACT practitioners are especially well placed to understand and implement these ideas and practices in diverse groups.
 
Day 1 introduces PROSOCIAL concepts and techniques, and participants will learn how Elinor Ostrom’s research, subsequent work on evolutionary theory, and ACT principles combine to create a strategy that can benefit the efficacy of all groups. Participants will experience the same PROSOCIAL workshop that we are currently using all over the world, and they will have an opportunity to apply online and face-to-face tools and techniques to their own groups and organizations. As ACT is central to PROSOCIAL, they will learn to use the matrix model of promoting psychological flexibility, in order to facilitate their implementation of Ostrom’s 8 design principles in their own group and organizational contexts. This first day will also show people the wide-range of online resources, including video clips, that can help them to deliver the PROSOCIAL initiative in even time-poor, disjointed workplaces.
 
On day 2, participants will learn and practice skills for implementing PROSOCIAL in their own contexts. After an initial opportunity to reflect and build upon the first day, we will link the design principles to foundational concepts and empirical evidence within ACT, organizational behavior and organizational psychology. Discussions and group exercises will help participants to design and learn to facilitate the PROSOCIAL process in their own groups and organisations. Participants will leave the workshop ready to conduct PROSOCIAL in the groups they care about. Throughout the workshop there will be ample time for questions and reflections regarding tips and traps for implementing the PROSOCIAL methodology to a wide range of different contexts.
 
About Frank Bond:
Frank Bond, Ph.D., is Professor of Management and Psychology at Goldsmiths College, University of London where he is also the Director of the Institute of Management Studies. Frank has published widely in the areas of ACT and psychological flexibility, particularly as they apply to the workplace. He also integrates psychological flexibility into leadership development training and organisational change initiatives. Frank has conducted research in, and has consulted with, a wide-range of organisations, from the UK Government and the BBC to advertising agencies and financial institutions. Frank is a Fellow and Past-President of ACBS.
 
Learning Objectives:
The attendee will be able to:
 

1) Understand how ACT and RFT principles are being placed on an evolutionary foundation and applied to groups in addition to individuals.
2) Apply ACT methods (especially the Matrix) in individual and group settings.
3) Understand some of the evidence base for the eight core design principles for the efficacy of real-world groups.
4) Apply the eight core design principles to improving cooperation in groups.
5) Select from a number of different specific methods for implementing the design principles in different contexts.
6) Discuss the ways in which ACT, Organisational Behaviour and Organisational Psychology research supports the design principles.
7) Use an internet platform that facilitates the PROSOCIAL training process and provides useful tools for working as a group.
8) Plan and implement PROSOCIAL in their own groups and contexts.
9) Become part of a multi-group PROSOCIAL community.
10) Contribute to scientific research on group efficacy.

Target Audience: Beginner, Intermediate, Advanced
 
Components: Literature review, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

RFT for clinical use - Törneke & Luciano (Clinical; Intermediate, Advanced)

RFT for clinical use

Workshop Leaders:
Niklas Törneke, MD, NT Psykiatri, Private Practice
Carmen Luciano, Ph.D., University of Almería, Spain
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:
Relational frame theory (RFT) as a scientific research program was developed parallel with an effort to apply central findings to clinical use in acceptance and commitment therapy (ACT). This reflects an assumption from the developers of both the basic research and the clinical work, namely that the two grow stronger if they grow together.
 
In this workshop we will build on this assumption and focus on the phenomenological area of our experience of “Self”, that is how humans learn to respond to their own responding in a very complex way and how this ability is the key to understanding both psychological flexibility and the kind of rigidity which leads to psychological problems.
 

Relational frame theory will be used for conceptually analysing our experience of self and for giving practical suggestions on how clinical work should be conducted. Special emphasis will be given to the use of metaphor and experiential exercises in affecting clinical change.

The workshop will not include presentation of experimental work but will use RFT as a conceptual tool and have a clear clinical focus.

About Niklas Törneke:
Niklas Törneke, M.D., is a psychiatrist and has worked as a senior psychiatrist in a department of general psychiatry from 1991 until he started private practice 1998. He earned license as a psychotherapist in 1996 and was originally trained as a cognitive therapist. Since 1998 he has worked mainly with ACT, both in his own practice and as a teacher and clinical supervisor. He is co-author of a book about basic behavioral principles in clinical work: "The ABCs of human behavior" and author of a book on relational frame theory and it's clinical applications: "Learning RFT".

About Carmen Luciano:
I am Full Professor of Psychology (1995-present) at the University of Almeria, Spain after a long period in the University of Granada (1979 to 1994). I received my doctoral degree at the University Complutense, Madrid in 1984. I got a Post-doc-Fulbright fellowship in Boston University and Cambridge Center for Behavioral Studies (USA) to do research in the emergence of complex behavior in 1985. I has done basic and applied research since 1981 from a functional-behavioral perspective examining such topics as verbal behavior programs for children with mental retardation and the emergence of new behavior, the formation of symmetry and equivalence and other relational responding focused in the Relational Frame Theory as well as ACT research on defusion and values clinical methods, acceptance vs control pain protocols applied to smoking, cancer, impulsivity, affective disorders, and other areas. I have published over 150 paper and chapters/books and have graduated 22 students. I have been in charge of the research group in Experimental and Applied Analysis of Behavior from 1986 and I am the director of Master/Doctorate Program in the University of Almería (www.postgradoanalisis.com) and of the Master on Contextual Therapies (ACT and FAP) in the ACT Institute in Madrid (www.institutoact.es). My research group, in collaboration with Sonsoles Valdivia-Salas, Olga Gutiérrez, Fran Ruiz, Miguel Rodríguez, Marisa Paez and others as well as in collaboration with Dermot and Yvonne Barnes-Holmes in Maynooth (Ireland) and Michael Dougher in Albuquerque (USA), has been funded from National and Autonomic agencies. The research conducted have been related to emerging complex verbal behavior and the analyses of contextual methods and change processes in Acceptance and Commithment Therapy. In the latter area, I have published several books (as an ACT case-studies book in 2001 and 2012, the ACT book with Kelly Wilson in 2002, and the ACT book focused on Pain with Dahl, Wilson and Hayes in 2004). My actual research interests are focused in the behavioral-contextual approach to the self and the role in behavior regulation as well as its implication in building effective regulation of behavior and, conversely, the building of psychological inflexibility.
 
Learning Objectives:
The attendee will be able to:
 

1) Conceptually analyse our experience of self from an RFT perspective
2) Describe typical psychological problems using RFT
3) Grasp the way RFT and ACT connects
4) Apply RFT to central therapeutic strategies
5) Apply RFT to specific therapeutic tools used in ACT
6) Improve in the skill of doing a functional analysis including RFT
7) Improve in the skill of constructing metaphors for use in therapy
8) Improve in the skill of construction experiential exercises in therapy
9) Improve in the skill of timing in ACT
10) Improve in the skill of finding and sticking to central issues in doing ACT, such as defusion and valued action

Target Audience: Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Thriving: Using contextual behavioural processes to promote vitality with young people 12 to 24 years - L. Hayes & Ciarrochi (Intermediate)

Thriving: Using contextual behavioural processes to promote vitality with young people 12 to 24 years

Workshop Leaders:
Louise Hayes, Ph.D., Orygen; The University of Melbourne
Joseph Ciarrochi, Ph.D., Institute for Positive Psychology and Education, Australian Catholic University
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 13
 
Workshop Description:
Why do some young people seem to thrive and others languish? Why are some young people able to overcome adversity and setbacks and rise above their environment, whereas others appear to be crippled by their environment? How can we help young people to manage their emotions, achieve their goals, and form supportive social relationships? This is a workshop focused on skills that teach young people to thrive.  
 

The workshop will showcase our latest work creating a developmental model of ACT for young people. We will show you how to help young people build skills so that they can broaden their awareness and encourage novel, varied, and exploratory actions. Our model is for individual work, and for building friendships and social support.

The workshop will be two days of highly experiential and applied skills building. You will be involved in role play, case conceptualisation, and skills building.

About Louise Hayes:
Louise Hayes is an academic, clinical psychologist and peer reviewed ACT trainer at Orygen, The National Centre for Excellence in Youth Mental Health, The University of Melbourne. She is a leader in ACT for young people and the co-author of Get Out of Your Mind and Into your Life for Teenagers: A Guide to Living an Extraordinary Life, the first ACT book for adolescents. Louise completed one of the first research trials using ACT for adolescents, and she has an active research program in schools, therapy settings, and online.

About Joseph Ciarrochi:
Joseph Ciarrochi is professor at the Institute for Positive Psychology and Education, Australian Catholic University. He has published over 90 scientific journal articles and many books, including the best selling, Get out of your mind and into your life teens, and the widely acclaimed, Mindfulness, Acceptance, and Positive Psychology: the Seven Foundations of Well-Being. He has been honoured with over two million dollars in research funding. His work has been discussed on T.V., and in magazines, newspaper articles, and radio.
 
Learning Objectives:
The attendee will be able to:
 

1) Learn how to adapt ACT from an adult model to a developmental model for young people
2) Consider theoretical applications for ACT alongside developmental knowledge
3) Learn how to apply ACT skillfully with young people
4) Practice using exercises
5) Practice doing case conceptualisation
6) Describe ACT to a young client
7) Discuss client cases
8) Discuss client treatment plans
9) Discuss therapist interactions with young people
10) Discuss outcomes for treatment

Target Audience: Intermediate
 
Components:  Conceptual analysis, Experiential exercises, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Understanding Relational Responding in Coercive Families & Helping Families and Children develop Psychological Flexibility - Coyne (Tentative), Cairns, Presti, & Miselli (Clinical; Beginner, Intermediate, Advanced)

Understanding Relational Responding in Coercive Families: Building Skills for Functional Contextual Intervention

Workshop Leaders:
Lisa W. Coyne, Ph.D. (Tentative), Faculty & Program Director, Harvard Medical School
Darin Cairns, M.S., Senior Psychologist at the Child Wellbeing Centre, Perth, Australia
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
 
Contact Hours: 6.5

Note: This workshop is also available as a 1-day workshop [867] only on 14 July.
 
About Lisa W. Coyne:
Lisa W. Coyne, Ph.D., is a recognized ACT Trainer, and serves on the Faculty of Harvard Medical School, where she is Program Director of the Obsessive Compulsive Disorder Institute for Children and Adolescents (affectionately known as “OCDI Jr.”) at McLean Hospital. She is also an Associate Clinical Professor of Psychology in APA-accredited Clinical Psychology doctoral program at Suffolk University in Boston, MA, where she directs of the New England ACT Institute. She is also a licensed Clinical Psychologist, has published numerous peer-reviewed articles and chapters on ACT and related constructs, and is the author of the book for parents of young children: The Joy of Parenting: An Acceptance and Commitment Therapy Guide to Effective Parenting in the Early Years. Lisa has conducted numerous ACT workshops ranging in length from 60 minutes to 2 days internationally. She conducts research on ACT approaches to maternal depression and parent management training, functional contextual child intervention, and pediatric OCD.

About Darin Cairns:
Darin Cairns, M.S., is a Clinical Psychologist from Australia who has worked in the field of autism and child development for over 17 years. He has specialized in applications of learning theory, specifically, RFT, to autistic spectrum disorders and severe emotional and behavioral difficulties in children. He has lectured at tertiary level and developed award-winning services in the public and private sector. Darin has presented internationally and all over Australia on the latest developments in Clinical and Developmental psychology, and is a highly sought-after trainer, educator, and practitioner.
 

Context for Changes: Helping families and children develop psychological flexibility

Workshop Leaders:
Giovambattista Presti, M.D., Ph.D., University Kore, Enna (Italy)
Giovanni Miselli, Ph.D., IESCUM, AUSL RE (Italy)
 
[874]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Wednesday, 15 July, 2015
 
Contact Hours: 6.5

Note: This workshop is also available as a 1-day workshop [869] only on 15 July.
 
About Giovambattista Presti:
Giovambattista (Nanni) Presti, is a physician, a psychotherapist, and a behavior analyst. He is Associate Professor of Psychology at Kore University in Enna (Italy). He has interest in basic and applied research and has worked extensively with kids in educational and clinical settings. In the last 5 years he has worked at the Clinical Specialization School in Milan for kids and adolescents with his supervisees in developing experiential exercises, metaphors and models for applying Acceptance and Commitment Therapy to these populations.

About Giovanni Miselli:
Giovanni Miselli, Ph.D., is a Clinical Psychologist and a Psychotherapist. He graduated from Parma University and completed his Ph.D. at IULM University in Milan. Miselli currently serves in the Italian NHS Program for Autism and DGS working with Family and Children. He teaches in 13 Post Graduate Clinical Programs for Psy.D. in Psychology all over Italy. He is a member of the Board of IESCUM, the ABA International Italian Chapter, a Charter Member of the Association for Contextual Behavioral Science, and ACT-Italia (ACBS Italian Chapter) First President. He has been actively involved in the application and research of Acceptance and Commitment Therapy and RFT in Italy since 2005. From the beginning of his training in University he has studied the processes and applications of behavior analysis and contextual behavioral science to clinical settings and training.
 

Day 1 (14 July, 2015) Workshop Description:
Children learn social behavior in the context of their family relationships, and coercion is a powerful tool humans use to influence others. Coercion is an interpersonal process in which one partner uses aversive means to control another person in order to obtain his or her goals (Patterson, 1982). Coercion between parent and child occurs within a family system, and as such, is largely regulated by that system. Behavioral accounts of coercion explain why punishment is so heavily used in our society at all levels, as it can easily be seen at work in parenting practices, such as the use harsh, punitive discipline in response to noncompliance, and accommodation in response to child anxiety. While ubiquitous in human interactions, overreliance on coercion is often persistent, undermines the development of healthy and positive relationships, and is linked with poor outcomes in adolescence and adults. Moreover, evolution dictates that it is an efficient form of learning – it is well documented in operant models that organisms require fewer experiences with aversive stimuli than with appetitive stimuli to learn. However, these effects alone may not account for coercion’s persistence over time, its intransigence/resistance to change despite the relationship partners’ best intentions, or the narrowing and impoverishment of other modes of relating to others across time and contexts.

Relational frame theory (RFT) provides an account of the role of verbal processes in child and parent coercive behavior that may help extend a traditional behavioral understanding of relationship dynamics. We posit that RFT principles can describe how social behavior interactions become imbued with meaning, and thus can create powerful contingencies in relationships. This first day of a two-part workshop will provide a description of RFT and relational responding, and give an account of how RFT principles can govern social behavior in family interactions. Considering parent-child interaction, we will describe how relational responding can result in a narrow and inflexible repertoire of social behavior, and can both parents/ and children’s sensitivity to other available contextual cues. We will also discuss how coercive behavior can generalize to and come to dominate in other relationships and contexts. Finally, using clinical examples, role plays, and experiential exercises, we will demonstrate from a functional contextual perspective how to conceptualize and intervene with coercion with children, parents, and within family systems. Our workshop will set the stage for Nanni Presti and Giovanni Miselli to elaborate on skills in both creatively developing and using ACT interventions with children and families.

Learning Objectives:

The attendee will be able to:

1) Provide a comprehensive behavioral analysis (including direct and indirect conditioning models) of coercion in families (including children with internalizing and externalizing problems)
2) Provide a clear overview of the role of Rule-Governed Behavior in language processes in families
3) Provide a model of the persistence of coercive processes through development based on both direct and indirect conditioning
4) Teach case conceptualization of coercive processes in families based on this analysis
5) Teach strategies for intervention in coercive families (including behaviors common in families raising children with oppositional behaviors as well as those with anxious behaviors)
6) Provide a comprehensive view of how to conduct a systemic family intervention based on RFT/ACT principles
7) Teach how to harness the power of language to help parents become “good information sources” that encourage tracking and reduce pliance where needed
8) Develop functionally useful clinical tools and skills for intervention with coercive families
9) Utilize feedback regarding difficult cases (discussed during the workshop) to develop their skills in intervention with coercive families
10) Understand their role in the “system” of coercive families and their broader social (academic, vocational) contexts

Target Audience: Beginner, Intermediate, Advanced, Clinical

Components: Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play


Day 2 (15 July, 2015) Workshop Description:
Understanding how Relational Responding works in child and parent coercive interactions is a key to develop new intervention that offer a context for change in children and parents repertoire. This workshop will start from the analysis provided by L. Coyne and D. Cairns (on the first pre-conference day, 14 July) and will focus on intervention to developed psychological flexibility as an adaptive behavioral repertoire. Psychological Flexibility will be explored both as a treatment objective, (target behavior) for Children and as a Teaching skill for Parents.

Starting on the children side of the interaction the processes of Psychological Flexibility targeted in ACT protocols and the ACT therapy with kids does not depart from the traditional hexaflex based protocols. However some tweaks are necessary to metaphors and experiential exercises. To create clinically meaningful context of changes it is necessary to (re)create overarching verbal environments familiar to children. The tweaks used in the clinical examples that will be illustrated and discussed are inspired to tales and stories that kids learn to love. Tales (verbal contexts) can also be purposefully built from scratch to vehicle metaphors and experiential exercises that may promote change.

Within the family context, changes can be promoted also by working with parents, too. ACT based interventions offer a wide arrays of tools that are flexible enough to place an intervention within the continuum that goes from kids to parents, so that the Therapist can define the level of intervention that the circumstances request. The workshop will provide clinical examples and field tested protocols used to deliver Parent Training intervention that use Psychological Flexibility a) to enhance the parent-caregiver acceptance of difficult personal experiences related to the complexity of the educational and emotional interactions with their child, and b) the ability to choose and create in full awareness teaching experiences and contexts that are effective for children and consistent with the value of parenting, in a context of value and full acceptance of the other as a whole person.

This workshop will explore how ACT can be applicable to help children and parents develop psychological flexibility and get unstuck from the functionally same language traps that catch children as well adults. During the workshop, contribution from audience will also be encouraged. Data derived from clinical cases will also be discussed and reviewed to examine how experiential avoidance arises in children while language develops, with the same effects as in adults. Based on the L. Coyne and D. Cairns workshop the day before, RFT based explanation of psychopathological processes and clinical intervention will be offered to help clinicians develop their own tools and tailor ACT therapy on their client characteristics.

Learning Objectives:

The attendee will be able to:

1) Develop an ACT case conceptualization referred to kids and parents
2) Apply ACT based metaphors and experiential exercises to kids
3) Elaborate upon their own metaphors and experiential exercises to kids
4) Understand child psychopathology in RFT terms
5) Plan ACT based protocols for parents and kids
6) Understand how RFT can be used to strengthen the clinical practice
7) Design clinical interventions with kids and parents
8) Help parents to use Psycological Flexibility as a parenting and teaching skill
9) Build hierarchies of reinforcers from edible to social to values to work with kids
10) Work along the continuum of traditional behavioral interventions and ACT for Kids and Parent Training
11) Integrate working with both kids and parents in one unique effective framework

Target Audience: Beginner, Intermediate, Advanced, Clinical

Components: Experiential exercises, Didactic presentation, Case presentation, Role play


Package Includes: A general certificate of attendance, lunch each day, and AM & PM coffee/tea break on site.

Understanding Relational Responding in Coercive Families: Building Skills for Functional Contextual Intervention - Coyne (Tentative) & Cairns (Clinical; Beginner, Intermediate, Advanced)

Understanding Relational Responding in Coercive Families: Building Skills for Functional Contextual Intervention

Workshop Leaders:
Lisa W. Coyne, Ph.D. (Tentative), Faculty & Program Director, Harvard Medical School
Darin Cairns, M.S., Senior Psychologist at the Child Wellbeing Centre, Perth, Australia
 
[870]
 
Dates & Location:
The Estrel Hotel, Berlin, Germany
9am-5:15pm on Tuesday, 14 July, 2015
 
Contact Hours: 6.5
 
Note: This workshop is also available as Part 1 (Day 1) of a 2-day workshop [857] 14-15 July with additional presenters Giovambattista Presti & Giovanni Miselli, or you can choose to attend just this 1-day workshop on 14 July only.
 
Workshop Description:
Children learn social behavior in the context of their family relationships, and coercion is a powerful tool humans use to influence others. Coercion is an interpersonal process in which one partner uses aversive means to control another person in order to obtain his or her goals (Patterson, 1982). Coercion between parent and child occurs within a family system, and as such, is largely regulated by that system. Behavioral accounts of coercion explain why punishment is so heavily used in our society at all levels, as it can easily be seen at work in parenting practices, such as the use of harsh, punitive discipline in response to noncompliance, and accommodation in response to child anxiety. While ubiquitous in human interactions, overreliance on coercion is often persistent, undermines the development of healthy and positive relationships, and is linked with poor outcomes in adolescence and adults. Moreover, evolution dictates that it is an efficient form of learning – it is well documented in operant models that organisms require fewer experiences with aversive stimuli than with appetitive stimuli to learn. However, these effects alone may not account for coercion’s persistence over time, its intransigence/resistance to change despite the relationship partners’ best intentions, or the narrowing and impoverishment of other modes of relating to others across time and contexts.

Relational frame theory (RFT) provides an account of the role of verbal processes in child and parent coercive behavior that may help extend a traditional behavioral understanding of relationship dynamics. We posit that RFT principles can describe how social behavior interactions become imbued with meaning, and thus can create powerful contingencies in relationships. This workshop will provide a description of RFT and relational responding, and give an account of how RFT principles can govern social behavior in family interactions. Considering parent-child interaction, we will describe how relational responding can result in a narrow and inflexible repertoire of social behavior, and can both parents/ and children’s sensitivity to other available contextual cues. We will also discuss how coercive behavior can generalize to and come to dominate in other relationships and contexts. Finally, using clinical examples, role plays, and experiential exercises, we will demonstrate from a functional contextual perspective how to conceptualize and intervene with coercion with children, parents, and within family systems. Our workshop will set the stage for Nanni Presti and Giovanni Miselli to elaborate on skills in both creatively developing and using ACT interventions with children and families.
 
About Lisa W. Coyne:
Lisa W. Coyne, Ph.D., is a recognized ACT Trainer, and serves on the Faculty of Harvard Medical School, where she is Program Director of the Obsessive Compulsive Disorder Institute for Children and Adolescents (affectionately known as “OCDI Jr.”) at McLean Hospital. She is also an Associate Clinical Professor of Psychology in APA-accredited Clinical Psychology doctoral program at Suffolk University in Boston, MA, where she directs of the New England ACT Institute. She is also a licensed Clinical Psychologist, has published numerous peer-reviewed articles and chapters on ACT and related constructs, and is the author of the book for parents of young children: The Joy of Parenting: An Acceptance and Commitment Therapy Guide to Effective Parenting in the Early Years. Lisa has conducted numerous ACT workshops ranging in length from 60 minutes to 2 days internationally. She conducts research on ACT approaches to maternal depression and parent management training, functional contextual child intervention, and pediatric OCD.

About Darin Cairns:
Darin Cairns, M.S., is a Clinical Psychologist from Australia who has worked in the field of autism and child development for over 17 years. He has specialized in applications of learning theory, specifically, RFT, to autistic spectrum disorders and severe emotional and behavioral difficulties in children. He has lectured at tertiary level and developed award-winning services in the public and private sector. Darin has presented internationally and all over Australia on the latest developments in Clinical and Developmental psychology, and is a highly sought-after trainer, educator, and practitioner.
 
Learning Objectives:

The attendee will be able to:

1) Provide a comprehensive behavioral analysis (including direct and indirect conditioning models) of coercion in families (including children with internalizing and externalizing problems)
2) Provide a clear overview of the role of Rule-Governed Behavior in language processes in families
3) Provide a model of the persistence of coercive processes through development based on both direct and indirect conditioning
4) Teach case conceptualization of coercive processes in families based on this analysis
5) Teach strategies for intervention in coercive families (including behaviors common in families raising children with oppositional behaviors as well as those with anxious behaviors)
6) Provide a comprehensive view of how to conduct a systemic family intervention based on RFT/ACT principles
7) Teach how to harness the power of language to help parents become “good information sources” that encourage tracking and reduce pliance where needed
8) Develop functionally useful clinical tools and skills for intervention with coercive families
9) Utilize feedback regarding difficult cases (discussed during the workshop) to develop their skills in intervention with coercive families
10) Understand their role in the “system” of coercive families and their broader social (academic, vocational) contexts

Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components: Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Registration Scholarships and Discounts

[250]Discounts:

Emerging Economy Professionals - reduced registration rates available - go here for more information [845]

Scholarships:

Student World Conference Scholarships - closed 21 March.

Developing Nations World Conference Scholarships - closed 15 March.

Diversity World Conference Scholarships - closed 15 March.

 

Not sure if the Diversity or Developing Nations scholarship applies to you? Go here to learn more [875].


We need your help!  If you're able, please consider donating to the funds here:

Developing Nations Fund [876]

Diversity Fund [877]

Every Euro/Dollar/Yen/Peso/Farthing helps!

Hotel, Venue, Map, Room Share, & Child Care Resources

Hotel Reservations and Information

Estrel Berlin [878] [879]

Sonnenallee 225
12057 Berlin, Germany

Standard Rooms are:

€88 per night - single occupancy

€100 per night - double occupancy

Buffet breakfast is included.

Reservations are fully refundable until 4 weeks prior to your scheduled arrival date.

(The ACBS room block is now finished, however, as long as rooms are still available the hotel will accept reservations via our link below, at our great group rate.  Make sure you get your room before the hotel is sold out!)

 

 

or call +49 30 6831 22522

and use Group Code "ACBS"

Interested in sharing a room? Click here [880] to view our room share/ride share page.


Other information:

Travelling with children: The hotel is able to provide extra beds (rollaway), for guests travelling with children.  The discount for children in a double room of 2 adults with 1 child (younger than 12 years) is free of charge. Children older than 11 years are charged with €30.00 per night for the extra bed and breakfast.

Internet: The hotel offers free Wi-Fi in the public areas for hotel guests. In the guest rooms they offer Low- or High-Speed-Internet (for up to 2 wireless devices per guest room) which you can use wirelessly or via an ethernet cable. The costs are as following (rates provided as of 5 March, 2015):

  • Low–Speed Internet: free of charge
  • High-Speed Internet: Time to Finish principle - 1h (€ 3), 12h (€10), 24h (15€) and 7 days (€40)

In room ammenities: Bathtub (not in all suites), combination liquid soap and shampoo dispenser, flatscreen TV with time displayed, phone, mini-bar in fridge, pay-movies, TV programming in multiple languages (in English I found CNN International, and BBC World), hairdryer.  There are probably a few I missed, but those are the ones I noted (click here for hotel site [881]).  A few items not in the rooms that you might be interested to know... no conditioner or lotion, no alarm clock, no coffee/tea/kettle.

Parking: The hotel has its own underground parking garage offering 450 parking spaces (18 euros per day).

Accessibility questions: For any requests concerning special accommodations, like rooms for disabled persons, please contact the reservation department at groups@estrel.com [882].

Accessibility Information

[883]

The Estrel Hotel conference venue is designed with most of the meeting space on the ground level or accessible via elevators, however we do have one meeting room in our conference hotel that is accessible via stairs (or a slightly awkward route with an elevator... please ask at the ACBS registration desk for instructions if you need to go to "ECC room 1" via an elevator).

For any requests concerning special accommodations, like guest rooms for disabled persons, please contact the Estrel reservation department under groups@estrel.com [884].

Berlin Conference Map

Our conference hotel venue, the Estrel Berlin, is located near many local shops and restaurants on the map below. [250]

View ACBS World Conference Berlin 2015 [885] in a larger map

Child Care Hire/Share/Provide

This page can be used to help find child care during the ACBS World Conference 13 and/or pre-conference workshops.

Please keep in mind that ACBS can not be responsible for the child care you arrange or the outcomes associated with doing so. When arranging child care it is always recommended to fully evaluate possible sitters or services.

For guests of the Estrel (reserved bedroom required), the concierge can assist you in finding a local babysitter. You can email the Estrel concierge at: estrel@interklassik.net [886]

You could also try to arrange child care with another attendee or attendee spouse. For example, different families may pair up to alternate watching the children. This would allow both parties to attend parts of the conference.

Lastly, you could try finding an older child (teenager) that will be in attendance with their parents, to hire to babysit your child.

 

[887]

We encourage the use of the page by those attending with children:

  1. looking for child care (a babysitter)
  2. looking for a family to alternate watching children
  3. looking for appropriate age playmates for your children
  4. offering to be hired as a babysitter

To post your need/offer: click "add new comment" (which appears in blue below).

Please included your need (1, 2, 3, 4 above), the gender, languages spoken, and age of your child or children, what days you will be in attendance at the conference, as well as your email address.

To respond to a posting: click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).
See the "Example Post" and "Example Reply" below to understand what this will look like.

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us [294]" for website feedback or website assistance. (You only need a login to interact with this page, paid membership is not required to participate.)

It is the responsibility of each participant in the program to communicate with and to work out an agreement regarding child care. ACBS's role is strictly limited to the maintenance of this website page.
 

Explore Berlin!

[888]

Bluespot App

Bluespot is a free app that can be downloaded onto phones or tablets. It provides users with information regarding Berlin, including events occurring and popular sights. The app also offers historical facts, which allows a user to be their own tour guide. Users can also find information on restaurants and nightlife, including cover charges. More Information [889].

[890]

Parks and Outdoor Recreation 

Botanischer Garten

With over 22,000 plant species, this botanical Garden is the largest garden in Germany.  More information. [890]

 

Britzer Garten

Britzer Garten (3) © Grün Berlin [891]

Known as one of the most attractive recreational areas in Berlin, Britzer Garden is home to many great attractions. You 

can spend your time strolling the themed gardens, enjoying the playgrounds, learning at the outdoor laboratory, or 

appreciating the famous rose garden. More Information. [891]

 

Gärten der Welt

This 21-acre park is home to sprawling flower beds and lawns, as well as the Chinese Garden. The Chinese Garden was designed after the 1994 Treaty of twining was signed. More information [892]

 

Shopping

 Tanja Koch [893]

KaDeWe

KaDeWe is the largest department store on the European continent and the most famous in all of Germany. In addition to fabulous

shopping there are several delicious gourmet floors to enjoy. More Information [893]. [893]

 

Designer Outlet Berlin

Shoppers enjoy designer goods at discount prices when they visit the Design Outlet Berlin. More Information. [894]

 

Cultural

 Philip Koschel [895]

Berlin Cathedral

Tourists can see the ministry church and its impressive architecture along with the Cathedral museum, famous imperial staircase,and  the Hohenzollern crypt with nearly 100 coffins from four centuries. You can also go to the top of the dome where you will be treated to a remarkable view of Berlin. More information. [895]

 

[896]

Brandenburg Gate 

The gate use to represent the separation between East and West Berlin. However, when the wall came down in 1989 the Brandenburg Gate became a symbol of German unity. More information.  [896]

 

The East Side Gallery

Here tourist can see a 1.3 km-long section of the Berlin Wall near the center of the city. Around 106 painting cover the memorial, making it the largest open air gallery in the world. More information.  [897]

 

Family Friendly 

 Tanja Koch; [898]

Zoological Garden/Zoo Aquarium

Tourist are greeted by two large elephants made out of Elbe Sandstone upon arrival. The Zoological Garden/Zoo Aquarium is home to more species than any other zoo in Germany. More information. [898]

 

Legoland Discovery Centre

Legoland Discovery Centre Berlin © Legoland Discovery Centre Berlin [899]

Fun for all ages! You can play with detailed Lego brick replicas of Berlin’s most well-know landmarks, or race cars at 

the Build and Test Centre. More information. [899]

 

Solar Boats

Do you enjoy sightseeing from the water? If so, then renting a Solar Boat would be a great family friendly activity. The boats can be rented without a license. M [900]ore Information. [900]

 

 

For more information on any of these attractions and many more visit www.VisitBerlin.de [901]

 

Photo Credits:

Botanischer Garten | Botanical Gardens (2) © visitBerlin, Photo: Wolfgang Scholvien

Britzer Garten (3) © Grün Berlin

© visitBerlin, Photo: Tanja Koch

Berliner Dom | Berlin Cathedral (1) © visitBerlin, Photo: Philip Koschel

Brandenburger Tor | Brandenburg Gate (10) © visitBerlin, Photo: Wolfgang Scholvien

Berlin-East-Side-Gallery: Thierry Noir © visitBerlin, Photo: Tanja Koch

Zoologischer Garten Berlin | Zoological Garden Berlin © visitBerlin, Photo: Tanja Koch;

Legoland Discovery Centre Berlin © Legoland Discovery Centre Berlin

Room Share / Ride Share

[887]

Please use this page to find hotel roommates or rides for the ACBS World Conference 13 and/or pre-conference workshops.

Please be sure to post a "check-in" and "check-out" date in your posting and if you already have a room reserved or not (and where).

To post your need: click "add new comment" (which appears in blue below). It is recommended that you list your email address so that you may be contacted directly, but that is up to you.

To respond to a posting: click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).

See the "Example Post" and "Example Reply" below to understand what this will look like.

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us [304]" above in the header of the site for feedback or assistance. (You only need a login to interact with this page, paid membership is not required to participate.)

Please note that it becomes the responsibility of each participant in the program to communicate with and to work out an agreement with a potential room sharer. ACBS's role is strictly limited to the maintenance of this website page who have signified interest in the program and will maintain the page but will not (a) screen participants, (b) make any determination as to the appropriateness of any resulting room share, or (c) represent that any room share which may follow use of the service will prove to be satisfactory to the participants.

Continuing Education (CE) Credits

DClogo2dates.jpg [250]Possible credit hours:

  • 2-day pre-conference workshops: 13 hours
  • 1-day pre-conference workshop: 6.5 hours
  • ACBS World Conference 2015 (attending all CE events): approximately 26 hours

Types of Credit Available:

  • CE credit is available for psychologists. (APA type, USA)
  • CE credit is available for LCSW and MFT credits with the State of California, Board of Behavioral Sciences.
  • Accreditation from the Psychotherapeutenkammer (Psychotherapy Chamber of Germany) for the pre-conference workshops (14-15 July) is approved 276810/2015003250003 (category, 1.3). Accreditation from the Psychotherapeutenkammer (Psychotherapy Chamber of Germany) for the conference is approved 276810/2015005560003 (category, 1.3). 6 contact hours per full day (14-18 July), and 3 contact hours per half day (19 July) attended are available. To earn these credits/hours please add the Certificate with hours fee to your registration (€9/$10). Please pay this fee only once for any events registered for 14-19 July, 2015.

This program is sponsored by the Association for Contextual Behavioral Science. The Association for Contextual Behavioral Science is approved by the American Psychological Association to sponsor continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for this program and its content. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

ACBS is an approved provider of continuing education for MFCCs and/or LCSWs by the California Board of Behavioral Sciences, provider #PCE 4653.


To earn CEs for the World Conference and/or a Pre-Conference workshop (one fee covers both events) you may pay the appropriate fee when registering. To earn CEs for the World Conference and/or a Pre-Conference workshop (one fee covers both events). This fee is non-refundable (unless you cancel your registration in its entirety before the cancellation deadline). Attendance verification and completed evaluations also required.

Fees:

A $43 (€38) fee will be required to earn CEs.  If you attend either a pre-conference workshop(s), World Conference, or both, only $43 (€38) is due.  If you register for multiple events seperately, please only pay the fee one time. To earn CEs for the World Conference and/or a Pre-Conference workshop (one fee covers both events). This fee is non-refundable (unless you cancel your registration in its entirety before the cancellation deadline). Attendance verification (sign in/out) and evaluations also may be required.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Rodrigues, 1-269-267-4249 or through the Contact Us [294] link on this website.

  • CEs are only available for events that qualify as workshops, symposia, invited lecture, panel discussion, or plenary sessions. Poster sessions, IGNITE sessions, and some other specialty sessions (including chapter/sig meetings) do not qualify for Continuing Education.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

Deutsche Kopfhörer

[250]Die Plenarvorträge, die vom 16. bis 18. Juli auf der Konferenz gehalten werden, sind auf Englisch. Wir haben jedoch eine alternative Option für all diejenigen, die Deutsch als Vortragssprache bevorzugen. Es ist dieses Jahr für Sie möglich Kopfhörer zu reservieren, die eine simultane deutsche Übersetzung des Gesprochenen liefern. Diese Option ist kostenfrei wenn Sie, als Konferenzteilnehmer, Kopfhörer vor dem 19. Juni reservieren.

Um Ihre Kopfhörer zu reservieren, klicken Sie bitte [902]hier [902]. Die Anzahl an Kopfhörern ist limitiert. Falls Sie also welche benötigen sollten, nehmen Sie die Reservierung bitte unbedingt bis 19. Juni vor.

Reservieren Sie bitte keine Kopfhörer, falls Sie die Plenarreden auf Englisch hören werden.

 

The plenary addresses during the conference 16-18 July will be conducted in English, however we have an option for those who would prefer to listen in German. This year if you are more comfortable listening in German you will be able to reserve a headset that will provide you with a simultaneous translation in German. This option is free of charge to conference attendees that reserve a headset prior to 19 June.

To reserve your headsets visit our site [902] here [902]. There is a limited quantity of headsets available, so please reserve yours by 19 June if required.

If you will listen to the Plenary Addresses in English, please do not reserve a headset.      

General Schedule of Events - 13-19 July, 2015

[250]

Pre-Conference Workshops (2-day & 1-day)

14 July, 2015 - 9:00-17:15

15 July, 2015 - 9:00-17:15

ACBS World Conference 13

15 July, 2015 - (approx.) 19:30 - 19 July, 2015 - 12:00 noon


By day...

Note: The break and lunch times listed below are approximate.

Monday, 13 July, 2015

17:00-18:00

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar)

Tuesday, 14 July, 2015

7:30-16:30

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar)

9:00-17:15 (Breaks, 10:30-10:45am; Lunch, 12:00pm-1:15pm; Break, 3:30-3:45pm)

Workshops

Wednesday, 15 July, 2015

7:30-16:30

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar)

9:00-17:15 (Breaks, 10:30-10:45am; Lunch, 12:00pm-1:15pm; Break, 3:30-3:45pm)

Workshops

15:00-16:30

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar)

19:00-19:45

Rookies Retreat: ACBS Conference Orientation (Student and First Time Attendee event) (ECC room 3, Ground Floor, past the Festival Center)

19:30-21:00

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar)

19:30-22:30

Opening Social, Chapter & SIG Event (Estrel Saal A), Poster Session #1 (Estrel Saal B, Foyer Estrel Saal, and Large Gallery) (19:30-21:00, presenters will be by their posters until 20:30) (A cash bar will be available. All family & friends are welcome at this event.)

Thursday, 16 July, 2015

7:30-16:30

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar)

8:00-9:00

Morning Mindfulness & Movement sessions

Chapter/SIG/Committee Meetings

9:00-17:45 (Breaks, 10:15-10:30; Lunch, 12:00-13:15; Break, 16:15-16:30)

Conference Sessions

12:30-13:00

Poster Session #2 (Posters will be displayed from 9:00-16:30, poster presenters will be at their posters to answer questions from 12:30-13:00) (Estrel Saal B, Foyer Estrel Saal, and Large Gallery)

18:30-22:00

Hofbräu Berlin Dinner [903] (Karl-Liebknecht-Straße 30, 10178 Berlin); Name badges or tickets required. (Buses leave the Estrel Hotel at 18:30; return buses leave the Hofbräu Berlin at 21:00, 21:30, and 22:00)

Friday, 17 July, 2015

8:00-16:30

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar)

7:30-9:00

Morning Aikido Introduction

8:00-9:00

Morning Mindfulness session

Chapter/SIG/Committee Meetings

9:00-17:45 (Breaks, 10:15-10:30; Lunch, 12:00-13:15; Break, 16:15-16:30 & 16:30-16:45)

Conference Sessions

12:30-13:00

Poster Session #3 (Posters will be displayed from 9:00-16:30, poster presenters will be at their posters to answer questions from 12:30-13:00) (Estrel Saal B, Foyer Estrel Saal, and Large Gallery)

19:00

Free night: possibility to meet in Estrel Lobby to go to dinner in groups; then let loose at the Estrel Biergarten at night!

Saturday, 18 July, 2015

8:00-16:30

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar)

8:00-9:00

Morning Mindfulness & Movement sessions

Chapter/SIG/Committee Meetings

9:00-17:45 (Breaks, 10:15-10:30; Lunch, 12:00-13:15; Break, 16:15-16:30)

Conference Sessions

12:30-13:00

Poster Session #4 (Posters will be displayed from 9:00-16:30, poster presenters will be at their posters to answer questions from 12:30-13:00) (Estrel Saal B, Foyer Estrel Saal, and Large Gallery)

20:00-22:30 (Follies begin at approx. 20:30)

Follies! in the ballroom in ECC A (A cash bar will be available. All family & friends are welcome at this event.)

22:30-1:00

Dance Party! (Live Band and DJ)

Sunday, 19 July, 2015

8:30-12:00

Registration (registration desk in the Passage Estrel Saal, just beyond the Atrium bar) 9:00-12:00 noon (Break, 10:15-10:30)

Conference Sessions

Hofbräu Berlin Dinner - 16 July, 2015

As a fun, networking event, ACBS is organizing a traditional bavarian meal on 16 July, 2015 at the Hofbräu Berlin [904].

This event is included in the cost of attendee registration.

Transportation to and from the event will be provided via coach bus. (A few may travel via the S-Bahn.)

Transportation will leave the Estrel Hotel at 6:30pm (18:30).

Name badges or tickets required. (Buses leave the Estrel Hotel at 18:30; return buses leave the Hofbräu Berlin at 21:00, 21:30, and 22:00.)


Meal:
*Turkey with Red Cabbage
*Chicken with Red Cabbage
*Potato Dumpling and Gravy
*Pork Knuckle
*Meat Loaf
*Bratwurst
*Pork with Sauerkraut
*Bread

Vegetarian Meal:
*Tyrolean Cheese Platter (“Käsespätzle”)
*Fried Onions
*Mixed Market Salad
*Bread

************** Need a vegetarian, vegan, or gluten-free meal? Just indicate it when purchasing the ticket and one can be provided, if we are notified by 19 June, after this date special meals may be unavailable.

Drinks:
Complimentary water will be available at each table. Additional beverages may be purchased onsite.

Cost (including transportation):
Adults - €35 / $40
Children (6-18 years) - €31 / $35

Online ticket purchasing available through 7 July, 2015. After 7 July, tickets may be purchased from the ACBS registration desk at the Estrel, if still available, until 16:30, 16 July, for:  Adults - €45; Children - €40 (please have exact change).

Refunds for this event can not be made after 7 July, 2015. A $10 charge will be applied to refunds.

For more information on the Hofbräu Berlin please see their website here [904].

Invited Speakers for the World Conference 13

Hannah Bockarie [250]

Mrs. Hannah Bockarie has a Bachelor of Science in Project management and Development studies from Wohprag Biblical University Nigeria, a teacher’s certificate from the Makeni Teachers College in Sierra Leone, and a certificate as a trainer in Social Mobilization from the UK AID Team. She is trained as a counsellor since 2004 and started working as a counsellor supervisor with Medicine’s San Fortier’s for five years with the therapeutic focus victims of armed conflict. She did multiple Trainings in Acceptance and Commitment Therapy (ACT), attended the Association for Contextual Behavioral Science (ACBS) World Congresses in Italy and United States of America, and she is co-leading and leading ACT workshops since 2011.

She facilitated the establishment of commit and act Center in Sierra Leone to support families and individual suffering from stress, anger and fear. Hannah has been outstanding among Sierra Leone women to break the Ebola transmission by formation of psychosocial counseling groups. These groups of local teachers, social workers, etc., were incredibly courageous in going to quarantine homes to provide counseling sessions for people, and they did community sensitization sessions on Ebola control and prevention. Hannah also provided training for teachers using the ACT/PROSOCIAL approach, to educate community stake holders using this approach to cause reliable behavior change in their villages. This training reached out to about 67,000 community members in the hard to reach rural areas in 94 sections in Bo District, which was one of the first districts in the country declared Ebola free. She was recognized and certified as the most outstanding psychosocial organizational Director in the district by the Bo district Council and by the District Emergency Response Centre in Bo. Her work has motivated many individuals and organizations in the Sierra Leone and they are requesting for partnership.


Martin Bohus, M.D.

Martin Bohus holds the chair of Psychosomatic Medicine and Psychotherapy, Heidelberg University and is Medical Director at the Central Institute of Mental Health, Mannheim.

He received his M.D. at Freiburg Medical School and did his residency in Psychiatry and Neurology at Freiburg Medical School. He made his specialty in Psychiatry and Psychotherapy and in Psychosomatic Medicine.

He received several awards for psychotherapy research. He is board member of the German Association of Psychiatry DGPPN, President of the European Society for the Studies of Personality Disorders (ESSPD), President of the German Association for DBT and Co-chair of the International Strategic Planning Meeting for Dialectical Behavior Therapy (SPM). He was president and initiator of the 1st International Congress on Borderline Personality Disorder, Berlin 2010 and since 2012 he is spokesperson of the Clinical Research Unit “Mechanisms of Disturbed Emotion Processing in BPD”.

He has published in highly ranked international journals like Nature, The Lancet, Archives of General Psychiatry; Biological Psychiatry, Blood, and others. Currently he has published more than 250 articles and book chapters.

His training and experience in both, neurobiology and psychotherapy research helps him to bridge the gap between these fields and provides cutting edge translational research.


JoAnne Dahl, Ph.D.

JoAnne Dahl, Ph.D, Professor of Psychology at Uppsala University in Uppsala Sweden and licensed Clinical psychologist and psychotherapist. JoAnne is an internationally recognised ACT Trainer and conducts ACT workshops around the world. Her areas of ACT research include applications primarily with chronic illness such as Chronic pain, epilepsy, asthma, obesity. JoAnne has spent considerable time developing and implementing ACT programs in the developing countries for war victims suffering from trauma, as well as epilepsy and HIV. JoAnne is lead author of ACT books in treatment of chronic pain, epilepsy, love and intimate relationships and weight reduction. She also has 30 scientific articles concerning development and assessment ACT applications. JoAnne is the present chairman of Swedish Chapter of ACBS.


Richard J. Davidson, Ph.D.

William James and Vilas Research Professor of Psychology and Psychiatry, Director of the Waisman Laboratory for Brain Imaging and Behavior, and Founder of the Center for Investigating Healthy Minds at the Waisman Center, University of Wisconsin-Madison.

He received his Ph.D. from Harvard University in Psychology and has been at Wisconsin since 1984. He has published more than 320 articles, numerous chapters and reviews and edited 14 books. He is the author (with Sharon Begley) of The Emotional Life of Your Brain published by Penguin in 2012.

He is the recipient of numerous awards for his research including a National Institute of Mental Health Research Scientist Award, a MERIT Award from NIMH, an Established Investigator Award from the National Alliance for Research in Schizophrenia and Affective Disorders (NARSAD), a Distinguished Investigator Award from NARSAD, the William James Fellow Award from the American Psychological Society, and the Hilldale Award from the University of Wisconsin-Madison. He was the year 2000 recipient of the most distinguished award for science given by the American Psychological Association –the Distinguished Scientific Contribution Award. He was the Founding Co-Editor of the new American Psychological Association journal EMOTION and is Past-President of the Society for Research in Psychopathology and of the Society for Psychophysiological Research.

He has been a member of the Mind and Life Institute’s Board of Directors since 1991. In 2003 he was elected to the American Academy of Arts and Sciences and in 2004 he was elected to the Wisconsin Academy of Sciences, Arts and Letters. He was named one of the 100 most influential people in the world by Time Magazine in 2006. In 2006 he was also awarded the first Mani Bhaumik Award by UCLA for advancing the understanding of the brain and conscious mind in healing. Madison Magazine named him Person of the Year in 2007. In 2008, he founded the Center for Investigating Healthy Minds, a research center dedicated to the study of positive qualities, such as kindness and compassion. In 2011, he was given the Paul D. MacLean Award for Outstanding Neuroscience Research in Psychosomatic Medicine. He serves on the Scientific Advisory Board at the Max Planck Institute for Human Cognitive and Brain Sciences in Leipzig from 2011-2017 and as Chair of the Psychology section of the American Association for the Advancement of Science from 2011-2013. In 2013 he received the NYU College of Arts and Science Alumni Achievement Award. Member of the World Economic Forum's Global Agenda Council on Mental Health for 2014-2016.

His research is broadly focused on the neural bases of emotion and emotional style and methods to promote human flourishing including meditation and related contemplative practices. His studies have included persons of all ages from birth though old age and have also included individuals with disorders of emotion such as mood and anxiety disorders and autism, as well as expert meditation practitioners with tens of thousands of hours of experience. His research uses a wide range of methods including different varieties of MRI, positron emission tomography, electroencephalography and modern genetic and epigenetic methods.


Barbara Fredrickson, Ph.D.

Dr. Barbara L. Fredrickson is Kenan Distinguished Professor of Psychology and Director of the Positive Emotions and Psychophysiology Lab (a.k.a. PEP Lab) at the University of North Carolina at Chapel Hill. She received her Ph.D. in psychology from Stanford University, with a minor in organizational behavior. She is one of the most highly-cited scholars in psychology and her research on positive emotions and lifestyle change is funded by the U.S. National Institutes of Health (NCI, NIA, NCCAM, NIMH, NINR). Professor Fredrickson has published more than 100 peer-reviewed articles and book chapters and her general audience books, Positivity (2009, Crown, www.PositivityRatio.com [871]) and more recently, Love 2.0 (2013, Penguin, www.PositivityResonance.com [872]) have been translated into more than a dozen languages. She is currently President of the International Positive Psychology Association (www.IPPAnetwork.org [873]). Her scholarly contributions have been recognized with numerous honors, including the inaugural Templeton Prize in Positive Psychology from the American Psychological Association, the Career Trajectory Award from the Society of Experimental Social Psychology, and the inaugural Christopher Peterson Gold Medal from the International Positive Psychology Association. In 2014, she was identified as the 13th most influential psychologist alive today contributing to counseling psychology. Her work has influenced scholars and practitioners worldwide, within education, business, healthcare, the military, and beyond, and she is regularly invited to give keynotes nationally and internationally.


Steven C. Hayes, Ph.D.

Steve is Nevada Foundation Professor at the Department of Psychology at the University of Nevada. An author of 37 books and 535 scientific articles, his career has focused on an analysis of the nature of human language and cognition and the application of this to the understanding and alleviation of human suffering. Dr. Hayes has been President of Division 25 of the APA, of the American Association of Applied and Preventive Psychology, the Association for Contextual Behavioral Science, and of the Association for Behavioral and Cognitive Therapies. He was the first Secretary-Treasurer of the Association for Psychological Science, which he helped form and has served a 5 year term on the National Advisory Council for Drug Abuse in the National Institutes of Health. In 1992 he was listed by the Institute for Scientific Information as the 30th “highest impact” psychologist in the world. His work has been recognized by several awards including the Exemplary Contributions to Basic Behavioral Research and Its Applications from Division 25 of APA, the Impact of Science on Application award from the Society for the Advancement of Behavior Analysis, and the Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapies.


Jason Luoma, Ph.D., is a clinical psychologist and director of the Portland Psychotherapy Clinic, Research, and Training Center in Portland, Oregon, a unique research and training clinic where all profits go to fund scientific research. In addition to directing the center and conducting research, he maintains a clinical practice focused on helping people who suffer from chronic shame, self-criticism, and low self-esteem. Dr. Luoma has been studying ACT for about 15 years and spent 4 years at the University of Nevada, Reno, studying ACT with its creator, Dr. Steven Hayes. Dr. Luoma is an internationally recognized trainer in ACT, former chair of the ACT Training Committee, and current president of the Association for Contextual Behavioral Science. He is lead author of Learning Acceptance and Commitment Therapy, one of the best-selling ACT books for therapists. He has conducted ACT-related research for over a decade and has over 30 publications related to ACT, including research on psychotherapy training and dissemination.


Lance McCracken, Ph.D.

Lance McCracken is Professor of Behavioural Medicine at King’s College London, and he is active in clinical services at INPUT Pain Management at Guys' and St. Thomas' Hospitals NHS Foundation Trust, London. His primary research interests are in chronic pain management. Most of this research is applied clinic-based research focused on the development of psychological and interdisciplinary treatment methods. The primary strategy in this work is to explicitly combine outcome analyses with theoretically-based treatment process and moderator analyses. The guiding model for this research sits within the broadly Cognitive Behavioural approaches and can be called Contextual CBT. Contextual CBT is a generic term that reflects an emphasis shared across a number of different current therapies, including those that focus on exposure-based methods, mindfulness, acceptance, values, and a functional view of psychological experiences, among other qualities. The more specific model guiding his research includes psychological flexibility, the primary treatment process within Acceptance and Commitment Therapy (ACT).


Vikram Patel, FMedSci

Vikram Patel is affiliated with the Centre for Global Mental Health, London School of Hygiene and Tropical Medicine (LSHTM), and is the Co-Director of the Centre for Chronic Conditions and Injuries, Public Health Foundation of India.  He is a psychiatrist with a primary interest in global mental health and is supported by a Wellcome Trust Senior Research Fellowship in Clinical Science. Vikram is also the co-founder of Sangath; an Indian NGO which has pioneered task-sharing experiments in the areas of child development, adolescent health and mental health.

In 2011, Vikram was appointed to two Government of India health committees, the Mental Health Policy Group (which drafted India’s first national mental health policy, launched on October 10th, 2014) and the National Rural Health Mission ASHA Mentoring Group. He also serves on three WHO Committees, and he was co-chair of the Scientific Advisory Board of the Grand Challenges in Global Mental Health. Vikram serves as the Lead editor of the Disease Control Priorities Network volume on mental, neurological and substance use disorders. He is also Lead editor of the Lancet series on global mental health (2007 and 2011), the PLoS Medicine series on packages of care for mental disorders (2009) and the series on Global Mental Health Practice (2012 onwards) and co-editor of the IJE series on psychiatric epidemiology and global mental health (2014). In addition, Vikram is the editor of two new OUP textbooks on global mental health (Global Mental Health: Principles and Practice, 2013; and Global Mental Health Trials, 2014). In 2015 Vikram was named on of the 100 most influential people in the world by Time. 


Rikard Wicksell, Ph.D.

Rikard Wicksell is a psychologist, clinical researcher, and head of the Behavior Medicine Pain Treatment Service (BMPTS) at the Centre for Pain Medicine, Karolinska University Hospital in Stockholm, Sweden. The BMPTS is today among the larger clinics for behavior medicine in Sweden, and one of the main ACT-oriented research clinics in the world. His research has primarily been related to the application of ACT for patients with chronic debilitating pain and related conditions, both adult and pediatric patients. Several studies have focused on evaluating the change processes in ACT. Recent research has addressed the correspondence between the ACT-model and neuroscience, with studies evaluating the role and relevance of e.g. brain activity patterns for treatment outcome. He is currently involved in the development and evaluation of internet-delivered ACT. Also, a series of studies are being conducted to explore the relation between pain and neuropsychiatric symptoms, as well as the correspondence between psychological flexiblity and executive functions. He has authored numerous scientific articles and book chapters on ACT and pain. His book, To live with pain - ACT as a Strategy for Life, was published in 2014. He has served on the ACBS Board. He is also one of the founders, and the first president, of the Swedish ACBS chapter, and is currently the chair of the ACBS research committee.

Program Committee

Here are the folks who are putting it all together and make WC13 a success: [250]

Colleen Ehrnstrom, Ph.D., ABPP, Department of Veterans Affairs
Sandra Georgescu, Psy.D., The Chicago School of Professional Psychology
Andrew Gloster, Ph.D., University of Basel, Switzerland - CHAIR
Paul M. Guinther, Ph.D., Portland Psychotherapy
Louise Hayes, Ph.D., Orygen Youth Health Research Centre and Centre for Youth Mental Health, University of Melbourne, Australia
Maria Karekla, Ph.D., University of Cyprus
Kelly Koerner, Ph.D., Evidence-Based Practice Institute
Igor Krnetic, Ph.D., University of Banja Luka
Tobias Lundgren, Ph.D., Karolinska Institute, Stockholm city council and Psychology department Stockholm University
Louise McHugh, Ph.D., University College Dublin
Trym Nordstrand Jacobsen, M.S., ACTbet
Joe Oliver, Ph.D., Camden & Islington NHS Trust, London, UK
Kevin Polk, Ph.D., The Psychological Flexibility Group, Hallowell, Maine, USA
Rainer Sonntag, M.D., Private Practice, Olpe, Germany
Ian Stewart, Ph.D., National University of Ireland, Galway
Dennis Tirch, Ph.D., The Center for Mindfulness and Compassion Focused Therapy

Student Members:
Patrizia Hofer, University of Basel
Barbara Knitter, University of Basel
L. Jorge Ruiz-Sánchez, University of Almeria

German Organizing Committee:

Herbert Assaloni, MD, psychiatrist and psychotherapist, private practice, Winterthur, Switzerland.
Ronald Burian, MD, Psychiatrist, General Hospital "Evangelisches Krankenhaus "Königin Elisabeth Herzberge" Berlin", Germany
Aisling Curtin, Counselling Psychologist, ACT Now Ireland & WTF Psychology
Beate Ebert, Clinical Psychologist and licensed Psychotherapist, Private Practice, Aschaffenburg, Germany
Mathias Funke, Clinical Psychologist, Private Practice, Berlin, Germany
Andrew Gloster, Prof. of Psychology, University of Basel
Maria Kensche, MD, Consultant Psychiatrist and Psychotherapist, EOS Clinic Münster
Valerie Kiel, Ph.D., Clinical psychologist & ACT-trainer in private practice (Maastricht, The Netherlands) and at Fachklinik Hochsauerland (Bad Fredeburg, Germany)
Jan Martz, MD, Psychiatrist, Private Practice, Winterthur, Switzerland
Graciela Rovner, PhD, Registered Physiotherapist, pain specialist, Gothenborg
Norbert Schneider, Clinical Psychologist & licenced Psychotherapist, Private Practice, Fuerth, Germany
Sandro Teuber, Dipl. Psych.,"HELIOS Hanse-Klinikum Stralsund", Greifswald, Germany

Spouses, Partners, and Children

Attending World Conference 13 with your spouse, partner, or children? Don't worry, there are plenty of things they can do to stay entertained while in Berlin!

Wednesday, 15 July, 2015

19:30-22:30

Opening Social, Chapter & SIG Event, Poster Session #1 (19:30-21:00, presenters will be by their posters until 20:30) (Estrel Saal A) (A cash bar will be available. All family & friends are welcome at this event.)

Thursday, 16 July, 2015

9:00 am

Easy intro to ACT for Partners, Spouses, and Kids of any age

Partner, spouses, children, and families are welcome to attend this session. This is a great chance to learn more about what your conference attendee will be doing this week. It is also a great opportunity for those looking for a touring buddy, or those traveling with children to meet others and find playmates for the duration of the event.

18:30-22:00

Join us for a fun Bavarian style dinner at the Hofbräuhaus Berlin (Karl-Liebknecht-Straße 30, 10178 Berlin); Name badges or tickets required. (Buses leave the Estrel Hotel at 18:30; return buses leave the Hofbräuhaus at 21:00, 21:30, and 22:00) Attendees are welcome to bring their family and friends, however we do ask that you purchase a ticket for each additional person, online, by 30 June. To purchase a guest ticket or for more information go here [903]. 

Saturday, 18 July, 2015

20:00-22:30 (Follies begin at approx. 20:30)

Follies! in the ballroom in ECC A (A cash bar will be available.) All family & friends are welcome to join us at this event. (Occasionally the content of the Follies can be a little "adult" so just be aware if you're bringing the young ones.)

 

In addition to the events above, there are plenty of other things to do in Berlin. The conference center is located near shopping, restaurants, and even a park with playground equipment. View our map here [906], to see the areas attractions.

If you venture away from the conference center, you will find ample options to stay entertained. We have compiled a list of some great places to visit while in Berlin here [907]. 

If you are traveling with children, and are either able to help watch another attendees children or are looking for care for your own can visit our Child Care page here [908].

We regret that Spouses, Partners, and Children not registered for the World Conference may not participate in lunches, coffee breaks, etc. that are provided for registered attendees.

Training Observations for Peer Review at the ACBS World Conference

If you are building a portfolio of materials to submit for peer review to become a Peer Reviewed ACT trainer [1], the World Conference can be a place where you may be able to be observed delivering training. The process for requesting an observation must be done in advance and involves completing the Observation request form on the Training Page at: http://contextualscience.org/training_standards [213], under the link 'How can my training be observed?" We will do our best to arrange an observation, though this is dependent on the availability of reviewers and so we can not guarantee it.

In addition, that page details exactly the kinds of materials you need to show to successfully achieve peer review. Please only request an observation if you are committed to the process, have self-assessed that you are ready to make an application and have already begun to work on your portfolio. If you are thinking you might one day apply, please don't request an observation at this stage. Instead, you can read more about the process on the Training Page and you can contact the Training Committee Chair (details on the training page) for further advice and support about the peer review process.

David Gillanders
ACBS Training Committee Chair

WC13 Posters

Please note: You must be logged in as an ACBS member in order to view the content below.

WC13 Posters  [909]

WC13 Posters

[250]Poster files will be added as we receive them. If you would like your poster file to be added to this list, please email it to Brandon at acbsstaff@contextualscience.org [910].
 

Location: Estrel Saal B, Foyer Estrel Saal, and Large Gallery

Wednesday, 15 July, 19:30-20:30 - Poster Session #1 

Thursday, 16 July, 12:30-13:00 - Poster Session #2

Friday, 17 July, 12:30-13:00 - Poster Session #3

Saturday, 18 July, 12:30-13:00 - Poster Session #4

(Posters will be on display from 19:30-21:00 (Wed. only) and 9:00-16:30 on their respective days)

Image denotes ACBS Junior Investigator Poster Award Recipients

Wednesday, 15 July - Poster Session #1

1. Emotion regulation processes in couples with infertility, fertile couples and couples applying for adoption [911]
Primary Topic: Behavioral medicine
Subtopic: Infertility
Ana Galhardo, Instituto Superior Miguel Torga; CINEICC - Faculty of Psychology and Educational Sciences of the University of Coimbra
Marina Cunha, ISMT; CINEICC
José Pinto-Gouveia, CINEICC - Faculty of Psychology and Educational Sciences of the University of Coimbra

Background: Facing infertility is often seen as a physically and psychologically demanding experience and feelings of defectiveness, inadequacy, inferiority, worthlessness, shame and guilt are frequently experienced by men and women with infertility. In turn, emotion regulation can be defined as a set of processes by which we monitor, assess, and change emotions according to the context of their occurrence. Until recently, coping styles were the emotion regulation mechanisms that interested researchers the most in the area of infertility. The current study addresses emotion regulation processes such as psychological inflexibility/experiential avoidance, self-judgment and self-compassion along with emotional/detached, rational and avoidant coping styles. Considering that infertility has been described as an experience that induces stress, in the individual as well as in the couple, the aim was to explore differences in emotion regulation processes between infertile couples pursuing medical treatment, fertile couples, and couples who were applying for adoption. Method: Our sample included 120 fertile couples (FG), 147 couples with an infertility diagnosis who were pursuing medical treatment for their fertility problem(s) (IG), and 59 couples with infertility applying for adoption (AG). Participants filled in paper-pencil questionnaires assessing coping styles, psychological inflexibility/experiential avoidance, self-judgment and self-compassion. This was a cross-sectional study, using the couple as unit of analysis. Results: IG couples, and particularly women, tend to use more experiential avoidance and self-judgment mechanisms and less emotional/detached coping style. When compared to FG couples, IG and AG couples tend to apply more avoidant coping strategies. AG couples showed higher self-compassion. Discussion: From a clinical perspective, when working on psychological difficulties in infertile patients it is important to bear in mind the role of emotion regulation processes, particularly in women, that may contribute to the increasing of psychological suffering. These findings suggest that the Mindfulness Based Program for Infertility, Acceptance and Commitment Therapy and Compassion-Focused Therapy may be adequate approaches for patients dealing with infertility. These contextual cognitive-behavioral therapies explicitly address emotion regulation skills and may expand the effectiveness of psychotherapeutic interventions.

2. An examination of psychological flexibility in the context of parental well-being and infant cognitive and social-emotional functioning
Primary Topic: Behavioral medicine
Subtopic: children, development
Anne Brassell, University of Vermont
Jordan Weith, University of Vermont
Karen Fondacaro, University of Vermont

Increasing occurrences of war and political conflict have led to a worldwide growth in the number of refugees. Currently, there is global need to identify and address the psychosocial needs of this at-risk population using culturally relevant and accepted methods. Acceptance and Commitment Therapy (ACT) principles allow for the adaptable and idiographic evaluation and treatment of multi-cultural populations. The current presentation focuses on ACT-based principles in relation to infant development in the refugee population. Preliminary case studies demonstrate greater likelihood of poorer attachment and developmental concerns in refugee infants. However, little is known regarding the mechanisms leading to such outcomes. We empirically evaluate the association between parental psychological flexibility, parental well being, and infant cognitive and social-emotional functioning.

3. The role of psychological flexibility in predicting treatment response for a behavioral parenting program
Primary Topic: Clinical Interventions and Interests
Subtopic: Culture
Anne Brassell, University of Vermont
Justin Parent, University of Vermont
Jessica Clifton, M.A., University of Vermont
Karen Fondacaro, Ph.D., University of Vermont

Refugee parents face unique challenges raising adolescents that are assimilating into Westernized culture given their past experiences, cultural differences (e.g., views on adolescent autonomy), and unfamiliarity of parenting practices in their new environment. These factors may lead to an increase in negative adolescent behavior, psychopathology, and familial stress. Behavioral parenting programs targeting common adolescent behavior may be one method of reducing these effects. However, given the unique experiences of refugee parents, it is important to incorporate culturally-adapted methods to previously established parenting programs. Psychological flexibility may enhance the effects of parenting training, as the parent is able to engage with the material and their adolescent despite the challenges they experience. The current study will present a modified adolescent parenting program designed for refugee parents rooted in ACT principles. We will examine the association between parental psychological flexibility in predicting treatment change in parenting style and adolescent behavior. We predict greater psychological flexibility will be associated with greater gains in parenting skills and a reduction in adolescent psychopathology.

4. Beyond a physical symptom: The importance of psychosocial factors in Multiple Sclerosis pain [912]
Primary Topic: Behavioral medicine
Subtopic: Chronic pain, Neurological Conditions
Anthony Harrison M.Sc., Institute of Psychiatry, Kings College London
Rona Moss-Morris Ph.D., Institute of Psychiatry, Kings College London

Background: Pain is a common and unpredictable symptom affecting around 63% of people with Multiple Sclerosis (pwMS). Current biomedical treatments demonstrate limited efficacy and many pwMS experience uncontrollable pain. While a recent systematic review and qualitative study indicate several psychosocial factors may be associated with outcome, there is no coherent understanding of how they fit together in MS pain, how they interact with relevant disease variables and whether relationships differ according to pain subtype. The aim of this study was to determine whether potentially modifiable psychosocial factors, drawn from a theory of Multiple Sclerosis (MS) pain, explain significant amounts of the variance in pain severity and interference above and beyond measures of disease severity and pain subtype. Methods: 612 people with MS (pwMS) experiencing pain completed a UK wide cross-sectional survey including brief pain inventory short-form (BPI), hospital anxiety and depression scale (HADS), chronic pain acceptance questionnaire (CPAQ-8), cognitive fusion questionnaire (CFQ), pain catastrophizing questionnaire (PCS) Illness perceptions questionnaire (IPQ-R) and avoidance endurance questionnaire (AEQ). Participants were recruited from national health service MS clinics, and online through the MS UK Register and MS Society. Hierarchical regressions determined the relative contribution of disease severity and psychosocial factors in predicting pain severity and pain interference. Subgroup analyses explored potential differences between pwMS with neuropathic and non-neuropathic pain. Results: All psychosocial factors from the MS pain model, including distress, negative illness perceptions about pain and its consequences, avoidance of social and physical activity, pain acceptance and cognitive fusion were related to pain outcomes, explaining a further 24% and 30% of the variance in pain severity and pain interference after controlling for demographic and disease variables. Findings were similar for neuropathic and non-neuropathic pain subgroups. However, disease factors explained more of the variance in neuropathic pain. Conclusion: All people in this study reported significant pain and associated disability even though over 90% were taking pain medication. The psychosocial factors identified as important in predicting pain severity and, to a greater extent, pain interference are potentially modifiable and thus may be important treatment targets for both neuropathic and non-neuropathic pain. How these data were used to guide the development of a self-management intervention for MS pain will be briefly discussed.

5. Effects of an ACT consistent intervention for insomnia in adults with longstanding pain [913]
Primary Topic: Behavioral medicine
Subtopic: chronic pain, insomnia
Rebecca Andersson, lic psychologist, Behavioral Medicine Pain Treatment Service, Karolinska University Hospital
Jenny Rickardson, lic psychologist, Behavioral Medicine Pain Treatment Service, Karolinska University Hospital
Marie Kanstrup, Ph. D. student, psychologist
Lie Åslund, Ph. D. student, psychologist
Rikard K. Wicksell, Ph.D

Background Insomnia is common among patients attending health care due to longstanding pain and it is related to depression and functional disability (Menefee et al., 2000). However, insomnia is not necessarily improved in pain rehabilitation suggesting the need to specifically address sleep problems as part of treatment (Kemani et al., 2015). Few studies evaluating acceptance and behavioral interventions for insomnia among longstanding pain patients exist. Aim of the study To investigate the utility of an ACT consistent intervention for insomnia in adult patients with longstanding pain and insomnia attending tertiary care. Method This pilot study was conducted as an open trial with pre-post design (N=15). Patients that already have completed an ACT-based treatment for longstanding, debilitating pain at the Behavioral Medicine Pain Treatment Service, Karolinska University Hospital, are recruited in this study. The intervention consists of six group sessions based on CBT/ACT including psychoeducation on sleep, sleep restriction and stimulus control, valued driven behavior and acceptance towards unwanted experiences such as pain or daytime fatigue (Dalrymple, Fiorention, Politi & Posner, 2010). Outcome measures include the following self-report measurements compared to pre-study reports: Insomnia Severity Index (ISI), Pain Disability Index (PDI), Short Form 12 (SF-12), Actigraph (objective sleep measure), sleep diary assessments, values and goal assessment. Process measures include Psychological Inflexibiliy in Insomnia Scale (PIIS), Longstanding Pain Acceptance Questionnaire-8, modified for insomnia (CPAQ-8_I) Results Preliminary results for fifteen patients will most likely be available for presentation in July 2015 together with a discussion on clinical implications and future research plans. Discussion Implications of these results will be discussed. More research, including controlled clinical trials evaluating interventions for insomnia is much needed. Future studies should include investigating ACT processes of change in sleep treatment.

6. A confirmatory factor analysis of facets of psychological flexibility in a sample of people seeking treatment for chronic pain
Primary Topic: Behavioral medicine
Subtopic: Chronic Pain
Whitney Scott, PhD, King's College London
Lance M. McCracken, PhD, King's College London
Sam Norton, PhD, King's College London

Background: Evidence supports the validity of subprocesses of psychological flexibility in the context of chronic pain. However, only very limited research has comprehensively tested a model of psychological flexibility that simultaneously incorporates several of the proposed subprocesses. Although psychological flexibility is described as a single overarching process, research has not adequately tested higher-order or general factor models to explain the inter-relationships between subprocesses of psychological flexibility among individuals with chronic pain. Therefore, this study investigated the structure of measures assessing subprocesses of psychological flexibility among individuals with chronic pain. Method: Five hundred and seventy-three individuals with chronic pain attending an ACT-based interdisciplinary treatment completed measures of pain, depression, daily functioning, acceptance, and processes of psychological flexibility during their pre-treatment assessment. Confirmatory factor analyses tested competing lower-order, higher-order, and bifactor models to examine the structure of psychological flexibility process measures. Results: A bifactor model with a general underlying “psychological flexibility” factor appeared to be the most appropriate empirical representation of the relationships between individual item responses on questionnaires assessing acceptance, defusion, decentering, and committed action. As expected, the general factor was strongly correlated with measures of social functioning, mental health, and depression. Discussion: The results will be discussed in terms of their implications for future refinements to existing measures of psychological flexibility.

7. ACT & psychosis: Theoretical and practical discussion from psychosocial rehabilitation and recovery experience
Primary Topic: Clinical Interventions and Interests
Subtopic: PSYCHOSIS
Abraham Alvarez, CRPS Hermanas Hospitalarias
Jose Luis Arroyo, CRPS Hermanas Hospitalarias
Elena Soteras, CRPS Hermanas Hospitalarias
Sara De Rivas, Universidad Autonoma de Madrid

First of all an exhaustive review of ACT and psychosis will be presented. From manual and computerized search, 26 studies with empirical evidence of ACT and psychosis were selected. Results suggest that ACT decreases rehospitalization rates, hallucinations’ credibility and increases the frequency of valued actions, among other benefits. Although more research is required, ACT seems a promising treatment for psychosis. Secondly, we will present several testimonies from different ACT clinicians working within the model of psychosocial rehabilitation and recovery, and we will promote an open discussion around it.

8. Subjective Happiness Scale (SHS): Psychometric Properties on an Italian sample of adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: subjective happiness, life satisfaction, wellbeing, adolescents
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Valentina Carloni, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Martina Romitelli, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

Subjective Happiness Scale (SHS; Lyubomirsky, Lepper, 1997) is a measure of global subjective happiness developed on adult samples. Its 4 items have been translated into Italian and submitted on a sample of about 400 students aged 11-14. Data collected support its comprehensibility also for youths and its good convergent and discriminant validity and reliability. Adolescents with higher levels of subjective happiness reveal a better quality of life, more mindfulness abilities, less anxious, depressive, somatic and dissociative symptoms, less negative beliefs. The availability of an italian version of SHS could have important consequences both for clinical practice and research.

9. Preliminary analysis of motivational reasons in an aversive task
Primary Topic: Clinical Interventions and Interests
Subtopic: Defusion, values
Ángel Alonso, Universidad de Almería
Carmen Luciano, Universidad de Almería

The aim of this preliminary study is, first, to explore the impact of motivational reasons on tolerance in an aversive task. Secondly, we explored the effect of these motivational reasons together with a brief Defusion protocol. Twenty two participants were randomly assigned to three conditions. All of them went through the aversive task two times (pretest and posttest). In the Reasons Condition, the participants responded to a questionnaire inbetween the pretest and the posttest of an aversive task. They were asked to report a reason why they would continue in the aversive task again, so that the questionnaire included reasons that could establish a motivational context of values. In the Reasons and Defusion Condition, a brief protocol of Defusion skills was applied to the participants, in addition to the questionnaire of reasons. In the Control Condition, the tasks were presented without any protocol inbetween. Two measures were taken during the aversive task procedure: tolerance to the task and discomfort self-reports. Results showed a wide diversity in the tolerance to the task. That variability and the limitations are discussed.

10. Effectiveness of acceptance and commitment therapy on parental stress of mothers of children with nocturnal enuresis
Primary Topic: Clinical Interventions and Interests
Subtopic: acceptance and commitment therapy,nocturnal enuresis, parental stress
Arezu Kabiri, M.A., Islamic Azad University, Najaf Abad branch, Isfahan, Iran
Leili Nourian, M.A., Islamic Azad University, Najaf Abad branch, Isfahan, Iran

The purpose of present study was to investigate the effectiveness of acceptance and commitment therapy on parental stress of mothers of children, aged 5 to 12, with nocturnal enuresis in 2014 in Iran. This semi-experimental study was conducted as pre-test and post-test with control group. Statistical population included all mothers of children with enuresis in city of Isfahan(Iran). From among these mothers, 30 mothers were randomly selected and put into the experimental and control groups of 15 persons each. The parenting stress index(PSI) questionnaire(Abidin, 1990) was the instrument of this study. The intervention involved 8 sessions, each lasting for 90 min of acceptance and commitment therapy which was provided merely for experiment group. At the end, the post-test was applied on both groups. The result of covariance analysis indicate that the experimental group has significantly decreased parenting stress in the realm of parent(p<0.05) and the realms of child(p<0.05) and there is a significant difference between the experimental and control groups in terms of the parenting stress of children with enuresis(P<0.05). thus, the effectiveness of acceptance and commitment therapy on decreasing the level of parental stress of mothers of children with nocturnal enuresis was confirmed.

11. My Body and You: The impact of Body Image on Interpersonal Relationships
Primary Topic: Clinical Interventions and Interests
Subtopic: Body Image Disturbance
Benjamin Ramos, University of Louisiana at Lafayette
Glenn Callaghan, San Jose State University
Emily Squyres, Louisiana Tech University
Emily Sandoz, University of Louisiana at Lafayette

Many experience dissatisfaction with the way their bodies look. Sometimes this dissatisfaction comes to interfere with their lives across many domains. Body image disturbance involves inaccurate perceptions about one’s body that prompt distress. People struggling with body image disturbance tend to place high importance on their perceptions about their body and the accompanying thoughts and feelings while actively attempting to avoid them. This sometimes involves restricting social interactions in an attempt to manage painful body experience. This study focused on the development and validation of The Body Image and Relational Distress Scale (BIRDS) with samples with and without body image disturbance. Preliminary evidence suggests that the BIRDS allows for reliable and valid assessment of the impact of body image on interpersonal relationships. Data also suggest positive relationships amongst body image disturbance, psychological distress and interpersonal difficulties. Implications for family- and group-based treatments of body image disturbance will be discussed.

12. The relation between executive function and psychological flexibility in adolescents with longstanding pain
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychological flexibility, Executive function
Camilla Wiwe Lipsker, MSc, PhD cand., Behavioral Medicine Pain Treatment Service, Karolinska; Department of Clinical Neuroscience, Karolinska Institutet
Malin Bygård, MSc student, Behavioral Medicine Pain Treatment Service, Karolinska University Hospital
Marie Bjoernstjerna, MSc student, Behavioral Medicine Pain Treatment Service, Karolinska University Hospital
Rikard K. Wicksell, PhD, Karolinska Institute, Stockholm, Sweden

Background Executive function refers to a set of cognitive processes used in the management of goal-directed behaviors and includes intentional skills, such as the ability to initiate, sustain, inhibit, and shift attention. Chronic pain conditions are complicated and psychologically challenging to live with. Current research proposes a relationship between pain, self-regulatory capacity, executive functions and attention control, suggesting that executive functions and self-regulatory deficits are part of the etiology and maintenance of chronic pain conditions. In ACT a central treatment target is psychological flexibility, defined as the ability to take action in line with personally held values even in the presence of interfering thoughts, emotions and sensations. Psychological flexibility has been described as much depending on and related to executive functioning. To our knowledge however, there is to date no study that examines the relation between executive function and psychological flexibility. Aim To examine the relationship between executive function and psychological flexibility in a sample of adolescents with longstanding pain Method Patients at the Behavioral Medicine Pain Treatment Service, Karolinska University Hospital, between the ages 13 – 17 are recruited to the study. At present, data from 24 subjects have been obtained. A correlational study design is employed to evaluate the degree of association between executive function, psychological flexibility and functional impairment due to pain. The influence of pain level, depression and insomnia is also investigated. Participants are administered four tests from the Delis-Kaplan Executive Function System (D-KEFS) as a direct measure of executive function: the Trail Making Test, The Sorting test, the Color-Word Interference Test, and the Tower Test. Self-report assessments are administered for measurement of psychological flexibility (PIPS and AFQ-Y), impairment due to pain (PII), degree of pain (VAS), sleep disturbance (ISI), and depression (CES-DC). Results & Conclusion Correlation and mediation analyses will be performed in order to clarify the relationships between the investigated variables. Preliminary results for a minimum of 24 subjects will be available for presentation in July 2015 along with a discussion on possible clinical implications and directions for future research.

13. The effect of body image inflexibility on adolescent restrained eating
Primary Topic: Clinical Interventions and Interests
Subtopic: eating psychopathology
Cláudia Ferreira, PhD, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra
Inês A. Trindade, MSc, PhD student, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra
Cristiana Duarte, MSc, PhD student, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra

Background: Body dissatisfaction has been considered a major problem for women of today’s Western societies. Besides, it was found to be strongly associated with poorer mental health and to be a predictor of a variety of negative health outcomes, such as depressive mood and eating psychopathology. Beyond that, research has shown that suffering associated with negative body image may be mostly due to the way a person deals with unwanted internal experiences (e.g., perceptions, sensations, thoughts) related to one’s own physical appearance. The impact of these body-related negative experiences may be amplified when associated with maladaptive emotional regulation processes. In that line, body image-related experiential avoidance (i.e., the inability to openly contact and accept experiences related to one’s body) may play a central role in the development and maintenance of restrained eating. The present study thus aimed to explore whether BMI, weight dissatisfaction (WD), and body dissatisfaction (BD) impact on restrained eating through the effect of increased body image-related experiential avoidance (BI-AAQ). Methods: In this study participated 751 female adolescents with ages comprised between 15 and 19 years old (M = 17.37; SD = 1.46) who completed the following self-report instruments: the Figure Rating Scale, the Body Image – Acceptance and Action Questionnaire (BI-AAQ), and the Eating Disorder Examination – Questionnaire (EDE-Q). Path analyses were performed to analyse the mediational effect of BI-AAQ on the relationships of BMI, WD and BD towards restrained eating. Results: The final model explained 22% of BI-AAQ and 34% of restrained eating, revealing an excellent model fit to the empirical data: CFI = .99; TLI = .99; RMSEA = .03, p = .708. WD (β = .09) and BD (β = .11) presented direct effects on restrained eating, while controlling for BMI. Nevertheless, the impact of BD on restrained eating was revealed to partially act through the mechanisms of BI-AAQ with a significant indirect effect of .22. Discussion: This study suggests that the known impact of body dissatisfaction on restrained eating may be partially mediated by the inability to accept associated negative body image experiences (i.e., body image-related experiential avoidance). This emotional regulation process should therefore be targeted in clinical interventions aiming to treat disordered eating symptomatology, which should promote a more accepting stance towards inner events.

14. Entanglement with body image and women’s psychological well-being
Primary Topic: Clinical Interventions and Interests
Subtopic: Quality of Life
Cláudia Ferreira, PhD, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra
Inês A. Trindade, MSc, PhD student, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra
Cristiana Duarte, MSc, PhD student, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra

Background: Literature has considered negative perceptions of body image as important predictors of lower well-being, especially in women from Western societies for whom physical appearance is a central self-evaluation dimension. Specifically, body dissatisfaction in women has been strongly associated with decreased psycho-social functioning and psychological QoL. These relationships however do not seem to be linear and may involve maladaptive emotional regulation processes, which are considered crucial to understand the impact of negative experiences on human’s well-being. Cognitive fusion (defined as the entanglement with one’s internal events considering them facts rather than interpretations of reality) is one maladaptive process that has been vastly associated with QoL impairments and psychopathology. Still, the role of cognitive fusion regarding body image-related internal experiences in psychological QoL is little explored. This study thus examines whether the effects of experiences associated with body weight and shape on decreased psychological QoL are mediated by higher levels of body image-related cognitive fusion (CFQ-BI). Method: This study’s sample was composed of 679 female college students aged between 18 and 23 years old (M = 20.17; SD = 1.56) and with a mean BMI of 21.83 (SD = 2.88). The test battery comprised several self-report measures: Figure Rating Scale, Cognitive Fusion Questionnaire – Body Image (CFQ-BI), and World Health Organization Brief Quality of Life Assessment Scale (WHOQOL-BREF). With basis on the postulated hypothesis, a theoretical model was designed and tested through path analyses. These analyses examined the mediational effects of body image-related cognitive fusion on the associations of BMI, WD, and BD towards psychological QoL. Results: The tested model explained 31% of psychological QoL and revealed an excellent model fit to the empirical data: CFI = .999; TLI = .998; RMSEA = .020, p = .785. Data also indicated that the effects of BMI, WD, and BD did not directly predict psychological QoL, being totally mediated by the mechanisms of body image-related cognitive fusion. Discussion: These findings show that the impact of body-related unwanted experiences on women’s psychological QoL seems to be dependent upon the level of cognitive fusion with those internal events. Therefore, programs aiming to promote young women’s well-being in the context of body image difficulties may benefit from developing the ability to observe body image-related internal events as transitory and subjective experiences (i.e., body image-related cognitive defusion).

15. Virtual defusion is real defusion? An exploration of a VR-supported defusion exercise
Primary Topic: Clinical Interventions and Interests
Subtopic: Defusion, Virtual Reality
Concetta Messina, University Kore, Enna (Italy)
Martina Leuzzi, University Kore, Enna (Italy)
Daniele Lombardo, Behaviour Labs, Catania (Italy)
Marco Lombardo, Behaviour Labs, Catania (Italy)
Giovambattista Presti, MD, PhD, Kore University, Enna (Italy)
Paolo Moderato, PhD, IULM Unversity (Milan, Italy)

Cognitive defusion is one of the six processes of an ACT protocol. Experiential exercises are designed to undermine the functions of thoughts by altering the literal meaning of words putting the in contexts that are different from those in which they usually occur. This can be done in different ways that have been described in many research protocols. We aimed to test one particular new way of working on cognitive defusion using Virtual Reality, who has been demonstrated and effective technology in exposure based protocols. Ten participants were asked, with a mindfulness exercise, to focus on particular negative thoughts that were lately troubling them. A thought was typed in a specifically designed software and a physicalizing exercise in which the thoughts of the participant took any of 6 shapes and any of 9 colours was presented. While listening to a mindfulness exercise the participant could play with the thought-object in a 3D environment which reproduced also their hands in a full immersion experience. In a series of single-case alternating treatment designs, the VR-supported defusion exercise was compared to a distraction task, and to a thought control task. Discomfort and believability of negative thoughts were measured with a visual analog scale. In addition AAQ was repeatedly administered before and after the exercise. Both discomfort and believability were reduced by the VR-supported defusion exercise, more than the distraction and thought control task. Virtual teality could be a promising technique to be used in ACT protocols.

16. Turning towards adaptive eating behaviours: Examination of the Portuguese version of the Intuitive Eating Scale-2 and its association with decentering and body image flexibility
Primary Topic: Clinical Interventions and Interests
Subtopic: Eating Behaviours
Cristiana Duarte, MSc, PhD Student, Cognitive and Behavioural Centre for Research and Intervention (CINEICC), University of Coimbra
José Pinto-Gouveia, MD, PhD, Cognitive and Behavioural Centre for Research and Intervention (CINEICC), University of Coimbra
Ana Mendes, MSc., Faculty of Psychology and Educational Sciences, University of Coimbra

Background: Intuitive eating is defined as an adaptive form of eating characterized by the ability of connecting with and understanding one’s internal hunger and satiety signals, rather than engaging in reactive eating behaviours in response to emotional or external cues. The current study aimed at examining the psychometric properties of the Intuitive Eating Scale-2 (IES-2) in the Portuguese population and the association between IES-2 and important protective mechanisms for body image and eating-related difficulties, namely decentering and body image flexibility. Method: A sample of 545 women from the general population was used to examine the factorial structure of the IES-2 through a second-order Confirmatory Factor Analysis, and to examine the scale’s psychometric properties. Results: A four-factorial structure was corroborated which included the factors: Unconditional permission to eat; Eating for physical reasons rather than emotional reasons; Reliance on hunger and satiety cues; and Body-food choice congruence. The scale revealed adequate internal consistency, construct and discriminant validity, and good temporal stability. IES-2 was inversely associated with body mass index, eating psychopathology, namely binge eating, and anxiety, depressive and stress symptoms. On the contrary, positive associations were found between the IES-2 and decentering, and especially body image flexibility. Discussion: Findings confirmed that the IES-2 seems to be a valid and useful tool for assessing adaptive eating behaviours and their association with mecanisms relevant for healthy eating and weight regulation, and carry therefore important implications for the treatment and prevention of body image and eating-related problems in the community.

17. Should eastern meditation be used in drug treatment facilities?: An examination of psychological and spiritual symptoms of substance use disorder [914]
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness
Debesh Mallik, University of Louisiana at Lafayette

Despite the availability of various substance abuse treatments, substance misuse and the negative consequences associated with it remain a serious problem in our society. Various types of meditation have been evaluated for treatment of substance use disorders, but the research has not drawn any specific conclusions. This may be due to the lack of a structurally equivalent control group, and lack of spiritual emphasis. Therefore, the current study included a spiritual emphasis (12-steps) and inner eye concentration, a relaxation control group (progressive relaxation), and a treatment-as-usual control (TAU) group. The meditation technique was a simple raja yoga meditation technique where the attention of focus remains on the point between the eyebrows. The current study examines changes in substance use, spirituality, depression, anxiety, stress, emotional regulation, and health-related quality of life among three groups (meditation, progressive relaxation, and TAU) over a 6 week period. Implications for integration of meditation with behavioral treatments and how Hindu philosophies of meditation relate to contextual science will be discussed.

18. Self-reference Alters Positive Evaluations in Borderline Personality Disorder
Primary Topic: Clinical Interventions and Interests
Subtopic: Borderline Personality Disorder
Dorina Winter, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
Cornelia Herbert, PhD, Institute of Psychology and Education, Ulm University, Ulm, Germany
Katrin Koplin, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
Martin Bohus, MD, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
Christian Schmahl, MD, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
Stefanie Lis, PhD, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany

Background: Borderline personality disorder (BPD) is characterized by emotional dysregulation, impulsivity and interpersonal difficulties (Leichsenring et al., 2011). It has been suggested, that self-related processes may contribute to BPD patients’ psychopathology (Bender & Skodol, 2007; Jorgensen, 2009, 2010; Moritz et al., 2011; Schilling et al., 2015). Indeed, the extent to which people tend to refer (emotional) information to themselves influences their emotional reactions and social interactions (Heider, 1958; Weiner, 1986). Thus, we present original data aimed to investigate self-referential processing in BPD and its modulation by the valence of information content. Methods: 30 BPD patients and 30 healthy control participants rated negative, positive and neutral words paired with self-, other- or no reference. Afterwards, depth of mental processing was measured using a recall and a recognition task. Results: BPD patients rated self-referential, positive words as less positive than healthy controls. This was not the case for negative or neutral words nor for words with other-reference. This devaluation of self-referential, positive words was related to psychometric measures of attributional style. Groups did not differ regarding the effect of reference or the interaction of valence and reference in the memory tasks. Conclusions: Our findings suggest a devaluation of self-related, positive information in BPD. Associations with self-esteem and implications for emotion dysregulation and problems in social interactions will be discussed.

19. Development and Validation of the Flexibility of Responses to Self-Critical Thoughts Scale (FoReST)
Primary Topic: Clinical Interventions and Interests
Subtopic: Assessment measure
Dr Peter Larkin, University of Glasgow
Dr Ross White, University of Glasgow
Judith McCluskey, University of Glasgow

Background: Acceptance and Commitment Therapy (ACT) aims to help individuals live a life congruent to their values by cultivating psychological flexibility (PF); the ability to respond to experiences with acceptance and creativity. Concurrently, Compassion Focused Therapy (CFT) addresses the role of self-attacking cognitions on psychological difficulties. Recent work suggests that integrating aspects of CFT into an ACT approach (i.e. developing a person’s PF to self-attacking thoughts through self-compassion) may offer additional therapeutic value. There remains no assessment of this specific therapeutic process. Aims: The project aimed to develop and validate a new scale to assess flexibility of responses to self-critical thoughts (FoReST). A further study is ongoing to validate the FoResT within a clinical population. Methods: Factor Analysis was used to explore factor structure of the FoReST in a convenience sample of 253 adults. Construct validity was explored by comparing FoReST with measures of similar constructs (PF, self-compassion, self-criticism) and potentially related outcomes (anxiety, depression, quality of life). Results: Alternative 2-factor (‘unworkable action’ and ‘avoidance’) and 1-factor (‘unworkable action’) versions of the FoReST showed high concurrent validity with similar measures, good predictive validity for mental health and wellbeing outcomes and good internal consistency. The relative strengths and weaknesses of both versions are discussed. 100 participants are now being recruited from Primary care and Community Mental Health Teams in order to complete Confirmatory Factor Analysis on a clinical sample. Recommendations: Findings indicate that the FoReST may offer a useful clinical and research tool for emerging forms of ACT for people high in self-criticism. Future research is ongoing to confirm the factor structure of the FoReST, confirm concurrent, predictive validity, test-retest reliability, and validate the scale in relevant clinical populations.

20. ACT-Cardbook / ACT-Kartenbuch
Primary Topic: Clinical Interventions and Interests
Subtopic: Transfer of ACT in to daily living
Dr. Hagen Boeser, Private Practice

I created 13 cards for ACT therapy. 5 ideas, 4 metaphors and 4 exercises. Each card has a topic that is explained on one side of the card and on the other side of the card there is a picture that illustrates the topic. So you can talk about the topic in the session and can give the patient the card to take home. At home he/she can put it at the refrigerator to remind him/her self about the topic. Also in ACT-training I use the cards to enhance the learning on ACT topics. The card book is written in german.

21. Work in progress: The Role of Psychological Flexibility in Expecting and Reaching a Behavioral Change [915]
Primary Topic: Clinical Interventions and Interests
Subtopic: Common factors perspective
Dragan Zuljevic, University of Novi Sad, Serbia

The role of psychological flexibility in provoking, reaching and maintaining a behavioral change is well documented (Hayes, Luoma, Bond, Masuda, & Lillis, 2006). On the other hand, the expectations of treatment outcome have been identified as one of the crucial common factors of successful psychotherapy (Wampold & Imel, 2015). The main goal of this evolving longitudinal research is to determine the relations between change expectations and psychological flexibility and their potential power in predicting the psychotherapy outcome. So far, the research consists of cca. 100 participants suffering from some kind of psychological problem of nonclinical intensity, receiving psychotherapy as usual within the counseling centers across Serbia. Each of them are subjected to multiple assessments: during the contact interview, before the first therapy session, after third and sixth session, on the treatment end, as well as three months after the end of treatment. During these assessments, the following instruments are administered: Acceptance and Action Questionnaire II (AAQ II; Bond et al., 2011, Depression, Anxiety and Stress Scale 21 (DASS21; Lovibond & Lovibond, 1995), Anxiety Change Expectation Scale (ACES; Dozios & Westra, 2005) and Satisfaction With Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985). The theoretical and practical implications of possible relations between these variables and their change slopes across various treatment phases will be presented and discussed.

22. Profiles of Avoidance, Acceptance, Tolerance, and Mindfulness Predict Psychosocial Health
Primary Topic: Clinical Interventions and Interests
Subtopic: Avoidance
Emily R. Pichler, B.A., University of Vermont
Justin Parent, B.A., University of Vermont
Martin Seehuus, M.A., University of Vermont
Jessica Clifton, M.A., University of Vermont

Background Emotional responding involves the different manners in which individuals might react to their internal experiences, and is of primary interest in the development of psychological and behavioral health. Accepting, non-avoidant responses have reliably been associated with increased well-being and decreased symptomology. However, despite increasing interest in various forms of emotional responding, few efforts have been made to capture typical patterns of emotional responding using person-centered approaches. The present study aims to uncover unique profiles of emotional responding that relate to differential risk for psychosocial problems and mental health. Method Participants were 307 men and women ages 18-64 recruited via Mechanical Turk. Information gathered included experiential avoidance (Acceptance and Action Questionnaire II), emotional non-acceptance (Non-acceptance of Emotional Responses subscale of the Difficulties in Emotion Regulation Scale), mindfulness (Mindful Attention Awareness Scale), tolerance of negative emotions (Tolerance of Negative Affective States scale), current psychological symptoms and well-being (Inventory of Depression and Anxiety Scale), and recent drug and alcohol use. Results Model-based cluster analysis was conducted with experiential avoidance, nonacceptance of emotions, emotional tolerance, and mindfulness as input variables. The best-fitting solution identified distinct profiles of responding, including (1) highly mindful, accepting, and nonavoidant, (2) highly mindful, accepting, nonavoidant, and tolerant, (3) average, (4) average but experientially avoidant, and (5) avoidant, nonaccepting, and nonmindful responding. Associations between emotional profile and outcomes of interest were computed using ANOVA; results indicated differential risk for psychological problems and propensity for well-being and satisfaction based on emotional response profile. Discussion Findings offer support for unique profiles of responses to emotions; further, individual differences in emotional responding may be associated with increased risk for particular psychological, social, or behavioral problems. Recommendations for assessment and treatment include increased attention to particular profiles of acceptance, mindfulness, avoidance, and tolerance. Future research should examine the impact of emotional response profiles in clinical samples and culturally diverse populations.

23. Act for Kids and Teens in Italy: Experience and directions of a working group [916]
Primary Topic: Clinical Interventions and Interests
Subtopic: Children, adolescents and parents
Francesco Dell'Orco, Università IULM,Milan & IESCUM, Italy
Arianna Ristallo, Università IULM,Milan & IESCUM, Italy
Marta Schweiger, Università IULM,Milan & IESCUM, Italy
Giovambattista Presti, Università Kore,Enna(Italy) & IESCUM, Italy
Francesca Pergolizzi, IESCUM, Italy

Act for kids and teens is a special interest group of ACT-Italia, founded in 2013. The group aims to exchange ideas and share experiences, to promote communication among clinicians, to support empirical studies and application of ACT-based work to children, adolescents and their families. Participants. Clinicians, researchers and students from different parts of Italy, interested and specialized in the application of ACT with children, adolescents and parents. Organization. Eight meetings and a 2-days intensive workshop have been organized since October 2013. Each meeting had a specific topic (i.e. assessment procedures, basic processes, valued actions) shared by the group. Participants submitted their contributions (clinical reports, assessment tools, experiential exercises, paper reviews or data) through an online form. Each contribution was presented and discussed by the group during the meeting. Goals. Publication of a handbook that collects different resources for practicing ACT with children and adolescents in the Italian context: assessment measures, practical tools (exercises, cards, games…) developed by the group and clinical cases with young clients. The group also is working to explore and validate creative ACT-oriented procedures and protocols to manage interventions with parents and caregivers. The structure of the group and a preview of its work will be presented.

24. ACT, selective mutism, and sociale phobia (I): Case Conceptualization and integration of contingent reinforcement of conversation patterns [917]
Primary Topic: Clinical Interventions and Interests
Subtopic: Selective mutism, social phobia, children
Giovanna Nardin, Humanitas Clinical School, Milan (Italy) and Iescum (Italy)
Margherita Gurrieri, IESCUM (Italy)
Simone Napolitano, ASCoC Clinical School, Lamezia Terme (Italy) and IESCUM (Italy)
Giovambattista Presti, MD, Phd, Kore University, Enna (Italy)
Paolo Moderato, IULM University, Mialn (Italy)

The purpose of this poster is to show how it is possible to integrate more traditional behavioral strategies with the ACT model when working with children. As an example we will discuss the case of a 8 year old child with Selective Mutism, who started speaking at 3 but only with his parents and sister. Treatment was delivered at child’s home in individual sessions in the context of children games that required the use of language. At the beginning his mother was present with the function of prompting child’s verbal responses and her presence was later gradually faded. Initially the ACT protocol was focused of the child avoidant behavior as a consequence of his fusion with the thoughts of being unable to speak in public. Defusion exercises such as asking the child to note his thoughts and write them on rubber balls that he had to keep in his pocket also after the end of the therapy session, were used to undermine his verbal rules related to speaking in public. Parents were also fused with the idea of the child’s difficulties. After working on defusion the therapist focused on increasing child’s verbal skills by shaping his verbal behavior pattern with contingent reinforcement. Generalization of his verbal interaction with peers and the significant adults, such as teachers, was carefully planned to extend to his many social contexts the trained interactios. The ACT hexaflex was particularly helpful to the therapist to help conceptualize her fusion and avoidant behavior and to better work with the child in the present moment.

25. ACT, selective mutism, and sociale phobia (II): Case Conceptualization and intervention in the mother-child interaction

Primary Topic: Clinical Interventions and Interests
Subtopic: Selective mutism, social phobia, children
Simone Napolitano, ASCoC Clinical School, Lamezia Terme (Italy) and IESCUM (Italy)
Margherita Gurrieri, IESCUM (Italy)
Giovanna Nardin, Humanitas Clinical School, Milan (Italy) and IESCUM (Italy)
Giovambattista Presti, Kore University, Enna (Italy)
Paolo Moderato, IULM University, Mialn (Italy)

Selective mutism is a complex disorder characterized by persistent inability to speak in specific social contexts, such as schools or other public situations, or even at home or with peers. Both spontaneous speaking and responding to requests can be reduced sometimes to zero levels. The onset of SM usually occurs before age 5 and it affects 1% of the clinical population. It is frequently associated and overlaps with social phobia. Both disorders are characterized by strong experiential avoidance. In SM, experiential avoidance is focused on communicative performance. This makes the differential diagnosis very complicated and often SM is confused with other developmental disorders, such as mental retardation. The purpose of this poster is to offer a rationale for using ACT with those children and their families, being experiential avoidance crucial to this disorder. A clinical case of a 6 year old child with SM treated with ACT is presented. The treatment is focused on child’s and mother’s experiential avoidance, conceptualized as a set of behaviors governed by verbal rules, non in line line with own svalues. The first part of the treatment was designed to promote mother’s values-oriented behavior towards her child after defusing her from unpleasant thoughts and emotions related to her son’s difficulties. The second part of the protocol was addressed to increase child’s awareness of his verbal rules using the matrix built on Mickey Mouse metaphor. It will be ahown how it was possible to to increase his discrimination of his own behavior, and through defusion and acceptance promote many changes by shaping his behavior with contingent reinforcement. It was also possible to generalize these changes to the other contexts, such as school and interactions with the strangers. Treatment adaptations that need to be considered when using ACT with such young subjects suffering from this disorder, will be described and relevant areas for future research will be discussed.

26. ACT, selective mutism, and social phobia (III): Case Conceptualization and FAP enhanced intervention
Primary Topic: Clinical Interventions and Interests
Subtopic: Selctive mutism, social phobia, adolescent
Margherita Gurrieri, IESCUM, Italy
Paola Stracquadanio, Kore University, Enna (Italy)
Simone Napolitano, ASCoC Clinical School, Lamezia Terme (Italy) and IESCUM (Italy)
Giovanna Nardin, Humanitas Clinical School, Milan (Italy) and IESCUM (Italy)
Giovambattista Presti, MD, PhD, Kore University, Enna (Italy)
Paolo Moderato, PhD, IULM Unversity (Milan, Italy)

Acceptance and Commitment Therapy (ACT) and Functional Analytic Therapy (FAP), are effective in the treatment of different anxiety disorders. DSM-5 defines Selective Mutism as the consistent inability to speak in specific social situations (in which there is an expectation for speaking, e.g., at school) despite speaking is possible in other situations (e.g. at home). The treatment of a 18 years old young man, diagnosed with Selective Mutism and Social Phobia will be presented, in order to introduce the ACT conceptualization model and to show how to map the processes on the Hexaflex to guide intervention. ACT experiential exercises were enhanced with FAP in order to promote significant changes by shaping client responses with contingent reinforcement. The general aim of the therapy was to reduce relevant clinical symptoms and decrease the number of avoided contexts. The first phase of the treatment aimed to increase the ability to recognize emotions and thoughts and identify values and goals. During the second phase the matrix model was introduced as a “videogame” in order to develop discriminations of avoidant behavior and develop psychological flexibility. The third phase of the therapy was oriented to help the client to apply the developed social and interpersonal skills in a range of new situations, by being present in the moment an be open to make room to discomfort. The effect of the treatment was measured with AAQ2, VLQ, CFQ, YSR, BAI. Changes in the frequencies of some CRB1 and CRB2 during sessions will be shown. Presentation will underline the changes made by the client’s behavior and how they correlate to the six processes of the Hexaflex and particular attention will be given to exposure experiences

27. Psychological flexibility in Middle Earth: metaphors and experiential exercises for an Hobbit lover kid refusing school
Primary Topic: Clinical Interventions and Interests
Subtopic: School refusal, social anxiety, children
Giulia Mazzei, IESCUM (Italy)
Giovambattista Presti, MD, PhD, Kore University, Enna (Italy)
Paolo Moderato, PhD, Iulm University, Milan (Italy)

Acceptance and Commitment therapy (ACT) uses metaphors and experiential exercises to disentangle verbally governed behavior that is functionally related to inflexibile human behavioral patters. Though originally not designed for kids, it is possible to use standard ACT metaphors and experiential exercises to help verbally competent children. However, it is necessary to tweak those metaphors and exercises to make them meaningful and close to the child’s world. We explored the possibility of creating an homogeneous therapeutic environment for a 9 year old child, passionate about “The Lord of the Rings”, to help him facing school avoidance, decrease cognitive fusion with self-judgment and ideas about himself and others, and increase his emotional and empathic skills. The designed protocol was based on “The Lord of the Rings” trilogy so that every metaphor and experiential exercise working on every ACT process was linked to the fantasy novel. A functional analysis had previously identified a restricted repertoire in taking the perspective of others, So every session started with the vision of a scene of one of the three movies of Tolkien’s trilogy relevant to the process the therapist would work on and a perspective taking exercise on the characters in the scene. Focus of the exercise was the perspective of the characters and the child and the feelings and emotions involved in the scene and in the moment in the office. By the end of the protocol the child increased his psychological flexibility in every area of his life and perspective taking skills. The value of a metaphorical environment, based on children’s preference, as a useful tool to face verbal rules and promote significant changes will be discussed.

28. Changes of valued behaviors and functioning during an Acceptance and Commitment Therapy Intervention
Primary Topic: Clinical Interventions and Interests
Subtopic: Values; value-directed behaviors; valued-behaviors
Hanna Wersebe, University of Basel
Roselind Lieb, PhD., University of Basel
Andrea Meyer, PhD, University of Basel
Andrew Gloster, PhD, University of Basel

Background: The purpose of the study was to examine changes in value-directed behaviors and their association with patient functioning. Further we aimed to investigate whether initial higher levels of psychological flexibility are associated with subsequent increases in valued action and if initial lower levels of panic symptomatology are associated with a subsequent increases in valued action. Methods: Participants were 43 adult patients with treatment-resistant panic disorder, who received Acceptance and Commitment Therapy (ACT) and completed measurements at pre-treatment, post-treatment, as well as 6-months later at Follow-Up (FU). Results: Results of mixed models analyses showed that valued behaviors increased from pretreatment to FU, suggesting that participants lived more in accord with their values. Functioning increased significantly over the course of the study. Increased functioning was not associated with increased valued action. Initial higher levels of psychological flexibility were not associated with subsequent increase in valued action. Also, patients with lower initial levels of panic symptoms did not exhibit subsequent increases in valued action. Discussion: Our study extends prior findings about valued behaviors and showed that valued behaviors increase over the course of the study. Further studies investigating changes in value-directed behaviors across various diagnoses samples are clearly necessary.

29. Simple Living, Valued Living: An international study of Voluntary Simplicity and Psychological Flexibility
Primary Topic: Clinical Interventions and Interests
Subtopic: Values-Based Living
Hein Zegers, UvH University Utrecht

Background Voluntary Simplicity or Simple Living is a low-consumption lifestyle that does not attract much empirical scientific attention, partly because its practitioners are considered a “hard-to-reach” population. In this international study, more than 500 “Simplifiers” have been interviewed in four different languages. The data are then analysed thematically according to the Psychological Flexibility Model. Method People living a Voluntary Simplicity lifestyle were recruited over the Internet. After selection by objective criteria, 489 “Simplifiers” world-wide were withheld. These people were interviewed in resp. English, French, German and Dutch. This makes this the first multilingual study of its kind. Then the international Simplifier data are analysed. After a grounded theory analysis allowing themes to emerge, a thematic analysis is performed according to the six components of the Psychological Flexibility Model (the so-called ACT Hexaflex Model). Results The Hexaflex / Psychological Flexibility Model offers a surprisingly close match to how Simplifiers explain how they came to live and currently live their Voluntary Simplicity lifestyle. With “more time/resources for what really matters” as the most frequently occuring global theme, Simplifiers seem to be especially skilled in Values / Committed Action. Discussion Many “Simplifiers” from all over the world turn out to unknowingly “walk the talk” of ACT. Therefore, more ACT-specific research into the Simplifier Community may yield a boiler plate for clinical and community interventions leading towards more global psychological flexibility.

30. The Use of Mindful Focusing as Chronic Pain Management Skills
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Pain, Mindfulness
Lee Sook Huey, Hospital Kuala Lumpur

This poster aims to describe the use of mindful focusing technique to reduce impact and interference of pain on chronic pain patient in Kuala Lumpur General Hospital, Malaysia. Fear avoidance towards pain is found to predict patient's distress towards their pain. Patients were taught to intentionally pay attention and stay with the pain, describe and label the pain with acceptance and non-reactivity. Patient's feedback on their experience of using focusing will be discussed.

31. MatheMatrix: an advance contextual behavioral tool for in-vivo modeling of clinical relevant behaviors
Primary Topic: Clinical Interventions and Interests
Subtopic: The Matrix, clinical tools
Nicola Maffini, Private Practice: Leaves, Applied Psychology - Parma, Italy
Roberto Cattivelli, Istituto Auxologico Italiano

Focused Acceptance and Commitment Therapy (FACT) is developed to help individuals to unstuck from unhealthy thought patterns by encouraging them align their values with their actions. MM is a way to simplify, deliver and adapt FACT intervention for even more essential therapy and consulting setting, both individual and group. MatheMatrix (MM) is a discriminative training procedure that allow to implement and strengthen the effect of core therapeutic processes as: maieutic persuasion, ongoing shaping, creative hoplessness and problem solving. Further application regarding promotion of generalization and extension to novel context such as disfunctional pliance and reason giving reduction. Developed from Kevin Polk’s “The Matrix”, MatheMatrix is based three pillars of Hexaflex, and in particular on the framework of FACT, Focused Acceptance and Commitment Therapy, focusing on a narrowing set of basic processes and aimed to promote radical change in a brief treatment context. MatheMatrix should be consider as a variant of the Matrix, used in alternative or in combination with it, and is founded on principles of Acceptance and Commitment Therapy, Relational Frame Theory and, more in general, on behavior analysis by a functional contextualist point of view. Two multicentric pilot study based on the application of MM are currently running.

32. AWAY from talk, TOWARD action: Using the Matrix to engage challenging youth [918]
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescence
Susie McAfee, Ph.D., IWK Health Centre

There is increasing recognition that the ACT model is suitable to adaptations addressing the developmental needs of adolescence and evidence is accumulating for its efficacy with youth. Successful work with adolescents requires quickly generating a high level of engagement, a task for which the matrix is well suited. Using case examples, the author will discuss the matrix as a youth-friendly framework for jump starting ACT work with teens. The matrix’s interactive and visual format allows clinicians to easily avoid the common traps of over-reliance on verbal discussion and intellectualization. The “workability” of the matrix in individual therapy, school-based intervention, and as a waitlist management strategy will be discussed. In addition, the author will discuss how the matrix has functioned as an excellent entry point for increasing awareness of ACT as an evidence-based alternative and providing education about basic ACT principles to colleagues and trainees within the outpatient Mental Health and Addictions Program at the IWK Children’s Hospital in Halifax, Nova Scotia, Canada. The matrix’s value as an professional education tool is particularly important given that the application of ACT in publicly funded pediatric mental health centres across Canada is at its earliest stages.

33. Engagement in Mindfulness Practices and the Impact on Trait Mindfulness Ability in a College Sample
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness
Sarah A. Potts, Utah State University
Scott DeBerard, PhD, Utah State University

Background: Mindfulness interventions have become an increasingly popular psychological intervention for mental health providers, especially in Westernized countries (Shapiro, Brown, Thoresen, & Plante, 2011). While a number of studies suggest that mindfulness interventions increase mindfulness ability, as demonstrated by an increase in awareness, attention to the present moment, or other component of mindfulness (Piet, Hougaard, Hecksher, & Rosenberg, 2010; Shapiro et al., 2011), this assertion has not been validated since many researchers utilizing a mindfulness intervention fail to include measures assessing change in trait mindfulness ability. Methods: The survey study examined mindfulness engagement and trait mindfulness, as well as physical and mental health correlates of trait mindfulness. Participants included 275 students enrolled at Utah State University (74% female). Trait mindfulness ability was measured with the Mindful Attention and Awareness Scale (MAAS; Brown & Ryan, 2003) and the Five Facet Mindfulness Scale (FFMQ; Baer, Smith, Hopkins, Krietemeyer, & Toney, 2006). Psychological factors were assessed via the Beck Depression Inventory (BDI; Beck, Ward, Mendelson, Mock, & Erbaugh, 1961) and the Perceived Stress Scale (PSS; Cohen, Kamarck, & Mermelstein, 1983). The Short Form Health Survey (SF-36v2; Ware, Kosinski, Dewey, & Gandek, 2000) measured mental and physical health-related quality of life. Results: Previous time spent in mindfulness was positively correlated with two FFMQ subscales [Observe r(218)=0.26, p<.01) and Describing r(218)=0.19, p<.05)] and negatively related to FFMQ subscale Nonjudging of Inner Experience r(218)=-0.16, p<.05). Individuals with previous mindfulness engagement reported similar trait mindfulness to those who had not reported previous engagement, with the exception of the MMFQ subscale Observe, which was higher for individuals with previous engagement (d=0.41). (Additional results will be reported.) Discussion: Overall, these data suggest a weak relationship between general mindfulness engagement impact and trait mindfulness ability. They also suggest that more efforts are needed toward understanding this relationship (e.g., intervention, measurement, identifying mediators), especially since a significantl amount of therapeutic interventions incorporate mindfulness engagement.

34. Weight Self-Stigma and Problem Eating Behaviors: Multiple Predictors, Unique Associations, and the Centrality of Psychological Flexibility in a College Sample
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Weight Self-Stigma and Eating Problems
Sarah A. Potts, Utah State University
Jack Haeger, Utah State University
Benjamin Pierce, Utah State University
Michael M. Levin, Utah State University

Background: Research has found that weight self-stigma contributes to psychological distress and is a greater predictor of health-related quality of life than body mass index (BMI). Similarly, emotional eating behavior has been associated with low distress tolerance, greater psychological distress, and unhealthy food choices. The ability to manage weight self-stigma and urges to eat emotionally may be linked to the ability to behave flexibly in the context of these and other difficult inner experiences. Therefore, it was hypothesized that psychological flexibility would predict later self-stigma associated with weight, emotional eating tendencies, and binge eating episodes in a sample of undergraduate students. These relationships were anticipated to persist after controlling for participant gender, BMI, and prior psychological distress. Methods: Participants (N = 354; 64% female) completed measures of BMI, psychological distress, and psychological flexibility during the first wave of the study. One month later, participants reported on weight self-stigma, emotional eating, and the count of binge eating episodes within the past month. Weight self-stigma and emotional eating were regressed separately upon participant age, gender, BMI, psychological distress, and psychological flexibility as predictors. Poisson regression analysis was used to model the count of binge eating episodes as a function of these predictors. Results: Psychological flexibility emerged as a statistically significant predictor of all outcomes after controlling for psychological distress, BMI, and participant gender. Psychological distress statistically significantly predicted emotional eating and the count of binge eating episodes, but was not related to weight self-stigma. BMI statistically significantly predicted weight self-stigma, while gender was a significant predictor of emotional eating and the count of binge eating episodes. Discussion: The results of this study suggest that psychological flexibility may reduce the impact of perceived weight stigma and increase the ability to cope with urges to eat emotionally. Further, the findings indicate that psychological flexibility a better predictor of weight self-stigma than psychological distress. Implications of these findings for preventing and intervening with body image concerns and problem eating behaviors are discussed.

35. Individual trajectories of online students' academic emotions, effort regulation, and well-being following a brief academic values exercise: A replicated, case-based time series evaluation.
Primary Topic: Educational settings
Subtopic: Value
Kelli Howard, M.Ed, University of Minnesota, Twin Cities
Patricia Frazier, Ph.D, University of Minnesota, Twin Cities
Viann Nguyen, MPH, University of Minnesota, Twin Cities
Julia Urban, B.A., University of Minnesota, Twin Cities

Online learning is attractive for the potential to connect global learners and reach traditionally underserved populations. However, attrition rates are demonstrably higher in online learning environments, a difference some have attributed to the lack of contextual sources of self-regulation (Allen & Seaman, 2013; Hart, 2012; Lehman & Conceicao, 2014), as well as higher amounts of negative academic emotions in online vs. traditional classroom settings. Additionally, online students typically lack access to on-campus resources for emotional well-being and prevention of mental health problems. Thus, there is a need for the development and testing of interventions that help online students respond adaptively, and persist, alongside negative emotional experiences. Research suggests that brief values-based interventions can be helpful in improving students' academic performance and well-being (Chase et al., 2013; Cohen, Garcia, Apfel, & Master, 2006); however, such interventions have not been tested in the online learning environment. Researchers in the current study investigated the effectiveness of a brief online values exercise that had been embedded into the curriculum of two online psychology courses at a large university. Ninety university students completed weekly measures of academic emotions, self-regulation, and well-being for twelve weeks. Results of data analyses, using a replicated, case-based time series design, indicated salutary effects of the intervention on several outcomes, with small to medium effect sizes. Additionally, individual and group-level trajectories on outcome measures will be shown in comparison to a group (n = 380) of students who did not complete the academic intervention, suggesting a preventative effect. Implications for embedding similar interventions into a range of online learning contexts will be discussed.

36. Integrating ACT Training into Post-graduate Psychology programs at Makerere University, Uganda [919]
Primary Topic: Educational Settings
Subtopic: Professional Development
Rosco Kasujja, Makerere University School of Psychology, Department of Mental Health & Community Psychology

My name is Rosco Kasujja, and I am from Kampala, Uganda. I am a clinical Psychologist currently employed by Makerere University School of Psychology with the Department of Mental Health & Community Psychology. The school of Psychology has four post-graduate programs including the post-graduate diploma in counseling and guidance, M. A. Counseling Psychology Master of Science in Clinical Psychology , and a Masters in Organizational Psychology. Makerere University is the oldest and biggest training institution in East Africa, and has been a source of education to so many African scholars. In fact, Makerere continues to attract many scholars from East Africa and beyond. It currently ranks amongst the top ten universities in Africa.
I have been involved with the department since 2009. I worked as a lecturer while I also coordinate activities for the masters programs, especially internship and practicum placement. I am also involved in curriculum development within the department. In my position at the university I have noticed that most of the text-books and resources utilized are typically from either North America, specifically U.S.A, or Europe, which limits students from having context specific references while learning.
While I am fully employed by Makerere University, I also get involved in a lot of psychosocial work in Northern Uganda (formerly war-affected areas) where the LRA rebels disrupted life. I am actively involved in training and supervising local counselors there. This training offers me a great honor of introducing ACT to wide range of practitioners within and around the country.
Training opportunities for students in Uganda
Post-graduate students at Makerere University (both M.A counseling & Msc. Clinical Psychology) are expected to learn and practice psychotherapy. However, most of the approaches passed onto them strictly follow text from Europe and North America. Last year’s introduction to ACT workshop which was offered by an ACT expert from the University of Glasgow offered was an intrigue and excited us. The students want to learn more because the approach was something they related to. It’s indeed an approach that is very much contextual and has room for local resources. This is something, with proper training, can become a very useful tool for students and other local experts they get in contact with.

37. The role of experiential avoidance in a University setting: Associations between perceived occupational stress, social support, coping, and health problems
Primary Topic: Organizational behavior management
Subtopic: workplace stress
Eleni Karayianni, Psy.D., Department of Psychology, University of Cyprus
Georgia Panayiotou, Ph.D., Department of Psychology, University of Cyprus

Background: WHO has been reporting that the cost of stress, job strain, as well as related mental and physical health issues experienced in the workplace is increasing each year. While ACT has been applied to the workplace with great success, the exact role of experiential avoidance needed to be defined. Method: The present study investigated the relationship between experiential avoidance as measured by the AAQ-II, perceived stress as measured by the PSS-10, social support as measured by the SSQ, and coping as measured by the Brief COPE as related to physical and health problems measured by the PHQ-15 in a University sample (N = 112). Results: Analyses indicated significant correlations between perceived stress and overall health (r = .46), and experiential avoidance and perceived stress (r = -.65). Further analyses showed there are significant correlations between emotional avoidance and perceived social support received, reported recent health problems, coping factors (e.g., positive reframing, denial, behavioral disengagement, etc). Regression analyses, however, failed to result in significant interactions between these factors and other factors such as gender, marital status, and age. Discussion: Results are discussed in terms of previous research findings of applying ACT in this context, the role of psychological flexibility within the workplace and occupational intervention design.

38. The Impact of Acceptance vs Suppression During an ROTC Army Physical Fitness Test
Primary Topic: Performance-enhancing interventions
Subtopic: Performance and Sports Psychology
Stephen Sheets, MA, California School of Professional Psychology
Jill Stoddard, Ph.D, California School of Professional Psychology

Background: In performance and sports psychology, Psychological Skills Training (PST), which involves suppression and control strategies including arousal control, goal setting, self-talk, and imagery/visualization, has dominated the focus of research and practice for the last 30 years (Singer et al., 1991). Despite its use as the primary methodology for performance and sports psychologists, the efficacy of PST has been found to be at best experimental (Gardner & Moore, 2009). Growing research is investigating the application of Mindfulness and Acceptance-based Therapies to sports performance on the field of play (Gardner & Moore, 2006). However, little is understood about the underlying mechanisms of performance. Furthermore, despite the emphasis the military places on performance, little research has been conducted with military populations and the role of performance enhancement techniques. Method: 95 ROTC cadets from three San Diego Universities participated in an experimental study to determine the effects of emotion regulation on physical performance. Utilizing a 2 X 2 factor design, participants were randomized to either an acceptance or suppression emotion regulation condition. Dependent variables included scores on the Army Physical Fitness Test (APFT), the Activity Flow State Scale (AFSS; Payne, et. al. 2011), and participants’ subjective self-ratings of performance. It was hypothesized that participants in the acceptance group would demonstrate greater improvements in performance over time following the intervention. Analyses included a Repeated-measures Multivariate Analysis of Variance (MANOVA) to assess for main effects and interactions. Results: Results indicated three significant interactions. First, the participants’ APFT scores has a significant interaction of F(1, 93)=4.278, p=.041. Second, the participants’ subjective rate of performance has a significant interaction of F(1, 93)=4.138, p=.045. Finally, the participants’ push-up scores has a significant interaction of F(1,93)=6.073, p=.061. Further detail can be provided as to the specifics of these interactions through post-hoc tests. Discussion: The results are consistent with previous research suggesting acceptance based emotion regulation strategies may provide advantages over suppression techniques across a number of domains (e.g., pain tolerance, distress about pain, mobility, emotional recovery). Results from this study may have implications for improved sport and military performance.

39. Using Implicit Measures to predict known groups: An IRAP v IAT comparison
Primary Topic: Other
Subtopic: IRAP
Aidan Hart, D.Clinpsy, University of Lincoln, UK
Ross Bartels, Ph.D, University of Lincoln, UK

Recent years have seen an increase in the use of implicit measures to assess hard to access beliefs/covert behaviour processes. In the field of Forensic Clinical Psychology there has been a growing interest in the use of such measures to assess group differences in offence supportive attitudes between offenders and non-offenders. Such uses can be problematic due to potential overlaps in the groups, such as shared pro-offending attitudes or undetected delinquency in the control group. The current authors believe that more work is needed to demonstrate that such measures can actually differentiate between groups where we would expect minimal overlap before their use is extended to such applied settings. In order to carry out such a test 183 self-identifying heterosexuals (m=91, f= 92) completed both an IRAP and an IAT that broadly measured their attitudes to the opposite and same sex in terms of sexual attractiveness and unattractiveness. The ability of each measure to differentiate the groups (male v female) was analysed using logistic regression and discriminative function analysis. The differences between the two measures and their relative strengths and weaknesses are discussed.

40. Mindful Practice for Air Traffic Controllers: Application of Mindfulness and Contextual Behavioral Science to promote safety in Aviation.
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Mindfulness practice, Aviation, Safety
Arianna Gatti, Private Practice
Roberto Cattivelli, Istituto Auxologico Italiano
Valentina Villa
Annalisa Caretti
Alessandro Musetti
Gianluca Castelnuovo
Gian Mauro Manzoni
Emanuele Cappella
Silvia Ruggiero
Chiara Spatola

Background: Aviation statistics, both in the military and civil field, indicates that approximately 85% of incident reports include a mention of loss of Situational Awareness that lead to an inadequate decision making and inappropriate actions. Method: In the present exploratory study we test the feasibility of a mindfulness-based intervention in a sample of Military Air Traffic Controllers, to promote through mindfulness practice an improvement in Situational Awareness, considered the core requirement for an effective performance of both pilots and Air Traffic Controllers. Recent literature suggests that it may be identified a strong link between the enhancement of the situational awareness of an individual and mindfulness practice. Results and Discussion: The aim of this preliminary study was to test the efficacy of the intervention in the development of a flexible expertise that lead to a more effective decision-making and the enrichment of the behavioral repertoire.

41. Solutions for the (near) Future: Improve Safety in Aviation with contextual Behavioral Science Technological Application
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Safety, Aviation, Multiple exemplar Training
Arianna Gatti, Private Practice
Roberto Cattivelli, Istituto Auxologico Italiano
Alessandro Musetti
Valentina Villa
Nicola Maffini
Gianluca Castelnuovo
Giada Pietrabissa
Martina Ceccarini
Chiara Spatola
Annalisa Caretti
Gian Mauro Manzoni

Background: Recent literatures in the field of Aviation Safety indicate that the focus of future research programs should move from technological development to the interaction with increasingly complex systems that will be likely the future of both military and civil aviation. The safety question no longer concerns aircraft industries that have reached levels of security still unthinkable in other fields. Therefore Behavior-Based Safety interventions are to be considered among the most effective strategies, focused on the behavior of the pilot and all the people involved at different levels in managing efficiently these systems. Contextual Behavioral Science and behavioral interventions more in general are focused on directly changing behaviors with social impact. The opportunity to translate contextual behavioral interventions to the field of aviation safety is directly aimed at widen the effect of traditional intervention with the same efficacy but better efficiency and sustainability. The use of flight checklists is considered a core element to reduce workload of the pilots and increase the standardization of operating procedures. Interventions based on the application of Applied Behavior Analysis techniques are to be considered among the most effective in promoting an appropriate use of checklists, since focused on the behavior of the single pilot as well as all of the people involved at different levels in flight safety. Method: The aim of the present study was to examine the effectiveness of using contingent and specific feedbacks to promote the accuracy in checklist use in a sample of General Aviation pilots. Results and Discussion: In this preliminary study we tested the feasibility of a contextual behavioral approach to improve performance in checklist use both in directly trained and trained flying phases.

42. Disordered eating and body image flexibility in women with lipoedema
Primary Topic: Prevention and Community-Based Interventions
Subtopic: lipoedema, eating disorders, body image dissatisfaction, body image flexibility
Joanna E. Dudek, University of Social Sciences and Humanities
Pawel Ostaszewski, Ph.D., University of Social Sciences and Humanities
Wojciech Bialaszek, Ph.D., University of Social Sciences and Humanities

Lipoedema (lipedema) is a chronic disease which is very often misdiagnosed as obesity and therefore mistreated. In lipoedema fat accumulates in the lower parts of the body and cannot be lost through diet or intensive exercise and in obesity which leads to learned helplessness, depression, body dissatisfaction, anxiety and feelings of shame and guilt as well as development of disordered eating. Lipoedema is a disease affecting all women irrespective of their body size (also observed in patients with anorexia nervosa). In our study we wanted to investigate what psychological factors are connected to disordered eating of women with lipoedema. Our aim was to find out whether contextual behavioral approach might propose any useful interventions for preventing development of eating disorders in the population suffering from lipoedema. We conducted an internet-based cross-sectional study. Participants were 120 women suffering from lipoedema, mostly from the USA, the UK and Australia. Statistical analyses showed that irrespective of symptom severity and BMI, body image flexibility is an important factor related to disordered eating in women with lipoedema.

43. The Impact of Age, Gender, and BMI on Thought Control, Food Acceptance, and Eating Behavior
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Obesity; Emotion Regulation
Kristin D. Whelan, M.A., Alliant International University, San Diego
Kimberly A. Corp, MFT., Alliant International University, San Diego
Shawnee L. Brew, B.A., Alliant International University, San Diego
Taryn L. Gammon, M.A., Alliant International University, San Diego
Jill A. Stoddard, Ph.D., Alliant International University, San Diego

Background: Contemporary research indicates a relationship between cognition, emotion regulation and eating. Research also commonly supports gender and age discrepancies in emotion regulation. For example, studies postulate that women report more negative affect and an increased tendency to ruminate, catastrophize, and reappraise negative emotion than men (Thomsen, D.K., Mehlsen, M.Y., Viidik, A., Sommerlund, B., & Zachariae, R., 2005; Nolen-Hoeksma, A., 2011). Women’s use of emotional acceptance appears to remain stable with age, whereas emotional suppression increases with age for women but not men. Older adults report less negative affect than youth. Finally, studies suggest a higher prevalence of food craving, cognitive dietary restraint, and disinhibition of eating among women compared to men (Alexander, J & Tepper, B., 1995; Lafay, T. et al., 2001). The extent to which these age and gender related findings extend to maladaptive cognitive processes and unhealthy food related behaviors remain unclear. Method: The current study uses the Thought Control Questionnaire (TCQ), The Food Acceptance and Action Questionnaire (FAAQ) and the Three-factor Eating Questionnaire (TFEQ) to examine how various thought control strategies, experiential acceptance of food-related internal experience, and relationships between cognitive restraint of eating, disinhibition, and hunger differ based on age, gender, and BMI. Recruitment of 180 normal weight and overweight/obese males and females of varying ages is proceeding (current N=132). Results: It is expected that younger age will be associated with higher levels of worry and social thought control, and older age will be associated with higher levels of food acceptance. It is also hypothesized that women and overweight/obese will have higher mean levels of cognitive restraint, disinhibition, perceived hunger, rumination, and punishment thought control strategies than men or normal weights, whereas women and normal weights will have higher levels of food-related acceptance and reappraisal thought control strategies than men or overweight/obese. Correlations and t-tests will be used to investigate the relationships between age, gender and weight on the TCQ, FAAQ and TFEQ. Discussion: Results from this study will help to increase understanding of the impact that gender, age, and weight have on emotion regulation, preoccupation with body, food, and weight as well as unhealthy eating patterns. Findings may illuminate important considerations for the development of prevention and treatment programs that target the global obesity epidemic.

44. The acceptance and commitment therapy for smoking cessation: A review of the literature
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Smoking cessation
Lam Ching Yee, MPhil, MN, BN, RN, The Open University of Hong Kong
MAK YIM WAH, PhD, RN, RM, The Hong Kong Polytechnic University

Background: A common strategy that clients use for quitting smoking is to avoid physical cravings and urges. However, evidence indicated that higher experiential avoidance is associated with higher levels of substance use. Acceptance and commitment therapy (ACT) is an emerging contextual-focused intervention in managing psychological or behavioral health problems. It helps to increase an individual’s psychological flexibility, and encourages an individual to accept and experience internal events non-judgmentally. However, the efficacy of ACT for smoking cessation is less documented. In this review, we assess deliverables, feasibility and the effectiveness of ACT for smoking cessation. Method: A systematic search of relevant English language literature was conducted in computerized databases, including Pubmed, Medline, PsycINFO, CINAHL, and ProQuest, using keywords smoking cessation, tobacco cessation, smoking reduction, quit smok*, acceptance and commitment therapy and ACT, with date restriction from 1900 to March 2015. With reference to the PRISMA statement, abstracts meeting inclusion criteria were reviewed and full papers for selected abstracts were then retrieved and assessed. Result: A total of 17 studies were included in this review. The use of ACT in smoking cessation program has increased gradually in adult populations. It could be delivered in different formats, for example, telephone-delivered, web-based, smartphone applications, group therapy or individual therapy. Majority of the studies were conducted in Western countries with only one exception from Hong Kong, though it was a study protocol. The efficacy of ACT was examined independently and was compared with medication treatment or other behavioral therapy. ACT appeared to be a feasible and applicable therapy for smokers in tobacco cessation and promising quit rate were reported. Discussion: This review revealed the updated information about ACT and smoking cessation. This presentation will inform attendees about the feasibility of different formats of ACT for smoking cessation and its efficacy, and hopefully help to identify implications for practice and to suggest directions for future research relating to ACT and smoking cessation.

45. Psychological inflexibility and anxiety in greek-cypriot adolescents
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescents
Marios Theodorou, Ph.D. Student, University of Cyprus
Georgia Panayiotou, Ph.D., University of Cyprus, Center of Applied Neuroscience
Klavdia Neophytou, University of Cyprus, Center of Applied Neurosience

Background: Previous research supports the association between psychological difficulties and psychological inflexibility (e.g. Hayes et al. 2006). One of the fundamental principles of Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 1999) is to help people disentangle from inflexible and rigid rules that are not helpful. A considerable body of research focuses on the role of psychological flexibility as a basic aspect of health (e.g. Kashdan, & Rottenberg, 2010). The aim of this study was to examine the relation between anxiety, and related constructs (e.g. Behavioral Inhibition/ BIS) with psychological inflexibility in adolescents. Method: Seven hundred twenty one adolescent students, (Mean Age: 15.5, 64% female) completed a series of questionnaires (Acceptance and Fusion Questionnaire for Youth/AFQ-Y8, Social Phobia Anxiety Inventory-23/SPAI-23, Βehavioral Ιnhibition System & Behavioral Activation System scales/ BIS/BAS for children, Social Phobia Screening Questionnaire for Children and adolescents/SPSQ-C and the the revised version of the Screen for Child Anxiety Related Emotional Disorders/SCARED-R. Results: Psychological Inflexibility (AFQ-Y8) was positively related with all anxiety measures (SPAI-23 different score, BIS, and SCARED-R subscales). An independent t-test analysis showed that high socially anxious participants (based on SPAI-23 and SPSQ-C cut-off criteria) scored significantly higher than low socially anxious participants in Psychological Inflexibility. Additionally, female students scored higher than male students in Psychological Inflexibility. Discussion: These results replicate previous findings on the relation between anxiety and psychological inflexibility, and indicate that this association is already established in adolescence. The potential role of inflexibility in the etiology and maintenance of anxiety is discussed.

46. Training "barefoot counselors" in Afghan displaced persons camps
Primary Topic: Prevention and Community-Based Interventions
Subtopic: traumatic stress, domestic violence

Norman Gustavson, Ph.D., PARSA a US based International NGO
Sabour Mansouri, M.D., APMO, an National Afghan NGO

During the thirty years of armed conflict affecting Afghanistan, from the war between the Russian backed government ("Russian Invasion, 1978), to the Mujaheddin civil war that followed and the Taliban takeover of the government that lasted until 2001, and the ongoing war against insurgents and Taliban groups over six million Afghans fled to Pakistan, some two million to Iran and to many other countries. Since 2001 these refugees have returned in their millions and there is a continuing flow of "internally displaced persons" coming into the major urban areas from the conflict zones around the country. Some of these camps house over 25,000 people and many have become permanent settlements existing for over a decade. The residents of these Internally Displaced Persons Camps "IDPs" are marginalized people who seldom find homes and jobs outside these camps. they live in marginal conditions in mud and canvas huts with as many as a dozen people in a one room "dwelling". Chronic poverty, preasure to participate in illegal and marginal ways to support families, infiltration by Talib and other insurgents lead to chronic threats and vilolent behavior within and between families and groups in these camps. Resources are extremely marginal while physical, social and psychological needs are significant.

War Child Canada is working in camps in Kabul, Jalalabad and Kandahar to provide "child safe spaces", human rights education and legal aid to residents and has innaguarated this program to train community members in basic counseling skills and to develop referral resources. Our program provides training to WC staff and then to selected men and women in the camps who are supported in becoming a first line of mental health/ counseling intervention in the camps.

Our program design includes a very basic orientation to rft and uses the ACT Matrix as a model for exploring personal and family problems, sorting out maladaptive avoidance behaviors and developing a values based program of behavior change to support clients and their families.

This training is in its first iteration at the three named sites and is currently working to support the first cohorts of counselors in providing direct services and making appropriate referrals.

47. Predicting dishonest behaviors in the academic context [920]
Primary Topic: Relational Frame Theory
Subtopic: IRAP, academic dishonesty, Theory of Planned Behavior
Lidia Baran M.A., University of Silesia in Katowice

The problem of dishonest behaviors has become an increasingly significant issue in the area of the social psychology not only because of alarming numbers of dishonesty in academic, politic and interpersonal context but also because of its complex nature. Therefore, ability to successfully identify factors which influence individual decision to cheat is crucial to the process of creating effective dishonesty prevention and educational programs. The aim of the present study is to answer question about possible predictors of intention to commit an academic fraud. By combining elements of Theory of Planned Behavior (TPB) and implicit attitude measured from Relational Frame Theory perspective in the research plan author intended to maximized the level of explained variation in intention to and actual cheating behavior and investigate possible relation between those constructs. Student participants were invited to the laboratory in order to test new computer based methods measuring cognitive abilities. The first task gave participants a chance to solve a given exercises either in honest or dishonest way and the second one introduce them to the Implicit Relational Assessment Procedure (IRAP) concerning academic dishonesty. Finally participants were given a questionnaire measuring moral obligation, perceived behavioral control, subjective norms, attitude and intention toward cheating. Incorporating results obtain in the recent study into direct interventions in the academic context may increase their effectiveness and allows practitioners to better understand the phenomenon of the academic dishonesty.

48. Exploring attitudes towards gender and science using the IRAP & the IAT
Primary Topic: Relational Frame Theory
Subtopic: IRAP
Lynn Farrell, B.A., University College Dublin
Andy Cochrane, Ph.D., Maynooth University
Louise McHugh, Ph.D., University College Dublin

Gendered beliefs and stereotypes can have a pervasive influence on the lives of males and females, influencing both behaviour and attitudes. There is a stereotypically masculine image related to the fields of science, technology, engineering and maths (STEM), with men often more strongly associated with these areas than women. Even when individuals claim to hold gender-neutral beliefs about STEM, research has found they may still hold gender-biased implicit beliefs. The issue of women’s under-representation in STEM, in combination with gendered STEM stereotypes, is a global concern having been found in many countries across the world. Two implicit measures, the Implicit Relational Assessment Procedure (IRAP) and the Implicit Association Test (IAT), were compared to assess attitudes towards women and science-based versus liberal arts college subjects. The IAT indicated the hypothesised significant men-science, women-arts bias for both males and females, with a stronger effect for females. The IRAP, however, produced a more complex pattern of results, with females showing a tendency to pair men with science and with liberal arts, whereas the males showed a more neutral effect. A follow up study aimed to investigate whether manipulation of the IRAP’s stimuli (i.e. using a more subtle label phrase) influenced any resultant bias particularly among females. The findings demonstrate the IRAP’s ability to provide more specific detail, such as the directionality of bias. These findings also have implications for those concerned with addressing the worldwide gender imbalance in STEM.

49. Comparing emotional regulation difficulties in women with premenstrual syndrome and normal women in Tehran city.
Primary Topic: Theoretical and philosophical foundations
Subtopic: mindfulness
Mahboube Ahmadi, M.S. in clinical psychology, Islamic Azad University, Khorasgan branch
Fatemeh Zargar, assistant professor in clinical psychology, Kashan University in Medical Sciences

This study aimed to compare the skills of mindfulness and emotion regulation ability in women with symptoms of premenstrual syndrome (PMS) and normal women in Tehran city. This is a case- control study. Women who referred to psychiatric clinics and offices of Obstetricians and Gynecologists at the second half of 2014 were selected by PMS screening questionnaire. Fifty women with PMS symptoms and 50 women without PMS symptoms filled out difficulties in emotion regulation scale (DERS) that had 6 subscales (no acceptance of Emotional Responses, difficulties engaging in goal-directed, impulse control difficulties, lack of emotional awareness, limited access to emotion regulation strategies and lack of emotional clarity). Data analysis using multivariate analysis of variance (MONOVA) showed significant differences in all subscales of DERS except in lack of emotional awareness and lack of emotional clarity. It can be concluded that women with PMS have weaker emotional acceptance, goal-directed behavior, impulse control and emotional regulation strategies than non-infected women.

Thursday, 16 July - Poster Session #2

1. A Systematic review of ACT for Chronic Pain: Outcome measures and delivery from a physical function perspective [921]
Primary Topic: Behavioral medicine
Subtopic: Physiotherapy; ACT; Interprofessional Pain Rehabilitation; Chronic Pain; Interdisciplinary
Cleo Barrable, M.A., MSc., University of Brighton
Guy Canby, University of Brighton

BACKGROUND: Acceptance and Commitment Therapy (ACT) for chronic pain management (CPM) focuses on increasing function and engagement in valued life rather than pain reduction. Physiotherapists clearly have an invaluable role in helping to achieve this aim. Furthermore, since the mid-90’s, research and evidence-based guidelines have stated that pain management programmes (PMPs) should be delivered by an interdisciplinary team, with the physiotherapist as an integral member. An increasing number of studies are evaluating the efficacy of ACT in CPM, but their outcome measures and delivery methods have not been analysed from a physical function perspective. Therefore this systematic review will identify randomized controlled trials (RCTs), and RCT-protocols, that investigate ACT-based-interventions within an adult non-oncological chronic pain population, with the primary objective being to determine: (1) how physical function is measured and establish if it is (a) consistently selected as a primary outcome and/or (b) comprehensively measured (e.g. self report, performance-based, both); (2) how ACT is being delivered and establish if physiotherapists are involved. A secondary objective is to consider whether planned research (i.e. RCT-protocols) differ within these areas as this may affect the recommendations made for future research. METHODS: An extensive systematic search across 12 databases, 2 clinical trial registries and 2 websites identified 2208 trials, 20 (16 RCTs; 4 Protocols) were found eligible for inclusion. A pre-specified data extraction tool was used across all studies and protocols were analysed as a separate subgroup for comparison. RCTs were assessed for Quality and Risk-of-Bias (RoB). RESULTS: Half the RCTs suffered from high RoB. Overall 9 different physical function outcome measures were identified, 8 were self-report format. Half of the trials included one of these measures as a primary outcome. All of the RCTs used psychologist(s) to administer the ACT-intervention, with 3/16 trials additionally using a pain physician to administer 2 sessions, but no trials included physiotherapist(s). Protocols proposed only self-report measures, but 3/4 planned physiotherapist involvement in their treatment and/or control. DISCUSSION: The research evaluating the efficacy of ACT in CPM does not comprehensively and effectively measure physical function. Furthermore, against what is recommended, the interventions delivered were mostly unidisciplinary and did not involve physiotherapists. The lack of an interdisciplinary approach may challenge the generalisability of findings to those PMPs that follow recommendations. Planned research is focusing on physiotherapy-delivered treatments, but continues to restrict outcome measurement to self-report. It is recommended that future RCTs include performance-based measures alongside self-report modalities, for a more comprehensive assessment of the important domain of physical functioning.

2. Investigating the Relationship Between Psychological Flexibility and Health Behaviors Among Dieters [922]
Primary Topic: Behavioral medicine
Subtopic: Dieting, Psychological Flexibility
Jessica Borushok, M.A., Bowling Green State University
Robert Carels, Ph.D., East Carolina University

Background: Obesity is a prominent health concern that affects nearly two-thirds of U.S. adults. Health professionals are especially alarmed by the prevalence of obesity because of the associated preventable chronic health risks, including cardiovascular disease, Type II diabetes, and cancer (Pi-Sunyer, 2009). Thus, researchers have focused on identifying specific factors related to successful weight loss and health behavior change. One growing area of research examines the relationship between psychological flexibility and health behaviors in an effort to identify factors that impact health behavior change and healthy lifestyles. Method: Data were collected through an online survey from self-reported dieting (i.e. engaging in active attempt to lose weight) adults (N= 196; 74% Female; 78.4% Caucasian; mean age: 37.85, SD: 12.23, range = 19-74) in a community, non-treatment seeking (i.e. not using surgical, bariatric, and/or formal behavioral interventions to lose weight) sample. All participants resided in the United States. They completed measures of weight-related psychological flexibility, eating and physical activity habits and beliefs, as well as dieting and self-monitoring practices. Results: Preliminary tests were conducted to examine relationships among demographic characteristics. Significant relationships were included as covariates in subsequent analyses. Hypotheses examining the relationship between weight-related psychological flexibility and various health-related behaviors among dieters were analyzed using hierarchical regression analyses where covariates were added in Step 1 and weight-related psychological flexibility was added in Step 2. Discussion: Findings highlight relationship between weight-related psychological flexibility and dieting variables, and suggest psychological flexibility may be an important factor that influences an individual’s success in creating and maintaining positive health behavior habits when dieting. Further research aimed at interventions that increase psychological flexibility and can be disseminated to large communities is important. Keywords: Diet, Psychological Flexibility, Health

3. Study protocol: Group based Acceptance and Commitment Therapy for adolescents with functional somatic syndromes – randomized trial. [923]
Primary Topic: Behavioral medicine
Subtopic: Adolescents, functional disorders
Karen Hansen Kallesøe, MD, Ph.D. student, Aarhus University Hospital, Denmark, The Research Clinic for Functional Disorders and Psychosomatics
Charlotte Ulrikka Rask, MD, associate professor, Ph.D., Aarhus University Hospital, Denmark, The Research Clinic for Functional Disorders and Psychosomatics
Andreas Schröder, MD, PhD, Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Denmark
Rikard Wicksell, Ph.D., Karolinska Institute, Stockholm, Sweden
Per Fink, professor, Ph.D., Dr.med.sc., Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Denmark

Background Over the last 3 decades, an increasing number of adolescents report recurrent functional somatic symptoms, i.e. somatic symptoms not attributable to any known conventionally defined physical disease. Epidemiological studies illustrate that five to ten percent experience persistent symptoms and reduced functioning and may receive diagnoses for functional somatic syndromes (FSS) such as chronic fatigue syndrome (CFS), fibromyalgia (FM), recurrent abdominal pain/irritable bowel syndrome (IBS) or idiopathic pain syndrome, characterized by severe disability and reduced quality of life. Unfortunately, despite the high need for care, there is yet a lack of empirically supported treatments for these adolescents. Aim The aim of this study is to examine the efficacy of group based Acceptance and Commitment Therapy (ACT) for adolescents with severe FSS. Method and design A total of 120 adolescents aged 15-19 years and diagnosed with severe FSS will be assessed and randomized to either: 1. Standard treatment: a single consultation with a psychiatrist and treatment as usual or 2. Standard treatment plus manualized ACT based group therapy. The ACT program is specifically developed for adolescents with severe FSS and consists of 9 modules (i.e. 27 hours in total) and one follow up meeting (3 hours). Self-report questionnaires will be administered at baseline and 2, 4, 5½, 8 and 12 months after baseline with 5½ months as end of treatment and 12 months as primary endpoint. The primary outcome variable is physical health, as assessed by SF36. Secondary outcome variables include symptom interference, stress, quality of life and global improvement. Process measures are illness perception, illness related behavior and psychological flexibility. In addition, physiological stress response will be measured by heart rate variability (HRV), hair-cortisol and inflammatory response (e.g. IL6, TNF-α, high-sensitive CRP, IL1, neopterin, CD163, HO1, MCP1 but also newer proteo-based markers) at baseline and primary endpoint. Discussion This is one of the first larger studies which aims to develop effective, evidence based treatment for adolescents with severe, disabling chronic FSS. Objective markers for physiological stress response will increase our knowledge of FSS and the potential process of change. If the treatment is effective this may result in significant improvement in the well-being and overall quality of life of these young patients as well as substantial reductions in health-related costs

4. The role of psychological inflexibility in the relationship between life hassles and depressive symptoms in adolescence [924]
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescence
Ana Xavier, Ph.D. Student, Cognitive and Behavioral Center for Research and Intervention, University of Coimbra, Portugal
José Pinto Gouveia, Ph.D., Cognitive and Behavioral Center for Research and Intervention, University of Coimbra, Portugal
Marina Cunha, Ph.D., Instituto Superior Miguel Torga, Coimbra, Portugal; Cognitive and Behavioral Center for Research and Intervention

Background: Empirical evidence demonstrates that psychological inflexibility is a major issue of social and emotional functioning in several mental disorders. It is also well-established that everyday life hassles are associated with psychological maladjustment and depression. However, there are still unanswered questions about the role of psychological inflexibility in the relationship between recent life hassles and depression among adolescents. Method: This study aims to test whether psychological inflexibility mediates the relationship between life hassles and depressive symptoms. The sample consists of 787 adolescents (53% female adolescents) aged between 12 and 18 years old (M = 14.99, SD = 1.76), collected from middle and secondary schools from centre region of Portugal. Participants answered the following self-report questionnaires: Daily Hassles Microsystems Scale (DHMS), Avoidance and Fusion Questionnaire for Youth (AFQ-Y) and Depression Anxiety and Stress Scale (DASS-21). Results: Descriptive analysis showed that girls presented higher levels of everyday school and peer hassles, psychological inflexibility and depressive symptoms than boys. Age and years of education were positively correlated with daily school hassles and with depressive symptoms. There were significant correlations between life hassles and psychological inflexibility. Daily school and peer hassles were moderately associated with depressive symptoms. There was a significant correlation between psychological inflexibility and depressive symptoms. Results from path analysis showed that the model explained 39% of depressive symptoms variance. A bootstrap analysis revealed a significant indirect effect of psychological inflexibility in the relationship between life hassles and depressive symptoms, even when socio-demographic variables were controlled for. Discussion: These results indicate that daily school and peer hassles indirectly predicted depressive symptoms, through their effect in psychological inflexibility. It seems that adolescents who perceived more daily school and peer hassles tend to deal with it in an inflexible and avoidant way, which in turn impacts upon increased levels of depressive symptoms.

5. ACT for OCD: a single case study of a 13 years old child with compulsive hoarding
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT, OCD, Children
Angela Valli, IESCUM (Italy)
Giovambattista Presti, M.D., Ph.D., Università Kore, Enna (Italy)

Compulsive Hoarding is characterised by “excessively save items that others may view as worthless and have persistent difficulty getting rid of or parting with possessions” (APA, 2014). Cognitive-Behavioral Therapy (CBT) is a commonly implemented therapeutic intervention for Obsessive-Compulsive Disorder (OCD), and also for compulsive hoarding. However, third wave therapies such as Acceptance and Commitment Therapy (ACT) are increasingly recognized as treatments of choice for OCD (Bluett E.J. et al., 2014). The aim of this work is to present the rationale for using ACT and the application to a 13 years old child showing compulsive hoarding. Rather than aiming to restructure problematic beliefs related to hoarding, we tried with the help of an ACT protocol to promote psychological flexibility, the ability to take distance from problematic thoughts (cognitive defusion) and to accept internal experiences (feelings, thoughts, urges, bodily sensations) in the service of decreasing the aversive control of anxiety and obsessions and increasing personal values-oriented committed actions. To investigate the effectiveness of therapy, direct measures of hoarding behaviors and the following psychometric tools DAWBA (Goodman et al., 2000), CBCL (Achenbach and Rescorla 2001), AFQ-Y (Greco and Baer, 2008), CAMM (Greco, Smith and Baer, 2008) were used at pre and post-treatment intervals.

6. Does contextualizing AAQ make it more sensible to clinical changes? An exploratory analysis of two ways of using it
Primary Topic: Clinical Interventions and Interests
Subtopic: AAQ, Experiential avoidance
Annalisa Oppo, Sigmund Freud University, IULM University (Milan, Italy)
Giovambattista Presti, MD, PhD, Kore University, Enna (Italy)
Cristina Rizzo, Kore University, Enna (Italy)
Concetta Messina, Kore University, Enna (Italy)
Martina Leuzzi, Kore University, Enna (Italy)
Paolo Moderato, PhD, IULM Unversity (Milan, Italy)

AAQ is a measure of experiential avoidance which is extensively used in clinical studies. The interest on this measure comes from the fact that experiential avoidance/ psychological inflexibility is of significant importance in relation to the development, maintenance, and treatment of psychopathology. Thus testing its sensitivity to changes in the measured dimension is important to understand some aspects of its psychometric properties. Two hundred undergraduate students attending a class on personality were randomly assigned to one of two groups: AAQ and in-context-AAQ. Eight mindfulness exercises were delivered at the end of 8 different lessons at the same time to all the subjects. Before each mindfulness exercise subjects were asked to complete the AAQs. Instructions on the in-context-AAQ sheet required the participant to write down on top of the page the thought that was particularly worrying him/her in the last period and to complete the AAQ in the light of the worries expressed. He/she could tear the thought reported on top of the sheet, once the responses were marked. A significant statistical difference emerged from the fourth evaluation on for the in-context-AAQ group with respect to baseline while the AAQ group remained stable. In the in-context-AAQ group the score differed showing more flexibility. While other variables could account for this statistical difference, it is nevertheless interesting to note such a difference on the same instrument under the same conditions, except for the way it was administered. Implication for future research to deepen into this difference will be discussed

7. Evaluating the effect of a 3-days Acceptance and Commitment Therapy workshop on therapists' psychological flexibility
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychological Flexibility
Arianna Ristallo, Università IULM, Milan and IESCUM, Italy
Massimo Cesareo, Università IULM, Milan and IESCUM, Italy
Francesco Dell'Orco, Università IULM, Milan and IESCUM, Italy

Psychological flexibility and acceptance are relevant in promoting psychological health. Few studies provide data on therapist skill development and personal benefit for therapists related to receiving ACT training. The present study investigates the effects of a 3-days intensive ACT workshop on clinical psychologists in training. Six self report measures - Cognitive Fusion Questionnaire (Gillanders et al., 2014), Acceptance and Action Questionnaire II – Italian Version (Pennato et al. , 2013), Experience Questionnaire (Fresco et al. , 2007), Depression Anxiety and Stress Scale - Italian Version (Severino & Haynes, 2010) and Symptom Checklist-90 (Derogatis, 2011) - were administered to 170 Italian psychologists from different part of Italy (age 24-56, mean=30.98 sd=4.33, 88.2% female, 11.8% male). Participants completed the questionnaires (paper pencil form) before and after the workshop. A 3-months follow up was administered online. Among the therapists 128 (75%) completed the first two evaluations and among them 69 (54%) completed the online follow up. An increase in the indices of psychological flexibility is expected among the therapists after completing workshop. Results will be discussed.

8. Is less effective? A preliminary evaluation of the effects of a comprised ACT-treatment for longstanding pain
Primary Topic: Clinical Interventions and Interests
Subtopic: Longstanding pain
Björn Liliequist, Lic Psych, M.Sc, Karolinska University Hospital
Martin Jonsjö, Ph.D.-Student, Karolinska Institutet
Mike Kemani, Ph.D., Karolinska Institutet
Camilla Wiwe-Lipsker, Ph.D-Student, Karolinska Institutet
Rikard Wicksell, Ph.D., Karolinska Institutet

Introduction and objectives Since 2001, an ACT-based behavioral medicine treatment model for longstanding debilitating pain has been developed at the Karolinska University Hospital. A number of RCT's have shown the efficacy of the treatment model in increasing functioning and quality of life. However, a subgroup of patients choose not to participate in treatment. In our clinical experience, a number of these patients decline treatment due to the extensiveness of the intervention, i.e. these patients prioritize engagement in valued activities such as work, school etc before treatment. A less extensive version of the treatment program may be of benefit for these patients who, though already engaged in some valued areas of life, are still affected by pain and pain-related problems in other areas. There is a lack of studies evaluating the effect of comprised ACT interventions for longstanding, debilitating pain. The main aim of this ongoing study is to evaluate whether a short format treatment program is effective in increasing functioning in patients who otherwise would not receive treatment for their pain-related problems. Method Treatment consists of 5-7 weekly individual ACT sessions, delivered by a psychologist (4-6) and by a physician (1) respectively. In addition, parents to children and adolescents in treatment receive 2 ACT sessions delivered by a psychologist and 1 session with a physician. An open case trial design is used, with assessments at pre- and post-treatment as well as at 3, 6 and 12 months follow-up. The primary outcome measures are pain disability (PDI), pain interference (PII). Secondary outcome measures include psychological flexibility (Psychological Inflexibility in Pain Scale, PIPS). Results and conclusion Data collection is ongoing. Treatment evaluations of outcome will be presented, and clinical implications of these findings will be discussed.

9. Examining the Relations Between Anxiety, Depression, Chronic Traumatic Stress, and Psychological Flexibility in Male Bhutanese Refugees
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychological Flexibility
Carly Baetz, J.D., M.Phil., The Graduate Center, CUNY
Jessica Clifton, M.A., University of Vermont
Victoria Baptiste, B.A., University of Vermont
Jeff Winer, M.S., University of Massachusetts Amherst
Sheau-Yan Ho, B.A., University of Vermont
Emily Pichler, B.A., University of Vermont
Valerie Harder, M.H.S., Ph.D., University of Vermont
Karen Fondacaro, Ph.D., University of Vermont

Prior research has shown that psychological flexibility is an important predictor of general psychological health and well-being. In refugee populations, psychological flexibility may also constitute an important factor in overcoming trauma (including a history of torture), resettlement, and acculturative stressors. However, to date there is little research on how psychological flexibility is related to mental health symptoms in refugee populations. The current study will begin to fill this gap in the literature by examining the relationship between psychological flexibility and symptoms of anxiety, depression, and chronic traumatic stress among Bhutanese refugee men referred to a community health clinic. Participants included 9 male Bhutanese refugees enrolled in an open-format psychotherapy group for adjustment disorder. Treatment was rooted in an acceptance and commitment therapy (ACT) framework, with the goal of enhancing overall psychological well-being. Baseline measurements included the Hopkins Symptom Checklist-25 (HSCL-25) and the Harvard Trauma Questionnaire (HTQ) to assess for depressive, anxiety, and posttraumatic stress symptom severity. Psychological flexibility was also assessed at baseline using the Acceptance and Action Questionnaire-II (AAQ-II). Results will include descriptive data and correlation analyses to assess the relationship between acceptance, willingness to pursue valued experiences, and symptom severity. These findings will provide critical, and otherwise unknown, information about the role of psychological flexibility in relation to mental health symptoms in Bhutanese male refugees. These findings will also highlight the implications of using ACT in a group psychotherapy setting to address these symptoms in male refugee populations. More broadly, the results may be used to inform and improve the treatment of mental health problems in refugees and survivors of trauma and torture.

10. ACT for Depression and Anxiety: Group Therapy with College Students and Community Members [925]
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression and Anxiety
Cassandra Pentzien, B.A., Bowling Green State University
Jessica Borushok, M.A., Bowling Green State University
Jennifer Lackey, M.A., Bowling Green State University
Kelly E. Amrhein, M.A., Bowling Green State University
Dryw Dworsky, Ph.D., Bowling Green State University 

A 10-week therapy group using Acceptance and Commitment Therapy for depression and anxiety was modified and implemented at the Bowling Green State University (BGSU) Psychological Services Center. Based originally on an intervention created for Cornell University’s Counseling and Psychological Services by Matthew Boone and Cory Myler, the group served undergraduate and graduate students from BGSU as well as nonstudent members of the community. The intervention combined didactic elements, mindfulness exercises, experiential activities, group discussion, and homework. Most worksheets and handouts were adapted from ACT Made Simple and The Happiness Trap. The first six sessions focused on the processes of psychological flexibility, while the remaining sessions encouraged group members to integrate these processes into their own lives in the service of mobilizing toward values-driven committed action. Group members were administered survey measures before participating in the intervention and after their completion to assess psychological flexibility and life satisfaction. This poster will examine treatment outcomes and discuss potential differences in outcomes between community versus college student groups. Additionally, the practical challenges and barriers that are associated with the implementation of an ACT group protocol with college students and community members will be discussed, including the unique barriers that arise with recruiting and integrating community members into groups with traditional college students.

11. Parent counseling based on Acceptance and Commitment therapy: A pilot study
Primary Topic: Clinical Interventions and Interests
Subtopic: Parents of children with developmental and/or psychological problems
Denise Bodden, Ph.d., Radboud University Nijmegen, Behavioural Science Institute
Denise Matthijssen, Altrecht, Division of Youth

Research on the effectiveness of ACT as a parent counseling therapy is scarce. In a study by Blackledge and Hayes (2006), it was demonstrated that after a 2-day group ACT workshop for parents with children diagnosed with autism that parents improved. Additionally, Coyne, McHugh and Martinez (2011) have described how ACT can be employed in families. Both concluded that additional research is necessary to investigate effectiveness of ACT parent programs. In this pilot study, ACT was delivered as a parent counseling therapy in order to provide the parents new skills in dealing with their children’s interaction problems by increasing psychological flexibility. The ACT parent counseling consisted of eight group-therapy sessions with six to eight parents. The goal of this quasi experimental research was to investigate whether this ACT parent program led to an increase in psychological flexibility, parental competence, positive parenting skills and the quality of the parent-child interaction. In this presentation, the content of the ACT parent program will be presented, as well as the effects of this program based on 50 parents’ self-reports. Results suggest that ACT parent counseling is a promising intervention.

12. A Pilot Study of an Acceptance and Commitment Therapy-Based Intervention addressing emotion regulation in individuals with Substance Use Disorder and Borderline Personality Disorder
Primary Topic: Clinical Interventions and Interests
Subtopic: Emotion regulation, Substance use disorder, Borderline Personality Disorder
Dr Kate Hall, DPsych, Deakin University
Dr Angela Simpson, DPsych, Deakin University
Ms Romy Briner, Deakin University
Associate Professor Petra Staiger, Deakin University
Ms Jane Morton, Spectrum Personality Disorder Service
Professor Dan Lubman, Turning Point Eastern Health & Monash University

Background: While around 1-2% of the general population meet criteria for Borderline Personality Disorder (BPD), up to 65% of substance users in treatment meet criteria for BPD. It is common for these individuals to engage in impulsive, maladaptive behaviours (e.g. risk taking, self-harm). The severity of emotional and behavioural symptoms in these treatment seeking individuals present considerable challenges for addiction treatment services. Treatment studies highlight that clients with co-occurring SUD and BPD have higher rates of relapse, treatment noncompliance and poorer outcomes than those with either diagnosis alone. These clients pose considerable challenges to treatment services and the currently available treatments are not feasible in real-life alcohol and other drug (AOD) settings. There is a clear need for effective treatment options which can occur within the context of alcohol and other drug (AOD) treatment services. Method: A pilot evaluation of an individually administered acceptance and commitment therapy (ACT)-based intervention for treatment-seekers with co-occurring substance use disorder (SUD) and borderline personality disorder (BPD) traits was conducted. The study investigated whether 12 sessions of the ACT-based intervention improved AOD and BPD outcomes, and emotion regulation skills. It also examined the post-treatment associations between these outcomes. The sample consisted of 23 adult treatment-seekers (17 women and 6 men) attending psychological counselling at an outpatient AOD service in Melbourne, Australia. Results: Following the ACT-based treatment, participants demonstrated a significant reduction in the severity of BPD symptoms, as well as significant improvements in both ACT-related and emotion regulation skills. There was a significant reduction in drug use, but not alcohol use. Negligible relationships were demonstrated between levels of AOD use with both ACT-related and emotion regulation skills. There were significant inverse post-treatment relationships between the severity of BPD symptoms and level of ACT-related skills, as well as between the severity of BPD symptoms and emotion regulation skills. Discussion: The outcomes of the present study suggested that the ACT-based intervention could be an effective and practical treatment option for co-occurring SUD and BPD when delivered in outpatient treatment services.

13. ACT versus CBT for children with OCD. A preliminary naturalistic investigation
Primary Topic: Clinical Interventions and Interests
Subtopic: OCD
Elena Campanini, Psy-D, IESCUM Italy, ASCCO Parma
Francesca Pergolizzi, Psy-D, IESCUM Italy, ASCCO Parma
Annalisa Oppo, Psy-D, IESCUM Italy, Sigmund Freud University Milano

Obsessive Compulsive Disorder (OCD) is a disorder that affects between 0.5% and 3% of children and adolescents (Heyman et al., 2003; Leonard et al., 1993). Children and adolescents with OCD are typically characterized by symptoms that involve (a) intrusive unwanted thoughts, ideas, or images that evoke anxiety (obsessions), and (b) behavioral or mental rituals performed to neutralize this distress (compulsions). OCD frequently causes a high degree of distress and impaired functioning, with an high risk of chronic outcomes (Piacentini, Bergman, Keller, & McCracken, 2003; Thomsen, 2000). OCD interferes with child's daily functioning, and may have an adverse impact on child's psychosocial development (Peris et al., 2008; Piacentini et al., 2003; Storch et al., 2007). Controlled clinical trials with young people diagnosed with OCD support the efficacy of CBT as well as medication with serotonin reuptake inhibitors (SRI) (Abramowitz, Whiteside, & Deacon, 2005; Geller, Biederman, Stewart, Mullin, Martin, et al., 2003; Watson & Rees, 2008). International expert guidelines recommend the use of exposure-based CBT as a first-line of treatment for children and adolescents with OCD (NICE, 2005) and SRI or combined treatment (CBT plus SRI) for moderate to severe OCD (Geller et al., 2012). Corrent evidence suggests that cognitive behavioural treatments are the first choice treatments for children and adolescents with OCD (March, et al.,1997). Bolton and Perrin (2008) demonstrated that exposure with response prevention (E/RP) alone is sufficient to achieve significant benefits. Treatment with Acceptance and Commitment therapy in adult OCD produced clinically significant reductions in compulsions increasing willingness to experience obsessions (Twohig, Hayes & Masuda, 2006), but there is no evidence for treating youth with OCD. The aim of this study is to assess the effectiveness of an 8 sessions ACT Protocol for OCD children and to analyze differences between ACT and CBT in terms of different outcome measures. Between Jannuary 2004 and November 2014, 20 children aged between 11 and 15 (Males=45%) were recruited in a private practice setting. Children were allocate to CBT (N=10) or ACT (N=10) treatment on the basis of convenience. Participants were assessed pre-intervention, at the end of intervention, 3 months after intervention, one year after intervention and two years after intervention with self-report measures of children’s compulsion (compulsion’s daily frequency and length in time) and with Children Yale Brown Obessive Compulsive Scale (CY-BOCS). Results swow that both CBT and ACT are effective treatment. All children responded to treatment both in terms of obsessions (Wilcoxon U=-3.93; p<.001) and compulsions (Wilcoxon U=-3.94; p<.001). ACT was effective as CBT in terms of severity of hilness reduction (Wilcoxon U=-3.86; p<.001). Results were maintained at 3 month, 1-year and 2-years follow-ups Although both treatment are equally effective for children who soffer from OCD, Acceptnance and Commitment (median number of session=22) therapy was better than CBT (median number of session=34) in terms of length of treatment (Mann-Whitney U =3,79; p<.001; ES=6.98) and in terms of hilness insight.

14. Diabetes acceptance and personal characteristics: Impact on health and behaviour outcomes in emerging adults with type 1 diabetes (T1D) [926]
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance
Emma Nieminen, MA (Hons), University of Edinburgh
Nuno Ferreira, Ph.D., University of Edinburgh

Objectives: Emerging adulthood is an important transition point for youths with Type 1 diabetes. Personal characteristics such as self-efficacy, fear of hypoglycaemia, depressive symptoms, emotional distress, and impulse control have been hypothesized to be key predictors of health and behavioural outcomes (Hanna,2012). This study aims to test the utility of incorporating diabetes acceptance (Schmitt, Reimer, & Kulzer, 2014) in this model of transition. Methods: Participants included 175 young adults aged 16-25 with a diagnosis of type 1 diabetes recruited from online diabetes support forums and groups. An online survey was used to collect data on the key variables of personal characteristics, acceptance and health and behavioural outcomes. Linear multiple regression analysis was used to test the predictive value of personal characteristics and acceptance in health (glycaemic control, quality of life) and behavioural (self-management) outcomes. Results: Diabetes acceptance (31.5%) and diabetes distress (10.3%) predicted 41.7% of variance in self-management (R2 = .417, F(2,142) = 50.83, p < .001). Diabetes acceptance (25.9%), diabetes distress (4.1%), and age of diagnosis (3.7%) predicted 33.7% of variance in glycaemic control (R2 = .337, F(3,134) = 22.69, p < .001). Diabetes distress (50.2%) was the only predictor of quality of life (R2 = .502, F(1,143), p < .001). Conclusions: Diabetes acceptance is an important predictor of both health and behavioural outcomes in emerging adults with type 1 diabetes. There is also further support for other personal characteristics such as diabetes distress affecting these outcomes. These should be considered for ideal diabetes management. Keywords: type 1 diabetes, acceptance, emerging adults, personal characteristics, health outcomes, behaviour outcomes

15. Validation of the Dysfunctional Attitude Scale (DAS) in the Italian Youth Population
Primary Topic: Clinical Interventions and Interests
Subtopic: dysfunctional attitudes, negative beliefs, depression, adolescent
Erika Melchiorri Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Valentina Carloni, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Martina Romitelli, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Gilda Picchio, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

Dysfunctional Attitude Scale (DAS; Weissman & Beck; 1978) was developed to investigate cognitive attitudes towards the self, the future and the others in adult depressed people, according to Beck’s cognitive triad. This study aims to present an Italian version of DAS and to investigate its validity, reliability and comprehensibility in a sample of non clinical adolescents. It has been translated into Italian and administered to about 400 students aged 11-14. This DAS version is useful both in clinical practice and in psychological research to recognize adolescents negative beliefs and to observe their link with mindfulness abilities defusion on one hand and with psychopathological symptoms on the other. The DAS italian version shows good psychometric characteristics supporting its use on adolescents.

16. Reliability and Validity of an Italian version of the Perceived Stress Scale (PSS) for Youth
Primary Topic: Clinical Interventions and Interests
Subtopic: Perceived Stress, quality of life, wellbeing, happiness
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Nicoletta Ristè, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Valentina Carloni, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

This poster presents the Italian validation of Perceived Stress Scale (PSS; Cohen, Kamarck, Mermelstein, 1983) on a sample of about 400 adolescents (aged 11-14). PSS is a 14 items instrument originally developed for adults, measuring the degree to which life events are cognitively appraised as stressful. The utility of PSS administration to adolescents’ population is linked to its suggested capacity in examining nonspecific appraised stress function in the etiology of psychological disease and behavioural disorders. Collected data support PSS use on Italian adolescents, revealing good understandability and psychometric properties. Moreover, this study shows a negative correlation between perceived stress degree and good quality of life or mindfulness abilities and a positive correlation between perceived stress and dysfunctional attitudes or psychopathological symptoms.

17. Post Traumatic Stress Disorder, Experiential Avoidance and ACT: A single case study
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD
Francesca Ferretti, Ascco e Iescum
Campanini Elena, Ascco e Iescum

Background: Orsillo & Batten (2005) argued that Post Traumatic Stress Disorder (PTSD) can be considered as a disorder of experiential avoidance. Experiential avoidance has been defined as a process by which individuals engage in strategies designed to alter the frequency or experience of private events, such as thoughts, feelings, memories, or bodily sensations (Hayes et al., 1996). Similarly experiential avoidance can be seen as a contributory factor in the development and maintenance of PTSD, in fact symptoms experienced by PTSD clients can be explained within a model that proposes that chronic, pervasive efforts to avoid thoughts, feelings, and memories related to the traumatic event produce long-term exacerbation of these private events and ensuing functional impairment. ACT is a contextual behavioral therapy based on the assumption that many of the symptoms seen across the range of psychopathology represent efforts to avoid or escape emotions, thoughts, memories, and other private experiences (Hayes et al., 1996). Recently a practitioner's guide (Walser & Westrup, 2007) and self-help version (Follette & Pistorello, 2007) of ACT as a treatment for PTSD have been published: an ACT treatment could overstep several limitations of traditional CBT treatments. This script is a single case study in which ACT treatment has been applied to a young woman with PTSD symptoms. Christina was the victim of an aggression and after that episode she wasn’t able to go on with her daily life and she had a high level of experiential avoidance. Method: Avoidances and behavioral restrictions were monitored as an independent measure of the behavior. Measurements of PTSD symptoms were taken using the Impact of Event Scale - Revised (IES – R, Weiss & Marmar, 1996). The Acceptance and Action Questionnaire II ( AAQII - Bond et al., submitted; Italian version by Miselli G., Presti G., Rabitti E. and Moderato P., 2008) was used to assess experiential avoidance and psychological flexibility. There were two measurement times: - T0 ( April 2013 ) initial assessment, pre-treatment - T1 ( November 2013 ) follow-up after 6 months, post-treatment The treatment consisted of 10 sessions. Results: Results showed a reduction on avoidances and behavioral restrictions, a reduction in PTSD symptoms (IES-R) and an increased of psychological flexibility (AAQ-II). Discussion: The third-generation cognitive behavioral therapies such as ACT, can contribute to help people who experienced trauma: it can allow to make room for their suffering and to see the pain as part of the totality of human experience. This case study shows that ACT effectively treated a case of PTSD. We hope that these findings will stimulate additional research on the effectiveness of ACT and about mechanisms of action in all varieties of CBT.

18. Psychological flexibility in chronic pain: an exploratory analysis in an Italian population
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic pain
Giovambattista Presti, M.D., Ph.D., Kore University, Enna (Italy)
Chiara Vona, Kore University, Enna (Italy)
Paolo Moderato, Ph.D., Iulm University, Milan (Italy)

Psychological flexibility, is the ability to act effectively pursuing personal values, even in the presence of interfering thoughts, emotions and body sensations. Research show that it is related to better functioning and quality of life in patients with chronic pain. Parodoxically, the attempt to improve an individual's condition by fighting, controlling and trying to avoid pain, seems to have the effect of reducing interests, diminishing quality of life, and altering relations. To test the relation between pain and quality of life over a long period, we designed a trial conducted in collaboration with hospital “Umberto I” of Enna (Italy). Two groups of subjects, hospitalized patients suffering from chronic pain and a control group were assessed with the Acceptance and Action Questionnaire-II (AAQ-II), the Chronic Pain Acceptance Questionnaire-Revised (CPAQ-R), the Valued Living Questionnaire (VLQ), the Hospital Anxiety and Scale (HADS), the Survey on the State of Health (SF-36), the Illness Perception Questionnaire (IPQ), the McGill Pain Questionnaire (MPQ), and the Visual Analogue Scale (VAS) to refer the pain intensity in the moment of the interview, in the last 24hrs and in the last week. Measures reflect the aim to investigate the possible relation between psychological flexibility and levels of anxiety and depression, cognitive representations of illness identity, psychological impact of the disease (in terms of disability in the life of the subject), intensity of perceived pain. We present the very first baseline data of this longitudinal study referred to 109 patients homogeneously distributed in the three groups. First assessment shows that level of depression and anxiety on HADS are at the same and not statistically different in both groups (total HADS score is 22.32 for chronic pain group and 22.67 for control group). A difference emerges between AAQ scores (surprisingly there is no statistical difference between the two groups) and the CPAQ score (p < 0.01). Results will be discussed in terms of possible correlation between measures of psychological flexibility and variables related to it, in our case anxiety, depression and pain. In addition, to test if the results could related to pain per se or to the chronic condition of painful suffering the possible difference between patients with chronic pain and patients with acute pain will be investigated too by adding a hospitalized group with acute pain. A 6-months follow-up is planned to further investigate the effect of disease fluctuation over the constructs assessed.

19. Evaluating psychological flexibility in self-harmers: an exploratory study of Internet bloggers
Primary Topic: Clinical Interventions and Interests
Subtopic: Self-harming
Giovambattista Presti, MD, PhD, Kore University, Enna (Italy)
Martina Algozino, Kore University, Enna (Italy)
Paolo Moderato, PhD, Iulm University, Milan (Italy)

Self-harming has many functions and forms (cutting, head banging, hair pulling, skin picking and self-burning). Researchers have focused on its relationship with psychiatric and personality disorders. We investigated self-harming analyzing online behavior of self-harmers in various contexts such as social websites or blogs, assessing shared contents (photos, links, posts and videos) and investigating constructs that could be related in self-injurious behavior (such as depressive states and dissociative and tendency to action and avoidance). One-hundred-eleven 13 to 23 years old subjects were contacted and recruited through online services (Twitter, Facebook, Google +, Youtube). They were asked to fill the following questionnaires posted in a private webpage: Inventory of Statement About Self-injury (ISAS), Beck Depression Inventory (BDI), Adolescent Dissociative Experiences Scale (A-DES), Acceptance and Action Questionnaire (AAQ-2). Self-harm behaviors most frequently referred by the subjects were cutting (98.52%), interfering with wound healing (73.53%), pinching (66.18%), banging or hitting self (64.71%), severe scratching (58.82%), burning (54.41%), and bitting (51.47%). The group showed also high level of dissociation measured with A-DES (mean 4.7 (2.01)) and low level of psychological flexibility as measured by AAQ-II (21.13 (8.79)), and 90% of the sample were in the higher range (score between 30 and 63) of the BDI. When invited to comment the ISAS score subjects reported the cause of self-harming as follows: “To feel less Worthless”, “I am giving myself a distraction from my emotional pain”, “I self harm if I feel happy as I don’t deserve to be happy”, “Letting out all the pressure and stress”, “To feel I'm in control”, “I can't stop. I do it cause I need to, I'm addicted”, “It is the only thing that can make the static go away”, “I have a kind of sick obsession with scars, so if the ones I have fade too much I have to make more”. Fusion and avoidance thus seems emerging both from psychometric instruments and from qualitative analysis of verbal patterns. Any ACT based intervention in self-harming should take into consideration also data related to dissociation and pain avoidance.

20. Teach your children well: creating homogeneous environment to do ACT with kids
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT for kids, Hexaflex, Metaphor and exercises
Giovambattista Presti, M.D., Ph.D., Kore University, Enna (Italy)
Antonella Beneficio, Kore University, Enna (Italy)
Simona Mosca, Kore University, Enna (Italy)
Francesca Pergolizzi, IESCUM (Italy)
Paolo Moderato, IULM University, Mialn (Italy)

Acceptance and Commitment Therapy (ACT) was originally developed mainly for and with verbally competent adults. However there is nothing in the clinical model and in Relational Frame Theory (RFT), the underline theory of language and cognition, that suggests it might not be effective with verbally competent children or younger adults. ACT therapy with kids does not depart from the traditional hexaflex based protocols and ACT can be applicable to help children develop psychological flexibility and get unstuck from the functionally same language traps that catch adults. However some tweaks are necessary to metaphors and experiential exercises. To create clinically meaningful context of changes it is necessary to (re)create overarching verbal environments familiar to children. The tweaks used in the clinical examples that will be illustrated and discussed are inspired to Harry Potter, Courage the Cowardly dog, or Kung-Fu Panda or other tales. Tales (verbal contexts) can also be purposefully built from scratch to vehicle metaphors and experiential exercises that may promote change. We will show the main logic behind each “tale-hexaflex” and data derived from clinical cases will also be discussed and reviewed.

21. Disseminating “ACT for pain” on a national basis: a preliminary overview of “Beyond pain” Italian project
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT for pain, Web app, ACT dissemination
Giovambattista Presti, M.D., Ph.D., Kore University, Enna (Italy)
Francesco Dell'Orco, IULM University, Milan (Italy)
Francesco Pozzi, IULM University, Milan (Italy)
Michele Pozzi, Ibis Informatica (Milan, Italy)
Paolo Moderato, Ph.D., IULM Unversity (Milan, Italy)

ACT based pain management protocols were recognized as having strong empirical support by Division 12 of APA. Several randomized and controlled trials show that ACT improves outcomes in heterogeneous chronic pain samples, particularly functioning and mood, although pain severity may be less affected. These results overlaps with the concept of psychological flexibility which is related to functioning and moving in the direction of one’s values in the presence of pain. ACT is a relatively new treatment within the Italian clinical community, which is still mainly dominated by psychodynamic oriented clinicians, and moreover is unknown to the medical doctors, which almost neglect the support that other CBT psychotherapies have demonstrated in the literature. Based on an unrestricted grant a project to disseminate ACT for pain in the medical community and to raise awareness and offer support to patients is being implemented in Italy. The project is based on three main pillars: 1. Brief medical traing on the ACT model and effectiveness of the ACT treatment 2. Raising awareness among population over the availability of the treatment 3. Availability of a web-app that delivers an ACT protocol for patients with chronic pain The poster will show the details of the plan to roll-out ACT for pain in Italy and the data that will be collected to measure the effectiveness of the plan. Some critical points from the learned lesson will be underlined for future planners.

22. Effects of learning new symbolic relations over stereotyped responses: An exploratory analysis of sexual prejudice
Primary Topic: Relational Frame Theory
Subtopic: Sexual prejudice
Giovambattista Presti, M.D., Ph.D., Kore University, Enna (Italy)
M.G. Adalgisa Guagenti, M.A., Kore University, Enna (Italy)
Paolo Moderato, PhD, Iulm University, Milan (Italy)

Categorization and stereotypes help us to make sense of the world and face unknown situations, anticipating aspects of our everyday life. Prejudice is a special case of categorization and a derived learned response about a person or a group that arises in the absence of direct exposure or contact, with that specific person or group. Prejudice shows that humans can get caught in categories, irrespective of whether they are valid or not. Relational Frame Theory conceptualizes prejudice or stereotype as a network of verbally derived stimuli whose establishment/development, maintenance and termination can be empirically investigated within the paradigm of symbolic relational responding (Hayes, et al. 2002). Watts et al. (1991) investigated religious prejudice with an equivalence based learning paradigm and found that the response over the derived relations were idiosyncratic and sometimes related to the learning history of the subjects, sometimes related to the learned task. We used a similar model to test, in a conditional matching-to-sample task, the relation between an individual history of learning related to sexual prejudice and new learned relations. Twenty-two homosexual and heterosexual subjects were enrolled for this research. In the presence of gay or lesbian stereotyped images (A) subjects learnt to associate one of three nonsense syllables (B) and in the presence of nonsense syllables (B) they learnt to associate one of three images depicting issues which are not prevalently associated with homosexual individuals (C), such as marriage, family and having children. After learning these new relations in a frame of coordination, subjects were tested in three tasks: 1. relating A to C (learned) vs C (stereotyped) [an similar-IRAP task]; 2. relating A to C (learned) vs C (stereotyped) vs C (unrelated); and 3. the standard combinatorial A-C/C-A task. Patterns of responding in pre-post tasks were analyzed. Subjects who constantly responded at baseline with a “prejudice” pattern, maintained that pattern in the post-training tests notwithstanding the emergence of the derived combinatorial relations. Subjects who responded at chance level at baseline, responded according to the new learned relations in all three post-training testing tasks. Some implications for understanding the relations between learning new symbolic responses and derived responding is discussed. Data support the idea that learning new relations is not enough to disrupt or undermine strong symbolic networks. Implications for therapy and educational programs are discussed in light of RFT and ACT principles.

23. Treating Eating Disorders: Post-Hoc Reflections about past, present and future cognitive-behavioral intervention approaches
Primary Topic: Clinical Interventions and Interests
Subtopic: Eating Disorders
Giovanna Cristina Campione, Eating Disorder Service of Scientific Institute 'Eugenio Medea' (Child Psycopathology Unit), Bosisio Parini, Italy
Katia Manduchi, Fap trainer and supervisor, Iescum trainer and supervisor, Private practice
Gianluigi Mansi, Eating Disorder Service of Scientific Institute 'Eugenio Medea' (Child Psycopathology Unit), Bosisio Parini, Italy
Alessandra Fumagalli, Eating Disorder Service of Scientific Institute 'Eugenio Medea' (Child Psycopathology Unit), Bosisio Parini, Italy
Robert Allegri, Private Practice, Iescum alumni

Authors (the first one as therapist, the second one as supervisor) describe the treatment of the case of Irma, a 33 year-old patient diagnosed with Other Specified Feeding or Eating Disorder (OSFED) according to DSM-5 criteria. At the beginning, case conceptualization and treatment were performed as stated in Fairburn’s CBT-E (Cognitive Behavioral Therapy - Enhanced) model for treatment of Eating Disorders. However, as assessed by EDI-3 and clinical reports, although scores related to Eating Disorder symptoms improved, patient’s distress did not decrease and scores related to hyper-control got worse. Authors re-conceptualized Irma’s case according to Functional Contextualism, and treated it using a combined FAP-ACT intervention, which was effective as assessed by EDI-3, ACT-consistent measures, and clinical reports. Treating Irma’s case was an opportunity for thinking about and comparing second and third generations of cognitive behavioral therapies, especially in case of an Eating Disorder.

24. Acceptance and Commitment therapy for the multidisciplinary rehabilitation of fatigue
Primary Topic: Clinical Interventions and Interests
Subtopic: Fatigue
Henrik Børsting Jacobsen, Ph.D., St Olavs University Hospital; Oslo University Hospital

Background: Targeting maladaptive cognitions through cognitive-behavioral therapy (CBT) have previously been shown to reduce fatigue. The current study aimed to see whether less fatigue symptoms and improved quality of life (QoL) was associated with improving psychological flexibility as defined by Acceptance and Commitment Therapy (ACT). It was also an aim to see if psychological flexibility explained variance above and beyond maladaptive cognitions targeted in CBT and/or reduction of comorbid symptoms. Methods: 188 patients on long-term sick leave reporting disabling fatigue were included. Participants’ filled out a survey asking about socio-demographics, somatic and psychological complaints and maladaptive cognitions. They were also examined and diagnosed for mental disorders according to DSM-IV criteria at a designated outpatient clinic. Results: At post-treatment, participants reported an improvement in fatigue (p<.001; g=1.08). Hierarchical regression analyses showed that when controlling for other significant cognitions and co-morbid symptoms, only changes in fear-avoidance cognitions pre- to post-treatment were associated with reduced fatigue at treatment termination. No post-treatment changes in average psychological flexibility were reported. Physical function, insomnia, pain, and depressive symptoms were all significantly associated with reduced fatigue at treatment termination. Conclusion: The ACT-based RTW-program was effective in reducing fatigue from pre- to post-treatment. As predicted by more traditional CBT, reduction in fear-avoidance cognitions during treatment was significantly associated with reduction in self-reported fatigue. Psychological flexibility, the key theoretical concept in ACT, was not associated with a reduction in self-reported fatigue or improved QoL.

25. The Relationship of Self-Compassion, Experiential Avoidance, and Depression among Young Adult Women in Korea
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression
Hyeeun Kim, Ph.D., Seoul Women's University Graduate School of Professional Therapeutic Technology
Kyung Park, Ph.D., Seoul Women's University Graduate School of Professional Therapeutic Technology

Background: The present study examines how self-compassion, experiential avoidance, and depression are related from research conducted among young adult women in Korea. Especially, based on theoretical framework of acceptance and commitment therapy, our study assumes that experiential avoidance mediates the effect of previous depression which leads to persistence of depression. Also, this study examines whether self-compassion moderates the relationship between previous depression and experiential avoidance. Method: For this study, 269 Korean young adult women (age range 18-30 years) participated and completed a self report questionnaire which is comprised of self-compassion scale, acceptance action questionnaire, and Beck’s depression inventory. Our study assessed all variables twice at an interval of two months. Results: The level of previous depression, self-compassion, experiential avoidance are significantly correlated with depression in present. Also, experiential avoidance partially mediated the effect of depression at time 1 impacted to depression at time 2, because depression at time 1 still influenced on depression at time 2 after the controlled effect of experiential avoidance. In hierarchical multiple regression analysis, it is worthy of notice that, depression at time 1 which interacted with self-compassion influenced on experiential avoidance. Therefore, the moderating effect of self-compassion is significant in the relationship between previous depression and experiential avoidance. Discussion: Thus, depression can be reduced through improving acceptance of one’s experiences. Especially, it is verified, self-compassion has a role of buffer which can decrease experiential avoidance is important in development and persistence of depression. Furthermore, acceptance of experiences and self-compassion can act as a protective factor for treatment and prevention of depression. Finally, the present study was discussed in limitation of our research, and recommendation for future researches.

26. A Preliminary Investigation of the Use of Acceptance and Commitment Therapeutic Principles in Group Treatment with a Community Sample of Bhutanese Refugee Women
Primary Topic: Clinical Interventions and Interests
Subtopic: Refugee, Group Therapy
Jessica Clifton, M.A., University of Vermont
Sheau-Yan Ho, B.A., University of Vermont
Carly Baetz, J.D., University of Vermont
Emily Pichler, B.A., University of Vermont
Maggie Evans, B.A., University of Vermont
Diane Gottlieb, Ph.D.; Valerie Harder, Ph.D., University of Vermont
Karen Fondacaro, Ph.D., University of Vermont

Psychological inflexibility and experiential avoidance have been associated with negative outcomes, including depression, anxiety, and mental health problems in general. Furthermore, these psychological processes have shown to mediate the impact of Acceptance and Commitment Therapy (ACT) on mental health problems. Research has also demonstrated the importance of treatment engagement in psychotherapy outcomes. However, very little is known about the relationship between these variables in non-Western cultures. The present feasibility study examined changes in psychological inflexibility and experiential avoidance in a group of 13 female Bhutanese refugees seeking services at a community clinic. These women were assessed and invited to join an open-ended group with ongoing enrollment. Weekly group psychotherapy sessions were oriented in ACT principles and aimed to enhance psychological wellbeing. We utilized the Acceptance and Action Questionnaire (AAQ-II) to assess for psychological inflexibility and experiential avoidance at two mid-treatment time points (approximately 25 weeks and 50 weeks). Group psychotherapy treatment and assessment were performed with the assistance of a Nepali interpreter(s). Descriptive statistics indicated a decrease in mean scores on the AAQ-II (25 weeks: M = 44.2, SD = 26.05; 50 weeks: M = 37.4, SD = 8.74). Although not statistically significant (t(4) = .787, p = .47), this difference speaks to the clinical utility of using an ACT framework with this population. Additionally, a moderation analysis revealed that the number of treatment sessions attended may play a role in changes in psychological inflexibility and experiential avoidance, thus suggesting a dose-response relationship (F(3)=74.29, p = 0.08). Despite the exploratory nature and statistical limitations due to small sample size, this study provides support for (1) addressing psychological inflexibility and experiential avoidance in group therapy with non-English speaking refugees using ACT principles; (2) continuing to examine the use of ACT constructs with validated measurements in this population; and (3) understanding the impact of group attendance on changes in psychological flexibility. Overall, these results add new and relevant information to the extant literature by demonstrating the feasibility and utility of doing group therapy and research with non-English speaking refugees using an ACT framework. Future research should assess for barriers involved with attending therapy (e.g., avoidance, transportation, pain) and explore how psychological inflexibility and experiential avoidance are involved.

27. A Case Series on the Effects of Yoga for Generalized Anxiety Disorder [927]
Primary Topic: Clinical Interventions and Interests
Subtopic: GAD, Yoga, Mindfulness
Jessica Morgan, M.A., Georgia State University
Page Anderson, Ph.D., Georgia State University

Background Generalized anxiety disorder (GAD) is a prevalent psychiatric disorder associated with substantial impairment and poor treatment response. Yoga is found to influences processes that are linked to GAD, including mindfulness, anxiety, and heart rate variability, but has yet to be evaluated among people with the disorder. The present study is a first step and evaluates the efficacy of yoga for reducing worry among people with GAD. Method Three participants diagnosed with primary GAD using received eight twice-weekly Kripalu yoga sessions following a baseline data collection period. Using a single-subject AB design case series, daily ratings of worry were collected and compared across baseline and intervention phases. For secondary analysis, standardized self-report measures of worry, trait anxiety, experiential avoidance, and mindfulness, as well as heart rate variability are assessed at pre- and post-treatment. Results Two of three participants showed evidence of change in daily worry ratings coinciding with the introduction of yoga. The participant who did not reduce in worry showed increases in mindfulness and HRV. Effect sizes indicate overall trends in therapeutically desirable directions for standardized measures of worry, trait anxiety, experiential avoidance, and mindfulness as well as high-frequency heart rate variability. Discussion Yoga has the potential to reduce worry in individuals with GAD; in this sample, two of three participants showed evidence of reductions in worry. The increase in mindfulness and HRV in the participant who showed non-response on the worry variable is discussed.

28. Acceptance and Commitment Therapy for Public Speaking Anxiety – a Case Series Study of Effects on Self-reported, Implicit, Imaginal, and In-vivo Performance Outcomes
Primary Topic: Clinical Interventions and Interests
Subtopic: Public Speaking Anxiety / IRAP
Joe Priestley, University of Lincoln, UK
Dr. David Dawson & Dr. Nima Moghaddam, University of Lincoln

Abstract Public speaking anxiety affects a large percentage of the general population. In some cases, public speaking anxiety can lead to a number of interrelated social difficulties such as interference or distress related to work, reduced likelihood of continued education, and higher levels of unemployment. Although Cognitive Behavioural Therapy has been shown to be effective in treating this difficulty, around 25% of patients fail to respond. Acceptance and Commitment therapy (ACT) may offer an alternative for patients who find traditional models of exposure distressing. Although limited, extant research in this area is promising. The present study investigated the effects of a self-help ACT intervention in the domains of willingness, distress, and avoidance related to public speaking. The single case experimental design allowed for changes in participant responding to be tracked in line with the chapters being read in the self-help workbook (Get out of your mind, and into your life) allowing for inferences to be made about which ACT process may beneficial in treating this difficulty. Change was also tracked using ACT process measures and the Implicit Relational Assessment Procedure (IRAP), to investigate whether self-rated and implicit change occurred concordantly. Finally, participants were given the option to take part in a public speaking task, and their performance rated. The study is still underway, however, initial findings will be available for the ACBS conference. It is hoped that the findings from this study will support the use of ACT, delivered in a self-help format, to treat public speaking anxiety for patient’s wishing to address their difficulty independently or for patients with wider social anxiety who do not seek treatment.

29. Vitalis – A randomized intervention study aiming at Return To Work for women with long-term sick leave. [928]
Primary Topic: Clinical Interventions and Interests
Subtopic: Return To Work
Linnea Molin, Psychologist, ArbetsRehab, Department of Occupational and Environmental Medicine, Uppsala University Hospital
Ingrid Anderzén, Ph.D. Head of Arbetsrehab, Deptarment of Public Health and Caring Sciences, university of Uppsala
Åsa Andersen, Doctoral Student, Deptarment of Public Health and Caring Sciences, university of Uppsala
Anna Finnes, Karolinska Institutet, Stockholm
Per Lytsy M.D, Ph.D., Deptarment of Public Health and Caring Sciences, university of Uppsala

Background: Sweden has been challenged by a high number of people on long-term sick leave due to health reasons. In addition there is a gender difference with a higher proportion of women than men on long-term sick leave. The main purpose of the study was to facilitate return to work and to improve participants' health during the period of one year.
Method: Vitalis was a randomized controlled intervention study that addressed women on long-term sick leave due to mental illness and/or pain in Uppsala County, Sweden. The participants were expected to reach the time limit within the health insurance. In total 308 persons were randomly assigned to one of the following groups: 1) psychotherapy with Acceptance and Commitment Therapy (ACT), 2) multimodal team treatment (TEAM), or 3) Treatment as usual (TAU). The ACT intervention was an individualized psychotherapy according to ACT. In the TEAM intervention the participants met a physician, a psychologist, an occupational therapist and a social worker. The TEAM condition could but did not have to include ACT psychotherapy. All three groups received the standard program offered by the public employment office. Returning to the health insurance, number of reimbursed days during first year and self-reported health assessments were used as outcomes measures at 12 months. Results: At one year follow-up no significant differences were found between the groups concerning the percentage of individuals returning to the health insurance system. Neither was there any significant difference in the number of reimbursed days between the interventions and TAU. There were significant interaction effects were ACT and TEAM show  improvement with less anxiety and depression assessed by HADS compared to TAU. Health, assessed by GHQ (General Health Questionnaire) and quality of life, assessed by SWLS (Satisfaction with life scale) had improved significantly in the TEAM-intervention compared to TAU. Participants in the ACT-intervention reported significantly less pain during the follow-up year compared to TAU. Conclusions: In this study the interventions seem to have improved different aspects of health in the participants, although there are no clear effects concerning RTW. RTW after a long absence can be viewed as a process-oriented activity with a number of coordinating actors – it is a complex multidimensional topic in need of further research.

30. Acceptance and Commitment Therapy for ME/CFS (Chronic Fatigue Syndrome) – does it work, and for whom?
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Fatigue Syndrome (ME/CFS)
Martin Jonsjö, M.Sc., Ph.D-student, Karolinska Institutet
Rikard Wicksell, Ph.D., Karolinska Institutet
Linda Holmström, Ph.D., Karolinska Instiutet
Mike Kemani, Ph.D., Karolinska Institutet
Anna Andreasson, Ph.D., Karolinska Institutet
Gunnar Olsson, M.D., Ph.D., Karolinska Institutet

Background For many patients with ME/CFS, medical strategies alone appear insufficient to increase functioning and quality of life. Cognitive behavioral therapy (CBT) is the only treatment approach with preliminary evidence of efficacy. However, effect sizes are generally modest. Recently, Acceptance and Commitment Therapy (ACT) has gained increasing attention and research support within clinical trials in similar disorders (e.g. chronic pain). Results from these areas illustrate the utility of this approach for individuals with somatic symptomatology. Also, mediation analyses indicate that psychological flexibility is central to functioning and quality of life. In contrast to a traditional CBT-approach which focuses on symptom reduction, the treatment objective in ACT - to increase functioning and quality of life by promoting psychological flexibility, i.e. the ability to behave in accordance with important long-term goals/values in the presence of interfering experiences (fatigue, pain, anxiety, negative thoughts) – seems of utmost importance to evaluate for this chronic debilitating illness. To date, the efficacy of ACT has not been evaluated for ME/CFS. Therefore, this pilot study will explore the utility of ACT for adults with ME/CFS as well as identify factors of importance to predict treatment outcome. Method Treatment consists of 13 weekly individual ACT sessions, delivered by a psychologist (10) and by a physician (3) respectively. An open trial design is used, with assessments at pre- and post-treatment as well as at 3, 6 and 12 months follow-up. Assessments of process (Psychological Inflexibility in Fatigue Scale, PIFS) and outcome measures are also carried out during treatment. The primary outcome measures are mental and physical functioning (SF-36, ME/CFS Disability Index) and quality of life (EQ-5D). Secondary outcome measures include psychological flexibility (Psychological Inflexibility in Fatigue Scale, PIFS) and activity data assessed by an accelerometer. Data will be analyzed using hierarchical regression analyses and linear multilevel modeling. Results and discussion Data collection is ongoing. Although tentative, preliminary findings and clinical experiences are promising. Treatment evaluations and predictors of outcome will be presented, and clinical implications of these findings will be discussed.

31. The relation between symptoms, psychological flexibility and disability in Chronic Fatigue Syndrome (ME/CFS)
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Fatigue Syndrome (ME/CFS)
Martin Jonsjö, M.Sc., Ph.D-student, Karolinska Institutet
Rikard Wicksell, Ph.D., Karolinska Institutet
Linda Holmström, Ph.D., Karolinska Instiutet
Anna Andreasson, Ph.D., Karolinska Institutet
Mike Kemani, Ph.D., Karolinska Institutet
Gunnar Olsson, M.D., Ph.D., Karolinska Institutet

Background Even though it is plausible that the often very debilitating symptoms in ME/CFS are caused and maintained by multiple factors (e.g. immunological, CNS, endocrine, psychological), previous research suggests that psychological factors are of significant importance for the relation between symptoms and functioning and quality of life in this condition. However, there is a need for further research that examines which psychological factors that are of most importance for the relation between symptoms and functioning and quality of .life. For the last 14 years, a behavioral medicine treatment approach based on Acceptance and Commitment Therapy (ACT) has been developed for the treatment of chronic pain in children and adults at the Karolinska University Hospital. In chronic pain, as well as in other longstanding somatic problems (e.g. tinnitus), psychological flexibility has been shown to be of central relevance in explaining disability, more so than e.g. symptom intensity. To date, there is a lack of studies evaluating the importance of psychological flexibility for the relation between symptoms and disability in patients with ME/CFS.In an ongoing study, we will explore the relationships between symptoms, psychological factors, functioning and quality of life in adult patients with ME/CFS. Furthermore, analyses of the relevance of psychological flexibility in explaining functioning and quality of life will be carried out. Method The current study uses a cross-sectional design, with measurements carried out as part of a pre-treatment assessment. Measures include history data (e.g. presence of symptoms according to the Canadian case definition of ME/CFS and grading of symptom severity, type of onset), psychological factors (e.g. psychological flexibility, kinesophobia), physical activity and sleep (Åstrand test of fitness test and VO2, accelerometer, pedometer), functioning and quality of life (SF-36, EQ-5D). Data will be analyzed using hierarchical regression analyses. Results and discussion Data collection is ongoing. The poster will present preliminary findings regarding the relationships between symptoms, psychological factors and disability. Specifically results pertaining to the potential importance of psychological flexibility for functioning and quality of life in ME/CFS will be presented and discussed, as well as clinical implications of these preliminary findings.

32. A pilot study of psychological support group for GAP patients with ACT
Primary Topic: Clinical Interventions and Interests
Subtopic: GAP
Pamela Garofani, ASCCO Academy of Behavioral and Cognitive Sciences Parma Italy; Ser.T DAI-SMDP AUSL PARMA Italy
Giovanni Miselli, IESCUM Italy; ACT-Italia Italy
Lucia Maria Giustina, Ser.T DAI-SMDP AUSL PARMA Italy
Annalisa Pelosi, UNIVERSITA' DEGLI STUDI DI PARMA Italy

Background: this work is a pilot study in patients with GAP in the context of a national health service. The study was carried out within the Service of Pathological Addictions (SER.T DAI-SMDP). The Service aim was to accompany patients in a psychological support group, which was oriented on the analysis of the function of the behavior. The ACT approach allowed to shift the focus of the intervention and to direct this on training of psychological flexibility and experiencing processes ATC model. Objects: The pilot study purpose was to promote the identification of values, to identify commitment actions with the purpose of improving the quality of life, training the psychological flexibility as a tool in situations of life, foster acceptance and evaluate the well-being perceived before and after the intervention. Method: The study involved a small heterogeneous group of patients (participants were 10 clients) in a psychological support group through the approach ACT. The activity consists of two phases of somministration questionnaires: before and after the intervention to measure the values, behavioral effectiveness, the mood and the experience gambling (VLQ, AAQ-2, Core- om, SOGS). The treatment phase consist of eight sessions that were structured into a active listening of self report of behaviors (in the subsequent sessions: checking of homework), training to use ACT processes (contact with the present moment, acceptance, defusion, self-as-context, committed action, values), training to improve flexibility psychological and ACT homework. Results and Discussion: Data from the pilot study and first phase intervention will be presented at the conference.

33. Disordered eating cognitions, pyschological flexibility, and help-seeking attitudes towards professional psychological help in Asian American women
Primary Topic: Clinical Interventions and Interests
Subtopic: Eating Disorders
Stacey Ng, Georgia State University
Akihiko Masuda, Ph.D., Georgia State University
Lee Ward Schaefer, Georgia State University

Background: Investigating attitudes towards seeking professional psychological help may be important for understanding treatment utilization for female Asian American college students. Within that population, disordered eating cognitions are common psychological concerns, which are found to be a potential barrier for seeking psychological services.. Using an ACT conceptual framework, the present study examined whether disordered-eating cognitions and psychological flexibility were uniquely associated with stigma tolerance and interpersonal openness, facets within help-seeking attitudes towards professional psychological services in a sample of Asian American college women. Methods: A subsample of college undergraduates, consisting of Asian American females, from a larger cross-sectional study was examined using a multiple regression analysis of self-report measures of general psychological health, psychological flexibility, and disordered eating cognitions on help-seeking attitudes. Study 1 (N = 119) examined whether disordered eating cognitions and psychological flexibility, measured by the Acceptance and Action Questionnaire-Revised (AAQ-R), were uniquely associated with these help-seeking attitudes while controlling for age and psychological distress. Study 2 (N = 257) replicated the results of Study 1 by using a more psychometrically sound measure of psychological inflexibility (i.e., Acceptance and Action Questionnaire-II). Results: In both studies, psychological flexibility/inflexibility was found to be uniquely and significantly related to stigma tolerance and interpersonal openness in expected direction. Disordered eating cognitions were found to be a significant predictor of these help-seeking attitudes in Study 2, but not in Study 1. Discussion: Our findings suggest that both psychological flexibility and disordered eating cognitions may be useful concepts to explore help-seeking attitudes on stigma tolerance and interpersonal openness in a sample of Asian American college women.

34. A Preliminary Exploration of Values-based Practice to Protect Police and Emergency Responders from Lasting Negative Consequences of Trauma
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD
Wanda L. Smith, Private Practice & McMaster University
Stephanie Swayne, Private Practice

Police and other emergency responders such as firefighters and paramedics are at risk for the development of Posttraumatic Stress Disorder (PTSD) and Operational Stress Injuries (OSI's) by nature of their professions, i.e., the preponderance of traumatic events in their work environments. The prevalence of PTSD in the normal population is approximately 3-5%; the prevalence of PTSD in police and emergency responders is significantly higher with rates reported as high as 18%. Further, this population often presents with symptoms which may not be detected or may not meet full criteria for a diagnosis of PTSD, i.e., “subthreshold”. Co-morbid disorders such as depression are also common. Suicide rates have been steadily increasing and reached alarming levels, e.g., during a 10 week period in the summer of 2014 13 Toronto EMS personnel suicided as a result of PTSD. Interventions targeting the oft negative sequelae of trauma exposure are urgently needed. Brief interventions such as debriefing exercises have not proven successful in addressing the aftermath of trauma exposure and may, in fact, be detrimental to long term mental health. Evidence based treatments for PTSD and trauma related disorders have been developed however, the police culture and general mental health stigma often precludes treatment from a registered health care provider, as well, introduction of formal trauma therapy may not be feasible or realistic for a working force. This context opens discussion for interventions which can be readily introduced as needed including during such contexts as the aftermath of a traumatic incident as well as during police and emergency responders training and education. Values based interventions as conceptualised in Acceptance and Commitment Therapy may be promising. RCT’s supporting ACT interventions have been cumulating including ACT interventions for PTSD and depression. Values work has been studied in isolation including development of a values questionnaire. The proposed presentation will describe an ACT intervention model for police and emergency responders designed to be protective for the long term negative consequences of trauma exposure through ongoing monitoring and engagement with vocational and personal values. The proposed intervention includes a series of brief values-clarification and values-connection experiential exercises that can be conducted with individuals or groups and will be described in further detail as part of the presentation.

35. Effects of experiential avoidance and cognitive fusion on psychological stress responses among Japanese adolescents
Primary Topic: Educational settings
Subtopic: adolescents, experiential avoidance and fusion,psychological stress
Kenichro Ishizu, Ph.D., University of Toyama
Yoshiyuki Shimoda, Ph.D., Saga university
Tomu Ohtsuki, Ph.D., Waeda university

This study aimed to investigate the effects of avoidance and fusion on psychological well-being among Japanese early adolescents. A short-time three-wave prospective design was used with intervals of 1 week; we examined the relationship among experiential avoidance and fusion, psychological stress responses, and school stressors. We used 1-week intervals because we aimed to understand how psychological distress(stress response) in school was maintained and how avoidance and fusion would affect it over a short period. Japanese junior high school students (N = 689, age range = 12~15, mean age = 13.29) were requested to complete the questionnaire about experiential avoidance and fusion, psychological stress responses, and school stressors (waves 1~3). We used a cross-lagged panel model to reveal the longitudinal relationship among those variables and found that not only does avoidance and fusion affect psychological stress responses but also that psychological stress affects avoidance and fusion. The results also showed that avoidance and fusion at waves 1 and 2 affected school stressors at waves 2 and 3. These results suggest that once psychological stress response is provoked by avoidance and fusion, it also affects following avoidance and fusion, which would maintain the psychological distress in school.

36. A Comparison between Islamic Spiritual Therapy (IPS) and Acceptance Commitment Therapy (ACT)
Primary Topic: Organizational behavior management
Subtopic: Psychotherapy
Dr. Tahereh Seghatoleslam, University of Malaya , Centre of Addiction Sciences UMCAS) Malaysia Shahid Beheshti University of Medical Sciences ,Tehran Iran
Hussain Habil, University of Malaya , Centre of Addiction Sciences UMCAS) Malaysia

This study has been clarified the differences and similarities between ISP and ACT from an Islamic point of view. It showed that there are a lot of similarities and a few difference in ISP and ACT principals that are following. However , in Islam everything is related to Allah, and has been everybody must be targeted to Allalh, therefore in the Holy Quran emphasis on some actions that mentioned Vajeb, means it is compulsory to do and avoid the behaviour that are not acceptable in Islam as a cardinal sin in the Holy Quran. Whereas in ACT cognitive avoiding is not encouraging. In Islam there are five times pray that are Vajeb (Compulsory) for all Muslim. It is similar to mindfulness in ACT that is the cause of consciousness. In the Holy Quran ordered that you have to conscious and be responsible for all of your behaviour to yourself and to other people, if not you are doing Haram. Haram is a religious word that is opposite of Vajeb , means compulsory to avoid. In Islamic Point of view also recommended that the Values play an important role in the personal and social life. These values developed the framework of cognitive life. Regarding the time as mentioned by ACT in the theory the moment is one of principals that proposed by Steven Hays, Moreover , in Islam has been mentioned, be careful about future, because you have to think about another world it is promised in the Holy Quran if you are caring about your life in another world and your future you will be blessed by Allah.in the original paper these dimensions are considered completely.

37. Developing a new repeatable measure of ACT processes
Primary Topic: Other
Subtopic: Psychometric development
Ashley Francis, Universities of Nottingham and Lincoln
David Dawson, Universities of Nottingham and Lincoln
Nima Moghaddam, Universities of Nottingham and Lincoln

Background Acceptance and Commitment Therapy (ACT) is an evidenced based psychological therapy which seeks to increase ‘psychological flexibility’ through mindfulness and behavioural change strategies. Valid and reliable measures of the six core processes underpinning psychological flexibility are central to contributing to ACT's continuing growing evidence base. However, the most widely used measure of psychological flexibility, the Acceptance and Action Questionnaire (AAQ-II), has been criticised by several authors on a number of grounds including: poor item face and content validity; poor discriminant validity; theoretical overlap and therefore redundancy of several of the underpinning ACT processes; and poor suitability for repeatable administration. The aims of this research were therefore to generate and validate a new measure of ACT processes that: 1) addressed the shortcomings of the AAQ-II; 2) is underpinned by three versus six dyadic core ACT processes; and 3) is suitable for repeatable administration. This measure is referred as the Repeatable measure of ACT Processes (ReACT). Method Phase 1. Measurement development 106 items were initially pooled from existing ACT process measures based on their high factor loadings. ACT experts (n=13) were recruited from the Association for Contextual Behavioural Science's (ACBS) website and were asked to rate items hosted on an online survey on a five-point Likert scale in terms of their face and content validity. Items which failed to reach pre-defined ratings thresholds were removed and remaining items were re-rated until a pre-defined consensus threshold was reached. Each item's wording was adapted to be better suited for repeated administration. Trainee clinical psychologists (n=15) were then asked for feedback regarding the comprehensibility of items and the adapted items were then sent to ACT experts for final comments. Phase 2. Measurement validation The validity, reliability and structure of the ReACT was investigated in phase two. The measure was hosted on an online survey and disseminated to a non-clinical sample of participants (n= 300?). The research was advertised through various social media platforms, as well as through the Universities of Nottingham and Lincoln's research boards. Several small sub-samples of participants were asked to: a) complete the AAQ-II in order to assess the ReACT's convergent validity (n=?); b) complete a distress measure in order to assess the ReACT's discriminant validity (n=?); and c) complete the ReACT again a week later in order to assess the ReACT's test-retest reliability (n= ?). A factor analysis was performed in order to assess the ReACT's individual items and overall factor structure. Results Some preliminary results from phase 1 of the study will be available by the time of the poster presentation at the ACBS conference. Discussion Some preliminary discussion points from phase 1 of the study will be available by the time of the poster presentation at the ACBS conference.

38. Validation of the short version of the Committed Action Questionnaire (CAQ-8) in a French-Speaking Population
Primary Topic: Other
Subtopic: Committed Action
Joel Gagon, Ph.D. (c), Université du Québec à Trois-Rivières
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières
Marie-Eve Martel, D.Psy. (c), Université du Québec à Trois-Rivières
Whitney Scott, Ph.D., King’s College London
Lance M. McCracken, Ph.D., King’s College London

Background: Committed action is defined as flexible persistence with actions linked to chosen values and goals even in the presence of psychological barriers, such as difficult feelings, thoughts, and urges. Emerging evidence supports the empirical and clinical relevance of this construct. However, no questionnaire is available yet in French. This study aimed to validate a French translation of the short form of the Committed Action Questionnaire (CAQ-8; McCracken & Norton, 2014), which has already been validated in English in a chronic pain sample. Method: Two different samples were used in this study. The first sample was comprised of 704 participants who suffer from chronic pain, with a mean age of 51.93 (SD = 11.55); the majority of this sample (77.6%) was female. The second sample was comprised of 398 college students with a mean age of 25.08 (SD = 6.32); the majority of this sample (82.7%) was likewise female. Results: To evaluate the factor structure of the CAQ-8, an Exploratory Factor Analysis (EFA) was conducted with the data of half of the participants from the first sample. Similar to the original version, the EFA revealed a two-factor structure with coefficients ranging from .44 to .93, and explaining 53.54% of the total variance. Cronbach’s alpha from the first sample was .80 and .83 for the second sample. Furthermore, two Confirmatory Factor Analyses (CFA) were conducted using AMOS 20 to confirm the bifactor structure of the CAQ-8 on the other half of the first sample and on the second sample. Both CFAs confirmed the bifactor structure of the CAQ-8 and showed overall good model fit evaluated by different indicators based on Kline’s (2005) recommendations and cut-off values. Discussion: Overall, these data support the construct validity and reliability of the French CAQ-8 for use in clinical and non-clinical samples. Keywords: Acceptance and Commitment Therapy (ACT), Committed Action, Validation, Psychological Flexibility.

39. 3rd Wave Sport Psychology Strategies in Optimizing the Performance of Elite Athletes: Effectiveness of a Mindfulness Based Program (MBSR-SP)
Primary Topic: Performance-enhancing interventions
Subtopic: Mindfulness based interventions/ACT and Elite Sports
Bruno Carraça, MD, PhD candidate, FMH-Lisbon University
Catia Magalhães, PhD, ESEV- Polytechcnic Institute of Viseu-Portugal
Sidónio Serpa, PhD, FMH-Lisbon University
Joan Palmi, Phd, INEFC-Lleida University

Introdution: The difference between success and failure has become increasingly smaller in sport. A “third wave” approach in sport psychology, is been recently used for the first time to increase the performance level of the elite athletes with very well defined programs (Birrer et al, 2012). Study findings yielded that high-level athlete’s meta-awareness and effective refocusing training by MBSR were identified as important factors on performance training and competition (Solé, Carraça, Palmi, & Serpa, 2014). Objectives: To adapt and determine the effectiveness of the implementation of the mindfulness-based stress reduction program (MBSR) to optimize the performance of a sample of elite-performance athletes. Secondary aims are: understand the relationship between attributes mindfulness, acceptance, commitment, and compassion - and the impact on the state of sports performance and dispositional flow; relation between salivary stress response (cortisol), reduced psychological symptoms and consequent effect on the level of sports performance. Methods: 60 elite-athletes from different sports will be assigned or 30 per the two groups sports (n=30 experimental group and n=30 control group). Standardized instruments will be used. Data analysis included descriptive (mean, standard deviation) and 2 x 3 ANOVAs (pre- post- and 3-month follow-up) with t-tests and Cohen´s d effect size after Cronbach´s alpha reliabilities. Pearson correlations between the mindfulness, compassion, acceptance and commitment, reducing suppression of thought measures and physiological response and the MBRS outcomes will be performed. Also a standard concentration of salivary cortisol (pg.ml deviations -1, SalimetricsTM) will be measured. Results and discussion: It is expected that athletes participating in the MBSR program significantly increase the attributes related to mindfulness, higher levels of self-compassion , acceptance flow state, sport performance, a lower overall index of psychopathological symptoms and physiological response to stress, less suppression of thought compared with the control group (Moghadam et al, 2013).

40. The use and feasibility of an ACT-based course for increasing well-being in high school students: Pilot study [929]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescents
Charlotte Ulrikka Rask, Ph.D., Research Clinic for Functional Disorders, Denmark
Louise M Lykke Kronstrand, MSc., research clinic for functional disorders
Lisbeth Frostholm, Research Clinic for Functional Disorders

Background Young people in high school face many pressures and challenges, including growing academic expectations, changing social relationships with family and peers and the physical and emotional changes associated with maturation. These years mark a period of increased autonomy in which independent decision-making that may influence their health and health related behaviour develops. A recent survey among Danish adolescents has shown that 8 % experience ‘high stress’ and 46 % ‘medium stress’ that may negatively affect many aspects of their lives. School-based preventive interventions could represent a possible solution. Aim The aim is to pilot test the use and feasibility of an ACT-based course developed with the intention to increase well-being and prevent stress in high school students. Method and design Six high school student counsellors were trained on a three day course by ACT specialists in the delivery of a 3 x 1.5 hour sessions introducing ACT principles and related exercises for the students. A total of 278 first grade high school (US: senior high school) students were enrolled for this pilot study. They received one weekly session during a 3 week period. Self-report questionnaires on self-perceived stress, general wellbeing and ACT specific measures were completed prior and approximately one month after course participation. Furthermore the counsellors provided a qualitative evaluation on course feasibility. Discussion The data collection is still ongoing. Preliminary results indicate that the sessions were well received by students and student counsellors: the ACT-based content was successfully delivered in a larger class setting with students actively participating in exercises and discussions. More detailed results will be presented at the conference.

41. The value of health in prisons: giving voice to the detainees
Primary Topic: Prevention and Community-Based Interventions
Subtopic: improvement of the health of detainees
Evelyn Uhunmwangho, psychologist, AUSL of Piacenza; ASCCO of Parma

BACKGROUND: The recent reform in the field of prison health in Italy is stimulating the renovation and reorganization of the services offered pursuing a principle of “equality in differences” with regards to access to care in prison. In this context, the Health Service in Emilia Romagna has initiated various types of experimentation and awareness for the improvement of the health of detainees. As a member of a regional multidisciplinary team dedicated to this subject, I gave my contribution through this qualitative survey that has a descriptive and exploratory purpose. Several studies prove the effectiveness of interventions that focus on acceptance and mindfulness in order to help people identify their valued directions and follow them to improve their quality of life and resilience. OBJECTIVES: This study proposes an assessment tool than can guide interventions for health improvement in prison via identifying motivational levers for the implementation of healthy behaviour, and the environmental and relational resources and obstacles that the detainees can perceive in this regard. The investigation into the subjective point of view of the detainees aims also to stimulate a reflection on the matter that can help build a healthier prison environment. METHOD: The survey involved a small group of people detained in five different prisons in the region. They were subjected to purpose made, semi-structured interviews which explored the importance they give to different domains of living and in habit of health, the types of healthy behavior they adopt and the environmental and relational resources and obstacles they percieve in this regard. MAIN RESULTS AND DISCUSSION: For majority of the people interviewed, engaging in healthy behaviour is a way of pursuing their own values in relation to parenting, careers and passions, which suggests that for these people the interventions promoting the adoption of healthy behaviors should focus on these aspects. The type of the environmental resources and obstacles encountered and their motives, shows that in order to make their life healthier they should have the possibility of an active role in changing their life context. As for the relational resources and obstacles, it emerged that it is the operators' willingness to listen to the detainees that makes the difference. The interviewees strongly insisted on becoming actively involved in both the interactions with the operators and with their environment. These are the directions to take and experiment in order to make the prison community an environment that can promote a healthier life.

42. Implicit Attitudes, Explicit Attitudes or Subliminal Effect: What does actually guide food choice?
Primary Topic: Prevention and Community-Based Interventions
Subtopic: IRAP
Francesco Pozzi, Ph.D., Iescum, Parma
Francesco Dell'Orco, Iescum, Parma
Massimo Cesareo, IESCUM, Parma; IULM University, Milan
Paolo Moderato, Ph.D, IESCUM, Parma; IULM University, Milan

Subliminal Messages (SM) are traditionally thought to affect consumer's choices. The effectiveness of SM will be evaluated on a sample of students in a 4-phases daily experiment; Phase1)Semantic differential tests will be administered to evaluate the subjects'explicit preferences toward 2 brands, ie Parmigiano-Reggiano and Grana-Padano; Phase2) An Implicit Relational Assessment Procedure(IRAP)will be administered to evaluate the subjects'implicit attitudes toward the brands; Phase3) Based on the explicit preferences will be created a "pro-Grana", "pro-Parmigiano" and a control group. Pro-Grana subjects will be exposed to a video including Parmigiano SM, and viceversa. The control group will not receive SM; Phase4) the subjects will be asked to choose a product related with Grana-Padano or Parmigiano-Reggiano. Expected results:1)SM should not affect subjects'choices; 2)Subjects'choices should be coherent with their implicit attitudes; 3)If explicit and implicit measures are incoherent,the latter should be more predictive of the subjects'choices. Data will be shown.

43. Live Balance – A mindfulness based universal mental health promotion program: Conceptualization, implementation, participants' appraisal
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Primary prevention
Lisa Lyssenko, Central Institute of Mental Health, Mannheim, Heidelberg University, Germany
Martin Bohus, Central Institute of Mental Health, Mannheim, Heidelberg University, Germany

Background: We developed a 7 week prevention health promotion program, which is based on resilience research and uses strategies from acceptance and commitment therapy. The program was implemented in cooperation with a German insurance company. The data is part of an ongoing effectiveness evaluation. Methods: Data was collected via self-administered psychological questionnaires. Findings: Between 11/2013 and 6/2014 participants (n=4.898) enrolled on their own initiative. 37.0% of all participants (n = 1.813) agreed to take part in the study: average age was 49.5 years, 83% were female. At admission, the self-selected participants differ significantly from the general German population regarding initial symptoms of depression and anxiety, life satisfaction and resilience. Overall participant’s appraisal of the course was good, 83% of participants attended at least at 6 of the 7 sessions. Discussion: Although provided as a nonselective primary prevention program, the data point to an indicative utilization of people with mental load. Nevertheless, as satisfaction and compliance ratings show only slight correlations with socio-demographic characteristics such as age, gender and education, the concept of Live Balance seems suitable and feasible for universal prevention.

44. The relationship between early adverse experiences and social anxiety in adolescence: the mediator role of fears of compassion [930]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescence
Marina Cunha, PhD, Instituto Superior Miguel Torga; CINEICC - Faculty of Psychology and Educational Sciences of the University of Coimbra
Ana Xavier, MSc, CINEICC - Faculty of Psychology and Educational Sciences of the University of Coimbra
Ana Galhardo, Instituto Superior Miguel Torga; CINEICC - Faculty of Psychology and Educational Sciences of the University of Coimbra
Cátia Pereira, Instituto Superior Miguel Torga

Background: Several studies show that recalling of early adverse experiences with parents contribute to higher levels of psychopathology. Furthermore, negative emotional experiences during childhood may lead individuals to resist or be fearful of experiencing compassion for themselves, from others and of having compassionate feelings for others. These difficulties in experiencing affiliative emotions have been related to mental health problems. In this context the current study sought out to explore whether difficulties in receiving affiliative soothing emotions from self and from others (fears of compassion) mediate the impact of adverse memories (early experiences of threat, submissiveness, unvalued) on social anxiety symptoms in adolescents. Method: The sample included 309 adolescents (58.3% males; 41.7% females) aged between 12 and 19 years old (M = 14.91, SD = 2.12). These adolescents showed a mean of 9 years of education (SD = 1.73). Participants completed a set of self-report questionnaires, namely the Early Life Experiences Scale (ELES), the Fears of Compassion Scales (FCS) and the Social Anxiety Scale for Adolescents (SAS- A). Results: Descriptive analysis showed that girls report higher levels of unvalued feelings in early interactions with parents as well as higher levels of social anxiety. Younger adolescents (12-13 years-old) presented higher scores in social anxiety when compared to older adolescents (ages between 14 and 19 years old). Path analysis results showed that the model explained 35% of social anxiety variance. The recall of unvalued feelings in early interactions directly predicted increased levels of social anxiety. Bootstrap analysis indicated that threatening experiences indirectly predicted increased levels of social anxiety through fears of compassion from others and for the self, even when socio-demographic variables were controlled for. Additionally, there were significant indirect effects of fears of compassion from others and for the self in the relationship between submissiveness experiences and social anxiety. Discussion: Current results indicate that adolescents who recall unvalued feelings in early interactions with parents tend to report higher levels of social anxiety. Moreover, adolescents who come from threatening and submissiveness early environments tend to report more fears of receiving compassionate feelings from others and more fears of self-compassion which in turn impact on social anxiety. These findings emphasize the role of fears of compassion from others and for the self on how early threatening and submissiveness experiences impact on social anxiety. Therefore, in terms of clinical implications, these data suggest that compassion abilities are particularly relevant to develop among adolescents with increased social anxiety as a way of reducing the damaging impact of early negative experiences.

45. Increasing Racially Diverse Social Connections through Contextual Behavioral Science.
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Intergroup Anxiety
Michael J. Thurston-Rattue, M.A. (Hons), University of Washington
Jonathan W. Kanter, Ph.D., University of Washington
Forogh Hakki, University of Washington
Adam Kuczynski, B.S., University of Washington
Maria M. Santos, M.A., University of Washington
Keith Bailey, Milwaukee Matters
Mavis Tsai, Ph.D., University of Washington
Robert J. Kohlenberg, Ph.D., University of Washington

We suggest that the next great battlefront in the war on modern racism is psychological, and it is here that contextual behavioral science may have great potential in the development of effective interventions. Using principles from Acceptance and Commitment Therapy (ACT) and Functional Analytic Psychotherapy (FAP), we developed a 6-hour, workshop-style intervention to first increase psychological flexibility with respect to aversive private experiences around race-based interactions and then develop intimacy and closeness in a workshop-style, group setting involving previously unacquainted black and white college students. We report on results from qualitative interviews of participants (n = 10 black participants and 10 white participants) after our first pilot of the workshop. Participants reported various positive outcomes from the workshop, including decreased prejudicial responses, increased intimacy and social connection with other participants as well as significant others in their lives, increased empowerment to be more authentic in relationships, and increased desire from white participants to confront other white students when they make racist or insensitive remarks. One student reported feeling somewhat overwhelmed and inhibited by the experience, but reported that this effect was temporary. Overall, this work establishes the feasibility of a brief, workshop style intervention to increase social connection in racially diverse groups at a crucial time in which this issue is a national priority. We are primarily interested in developing a solid scientific foundation for our efforts and future research directions are discussed.

46. Explicit and implicit naïve concept of talent - relations with self-esteem Machiavellianism and self-determined motivation [931]
Primary Topic: Relational Frame Theory
Subtopic: IRAP
Maria Chełkowska, M.A., University of Silesia
Magdalena Hyla, M.A., University of Silesia
Lidia Baran, M.A., University of Silesia

In the present study we made an attempt to answer questions concerning the explicit and implicit naïve concept of talent. On previous research we have found that people perceive talent in two main ways – as a result of hard work or as an innate trait. This study was conducted to determine if explicit and implicit concepts of talent are different among people high and low in self-esteem, Machiavellianism and self-determined motivation. Furthermore, we wanted to determine if students of different fields - social sciences, arts and natural sciences - differ in explicit and implicit concepts of talent. In reported study we used the Implicit Relational Assesment Procedure (IRAP) as a measure of implicit concept of talent (hard work vs innate trait), Rosenberg Self Esteem Scale (RSES) as a measure of self-esteem, MACH-IV as a measure of Machiavellianism, and Global Motivation Scale (GMS) as a measure of self-determined motivation. Our sample consisted of 40 students from University of Silesia in Katowice and Academy of Music in Katowice. Results are discussed in terms of potential utility of Relational Frame Theory and IRAP in assesing implicit concept of talent. Furthermore, potential utility of the naïve concept of talent as a predictor of career choices and a motivating factor is discussed.

47. Modifications/widening of the concept of value in RFT (and ACT) / Titel: Modifikationen/Erweiterungen zum Werte-Begriff in RFT (und ACT)
Primary Topic: Theoretical and philosophical foundations
Subtopic: RFT
Gerhard Kugler, Private praxis

ACT and RFT are based on a problematical concept of "values". An alternative suggestion: Values develop out of cooperation of works which disseminate as culture over the centuries. The individual finds his outstanding place in these branches of works and working, but that place is meaningful only as a part of the whole grounded on many works. In working an individual influences the lives of others, even if he follows his own aims and emphasis more or less consciously. Verbal depictions, symbols (in RFT: augmentals) of his working may broach the issues of his direction or parts of his avenues of approach, but are not the base. Psychotherapy should therefore attach to the common base of values, especially as it is cooperation and consequently needs common values. The individual characteristics of valueing, arranging, creating are not questioned thereby, but obtain another context.ACT und RFT fußen auf einem problematischen "Werte"-Begriff. Ein alternativer Vorschlag: Werte entstehen aus der Kooperation an Werken, die sich über die Jahrtausende als Kultur verbreiten. Der einzelne Mensch findet in diesem Geäst von Werken und Wirken zwar einen besonderen Platz, dieser ist aber nur als Teil des Gesamten, verankert an vielen Werken, bedeutungsvoll. Im Wirken gestaltet ein Mensch das Leben anderer mit, auch wenn er eigene Zieleund Schwerpunkte mehr oder weniger bewusst verfolgt. Verbale Repräsentationen bzw. Symbole (in RFT: augmentals) seines Wirkens können seine Gestaltungs-Richtung oder Teile der Verfahrensweisen des Einwirkens thematisieren, sind aber nicht ihre Grundlage. Auch Psychotherapie setzt sinnvollerweise an der gemeinsamen Grundlage von Werten an, zumal sie eine Kooperation sein soll und schon von daher gemeinsame Werte braucht. Die individuellen Eigenarten des Wertens, Gestaltens sollen damit nicht in Frage gestellt werden, erhalten aber einen anderen Kontext.

48. The Impact of Age, Gender, and BMI on Thought Control, Food Acceptance, and Eating Behavior
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Obesity; Emotion Regulation
Kristin D. Whelan, M.A., Alliant International University, San Diego
Kimberly A. Corp, MFT., Alliant International University, San Diego
Shawnee L. Brew, B.A., Alliant International University, San Diego
Taryn L. Gammon, M.A., Alliant International University, San Diego
Jill A. Stoddard, Ph.D., Alliant International University, San Diego

Background: Contemporary research indicates a relationship between cognition, emotion regulation and eating. Research also commonly supports gender and age discrepancies in emotion regulation. For example, studies postulate that women report more negative affect and an increased tendency to ruminate, catastrophize, and reappraise negative emotion than men (Thomsen, D.K., Mehlsen, M.Y., Viidik, A., Sommerlund, B., & Zachariae, R., 2005; Nolen-Hoeksma, A., 2011). Women’s use of emotional acceptance appears to remain stable with age, whereas emotional suppression increases with age for women but not men. Older adults report less negative affect than youth. Finally, studies suggest a higher prevalence of food craving, cognitive dietary restraint, and disinhibition of eating among women compared to men (Alexander, J & Tepper, B., 1995; Lafay, T. et al., 2001). The extent to which these age and gender related findings extend to maladaptive cognitive processes and unhealthy food related behaviors remain unclear. Method: The current study uses the Thought Control Questionnaire (TCQ), The Food Acceptance and Action Questionnaire (FAAQ) and the Three-factor Eating Questionnaire (TFEQ) to examine how various thought control strategies, experiential acceptance of food-related internal experience, and relationships between cognitive restraint of eating, disinhibition, and hunger differ based on age, gender, and BMI. Recruitment of 180 normal weight and overweight/obese males and females of varying ages is proceeding (current N=132). Results: It is expected that younger age will be associated with higher levels of worry and social thought control, and older age will be associated with higher levels of food acceptance. It is also hypothesized that women and overweight/obese will have higher mean levels of cognitive restraint, disinhibition, perceived hunger, rumination, and punishment thought control strategies than men or normal weights, whereas women and normal weights will have higher levels of food-related acceptance and reappraisal thought control strategies than men or overweight/obese. Correlations and t-tests will be used to investigate the relationships between age, gender and weight on the TCQ, FAAQ and TFEQ. Discussion: Results from this study will help to increase understanding of the impact that gender, age, and weight have on emotion regulation, preoccupation with body, food, and weight as well as unhealthy eating patterns. Findings may illuminate important considerations for the development of prevention and treatment programs that target the global obesity epidemic.

49. The Relationship Between Control of Unwanted Thoughts and Perceived Success Implementing Emotion Regulation Strategies
Primary Topic: Clinical Interventions and Interests
Subtopic: Emotion Regulation
Shawnee L. Brew, B.A., Alliant International University, San Diego
Kimberly A. Corp, MFT, Alliant International University, San Diego
Taryn L. Gammon, M.A., Alliant International University, San Diego
Kristin D. Whelan, M.A., Alliant International University, San Diego
Jill A. Stoddard, Ph.D., Alliant International University, San Diego

Background: Experimental research on emotion regulation often includes emotion induction procedures followed by the introduction of varying emotion regulation strategies. To accurately assert that the emotion regulation intervention has an impact on the dependent variables being measured, it is important to perform integrity checks ensuring that (1) the emotion induction was successful, and (2) the appropriate emotion regulation strategy was understood and successfully employed. To date, little research has investigated characteristics of participants who report an inability to effectively implement an emotion regulation practice. A greater understanding of these characteristics may have applied value in clinical settings where understanding and effectively implementing of therapy techniques is paramount to successful treatment outcomes. Method: The current study (data collection ongoing; current N=132) is part of a larger investigation examining the impact of acceptance, suppression and cognitive reappraisal of emotions on hunger, desire for food, craving, distress, and eating behavior in normal weight and overweight/obese participants. Following an emotion induction procedure, participants were randomly assigned to one of four emotion regulation (ER) conditions: Acceptance, Suppression, Cognitive Reappraisal, or No Instruction Control. An integrity check was conducted to determine the extent to which participants (1) understood ER instructions and (2) believed they successfully employed the ER strategy taught. The Thought Control Questionnaire (TCQ; Wells & Davies, 2004), a measure of habitual strategies to control one’s unwanted thoughts, was administered at baseline to assess participants’ typical responses when experiencing an unwanted or unpleasant thought (e.g., “I call to mind positive images instead”). The TCQ is scored by summing the totals from the 5 categories it assesses: distraction, social control, worry, punishment and re-appraisal. It was hypothesized that participants who scored higher on negative control strategies at baseline would report lower success with acceptance ER and higher success with suppression ER. Participants who scored higher on the reappraisal subscale would report higher success with reappraisal ER. Results: Correlational analyses revealed that there was a significant negative correlation between worry (as measured by the TCQ) and perceived mastery of the acceptance strategy. In other words, participants who tend to respond to negative thoughts by worrying were less likely to believe in their ability to successfully utilize an acceptance based ER strategy. Discussion: These findings may suggest a need to assess a worrier’s sense of mastery when learning acceptance based treatment strategies. This is particularly important given the literature on the impact of patients’ expectations on successful treatment outcome (Linne, Hemmingsson, Adolfsson, Ramsten & Rosser, 2002).

50. The Impact of Acceptance, Suppression, and Cognitive Reappraisal of Emotion on Subjective Distress, Food Craving, and Eating Behavior in a Mixed-Weight Sample
Primary Topic: Behavioral medicine
Subtopic: Obesity
Taryn L. Gammon, M.A., Alliant International University, San Diego
Kimberly A. Corp, MFT., Alliant International University, San Diego
Kristin D. Whelan, M.A., Alliant International University, San Diego
Shawnee L. Brew, B.A., Alliant International University, San Diego
Jill A. Stoddard, Ph.D., Alliant International University, San Diego

Background: The global obesity epidemic represents a major challenge for healthcare professionals and organizations worldwide. Numerous programs have been developed to target weight loss in overweight or obese individuals, yet results from these initiatives are often short-lived. The application of psychological interventions to this epidemic has received increasing attention, with cognitive behavioral and acceptance-based interventions demonstrating promising outcomes. However, there remains a lack of clarity regarding the mechanisms that contribute to overeating. In order to maximize the effectiveness of these interventions, more information is needed to determine what factors contribute to unhealthy eating behavior. Method: The present study evaluates the role of emotion regulation on subjective distress, food craving, and eating behavior in 180 normal weight, overweight, and obese adults (current N= 127). Participants are randomly assigned to one of four emotion regulation conditions: Acceptance, Suppression, Cognitive Reappraisal, or Control. After an emotion induction procedure, participants are taught to practice the appropriate emotion regulation strategy. Pre and post assessment of food craving and distress are determined by administering the Food Craving Questionnaire-State (FCQ-S) and Subjective Units of Distress Scale (SUDS). Eating behavior is also recorded and quantified during the session. The data will be analyzed for main effects and interaction of time, group, BMI, and emotion regulation condition by using repeated measures ANOVA. Results: Preliminary results suggest that eating behavior varies as a function of emotion regulation condition, with individuals in the suppression condition consuming the most food after the emotion induction. It is hypothesized that there will be significant differences in subjective distress between emotion regulation conditions and that distress will impact eating behavior. Discussion: Findings from this study will enhance understanding in the field about the role of different styles of regulating emotional distress on eating behavior. These findings may prove valuable for healthcare professionals and organizations designing targeted treatments for obesity.

Friday, 17 July - Poster Session #3

1. The Self Experiences Questionnaire (SEQ): Preliminary analyses of an item pool for a measure of self in people with chronic pain
Primary Topic: Behavioral medicine
Subtopic: Chronic pain
Lin Yu, King's College London
Lance M McCracken, Ph.D., King’s College London INPUT Pain Unit, Guy’s & St Thomas’ NHS Foundation Trust, London
Sam Norton, King's College London

Background: Accumulating evidence supports the efficacy and effectiveness of Acceptance and Commitment Therapy (ACT) for chronic pain. ACT is based on what is called the Psychological Flexibility model. Included in the evidence for ACT for chronic pain is support for the important role of acceptance, present-focused attention, and value-based action as potential key therapeutic processes from this model. Another potentially important process from this same model, “self-as-context”, has not yet been studied in relation to ACT as there has been no instrument available to assess this variable. Self-as-context can be defined briefly as the capacity to adopt a perspective where we are experienced as separate from our thoughts and feelings. A measure of self-as-context could improve our understanding of treatment mechanisms and lead to further treatment development. Methods: 205 consecutive referrals to a pain management center participated in this study. All participants completed 29 items that represent the item pool for a planned measure called the Self Experiences Questionnaire (SEQ). Based on analyses of item response frequencies, item inter-correlations, and exploratory factor analyses, fifteen items were selected that formed an internally consistent scale. Results: The selected items formed an overall scale with good internal consistency, α = .85. The mean item rating M=3.14, SD=.24 (rated on a scale of 0 to 6). Three subscales, of six, four, and six items, with adequate internal consistency emerged from Principle Factor Analysis with Oblique Rotation: (1) Self As Distinct From Content, α = .86 (2) Non-Attached Self, α = .75 (3) Self-As-Observer, α = .78. Adequate construct validity of the overall scale was supported through correlations with other measures of psychological flexibility including: Pain Acceptance, r= .48*, General Acceptance, r=.57*, Decentering, r=.65*, Cognitive defusion, r=.55*, and Committed Action, r=.45*. Adequate predictive validity was supported through correlations with measures of outcomes: Depression, r=-.38*, Work and Social Adjustment, r=.22*, and Interference, r=-.19*. All subscales significantly correlated with all other measures of psychological flexibility and measures of outcomes, except for Self As Observer subscale, which did not correlated with General Acceptance and any outcomes to a significant level. (*p<.001) Discussion: SEQ overall represents a reasonably reliable and valid measure for Self-As-Context. Sense of Self-As-Observer, however, does not appear to easily emerge in natural language environment. Perhaps training is required for accurate reporting on this aspect. Further investigation in the context of treatment is warranted.

2. Social relationships and chronic pain - Findings from a Swedish clinical sample
Primary Topic: Behavioral medicine
Subtopic: Chronic pain, social connection, self-report measure, adults
Marie Blom, MSc, PhD candidate, Linköping University, Sweden
Björn Gerdle, PhD, MD, Linköping University, Sweden

Chronic debilitating pain is a global health concern. Multimodal rehabilitation programmes are considered treatment of choice, many of which are ACT influenced. Contents vary greatly, as do degree of involvement of significant others. Earlier studier using West-Haven Yale Multidimensional Pain Inventory (MPI) have pinpointed a cluster of interpersonally distressed chronic pain sufferers, characterized by reporting high degrees of punishing pain responses from significant others. This poster will present descriptive data from the Swedish version of MPI on a large sample of outpatients with chronic pain, identifying prevalence of interpersonal distress and considering needs of alternate measures. Presented will also be the outlining of a PhD thesis aiming to predict and influence satisfaction with social relationships among chronic pain sufferers.

3. The role of pain acceptance on functioning in individuals with disabilities: A longitudinal study
Primary Topic: Behavioral medicine
Subtopic: Chronic pain
Mark P. Jensen, Ph.D., University of Washington
Amanda E. Smith, B.A., University of Washington
Kevin N. Alschuler, University of Washington
Dagmar Amtmann, Ph.D., University of Washington
David T. Gillanders, Ph.D., University of Edinburgh
Ivan R. Molton, Ph.D., University of Washington

Background: Pain acceptance is hypothesized to (a) have direct beneficial effects on functioning and (b) buffer the effects of pain on functioning. This study sought to test these hypotheses using a longitudinal design in a sample of individuals with physical disabilities and chronic pain. Methods: A sample of 392 individuals with physical disabilities (muscular dystrophy = 58, post-polio syndrome = 111, multiple sclerosis = 103, spinal cord injury = 120) and chronic pain were administered measures assessing two domains of pain acceptance (Pain Willingness and Activity Engagement; CPAQ), pain intensity (0-10 NRS), and four functioning domains measured by PROMIS instruments (pain interference, physical functioning, depression, and sleep disturbance). The pain and functioning measures were administered again about 3.5 years later. Results: Significant (p < .05) or non-significant trends (p < .10) for direct effects emerged for the prediction of subsequent changes in all five of the criterion variables. In each case, higher levels of acceptance predicted either more improvement or less worsening in pain and functioning. Moderation analyses indicated that among individuals endorsing more willingness to engage in activities despite pain, a subsequent increase in pain was not associated with an increase in depression (r = .00), while among those with lower activity engagement there was a significant and positive association (r = .15) between change in pain and depression. Discussion: The findings provide further support for the role that pain acceptance plays in adjustment to chronic pain in individuals with physical disabilities. In particular, the findings indicate that direct effects (consistent with the possibility that more pain acceptance may contribute to better outcomes) are stronger than moderation effects (consistent with acceptance is a protective factor on the association between pain and functioning), although at least some moderating effects may exist. Research examining the causal impact of changes in pain acceptance on functioning is warranted.

4. Nonverbal change mechanisms underlying Acceptance and Commitment Therapy
Primary Topic: Clinical Interventions and Interests
Subtopic: Panic disorder and agoraphobia
Catharina Zazoff, Master Student, University of Basel
Marie-Noëlle Cottens, Master Student, University of Basel

Objective: Research indicates the effectiveness of Acceptance and commitment Therapy (ACT) in treatment resistant patients (Clark et al., 2014 & Gloster et al., 2015). The underlying nonverbal mechanism of change haven`t been examined yet in detail. This study aimed to examine how three indications of nonverbal behavior [(a) complementarity (the correspondence of an interaction between individuals); (b) nonverbal synchrony; and (c) eye contact between patient and therapist] interacted with the six core processes of ACT and treatment outcome. Method: Videotapes collected within a randomized controlled study of ACT for treatment resistant patients diagnosed with primary panic disorder and / or agoraphobia (PD / A) (Gloster et al., 2015). These videotapes showing therapy sessions of 41 patients (two per patient), were rated and analyzed for psychological flexibility and the three indicies of nonverbal behavior: synchrony, complementarity, eye contact. Each videotape was rated by two master students. These variables were associated with various outcome measures (Psychological flexibility rated by the client (AAQ-II), Clinical Global Impression (CGI), Panic disorder and Agoraphobia (PAS) and Cognitive Fusion (CFQ)). Results: Results indicated a negative association between psychological flexibility and complementarity in the end of therapy. A negative association between psychological flexibility and severity of panic disorder and agoraphobia at follow-up assessment was found, whereby the change of psychological flexibility from beginning to end of therapy predicted outcome (CGI and PAS). A trend was found for the association between nonverbal synchrony and the improvement of psychological flexibility during therapy. Although the significance level was not reached, there was a positive correlation of a medium effect size between nonverbal synchrony and the improvement of psychological flexibility. No association was found between nonverbal synchrony and the outcome variables. The variable of eye contact will be analyzed next. It is expected to find a negative association between psychological flexibility and gaze-aversion. Conclusion: ACT increases psychological flexibility, whereby decreasing complementarity tend to improve psychological health. However, the results suggest that there is not a strong link between nonverbal synchrony and psychological flexibility. The study offer new findings regarding nonverbal processes involved in ACT treatment of patients with panic disorder and / or agoraphobia which provides additional information for clinicians.

5. A Preliminary Study on Validating the Self-Compassion Scale (SCS) in Italian Adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: self-compassion, mindfulness, wellbeing, adolescents
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Mlechiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Martina Romitelli, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

Self-Compassion Scale (SCS) is a 26 items measure originally developed on adult samples. Self-compassion construct has been defined as the awareness that “suffering, failure, and inadequacies are part of the human condition, and that all people are worthy of compassion” (Neff, 2003). This measure allows to reveal how people behave towards themselves in life hard times. Considering adolescence as a period rich in psychological, social and biological changes, the availability of an SCS version for this population could have important conceptual, clinical and social implications. This study purpose is to present an Italian version of SCS that has been translated into Italian and administered to a sample of about 400 students aged 11-14. Subsequently its validity and reliability were investigated, obtaining satisfactory results. Moreover adolescents with greater self-compassion levels show more psychological wellbeing, such as less anxious, depressive, somatic, dissociative symptoms, less dysfunctional attitudes and better quality of life.

6. Validation study of the Italian Version of the Mindful Attention Awareness Scale for Adolescents (MAAS-A)
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescents, Mindfulness, Psychological Flexibility, Acceptance
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Nicoletta Ristè, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Valentina Carloni, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Martina Romitelli, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

The measurement of mindfulness on adolescents has important conceptual, clinical and social implications. This study aims to present an Italian version of the Mindful Attention Awareness Scale for Adolescents (MAAS-A; Brown, West, Loverich & Biegel, 2011), and to analyze its psychometric properties. MAAS-A is a 14 items scale assessing mindfulness as a one-dimensional construct, considered “a receptive state of attention that, informed by an awareness of present experience, simply observes what is taking place”(Brown & Cordon 2009; Brown & Ryan 2003; Brown et al. 2007). MAAS-A has been translated into Italian and administered to a sample of about 400 students aged 11-14. Supporting literature data, adolescents with better quality of life, higher subjective happiness, lower levels of perceived stress, anxiety, depression and dissociation show higher scores in mindfulness competences. The study explores factor structure, validity and reliability and the findings suggest that MAAS-A presents good psychometric characteristics for its use on Italian adolescents.

7. The body image psychological inflexibility scale (BIPIS): Toward a functional contextual approach to assessment and treatment planning
Primary Topic: Clinical Interventions and Interests
Subtopic: Assessment
Glenn M. Callaghan, Department of Psychology, San Jose State University, San Jose, CA
Emily K. Sandoz, Department of Psychology, University of Louisiana at Lafayette, Lafayette, LA
Sabrina M. Darrow, Department of Psychiatry, University of California, San Francisco, San Francisco, CA
Timothy K. Feeney, Department of Psychology, University of Nevada, Reno, Reno, NV

There are a variety of theoretical and empirical approaches to understanding body image disturbance and body dysmorphic disorder (BDD), problems experienced by human across the globe. While these differing conceptualizations have created little in the way of clarity, a functional contextual approach may offer a unique way to assess and treat issues related to body image. Using a model focused on psychological inflexibility (avoidance of one’s own cognitive and affective states) can be useful to understand these problems and attempt to integrate the values that different people have from unique and international cultures. The Body Image Psychological Inflexibility Scale was developed based on the principles of Acceptance and Commitment Therapy (ACT). The scale was created by generating new items to represent the construct and revising items from the Body Image Acceptance Action Questionnaire, which focuses primarily on weight. A validation study of this measure was conducted using an ethnically diverse undergraduate population of over 700 participants and multiple assessment devices. The 16-item final scale has good internal consistency, a single factor solution, convergent validity, and good test re-test reliability. Data are presented that demonstrate a relationship between psychological inflexibility and body image disturbance indicating empirical support for an ACT conceptualization of body image problems and the use of this measure to assess body image disturbance and BDD. Treatment implications using contextual behavioral interventions are highlighted.

8. Results from a group-based stress management ACT-intervention for workers with long-term work-related stress: A pilot-study [932]
Primary Topic: Clinical Interventions and Interests
Subtopic: Work-related stress
Greta Lassen Lund, MSc.psych, Aarhus University Hospital, Denmark
Hanne Knudsen, MSc.psych, Aarhus University Hospital, Denmark
Morten Vejs Willert, MSc.psych.PhD, Aarhus University Hospital, Denmark

Results from a group-based stress management ACT-intervention for workers with long-term work-related stress. A pilot-study. Greta Lassen Lund (MSc. psych.), Hanne Knudsen (MSc. psych.) and Morten Vejs Willert (MSc.psych, PhD) Background: Relatively little is known about using ACT as a group-based stress management intervention targeting persons with long-term work-related stress. At the Department of Occupational Medicine, Aarhus University Hospital, Denmark, we have previously investigated the effects of a group-based, cognitive behavioural stress management intervention directed at workers with elevated symptoms of work-related stress. The study showed a large effect size in terms of reducing perceived stress when comparing the intervention to a wait-list control condition and the gains achieved were maintained at three months follow-up. Aim: The aim was to test ACT as an alternative intervention to CBT intervention targeting persons with long-term work-related stress. We wanted to develop and test a group-based ACT intervention manual, using the Acceptance and Action Questionnaire-II (AAQ-II) as a measure of change in psychological flexibility. We also wanted to assess the reliability of a Danish translation of the AAQ-II. The Perceived Stress Scale (PSS-10) was the main outcome in the CBT project, therefore in this project we also wanted to look at the comparability of effect related to PSS-10. Method: 89 persons from the working population in the municipality of Aarhus and its surrounding communities were included in the intervention program after referral from local general practitioners (GP), union social workers and the employee-counselling program in Region Central Jutland. Inclusion criteria were persistent symptoms of work-related stress, defined as physiological and psychological symptoms of reduced level of functioning lasting more than four weeks and elevated reactivity of symptoms when confronted with demands at work. Exclusion criteria were sick-leave for more than 26 consecutive weeks, concurrent major life-events and interpersonal workplace conflicts as the major problem, a severe psychiatric disorder requiring treatment and active substance abuse. A total of 89 persons were included in the 9 consecutive pilot groups. Between 7-12 participants per group met for a total of 9 sessions over a 3 month period followed by a booster session after an additional 3 months. The intervention followed a manual developed by two ACT trained psychologists who also led the groups. Key elements in the ACT intervention were psychoeducation on stress, mindfulness exercises, identifying avoidance behavior, defusion techniques, acceptance, defining values and comitted action. The Acceptance and Action Questionnaire (AAQ-II), (range 10-70) was administered at the beginning of all sessions, excluding the booster session. Our comparison measure, the Perceived Stress Scale (PSS-10), (range 0-40) was administered at sessions 1 and 8. For both measures the pre-post within-group changes from session 1 to 8 were analyzed using the student’s t-test. Results: The study sample consisted of 93% women who were all in active employment. The average labor market attachment was 17.6 years with an average of 8.5 years in current/latest employment. At baseline we found a Crohnbach’s alpha of 0.87 for the Danish translation of the AAQ-II. This is comparable to the mean alpha coefficient of 0.84 reported for the original English version of the AAQ-II by Bond et al. (2011). Participants baseline AAQ-II mean score was 37.9 points (SD=8.9), which declined to 31.8 points (SD=8.3) at session 8, demonstrating a pre-post difference of 6.2 (3.3 – 9.0 95% CI) that reached statistical significance (p<0.001). Participants baseline PSS-10 mean score was 22.8 points (SD=5.8), which declined to 15.1 points (SD=5.2) at session 8, demonstrating a pre-post difference of 7.7 points (4.9 – 6.3 95% CI) that reached statistical significance (p<0.001). Discussion: From this pilot-study of a 3-month group-based stress management ACT-intervention we have found that it was possible to develop a stress management intervention program based on the ACT framework. The Danish translation of the AAQ-II demonstrated good reliability. Participants improved their psychological flexibility and perceived stress scores declined from pre- to post-intervention. Comparison of PSS-10 scores with the previously conducted group-based, cognitive behavioural stress management intervention showed similar changes over time.

9. Psychological processes in obese or overweight women with and without binge eating: An exploration of their differences
Primary Topic: Clinical Interventions and Interests
Subtopic: Obesity, Binge eating
Lara Palmeira, MSc., CINEICC - University of Coimbra
Sérgio Carvalho, MSc., CINEICC - University of Coimbra
José Pinto-Gouveia, M.D., Ph.D., CINEICC - University of Coimbra

Several studies have showed the negative impact of experiential avoidance, cognitive fusion, shame and self-criticism on quality of life and well-being. Obesity has been consistently linked to individual suffering, especially when associated with binge eating. However, differences between obese people with and without binge eating regarding these psychological processes are scant. The current study explored the differences in several psychological processes in overweight or obese women: with binge eating disorder (BED) (n= 32) and without binge eating disorder (n=46). A t-test analysis showed that, although there were no differences regarding BMI, the two groups were significantly different in overall experiential avoidance (t=3.106, p=.003), body-image cognitive fusion (t=2.246, p=.028), external shame (t=4.015, p≤.001), weight self-devaluation (t=2.632, p=.010) and weight discrimination (t=4.461, p≤.001), disordered eating behaviors and attitudes (t=4.778, p≤.001) and diminished quality of life (t=4.305, p≤.001), with binge eating group revealing higher scores. Interestingly, both groups did not differ on measures of self-criticism, self-compassion, mindfulness and restricting food intake. Clinical implication: the importance of delivering differentiated interventions for obese patients with or without BED, with binge eaters requiring special focus on developing acceptance and body-image cognitive defusion.

10. Acceptance and Commitment Therapy for Chronic Fatigue Syndrome: A case series approach
Primary Topic: Clinical Interventions and Interests
Subtopic: IRAP
Lauren Roche, Universities of Lincoln and Nottingham
David Dawson, DClinPsyc, University of Lincoln
Nima Moghaddam, DClinPsyc, University of Lincoln

Background Acceptance is understood to be an important element in coping and living with chronic illnesses such as diabetes and chronic pain - increasing acceptance has been related to a number of positive outcomes such as reduced symptoms as well as greater reported quality of life. Acceptance and Commitment Therapy (ACT) is a psychotherapeutic model aimed at increasing psychological flexibility, and sees increasing acceptance as a key process underlying change. Chronic Fatigue Syndrome (CFS), a disabling and not uncommon disorder, is associated with a poor reported quality of life even in comparison to other chronic conditions therefore an intervention such as ACT could increase acceptance, there are promising implications for coping and living with CFS. This would furthermore have interesting implications for future service provision and client care. Method This study used a multiple single case series approach. Six participants were recruited from a specialist NHS service, and after completing a baseline period of measures, took part in a six week guided self help intervention, based on the text ‘Get out of your life and into your mind’ by Steven Hayes. The lead researcher telephoned each participant once a week. Frequent and mixed method data collection throughout the intervention was used to gather detailed information – participants completed thrice weekly questionnaires assessing ACT and CFS variables; there was a behavioural measure in the form of a Fitbit activity monitor; this data was complimented by qualitative data from a change interview at the end of the study. Finally an implicit measure in the form of the Implicit Relational Assessment Procedure (IRAP) was taken at the beginning, middle and end of the study as an interesting addition to the self-report data. Results This study is currently on-going – the data is due to be completed by May, and so preliminary results will be available for discussion at the conference in July. Data will be analysed in each case with visual analysis and testing for statistically significant change. Discussion I will look to discuss any change in the participants across all of the measures. I will be able to explore whether change occurs in line with ACT theory, and the implicit measure will further allow interesting theoretical exploration of the nature of any change. These initial results can also be used to discuss implications for ACT in this format as an adjunct to current treatment for individuals with Chronic Fatigue Syndrome.

11. Stop Thinking, Start ACTing – The Effectiveness of Acceptance and Commitment Therapy in an Inpatient Sample of a Psychiatric Department [933]
Primary Topic: Clinical Interventions and Interests
Subtopic: Effectiveness of ACT in a naturalistic setting
Mareike Pleger, M.Sc. Psych., Evangelisches Krankenhaus Königin Elisabeth Herzberge (KEH), Berlin
Karolin Treppner, M.Sc. Psych., Humboldt University Berlin

Objective. Acceptance and Commitment therapy (ACT) is a young approach, which evolved from the so called third wave of behavior therapy. ACT is a contextual approach, which expands traditional cognitive behavioral therapy (CBT) by, inter alia, mindfulness and valued living. It has not been unequivocally clarified yet, if ACT is superior to CBT. However, previous research findings indicate ACT to be generally efficacious. Even though ACT is increasingly applied in clinical practice, only little research has been conducted in this field. Hence, to examine the effectiveness of ACT compared to CBT, further investigations are needed. The present study aims to explore the therapeutic effect of ACT and CBT groups within a naturalistic setting, taking possible influencing factors into account. Method. Sixty-seven inpatients of a German psychiatric department were assessed with respect to different symptom measures as well as ACT-specific outcomes. Results. Regarding to symptom reduction, both ACT and CBT proved to be equally effective treatments. ACT-specific variables turned out to have an influence on therapeutic success. Conclusion. Results suggest ACT to be an equivalent alternative to CBT. Findings are discussed in terms of to what extend outcomes of ACT and CBT are distinct and which variables may be influential.

12. Perceived Injustice and its Impact on Physical and Emotional Functioning: The Mediating Role of Chronic Pain Acceptance [934]
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance, Chronic Pain, Perceived Injustice
Marie-Eve Martel, M.A., D. Ps. (c), Université du Québec à Trois-Rivières
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières
Joel Gagnon, Université du Québec à Trois-Rivières

Background: Perceived injustice can be defined as a negative appraisal regarding irreparability and severity of loss associated to pain, and feelings of blame and injustice (Sullivan, 2008). Recent findings suggest that perceived injustice is an important risk factor associated to chronic pain disability. However, few research studies have examined its role within a clear theoretical framework, and the mechanisms by which this perception leads to disability are unknown. Acceptance and Commitment Therapy (“ACT”, Hayes et al., 2012) is considered as a highly validated approach by the American Psychological Association. Acceptance of chronic pain, a central variable in this model, has been associated to better physical and emotional functioning in individuals who live with chronic pain. Acceptance of pain implies staying active on a daily basis and cultivating an open attitude towards pain symptoms (McCracken et al., 2014). Acceptance could prove to be an explanative variable in the relation between perceived injustice and pain disability (Scott et al., 2013). Method: The current study aims to examine the mediating role of pain acceptance on the relation between perceived injustice and physical and emotional functioning, within a sample of 801 individuals who suffer from chronic pain. Results: Results of mediation analysis revealed significant direct and indirect links between perceived injustice, acceptance of pain, pain disability, and anxiety and depressive symptoms, thus confirming the proposed mediation models. Discussion: Clinical and theoretical implications will be discussed along with future research directions. Keywords: Acceptance and Commitment Therapy (ACT), Chronic Pain, Acceptance, Perceived Injustice, Pain Disability

13. Psychological Inflexibility for Pain: Translation and Validation for a French-Speaking Population [935]
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy (ACT), Chronic Pain, Psychological Inflexibility, Translation
Marie-Eve Martel, M.A., D. Ps. (c), Université du Québec à Trois-Rivières (Canada)
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières (Canada)
Aurélie Gauchet, Université de Grenoble (France)
Yamina Zouikri-Roland, Unité-Douleur. Clinique Clémentville, Montpellier (France)
Emmanuelle Decker, Université de Montpellier
Raphaël Trouillet, Laboratory Epsylon EA4556 (Montpellier)
Rikard Wicksell, Karolinsca Institutet (Sweden)
Jean-Louis Monestès, Université de Grenoble (France)

Background: A growing number of studies have provided empirical support for the use of Acceptance and commitment Therapy (ACT) in the treatment of chronic pain. The psychological flexibility model can be seen as a basis for integration and progress in psychological approaches to pain (McCracken & Morley, 2014). Further research is needed to clarify the role of the ACT processes in their relationship to physical and emotional functioning. Several measures have been developed specifically to assess ACT processes related to chronic pain, like acceptance and values. Recently, the Psychological Inflexibility in Pain Scale (PIPS; Wicksell et al., 2010, 2008) has been developed to measure avoidance and fusion, and its relationship to disability has been demonstrated. More research is needed to support its role in chronic pain, related to other variables. Furthermore, the PIPS is not yet available in French for clinicians or researchers. Method: This study aims to translate and validate a French version of the Psychological Inflexibility in Pain Scale (PIPS; Wicksell et al., 2010), a brief 12-item questionnaire, among a large sample of French-speaking individuals. Our sample was comprised of 1,077 individuals from both Quebec (Canada) and France who suffer from chronic pain. Results: An exploratory factor analysis was conducted using unweighed least square as the extraction method and Promax as the rotation method, thus allowing the factors to correlate. As expected, results revealed a two-factor structure (cognitive fusion and avoidance) with coefficients ranging from .36 to .85, and explaining 51% of the total variance. Furthermore, a Confirmatory Factor Analysis (CFA) was conducted using AMOS 20 to confirm the bifactor structure of the PIPS and results were very similar to the original version (Wicksell et al., 2010). The PIPS questionnaire demonstrates very good internal consistency (Cronbach’s alpha = .89). Convergent validity for the Quebec part of the sample was established with other measures, such as the Pain Catastrophizing Scale (r = .66, p < .01), the Chronic Pain Acceptance Questionnaire (r = -.73, p < .01), the Cognitive Fusion Questionnaire (r = .52, p < .01), and the Acceptance and Action Questionnaire (r = -.49, p < .01). Predictive validity was also established with multiple regression analysis and the French version of the PIPS predicted pain disability (∆R = .04, p < .05) as well as symptoms of anxiety and depression (∆R = .04, p < .05) independently of chronic pain acceptance. Discussion: Implications and future research directions will be put forward as these results provide support for the use of the French version of the PIPS, as much in clinical practice as in research.

14. Processess of change in ACT and AR for longstanding pain – analyses of weekly assessments
Primary Topic: Clinical Interventions and Interests
Subtopic: Pain
Mike Kemani, Behavioural Medicine Pain Treatment Services, Karolinska University Hospital
Hugo Hesser, Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden

Background Thus far, a number of studies indicate the clinical utility of acceptance and commitment therapy (ACT) for longstanding pain (Wicksell et al., 2008; Wicksell et al., 2012). A few studies have explored the mediating role of psychological (in)flexibility in comparison with other potential mediators e.g. catastrophizing, on pain interference and disability (Wicksell, Olsson, & Hayes, 2010). However, the temporal precedence of changes in the mediator in relation to the outcome has not been assessed in studies evaluating mediation in ACT for chronic pain. In a previous study we evaluated the efficacy of ACT and applied relaxation (AR) for longstanding pain (Kemani et al., under review). The aims of the present studies was to evaluate if psychological inflexibility would mediate reductions in pain interference in the ACT-condition and if catastrophizing would mediate reductions in pain interference in the AR-condition. Method Participants (n = 60), adults with longstanding pain (> 6 months) received 12 weekly group-sessions of ACT or AR. Data was collected weekly, post-treatment, and at 3- and 6-month follow-up. Data was analyzed using hierarchical linear modeling. Results and discussion Results showed that psychological mediated changes in pain interference in ACT, but not in AR. Limitations and strengths of the study will be discussed. Also, results will be discussed in relation to previous research in the field, and as well to potential future research.

15. Low-grade inflammation moderates the effect of behavioral treatment for chronic pain in adults
Primary Topic: Clinical Interventions and Interests
Subtopic: Inflammation in longstanding pain in adults
Mike Kemani, Behavioural Medicine Pain Treatment Service, Karolinska University Hospital
Julie Lasselin, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden

Introduction: A low-grade activation of inflammatory processes has been hypothesized as a contributor of non-specific longstanding pain. The utility of behavioral interventions for chronic pain is fairly well established. However, the influence of behavioral treatment on low-grade inflammation is uncertain. In addition, the moderating role of inflammatory markers in behavioral interventions for chronic pain has not yet been addressed. Method: In the present study, forty-eight patients suffering from chronic pain were randomized to two different types of cognitive behavioral therapy (CBT): acceptance and commitment therapy (ACT) or applied relaxation (AR). Interventions consisted of twelve weekly group sessions. Pain intensity, pain disability, psychological inflexibility, acceptance of pain, health-related quality of life were evaluated by self-assessment questionnaires at pre- and post-treatment, as well as medication intake and circulating concentrations of the inflammatory markers, IL-6, TNF-α and IL-8. Results: Improvements in the self-report questionnaires were seen following CBT, in particular after ACT. Reduction in medication intake and TNF-α levels were also observed. Importantly, concentrations of inflammatory markers prior to CBT significantly moderated the treatment effect, i.e. higher pre-treatment levels of IL-6 and TNF-α were related to less improvement in pain intensity, psychological inflexibility and mental health-related quality of life across conditions. Discussion: Altogether, results indicated that behavioral interventions for pain may reduce inflammation and suggest that pre-existing low-grade inflammatory state can reduce the beneficial effect of treatment.

16. Acceptance and Commitment Therapy and Pain: A Comprehensive Theory-based Systematic Review
Primary Topic: Clinical Interventions and Interests
Subtopic: Pain
Mike Kemani, Behavioural Medicine Pain Treatment Services, Karolinska University Hospital
Marie Kanstrup, Behavioural Medicine Pain Treatment Services, Karolinska University Hospital

Background: Recent developments within cognitive-behavioral therapy include Acceptance and Commitment Therapy (ACT). A growing number of clinical trials suggest the utility of this approach, and ACT was recently listed as an empirically supported treatment for chronic unspecific methodological perspective. The aim of the present study was to provide a broad theory-based systematic overview of studies on ACT and pain. Method and Results: In accordance with PRISMA guidelines, systematic searches were conducted to identify original and peer-reviewed articles published between 1997 and 2014 evaluating ACT in relation to pain. A total of 153 articles were included based on study criteria, and classified as cross-sectional (n = 89), treatment evaluation (n = 40), laboratory based (n = 18), or qualitative (n = 6). The results illuminate several patterns, for example results illustrate the scarcity of studies with subgroups of patients (e.g. children) or studies assessing for example cost-effectiveness and long-term effects. Discussion: Clinical and research implications are discussed, and future directions for research on ACT and pain are suggested.

17. The Prosociality of Compassion: Relating to self and other
Primary Topic: Clinical Interventions and Interests
Subtopic: Compassion
Owen Rachal, University of Louisiana at Lafayette
Jessica Auzenne, University of Louisiana at Lafayette
Grayson Butcher, University of Louisiana at Lafayette
Emily Sandoz, Ph.D., University of Louisiana at Lafayette

Research on self-compassion has linked the concept to psychological health and well-being, decreases in negative affect and stress responses, increases in social connection and kindness toward the self and others, as well as other-focused concern (Jazaieri et al., 2013; Neff & Pommier, 2013). Altruistic behavior is a possible mediator of the relationship between increases in social connection and other-focused concern and associated increases in self-compassion (Jazaieri et al., 2013; Neff & Pommier, 2013; Smeets et al., 2014). This presentation will discuss a study on the ways in which people relate to themselves and others. Self-compassion and psychological flexibility were examined, using questionnaires as well as ecological momentary assessments (EMA), in order to investigate the relationships between indicators of psychological well-being, valuing, empathy, and altruistic behavior. Preliminary findings indicate relationships among compassion and these other variables, which we argue warrants additional and increasingly precise inquiry into the contexts which foster these prosocial behaviors.

18. Increasing pro-sociality through a Deictic Frame Training to Decrease Challenge Behaviors for individuals with Intellectual Disabilities
Primary Topic: Clinical Interventions and Interests
Subtopic: Deictic Framing, Perspective Taking, Challenge Behavior, Intellectual Disabilities
Roberto Cattivelli, Istituto Auxologico Italiano
Giada Pietrabissa, Istituto Auxologico Italiano
Martina Ceccarini
Chiara Spatola
Valentina Villa
Annalisa Caretti
Alessandro Musetti
Gian Mauro Manzoni
Silvia Ruggiero
Gianluca Castelnuovo

 

Background: The approaches to treat intellectual disabilities and, more in general, adults with chronic psychiatric issues or Intellectual Disabilities (ID) are often more psychiatry-based than multidisciplinary and, in many situations, long-term hospitalization is the preferred choice. In Italy special residential facilities are available for long-time or even life-time hospitalization aimed at promoting a better quality of life and at fostering rehabilitation. Behavioral sciences had been proven effective to promote autonomies and foster quality of Life for individuals with Intellectual Disabilities or chronic psychiatric conditions. In particular, Contextual Behavioral Science could help the implementation of generally broaden interventions aimed at increasing Quality of Life, social inclusion, prosociality, decreasing stigma, etc. Challenge Behaviors are among the main problems for individuals with ID resident in Assisted Living Facilities and the strategies to reduce them could dramatically improve their QoL. Behavioral strategies aimed directly at decreasing problem behaviors are effective but sometimes this is not enough. In many cases, challenge behaviors are driven and susteneid by inadequate social and relational skills. Method: We implemented Deictic Relational protocol for subjects with moderate intellectual disability. Results: In this exploratory study we tested the effect of a deictic relations protocol to promote the acquisition of deictic frames, a core component for perspective taking, social skills, and also empathy skills and a consequent decrease of challenge behaviors. Discussion: Although results seems promising, due to methodological limitations, the link to through the implementation of the protocol and the reduction of problem behaviors needs to be further deepened.

20. ACTraining for the Taiwanese Parents of Children with Disabilities [936]
Primary Topic: Clinical Interventions and Interests
Subtopic: Parents, mental health, ACTraining, Group
Shinji TANI, Ph.D., Ritsumeikan University
Yuanhong JI, Ph.D., Ritsumeikan University
Nien-Hwa LAI, Ph.D., National Taipei University of Education

Background We developed the ACTraining program for the parents of children with disabilities, and conducted the research to show the effectiveness of the program in Japanese parents. TANI & KITAMURA (2014) showed that psychological flexibility was the predictive factor of depression and psychological QOL of the parents. One of the aims of this research is to investigate the studying effects under different conditions. Another aim is to examine the cultural differences between Japanese parents and Taiwanese parents when the ACTraining is provided. Methods Participants; 26 Taiwanese parents of children having disabilities attended the program (M=1, W=25, mean age=50.2y, range 28-62y ). Mean child age was 17.4y (range 9-32). Methods; The program was implemented by group format. The textbook and PP slides used in Japan were translated into Chinese. Participants were divided two classes, and attended the program for two days (about six hours). Measures; BDI-II (Chinese ver.) was used as the outcome measure. AAQ-II (Chinese ver.) was used as the process measure. Pre-test/ Post-test design was used to investigate the effectiveness of the program. Results The score of BDI-II and AAQ-II was decreased significantly after finishing the program (BDI-II;p<.01 ES; d=1.31, AAQ-II; p<.01, ES; d=1.89). The significant correlation was found between the score of pre-test AAQ-II and the change score of BDI-II (r=.49, p<.05). Discussion These results showed that the program was effective under the different condition. It was probable that the psychological flexibility of the participants was related to depressive symptoms of the parents. It was difficult to translate some ACT words, such as experimental avoidance, defusion, psychological flexibility, and so on, into Chinese. Because these words were necessary to express with Kanji. Some exercises and metaphors were needed to modify to fit Chinese culture.

21. Transdiagnostic Occupational Rehabilitation: Patients’ Experiences with Acceptance and Commitment Therapy (ACT) in Mixed Groups of Musculoskeletal and Common Mental Disorders [937]
Primary Topic: Clinical Interventions and Interests
Subtopic: Occupational Rehabilitation
Sigmund Gismervik, Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim
Egil Fors, Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim
Marius Fimland, Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim
Roar Johnsen, Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim
Marit B. Rise, Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim

Background: Several randomized trials are currently assessing the efficacy of ACT in occupational rehabilitation. In one of these an ACT based occupational rehabilitation program was developed for musculoskeletal, common mental and unspecific symptom disorders. Participants with different diagnoses were mixed in a 3 ½ week inpatient and mainly group based intervention. The aim of this study was to explore patient experiences with transdiagnostic occupational rehabilitation and how their experiences reflected the intended ACT core processes. Method: Twenty-three participants were included in five focus group interviews at the end of their stay. Findings from phenomenological and thematic analysis were reflected upon the six core processes in the ACT model. Results: Participants described changes in perspectives that reflected varying degrees of comprehension, integration and implementation of the intended processes in the ACT model. Participants talked about an increasing awareness and mindful presence but there were few statements indicating awareness of ‘self’ as a process. A mix of diagnoses within treatment groups was perceived by participants as strengthening the program. Participants talked about behaviour changes in direction of values. Committed actions indicating immediate return to work were not mentioned. Conclusions: A transdiagnostic group based approach in occupational rehabilitation has a potential to reach larger proportion of people on sick-leave compared to diagnosis-specific and more individualised programs. In this study we found mainly positive participant experiences with the transdiagnostic program and that the approach of mixing musculoskeletal and common mental disorders may have facilitated openness. However, few statements made by participants regarding immediate return to work raise the question of return to work efficacy.

22. Why don't I do what I want to do?: An Acceptance and Commitment Therapy based psychotherapeutic intervention to overcome procrastination
Primary Topic: Clinical Interventions and Interests
Subtopic: Procrastination
Sol Casassus Montero, Pontifical University Catholic of Chile & University of Chile
Domingo Salvo Rivera, Pontifical University Catholic of Chile & University of Chile
Lydia Gómez Pérez, Pontifical University Catholic of Chile

Results from empirical studies have supported the hypothesis that procrastination can be understood as a way of experiential avoidance. Acceptance and Commitment Therapy (ACT) provides a coherent and comprehensive model for understanding and intervening on experiential avoidance. Even though in ACT there are some group interventions for this problem, there is a lack of studies on individual psychotherapeutic settings. We present in this study a systematic review of interventions for procrastination treatment. A also, we propose a individual psychotherapy design aim to reduce procrastination. This intervention is based on ACT and integrates strategies that have proven effective for the procrastination treatment (e.g., time management and self-management). We specified some aspects that clinicians should identify in order to assess what is influencing the person to procrastinate and specific interventions for better outcomes. This is an in course research, in which subsequently we will implement and evaluate the effect of the proposed intervention.

23. The Effects of Reason for living in Depression and Suicidal Ideation
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression, Reason for living , Suicidal Ideation
So-young Park, Ph.D. student, Seoul Women's University Graduate School of Professional Therapeutic Technology in Korea
Kyung Park, Ph.D., professor, Seoul Women's University Graduate School of Professional Therapeutic Technology in Korea
Sehee Park, Master's student, Seoul Women's University Graduate School of Professional Therapeutic Technology in Korea
Yeongmi Yang, Master student, Seoul Women's University Graduate School of Professional Therapeutic Technology in Korea
Jeongah Lee, Master student, Seoul Women's University Graduate School of Professional Therapeutic Technology in Korea

The present study examined the effectiveness of Reason for Living in depressed university students and suicidal ideation in hope of clarifying the reason why they did not commit suicide even though they had suicidal thoughts. This study examined self-reported versions of the scale for reason for living, depression, suicidal ideation in 394 Korean university students (female 297, male 97). The Reason for Living inventory is a scale developed by Linehan (1983) and validated in a Korean version of the study by Lee et al (2010). This scale consists of 4 sub-scales (Survival and Coping Beliefs, Fear of Death and Social Disapproval, Family Responsibility and Child-related concerns, Future Expectation). The findings of this study show that Reasons for Living as well as all its sub-scales were negatively correlated with depression and suicidal ideation to depression and suicidal ideation. Furthermore, Reason for Living influenced depression and suicidal ideation as a partial mediator. Additionally, Reason for Living’s sub-scale of Survival and Coping Beliefs also affected depression and suicidal ideation as partial mediator. The result of this study suggests Reason for Living is an important factor for suicide prevention via psychological intervention. Finally, The relationship between ACT (Awareness and Commitment Therapy) value (Bahraini et al, 2013) and Reason for Living requires further research.

24. Acceptance and Commitment therapy – do we know enough? A sequential meta analysis of randomized treatment trials.
Primary Topic: Clinical Interventions and Interests
Subtopic: Anxiety, Depression, Adults
Thomas Hacker, DClinPsy, Universitätsmedizin Rostock
Angus MacBeth, Ph.D., DClinPsy, Edinburgh University
Paul Stone, BSs, NHS Fife, Edinburgh University

Acceptance and Commitment Therapy (ACT) has emerged as an alternative to established models of Cognitive Therapy, emphasising context and experiential facets of psychological experience. Existing evidence from systematic reviews and meta analyses (Powers et al., 2009) provides qualified support to the effectiveness of ACT as a psychological intervention when compared with no intervention. However, data with regards to ACT in comparison to other psychological therapies are more equivocal. Therefore, clinicians, health service commissioners and policy makers at present must judge whether the evidence base for ACT is sufficient to make a confident recommendation regarding it’s efficacy. Sequential meta analysis (SMA; Pogue & Yusuf, 1997) uses group sequential boundaries based on the alpha spending function to measure the accumulation of knowledge across studies, enabling decisions on the sufficiency of knowledge to recommend treatment to be made based on statistical properties. This approach, commonly used in the evaluation of medical interventions, is under-utilised in the evaluation of psychological therapies. We report outcomes for well-designed, randomized controlled trials of ACT against control conditions indicating that ACT is an effective treatment for depression, with a moderate post treatment effect size. SMA suggested that there was significant evidence to make this assertion. However, the data are more equivocal regarding ACT compared to existing psychological therapies. Similarly, the data for ACT as a treatment for anxiety are indicative of a more modest degree of effectiveness. SMA indicated insufficient evidence for ACT as an effective treatment for anxiety. Our aim was to evaluate the evidence base for ACT as a psychological intervention for depression and anxiety compared with treatment as usual (TAU), waiting list control and other evidence-based psychological therapies. We sought to establish: 1) What is the effect size for ACT compared to control conditions (waiting list/ treatment as usual/active control) in the treatment of depression and anxiety? 2) Is the evidence base sufficient to recommend ACT as a psychological intervention for depression and/or anxiety? We applied a systematic search strategy, using PRISMA guidelines. We selected randomized controlled trials (RCTs) of acceptance-based treatments for mental and physical health disorders using a comprehensive search strategy. We searched the following databases: PsycINFO, MEDLINE, SCOPUS, and Cochrane Central Register of Controlled Trials. Primary outcomes were based on validated measures of depression and anxiety. Reliability of search strategy and data extraction was assessed by independent verification by the third author. Effect sizes for treatment were expressed as standardized mean difference (Cohen’s d) for independent groups. We conducted fixed and random effects meta analyses of randomized controlled trials (incorporating SMA), with measurement of heterogeneity (Q, Tau2 and I2). Publication bias was examined by linear regression analysis of the funnel plot for included studies. For the SMA we constructed an Optimal Information Size (OIS) function to determine a threshold for significant magnitude of association. To control for between-study variance the OIS was adjusted by degree of heterogeneity, (heterogeneity-adjusted optimal information size; HOIS). We performed a sequential meta analysis in chronological sequence according to publication year, using an a-priori random effects model. The OIS was used to construct group sequential boundaries at each interim analysis using the Lan–DeMets alpha spending function. This generates a fixed significant threshold and power for establishing the OIS criterion has been met. At each interim analysis the sufficiency of the cumulative knowledge can be calculated. When sufficiency criteria have not been met, additional studies are required to statistically establish that there is sufficient evidence to recommend the intervention. When criteria are met at a given analysis we can statistically establish significant evidence of the efficacy of the intervention in question. If the HOIS is reached at the final analysis Q and boundaries have not been crossed, the evidence suggests that the cumulative knowledge base is sufficient to refute the efficacy of the specified intervention, as the SMA is unable to detect the anticipated effect despite an appropriately specified level of power. We identified k=15 studies representing n=685 participants receiving ACT, and n=569 participants in the control condition. Measurement of depression was predominantly via the BDI (1st and 2nd edition), DASS or the CES-D. Anxiety was predominantly measured using the Beck Anxiety Inventory, State-Trait Anxiety Inventory or DASS. For studies of depression (k=15; Fig 1), using a random effects model for depression, when ACT was compared with a control condition the post treatment effect size was d= -0.62 (95% CI = -0.90 to -0.33), indicating a moderate treatment effect for ACT compared with a control condition (TAU/other therapy or W/L). Study heterogeneity was significant (I2=78.8%; tau2 = 0.21, p<.0001). When ACT was compared with another psychological treatment (k=10) effect size dropped to d= -0.10 (95% CI = -0.35; to 0.15), indicating a negligible effect for the effectiveness of ACT compared with other psychological treatments. Heterogeneity was low to medium (I2=40.3%; tau2 = 0.06, p<.09). Sensitivity analyses suggested effects were not affected by depression measure. The effect size on anxiety for ACT compared with a treatment control (k=12 studies) was d= -0.39 (95% CI = -0.71; to -0.077), indicating a small to medium effect size for the effectiveness of ACT compared with control group. Between study heterogeneity was significant (I2=84.5%; Tau2=0.24, p<.0001). There was no evidence of publication bias for anxiety or depression samples. For depression, removal of Roemer et al (2008) reduced heterogeneity but did not significantly alter the group comparison effect size estimates. SMA provided convincing evidence that there is at least a medium group difference favouring ACT for Depression against control, for a post treatment effect, as the boundary was crossed before the HOIS was reached (Fig3a). This was significant with power=.9 and α=.01. In contrast, the cumulative Z-value for ACT and anxiety did not cross the boundary before reaching the HOIS (Fig. 3b), indicating evidence in favour of at least a medium post treatment effect was not obtained despite a power of 90% The current set of analyses are limited to the efficacy of ACT in the immediate post treatment phase, thus we cannot comment upon longer term treatment effects. Nor can we comment on the efficacy of ACT for other conditions such as psychosis or physical health difficulties. The meta analysis suggests that although ACT may not be a ‘one size fits all’ psychological therapy, it is an effective treatment for depression. Further research is required to ascertain specific presentations for which ACT may be of benefit as a targeted therapy.

25. Investigating the Effects of a Brief Mindfulness Intervention on the Encoding of Positively and Negatively Valenced Novel Verbal Stimuli Under an Induced Negative Affect
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness
Varsha Eswara Murthy, B.A., University College Dublin
Louise McHugh; MA, Ph.D., University College Dublin

Background: Major components of mindfulness are the non-judgmental observation and acceptance of both internal and external stimuli. This study aimed to investigate the effect a brief mindfulness intervention would have on the encoding of novel positively and negatively valenced verbal stimuli post induction of a negative affect. Method: Participants were exposed to either the mindfulness condition or the unfocused attention (active control) condition and subsequently took part in a learned helplessness task, in order to induce a negative affect. Following this, participants were presented with and asked to learn 10 positively valenced (.e.g. rafiki=friend), 10 negatively valenced (.e.g. maiti=corpse) and 10 neutrally valenced (.e.g. ndoo=bucket) Swahili-English word pairs, after participation in an arithmetic filler task for a period of one-minute, participants were then presented with the Swahili words and asked to recall the English equivalents. Results: Analysis showed that those in the mindfulness condition remembered significantly more positive words than those in the unfocused attention group and those in the unfocused attention group remembered significantly more negative words than those in the mindfulness condition. Results also revealed that those in the mindfulness condition remembered significantly more words in total in comparison to the unfocused attention group. Discussion: These findings suggest that memory processes as well as the ability to create a sense of self that is distinguishable from one’s thoughts, emotions and feelings may be potential mechanisms underlying the link between mindfulness and subjective well-being. Results also suggest that mindfulness may emancipate cognitive resources being used to regulate one’s own emotional state and the emotional content of what is being learned, which result in better learning outcomes.

26. Which comes first?: Emergence of temporal frame responding in an autistic kid
Primary Topic: Relational Frame Theory
Subtopic: RFT
Giovambattista Presti, MD, PhD, Università Kore, Enna (Italy) & IESCUM, Italy
Davide Carnevali, Università IULM, Milan & IESCUM, Italy
Arianna Ristallo, Università IULM, Milan & IESCUM, Italy
Paolo Moderato, Università IULM, Milan & IESCUM, Italy

Background. Orientation in time is a fundamental ability. Often developmentally typical or developmentally delayed children show difficulties in learning this skill. They cannot, for example, order a simple sequence of events or understand how to properly use yesterday, today and tomorrow. Learning orientation in time allows the child a better autonomy (i.e. organize everyday activities) and strengthens the acquisition of cause-effect relation. Method. The present study tested the efficacy of a computerized RFT training (Hayes, Barnes-Holmes, Roche, 2001) with a 9-years old autistic child. The aim of this training was to teach temporal relational responses and then to test the maintenance of relational learning with new stimuli (not presented during the training sessions). During the training phase three familiar sequences, with three elements each (before, now and after), were used. The task consisted of 27 subsequent matching to sample responses under the control of three verbal contextual cues (before, now and after). The stimuli (samples, comparisons and contextual cues) were alternated in instruction blocks, with a specific organization in a matrix model. Results and discussion. Results showed the acquisition of target temporal responses and the emergence of mutual and combinatorial entailments. Three new temporal sequences (three steps each) were tested: results showed the ability to derive correct temporal responses in presence of non-trained stimuli.

27. Skinner’s Verbal Behavior heritage: What are behavior analyst really studying?
Primary Topic: Educational settings
Subtopic: Verbal behavior, Relation Frame Theory, Applied Behavior Analysis
Giovambattista Presti, M.D., Ph.D., Kore University, Enna (Italy)
Siana Saddemi, Kore University, Enna (Italy)
Maria Josè Sireci, Kore University, Enna (Italy)
Paolo Moderato, PhD, IULM university, Milan (Italy)

Much experimental work has been done after the publication of Skinner’s Verbal Behavior (1957), though it took almost 25 years to behavior analysts to generate experimental models drawn from its theoretical approach. A steady, though, slow increase in experimental work was observed since the ‘70s, with an acceleration in the mid ‘80s, mostly due to the publication of a dedicated journal, The Analysis of Verbal Behavior. Skinner’s conceptual analysis has also given rise to a wide range of applied programs in the educational setting, mostly with autistic children. Skinner sensed that his book Verbal Behavior (1957) was his most important work (Sunberg, 1998). But is it true? And what is the real impact of Skinner’s analysis in the basic and applied field? A thorough analysis of the papers published on TAVB was conducted to understand which parts of Skinner’s taxonomy of verbal operants generated experimental data and how this influences the way the field progresses. Strong trends in research with elementary verbal operants emerged, posing some questions on the ease of experimental models and the biases that this work can generate in the field, especially when research neglects the multiple causation analysis of the most complex operants that address cognitive human functioning. Much of the most challenging aspect of human cognitive behaviors, mainly under-the-skin behaviors, remain almost untouched and unsatisfied by the few researches and experimental model that VB has generated. At the same time RFT offers an alternative and compatible model at the operant level to address some of these issues. A comparative analysis of papers inspired to the theoretical models of VB and to RFT will be offered to have a sense of what areas are lacking sounded experimental research to be addressed in future

28. It sounds like Han! Testing the feasibility of a social robot delivered conditional discrimination training.
Primary Topic: Educational settings
Subtopic: RFT, Conditional discrimination task, autism, social robots
Giovambattista Presti, M.D., Ph.D., University Kore, Enna (Italy)
Maria Josè Sireci, University Kore, Enna (Italy)
Daniele Lombardo, Behaviour Labs, Catania (Italy)
Marco Lombardo, Behaviour Labs, Catania (Italy)
Paolo Moderato, IULM University, Mialn (Italy)

Relational Frame Theory (RFT) is a relatively new account of human language and cognition. According to RFT, such complex human behaviors can be conceptualized as a through an examination of derived relational responding, tha ability of respond to relations between stimuli (Hayes, Barnes-Holmes e Roche, 2001). In recent years research has implemente more and more RFT based training to teach language and other abilities to children with autism in order to make learning faster and more efficient and increase novel behavior. Most RFT training included conditional discrimination tasks, that is a discrimination task that depend on the stimulus context: for example a matching to sample task where the subject has been trained to select a stimulus in presence of another stimulus (select a triangle when the red light is on.In this framework, the use of humanoid robots in ABA training serves two main purposes: 1. The robot, with its characteristics, acts as a motivating element to children and can make learning more fun. The structural characteristics, together with the ability to produce words, spontaneously catalyze the child's attention and create a Motivating Operation to the training 2. The robot can perform some functions today made by operator who works with the child: we refer in particular to the continuous process of data collection which, although necessary to ensure the scientific rigor proper of behavior analysy, causes a considerable expenditure of time and is still subject to human error as well 3. The robot can be used by less skilled people, like parents or relatives to enhance the occasions of learning in the child, while maintaing a rigorous procedure We present an interactive solution based on Robots4autism that is currently under testing for efficacy and effectiveness with autistic kids and other kids with special needs.

29. The invisible trainer: testing the feasibility of motion tracking technology in conditional discrimination training
Primary Topic: Educational settings
Subtopic: Autism, Relational Frame Theory, Motion tracking, Computer mediated learning
Giovambattista Presti, MD, PhD, University Kore, Enna (Italy)
Maria Josè Sireci, University Kore, Enna (Italy)
Olga Beltramello, CERN (Geneva, Switzerland)
Matteo Vignoli, University of Modena and Reggio Emilia (Italy)
Lakshmiprabha Nattamai Sekar, CERN (Geneva, Switzerland)
Clio Dosi, University of Modena and Reggio Emilia (Italy)
Paolo Moderato, IULM University (Milan, Italy)

The operant is the central unit of behavior analysis useful to understand the interaction between an organism and its environment and analyze the functional relationship between independent variables, antecendent and consequences, and the dependent variable, the behavior (Skinner, 1953). The operant can be better understood like a costant process in which the interaction between variables (dependent and indipendent) makes learning processes possible. In this framework operant can be easily implemented by a machine thanks to his characteristics of repetitiveness and independence from topography. Moreover peculiar characteristics of ABA analysis (such as the task analysis), match with the analysis necessary for software and hardware programing (Hoyert, 1992). We tested the feasibility of a conditional discrimination training delivered with “augmented reality” platform in which children were trained to select a stimulus in a range of three other stimuli. A computer with tracking technology was programmed to recognize and record both correct and wrong responces, and latency of response over an invisible grid projected on a surface. A procedure to correct and prompt the response was also implemented and reinforcement was delivered following an FR1 schedule for testing purposes. The use of such a platform can serve training process in many ways: 1. The platform, with its characteristics, acts as a motivating element to children and can make learning funnier. 2. The platform can perform some skills today made by operator who works with the child: we refer in particular to the continuous process of data collection which and contingent deliver of reinforcement especially with random schedule or time-dependent schedule, which are delivered by humans with difficulties 3. The motion tracking and invisible grid allows to use motivating stimuli in the child environment and favors generalization of responses.

30. Come together!: An exploratory analysis of the complexity of categorization
Primary Topic: Educational settings
Subtopic: RFT, Category, language disorders, autism
Giovambattista Presti, M.D., Ph.D., Kore University, Enna (Italy)
Melissa Scagnelli, IULM University, Milan (Italy)
Margherita Gurrieri, IESCUM (Italy)
Claudio Premarini, Department of Child Neuropsychiatry and Neurorehabilitation; "Eugenio Medea" Scientific Institute, Bosisio Parini, Lecco
Catia Rigoletto, Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
Massimo Molteni, Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
Paolo Moderato, IULM University (Milan, Italy)

Categorization is a fundamental ability for the development of complex skills, such as thinking, perception and language. (Lakoff 1987). Relational Frame Theory (RFT) con offer a sound and simple account of arbitrary categorization offering opportunities to enhance cognitive performance in new and potentially powerful ways. Three group of children with different degree of disabilities with autism, specific language disorder and borderline intellectual functioning were exposed to a conditional discrimination procedure with arbitrary matching to sample to promote the development of arbitrary categorization. Categorization was operationalize as symbolic arbitrary equivalence of items (grouping pictures), picture controlled labeling of items (tacting), picture controlled labeling of categories (tacting), verbal responses under the control of the category-item verbal response (intraverbal) and item-category (intraverbal) verbal responses in a frame of coordination. After testing for Subjects were trained to select the “printed picture of grouped items_1” upon a vocal label of the category (A-B training), and to select “printed picture of grouped items_2” in the presence of “printed picture of grouped items_1” (B-Ct training). After testing for mutual and combinatorial entailment a four-member class emerged. The results seems to confirm the importance of a training based on frame of coordination for the acquisition of basic categorization and challenge the analysis of intraverbals made by Skinner. Pre-post treatment changes in standardized tests will be presented to show the generalized effect of the training over language skilles. A number of advantages of this training along with the limits of the study will be discussed.

31. Use Your Words: An Examination of Student Writing in Response to Experiential Learning Exercises Targeting Psychological Flexibility
Primary Topic: Educational settings
Subtopic: Academics
Tracy Protti, University of Louisiana at Lafayette
Emily Allen, University of Louisiana at Lafayette
Emmy LeBleu, University of Louisiana at Lafayette
Ryan Albarado, University of Louisiana at Lafayette
Bronwyn Frederick, University of Louisiana at Lafayette
Jada Horton, University of Louisiana at Lafayette
Alaina Kiefner, University of Louisiana at Lafayette
Lauren Griffin, University of Louisiana at Lafayette
Emily Kennison Sandoz, University of Louisiana at Lafayette

College students are often faced with a number of transitions across important domains of life. For many students, academic demands, living conditions, financial status, primary relationships and social activities undergo repeated changes during the course of their college education. Psychology of Adjustment is a course designed to teach non-majors fundamental concepts of psychological health. As currently taught, the course includes primarily experiential interventions in which students learn the concepts of psychological adjustment by practicing psychological flexibility in and out of class. Informal student evaluations suggest that these methods not only ensure intellectual grasp of the concepts but also improve student's psychological adjustment more broadly. The current qualitative study examines the content of students' journal assignments in order to identify ways in which the class impacts psychological flexibility and college adjustment. Preliminary thematic analysis of 157 students' journal assignments has revealed the following themes: the identification and clarification of values, observable changes in valued domains of life, the realization that everybody struggles, the awareness of psychological inflexibility and its consequences, willingness to experience painful thoughts and feelings, and gratitude for newfound presence in everyday experience. Implications for future research and course development will be discussed.

32. The Mediating Effect of Experiential Avoidance between Psychological Capital and Work Performance in Chinese Employees
Primary Topic: Organizational behavior management
Subtopic: Positive Organizational Behavior(POB)
Jing Cao, 1. Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences. 2. University of Chinese Academy of Sci
Sheng Huang, Roechling Automotive Parts (Kunshan),Ltd
Zhuohong Zhu, 1. Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences. 2. University of Chinese Academy of Sci

Background: Luthans defined psychological capital as an individual’s positive psychological state of development, which is characterized by: (1) having confidence (self-efficacy) to take on and put in the necessary effort to succeed at challenging tasks; (2) making a positive attribution (optimism) about succeeding now and in the future; (3) persevering toward goals and, when necessary, redirecting paths to goals (hope) in order to succeed; and (4) when beset by problems and adversity, sustaining and bouncing back and even beyond (resiliency) to attain success. A meta-analysis which included 51 independent samples indicated the expected significant positive relationships between psychological capital and work performance. Experiential avoidance is the attempt to change the form, frequency, or situational sensitivity of experiences even when doing so causes life harm. Several studies showed that acceptance as an alternative to experiential avoidance can explain and predict employees’ job satisfaction and work performance. Acceptance and Commitment Therapy (ACT) aims at decreasing experiential avoidance and improving psychological flexibility. With the combination of eastern culture, such as Buddhism and Zen, the theories and practices in ACT are suitable for studying and applying in China. With regard to the vacancy of studies in experiential avoidance related to positive organizational behavior (POB) in China, we maintained that the present research would have theorital and practical significance. The aim of the study was to explore the relationship among experiential avoidance, psychological capital and work performance. Futhermore, the mediating effect of experiential avoidance between psychological capital and work performance was tested. Method: A total of 285 validated questionnaires were collected by cluster sampling in four enterprises. The employees were assessed by Acceptance and Action Questionnaire-2nd Edition(AAQ-Ⅱ), Psychological Capital Questionnaire(PCQ) and Work Performance Questionnaire(WPQ). Statistical analysis was conducted by SPSS version 20.0. We computed Pearson’s correlations and the mediating effects testing procedure which was proposed by Wen Zhonglin. Results: After controlling sex, age, job, the level of education and length of service, experiential avoidance is negatively correlated with the total score and four subscales of psychological capital (r=-0.258~-0.337, ps<0.001), and experiential avoidance is negatively correlated with five subscales of work performance(r=-0.123~-0.276, ps<0.05). Experiential avoidance partially mediates the total score of psychological capital and the four subscales of work performance separately. The standard regression equations are: y1=0.280x-0.122m(tx=4.498,p<0.001; tm=-1.990,p<0.05); y3=0.170x-0.209m(tx=2.712,p<0.01;tm=-3.396,p<0.01); y4=0.234x-0.124m(tx=3.787,p<0.001;tm=-2.045,p<0.05); y5=0.169x-0.146m(tx=2.554,p<0.05;tm=-2.249,p<0.05)( y1=Work Performance-Energy, y3=Work Performance-Happy, y4= Work Performance-Focus, y5= Work Performance-Enjoy). While the mediating effect of experiential avoidance in psychological capital and Work Performance-Engage is not significant: y2=0.264x-0.031m(tx=4.132,p<0.001;tm=-0.494,p>0.05)( y2= Work Performance-Engage). Discussion: Experiential avoidance is negatively correlated with psychological capital and work performance. The preliminary analyse indicated that these three concepts are related but not identical constructs. Psychological capital can partially decrease energy, happy, focus and enjoy through experiential avoidance, but it doesn’t influence engage by experiential avoidance. In the applied area, this may enlighten us one more path to promote employees’ work performance. That is, we can not only improve their psychological capital directly, but also decrease their experiential avoidance or increase acceptance indirectly.

33. Effectiveness of Acceptance and Commitment Therapy on Weight self-efficacy lifestyle and Body Mass Index (BMI) in women afflicted with obesity
Primary Topic: Organizational behavior management
Subtopic: obesity, adult, acceptance and commitment therapy
Leili Nourian, M.A., Islamic Azad University, Najaf Abad branch, Isfahan, Iran
Asghar Aghaei, Ph.D., Islamic azad university, isfahan(khorasgan) branch, Isfahan, Iran

background: The purpose of this research was to determine the effectiveness of acceptance and commitment therapy on weight self-efficacy and body mass index among women afflicted with obesity in Isfahan(Iran). method: Through a quasi-experimental research with pre-test, post-test design and three month follow up as well as using convenience sampling method, a number of 30 women with an obesity diagnosis (BMI≥30) were chosen according to the criteria of entering this research project. Then, they were randomly incorporated into experiment and control groups. The measurement tool was Weight Efficacy of Lifestyle Questionnaire(Clark, Abrams, Niaura, Eaton & Rossi, 1991). Also BMI was calculated by dividing weight (Kg) by squared height (m^2). results: The result of covariance analysis indicated that there were significant increases in weigh self-efficacy lifestyle in all sub scales (including food availability, social pressure, physical discomfort, negative emotions and fun activity), between experimental and control groups in pre-test, post-test and follow-up stages. also Results showed that there were no significant differences in body mass index between the experimental and control groups at post-test stage. But results showed a significant decrease in body mass index at follow up(p˂ 0.05). discussion: According to the findings of this research about the effect of Acceptance and Commitment Therapy on weight self-efficacy and body mass index, the proposed treatment can be used to improve these variables in women with obesity.

34. A Positive Framing Bias Flaw in the Implicit Relational Assessment Procedure (IRAP)
Primary Topic: Other
Subtopic: IRAP
Brian O'Shea, University of Warwick
Derrick G. Watson, University of Warwick
Gordon D. A. Brown, University of Warwick

How can implicit attitudes best be measured? The Implicit Relational Assessment Procedure (IRAP), unlike the Implicit Association Test (IAT), claims to measure absolute, not just relative, implicit attitudes. In the IRAP, participants make congruent (Fat Person-Active: False; Fat Person-Unhealthy: True) or incongruent (Fat Person-Active: True; Fat Person-Unhealthy: False) responses in different blocks of trials. IRAP experiments have reported positive or neutral implicit attitudes (e.g., neutral attitudes towards fat people) for prior associations that normally show negative attitudes on explicit or other implicit measures. It was hypothesized that these results might reflect a Positive Framing Bias (PFB) that occurs when participants complete the IRAP. Implicit attitudes towards categories with varying prior associations (nonwords, social systems, flowers and insects, thin and fat people) were measured. Three conditions (standard, positive framing, and negative framing) were used to measure whether framing influenced estimates of implicit attitudes. It was found that IRAP scores were influenced by how the task was framed to the participants, that the framing effect was modulated by the strength of prior stimulus associations and that a default PFB led to an overestimation of positive implicit attitudes when measured by the IRAP. Overall, the findings question the validity of the IRAP as a tool for the measurement of absolute implicit attitudes. A new tool (Simple Implicit Procedure: SIP) for measuring absolute, not just relative, implicit attitudes is proposed.

35. Stigmatisation Attitudes and Psychological Flexibility of Mental Health Professionals
Primary Topic: Other
Subtopic: psychological flexibility in mental health professionals,stigma
Fatma Betul Esen, MD, Bakirkoy Research and Training Hospital for Psychiatry and Neurology
KAASIM FATİH YAVUZ, Bakirkoy Research and Training Hospital for Psychiatry and Neurology
SEVINC ULUSOY, ELAZIG STATE HOSPITAL FOR MENTAL HEALTH AND DISORDERS
TUGBA KARA, NIGDE BOR STATE HOSPITAL

BACKGROUND:Stigmatization is a mark of disgrace that sets a person aside from others and attributes that reduces an individual “from a whole and usual person to a tainted, discounted one”. It influence psychiatric clients largely. They need to challenge with their symptoms and the stigma from the society. It diminishes the use of mental health services and medicine. It causes decrease in functioning. Not only society but also mental health professional stigmatize the patients. AIM:The purpose of this study was to assess the attitudes of mental health professionals to mental disorders and find out whether it is related to psychological flexibility, burnout and occupational properties. METHOD: The study was carried out with 50 psychiatrists, 50 psychologists and 50 nurses from all over the country (Turkey). Mental Health: Clinicians’ Attitudes Scale(MICA), Acceptance and Action Questionaire(AAQ) and Maslach Burnout Inventory(MBI) were given to attendants. RESULT:There was no significant difference between groups’ age, gender and AAQ scores. There was significant difference between groups’ training, % 82 of psychologists % 48 of psychiatrists and % 16 of nurses said that they attended to a therapy training. The ones who don’t have therapy training had lower score on Personal Accomplishment scale of MBI. MICA(stigmatising attitudes) scores were higher for nurses compared to psychiatrist and psychologists. Nurses and psychologists think that the etiology of mental disorders is best explained by psychoanalytic theory; but psychiatrists think that is biological theory. Pharmacology is preferred by psychiatrists and nurses in the first line treatment of mental disorders, and psychologists prefer cognitive therapy. The ones who prefer pharmacology in the first line have higher MBI scores. MICA scores were negative correlated with age and ‘the years in the mental health services’. The years in the mental health services is negative correlated with AAQ and positive correlated with ‘Personal Accomplishment’ scale of MBI. DISCUSSION: We found that score of Personal Accomplishment scale was higher in the group who have therapy training and %16 of nurses had a therapy training; it was the lowerest percentage among the groups. It may show that therapy training lowers the stigmatising attitude and make the person feel more competent. The ones who prefer pharmacology in the first line have higher MBI scores; so applying therapy skills in the clinical practice may lower burnout. Negative correlation between ‘the years in the mental health services’ and AAQ – MICA scores can be result from experience, experience can enhance the empathy. The nurses spend more time with clients and they expose to their negative attitudes more. Their higher MICA scores may be result of it.

36. Stigmatisation Attitudes and Psychological Flexibility of Mental Health Nurses
Primary Topic: Other
Subtopic: Stigma
Merve Terzioglu, Bakirkoy Research and Training Hospital for Psychiatry and Neurology
K.Fatih Yavuz, Bakirkoy Research and Training Hospital for Psychiatry and Neurology
Sevinc Ulusoy, Elazig State Hospital for Mental Health Disorders
Huseyin Sehid Burhan, Bakirkoy Research and Training Hospital for Psychiatry and Neurology

Background: Stigmatisation is described as the prejudiced behaviour accompanying the feeling toward the person who was considered to be different. Stigmatising attitudes are more common toward to individuals with mental disorders than those who suffer from physical diseases. Loss of functionality has been found to be correlated with the level of stigmatisation of individuals with mental disorders. Stigmatising attitudes may also be seen among mental health professionals and these attitudes may prevent patients to apply mental health services. In this study we aimed to assess nurses’ attitudes toward mental disorders and investigate its relation with sociodemographic and occupational properties, psychological flexibility and level of burnout. Method: The study was carried out with 143 nurses working in mental health area from all over the country. Mental Health: Clinicians’ Attitudes (MICA), Acceptance and Action Questionnaire-II (AAQ-II) and Maslach Burnout Inventory (MBI) scales and Sociodemographic Data Form were administered to participants. MBI had 3 subscales; Emotional Exhaustion(EE), Depersonalisation(DP) and Personal Accomplishment(PA). Results: 108 of the participants were female, 35 were male. There was no significant difference between scales among gender groups. Approximately %35 of nurses think biological theory as the best explanation for the etiology of mental disorders and they commonly prefer pharmacotherapy as the first line treatment. Participants who prefers pharmacotherapy as first line treatment had higher burnout scores. Therapy training was rare among nurses; only 30 of them(%21) had a therapy training. Individuals who had therapy training had higher scores on MBI scale and also on EE and DP subscales of MBI. There was no significant difference on AAQ-II and MICA according to therapy training. The ones who had relatives with mental illnesses(%27.3) had higher scores on AAQ-II. MBI and PA scores were negatively correlated with age. MICA scores were positively correlated with AAQ-II and MBI. Also there was a positive correlation between AAQ-II and MBI. Discussion: Burnout scores were higher in nurses who had therapy training. This finding may be due to limitations related to their working conditions and not having opportunity to apply their professional skills. Psychological inflexibility was associated with both stigmatisation attitudes and burnout scores. Stigmatisation attitude may be learned verbally, or it may be due to unwilligness to experience negative thoughts and emotions about patients that ends up with avoidance behaviour related to psychological inflexibility. Increase in vocational burnout could also be the result of escape and avoidance behaviour from negative thoughts and emotions. ACT approach that based on psychological flexibility may be useful to alter stigmatising attitudes of nurses.

37. Flow in Context: Approaching Positive Psychology's Optimal Experiences
Primary Topic: Performance-enhancing interventions
Subtopic: Positive Psychology
Grayson Butcher, University of Louisiana at Lafayette
Emily Sandoz, Ph.D., University of Louisiana at Lafayette

Research into the “optimal experience” of flow began with Mihalyi Chiksentmihalyi, who was drawn to the single-minded focus with which artists became absorbed in their craft (Chiksentmihalyi, 1990). Flow is now considered as one of three optimal experiences by positive psychologists, the other two being spirituality and mindfulness (Lopez, Pedrotti, & Snyder, 2014). Together these experiences are said to be indicative of a deeper and more purpose-filled quality of living that is invigorated with novelty, absorption, and the sacred. Processes of the psychological flexibility model, as well as deictic framing, have been utilized to functionally approach these topics. However, little research has been done on flow specifically. This conceptual paper will examine the research done on flow thus far. The purpose of this analysis is threefold: 1) to discuss, in a preliminary and conceptual manner, the necessary and sufficient conditions (behavior-environment relations) which may account for the experience of flow, 2) to identify explanatory gaps worthy of further inquiry, and 3) to situate the analysis of flow within CBS’s reticulated, progressive scientific enterprise.

38. Parental Experiential Avoidance on the Parental Acceptance and Action Questionnaire (PAAQ) Relates to Higher Parental Stress and Higher Child Defiance: Evidence from a community sample of Greek-speaking parents
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Parental Experiential Avoidance
Anthi Loutsiou, PsyD, University of Cyprus
Anastasios Matsopoulos, PhD, University of Crete
Andri Anastasiou, M.A., University of Cyprus

Background The Parental Acceptance and Action Questionnaire (PAAQ) (Cheron, Ehrenreich & Pincus, 2009) is a 15-item measure for parent’s acceptance of their child’s emotions and commitment to acting in a valued way. In the norming sample, the original scale yields a total score, an inaction subscale and an unwillingness subscale in the parenting role. Method The PAAQ was translated in Greek using the front and back translation method and the original scoring instructions were maintained. Its psychometric properties and ecological validity were tested in a community sample of Greek speaking parents (N=162 Greek speaking parents (136 mothers, 26 fathers) of 3-8 year old children who participated in clinical trials of the 6-week Parenting the Strong Willed Child (PSWC) training program. Results The 15-item adaptation of the PAAQ internal consistency was below the recommended cut-off and inter item correlations were lower than expected. Problematic items were removed resulting in an 8-item scale with borderline acceptable alpha coefficient. Paired samples t-tests showed no significant results for the PAAQ Total Score . The factorial structure of the scale will be further tested using exploratory factor analyses. Correlational analysis of the PAAQ and parent-report measures suggest adequate concurrent validity with the Strengths and Difficulty Questionnaire-Conduct Problems ( p < .05). As expected, parents with children higher on the Defiance Scale of the Eyberg Child Behavior Inventory also scored higher on the PAAQ (p < .05). Further, parents with higher experiential avoidance also reported statistically significantly higher Parental Distress on the Parenting Stress Inventory- Short Form (PSI-SF) (p < .05). Discussion The PAAQ does not appear to have the same factor structure across samples but it may be a useful instrument in clinical trials of parent training programs for disruptive behaviors given the importance of parental avoidance in taking action in the context of the parenting role.

39. Application and effectiveness of ACT in the satellite office with the support for the employment of persons with disabilities [938]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Workplace, Ssatellite office with the support, Schizophrenia, Neurodevelopmental disorder
Fumiki Haned, Senior vocational counselor, Startline.Co.Ltd

In order to realize the employment of persons with disabilities by companies, Startline.Co.Ltd offers a supported satellite office services. Working people with various disabilities in satellite office with the support.Recently, there has been increasing employment of people with mental disorders, difficulty of support towards stability of employment has become a problem. We solve this problem by implementing the ACT in individual or group format. ACT in the workplace, and work hours, we observed the effect of preventing anxiety and drowsiness. These effects have also appeared on indicators such as improvement and stability of attendance rate. In this poster, I will report some of these case studies, and discuss implementation methods and effects of ACT in the workplace of people with disabilities. Also, I would like to consider the impact of these effects have on corporate managemen

40. Successful smoking self-quitting and psychological flexibility
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Smoking behavior
Jesus Gil Roales-Nieto, Ph.D., University of Almeria, Spain
Emilio Moreno San Pedro, Ph.D., University of Huelva
Rodrigo Córdoba García, M.D., University of Zaragoza, Spain
Bartolomé Marín Romero, M.A., University of Almeria, Spain
Rosa Jiménez López, Ph.D., iversidad de Almería (University of Almeria in Spain)
Agustina Silvano Arranz, M.A., Servicio Andaluz de Salud, Spain
Isabel R. Fernández Lao, Servicio Andaluz de Salud, Spain
Genoveva Granados Gámez, Ph. D., University of Almeria, Spain
Mónica Hernández López, Ph.D., from the University of Jaén, Spain

Background The health consequences of smoking and the benefits of cessation are extensive and perfectly documented. Nevertheless, the majority of smokers continue smoking in spite of the legislative, preventive and care efforts to reduce smoking, even after the diagnosis of diseases directly related to smoking. The treatment of smoking behavior presents a small rate of success, independently of the specific treatment, with better results for pharmacological and / or psychological interventions. Data indicates that a smokers’ minority chooses to abandon with professional treatments, whereas unassisted cessation (self-quitting) remains the preferred method for most smokers. The professional assisted option has been widely evaluated and we have relatively precise information that indicates the efficiency of some treatments and the superiority of pharmacological treatments in combination with psychological treatments. Nevertheless, most smokers choose the self-quitting option which has not been studied with detail that provides information, for example, about the variables related to the success and the failure in this practice. Also, it has not been studied in depth the relationship between Psychological Flexibility (PF) and smoking cessation. Research has shown that PF is inversely associated with a wide range of negative psychological outcomes, including depressive symptoms, anxiety, general psychological ill-health, and emotional distress in stressful interpersonal contexts. The main objective of the present study is to analyze the relationship between psychological flexibility measured by the Acceptance and Action Questionnaire-II (AAQ-II) and the success or failure in the smoking cessation in self-quitter smokers. Method 288 people that tried to quit on their own (37% women) participated in the study. They were categorized in two groups: smokers (n= 71, people that failure in self-quitting) and ex-smokers (n= 217, people with successful self-quitting) using self-report of continuous abstinence (report of no smoking since a specific cessation attempt) supported by analyses of carbon monoxide using measures obtained by a CO-oximeter. We used the Spanish version of AAQ-II (7 items) to assess PF. Results We found no significant differences in the success or failure to stop smoking, nor in the PF score based on gender, or variables related to smoking (i.e., years of consumption, number of cigarettes smoked daily, etc.). Smokers that failure in self-quitting showed an average score of 26.45 in PF. Ex-smokers (people with successful self-quitting) showed an average score of 32.13 in PF. Analysis by t-test for independent samples showed statistically significant differences between the means of the two groups (t = 6,194; p < 0,01). 100% of participants that showed a low level of PF failed in their attempt to quit. However, 89% of participants that showed a high level of PF succeeded in self-quitting smoking. Discussion Participants who were successful in quitting smoking on their own showed PF scores significantly higher than participants who failed. The results show that psychological flexibility can facilitate success in the attempt to stop smoking without professional help. Implications and limitations of this study will be discussed.

41. ACT Resilience Building in Schools: A Pilot
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescents
Julia Kostiuk Warren, DClinPsy, ProCARE Psychological Services
Casey Mendiola, DClinPsy, ProCARE Psychological Services

Background We work as part of the Enhanced School Based Health Services (ESBHS) programme, in which four primary health organisations, in conjunction with the Auckland District Health Board, are working together to provide primary physical and mental health services in low decile secondary schools. This is the first time in New Zealand that clinical psychologists have been employed to work specifically in secondary schools. We are the two psychologists who currently work in this programme, and between us cover seven secondary schools in the Auckland area. All of these schools have decile ratings of between 1 and 3 (a decile rating indicates the extent to which schools draw their students from low socio-economic communities; the lower the decile the higher proportion of students from these communities), and have high populations of Maori and Pacific island students, who are over-represented in the negative statistics of physical health, crime, and mental health in New Zealand. After working in the schools for six months, mainly providing individual support to students, we wanted to work more widely within our schools, focusing on early intervention and prevention, as well as continuing to be able to provide therapy for students who were struggling to cope. We decided to use our ACT training and experience to develop a school-based ACT resilience-building group. We hoped to be able to fit our group within the school timetable (where most schools have five one-hour periods per day), to make it relevant and helpful to our student populations, with an ultimate aim of having our group accepted into the school curriculum. Method We discussed our concept with school staff, and there was significant support. We researched the current literature around adolescent ACT groups and found that the majority were structured into approximately 10 sessions of at least two hours' duration. This was considered to be too long for our purpose, so we distilled our group content into six one-hour sessions, each covering a separate topic – Mindfulness, Defusion, Open Up and Make Room, Values, Committed Action, and Putting it All Together. We brainstormed and researched relevant activities, developed participant workbooks and facilitator guides for consistency of delivery, and gathered resources. Outcome measures were selected based on use in previous adolescent ACT studies, ease of use and brevity. Because participants were drawn from the general student population we did not measure symptoms of mental ill-health. Limited time could be spent completing measures due to time constraints. We wanted to assess psychological flexibility, mindfulness, personal well-being, and students' evaluations of the group. Measures: Acceptance and Fusion Questionnaire for Youth (AFQ-Y), Life Satisfaction - Teen Survey, Personal Wellbeing Index for School Children (PWI-SC), Mindful Attention Awareness Scale for Children (MAAS-C), and Group Session Rating Scale (GSRS). Results Five schools agreed to trial the group in term 1, 2015; four in classes and one in a small group. Because of the exploratory nature of our project we decided to be as flexible as we could and follow each school’s lead with regard to our group participants. Because of this, three of our class groups were low functioning Year 9 classes, while the fourth was a mainstream Year 9 Health class. Participants: 67 adolescents; age range 12-14. Female - 44%; Male - 56%. Ethnicity: NZ Maori - 12%; Pacific Island - 74%; Pakeha (European) - 10%; Asian - 4%. Issues identified were clustered into themes: time constraints, working with cognitively challenged adolescents, and adapting to cultural context, age and stage. Time constraints limited our capacity to comprehensively assess participants' understanding of the concepts, and limited our use of outcome measures. The students in three of our five groups were lower in cognitive ability than we expected when planning our project, meaning that we adapted some of the material as we went along, removing some of the more abstract and complex explanations and exercises that required reading/writing. All of our participants were also younger adolescents,which further affected their ability to understand concepts such as metacognition. One of us (CM) is Maori and the other (JKW) is Pakeha, so neither of us is from the same cultural background as the majority of our participants. Discussion As predicted schools supported our group programme, to an even greater extent than we had hoped. We were able to run our group in five schools, with plans for more groups through the rest of the year. Key selling points were the idea of resilience-building, that it could fit into the school timetable, that we could work with larger groups of students, and that we were flexible about who could participate. This enabled us to take our group into the classroom setting, where previously we had only been able to work with students who were referred to us via the school student support centres. We were able to teach helpful well-being enhancing skills that the majority of the students would otherwise have had no knowledge of, and it was gratifying to work with adolescents from impoverished and often deprived backgrounds and help them to comprehend and identify with such ideas as mindfulness and acceptance of emotions. Key challenges related to fitting the material into six one-hour sessions, the participants' level of cognitive functioning and understanding, and differing levels of motivation and interest of the participants. Our flexibility around our group participants resulted in one of the most challenging aspects of the project: working with some of the schools’ lowest functioning students. Some students had difficulty grasping some of the concepts, particularly defusion, meaning we have to adapt and simplify our material further to enable a greater ease of understanding. Interest and motivation were enhanced by the frequent use of activities and rewards (in the form of sweets) for participation, and participants became more engaged in discussions and activities as the group progressed. We are continuing our work on adapting and improving our group, including plans for eliciting the assistance of senior students to help us enhance the cultural acceptability of our group, including culturally appropriate metaphors and examples, and activities that use cultural concepts to illustrate the ACT content. We are encouraging teachers to use mindfulness regularly in the classes that have participated in our group, and hope to train school staff members in ACT concepts.

42. Can undergoing an internet – based ACT intervention change the impact of predictors thought to lead to substance use? [939]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Substance use predictors
Leonidou Georgia B.A., University of Cyprus
Stella Nicoleta Savvides Ph.D., University of Cyprus
Maria Karekla Ph.D., University of Cyprus

Research suggests that peer or parental smoking, rules enforced in the home and age of first cigarette use are significant predictors of substance use among youth. It is not clear whether undergoing treatment, such as Acceptance and Commitment Therapy (ACT), for smoking cessation can change the power of these factors to predict substance use post intervention. The aim of this paper was to examine substance use predictors in youth prior to and following an ACT smoking cessation internet-based intervention. Fifty-five university students aged 19-28 (M=22.84, SD=2.58) were randomly assigned to either the treatment or control group. The treatment group completed 6 sessions of internet – based ACT for smoking cessation. The assessment included demographic characteristics, smoking history, smoking cessation outcomes and ACT process variables pre and post treatment. Predictors of smoking differ pre and post intervention. Findings will be discussed in light of impact of the intervention on changing predictors of substance use and ultimate effect to the uptake of substance use among youth.

43. ACT Research for Kids: How to introduce the Hexaflex at School
Primary Topic: Prevention and Community-Based Interventions
Subtopic: children, mindfulness, hexaflex, school
Nicoletta Ristè, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

This study meets the need to bring Acceptance and Commitment Therapy in schools, particularly addressing to 8-10 years old children. It has been created a story in which the hexaflex cores were proposed in an understandable and adapted way. This story is called “The adventures of Mr. Shapey”, and it explains how Mr. Shapey, the main character (that is, basically, the shape of a man), learns to be human, and to act like a human being, acquiring, during his journey, six important parts of his body (each part is connected to one of the six ACT principles). The story was read to 120 children. Before and after the reading of the story, CAMM (Greco, Smith & Baer, 2011) was administered to the pupils, to assess their level of mindfulness. Also, after the reading of each paragraph, the kids had to answer some easy questions about the story to verify their ACT main cores comprehension. After the reading of the story, the children show higher scores at CAMM.

44. The Effectiveness of an ACT Self-help Intervention for Stress, Burnout and Depression: An Exclusively Online Randomized Controlled Trial [940]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Self-help, Bibliotherapy, Burnout, Job Stress, Depression
Patrizia Hofer, Ph.D. Candidate, University of Basel, Clinical Psychology and Epidemiology
Regula Aschwanden, B.Sc., University of Basel
Marina Milidou, B.Sc., University of Basel
Michael Waadt, insas Institut für Arbeit und seelische Gesundheit
Roselind Lieb, Ph.D., University of Basel, Clinical Psychology and Epidemiology
Andrew Gloster, Ph.D., University of Basel, Clinical Psychology and Epidemiology

Background: The aim of the present study was to examine the effectiveness of a self-help book using ACT to target stress, burnout and depression in a randomized controlled trial without therapist contact. Another aim was to investigate the effect of motivational assessment before and imposed structure during the intervention on outcomes. Method: 122 participants were randomly assigned to an immediate intervention (II) or 2 waitlist-groups (WL). WLs differed with respect to (a) motivational assessment before, and (b) imposed structure during the subsequent intervention. Stress, burnout, depression, psychological flexibility and other ACT-specific measures were assessed at baseline, post and follow-up. Results: The II reported lower stress, decreased burnout and depression and higher psychological flexibility at post than the WLs. Benefits were maintained at follow-up. Motivational assessment and imposed structure had no effect on outcomes. Additional results will examine potential moderators and differential outcome strength across variables. Discussion: Data suggests that an ACT self-help book without therapist contact is effective in reducing stress, burnout and depression and in increasing psychological flexibility. Thus, it may provide a cost-effective first-step intervention.

46. Investigating Delay of Gratification in Children from the Perspective of Relational Frame Theory
Primary Topic: Relational Frame Theory
Subtopic: children, Self-Control, Rule governed behavior
Midori Uemura, Waseda University;Research Fellow of Japan Society for the Promotion of Science
Tomu Ohtsuki, Waseda University
Hironori Shimada, Waseda University

The current study investigated the relationship between relational framing and the delay of gratification in children. From a relational framing theory perspective, we specify the delayed reward by temporal relational framing and identify the larger reward by comparative relational framing. Therefore, it is assumed that temporal and comparative relational framing is related to delay of gratification. Twenty-eight children (ages 6 to 9 years) were exposed to temporal and comparative relational tasks to measure relational ability, picture arrangement (WISC-III) to measure ability to specify the contingency, and a delay of gratification task and delay-discounting questionnaire to measure delayed choice. As a result, a significant correlation was found between the two relational tasks and the delay of gratification task, delay-discounting questionnaire, and picture arrangement. These findings suggest that two types of relational framing are related to delay of gratification. Further study is required to clarify the functional relationship between relational framing and delay of gratification.

47. Deictic Relational Framing of Spatial Perspective Taking and Theory of Mind
Primary Topic: Relational Frame Theory
Subtopic: Deictic relations, Theory of Mind, IRAP
Paul Guinther, Ph.D., Portland Psychotherapy

Relational Frame Theory is making headway in characterizing perspective taking and Theory of Mind in terms of functional contextualism and deictic relational framing (e.g., McHugh, Barnes-Holmes, Barnes-Holmes, & Stewart, 2006; Villatte, Monestès, McHugh, Freixa i Baqué, & Loas, 2010). However, whereas the pattern of function transformation characterizing non-deictic relations (e.g., coordination, opposition, comparison, etc.; see Guinther & Dougher, 2012) is fairly well understood, there is room in RFT to more fully specify the manner in which deictic framing alters stimulus functions, particularly with respect to taking the emotional and informational perspective of other people. In order to more fully specify how functions are transformed during informational perspective taking, I have developed and piloted in verbally competent adults a match-to-sample training paradigm that gives rise to contextual control of deictic relational responding and successful derived performances on a “Sally-Anne” false-belief test for Theory of Mind (Wimmer & Perner, 1989).

Saturday, 18 July - Poster Session #4

1. Acceptance of internal experiences in cardiovascular and gastrointestinal disease compared to healthy individuals in Isfahan city. [941]
Primary Topic: Behavioral medicine
Subtopic: acceptance
Mina Kavoosi, M.S. in clinical psychology, Azad University, Khorasgan Branch
Fatemeh Zargar, assisstant profesor in clinical psychology, Kashan University in Medical Sciences

Background: Psychological factors affecting other medical condition (psychosomatic disorder) are a class of disorders that psychological factors play an important role in creating, sustaining and delayed recovery in medical conditions. The most important psychosomatic disorders are cardiovascular and gastrointestinal disease. The present study aimed compare acceptance of internal experiences in cardiovascular and gastrointestinal disease and healthy individuals in Isfahan city. Method: Based on purposive sampling, 50 patients with gastrointestinal disease (13 male and 37 female), 50 patients with cardiovascular diseases (29 male, 21 female) that referred to clinics in Isfahan compared to 50 healthy individuals (15male, 35 female). These three groups filled out Acceptance and Action Questionnaire. Results: Analysis by SPSS-21 and Multivariable Analysis of Variance (MANOVA) showed that acceptance of internal experience significant difference between the patient groups and healthy individuals. But there were no significant differences between patients with gastrointestinal disease and cardiovascular disease. Conclusion: It seems avoidance from internal experiences (thoughts, emotions and bodily sensations) plays an important role in gastrointestinal and cardiovascular disease.

2. Acceptance and daily occupational well-being in relation to negative work events
Kuba, K.
Scheibe, S.  

We examined the role of acceptance – the tendency to openly receive one’s emotions and associated cognitions, including negative ones, while maintaining a focus on current goal pursuit –for daily occupational well-being. We hypothesized that acceptance would be associated with better daily occupational well-being, operationalized as low end-of-day negative affect and fatigue, and high work engagement. Furthermore, we predicted that acceptance would buffer the adverse impact of negative work events on daily well-being. A micro-longitudinal study across 10 work days was carried out with 92 employees of the health care sector, yielding a total of 832 daily observations. As expected, acceptance was associated with lower end-of-day negative affect and fatigue across the 10-day period. Furthermore, acceptance moderated the effect of negative event occurrence on daily well-being: Highly accepting employees experienced less increase in negative affect and less reduction in work engagement (though comparable end-of-day fatigue) on days with negative work events, relative to days without negative work events, than less accepting employees. These findings highlight affective, resource-saving, and motivational benefits of acceptance for daily occupational well-being and demonstrate that acceptance is associated with enhanced resilience to daily negative work events.

3. Web-based ACT in chronic pain: For whom and how does it work? [942]
Primary Topic: Behavioral medicine
Subtopic: chronic pain, web-based, online, mediators, moderators
Trompetter, H. R., PhD., University of Twente
Bohlmeijer, E. T., PhD., University of Twente
Schreurs, K. M. G., PhD., University of Twente

Introduction: In a recent, large three-armed randomized controlled trial we tested the efficacy of web-based ACT for chronic pain sufferers. The course Living with Pain was effective on several important outcomes compared to control groups. We will present outcomes of secondary examinations into the processes of change during the intervention, and also present for whom exactly web-based ACT worked or did not work. Method: Data from all 238 Dutch participants gathered during the RCT from all three study arms (ACT; Expressive Writing, Waiting List) was used. Data was collected at baseline, several time-points during the 9-12 week intervention, post intervention and at three month follow-up. Mediation and moderation analyses were performed using the PROCESS procedure in SPSS developed by Andrew Hayes. Results: Psychological flexibility was a significant working mechanism of changes in pain interference in daily life, pain intensity and depression over the course of the trial. In addition, also pain catastrophizing functioned as a mediator of change, although to a much smaller extent and also, significant changes occurred later during the trial than changes in psychological flexibility. Furthermore, psychological well-being served as a significant baseline moderator of effectiveness of the intervention, showing that only those have strong mental resources despite pain at baseline were able to draw effect from the intervention. Discussion: Outcomes support the psychological flexibility model of ACT, and specify interesting subgroups that do (not) profit from following web-based ACT. These outcomes can help to further understand treatment and successfully allocate treatment to clients in the future.

4. The Effect of Post Traumatic Growth on Post Traumatic Growth:Moderation effect of Cognitive Fushion
Primary Topic: Behavioral medicine
Subtopic: PTSD, PTG,fusion
Xiong Peng-Di, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences

There are debates about relationship between Posttraumatic stress disorder(PTSD) and posttraumatic growth (PTG). Researchers have suggested three possible modes,which indicate PTSD and PTG are opposite, positively related, or independent repectively, while the mechanism behind them is unclear. Cognitive fusion refers to the tendency that individuls’s cognition and behavior are over controlled by language and content of thoughts. This study aimed at investigating the the moderating role of cognitive fusion in the relationship between PTSD and PTG. 1808 freshmen from vocational high school, most of whom experienced Wenchuan earthquake in China, participated in the study. PTSD, PTG, cognitive fusion were assessed. Results supported the moderation model. Simple slope analysis found that for individuals with higher cognitive fusion, PTG was negatively predicted by PTSD, while for individuals with lower cognitive fusion, PTSD didn’t predict PTG significantly. This study supports that PTSD’s negative effect on PTG can be dissolved by reducing cognitive fushion.

5. Influence of Patient Expectations on Treatment Outcome
Primary Topic: Clinical Interventions and Interests
Subtopic: CBGT
Ainhoa Sánchez, Consorci Sanitari de Terrassa (CST)
Isabel Ramirez, Consorci Sanitari de Terrassa
Anna Soler-Roca, Consorci Sanitari de Terrassa
Irene Ramos-Grille, Consorci Sanitari de Terrassa
Marti Santacana, Consorci Sanitari de Terrassa
Ana Costas, Consorci Sanitari de Terrassa

OBJECTIVE: Recent research indicates that high levels of outcome expectancy are associated with better treatment outcome. The aim of the study was to investigate whether higher expectations for treatment outcome are related to better response rates in a Brief Cognitive-Behavioral Group Therapy (CBGT) in patients with Adjustment Disorder (AD). METHOD: Fifty-six patients (16 males and 40 females) diagnosed with AD (DM-IV-TR) agreed to take part in the study. All participants completed a self-report psychometric battery for pre-treatment assessment. Among others, the battery included the Spanish Treatment Expectancy Questionnaire by Echeburúa and Corral (CEC) and the Beck Depression Inventory-II (BDI-II). All the patients were included in a brief CBGT (6 sessions, 1 hour per week). In order to assess clinical improvement, the BDI was readministred at the end of the treatment. T-tests were used to compare treatment outcome (pre-post differences on the BDI-II) between patients with high and low expectations. Pearson correlations between treatment outcome and treatment expectations were also conducted. Statistical analyses were performed using the Statistical Package of Social Science (SPSS 18.0). RESULTS: Statistically significant differences (p<0.05) were observed in treatment outcome between high and low expectations subgroups. A significant correlation was found between expectations and treatment outcome. CONCLUSIONS: Despite methodological limitations, this study provides data to support the hypothesis that high levels of outcome expectancy are associated with better treatment response.

6. The role of uncommitted actions with life values in college students’ quality of life
Primary Topic: Clinical Interventions and Interests
Subtopic: quality of life
Inês A. Trindade, MSc, PhD student, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra
Cláudia Ferreira, PhD, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra

Background: Recent research has focused on the role of uncommitted action in well-being and quality of life (QoL). It has been found that the engagement in uncommitted or inconsistent actions with life values restrains one from following a meaningful life path, and is often linked with emotional and psychological difficulties. Furthermore, literature has found that psychological suffering is not only due to negative experiences themselves (e.g., anxiety) but mainly from the strategies one uses to deal with those experiences. The present study aimed to contribute to the clarification of the importance and impact of uncommitted action on one’s QoL. More specifically, the main aim of this study was to analyse uncommitted action (ELS-rev)’s mediational role in the known association between college students’ anxiety symptomatology and lower psychological QoL. Method: The sample was composed of 284 college students (43.3% males and 56.7% females), with ages comprised between 18 and 24 years old (M = 20.80; SD = 1.85). Participants completed a research protocol that included the Depression, Anxiety and Stress Scales (DASS-21), the Engaged Living Scale (which was reverted to assess uncommitted action), and World Health Organization Brief Quality of Life Assessment Scale (WHOQOL-BREF). Data analyses were performed using SPSS and additionally MedGraph was used to conduct the mediation analyses. Results: Psychological QoL presented negative associations with anxiety symptomatology and uncommitted action (with moderate to high correlation magnitudes). In turn, increased anxiety was correlated with the presence of more inconsistent actions with one’s values. The tested mediation model showed statistical significance and explained 39% of psychological QoL. Moreover, results also showed that 47% of anxiety’s impact on decreased psychological well-being was partially explained by the mediational effects of uncommitted action. Discussion: These findings thus seem to indicate that the negative effect of anxiety symptomatology on psychological QoL is in part explained by the presence of actions inconsistent with one’s personal life values, that is, by maladaptive responses to anxiety that amplify the impact of this emotion on one’s well-being. Thereby, this study suggests that interventions aiming to improve college students’ QoL should comprise the clarification and promotion of personal life values and actions committed with those values.

7. Cognitive fusion exacerbates the impact of IBD symptomatology on patients’ depression severity
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Diseases
Inês A. Trindade, MSc, PhD student, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra
Cláudia Ferreira, PhD, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra
José Pinto-Gouveia, MD, PhD, Cognitive Behavioural Centre for Research and Intervention, University of Coimbra

Background: Inflammatory Bowel Disease (IBD) encompasses two chronic conditions, Crohn’s Disease and Ulcerative Colitis, characterized by incurable and relapsing inflammation of the intestinal system that causes symptoms such as abdominal pain, persisting diarrhoea, and bloody stools. Patients with these illnesses seem to continuously present decreased levels of quality of life and significantly higher levels of psychopathology compared to the general population and even to patients with other chronic illnesses. At the same time, different studies have demonstrated that depression severity plays a pertinent role in the clinical recurrences of IBD in a self-perpetuating cycle of depressive mood and inflammation. Due to these reasons, it is considered that the study of factors that influence depressive symptomatology in IBD patients should be further investigated. The aim of the present study was thus to explore the role in these relationships of cognitive fusion, a maladaptive emotional regulation process linked to depression and characterized by the excessive entanglement with one’s private events. We hypothesize that cognitive fusion exacerbates the effects of IBD symptomatology on patients’ depression severity. Method: The sample of this study was composed of 176 IBD patients (96 diagnosed with Crohn’s Disease and 80 diagnosed with ulcerative colitis), aged from 18 to 65 years old (M = 35.70; SD = 10.32). Participants completed an internet-based survey that comprised demographic and medical information (e.g., frequency of IBD symptoms) and self-report instruments (Cognitive Fusion Questionnaire - CFQ-7; Depression, Anxiety and Stress Scales - DASS-21). Results: Results from regression analyses demonstrated that the interaction between IBD symptomatology and cognitive fusion is a significant predictor of depression severity (β = .43; p < .05). This interaction accounted for a total of 46% of depression’s variance, being the best predictor of the model. Results revealed that, for the same level of IBD symptomatology, patients who presented higher levels of cognitive fusion showed increased depressive symptoms. Discussion: The current study seems to indicate that cognitive fusion acts as a moderator in the association between increased IBD symptomatology and higher levels of depression. That is, it suggests that dealing with one’s internal events as if they were literally true with disregard to contextual cues may exacerbate the impact of IBD clinical symptoms on the severity of depressive symptomatology. These findings seem to present important clinical implications for the improvement of IBD patients’ physical and psychological functioning.

8. Brief Cognitive-Behavioral Therapy Group in Adjustment Disorder: Locus of control on treatment outcomes.
Primary Topic: Clinical Interventions and Interests
Subtopic: Adjustment disorder, Brief CBT Group
Isabel Ramirez-Gendrau, Consorci Sanitari de Terrassa
Ainhoa Sánchez, Consorci Sanitari de Terrassa
Anna Soler-Roca, Consorci Sanitari de Terrassa
Irene Ramos-Grille, Consorci Sanitari de Terrassa
Isabel de María, Consorci Sanitari de Terrassa
Mireia González, Consorci Sanitari de Terrassa
Anna Garcia-Caballero, Consorci Sanitari de Terrassa

Recent research has established that Locus of Control (LC) is a construct related to psychological treatment outcomes. The specific aim of our study was to investigate whether differences in health LC are related to a better response rates in a Brief Cognitive-Behavioral Therapy Group (BCBT-G) in patients with Adjustment Disorder (AD). Fifty-six patients (32% males and 68% females) diagnosed with mixed AD with anxiety and/or depressed mood (DSM-IV-TR) agreed to take part in the study. All patients were included in a BCBT-G (6 one hour sessions, weekly). The participants completed a self-report psychometric battery for pre-treatment assessment. Among others, the Spanish Health Locus of Control Scale (ELCS) and BDI-II were administrated. In order to assess clinical improvement, BDI-II was readministrated at the end of the treatment. Statistical analysis was performed using the Statistical Package SPSS Version 18.0. The differences observed between health LC and the better response rates in the treatment (lower BDI-II scores) were not statistically significant (p>0.05). We did not observe any correlation between lower BDI-II scores and scores on ELCS at the end of treatment. Despite methodological limitations, this study suggests that having an internal or external LC is not related with better treatment response. Maybe LC could not be involved on treatment outcomes.

9. The Impact of Parental Psychological Flexibility on Refugee Infant Development
Primary Topic: Clinical Interventions and Interests
Subtopic: Torture/trauma history, Infants, Secondary Survivors, Refugees
Jordan Weith, University of Vermont
Anne Brassell, B.A., University of Vermont
Karen Fondacaro, University of Vermont
Susan Crockenberg, University of Vermont

Psychological flexibility is a primary construct that warrants investigation in the mitigation of the effects of post-migration stress and past-trauma within the refugee population. The impact of trauma and post-migration stress can be widespread and often extend beyond the survivor to non-afflicted family members, known as secondary survivors. Case studies have suggested that infant secondary survivors are at a greater risk of demonstrating underdeveloped physical or cognitive growth. Psychological flexibility may ameliorate this relation, as the parent is able to engage with their infant and attend to the present moment despite the obstacles they encounter. The current study will present empirical data on 32 refugee parent/infant (3-12 months, Bhutan or Somalia country of origin) pairs. The relation between post-migration stress, torture/trauma history, and psychological flexibility will be examined. It is expected that the relation between post-migration stress, torture/trauma, and infant development (cognitive and social) will be moderated by psychological flexibility. These findings will be discussed as they relate to the importance of developing a dyadic intervention for refugee parents and infants.

10. ACT inpatient treatment concept for OCD patients [943]
Primary Topic: Clinical Interventions and Interests
Subtopic: OCD
Karoline Albrecht, Ph.D., University Medical Center Freiburg
katharina Wetterkamp, University Medical Center Freiburg
Marlene Stecher-Sperlich, University Medical Center Freiburg
Lothar Bonk, University Medical Center Freiburg
Tobias Freyer, University Medical Center Freiburg

Cognitive-behavioral therapy (CBT) with exposure and response prevention (ERP) as its key element is the psychotherapeutic method of choice in the treatment of obsessive-compulsive disorder (OCD). It is long established and recommended in the treatment guidelines (APA, 2007). However, an essential number of patients – between 20 – 60% - do not benefit from treatment, fail to engage in the strenuous ERP treatment or drop out prematurely (Franklin & Foa, 1998; Abramowitz, 2006). Several factors – such as poor patient adherence to the ERP procedures, poor insight into the irrationality of the obsessions, respectively obsessions held with delusional conviction or comorbid affective, anxiety or personality disorders - have been reported to negatively impact the outcome of ERP (APA, 2007). ACT as an experiential contextual approach of cognitive behavioral therapy, which aims at changing the function of cognitions and other inner experiences rather than changing the content, might be a viable option to address these factors (Twohig et al., 2010; Twohig, Hayes & Masuda, 2006; Tolin 2009). Its broad, not disorder-tailored nature might hold the chance to adequately deal with comorbidities. Furthermore ACT procedures show promise in increasing treatment engagement in exposure treatments (Bluett et al., 2014). ACT in OCD treatment focuses on helping the patient to pursue valued-based living while mindfully noticing inner experiences, thus disempowering irrational or delusional obsessions and compulsive urges by not giving them more significance than they merit. So far studies suggest that ACT as an outpatient treatment seems to be a promising treatment approach for OCD (Twohig et. al., 2010; Twohig et al., in press). However no evidence exists on ACT for OCD in the inpatient setting. Given the high degree of chronicity, comorbidity, and therapy resistance in OCD patients, however, many of these patients require inpatient treatment (Stengler-Wenzke et al., 2005; Voderholzer et al., 2011). Here, we report on a first specialized program of applying ACT to inpatient OCD treatment. This program is currently tested for feasibility and effectiveness in a pilot study with 10 patients in the University Medical Center Freiburg. The aim of this poster is to present the multidisciplinary structured treatment program, which incorporates ERP in ACT and combines individual and group therapies. Preliminary data on its feasibility and acceptance of patients will be presented.

11. The moderating effect of psychological flexibility on defeat and suicidality
Primary Topic: Clinical Interventions and Interests
Subtopic: Suicide
Kevin Hochard, Ph.D., University of Chester
Nadja Heym, Ph.D., Nottingham Trent University
Ellen Townsend, Ph.D., University of Nottingham

Background: Defeat, stress or humiliation following a loss of status (real or perceived), has been established as a risk factor for suicidality as described in the cry of pain model proposed by Williams (2001). Psychological flexibility, the ability to persist in behaviours serving a valued goal, provides a trait that could moderate the impact of defeat on suicidality through the shifting of perspective. Methods: A cross sectional online psychometric survey was conducted (n=843) assessing depressive symptoms, defeat, psychological flexibility, and suicidal ideation. Results: Moderation analyses (Hayes, 2013) were performed. Our findings indicate a clear significant moderating effect of psychological flexibility on the relationship between defeat and suicidal thinking whilst controlling for the effects of depressive symptoms. Discussion: We suggest that while increasing levels of psychological flexibility may not be possible during periods of high suicidal risk, receiving training to increase flexibility may be beneficial for individuals with cyclic bouts of suicidal ideation or those at low levels of risk. Thus, improving at risk individuals’ ability to cope with negative life events.

12. Psychological Inflexibility as a Transdiagnostic Prospective Mediator
Primary Topic: Clinical Interventions and Interests
Subtopic: psychological flexibility
Ljiljana Mihić, Ph.D., University of Novi Sad, Faculty of Philosophy, Department of Psychology, Serbia

Background: Both Negative Affectivity (NA) and Psychological Inflexibility (PIF) have been proposed as transdiagnostic variables, implicated in the emergence of various mental disorders, including anxiety symptoms. PIF has been suggested to act as a mechanism by which NA leads to psychopathology, via amplification of negative emotions. Hence, the aim of this study was to test the hypothesis that PIF would be a mediator in the relations between NA and the prospective symptoms of social phobia, panic, and generalized anxiety disorders, controlling for the contribution of the previous anxiety symptoms and anxiety sensitivity. Method: Participants were undergraduates (N = 165 (80% females), Mage=19.86 (.98)) at the University of Novi Sad, Serbia, who consented to participate in a three-wave longitudinal study. At Time 1, they completed the PANAS-trait form, the Anxiety Sensitivity Index-3, and the Depression, Anxiety and Stress Scale-21. A year later, participants filled out the Acceptance and Action Questionnaire-II. Six months later, they were screened for the diagnosis of social phobia (SP), generalized anxiety disorder (GAD), and panic disorder (PD) using the Psychiatric Diagnostic Screening Questionnaire. All measures were administered in Serbian. Results: Analyses were conducted using the PROCESS macro in which PIF was expected to mediate the relations between NA and the anxiety symptoms, controlling for the prior levels of anxiety symptoms and anxiety sensitivity. The results suggested that these relations were completely mediated by PIF (indirect effect for SP: 95% BC(.03-.09); indirect effect for GAD: 95% BC (.02-.11); indirect effect for PD: 95% BC (.01-.03)). Discussion: This study in a nonclinical sample showed that both PIF and NA were predictors of the prospective symptoms of panic, social phobia, and generalized anxiety disorders, in which PIF mediated completely the effects of NA on the symptoms. It seems that PIF contribute to the anxiety symptoms by amplifying the experience of negative emotions. It is noteworthy that this effect remained after controlling for anxiety sensitivity, a well-known risk factor for anxiety psychopathology. Future studies should test whether such a complete mediation would be obtained in a clinical sample. Our results have implications for prevention of anxiety psychopathology.

13. The relationship between mindfulness, psychological flexibility, perceived parental control and diabetes-related outcomes in adolescents with type 1 diabetes
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescent diabetes
Lorraine Lockhart, University of Edinburgh
Dr Nuno Ferreira, University of Edinburgh

Parental involvement in the daily treatment regime for adolescent diabetes can increase the likelihood of achieving optimum glycaemic control, and is therefore often necessary. However, adolescents with T1D who perceive their parents as controlling often report lower levels of treatment adherence and poorer health-related quality of life. To date, there has been little investigation of the factors that influence this relationship. The current study hypothesises that the relationship between perceived parental control and poor outcomes is mediated by the adolescent’s mindfulness and psychological flexibility. It further hypothesises that this relationship is moderated by parental mindfulness and psychological flexibility. A total of 131 parent-adolescent dyads will be recruited from adolescent diabetes clinics throughout Scotland over an 8 month period. Parents and adolescents will be asked to complete a range of self-report questionnaires measuring parent and adolescent mindfulness and psychological flexibility, treatment adherence, adolescent perception of parental control and diabetes-related quality of life. The data will be analysed using conditional process analysis to fully understand the mediating and moderating roles of mindfulness and psychological flexibility. Preliminary results will be presented where these are available.

14. Efficacy and clinical utility of individual and group treatment with Acceptance and Commitment Therapy for children and youths with longstanding pain
Primary Topic: Clinical Interventions and Interests
Subtopic: Pediatric longstanding pain
Marie Kanstrup, Behavioural Medicine Pain Treatment Services, Karolinska University Hospital
Mike Kemani, Behavioural Medicine Pain Treatment Services, Karolinska University Hospital

Background: Longstanding pain in children and adolescents may lead to reductions in daily functioning and disability. Acceptance and commitment therapy (ACT) aims at improving functioning and disability by increasing psychological flexibility, i.e. the ability to act in accordance with personal values and goals in the presence of interfering pain or distress (Hayes, 2006). Previous studies on the efficacy of ACT- to improve disability and quality of life in children and youths suffering from longstanding pain has indicated the clinical utility of this aproach (e.g. Wicksell, 2009). Research indicates that there is no difference in efficacy between individual therapy and group therapy. However, to our knowledge, there is a limited number of studies that have evaluated possible differences in efficacy for individual therapy in comparison with group therapy for children and youth with longstanding pain. The present study aimed to evaluate possible differences in treatment outcome and treatment responders, between individual and group treatment for children and youths suffering from longstanding pain. Method: Forty children and youths with longstanding debilitating pain referred to the Behavior Medicine Pain Treatment Services were randomized to ACT in a group format or to individual ACT. Psychological inflexibility was the primary process measure and pain disability and pain interference were the primary outcome measures. Secondary outcome measures consisted of e.g. emotional functioning. Analyses were performed using repeated measures ANOVA, and responder analyses will be based on e.g. criteria by Jacobson and Truax (1991). Results and discussion: Preliminary results showed that there were no differences between the two treatment modalities (individual format/group format) on the different measures. Furthermore, there were significant improvements in psychological inflexibility, pain disability, pain interference and emotional functioning across treatment modalities. Responder analyses are ongoing. Results will be discussed in relation to previous research, clinical implications and future studies.

15. Captains Courageous: An ACT-oriented group training for children with emotional disorders [944]
Primary Topic: Clinical Interventions and Interests
Subtopic: Children
Marta Schweiger, Università IULM,Milan & IESCUM,Italy
Francesca Pergolizzi, IESCUM, Italy
Paolo Moderato, Università IULM,Milan & IESCUM,Italy

The poster illustrates an ACT - oriented group training for children with emotional problems. Population. Two groups of 5 children (10 subject; age 8-11 ; 7 male, 3 female), with different psychopathological diagnosis and significant internalizing problems were selected in a child mental health service near Milan (Italy). Procedures. Pre and post measures (CBCL, RCMAS-2, AFQ-Y) were administered to parents and children. Children received training (10 sessions, 90 minutes each) through exercises, games and creative activities within a metaphorical framework: every child plays as a captain and learns to appreciate his boat (self-awareness), observe the waves (recognizing antecedents), drop anchor (present moment), accept seasickness (sensations and emotions), signal with flags (getting help), use compass (valued directions) and steer (committed actions). Outcomes. Parents and children reported a decrease in internalizing problems, depression and anxiety symptoms and lower levels of fusion and avoidance. Children discovered that "everyone has difficult emotions when sailing the sea", and that "a good captain is patient, courageous, and creative".

16. Assessing quality of life in young people: the Italian version of the Youth Quality of Life (YQOL-R) [945]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: children and adolescents
Marta Schweiger, Università IULM,Milan & IESCUM,Italy
Arianna Ristallo, Università IULM,Milan & IESCUM,Italy

Improving the quality of life is the primary focus for many ACT-based interventions with children and adolescents. The aim of this study is to validate the Italian version of the Youth Quality of Life Instrument – Research Version (YQOL-R, Patrick & Edwards, 2002), a 57 items self-report measure that evaluates children’s and adolescents’ self perceptions about positive and negative aspects of their life. 433 Italian students were recruited from different part of Italy (age 11-18 mean= 13.79 sd=1.54, 39.1% male, 60.5% female). The YQOL-R was administered along with Avoidance and Fusion Questionnaire for Youth, Child and Adolescents Mindfulness Measure (Greco 2008, 2011) and Child Behavior Checklist Youth Self Report (Achenbach, 2001). Preliminary results show that the four scales (Self, Relationships, Environment and Genral QoL) of the YQOL-R have good internal consistency (Cronbach’s alpha=0.80 – 0.91). Other psychometric properties, correlations among instruments, and relations between contextual (1-15) and perceptual items (16-41) will be discussed.

17. Student’s Life Satisfaction Scale (SLSS): Psychometric Characteristics on an Italian Youth Sample
Primary Topic: Clinical Interventions and Interests
Subtopic: life satisfaction, quality of life, positive psychology, wellbeing, adolescents
Martina Romitelli, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Nicoletta Ristè, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Valentina Carloni, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

The emerging literature emphasizes the importance to assess adolescents' mental health also considering their life satisfaction. This poster reviews the psychometric properties of an Italian version of the Student’s Life Satisfaction Scale (SLSS; Huebner, 1971), a 7 domain-free item measure of general life satisfaction developed on children aged 8-18. SLSS has been translated into Italian and administered to a sample of about 400 students aged 11-14, being easily understood. This instrument was included in a wider questionnaire package assessing subjective happiness, mindfulness, defusion, dysfunctional attitudes and psychopathological symptoms. The findings suggest that SLSS presents good psychometric characteristics for its use on Italian adolescents.

18. Regulating Eating through Acceptance and Commitment Therapy (RE-ACT)
Primary Topic: Clinical Interventions and Interests
Subtopic: weight management
Mary Jinks, Trainee Clinical Psychologist, University of Lincoln
Nima Moghaddam, Clinical Psychologist, University of Lincoln
Dave Dawson, Clinical psychologist, University of Lincoln
Mike Rennoldson, University of Nottingham

Background Obesity is a growing global epidemic (Lillis, Hayes, Bunting, & Masuda, 2009; Weineland, Arvidsson, Kakoulidis & Dahl, 2012) and it is associated with significant health consequences (Kopelman, 2000; Rapp et al., 2005). However, weight loss, and its maintenance over time is difficult, leading to experts recognising the need to address the psychological challenges of obesity (Cooper & Fairburn, 2001; Tapper, Shaw, Ilsley & Moore, 2007). Obesity is linked in part with emotional eating (Torres & Nowson, 2007). Therefore, it has been highlighted that interventions which may tackle emotional eating may be an effective means of addressing obesity (Tapper et al., 2009). Acceptance and Commitment Therapy (ACT) is a psychotherapeutic approach which may help reduce emotional eating. Aim To evaluate the effectiveness of a guided ACT self-help intervention for weight management of emotional eaters. Method Six participants recruited from a university population consented to take part in a five week guided self-help ACT intervention. Utilising an AB single case series design, participants completed a range of implicit, explicit and behavioural assessments over the course of the study. Results and discussion Preliminary results indicate that the intervention resulted in weight loss. Participants reported positive experiences about the intervention. An overview of the analysis to date will be outlined, along with a discussion of the results in line with ACT processes.

19. Group acceptance and commitment therapy for persistent postural and perceptive dizziness: A clinical study
Primary Topic: Clinical Interventions and Interests
Subtopic: psychosomatic medicine
Masaki Kondo, Nagoya City University Graduate School of Medical Sciences
Keiko Ino, Nagoya City University Graduate School of Medical Sciences
Wakako Igarashi, Kikuchi mental clinic
Sei Ogawa, Nagoya City University Graduate School of Medical Sciences
Toshitaka Ii, Nagoya City University Graduate School of Medical Sciences
Meiho Nakayama, Nagoya City University Graduate School of Medical Sciences
Tatsuo Akechi, Nagoya City University Graduate School of Medical Sciences

Background: Persistent postural and perceptive dizziness (PPPD), which has been called chronic subjective dizziness or phobic postural vertigo, is assumed to be a chronic clinical condition arisen from interactions among multiple factors, such as vestibular function, visual sensation, somatic sensation, muscle tone, autonomic nervous system, and psychological elements. Cognitive behavioral therapy (CBT) is one of the promising treatments, however, some patients have resistance to CBT. They seem to fall into vicious circles by struggle to avoid “dizziness”, therefore, acceptance strategy may be effective in PPPD. The aim of this pilot clinical study is to examine effectiveness and feasibility of group acceptance and commitment therapy (ACT) for PPPD. Methods: We enrolled adult outpatients at a special dizziness clinic who had a chief complaint of dizziness or unsteadiness that lasted more than three months in most days and that were exacerbated by upright posture, head motion, or exposure to moving or complex visual patterns. We excluded dizziness and unsteadiness explained adequately by other diseases, such as central nervous diseases, vestibular diseases, and psychiatric disorders. Participants received six weekly sessions of group ACT. The primary outcome was Handicap due to dizziness, evaluated by Dizziness Handicap Inventory. Results: All three participants could undergo group ACT smoothly. Although they had severe handicap due to dizziness at pre-treatment, one of three showed complete remission and another one showed treatment response one month after treatment. Conclusion: The results suggest that group ACT for PPPD may be feasible. Further clinical study should be required.

20. Validity and Reliability of the Acceptance and Action Diabetes Questionnaire Turkish Version
Primary Topic: Clinical Interventions and Interests
Subtopic: acceptance and diabetes
Mehmet Emrah Karadere, Hitit University Corum Education and Research Hospital
Ece Yazla, Hitit University Corum Education and Research Hospital
Ferit Kerim Küçükler, Hitit University Corum Education and Research Hospital
Kasım Fatih Yavuz, Bakirkoy Mazhar Osman Research and Training Hospital for Psychiatry and Neurology
Emre Demir, Hitit University Medical Faculty

Objective: High degree of acceptance was found to be related with better metabolic control and higher coping capability in diabetic patients (1). Acceptance and Action Diabetes Questionnaire (AADQ) is a scale which was constructed for measuring acceptance of diabetes related thoughts and feelings and the degree to which they interfere with valued action (2). We investigated the reliability and validity analysis of Turkish version of AADQ. Method: 106 patients who applied to the endocrinology outpatient clinic of Hitit University Çorum Education and Research Hospital with the diagnosis of type II Diabetes Mellitus were included to our study. Their mean age was 52,74 years (SD = 9,43). 56,6% of them were female. Mean education duration was 7,65 years (SD=3,97). We used Beck depression inventory(BDI), State-Trait Anxiety Inventory (STAI-I and II), Problem Areas in Diabetes Scale(PAID), Audit of Diabetes-Dependent Quality-of-Life (ADDQoL) Questionnaire. The translation of the original AADQ to Turkish carried out by authors. Each of them translated AADQ independently from each other. Back-translation was provided by a bilingual translator, who have no interest on psychopathological issues. After back-translation, original version of AADQ and back-translated version compared and final version of Turkish AADQ completed. Results: Internal consistency: Cronbach’s alpha value of Turkish version of AAQ-II: 0.822. AADQ scale results were positively correlated with STAI-II (r=0,229, p=0,020), BDI (r=0,428, p<0,001), PAID (r=0,534, p<0,001), negatively correlated with ADDQoL (r=-0,274, p=0,005). STAI-I wasn’t found significantly correlated with AADQ (r=-0,07, p=0,483). Discussion: Our results showed that Turkish version of AADQ was applicable for the evaluation of the acceptance degree of Turkish diabetic patients.

21. ACT for a complex trauma [946]
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD, depression, ACT, exposure therapy
Nathalia Vargas Psy. D, Contextual Science and Therapy Institute; National Institute of Psychiatry Ramón de la Fuente
Michel Reyes Psy. D., Institute of Contextual Science; National institute of Psychiatry Ramón de la Fuente
Edgar Miguel Miranda Terres M.S, Institute of Contextual Science; National institute of Psychiatry Ramón de la Fuente
Elsa Mediana, Private Practice

We present a longitudinal study where they showed the achievements and limitations of an intervention group ACT and Exposure therapy for complex trauma, to measure impact on symptoms of PTSD, Depression and Quality of life, using Check list of PTSD symptoms (PCL-C) Weathers, Litz, Herman, Huska & Keane (1993). Translate and suits for mexican population (Flores, Reyes & Riedl 2012), Beck Depression Inventory (BDI). Beck (1988) .Adaptación Robles, Varela, Jurado and Paez (2001) and Inventory of Quality of Life and Health (INCAVISA) Riveros, Sanchez Sosa and Groves (2003). Both groups showed decrease in PTSD symptoms, but the results differ on the impact on quality of life and depressive symptoms

22. Bringing support to family members with BPD with ACT and DBT Skills [947]
Primary Topic: Clinical Interventions and Interests
Subtopic: family´s interventions, BPD
Nathalia Vargas Psy. D., Contextual Science and Therapy Institute; National Institute of Psychiatry Ramón de la Fuente
Michel Reyes Psy. D., Contextual Science and Therapy Institute; National Institute of Psychiatry Ramón de la Fuente
Edgar Miguel Miranda Terres, Contextual Science and Therapy Institute; National Institute of Psychiatry Ramón de la Fuente
Ivan Arango de Montis M.D, National Institute of Psychiatry Ramón de la Fuente
Elsa Mediana, Private Practive

The present study is an intervention program based on ACT and strengthened with DBT skills with 60 relatives of people diagnosed with BPD divided into two groups to assess changes in family relationships, emotional regulation of family members and psychological flexibility the measurements used are intrafamiliaes relationship scale (Rivera Hereida and Andrade Palos, 2001, intermediate version) Acceptance & Action Questionnaire (AAQ-II) (Patron, 2010) and the Scale of Emotional adjustment Difficulties (Marín was used Tejeda, García Robles, González Forteza, Andradre Palacios, 2012). Both groups showed improvement in domestic relations, as well as emotional regulation psychological flexibility

23. The adaptation of an ACT based intervention to a digital intervention as a means to increase adherence and lower attrition rates in chronic pain patients
Primary Topic: Clinical Interventions and Interests
Subtopic: Technology
Orestis Kasinopoulos, M.Sc, University of Cyprus
Vasilis Vasiliou, University of Cyprus
Evangelos C. Karademas, Ph.D, University of Crete
Maria Karekla, Ph.D, University of Cyprus

Acceptance - based psychological interventions for chronic pain have been receiving empirical support for pain management. Yet, financial barriers for the patients and the healthcare system as well as obstacles regarding physical access to treatment, highlight the need for innovative cost-reducing digital interventions. The adaptation of an ACT - group protocol to digitalized interventions (e.g. web-based and smartphone application) aim to improve the human-computer interaction with the use of a persuasive system design, Avatars and the bare minimum number of sessions aimed at improving adherence rates in both digital interventions. In the original study, sixty-nine patients were assessed and randomly assigned to an ACT or CBT group for eight, 90-minute, sessions. Attrition and adherence rates of ACT - group intervention in Greek-speaking chronic pain patients are presented. The process of converting a face-to-face ACT intervention to both a web-based and a mobile - application is described. Potential obstacles arising during the adaptation (such as creating a user - friendly and culturally sensitive platforms) and fruitful solutions to them shall be discussed.

24. Psychometric properties of the Brazilian version of the Cognitive Fusion Questionnaire (CFQ-7): A study with multigroup analysis of factorial invariance [948]
Primary Topic: Clinical Interventions and Interests
Subtopic: cognitive fusion, psychometric properties
Paola Lucena-Santos, Ph.D. Student, University of Coimbra - Portugal
José Pinto-Gouveia, MSc., Ph.D., University of Coimbra - Portugal
Renata Klein Zancan, MSc., Pontifical Catholic University of Rio Grande do Sul - Brazil
Daniela Franceschi Souza, Pontifical Catholic University of Rio Grande do Sul - Brazil
Marina Camargo Barth, Pontifical Catholic University of Rio Grande do Sul - Brazil
Margareth Silva Oliveira, MSc., Ph.D., Pontifical Catholic University of Rio Grande do Sul - Brazil

Introduction: The CFQ-7 was developed with the purpose of becoming a useful tool in the assessment of the cognitive fusion, as it is believed that the type of relationship of the individuals with their own thoughts is potentially more important than the thoughts themselves, when it comes to predicting psychological pain. Meanwhile, there aren’t assessment studies of psychometric properties of this measure in Brazil. Method: This is a transversal study, with self-report measures. The sample was composed of three convenience groups of adult women (sample of general population, n=301; college students, n=171; and clinical sample of overweight or obese women undergoing treatment to lose weight, n= 205). The analytic strategies used Confirmatory Factorial Analysis (CFA), with Maximum Likelihood as the estimation method (to confirm scale structure), Multigroup Analysis (to investigate factorial invariance) and Cronbach’s alpha coefficient (to assess internal reliability). We used the SPSS (Statistical Package for the Social Sciences) and the software AMOS to perform all analysis involved in this study. Results: The average age of the 677 participants was 33.62 years (SD= 11.9) and the average years of education was 13.1 (SD= 3.9), most of them were single women (53.6%, n= 363), followed by married women (30.0%, n= 203), consensual unions (9.2%, n= 62), divorced (5.4%, n= 37) and widows (1.8%, n= 12). In the CFA of the total sample (n= 677), the modified model with covariances between the residual errors of two pairs of items (1/2 and 2/3 – given the similarity of these pairs of items, their content analysis supported this decision) showed a very good fit (χ2/df= 1.995; TLI= 0.994; CFI= 0.996; GFI= 0.990; RMSEA = 0.038; p= 0.784), with high factorial weights and individual reliability of the items (λ≥ 0.69 and R2≥ 0.48). This adjustment was significantly better than the original model (∆X2 (2) = 88.25; p<0.05). The multigroup analysis showed that the scale has strong measurement invariance in this three groups simultaneously, once no intergroup differences were observed in what concerns the factorial weights (∆X2 (12)= 4.208; p= 0.979) and the averages (intercepts) of the items (∆X2 (14)= 23.123; p= 0.058). Also, the general reliability (considering the total sample) was α= 0.93. Discussion: Considering our results, it is possible to affirm that the Brazilian version of the CFQ-7 shows unifactorial structure, has an excellent internal consistency and can be reliably used with this three different study groups to assess both the cognitive fusion scores, as the effects of other variables on these scores.

25. Psychological Flexibility as a Mediator of Depression, Anxiety, and PTSD in Group Therapy with Female Bhutanese Refugees
Primary Topic: Clinical Interventions and Interests
Subtopic: Refugee Mental Health
Sheau-Yan Ho, B.A., University of Vermont
Jessica Clifton, M.A., University of Vermont
Emily Pichler, B.A., University of Vermont
Maggie Evans, B.A., University of Vermont
Diane Gottlieb, Ph.D., University of Vermont
Valerie Harder, Ph.D., University of Vermont
Karen Fondacaro, Ph.D., University of Vermont

Psychological flexibility has been indicated in research as an important mediator of therapeutic change. Group therapy models for refugees and torture survivors point to the importance of multi-systemic and multi-component treatment; however, few studies have examined therapeutic processes in refugee populations. In the current study, adult female Bhutanese refugees seeking psychological services from a community clinic were treated in an open-ended group therapy context for adjustment disorder (N = 13). Group psychotherapy utilized an acceptance and commitment therapy (ACT) framework and covered a range of topics, including acculturative stressors, social isolation, and stress management. Participants were assessed for symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD) at baseline and mid-treatment (approximately at 50 weeks) using the Hopkins Symptom Checklist and Harvard Trauma Questionnaire. Additional mid-treatment measurements (approximately at 25 weeks) included the Acceptance and Action Questionnaire – II. In this project, we will examine acceptance and willingness to pursue valued experience as a mediator of change in depression, anxiety, and PTSD symptoms across group treatment. The findings of this study will help to elucidate potential mechanisms that may explain therapeutic change over time in female Bhutanese refugees. Further, results will inform our understanding of using an ACT framework in a group psychotherapy setting with refugees to address a range of presenting mental health concerns.

26. An Acceptance and Committment Therapy approach to increase well-being in spinal cord injury survivors [949]
Primary Topic: Clinical Interventions and Interests
Subtopic: Spinal Cord Injury, Well-being, ACT
Sophia Serpa, M.S., Nova Southeastern University
Alexia Holovatyk, B.S.
Barry Nierenberg, Ph.D., ABPP, Nova Southeastern University

Background It is not surprising that although about 5% of Americans become depressed every year, the rates of depression among those surviving spinal cord injury (SCI) are even higher ranging from 11% to 37%. Although it is necessary to study interventions that alleviate depressive symptoms in the short term, it is not sufficient. Previous studies have found that the challenge of treating depression lies in the prevention of relapse rather than in the alleviation of initial symptoms. A study by Fava & Ruini (2004) found that while 70% of patients remitted following a treatment for depression, 90% of people in a clinical management group relapsed at least once over a 6-year period compared to only 40% of people who completed a well-being based intervention. Ryff and Singer (1996) have suggested that the absence of well-being creates conditions of vulnerability to possible future adversities and that the route to enduring recovery lies not exclusively in alleviating the negative, but in also engendering the positive. In an effort to focus on moving past this state of depression to a state of well-being, we have utilized an intervention similar to Fava & Ruini’s Well Being Therapy (WBT) outlined in their 2003 article to explore the potential benefits such interventions can have with survivors of SCI. WBT is a cognitive-behavioral approach based on Carol Ryff’s multidimensional model of psychological well-being. We chose to add components of Acceptance and Commitment Therapy (ACT) to our group intervention in hopes to add the concept of living according to your values to this intervention. To our knowledge, no other study has attempted to replicate this finding in a group of people with chronic physical disabilities. This article seeks to further this line of study by proposing that a well-being based ACT intervention will be a significant predictor of lower depression scores at 0 and 6 months following the intervention in a group of people with spinal cord injury. In addition, we hope that by increasing well-being we can prevent hospitalizations associated with secondary complications in SCI survivors. Methods This pilot study consists of eight group sessions where the focus is on increasing well-being in the six dimensions proposed by Ryff (1989) and on aiding participants to live according their values in the six domains identified. Participants consist of the board members of the Spinal Cord Injury Support Group (SCISG) at Jackson Memorial Hospital in Miami, FL. The following assessments were administered directly before (Time point 1) and after the intervention (Time point 2) and again 6 months following the intervention (Time point 3): the Acceptance and Action Questionnaire II (AAQ-II); Patient Health Questionnaire-9 (PHQ-9); Post Traumatic Growth Inventory (PTGI); Psychological Well-Being Scale (PWB); Quality of Life after Spinal Cord Injury (QLI-SCI); State Trait Anxiety Inventory (STAI-Y6) and the Trait Hope Scale (HS). Results We will run a repeated measures one-way ANOVA to compare the means of the PHQ-9 to see if they significantly differ across the three time points. If the means do differ, we will conduct post-hoc analyses to see which time points are different. We expect the scores of the PHQ-9 at time points 2 & 3 to be significantly lower than Time point 1. We will conduct similar analyses to explore the other potential effects of this novel intervention (e.g. increased well-being). Discussion We expect that following this intervention, we can help lower depression and increase quality of life scores in this population. It is also expected that participants exprience increased levels of well-being in the six domains proposed by Ryff and have a better understanding about which behaviors participants can engage in to live according to their identified values. Finally, we expect that as a result of their increased level of well-being, participants will have less complications associated with a spinal cord injury and therefore less hospitalizations. It is our hope that we can tailor this group intervention to populations that are likely to experience decreased well-being in the future such as individuals with traumatic brain injury, cardiovascular problems, limb-loss, stroke and other disabilities.

27. Reducing Aggression One Value at a Time
Primary Topic: Clinical Interventions and Interests
Subtopic: Value-Consistent Living, Aggression
Teresa Hulsey, B.A., University of North Texas
Erin K. M. Hogan, B.A., B.S., University of North Texas
Amy R. Murrell, Ph.D., University of North Texas
Sarah E. Pepper, Ph.D., VA North Texas Healthcare System

Value-consistent living involves actively behaving in accordance with freely identified and chosen life pursuits, regardless of emotional states (e.g., anger). Values have no achievable endpoint (Murrell & Kapadia, 2011; Wilson & DuFrene, 2009). Valued living is significantly negatively associated with general pathology, treatment difficulty, relationship and other psychosocial environmental problems, and with a hostile attitude (Wilson, Sandoz, Kitchens & Roberts, 2010). Engaging in behaviors consistent with one’s values can act as a protective factor against internalizing and externalizing difficulties, such as aggression. Aggression is significantly associated with substance abuse (Bushman, 1993), situational stressors (Berkowitz, 1993), early traumatic experiences (Flemke, 2009), and impulsivity (Derefinko, DeWall, Metze, Walsh, & Lynam, 2011). Although the relationship between impulsivity and aggression has been supported in many studies, the relationship between value-consistent living and aggression was in need of investigation. A sample of 368 undergraduate students completed online self-report measures of impulsivity (Barratt Impulsiveness Scale, BIS-11; Barratt, 1959, 1994), valued living (Valued Living Questionnaire, VLQ; Wilson et al., 2010), and aggression (Aggression Questionnaire, AGQ; Buss & Perry, 1992). Results from a multiple regression analysis indicated that valued living negatively predicts aggression (β = -.12, t = -2.47, p = .014), after controlling for impulsivity (β = .42, t = 8.52, p < .001). The implications of identification of and living consistently with values on aggression will be discussed. Aggression correlates and potential interventions, along with ideas for future research, will be covered.

28. Acceptance and Commitment Therapy for Substance Use Disorder | Qualitative review [950]
Primary Topic: Clinical Interventions and Interests
Subtopic: Substance Use Disorder
Toshitaka Ii, Dept of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences
Hirofumi Sato, Dept of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences
Norio Watanabe, Translational Medical Center, National Center of Neurology and Psychiatry
Tatsuo Akechi, Dept of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences

Back ground Substance Use Disorder is characterized by cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues using the substance despite significant substance related problems. Approximately five per cent of the world’s adult population are estimated to have used an illegal drug at least once in 2010. Problem drug users are 0.6 per cent of the world adult population. In 2010, substance use disorders accounted for 13.6 million disability-adjusted life years (DALYs) (95% CI 11.5~15.8 million). Clinical guidelines recommends psychosocial interventions, cognitive behavioral therapy in particular. On the other hand, acceptance and commitment therapy (ACT) is one of the so-called ‘third wave’ cognitive and behavioral therapies. In the ACT theory, people always try to avoid or control unwanted thoughts, feelings, sensations, impulses and other experiences. This experiential avoidance plays important role in variety of addiction problems. Focusing on acceptance of emotional difficulties related to day-to-day stress in order to reduce experiential avoidance that bring into difficulties for over the life, ACT may be effective for Substance Use Disorder. However there are no systematic reviews on the effects of ACT for Substance Use Disorder.The purpose of this study is to assess the effects of ACT approaches for Substance Use Disorders. Methods This study is a qualitative review that is conducted as one of Cochrane Reviews. All randomized controlled trials (RCTs) that compared ACT for Substance Use Disorders in adults and adolescent will be sought. Primary outcome is the number of patients who can abstinence from substance and the change in substance use. Secondary outcomes include the Severity Dependence Scale, the Hamilton Anxiety Scale, and the World Health Organization Quality of Life. The trial database in the Cochrane Drugs and Alcohol Group will be searched. We will conduct a qualitative review of RCTs by summarizing findings and discussing about the effects of ACT for Substance Use Disorder. Our study is in the middle of reviewing. Results and discussions are scheduled to be completed by the ACBS World Conference.

29. The Effect of Group Acceptance and Commitment Therapy for Patients with Severe Health Anxiety
Primary Topic: Clinical Interventions and Interests
Subtopic: Health anxiety
Trine Eilenberg, Ph.D., Research Clinic for Functional Disorders, Denmark
lisbeth frostholm, Ph.D., research clinic for functional disorders

Background Existing randomized controlled trials of psychological treatments of health anxiety have primarily tested individual cognitive behavioural treatments. The aim of this study was to test the effect of ACT group therapy for severe health anxiety. Method and Design A two-arm randomised, controlled trial including 126 of 173 consecutively referred patients during March 2010 to April 2012 (mean age 37 years) meeting research criteria for severe health anxiety. After diagnostic assessment patients were block-randomised into ACT-G (ten 3-h sessions) (n=63) or a ten-month wait list (n=63). Main outcome measure Primary outcome was self-rated improvement in illness worry on the Whiteley-7 Index (WI) ten months after randomisation. Results Intention-to-treat analysis showed a mean improvement of 22.1 score points (95% CI 15.3 to 28.7, p<0.001) in ACT-G on the WI from baseline to ten months after randomisation and a mean change of 1.5 score points in the wait list (95% CI -4.3 to 7.3, p=0.607). The unadjusted mean difference of 21.3 score points (95% CI 12.6 to 30.0, p<0.001) between the groups at ten months were statistically significant and controlled effect sizes were large (Cohen’s d=0.89, 95% CI 0.5 to 1.3). The number needed to treat was 2.4 (95% CI 1.4 to 3.4, p<0.001). Conclusions ACT delivered in a group format seems feasible, acceptable and effective in treating severe health anxiety.

30. Validation of The Brief Multidimensional Student’s Life Satisfaction Scale (BMSLSS) for the Italian youth population
Primary Topic: Clinical Interventions and Interests
Subtopic: adolescents, life satisfaction, wellbeing
Valentina Carloni, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)Martina Romitelli, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Martina Romitelli, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

Gilda Picchio, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

The Brief Multidimensional Student’s Life Satisfaction Scale (BMSLSS) is a 5 items self-report measure created to survey children and adolescents’ satisfaction towards five areas of life considered most significant during youth develop: family life, friendships, school experiences, self, and then living environment. BMSLSS has been translated into Italian and submitted to a non-clinical sample of about 450 students ages 11 – 14. Adolescents with higher BMSLSS scores show significantly higher scores at mindfulness, defusion and subjective happiness measures, while adolescents with lower BMSLSS scores reveal higher scores at measures assessing cognitive dysfunctions and psychopathological symptoms. The psychometric characteristics of this version has been successfully analyzed, taking the shape of an appropriate measure of positive subjective well-being of italian youth.

31. Iraping the Reality Slap: A pilot trial
Primary Topic: Clinical Interventions and Interests
Subtopic: defusion, IRAP
Valeria Squatrito, Kore University, Enna (Italy)
Giovambattista Presti, Kore University, Enna (Italy)
Paolo Moderato, Iulm University, Milan (Italy)

Experiential avoidance refers to the unwillingness to contact particular private experiences (e.g., bodily sensations, emotions, thoughts, memories, and behavioral predispositions) and to take steps to alter the form or frequency of these events. In specific context patterns of avoidance bring individuals away from a valued path of living. Acceptance and Commitment Therapy’s based protocols work to increase psychological flexibility and healthy functioning while decreasing experiential avoidance. When faced with a discrepancy between what they have and what they want, verbally competent human beings may prove negative feelings such as anger and sadness and show pattern of experiential avoidance. Harris (2012) used the expression reality slap to describe this gap. To test the effect of a component of an ACT protocol after verbally reproducing a personal reality slap 10 university studebts were tested with IRAP before and after a defusion mindfulness exercise delivered via audio file. In addition explicit measures of avoidance, believability and discomfort were used before and after the same exercise. After listening to a passage of the Reality Slap (Harris, 2012) students were asked to write down, to rate the intensity of psychological suffering after reading it and to close in an envelop Effects of defusion in explicit and implicit measures were demonstrated in students who underwent the meditation exercise, but not in students who were busy in a distraction task. The small number of subjects limits the generalization of these data, but strengthens this model as a way to test the interaction of verbal repertoires and one component, namely defusion, of ACT protocols.

32. Ultra-brief defusion and acceptance interventions for chocolate craving taught by an inexperienced facilitator
Primary Topic: Clinical Interventions and Interests
Subtopic: Eating behaviour, brief interventions
Wendy Nicholls, PhD, University of Wolverhampton
Nick Hulbert-Williams PhD, University of Chester
Sian Williamson BSc, University of Chester
Jivone Poonia BSc, University of Wolverhampton
Lee Hulbert-Williams PhD, University of Chester

Introduction Food cravings are associated with higher body mass and poor outcome in weight loss programmes. To date, there has been a dearth of effective strategies for ameliorating the effects of food cravings. We report a trial of ultra-brief (15-minute) contextual behavioural interventions, supported by self-help leaflets, in association with a chocolate challenge. Method Sixty-three student participants (mean Body Mass Index = 24.7, SD=5.1) ranging in age from 18 to 47 (M=22.6, SD=6.4) were pseudo-randomised to groups and then briefly taught either an acceptance, defusion, or relaxation (control) technique. Participants were asked to carry a bag of chocolates for the subsequent week without eating them. Measures included a self-report diary, and the number of chocolates consumed during a rebound period at the end of the experiment. Results Planned contrasts suggest that the two intervention strategies were effective by comparison with a relaxation control, though this was not reflected in a self-report diary measure. Discussion Ultra-brief contextual interventions may have utility in helping clients deal with food cravings and can be taught by inexperienced facilitators, given proper support materials.

33. Potential efficacy of acceptance and commitment therapy for smoking cessation in the primary health care setting: Preliminary findings
Primary Topic: Clinical Interventions and Interests
Subtopic: Smoking cessation
Yim-wah MAK, School of Nursing, The Hong Kong Polytechnic University
AY Loke, Ph.D, School of Nursing, The Hong Kong Polytechnic University

Objective: The objective of this study is to report preliminary findings for a randomized controlled trial examining the feasibility and potential efficiency of an individual, telephone-delivered acceptance and commitment therapy among Chinese population. Design: A randomized, two-group design was chosen, with assessment at baseline (before intervention) and via telephone follow-ups at three, six, and twelve months. Subjects were proactively recruited from six primary healthcare centers. Eligible and consented participants were randomly assigned to either the intervention (ACT) or control group following the baseline assessment. Both groups received self-help materials on smoking cessation. Those in the ACT group were undergone an initial face-to-face session and two telephone ACT sessions at one week and one month following the first session, to be delivered by a counselor based on the acceptance and commitment treatment protocol. Results: Up till December 2014, participants in the intervention (n=77) and control (n=79) groups were similar in baseline characteristics. Preliminarily findings on the primary outcome on 7-day point prevalence at the 12-month follow-up the cessation rate for participants assigned to the intervention group (n=7, 9.09%), while not statistically significant that of the control group (n=9, 11.39%). Effects on secondary outcomes such as average daily cigarette consumption, stages of readiness to quit smoking, quit attempts and psychological flexibility are to be conducted. Discussion: The study will provide evidence about a program which is preventive and corrective, and carries brief messages by approaching and influencing services attendees of primary health care settings, who may not think of smoking cessation. This study is registered at ClinicalTrials.gov on 26 July 2012. Identifier number: NCT01652508

34. An Initial Research on the Role of Acceptance and Commitment Therapy in the Explanation of Fear of Failure in a Sample of College Students
Primary Topic: Educational settings
Subtopic: Fear of failure
Catherine Ethier, Université du Québec à Trois-Rivières
Joel Gagnon, Université du Québec à Trois-Rivières
Frédérick Dionne, PhD, Université du Québec à Trois-Rivières

In the recent years, there has been a growing interest in the application of ACT in college and university settings (Pistorello, 2013). Indeed, there are at least two randomized trials exploring the efficacy of ACT for math anxiety (Zettle, 2005) and for test anxiety problems (Brown et al., 2011). Furthermore, the association between experiential avoidance and anxiety has been established in several correlational studies (see Ruiz, 2010 for a review). However, very few studies have addressed the contribution of ACT’s core processes in the explanation of fear of failure. Thus, the aim of this study was to assess the contribution of three ACT processes, namely experiential avoidance (AAQ-II), cognitive fusion (CFQ), and mindfulness (MAAS), on a measure of fear of failure taken from a subscale of the Academic Procrastination State Inventory (APSI; Schouwenburg, 1992). A sample consisting of 282 students from the University of Quebec at Trois-Rivières completed the AAQ-II, CFQ, MAAS, and the APSI. A two-step hierarchical multiple regression analysis was performed. Gender was entered in the first step as a control variable. In the second step, in line with ACT theory, experiential avoidance, cognitive fusion, and mindfulness were added in the model. Results showed a statistically significant overall model F(4, 277) = 30.22, p < .05, accounting for 30 % of the total variance of fear of failure. At the individual level, experiential avoidance (β= 0.17, p < .05), and mindfulness (β= -0.32, p < .05) were both significant predictors of fear of failure. Treatment implications and future directions will be discussed.

35. An Investigation of Peers, Delinquency, and Psychological Flexibility in Undergraduate Students
Primary Topic: Educational settings
Subtopic: College Students
Jennifer Lackey, M.A., Bowling Green State University
Sindhia Swaminathan, B.S., Bowling Green State University
Carolyn Joyce Tompsett, Ph.D., Bowling Green State University

General components of Acceptance and Commitment Therapy (ACT), such as experiential avoidance, acceptance, and values, have been shown to be related to several outcomes in college student populations (Levin, 2013; Scent, & Boes, 2014). This study seeks to examine the role of the broad ACT concept of psychological inflexibility in relation to several college undergraduate outcome measures including undergraduates’ self-reported delinquency, their perceptions of peers’ delinquency, substance use, depression, and anxiety. We expect to find that students scoring high on a measure of psychological inflexibility (cite for measure here) will report a number of associated negative outcomes, including greater rates of problem behaviors, association with more deviant peers, more substance use, and higher levels of depressive and anxious symptoms. Currently online surveys have been collected with N = XXX students at a large, Midwestern university, and data collection is ongoing. Additionally, exploratory analyses will be run on psychological inflexibility and demographic variables to determine if further noteworthy differences exist between groups. Results will be presented and discussed in the context of informing university level awareness and intervention programs regarding the utility of addressing psychological flexibility among incoming students.

36. Experiential Avoidance, Empathy and Anger Attitudes In Antisocial Personality Disorder
Primary Topic: Functional contextual approaches in related disciplines
Subtopic: Antisocial Personality Disorder, psychological flexibility
K. Fatih Yavuz, M.D., Bakirkoy Research and Training Hospital for Psychiatry and Neurology, Istanbul, Turkey
Sevinc Ulusoy, M.D., Elazig State Hospital for Mental Health and Disorders, Elazig, Turkey
Oktay Sahin, M.D., Bakirkoy Research and Training Hospital for Psychiatry and Neurology, Istanbul, Turkey
Okan Ufuk Ipek, Bakirkoy Research and Training Hospital for Psychiatry and Neurology, Istanbul, Turkey

Background: Antisocial personality disorder (ASPD) is characterized by a long-standing pattern of a disregard for other people’s rights, often crossing the line and violating those rights. There are many theories about the psychopathologic background of dysfunctional behaviors that accompanies ASPD like anatomical differences, lack of empathy, temperament , difficulty in physiological arousal and schemas with themes of worthlessness and unlovability. ACT approach, based on functional contextualism, can be a useful model to explain ASPD by evaulating behavior comprehensively. The aim of this study is to research correlation of psychological flexibility and empathy levels with social functionality and anger patterns of individuals with ASPD and compare them with control group. Method: The study consists of 34 male literate voluntary individual with ASPD who received treatment in Bakirkoy Research and Training Hospital for Psychiatry and Neurology and 32 male literate voluntary individual without any psychiatric disorder. Socio-demographic data form, Interpersonal reactivity index (IRI), Acceptance and action questionnaire-II (AAQ-II), The State-Trait Anger Expression Scale(STAXI), Social functioning scale (SFS) were administered to participants. Results: Chi-square test was used to compare sociodemographic factors; suicidal behavior, domestic violence, immigration in childhood rates were higher than control group (p<0,001). With Mann Whitney U test the findings showed that ‘Trait anger’, ‘anger expression-out’, ‘anger expression-in’ total scores were significantly higher in ASPD group than the control group (P<0,01), while there was no significant difference at ‘anger control’ subscale total scores (p>0.05). Also AAQ-II total scores were found significantly higher in ASPD group,too. Independed T-test was used to compare IRI scores in empathy related analysis. ‘Perspective taking’ subscale total scores were significanty lower while ‘fantasy’ subscale total scores were higher in ASPD group and no significant statistical difference was found in ‘Empathic Concern’ and ‘Personal Distress’ subscale scores. In the analysis of SFS ‘Social withdrawal’ subscale total scores were found significantly higher and ‘prosocial activities’ were lower in ASPD group. Discussion: Individuals with ASPD meet physical and emotional stressors like immigration, violence that can be resource of disfunctional behaviors in the developmental period more than others. Higher scores at trait anger, ‘anger expression-out’, ‘anger expression-in’ may indicate experiential avoidance. Supression attempts or outpouring of anger can be related with not accepting anger as normal and rules about necessity to reduce it. Another finding of our study is lower scores of ‘Perspective taking(PT)’ in ASPD group. PT skill is one of the six core processes of psychological flexibility model of ACT that emphasizes awareness of both private events and external stimuluses and observing them as they are. This finding indicates that individuals with ASPD have weak perspektif taking attitudes for present situations by putting themselves in anothers’ place. We found that ‘fantasy’ subscale of IRI and AAQ-II total scores were higher in ASPD group. This shows that individuals with ASPD are unwilling to experience private events, so try to control or escape from them and they use daydreaming(fantasy) as a cognitive avoidance method. In conclusion lack of perspective taking and experiential avoidance can be evaluated as two important dimensions in the development of ASPD.

37. Coping with somatic symptom disorders: The impact on quality of life and the moderating role of psychological flexibility [951]
Primary Topic: Other
Subtopic: Somatic Symptom Disorders
Chrysanthi Leonidou, M.Sc., University of Cyprus
Georgia Panayiotou, Ph.D., University of Cyprus
Maria Karekla, Ph.D., University of Cyprus
Aspa Bati, B.A., University of Cyprus

Background. Clinical levels of somatic symptom disorders influence individuals’ functioning in the psychological, social, professional and other domains, and account for frequent medical visits and excessive healthcare costs. The present study aims to investigate the impact of somatic symptom and illness anxiety disorders on quality of life, potential differences on coping strategies utilized by individuals who meet the criteria for the two diagnoses and the role of psychological flexibility. Method. 295 community volunteers (182 females; Mage=44.84, SD=1.17) were recruited through stratified random sampling for the purposes of a larger epidemiological study in Cyprus and completed a set of questionnaires, including Greek versions of Psychiatric Diagnostic Screening Questionnaire, Acceptance and Action Questionnaire, Brief COPE, and World Health Organization’s Quality of Life instrument. Results. Multivariate analyses of covariance indicate that controlling for the severity of medical conditions, groups meeting somatic symptom disorders screening criteria report reduced quality of life on the physical, psychological and environmental domains, compared to the typical group. In addition, groups meeting screening criteria report more avoidant coping strategies, and lower psychological flexibility, which also significantly moderates the impact of somatic symptom disorders on specific domains of quality of life. Discussion. These findings extend existing evidence on the role of psychological flexibility as a buffering factor between psychopathology and quality of life for another population, individuals with somatic symptom disorders, and provide guidance for the development of prevention and therapeutic interventions.

38. The Impact of Acceptance vs Suppression During an ROTC Army Physical Fitness Test
Primary Topic: Performance-enhancing interventions
Subtopic: Performance and Sports Psychology
Stephen Sheets, MA, California School of Professional Psychology
Jill Stoddard, Ph.D, California School of Professional Psychology

Background: In performance and sports psychology, Psychological Skills Training (PST), which involves suppression and control strategies including arousal control, goal setting, self-talk, and imagery/visualization, has dominated the focus of research and practice for the last 30 years (Singer et al., 1991). Despite its use as the primary methodology for performance and sports psychologists, the efficacy of PST has been found to be at best experimental (Gardner & Moore, 2009). Growing research is investigating the application of Mindfulness and Acceptance-based Therapies to sports performance on the field of play (Gardner & Moore, 2006). However, little is understood about the underlying mechanisms of performance. Furthermore, despite the emphasis the military places on performance, little research has been conducted with military populations and the role of performance enhancement techniques. Method: 95 ROTC cadets from three San Diego Universities participated in an experimental study to determine the effects of emotion regulation on physical performance. Utilizing a 2 X 2 factor design, participants were randomized to either an acceptance or suppression emotion regulation condition. Dependent variables included scores on the Army Physical Fitness Test (APFT), the Activity Flow State Scale (AFSS; Payne, et. al. 2011), and participants’ subjective self-ratings of performance. It was hypothesized that participants in the acceptance group would demonstrate greater improvements in performance over time following the intervention. Analyses included a Repeated-measures Multivariate Analysis of Variance (MANOVA) to assess for main effects and interactions. Results: Results indicated three significant interactions. First, the participants’ APFT scores has a significant interaction of F(1, 93)=4.278, p=.041. Second, the participants’ subjective rate of performance has a significant interaction of F(1, 93)=4.138, p=.045. Finally, the participants’ push-up scores has a significant interaction of F(1,93)=6.073, p=.061. Further detail can be provided as to the specifics of these interactions through post-hoc tests. Discussion: The results are consistent with previous research suggesting acceptance based emotion regulation strategies may provide advantages over suppression techniques across a number of domains (e.g., pain tolerance, distress about pain, mobility, emotional recovery). Results from this study may have implications for improved sport and military performance.

39. Combining mindfulness and ACT to learn how to manage emotions and to engage in valued activities: Assessment of the feasibility of a training group and its efficiency [952]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Acceptance and commitment therapy
Aurélie Wagener, M.A., University of Liège
Christophe Dierickx, M.A., University of Liege
Sylvie Blairy, Ph.D., University of Liege

BACKGROUND Managing painful emotions could be an issue for a lot of adults. Indeed, learning how to manage painful emotions is an often-requested demand in psychotherapy. Mindfulness-based programs and acceptance and commitment therapy (ACT) offer useful tools which aim to guide in this learning process. ACT also provide guidelines to engage in valued activities. In order to help community adults to manage their painful emotions and to engage themselves in valued activities, we offer training group cycles combining tools of mindfulness-based programs and ACT. This study aims to assess the feasibility of such training groups and their efficiency. METHODS A longitudinal design with three assessment-times (T0, T1 and T2) is employed. Participants to the training group attend to three three-hours training sessions on a six-weeks period. They are assessed before the training sessions (T0), directly after (T1) and at three-months follow-up (T2). Questionnaires assess these variables: sociodemographic data, mood, mindfulness, psychological flexibility, cognitive coping strategies and behavioural activation. Student t tests for paired samples are conducted. RESULTS Fifty-four adults participated to four training cycles (the cycles are all identical). Until now, 28 participants (21 women) completed the T0 and the T1 (mean age = 41.43, SD = 11.83). Student t test indicate a significant decrease of depression (t(25) = 4.53, p < 0,001), anxiety (t(25) = 6.23, p < 0.001) and non-adaptive cognitive coping strategies (t(24) = 3.76, p < 0.001). Student t test also indicate a significant increase in mindfulness (t(26) = -3.87, p < 0.001), psychological flexibility (t(26)) = -5.48, p < 0.001) and behavioural activation (t(26) = -4.86, p < 0.001). DISCUSSION Preliminary results indicate the feasibility of training groups combining tools of mindfulness-based programs and ACT. Results show a decrease in several variables (depression, anxiety and non-adaptive cognitive coping strategies) and an increase in other variables (mindfulness, psychological flexibility and behavioural activation). These results seem to indicate that participants benefit from the training groups. Data collection is still ongoing and a control group (waiting-list) is currently being composed. Results and clinical implications will be further discussed during the congress.

40. Promoting the effectiveness of teachers’ group work in Italian Secondary Schools: The assessment of psychological flexibility as preliminary phase for intervention [953]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Groups
Elena Catenacci, IESCUM
Giovanna Fungi, IESCUM
Francesca Pergolizzi, IESCUM

Effective teachers’ teamwork is considered to play a crucial role within school improvement strategies intended as prevention and community based interventions. In this poster we describe the assessment phase of a project aimed at exploring and enhancing psychological flexibility in teams of teachers (Consigli di Classe – CC) of Italian Secondary schools, referring to an ACT based approach which can help groups take the committed actions needed to achieve common goals (Hayes, Barnes-Holmes, Wilson, 2012). This phase is to be seen in the light of Nudge Theory (Hausman, Welch, 2010): positive reinforcement and indirect suggestions are used to achieve non-forced compliance and to influence the decision making process of groups. To assess the group’s awareness of its values and the committed actions implemented by the group itself, each teacher received via email a presentation of the project, an anagraphic questionnaire, the Perceived Stress Scale (Cohen, 1994), the Psychological Flexibility Survey and the Rating by group members of the core and auxiliary design principles (Biglan, Ciarrochi, Hayes, Miller, Polk, Wilson, 2014). Collected data will be presented and discussed in the poster. The following step will involve some CCs in an intervention to increment the level of the group’s psychological flexibility.

41. Mindfulness-based training and ACT in a palliative care setting
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Palliative Care, Mindfulness, Health Psychology, ACT
Elisa Rabitti, Ph.D, ACT-Italia, AUSL RE, IESCUM
Anna MAria Marzi, Hospice Madonna Uliveto (RE)

Background: The contact with difficult emotions is a main point in palliative care’s settings, and frequently the challenge of the staff is “how to stay with" the patient's experience. Remain for a long period in a context that requires the ability to interface with extremely heavy situations from emotional point of view could expose the nursing staff to the risk of burn-out. In order to increase the emotional resources of the professionals involved in the context of the Hospice, we proposed an experiential training based on the integration of ACT and experience of Mindfulness. Method: The training was structured into three sessions of three hours each and participants were doctors, nurses and medical social workers. In order to measure the effect of the intervention on participants we used the AAQ-II. Result: AAQ-II's scores reported by 26 participants showed an increasing in psychological flexibility and acceptance of difficult emotions.

42. Radio show: "The Voice of Madness Live on Air"
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Destigmatisation, social affirmation
Mario Maricic, BA of Psychology, NGO "Metanoia"

Radio show: "The Voice of Madness Live on Air" (originaly „Glas ludila u Eteru“) is genuine and sustainable project of the NGO „Metanoia“, Association for destigmatisation and social affirmation of persons with psycho – social difficulties. It aims to encourage social inclusion and equality of persons with psychosocial difficulties. The radio show was modeled from the similiar project created in Buenos Aires (Radio la Colifata) and Barcelona (Radio Nikosia). Project in Western Balkans first started in Zagreb in 2010. After that, in Sarajevo and Banjaluka (2013), and in Belgrade (2014). Project is decentralised, and is governed by the people in their own local comunities, so the four cities have different management and their unique dynamics. It is supported by local radio stations. The project is solely based on the voluntary work of the members of the "Metanoia" (Sarajevo), students of Psychology (Banjaluka) and it wasn`t funded not from foreign or from local donors. In Banjaluka it started from pure entusiasm. Radio show is completely created, managed and runned by persons who had experience as patients in the psychiatric system and whose experience is labeled by at least one of the psychiatric diagnosis. Radio as medium is selected because it can provide protection of the identity for the persons who are involved in running the show. One of the goals of the radio show is to create context in which ones with the experience from the psychiatric system can express themselves in their own unique way. Context in which they can share their unique stories, talents, hopes, fears and etc., without sanctions. Also, it provides context in which is supported conversation about problems in mental health comunity, psychiatric disorders, diagnosis and stigmatisation. Often, guests are publicly relevant and recognised persons, such as actors, musicians, poets, psychologists, psychiatrists, who share their own toughts about their own suffering, their own "madness" and etc. Experience so far (Banjaluka) showed that listeners and guests who are following the radio show, changing their views, when it`s about psychological difficulties. Public figures who were guests and are interviewed by someone with diagnosis, without exception talked about positive experience and about breaking their prejudices regarding people who were diagnosed as schizophrenics. Example (from Banjaluka), which describes impact of being involved in these kind of activities in real life is example of one of our participants who were diagnosed with schizophrenia, bipolar personality disorder, OCD and etc. in the period of working on the radio show, not once was returned into psychiatry hospital. Before that period, she was in psychiatry as inpatient at least 2 times a year. Today, she is 2nd year journalist student.

43. The Implicit Relational Assessment Procedure: a promising method to measure Implicit Attitudes toward Auditory Verbal Hallucinations [954]
Primary Topic: Relational Frame Theory
Subtopic: IRAP
Mirte Mellon, MSc., Centre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray
Annemieke Hendriks, MSc., Centre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray
Ciara McEnteggart, National University of Ireland, Maynooth
Linde van Dongen, MSc., Centre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray
Gwenny Janssen, Ph.D., Centre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray
Yvonne Barnes-Holmes, National University of Ireland, Maynooth
Prof. dr. Jos Egger, Centre of Excellence for Neuropsychiatry, Vincent van Gogh Institute for Psychiatry, Venray

Background: The Implicit Relational Assessment Procedure (IRAP) is a relatively new method for measuring implicit attitudes. The current study examined the utility of the IRAP to point out differences in implicit attitudes toward Auditory Verbal Hallucinations (AVHs) between psychotic patients and non-clinical voice hearers. Method: Two IRAPs—one concerning emotional valence and one concerning perceived controllability of AVHs—were completed by psychotic patients and non-clinical voice hearers. The IRAPs required participants to sometimes respond to statements in a way that was consistent with their beliefs and sometimes in a way that was inconsistent with their beliefs. Results: The results showed no significant group differences in IRAP effects (i.e., response latency differentials between consistent and inconsistent trials). However, a trend was found for non-clinical voice hearers to be more accepting (as opposed to controlling) toward their voices than psychotic patients. No correlations were found between the IRAP and corresponding self-report measures. Discussion: These findings provide preliminary indications for the utility of the IRAP to point out differences in implicit attitudes between the groups. Additionally, the fact that no correlations were found between the IRAP and corresponding self-report measures suggests that the IRAP may have potential to usefully complement self-report measures. Further research on the IRAP regarding voice-related attitudes is recommended, as this may contribute to a more profound understanding and assessment of AVHs in the future.

44. Comparision between experimentally and pre-experimentally established attitudes measured with the Implicit Relational Assessment Procedure (IRAP)
Primary Topic: Relational Frame Theory
Subtopic: IRAP, Basic Research
Pablo J. L. Zaldivar, Universidad de Almeria
Magdalena Hyla, Uniwersytet Śląski w Katowicach (University of Silesia)
Lidia Budziszewska, Universidad de Almeria

In order to develop experimental analogs of concrete situations, behavioural researchers frequently generate experimentally the function of stimuli. This also applies to the IRAP research. Despite that, there is no experimental evidence analysing how to compare between experimentally or pre-experimentally induced attitudes, either within IRAP research or within behavioural research in general. Native Polish or Spanish speakers without previous IRAP training or any knowledge of the unknown language (Polish for Spanish participants and Spanish for Polish ones) were randomly assigned to one of two conditions: pre-experimental or experimental attitudes training. Participants who were assigned to the experimental attitude condition were trained to respond using the unknown language (Spanish or Polish) and then were tested with an IRAP about the relations they learned, whereas participants assigned to the pre-experimental attitudes condition were trained to respond in their native language and then tested with an IRAP about the relations they already knew. Results are discussed in accordance with hypotheses: because of a lower amount of received reinforcement, 1) experimentally induced attitudes will produce a lower IRAP effect than the pre-experimentally induced attitudes and 2) D-IRAP scores of the experimental attitudes induction condition will decrease sooner and more significantly than the pre-experimental ones.

45. Pragmatism, contextualism and the radical behaviorist perspective about science
Primary Topic: Theoretical and philosophical foundations
Subtopic: Radical behaviorism
Cesar Antonio Alves da Rocha, Federal University of Sao Carlos

Radical behaviorist philosophy, and the science of behavior analysis, are said to be inspired by the philosophy of pragmatism. Some authors have argued that the world view of such a science is contextualism, according to the work of Stephen Pepper, who asserted that contextualism is a theory about the world derived from classic pragmatism. Besides this, some have argued that contemporary pragmatism, such as the perspective developed by Richard Rorty, also shares common traits with behavior analysis. But the issue is far from being consensual: some have argued that mechanism is the more appropriate world view for characterizing behavior analysis, pointing out that contextualism would not be productive. Given this dissent, the proposal of this presentation is to compare and discuss the radical behaviorist perspective about science and pragmatist remarks about science, with the goal of clarifying relations established between pragmatism, contextualism and radical behaviorism.

46. Developing a new behavioral task for measuring defusion in depressed people: Comparing performance on the Kanji maze task and IRAP
Primary Topic: Theoretical and philosophical foundations
Subtopic: defusion rumination rigidity IRAP
Yuki Shigemoto, Graduate school of psychology Doshisha University
Muto Takashi, Faculty of psychology Doshisha University

Background: The purpose of this study is to develop a new behavior task to measure defusion in depressed people. While the IRAP (Implicit Relational Assessment Procedure) is a useful tool for measuring defusion, it is difficult to implement in clinical interview, as, it takes a long time to complete. Thus, this study developed a new behavioral task ―the Kanji-maze task to measure defusion and investigated its validity. An alphabet-maze was referred to when developing the Kanji-maze task. An alphabet-maze is a maze that consists of letters in the alphabet. The purpose of the task is to move from the upper right corner of the maze to the lower left corner, spelling out English words on the way. Participants were told to use the shortest solution to reach the end. Initial mazes were solvable by the same route, but in later mazes, it was possible to solve using an additional much shorter route without warning. In this study, a Japanese version of the task consisting of Chinese characters (Kanji) was developed and administered. Method : Participants completed the Ruminative Response Scale, Cognitive Fusion questionnaire, and Beck Depression Inventor—II and performed the IRAP and Kanji-maze task. Result and discussion: Correlation was found between the IRAP and Kanji-maze task and among the Kanji-maze task and questionnaires. These results indicated that the Kanji-maze task is a useful tool for measuring defusion.

47. Using Implicit Measures to predict known groups: An IRAP v IAT comparison
Primary Topic: Other
Subtopic: IRAP
Aidan Hart, D.Clinpsy, University of Lincoln, UK
Ross Bartels, Ph.D, University of Lincoln, UK

Recent years have seen an increase in the use of implicit measures to assess hard to access beliefs/covert behaviour processes. In the field of Forensic Clinical Psychology there has been a growing interest in the use of such measures to assess group differences in offence supportive attitudes between offenders and non-offenders. Such uses can be problematic due to potential overlaps in the groups, such as shared pro-offending attitudes or undetected delinquency in the control group. The current authors believe that more work is needed to demonstrate that such measures can actually differentiate between groups where we would expect minimal overlap before their use is extended to such applied settings. In order to carry out such a test 183 self-identifying heterosexuals (m=91, f= 92) completed both an IRAP and an IAT that broadly measured their attitudes to the opposite and same sex in terms of sexual attractiveness and unattractiveness. The ability of each measure to differentiate the groups (male v female) was analysed using logistic regression and discriminative function analysis. The differences between the two measures and their relative strengths and weaknesses are discussed.

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Thursday, 16 July
Friday, 17 July
Saturday, 18 July
Sunday, 19 July

 

Thursday, 16 July

11. Applying CBS to Disadvantaged Groups in the Global Community: Data, Action Research and Implications.
Symposium (10:30-12:00)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Diversity
Target Audience: Beg., Interm., Adv.
Location: Estrel Saal C7

Chair: Beate Ebert, Clinical Psychologist, Private Practice
Discussant: Ross White, Ph.D., University Lecturer

The mission of CBS is to "create a behavioral science more adequate to the challenges of the human condition". One possible challenge the global community faces is the need to increase levels of engagement and involvement in pro-social behaviour towards disadvantaged groups. We would like to introduce 4 diverse areas in which contextual behavioral tools and thinking have been applied and evaluated: a Vietnamese population in Berlin, a West African population in Sierra Leone, and a group of lesbian, gay, bisexual and transgender (LGBT) employees in UK and the US. The last presentation looks at "well-served" populations and their likelihood to engage in pro-social behaviour towards under-served groups. Questions we address are: 1. How can we provide culturally adequate services in diverse contexts. 2. Do CBS treatments and attitudes apply to these kind of services. 3. What can we learn from diverse body and mind concepts, values systems etc.

• Implementing Acceptance and Commitment Therapy (ACT) for Vietnamese outpatients in Berlin: Symptom Presentation, Clinical Experiences and the Role of Culture in Shaping Personal Values.
Thi-Minh-Tam Ta, Ph.D., Consultant and clinical head of out-patient-Department University Hospital Charité Berlin

Beginning in 2010 we´ve provided psychotherapeutic care for Vietnamese migrants in Berlin. Since then mental health care utilization of this hard-to-reach migrant group has improved with more than 250 outpatients, mainly diagnosed with depression. First, we present cross-cultural differences in somatic symptom presentation in depression and share our experiences of more than 2 years, implementing and adapting ACT for small group therapy session in Vietnamese language. So far, our therapy programme contains 10 sections, which primarily focus on patients with depression, anxiety and chronic pain disorders. Given the importance of personal core values as an integral component of ACT we explore and share first data of an approach to elicit and cross-culturally compare relevant core values in Vietnamese migrants and German patients with a depression. In addition we will discuss whether and how stronger emphasis should be given to the endorsement of relational (family oriented) values. Educational Objective: Having attended this presentation the audience members will increase their understanding of the challenges faced in our efforts to implement ACT in a culturally different migrant group, in particular for Vietnamese patients.

• Investigating the Role of Contextual Behavioural Science in Sub-Saharan Africa
Hannah Bockarie, Social Worker, Director of commit and act psychosocial center in Bo, Sierra Leone
Corinna Stewart, B.A., Ph.D. Candidate, NUI, Galway

Commit and act is an NGO that aims to improve the capacity of local people living in Sub-Saharan Africa to alleviate trauma-related distress experienced by the populations living there. In recent years, the organization has been busy delivering training to non-specialist health workers who support people experiencing emotional distress in Sierra Leone and Uganda. This paper will present follow-up data for 40 non-specialist workers in Sierra Leone who have attended commit and act workshops in successive years. Specifically, the presentation will explore the stability of the individuals’ psychological flexibility (as measured by the AAQ-II) over a 15-month period. commit and act have also employed the PROSOCIAL approach with groups of people in Sierra Leone for Ebola prevention and other shared aspirations. Data relating to the PROSOCIAL approach will be presented and the implications that this has for the cross-cultural application of the PROSOCIAL approach will be discussed. LO: After this presentation the listeners should be able to discuss the cross-cultural use of the AAQ II and of the PROSOCIAL approach, considering the potential and the objections.

• The Role of Psychological Flexibility in Understanding Coping in Lesbian, Gay, Bisexual and Transgender (LGBT) Employees
Jo Lloyd, Ph.D., Lecturer and Programme Director, Goldsmiths’ Institute of Management Studies (IMS), London

Research has indicated that many LGBT employees experience discrimination in the workplace. This is problematic, not only for the employee’s mental health, but for organisations and communities in terms of disease burden. Alongside working towards eliminating the occurrence of workplace discrimination, it is important to examine ways of enhancing coping in LGBT employees. In this paper, we used a cross-sectional moderated mediation analysis on a sample of 300 UK and North American LGBT employees to examine whether higher psychological flexibility related to enhanced coping capability. We found that an indirect relationship between poor LGBT workplace climate and low employee engagement, via psychological distress, is lessened when people have higher levels of psychological flexibility. To our knowledge, this is the first empirical study to investigate psychological flexibility in LGBT individuals and thus represents a pioneering first step for CBS in addressing the human concern of sexuality and gender discrimination. Educational Objective: Having attended this presentation the audience member will be able to understand the difficulties faced by LGBT employees and discuss the potential for psychological flexibility, and CBS more broadly, to help alleviate these difficulties.

• Empathy, altruism and psychological inflexibility: the promise, the pitfalls and the data
Miles Thompson, Goldsmiths, University of London; University of the West of England (UWE)

One potential challenge for CBS in meeting the needs of disadvantaged and wider cultural groups is increasing levels of pro-social behaviour in more mainstream populations towards these groups. This presentation explores original cross sectional data (n=200+) from an online survey primarily involving non-clinical UK participants. The data examines the relationship between psychological inflexibility and other psychological variables traditionally associated with pro-social behaviour such as empathy and altruism. The data suggests the lack of a strong relationship between some of these variables. One potential problem may stem from using the AAQ-II in a pro-social context. However an alternative measure of psychological inflexibility, designed explicitly for this kind of research – also introduced as part of this presentation – found similar results. Another issue may be the traditional psychological conceptualisation of empathy and altruism itself. The implications for the ability of CBS to have a wider impact in increasing pro-social behaviour will be discussed.

Educational Objectives:
1. Get a new perspective on difficulties faced by diverse and disadvantaged cultures, within our Western countries or in low income countries. 2. Realize the potential of Contextual Behavioral Science and possible challenges or pitfalls to provide skills and perspectives to empower people in diverse cultural settings. 3. Learn to think creatively about methods for researching and evaluating the efficacy of CBS interventions within diverse populations.

 

14. New methods of assessment on Self-Compassion: Implicit and Explicit Measures
Symposium (10:30-12:00)
Components: Original data
Categories: Clinical Interventions and Interests, Performance-enhancing interventions, Superv., Train. & Dissem., RFT, IRAP, Self-Compassion
Target Audience: Beg., Interm.,
Location: Strassburg

Chair: Giovambattista Presti, M.D., Ph.D., University Kore Enna (Italy)
Discussant: Martin Brock, University of Derby

There are several models of self-compassion emerging based on distinct theories and research lines. The object of this symposium is to bring some different methodological issues related to the investigation of self-compassion and discuss about methodological alternatives (e.g. implicit measures, interviews). In the first section, it will be presented a cross-sectional data looking at relationships across depression, anxiety, self-compassion, psych flex and the components of self-compassion. From these data, it will be presented the compassionate flexibility model and a new assessment measure/interview. In the second section, it will be presented a series of papers that employ the Implicit Relational Assessment Procedure (IRAP) in the context of self-compassion. In the third section, it will be presented a data about a study employing the IRAP of self-acceptance of minor failures that every ACT therapist could commit in their work or day-to-day life and the results will be discussed in terms of self-compassion.

• The Development of Implicit Relational Assessment Procedure as a Measure of Acceptance of Failing and Succeeding Behaviors
Diana Bast, Maynooth University
Dermot Barnes Holmes, Maynooth University

In this section, it will be presented a series of papers that employ the Implicit Relational Assessment Procedure (IRAP) in the context of self-compassion. Specifically, studies that employ the IRAP as a measure of response biases related to emotional reactions and expected outcomes in the context of minor failings and successes in everyday life. The aim of this section is to present: (1) Development of an implicit measure of self- acceptance of minor failures (2) Determine if explicit and implicit measures of self-acceptance yield broadly similar or different results; (3) Determine if such measures should target flaws, faults, and shortcomings in a general or specific manner and if such measures differ depending on whether they target feelings or expected outcomes of “problem” behaviours; (4) Explore the relationships among implicit and explicit measures (e.g. self-compassion scale), in terms of associated feelings and outcomes, and various indicators of mental health and well-being.

• ACT Practitioner Implicit and Explicit Response to Failure and Success. Does Self-Compassion Matter?
Francesco Dell'Orco, IESCUM, Parma (Italia)
Davide Carnevali, University IULM, Milan (Parma)
Annalisa Oppo, Sigmund Freud Privat Universität, Milan (Italy) - IESCUM, Parma (Italy)
Giovambattista Presti, M.D, Phd, University Kore Enna (Italy)

Literature gave great attention to the study of Self-compassion because of its possible moderator effect both on psychopathological index and well being. This growing attention on Self-Compassion leads researcher and clinician to discuss around the issue of measure. How can we effectively measure self-Compassion? One of the most common way to assess Self-compassion is using explicit measures. However, although these measures have advantages, they have a major disadvantage, namely explicit measures are usually completed in the absence of time-pressure. In this way, persons are free to reflect at length on how to respond to each item. This disadvantage may be partially solved using IRAP. The primary goal of this study is to analyse implicit response to self forgiveness in two distinct populations which have been supposed to have a different learning history on behaviour that imply the construct of self-compassion: ACT-therapist versus Non-ACT therapist. Our results show that the variables that discriminate ACT-therapist from non-ACT therapist were Common Humanity scale (OR=2.22; 95%CI: 1.12-4.42), Isolation scale (OR=0.46; 95%CI: 0.23-0.88), and D-IRAP mean score “success negative feelings” (OR=0.19 95%CI:0.23–0.88).

• The Compassionate Mind Interview and Compassionate Flexibility
Dennis Tirch, PhD, Center for Mindfulness and CFT

The Compassion Focused Therapy (CFT) model delineates a series of attributes and skills that proceed from, and contribute to, the activation of compassion as an evolved social mentality. The Compassionate Mind Interview (CMI) is a semi-structured interview, designed to engage therapist and client in a mindful dialogue about the range of processes and skills involved in compassion. The interview is based upon ongoing international research on the assessment of components of compassion. The CMI is designed to help psychotherapists determine what will be most beneficial to emphasize in subsequent treatment planning and interventions. This presentation will walk through the use of The CMI, providing a case study illustrative of case conceptualization and treatment planning. Additionally, cross sectional data exploring relationships among self-compassion, psychological flexibility, depression and anxiety among 244 participants presenting for outpatient CBT will be reviewed, illustrating dimensions of compassion that inform the Compassionate Mind Interview.

Educational Objectives:
1. Measure self-compassion in clinical and non clinical/setting. 2. Apply the IRAP in assessing self compassion. 3. Utilize ACT Therapists skills.

 

15. ACT in Sports: Enhancing Performance and Measuring Sport-Related Psychological Flexibility
Symposium (10:30-12:00)
Components: Original data
Categories: Performance-enhancing interventions, Clin. Interven. & Interests, Sport performance enhancement, chess, hockey, AAQ, psychological flexibility
Target Audience: Beg., Interm., Adv.
Location: Room 30241

Chair: Bruno Carraça, Lisbon University
Discussant: Joseph Ciarrochi, Austrian Catholic University

Protocols based on acceptance and commitment therapy (ACT) are beginning to be applied to enhance sport performance. This symposium presents cutting-edge research concerning the efficacy of ACT protocols in improving performance of hockey and chess players and the measure of sport-related psychological flexibility. The first paper shows a randomized controlled study that analyzed the effect of a brief 4-session ACT protocol in improving hockey players’ performance compared to a waitlist control group. The second paper presents the psychometric properties of the Acceptance, Defusion and Action Questionnaire (ADAQ), which measures psychological flexibility in sport contexts. Lastly, the third paper presents an extension of previous evidence of the efficacy of ACT protocols in improving chess players’ performance.

• ACT for Athletes: A Randomized Controlled Trial
Tobias Lundgren, Stockholm University & Karolinska Institutet

The research interest on acceptance, mindfulness and values based skills training for athletes has been growing during the last 10 years but there is a lack of well-designed outcome studies available in the literature (Gardner & Moore, 2009). The aim of the study presented in this symposium was to develop and evaluate a brief 4-session skills training ACT intervention for hockeyplayers. The study employed a randomized controlled two group design with an ACT group and waitlist control. Outcome measures were goals, assists on ice and an expert group rating of performance. The preliminary results show a significant interaction effect on all outcome measures in favor of the ACT group. Final results and follow up will be presented at the conference.

• Acceptance, Defusion and Action Questionnaire: Evaluation of a Measure of Psychological Flexibility in Sport Settings
Stefan Holmström, Umeå University
Tobias Lundgren, Stockholm University & Karolinska Institutet

There has been an increasing interest in applying the concepts of acceptance, mindfulness, and value based intervention to enhance athletes’ psychological flexibility as well as their performance and wellbeing. Development of instruments for the measurement of psychological flexibility in sport settings has not kept the same pace. The Acceptance and Action Questionnaire II (AAQ-II; Bond et al., 2011) is often used to assess psychological flexibility in various interventions. However, AAQ-II provides a measure of the psychological flexibility in general. The purpose of this study was to develop and evaluate an instrument, the Acceptance, Defusion and Action Questionnaire (ADAQ), which measures psychological flexibility in sport contexts. A nine-item version of ADAQ was used for the study of 173 participants between the ages of 16 to 19. All of them were athletes at elite level in team and individual sports and enrolled at Swedish sport academies. Preliminary results from a confirmatory factor analysis indicated a reasonable fit of the model (Chi square=65,88; df=27; p-value=,000; RMSEA=,89). This and other psychometric results will be discussed.

• Improving Performance of Chess Players with and without Clinical Problems with Acceptance and Commitment Therapy: A Case Series Study
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Carmen Luciano, Universidad de Almería
Juan C. Suárez-Falcón, Universidad Nacional de Educación a Distancia

Brief protocols of acceptance and commitment therapy (ACT) has shown to be effective in improving performance of elite chess players’ without clinical problems (Ruiz, 2006; Ruiz & Luciano, 2009, 2012). However, the effect of full ACT protocols has not been tested and it remains unexplored whether ACT could improve chess performance of players with clinical problems. The current study presents three case studies with elite chess players, two of them suffering from anxiety disorders. Each participant was matched to a control participant according to having similar characteristics. Results showed that ACT was effective in treating the anxiety disorders and significantly improved the results of the three experimental participants according to an objective measure of chess performance. None control participant improved his results. The d-statistic for single-case designs by Hedges et al. (2012) yielded a large effect size for the participants who received the ACT intervention (d = .939).

Educational Objectives:
1. Describe how ACT can improve hockey players’ performance. 2. Describe how psychological flexibility could be measured in the sport context. 3. Describe how ACT can improve chess players’ performance with clinical and no clinical problems.

 

16. The role of Defusion in brief ACT Interventions: Finland Chapter Sponsored
Symposium (10:30-12:00)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Performance-enhancing interventions, Behavioral medicine, Depression, cognitive defusion, FACT obesity, social anxiety disorder
Target Audience: Beg., Interm., Adv.
Location: Room 30341

Chair: Giuseppe Deledda, Psy.D., Service Clinical Psycology, at “SacroCuore - Don Calabria” Hospital,Verona, Italy
Discussant: Ole Taggaard Nielsen, Psy.D., ACT Klinikken

There is substantial evidence of the benefits of brief interventions for a range of mental health problems. In this symposium the implementation and results of different brief interventions for depression, distress and coping with negative thoughts will be presented. The role of cognitive defusion as a mechanism of change and key factor for explaining early sudden gains will be discussed.

• Understanding Fast Improvement in a Brief ACT Intervention for Depression
Katariina Keinonen, Graduate Student, University of Jyvaskyla
Raimo Lappalainen, Professor of Psychology, University of Jyvaskyla
Heidi Kyllönen, MSc, University of Jyvaskyla
Piia Astikainen, Ph.D., University of Jyvaskyla

Background: The general aim of this study was to increase our knowledge and understanding of processes related to the fact that some clients benefit very fast from psychological interventions. Method: The data was comprised of 56 depressed clients receiving a six-session acceptance and values based intervention. Two groups were formed, based on whether the clients’ score on the BDI-II reflected a clinically and statistically significant change after two sessions, and analyzed for differences in treatment outcome. Results: The early gainers had superior treatment outcome both on the level of depressive symptomatology and psychological flexibility. In addition, early gains were associated with larger changes in the believability of depressive thoughts and hopefulness after two sessions. Conclusions: The results suggest that early changes have prognostic value in ACT-based interventions. Our results also draw our attention to defusion processes and hopefulness as possible key factors for explaining early sudden gains in psychological interventions.

• Targeting Psychological Distress with a Brief Defusion Intervention.
John T. Blackledge, Morehead State University
Richard Ward, Morehead State University
Gabriela Alshafie, Morehead State University
Kellen Crager, Morehead State University

Cognitive defusion refers to a variety of therapeutic techniques used in Acceptance and Commitment Therapy (ACT) that designed to help psychotherapy clients view their problematic thoughts in a less literal and serious fashion. The current study compared the distress-reducing effects of two variations of a common and brief ACT defusion technique relative to a brief "I'm having the thought that...." intervention intended to help subjects thing more rationally about personally held, distressing, negative self-judgments. The defusion intervention was significantly more effective at reducing distress than the control intervention.

• FACT*: Focused Acceptance and Commitment Therapy A Pilot Study to test two brief interventions in clinical populations
Roberto Cattivelli, Istituto Auxologico Italiano
Giada Pietrabissa, Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Italy; Department of Psychology, Catholic University of Milan, Italy
Martina Ceccarini, Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Italy; Department of Psychology, University of Bergamo, Italy
Valentina Villa, Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Italy
Annalisa Caretti, Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Italy
Arianna Gatti, Private Practice, Italy
Gian Mauro Manzoni, Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Italy; Faculty of Psychology, eCampus University, Italy
Gianluca Castelnuovo, Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Italy; Department of Psychology, Catholic University of Milan, Italy

Focused Acceptance and Commitment Theory focus on ways to improve behavioral flexibility for brief therapy and consulting settings and are consider cost-effective treatments, with equal or better outcomes compared with more traditional Cognitive Behavioral Treatments. FACT interventions are generally considered more sustainable and applicable than longer and more expensive treatment, especially for brief hospitalizations. In the first study we tested the effectiveness/efficiency of a FACT intervention, a brief 6 hour protocol for outpatient diagnosed with SAD, to change SAD-related behaviors directly observed during sessions and collected in directed ways between sessions. Preliminary findings of this pilot study are promising, suggesting an increase of adequate behaviors and a reduction of inappropriate ones. Psychometric measurements through Outcome Questionnaire 45.2 and AAQ-II are consistent with behavioral data. In the second study we use a very brief group FACT intervention for obese inpatients during a one-month rehab program during hospitalization. With this pilot study for a future, larger RCT we compare FACT intervention with well-established CBT treatment, preliminary findings seems to support the use of FACT to improve healthy life style in the obese population. In both cases we assess treatment fidelity through inter observer agreement to check consistency with manualized intervention such as Focused ACT.

Educational Objectives:
1. Describe a brief analogue component cognitive defusion intervention and its control intervention. 2. Teach the role of defusion and hope at early phases of ACT interventions. 3. Conduct a pilot study for a subsequent RCT.

 

17. Online ACT for Chronic Pain: Content, Novel Methods of Delivery, Feasibility, and Efficacy Across three Cultural Contexts
Symposium (10:30-12:00)
Components: Original data
Categories: Behavioral medicine, Clin. Interven. & Interests, Chronic Pain
Target Audience: Beg., Interm., Adv.
Location: Nizza

Chair: Lance McCracken, Ph.D., King’s College London & INPUT Pain Management, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
Discussant: Lance McCracken, Ph.D., King’s College London & INPUT Pain Management, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

Acceptance and Commitment Therapy (ACT) is associated with clinically meaningful improvements in daily functioning and quality of life in people with chronic pain. Most studies of ACT for chronic pain have occurred in the setting of highly specialized treatment centres, which are typically visited by a small proportion of people with chronic pain whose problems are relatively more complex. There is a need, therefore, to develop and evaluate forms of ACT-based treatment that are easier to access, more widely applicable, and more affordable. With the development of better, faster, and more widely available internet communication technologies, this is a natural resource to incorporate into such treatment developments. This symposium will identify key opportunities and challenges in the provision of ACT for chronic pain online. The speakers will discuss the development of three novel internet-based administrations of ACT for pain across three different cultural contexts: England, Germany, and Singapore. Emerging data describing the efficacy of these interventions will be presented. Opportunities for future treatment refinements and research will be discussed.

• Online Acceptance and Commitment Therapy for Individuals with Chronic Pain in the United Kingdom: Treatment Development, Research Protocol, and Preliminary Data
Whitney Scott, PhD, King's College London

Speaker 1 will describe the development of an English-language version of ACT online for chronic pain. The treatment was developed on the basis of previous research on ACT for pain and the online psychological treatment delivery literature. Three clinical psychologists with expertise in ACT for pain worked in collaboration with a digital media team with extensive experience developing web-based applications for the National Health Service in the United Kingdom. The content of the treatment program will be described, as will design features aimed to optimize participant engagement and retention. The speaker will describe the protocol for a small randomized controlled trial to test the feasibility of the intervention. Qualitative data examining patients’ experiences and satisfaction with the treatment will be presented. Preliminary quantitative outcome data will also be presented. Opportunities for refining the intervention and adapting the treatment for other patient groups will be discussed.

• Efficacy and Cost-Effectiveness of a Guided and Unguided Online-Based Acceptance and Commitment Therapy for Chronic Pain: a Three-Armed Randomized Controlled Trial
Jiaxi Lin, MSc, Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, Germany
Marianne Lüking, Interdisciplinary Pain Center, University Medical Center Freiburg, Germany

Speaker 2 will present feasibility data on a study examining the efficacy and cost-effectiveness of guided and unguided versions of an online Acceptance and Commitment Therapy intervention for persons with chronic pain (ACTonPain) in Germany. In this ongoing pragmatic three-armed RCT aiming at a sample of 300 participants, the programs of guided and unguided ACTonPain are compared to a waiting list control group. Assessments take place before, 9 weeks after, and 6 months after randomization. The primary outcome is pain impairment; secondary outcomes include physical and emotional function, pain intensity, and ACT-related process variables. As yet, 42 participants have been randomized with 14 having filled out the post-assessment. Experiences on the program's usability and study recruitment will be discussed. Preliminary results of the efficacy-analyses will be presented. The study contributes to the improvement of the evidence-base for internet-based pain interventions and provides valuable information about treatment success and cost-effectiveness in relation to the degree of support provided by the intervention.

• Development and Feasibility of a Culturally Adapted Version of Internet-Delivered ACT for Chronic Pain in Singapore
Su-Ying Yang, MSc, King's College London; Pain Management Clinic at Tan Tock Seng Hospital, Singapore
,

Internet-delivered cognitive-behavioural therapy, including Acceptance and Commitment Therapy (ACT), has been shown to be effective in both physical and mental health domains, including chronic pain. These treatment methods have been shown to produce benefits for people with chronic pain in eight prior randomized-controlled trials and another eight effectiveness studies in the US, UK, Sweden, and Spain. However, little is known about the efficacy of this delivery method in South-East Asia, including Singapore, where widespread availability of the internet and smartphones makes internet-based treatments highly feasible. Therefore, this study developed an online-based ACT approach for a Singapore chronic pain population. The speaker will discuss the content, format, and delivery style of a novel internet-based ACT treatment that was tailored to be culturally sensitive and to address the specific needs of the Singapore chronic pain population. Preliminary data from an ongoing pilot trial combining face-to-face and internet-delivered treatment will also be discussed.

Educational Objectives:
1. Attendees will understand key issues in the design and delivery of internet-based administrations of ACT. 2. Attendees will be able to describe the state of the evidence regarding the efficacy of ACT online for pain. 3. Attendees will be able to identify future opportunities for refining online ACT for pain and for extending the research in this are.

 

18. A path from psychological inflexibility to psychological flexibility. Analyses of the components involved
Symposium (10:30-12:00)
Components: , Original data,
Categories: Relational Frame Theory, Inflexibility, flexibility, rumiation, acceptance, defusion
Target Audience: Interm., Adv.
Location: Cannes

Chair: Juan Carlos López López, University of Almeria
Discussant: Michael E. Levin, Utah State University

The Acceptance and Commitment Therapy (ACT) model is oriented to disrupt destructive experiential avoidance and to increase psychological flexibility. Experiential avoidance refers to a pattern of verbal regulation based on deliberate attempts to avoid and/or escape from private events experienced as aversive. This is problematic when it is maintained as an inflexible pattern that prevents the person from doing valued actions. Numerous studies have analyzed the role of experiential avoidance in experimental tasks or the impact of acceptance versus control strategies in experimental procedures that involved discomfort. However, the RFT experimental analyses of the avoidance-based regulation strategies involved in psychological inflexibility (1) and of the methods involved in its weakening as metaphors in the ACT model (2) as well as the role the key processes as acceptance or defusion in the flexibility when the discomfort plays (3) are still very scarce. The first study aims the point 1, the second study aims the points 1 and 2, and the third study covers the point 3.

• An Alternative Method to Induce Rumination
Nikolett Eisenbeck, M.A., University of Almeria. SPAIN
Carmen Luciano, Ph.D., University of Almeria. SPAIN

From a Relational Frame Theory (RFT) perspective, we understand the rumination as the expansion of the verbal network. The present study aimed to explore an RFT-based method to generate Rumination and compare its effects to Distraction. Effects of conditions were examined with a pre-post design among 28 participants. First, participants had to report a negative self-referential thought and assess it. Then, they were assigned in one of the two conditions. And finally, they had to reassess their negative thought. Mood checks were realized along the procedure. Results showed that the negative assessment related to the initial thought diminished in both conditions. However, in Rumination, the expansion of the verbal network enabled the transfer of aversive functions of the initial event to further elements of the network. Consequently, due to the presence of numerous aversive private events, the participants’ mood diminished. Results are discussed in terms of maladaptive functions of rumination.

• Experimental Analogue of Conditions that Enhance and Weaken the Psychological Inflexibility
Adrian Barbero-Rubio, M.A., University of Almeria. SPAIN
Carmen Luciano, Ph.D., University of Almeria, SPAIN

This preliminary study promotes the context of psychological inflexibility through an experimental analogue of conditions involved in rigid dominance of psychological reactions. And this context allows to analyze various components (metaphors) involved in breaking the pattern of inflexibility. For this, in the first phase, 30 participants were randomly assigned in three groups and performed the experimental task. The task was designed to capture rigid psychological reactions. In the second phase, group I and II participants received an Inflexibility-protocol and participants in group III participants received a Control-protocol. In Inflexibility protocol the participant performed exercises promoting the psychological inflexibility reactions to private events with aversive functions. In the third phase, all groups repeated the task. In the fourth phase, group I participants performed exercises for weaken the inflexibility pattern. Group II and III were controls. Finally, in the fifth phase, all groups repeated the task. Results indicate significant effects of protocol inflexibility on task performance (inflexibility group had low performance in comparison with the control group) and significant data in exercises designed to weaken this pattern (group I participants had better performance than the group II and III participants). It is argued on processes enhances and rupture of inflexibility clinic pattern.

• Examining the “Open” Responsive Style of Acceptance and Defusion Processes in Mediating Pain Interference and Psychosocial Adjustments to Pain Management
Vasilis Vasileiou, Department of Psychology, University of Cyprus, Cyprus
Maria Karekla, Ph.D., Department of Psychology, University of Cyprus, Cyprus
Orestis Kasinopoulos, Department of Psychology, University of Cyprus, Cyprus

Acceptance and defusion are two of the six processes of the Psychological flexibility model (PF; Hayes et al., 2012). These two processes together have been described as the “open” response style. Recent evidences have demonstrated that when these two processes are cultivated, positive treatment gains are made (Vowles, et al.2014). The aim of this study is to examine the mediating effects of defusion and acceptance, between pain interference and psychosocial variables of pain (e.g. anxiety, depression, pain intensity).160 chronic pain patients completed a packet of self-report questionnaires (AAQ, CPAQ, PIPS, CAMS, HADS etc). A series of SEM models showed an expected direction of loading values such that higher scores in acceptance and defusion were associated with lower pain intensity, emotional distress, and pain interference. Correlations among the latent variable and acceptance and defusion, were also significant. Dismantling studies and multivariate examination of the PF processes provide further evidence of the relevance of response styles and how they are related to patients function.

Educational Objectives:
1. Analyzing the components involved in the pattern of psychological inflexibility. 2. Generating inflexible patterns. 3. Describing the role of ACT processes in the pain interference.

 

30. ACTing for Global Smoking Cessation
Symposium (14:45-16:15)
Components: Original data
Categories: Behavioral medicine, Clin. Interven. & Interests, Prevention & Comm.-Based, Smoking cessation
Target Audience: Beg., Interm., Adv.
Location: Strassburg

Chair: Megan M. Kelly, Edith Nourse Rogers Memorial Veterans Hospital
Discussant: Maria Karekla, University of Cyprus

Despite decades of effort at smoking cessation, smoking continuous to be a significant problem worldwide, with millions of smoking related deaths every year. Smoking cessation methods to date (nicotine replacement, medication, CBT) have been moderately successful in achieving cessation goals. The ACT approach offers advantages over previous treatments as it includes elements for motivating individuals to make a quit attempt and deals with internal cues and reasons for smoking (and relapse). The present symposium will present advances in the area of smoking cessation utilizing the ACT technology. First a study examining the role of cognitive defusion vs. avoidance on smoking behavior will be presented. The second talk will present the feasibility and acceptability of ACT for U.S. Veterans with Posttraumatic Stress Disorder and Tobacco Addiction (ACT-PT). The final presentation will discuss the acceptability of an innovative technologically program (avatar led internet based intervention) based on ACT principles for smoking cessation among youth.

• The Effect of Cognitive Defusion on Smoking Behavior
Nic Hooper, University of the West of England
Charlotte Dack, University of Bath
Maria Karekla, University of Cyprus
Asli Niyazi, Middle East Technical University
Louise McHugh, University College Dublin

Investigating the individual components of Acceptance and Commitment Therapy (ACT) allows a microscopic view of which processes contribute towards successful behavior change. The current study aimed to determine whether cognitive defusion could be useful in reducing smoking behavior over a two-week period. Three groups of participants were asked to reduce their cigarette consumption for the first week. To aid them in their abstinence, group 1 received a defusion intervention, group 2 received an avoidance intervention and group 3 (waitlist control) received no intervention. In week 2 the instruction to reduce cigarette consumption was lifted. During both weeks all participants were required to monitor their smoking behavior via a tally diary system. Results indicated that the defusion group smoked significantly less than the waitlist control group per day during the intervention week and significantly less than the waitlist control and avoidance group during week 2 when the instruction to reduce cigarette intake was lifted. Defusion prompted a significant reduction in smoking behavior, suggesting that it is an important and active component of the ACT model.

• The Feasibility and Acceptability of an Acceptance and Commitment Therapy Smoking Cessation Treatment for U.S. Veterans with PTSD
Megan M. Kelly, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA

The present study evaluated the feasibility and acceptability of Acceptance and Commitment Therapy for U.S. Veterans with Posttraumatic Stress Disorder and Tobacco Addiction (ACT-PT), which focuses on helping Veterans overcome emotional challenges to quitting smoking. U.S. Veterans with PTSD (N=19) attended nine weekly individual counseling sessions and received eight weeks of nicotine patch. Primary outcomes included feasibility and acceptability of the intervention. The retention rate for ACT-PT was good (74%) and client satisfaction ratings were high. Participants made multiple quit attempts (M = 3.6, SD = 4.2) during the study period and were significantly more confident that they could quit smoking at three-month follow-up. At the end of treatment, 37% of participants were abstinent from smoking and 16% were abstinent at three-month follow-up. Smoking urges significantly decreased from baseline to the end of treatment and three-month follow-up. ACT-PT appears to be a promising smoking cessation treatment for Veterans with PTSD.

• Evaluating an Avatar led ACT Internet-Based Intervention for Smoking Cessation in Youth
Stella Nicoleta Savvides, University of Cyprus
Maria Karekla, University of Cyprus
Georgia Leonidou, University of Cyprus

Smoking remains a global concern and practices have not sufficiently accomplished cessation in youth. The present study aimed to create an Avatar led Acceptance and Commitment Therapy (ACT) internet-based intervention for smoking cessation and evaluate program satisfaction and effectiveness. Participants were 357 high school and university students, 15-28 years old (M = 21.06, SD = 2.96), randomized to either ACT or waitlist-control. Participants found the 6 online sessions satisfactory, useful, and motivating. Individuals in the treatment group had significantly higher quit rates than control (51.9% vs. 14.3%; OR = 6.46, 95% CI = 1.76 -23.71, p = .005) and significant improvements in smoking and ACT related measures. The treatment was found to work via its proposed mechanisms of action, as cognitive defusion mediated the relationship between group and cessation self-efficacy and intention to quit. Results are encouraging for the use of internet-based ACT, in smoking cessation for youth.

Educational Objectives:
1. To compare the effectiveness of cognitive defusion over avoidance strategies in smoking behaviors. 2. To examine the feasibility and acceptability of an ACT smoking cessation intervention for veterans with PTSD. 3. To present and examine the acceptability of an avatar led internet based intervention for smoking cessation targeting adolescent and young adult smokers not interested in quitting.

 

31. Living well with Illness: The Contribution of Psychological Flexibility to Identifying Transdiagnostic Treatment Targets
Symposium (14:45-16:15)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Behavioral medicine, Clin. Interven. & Interests, Psychological flexibility, Adults, Chronic Health Conditions
Target Audience: Beg.
Location: Room 30241

Chair: David Gillanders, University of Edinburgh
Discussant: David Gillanders, University of Edinburgh

Chronic illness is a global health concern and is increasing in the industrialised world due to population ageing. In this data driven symposium we will outline our approach to investigating the problem of living with long term and life limiting illness. We will outline the search for transdiagnostic treatment targets, derived from the psychological flexibility model. We have used cross sectional, longitudinal and intervention designs to investigate the relationships between traditional constructs and ‘third wave’ constructs in predicting important outcomes such as distress, disability and quality of life across a wide range of chronic health conditions. You will hear about this strategy applied to people living with chronic pain, cancer and a transdiagnostic group with a wide range of health conditions. You will hear about the comparative importance of constructs such as acceptance, illness beliefs and appraisals, coping strategies, cognitive fusion and self-compassion. We will also present the results of a novel intervention study, taking a transdiagnostic, group-based approach to people with diverse chronic health conditions.

• The Relationship between Acceptance, Catastrophising and Illness Representations in Chronic Pain
Nuno B. Ferreira, University of Edinburgh
Sujata Bose, NHS Tayside
Tammy Esrich, Worcestershire Health & Care NHS Trust
David Gillanders, University of Edinburgh

Cognitive and acceptance based approaches are used to help people live with chronic pain, though its unclear how these constructs relate to each other. In this cross sectional study of 150 people with chronic pain we examined how illness appraisals relate to catastrophising and acceptance of chronic pain. This study further examined how these processes relate to emotional and physical functioning in chronic pain. A distinct pattern of mediation was observed. The relationship between pain and distress was mediated by representations of pain as a highly emotive experience and by catastrophising; but not by acceptance. The relationship between pain and disability was mediated by acceptance and beliefs about consequences, but not by catastrophising. Different approaches to chronic pain rehabilitation emphasise different targets (changing illness representations and reducing catastrophising vs. acceptance and behavioural activation). This cross sectional study suggests that these processes may differentially influence outcomes.

• Self-Compassion, Cognitive Fusion, Mental Adjustment and Avoidance as Predictors of Distress and Quality of Life in Adults with Cancer
Ashleigh Sinclair, NHS Tayside
Margaret McLean, NHS Grampian
Kirsten Jardine, NHS Grampian
David Gillanders, University of Edinburgh

This study explored the predictive power of self-compassion and cognitive fusion in determining distress and quality of life in cancer patients, in comparison to the well established predictors: mental adjustment and coping styles. A quantitative cross-sectional design was used. 114 adults with various cancer diagnoses completed measures of mental adjustment to cancer, coping, self-compassion, cognitive fusion, distress and quality of life. Hierarchical multiple regression was used to explore relationships between predictor variables, distress and quality of life. Although all predictors were individually related to distress and quality of life, in the final model only Cognitive Fusion and Emotional Avoidance were found to be significant predictors of distress, and Emotional Avoidance was the only significant predictor of quality of life. Interventions focused on reducing cognitive fusion and emotional avoidance, such as Acceptance and Commitment Therapy may be warranted in this population.

• Better Living with Illness: A Transdiagnostic Acceptance and Commitment Therapy Group for People with Chronic Illness
Linsay Brassington, NHS Fife / University of Edinburgh
Nuno B Ferreira, University of Edinburgh
Shona Yates, NHS Fife
David Gillanders, University of Edinburgh

Chronic illness is on the rise and is associated with increased risk of psychological problems. Functional commonalities across physical conditions suggests a transdiagnostic psychological intervention may be beneficial. An Acceptance and Commitment Therapy (ACT) group intervention was evaluated for people with chronic physical health problems. Participants with long-term health conditions were invited to an ACT group (n=53). Measures were completed at assessment, pre, post and 3-month follow-up. These assessed anxiety and depression symptoms, health perceptions, values-based living and acceptance. Period from assessment to pre intervention served as a control. Depression and anxiety symptoms reduced significantly from pre to post, compared to control period. Significant improvements were found in values-based living and acceptance, even though perception of health status did not change significantly. Group-based ACT interventions may be beneficial for chronic illness and can be delivered transdiagnostically.

Educational Objectives:
1. Compare traditional and third wave constructs in their relationship to outcomes for people with chronic illness. 2. Appreciate functional commonalities across diverse health conditions. 3. Understand the contribution of cross sectional research to treatment development.

 

32. Toward a Coherent Model of Scientific Progress: Translational Research in Contextual Behavioral Science
Symposium (14:45-16:15)
Components: Original data
Categories: Clinical Interventions and Interests, RFT, Translational research
Target Audience: Interm.
Location: Room 30341

Chair: Brooke M. Smith, Utah State University
Discussant: Michael E. Levin, Utah State University

One of the main aims of Contextual Behavioral Science is to create a reticulated, coherent model of scientific progress (Hayes, Barnes-Holmes, & Wilson, 2012). To this end, and for the benefit of science more generally, it is essential that our applied technologies be based on well-articulated theory supported by empirical evidence. It is also essential that issues encountered in applied practice help to guide the research questions asked in basic science laboratories. In order to achieve this level of coherence, we must bridge the gap between basic and applied science. This can only be achieved through ongoing communication and a specific focus on the translation of findings in one domain to that of the other. The papers in this symposium highlight ongoing work aimed at bridging the basic and applied domains through the application of translational research methods.

• Effects of Differential Rates of Alternative Reinforcement on Resurgence of Human Avoidance Behavior: A Translational Model of Relapse in the Anxiety Disorders
Brooke M. Smith, Utah State University
Michael P. Twohig, Ph.D., Utah State University

CBT is considered the gold standard in anxiety disorder treatments (e.g., Olatunji, Cisler, & Deacon, 2010). However, response rates remain relatively low (Hofmann, Asnaani, Vonk, Sawyer, & Fang, 2012), and relapse is not uncommon, especially during long-term follow-up (Durham, Chambers, Macdonald, Power, & Major, 2003). Basic researchers traditionally conceptualize the mechanism of exposure as Pavlovian extinction, but this may overlook the important role of operant processes. Resurgence has been used as a model for investigating the elimination and relapse of operant behavior and may provide a promising analogue of treatment. Animal research has shown that, while higher rates of alternative reinforcement result in more comprehensive extinction of target behavior, they also result in greater resurgence once reinforcement has been removed (e.g., Sweeney & Shahan, 2013). This finding is somewhat counterintuitive and could have important implications for clinicians; however, it has yet to be investigated in humans or with respect to negatively reinforced avoidance behavior. This study takes a translational approach to investigating the effects of high and low rates of positive reinforcement of alternative behavior on extinction and resurgence of positively and negatively reinforced target behavior in humans using a computerized analogue computer task.

• Transformation of Extinction Functions Through Derived Relational Networks
Nolan Williams, University of Louisiana, Lafayette
Emily Sandoz, Ph.D., University of Louisiana, Lafayette

Avoidance is implicated in a variety of psychopathologies. As humans we have the unique ability to relate stimuli to one another in such ways that the functions of some stimuli can be changed based on their relationships with other stimuli. Research has recognized that if one stimulus of a relational network of equivalence acquires a fear eliciting function that this function will transfer to the other members in the same network. It has also been suggested that extinction of fear elicitation might transfer throughout relational networks, though the conditions under which this might occur are not well understood. This process can contribute to human suffering because it can lead to widespread avoidance and prevent us from living meaningful lives. The purpose of this study was to learn more about how extinction might transfer through derived relational networks and if so whether or not avoidance responding to these stimuli would cease. Results from this work could provide useful insights for exposure treatments.

• Examining Paranoia in a Non-Clinical Population Using the Implicit Relational Assessment Procedure (IRAP)
Corinna Stewart, M.A., National University of Ireland, Galway
Ian Stewart, Ph.D., National University of Ireland, Galway
Yvonne-Barnes Holmes, Ph.D., National University of Ireland, Maynooth

Recent research has indicated that paranoia is a complex, multi-dimensional phenomenon that exists on a continuum with normal experiences. This suggests that researching non-clinical paranoia may inform the understanding of clinical paranoia. Some have argued that the dimensions of distress, preoccupation, and conviction, as well as appraisals of paranoiac experiences, may be more relevant than the content of the belief alone with respect to situating an individual on the continuum from health to psychopathology. Recently, RFT researchers have demonstrated that the IRAP is a valuable measure for examining a range of factors in relation to clinically-relevant phenomena, including depression, OCD, and voice-hearing. The current paper reports analogous work focused on paranoiac experiences in a non-clinical population which involved collecting IRAP measures of affective responding (e.g., distress) and appraisals/cognitions (e.g., “I need to be on my guard”) in response to paranoiac stimuli. The implications of how particular patterns of responding may inform our understanding of paranoia will be discussed.

Educational Objectives:
1. Explain the importance of bridging basic and applied scientific domains. 2. Provide specific examples of findings from basic science that inform applied science and practice. 3. Describe current approaches to translational research methodology.

 

33. Mindfulness & Acceptance with Children and Parents: Italy Chapter Sponsored
Symposium (14:45-16:15)
Components: Conceptual analysis
Categories: Educational settings, Prevention & Comm.-Based, adhd, mindfulness, defusion, parent training, stress
Target Audience: Beg., Interm.
Location: Nizza

Chair: Francesca Pergolizzi, IESCUM, Parma,
Discussant: Lisa Coyne (tentative), Harvard Medical School, U.S.

The symposium ACT4KIDS includes three papers illustrating recent and innovative developments in the field of act ad applied to children's and parent's sufferance.The first research paper will discuss the validation process of CAMM and AFQ-Y with a sample of Italian adolescents as they are representative of the Northern and Southern regions of Italy. The second paper presents an innovative ACT oriented group training to promote psychological adjustment and flessibility in children with cognitive and behavioral disorders.In the last paper the data of a new protocol of an act oriented parent training for young children with ADHD vs CBT traditional parent training will be discussed. All the contributes are the product of SIG ACT for kids and teens, which since 2010 is committed to studying and disseminating ACT in clinical and non clinical contexts.

• ACT Assessment with Children and Adolescents: The Italian Version of AFQ-Y and CAMM
Arianna Ristallo, Università IULM, Milano
Marta Schweiger, Università IULM, Milano
Sara Della Morte, Università IULM, Milano
Giovambattista Presti, Ph.D., M.D., Università Kore, Enna
Francesca Pergolizzi, Ph.D., ESCUM, Parma

To date there is no validated Italian questionnaire to measure psychological flexibility in adolescents. The aim of the study is to assess the psychometric properties of The Avoidance and Fusion Questionnaire for Youth (Greco, Lambert & Baer, 2008) and of The Child and Adolescence Mindfulness Measure (Greco, Baer & Smith, 2011), two self-report measures based on ACT conceptual and clinical framework. Study population. 433 Italian students from different part of Italy, age 11-18 (mean= 13.79 sd=1.54), 39.1% male, 60.5% female. Instruments. AFQ-Y, CAMM, Child Behavior Checklist Youth Self Report (Achenbach, 2001) and Youth Quality of Life Questionnaire (Patrick & Edwards, 2002). Statistical analysis. Data show good internal consistency of AFQ-Y and CAMM (Cronbach's Alfa = .79) For AFQ-Y the EFA suggested a 3 factors solution that accounted overall for 44.24 % of the variance. For CAMM the EFA suggested a 1 factor solution that accounted for 42.88 % of the variance. Correlations among instruments were explored. Discussion. Results show that the Italian version of AFQ-Y and CAMM are consistent with the ACT model and have good psychometric properties. Results also indicate that higher level of psychological inflexibility and poor mindfulness skills are related to anxiety, psychopathological symptoms and with a lower quality of life. Implication for clinical practice and future research will be discussed.

• The Next Generation of ADHD Child Training: From Impulsive Behavior to Mindfulness for Value-Based Choices
Laura Vanzin, Psy. D., Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
Valentina Mauri, Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
Maria Enrica Sali, Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
Arianna Bonfanti, Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy
Giovambattista Presti, Ph.D., M.D., KORE University, IESCUM, Italy
Massimo Molteni, M.D., Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) face many difficulties in paying attention, regulating emotions and controlling impulsive and automatic responses. Several types of psychological intervention have been developed to target difficulties of children with such diagnosis. In recent years research about the effects of mindfulness-based approaches showed promising results in reducing attention and behavioral problems. The aim of this work is to present the structure and the first results of an experimental, group-based, Acceptance and Commitment Training-oriented program for children and adolescents aged 8-13 with a primary diagnosis of ADHD. In this program awareness of the present moment, defusion and acceptance of the emotions are promote in order to diminish immediate response to thoughts and feelings with the final goal to help children reduce impulsive behavior and increase value-oriented choices. Perspective taking exercises are introduced to foster empathy and social sensitivity.

• ACT - Enhanced Behavioral Parent Training for Parents of ADHD Children
Anna Prevedini, Ph.D., IULM University Milan; IESCUM Italy
Francesca Pergolizzi, Ph.D., Iescum, Parma
Laura Vanzin, Psy.D., Istituto Scientifico Eugenio Medea IRCCS – Bosisio Parini -Italy
Giovambattista Presti, Ph.D., M.D., KORE University Enna; IESCUM Italy
Annalisa Oppo, Psy.D., IESCUM, ITALY
PAOLO MODERATO, Ph.D., IULM University, IESCUM ITALY

The present research attempts to enhance a Cognitive-Behavioral Parent Training (CB-PT) manualized protocol for parents of children with Attention Deficit/Hyperactivity Disorder (ADHD) with Acceptance and Commitment Therapy (ACT based Behavioral Parent Training; ACT-BPT), used as a way to foster psychological flexibility and reduce parents’ psychological barriers that may both restrict new behavior management skills acquisition, and reduce a regular parents’ attendance of the training. 51 parents of ADHD children, were assigned by convenience either to a twice-monthly 12-session CB-PT (n=35) or to a twice-monthly 12-session ACT-BPT (n=16). Participants were assessed with sellf-report measures of children’s problem behaviors, parents’ psychological well being and parents’ ACT processes. 13 participants to the ACT-BPT and 15 to the CB-PT completed the training. Drop-out was higher in the CB-PT group (18,7%) than in the ACT-group (57,14%) (c2 = 6.537; p=0.015), namely the attrition rate was about six-times higher (OR=5.77; 95% CI: 1.39 – 23.97) in the CB-PT group than in the ACT-BPT group. Our pre-post intervention results was that the ACT-BPT group showed significant differences at 14 sub-scales of the measures of children’s problem behaviors, showing an improvement. Meanwhile, only 3 sub-scales of children’s problem behaviors showed significant differences in the CB-PT group. No pre-post differences intervention emerged in the measures of parents’ wellbeing in both groups. Regarding processes measures, only MAAS showed significant pre-post intervention differences only in ACT-BPT group, and not in the expected direction, showing a reduction in mindful awareness and attention (z=-3,07, p=0,002). Results will be discuss in the light of process considerations and methodological limitations of the research and some key points for future investigations will be pointed out.

Educational Objectives:
1. Highlighting the peculiar features of ACT application with young people, particularly the need of balancing ecological value and creativity, and experimental control. 2. Describing different perspectives and outocomes between traditional CBT parent training and ACT training to cope with complex interactions with problematic sons. 3. Extending the international validity and applicability of CAMM and AFQ-Y and share these new tools with scientific community.

 

34. Programs for Children and Parents: Implementation and Effectiveness
Symposium (14:45-16:15)
Components: Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, ACT for childhood anxiety, Mindfulness, pregnancy, psychological flexibility, anxiety, depression
Target Audience: Beg., Interm.
Location: Cannes

Chair: Helen Bolderston, Ph.D., Bournemouth University, UK
Discussant: Giovambattista Presti, MD, PhD, Kore University, Enna (Italy)

To date, applications of ACT have concentrated predominantly on adult problems and populations. However, there is growing empirical support for ACT interventions for children and parents. This symposium presents three studies that evaluate intervention for young people with anxiety, pregnant women and parents in Uganda. The first study describes and evaluates an ACT treatment for children and adolescents with anxiety. The second study explores the effectiveness of a brief mindfulness-based intervention for pregnant women in terms of awareness and perceived stress. Finally, the third study presents a parenting program to improve child nutrition and stimulation in Uganda. Program dissemination and evaluation will be discussed.

• The “ProACTive” program for children with anxiety disorders – longitudinal data and community dissemination
Angela Dixon, PhD, Children's Hospital Westmead, Sydney, Australia
Jessica Swain, MPsych, University of Newcastle, Newcastle, Australia
Karen Hancock, PhD, Children's Hospital Westmead, Sydney, Australia
Siew Koo, M.Psych, Children's Hospital Westmead, Sydney, Australia
Cassandra Hainsworth, M.Psych, Children's Hospital Westmead, Sydney, Australia
Karen Munro, M.Psych, Children's Hospital Westmead, Sydney, Australia

Anxiety disorders are among the most common psychological problems experienced by children and adults worldwide. Around 75% of adult sufferers develop anxiety during childhood, making early identification and intervention crucial. This paper describes “ProACTive” - an ACT treatment for young people with anxiety using a CBT framework. ProACTive is a manualised, group treatment program developed for children (7 – 11 years) and adolescents (12 – 17 years) and empirically validated via the first randomised-controlled trial of its kind (N=158). Results of post-treatment and three-month follow-up demonstrated significant improvements compared to wait-list controls, and comparable gains to children receiving CBT only. Two-year follow-up results will also be presented, demonstrating maintenance of gains over time. Discussion of program dissemination and evaluation from the hospital setting into the public schools will also be included. This program is an evidence-based alternative to CBT that can be implemented for a pervasive psychological problem across a variety of contexts.

• Being a mindful mother: Application and efficacy of a brief mindfulness-based intervention on a pregnant women sample
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive, AISCC
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive, AISCC
Valentina Carloni, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive, AISCC
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive, AISCC

Pregnancy and puerperium are characterized by deep biological and psychological changes, usually combined with thoughts, feelings and concerns about three main aspects: pregnant’s bodily experience and the representation of herself as a mom; expectations towards the future child; relationship with the partner. A non-clinical sample of pregnant women enrolled between 17 and 35 weeks gestation compiled a set of questionnaires assessing psychological wellbeing, anxiety, depression, mindfulness abilities and psychological flexibility. Then, they participated to a four-week mindfulness-based intervention aimed to increase their awareness and psychological flexibility. A week later, the future moms repeated the measures compilation to verify the intervention effectiveness. The current study shows that, for a pregnant woman, keeping present and aware about the changes, observing her thoughts and feelings without necessarily act on them and looking with curiosity and openness her own fears and concerns have important positive implications on psychological wellbeing.

• Integrating contextually-relevant behavioural science across maternal mental health and child stimulation practices in rural Uganda
Daisy Singla, Ph.D., McGill University

INTRODUCTION: In the last decade, a number of parenting programs have been effectively implemented in low- and middle-income countries (LMIC) to improve child nutrition and stimulation, two primary contributors to poor child development (Walker et al., 2007). Because young children are especially vulnerable and dependent on their mothers for nutrition and stimulation, researchers now also acknowledge the importance of maternal mental health on child development (Rahman et al., 2013). Brief, integrated programs have rarely been implemented; one challenge to integrating maternal mental health along with stimulation may be a coherent set of contextually-relevant practices. The objective of the current study is to examine how various psychotherapeutic techniques, under the message of ‘love and respect’, were adapted and incorporated in one theory-informed, parenting program in rural Uganda. METHOD: The current study took place within a larger cluster effectiveness trial in Lira, Uganda which found benefits to child development among children 12 to 36 months, and reduced their mothers’ depressive symptoms (Singla, Aboud & Kumbakumba, in review). 12 intervention clusters within community-based settings targeted parents on five key messages (diet, hygiene, play, talk and love and respect to promote mothers’ relationships with herself, her child and spouse) and were compared to 12 wait-list control clusters. Semi-structured interviews were conducted at midline with peer delivery agents (n=12) and mothers (n=31) who participated in the parenting program and at endline with supervisors (n=4). Content analysis was used to analyze qualitative data in terms of barriers and facilitators in relation to intervention content and delivery strategies. Recipient data on recall and enactment of practices along with their barriers and facilitators were coded and analyzed statistically. RESULTS: Among the five key program messages, ‘love and respect’ was the most practiced, easiest to implement, and mothers reported the most internal facilitators for this message. The common strategies shared by stimulation and maternal depression interventions allowed delivery agents to integrate seamlessly the two sets of messages using similar active-interactive techniques for behaviour change. Specifically, interactive and active strategies based on social cognitive learning theory, namely role play with peers, practice with children and problem-solving were reported as facilitators to intervention delivery. Home visits and the presence of an established NGO were also perceived to foster the therapeutic alliance between delivery agents and participants. DISCUSSION: Our results highlight the shared basis of social cognitive learning strategies among techniques used in maternal mental health and parenting stimulation interventions in LMIC communities. These findings are important to improve the content, delivery, and integration of contextual behavioural science in mother-child interventions in LMIC settings.

Educational Objectives:
1. Explain the ProACTive treatment program for children and adolescents with anxiety disorders, including utilization in a variety of contexts. 2. Conduct a brief mindfulness-based intervention on pregnant women 3. Describe the use of evidence-based psychological techniques within a theory-informed parenting framework in low-resource, global context.

 

38. Moving Forward on a Contextual Approach to Public Health
Symposium (16:30-17:45)
Components: Conceptual analysis, Original data
Categories: Prevention and Community-Based Interventions, Related FC approaches, Public Health and Prevention
Target Audience: Interm.
Location: Strassburg

Chair: Anthony Biglan, Oregon Research Institute
Discussant: Michael Twohig, Utah State University

This symposium will describe how contextual behavioral science can contribute to fulfilling its mission of creating a science that is “more adequate to the challenge of the human condition” (Hayes, Barnes-Holmes, & Wilson, 2013) by incorporating key elements of the public health framework. The symposium will present a public health framework for conceptualizing human wellbeing and sketch its implications for affecting wellbeing in entire populations. It will then present three examples of functional contextual research on three different aspects of wellbeing in populations. The symposium will begin with an introduction to the public health framework. Public health evolved out of often desperate efforts to control infectious diseases. However, the principles of tracking the incidence and prevalence of a disease, testing interventions to affect incidence and prevalence, and widely implementing programs, policies, and practices that affect the problem are relevant to virtually any problem of human wellbeing. We will then introduce the three papers to be presented and mention how they fit with the public health framework.

• A Public Health Approach to Increasing Psychological Flexibility
Andrew Gloster, Ph.D., University of Basel, Department of Psychology, Division of Clinical Psychology and Epidemiology

This presentation will review the evidence on role of psychological flexibility in a range of psychological and behavioral problems. First, data from a representative sample of Switzerland (n=1035) will be examined. These data are some of the first nationally representative data collected and thus allow important predictions of population level trends. For example, these data will test the impact and importance of psychological flexibility as a moderator between “predictors” such as experienced adversity, stress, age, etc and “outcomes” such as mental distress, health-care seeking, exercise, nutrition, and well-being. Second, an example of “scaling-up” will be presented in which “highly stressed” people self-referred from an insurance company to take part in an online self-help program without any therapist contact. These data will be discussed within the context of developing a strategy for increasing the prevalence of psychological flexibility in entire populations.

• Targeting Prejudice/Stigma at a Public Health Level
Michael Levin, Utah State University
Jason Lillis, Weight Control and Diabetes Research Center, The Miriam Hospital/Brown Medical School
Jack Haeger, Utah State University

Prejudice and stigma are a key source of human suffering and conflict, affecting those belonging to a breadth of marginalized groups, be it based on race/ethnicity, religion, sexual orientation, psychological problems, weight, and so on. This presentation will explore a CBS approach to targeting prejudice/stigma, with an emphasis on how psychological flexibility might be applied and how such efforts could be scaled up to impact large numbers. Relevant research will be reviewed that highlight and extend the role of psychological flexibility processes in prejudice/stigma reduction including motivations to control prejudiced reactions, generalized prejudice, inter-group contact, perspective taking/empathy, and aversive racism. Based on this literature, potential methods for scaling up psychological flexibility interventions will be explored both in reducing prejudice/stigma and supporting those who are its target (e.g., coping with micro-aggressions, enacted stigma, self-stigma). Challenges in translating existing interventions to this area will be identified along with areas for future research.

• Internet-Delivered ACT in the Treatment of Sleeping Problems – Acceptability and Participant Experiences
Päivi Lappalainen, University of Jyväskylä, Finland
Raimo Lappalainen,, University of Jyväskylä, Finland
Sitwat Langrial, University of Oulu, Finland
Harri Oinas-Kukkonen,, University of Oulu, Finland

Introduction: Insomnia and sleep disorders are a common problem: about a third of the general population suffers from symptoms including difficulties in cognitive performance and psychological distress. Therefore, it is important to develop cost-effective and easily available methods to treat sleeping disorders. One of the possible treatment alternatives could be web-based interventions. Objectives and Methodology: The purpose of this RCT-study (N=86) was to determine the impact of a six-week non-guided web-based intervention based on Acceptance and Commitment Therapy on insomnia and dysfunctional beliefs about sleep. In addition, the aim was to investigate how people suffering from sleep problems accept a web-based treatment program without any support. Results: The results indicate that the web-based sleep intervention was well-received. The intervention impacted positively the quality of sleep and dysfunctional beliefs and attitudes about sleep. However, the between group effect sizes were small when compared to WLC. Discussion and Conclusion: Internet-delivered ACT for sleeping problems combined with weekly reminders was well-accepted by the participants.

Educational Objectives:
1. Educational Objective: Understand how ACBS principles can fit into a public health framework and identify examples. 2. Educational Objective: Learn potential ways psychological flexibility could be applied to target prejudice and stigma at a large scale. 3. Educational objective: Describe and understand how Internet-based interventions targeting psychological flexibility could be applied for larger populations.

 

39. Brief ACT Interventions: Understanding their benefit and processes of change: Mexico Chapter Sponsored
Symposium (16:30-17:45)
Components: Original data, Didactic presentation, Case presentation
Categories: Prevention and Community-Based Interventions, Clin. Interven. & Interests, Performance-enhancing interventions, Superv., Train. & Dissem., Other, Self-help and subclinical measures, Borderline Personality Disorder, depression
Target Audience: Beg., Interm., Adv.
Location: Room 30241

Chair: Lucia Engeli, Ph.D., Kantonsspital Aarau
Discussant: Kirk Strosahl, Central Washington Family Medicine

This symposium presents three studies that evaluate brief interventions in individual and group settings, based on ACT, DBT and FAP, using diverse populations. The first study tests the effect of a 6 hour protocol for social anxiety disorder. The second study compares DBT, ACT and ACT/FAP interventions for Borderline personality disorder against each other. Finally, the third study aims to examine the long-term benefits of a 4-session ACT-based intervention for depressive symptoms. Emerging data suggest the efficacy of these brief interventions. Study contributions, limitations and future directions will be discussed.

• Testing delivery modes for brief self-help for negative thinking.
Andreas Larsson, PhD, Private Practice
Nic Hooper, University of West England

Kazdin and Blase (2011) suggests self-help interventions as a possible prevention tool for the challenge that is the vast amount of suffering due to mental health problems. in The presented studies two techniques for coping with negative thoughts: cognitive restructuring and cognitive defusion are compared for relative effectiveness. The difference between the two studies were in delivery (i.e., one to one vs. online). In both studies participants were either provided with a cognitive restructuring, defusion or no instruction control technique to manage a personally relevant negative thought. Participants were reminded, via SMS messages, to use their assigned strategy in managing the thought across a five-day period. Pre- and postmeasures were the (1) believability, (2) comfort, (3) negativity and (4) willingness to experience their unwanted thought. The results indicate that both restructuring and defusion were effective in decreasing the believability and negativity, and increasing comfort and willingness to have the negative thought. Further analyses suggested that defusion tended to be more helpful than restructuring across all four domains and both delivery methods but that face-to-face delivery was more effective than online. The findings are discussed in terms of the efficacy of using defusion as a preventive strategy for managing unwanted thoughts.

• Comparison of 4 Brief Contextual Behavioral Interventions for Borderline Personality Disorder, the process of building an empirically supported treatment as usual.
Michel Reyes Psy.D., Contextual Science and Therapy Institute (Mexico City), National Institute of Psychiatry Ramon de la Fuente
Nathalia Vargas Psy.D., Contextual Science and Therapy Institute (Mexico City), National Institute of Psychiatry Ramon de la Fuente
Edgar Miranda M.Ps., Instituto de Terapias Contextuales (Mexico D.F.), Instituto Nacional de Psiquiatría Ramón de la Fuente

This paper describes the process of developing an empirically supported TAU for BPD in Mexico’s National Institute of Psychiatry. Four brief interventions (N=35 each) where assessed. A DBT informed treatment (individual + group sessions) was compared to an ACT treatment (individual + group) that showed better (but no statistically significant) impacts in BPD symptom severity, difficulties in emotion regulation, psychological flexibility, attachment, experience of self and significant less attrition and emergency services use at posttest. This same treatment was statistically superior in all variables (p≤.01) compared to an ACT therapy consisting only of the group sessions. Finally a mixed ACT/FAP intervention (individual + group sessions) showed better clinical impacts and was statistically superior (p≤.01) in attachment and treatment adherence, becoming the current TAU of the institution. Treatments characteristics and study design are described; and study contributions, limitations and future directions discussed.

• What happens after five years? - The long-term effects of a 4-session ACT-based intervention for depressive symptoms
Aino Kohtala, M.A., University of Jyväskylä; Kuopio Psychiatric Center
Raimo Lappalainen, Ph.D., University of Jyväskylä

Subclinical mood problems as well as clinical depression are at the top of the list in the most common psychological problems among clients seeking for psychological services (e.g. Kessler, Chiu, Demler, Merikangas, & Walters, 2005). Cognitive-behavioral therapies have been reviewed as empirically supported treatments for depression (Hollon & Ponniah, 2010), but there is uncertainty regarding the long-term benefits. The objective of our study was to examine the long-term (5-year) effects of a 4-session ACT-based intervention for depressive symptoms. Beyond the numerical data we are also interested in client experiences and how clients see the possible effect of those four meetings to their well-being. Originally 57 self-referred clients were randomized in two groups: treatment and waiting-list control, which was treated later with similar positive outcomes (Kohtala et al., in press). The groups were combined for the 6-month (n = 52) and 5-year (n = 30) follow-ups. The results show no difference between the post- and both of the two follow-up measurements indicating the maintenance of the treatment effect among 50% of the original clients. With-in group effect size (pre to 5-year follow-up) varied from 0.7 to 1.6 depending on the measure.

Educational Objectives:
1. Describe the relative effectiveness of defusion in guided and online self-help for negative thoughts. 2. Explain the different benefits and limitations of group, individual and combined intervention for BPD. 3. Discuss the future implications ofclient experiences and treatment outcomes.

 

40. Experimental analysis of brief Mindfulness and Defusion-based interventions
Symposium (16:30-17:45)
Components: Original data
Categories: Performance-enhancing interventions, Clin. Interven. & Interests, Beh. med., RFT, Mindfulness, Defusion, Online, Component Analysis
Target Audience: Interm.
Location: Room 30341

Chair: Luis Jorge Ruíz-Sánchez, Universidad de Almería
Discussant: Steven C. Hayes, University of Nevada

This symposium aims to present studies in the area of clinical protocol analysis. All three experiments analyze the key characteristics of their interventions and explain their results from a Relational Frame Theory (RFT) perspective. The first study examined the necessary amount of interactions in an online Acceptance and Defusion protocol in order to affect the participant’s behavior. The second study analyzed whether the use of first person and second person to refer to the participants’ thoughts during a Defusion interaction would change its efficacy. And the third study realized a detailed analysis of a mindfulness exercise, the Focused Breathing Exercise (FB) and suggested two key elements that may be responsible of its efficacy in controlled laboratory settings. Overall, these studies show that a detailed, RFT-based analysis of clinical protocols may enable to understand basic processes that operate in them and generate more efficient practices in the future.

• Analysis of Brief Online Acceptance and Defusion-Based Interventions
Karoly Kornel Schlosser, M.A., Goldsmith University of London
Nikolett Eisenbeck, M.A., Universidad de Almería

ACT is increasingly used in online interventions, however, it is still not completely clear what type of alterations are needed in order to adopt protocols to this platform. Therefore, the aim of the present study is to examine the efficacy of two ACT-based online protocols. 90 healthy participants were randomly assigned to an Acceptance and Defusion protocol (AD 1), a limited Acceptance and Defusion protocol (AD 2) and a non-intervention Control condition. Differences between AD 1 and AD 2 were based on the level of interaction required to complete from the participant. Effects of protocols were assessed by a cognitive test, manipulation checks and mood evaluations. Results suggested the superiority of AD 1 in cognitive performance and mood evaluations compared to the remaining two conditions. Results are discussed from a contextual-functional approach.

• Effects of Using the First and Second Person in Defusion Interactions
Víctor Callejón Ruiz, M.A., Universidad de Almería
Carmen Luciano, Ph.D., Universidad de Almería

This study analyzes the effects of using the first and second person to refer to the participants’ thoughts during a defusion interaction. Firstly, 30 participants realized a stressful task and their aversive task-related thoughts were collected. Secondly, they were randomly assigned to one of three conditions: First Person (FP), Second Person (SP) and Control. Participants received, respectively, a condition-consistent protocol. Thirdly, they repeated the stressful task. During the task they were listening their own aversive thoughts form an audiotape either in first or second person, depending on the experimental condition they were assigned to. In Control, the participants listened to a neutral audiotape. Fourthly, they repeated the task, but participants in FP listened their thoughts in second person and participants in SP listened them in first person. Self-reported measures and task performance suggested that the use of different persons during a defusion exercise may alter its effects.

• Component Analysis of the Focused Breathing Mindfulness Exercise
Nikolett Eisenbeck, M.A., Universidad de Almería
Carmen Luciano, Ph.D., Universidad de Almería
Sonsoles Valdivia-Salas, Ph.D., Universidad de Zaragoza
Juan Carlos López López, Universidad de Almería

The aim of the present study was to examine the components of the focused breathing mindfulness exercise (FB). It was analyzed whether removing certain elements of the exercise would change its efficacy. 62 healthy, mindfulness-naïve undergraduate students were randomly assigned to four conditions: FB, FB without attention refocusing practice of (FBWF; removal of hierarchical frame and behavior regulation cues), FB without connections with the experimental task (FBWC; removal of coordination frame cues with the task) and Control. The study used a pre-post design with the following outcome measures: the computerized version of the Paced Auditory Serial Addition Task (PASAT-C) along with measures of self-reported dysphoria and mood levels. Results showed that enhanced post-test performance on PASAT-C and lower post-test dysphoria levels could only be observed in the FB condition, indicating that the removed elements may be central parts of the exercise. Findings are discussed from a contextual-functional approach.

Educational Objectives:
1. Relational Frame Theory-based analysis of clinical protocols. 2. Explanation of basic processes in clinical interventions. 3. Enhancement the efficacy of defusion and mindfulness-based techniques.

 

41. Advances in ACT for Psychosis: Adaptations, Expansions, Adherence and Mechanisms
Symposium (16:30-17:45)
Components: Original data
Categories: Clinical Interventions and Interests, Clin. Interven. & Interests, Psychosis, PTSD, therapy adherence, mechanisms of change
Target Audience: Beg., Interm.
Location: Nizza

Chair: Eric Morris, Ph.D., La Trobe University
Discussant: Louise Johns, King's College London

Recovering from psychosis can be a huge challenge. Along with unusual experiences (such as paranoia, hearing voices and delusional beliefs) and negative symptoms (motivation, diminished affect), people can struggle with changes in emotional wellbeing and sense of identity. Due to stigma, people can feel shame and alienation from their communities. Contextual behavioural science may have much to offer in tackling these challenges, for individuals, families, and communities. ACT as a psychological therapy for psychosis is being refined through empirical study. This symposium will present advances in adapting ACT across the stages of psychosis and helping with key problems (trauma, positive symptoms, depression). Evaluations of ACT in early intervention, acute inpatient and community settings will be presented. We will discuss how to assess that therapists are delivering ACT for psychosis with fidelity, and describe an evaluation of the mechanisms of change in brief ACT groups for people recovering from psychosis.

• Acceptance and Commitment Therapy in the Treatment of Comorbid PTSD and Psychosis: A Case-Series Analysis
Jens Einar Jansen, PhD, Psychiatric Research Unit & Early Psychosis Intervention Center Roskilde, Denmark

Background: Persons with psychosis often report high numbers of traumatic events both before and after the onset of illness. While post-traumatic symptoms are associated with more relapse, exacerbation of psychotic symptoms and reduced wellbeing, they are often overlooked in psychiatric services. Existing evidence-based interventions for PTSD also seem less equipped to deal with the complexity of comorbid psychosis and trauma. The aim of this study is to examine whether an ACT intervention is acceptable and effective in reducing PTSD symptoms in persons with psychosis. Method: A case-series analysis of four consecutively referred participants meeting ICD-10 criteria for a first-episode non-affective psychotic disorder and PTSD. Participants are offered a manualised ACT intervention of 12-15 sessions. The following measures will be administered at baseline, midway and end of treatment: BAI, BDI-II, IES-S, PCL-C and AAQ-II. Discussion: While ACT has shown promising results for the treatment of psychosis and PTSD separately, there are currently no studies on comorbid PTSD in persons with psychosis. Reducing PTSD symptoms in an early phase of a psychotic illness may reduce the risk of relapse and improve long-term recovery and wellbeing. This case-series could inform the choice of interventions in future larger scale studies.

• Assessing Therapist Fidelity in the ADAPT trial: A Pilot Trial of ACT for Depression after Psychosis
Ross White, PhD DClinPsy, University of Glasgow

The ADAPT trial is a is a pilot trial to determine the parameters of a larger, definitive multi-centre (UK wide) randomised controlled trial of Acceptance and Commitment Therapy for depression after psychosis (ACTdp). The trial has recruited individuals with a diagnosis of schizophrenia who also meet diagnostic criteria for major depression. The trial has investigated the (a) target Population (b) Intervention (c) Control and (d) Outcomes dimensions to inform building a future randomised controlled trial. Participants randomised to the ACT-intervention arm of the study have received up to 20 sessions of ACT. Two therapists have delivered the ACT intervention. Consent was obtained to make audio-recordings of the therapy sessions. This presentation will report on assessments of therapist fidelity made at the beginning and end of the ACT intervention with each of the participants, and the implications that this has for delivering ACT in the context of psychosis.

• Mechanisms of change in group ACT for psychosis: the ACT for Recovery trial
Eric Morris, Ph.D., La Trobe University
Emma O'Donoghue, DClinPsy, South London & Maudsley NHS Foundation Trust
Dr Joseph Oliver, Camden & Islington NHS Trust, London, UK
Louise Johns, King's College London
Suzanne Jolley, Ph.D., King's College London /South London & Maudsley NHS Foundation Trust

Acceptance and Commitment Therapy has demonstrate promise as a psychological therapy for people with psychosis. In offering choice to those accessing mental health services there is a need for interventions and formats that may engage a wide range service users, and be informed by recovery principles. In South London we developed ACT in a brief group format delivered in community settings that was found to be acceptable, accessible and improved well-being (the ACT for Life study). Building on this, we conducted the ACT for Recovery(ACTfR) trial, the first randomised controlled trial of ACT groups for people with psychosis (N = 51) and their carers (N=52). In this paper we will describe an evaluation of the mechanisms of change with these groups, with recommendations on the development of process measures in ACT for psychosis.

Educational Objectives:
1. Describe how ACT can be delivered in inpatient and community settings. 2. Explain several ways that treatment fidelity can be measured in ACT for psychosis studies. 3. Describe the adaptations of ACT as a potential intervention for trauma in first episode psychosis.

 

42. The Assessment of the six core processes: Development, Optimization and Validation of new Instruments
Symposium (16:30-17:45)
Components: Conceptual analysis, Literature review, Original data
Categories: Theoretical and philosophical foundations, Clin. Interven. & Interests, Prevention & Comm.-Based, Performance-enhancing interventions, Theory & Philo., Other, Measurement, Measurement & Practical Applications, Measurement of core ACT processes
Target Audience: Beg., Interm.
Location: Cannes

Chair: Nuno Ferreira, Ph.D., University of Edinburgh
Discussant: Maria Karekla, University of Cyprus

Acceptance and Commitment Therapy (ACT) emphasizes change across six core processes with the goal of promoting psychological flexibility (Hayes et al., 2006). Measures exist and are well-studied for some core processes, most notably mindfulness and values. However, these measures are often wordy, confusing, lengthy, or otherwise impractical for community settings. Moreover, processes such as committed action and self-as-context have few or no existing published measures. This presents a significant clinical research problem, with no way to fully assess process change in community, clinical, or global settings. This symposium presents three studies that developed and evaluated new instruments designed to assess ACT core processes or reviewed differences and their origins of existing measures. Implications for understanding the fundamental components of ACT and relation between measures and psychopathology and clinical interventions will be discussed.

• Experiential Avoidance: How Long Can We Keep Calm and Carry On?
Tamara Loverich, PhD, Eastern Michigan University

Experiential Avoidance (EA) is a key transdiagnostic construct and the most fundamental component of ACT, yet valid and reliable measurement of EA has been challenging. While the AAQ-II (Bond et al., 2011) was an improvement over its predecessors, it is not without problems, and the domain-specific versions, such as the AAQW (Lillis & Hayes, 2008), are psychometrically stronger than the general measures. Gamez et al. (2011) introduced a six factor measure of EA with improved psychometric properties, as well as a brief single factor version, the BEAQ, which also performs well. This looks like progress. However, each of these measures performs differently in studies examining EA. This paper reviews the differences and their origins, presents data from our lab and others that illustrates them, and discusses the implications for understanding EA and how it relates to psychopathology and clinical intervention. We conclude that the conflation of unwillingness and external behavioral avoidance is hampering our science.

• Initial Validation of the Hexaflex Process Assessment Scale
John T Blackledg, Morehead State University
Aaron Ellis, Morehead State University
Kellen Crager, Morehead State University

The current study evaluates the validity and reliability of a new self-report instrument designed to assess psychological processes central to Acceptance and Commitment Therapy, including acceptance, cognitive defusion, contact with the present moment, self as context, values, and committed action. Preliminary data in this ongoing study suggest the instrument correlates well with existing ACT process measures and may be a viable alternative in measuring changes in core ACT processes during interventions.

• Conceptual framework and design of a daily hexaflex measure: Development and results from a patient sample
Theresa Morgan, Ph.D., Brown University & Rhode Island Hospital
Kristy Dalrymple, Ph.D., Brown University & Rhode Island Hospital
Brian Pilecki, Ph.D., Brown University & Rhode Island Hospital
Catherine D'Advanzato, Ph.D., Brown University & Rhode Island Hospital
William Ellison, Ph.D., Brown University & Rhode Island Hospital
Mark Zimmerman, M.D., Brown University & Rhode Island Hospital

Acceptance and Commitment Therapy (ACT) emphases change across six core processes promoting psychological flexibility (Hayes et al., 2006). Measures exist and are well-studied for some core processes, most notably mindfulness and values. However, these measures are often wordy (e.g., items of upwards of 20 words each), confusing (e.g., double-barrelled items), lengthy (e.g., greater than 40 items), or otherwise are impractical for community settings. Moreover, processes such as committed action and self-as-context have few or no existing published measures. This presents a significant clinical research problem, with no way to fully assess process change in community, clinical, or global settings. We propose the first comprehensive 'hexaflex' measure by (1) identifying items from existing measures based on established psychometric properties (per Fossey, 2014) and (2) using cognitive interviewing (per Beatty & Willis, 2007) to adapt items based on participant feedback. The resulting items were administered daily to patients enrolled in an ACT-based partial hospital setting from February through May 2015. Results from each iteration of measure design will be presented, as well as the relation between final items, psychiatric symptoms, psychological flexibility, and functioning (measured daily and at intake/discharge). Patient feedback will also be discussed with implications for measurement design and implementation in community settings.

Educational Objectives:
1. Critique the construct validation and measurement of experiential avoidance. 2. Describe the development of a new, comprehensive ACT process measure. 3. Identify and describe common issues in measurement design for community settings, including psychometric, practical, and conceptual concerns. Assess the implications of construct validation for both the basic and applied science around experiential avoidance

 

 

Friday, 17 July

52. A Systematic RFT Analysis of Typical Defusion Exercises in ACT
Symposium (10:30-12:00)
Components: Original data
Categories: Clinical Interventions and Interests, RFT, Defusion, Relational Frame Theory, Acceptance and Commitment Therapy, Experimental tasks
Target Audience: Beg., Interm., Adv.
Location: Estrel Saal C7

Chair: Carmen Luciano, Universidad de Almería
Discussant: Niklas Törneke, Private practice

Defusion exercises are a very important part of Acceptance and Commitment Therapy (ACT). During the last few years, some studies have investigated the types of relational frames involved in typical defusion exercises (Luciano et al., 2011; Foody et al., 2013). The current symposium presents cutting-edge research that advances over previous studies by testing the effect of different relational components of defusion exercises. The first paper compares the effect of a control condition and two defusion protocols in dealing with cognitive tasks. Similarly, the second paper compares the differential effect of the two defusion protocols in tolerance tasks. Lastly, the third paper presents a further dismantling of the relational processes involved in defusion exercises and compared them in a single-case experimental design. Overall, the results of these studies are of great relevance to improve the defusion exercises typically used in ACT.

• Analysis of the Relational Frames Involved in Defusion Exercises and their Role on the Performance on Experimental Tasks
Juan C. López, Universidad de Almería
Carmen Luciano, Universidad de Almería

The aim of the current study was to analyze the efficacy of different relational cues involved in Defusion exercises on the performance on several tasks. Thirty-four participants performed were exposed to two experimental tasks which induced bodily discomfort and stress. Then, they were randomly assigned to three experimental conditions: Control, Defusion I and Defusion II. Control participants did not received any active protocol. Participants who received the Defusion I protocol performed exercises promoting flexibility and fluency in perspective taking to strengthen self-as-context using deictic cues. Lastly, participants in Defusion II performed the same exercises using not only deictic, but also hierarchical cues. Subsequently, participants were newly exposed to the two experimental tasks. Results indicate that all participants’ performance increased after the intervention; however, the Defusion II protocol showed better results than the other two conditions.

• The Differential Effect of Defusion Exercises Based on Deictic and Hierarchical Framing on Tolerance Experimental Tasks
Bárbara Gil-Luciano, Universidad de Almería
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Sonsoles Valdivia-Salas, Universidad de Zaragoza
Juan C. Suárez-Falcón, Universidad Nacional de Educación a Distancia

The study aimed to analyze the effect of two RFT-defined defusion protocols in altering the discriminative avoidant function of aversive private events. Thirty participants first responded to several questionnaires. Subsequently, they were exposed to two experimental tasks (pretest): a cold pressor test and the viewing of an aversive film. Participants were then randomly assigned to three experimental conditions: (a) a control condition, (b) a defusion protocol based on framing own behavior through deictic relations (Defusion I), and (c) a defusion protocol that also included hierarchical relations and giving regulatory functions to that discrimination (Defusion II). Lastly, participants were exposed again to the two experimental tasks (posttest). Results showed that participants who received the defusion protocols performed better in the posttest than the control participants and that participants in Defusion II showed higher tolerance than participants in Defusion I.

• Dismantling Relational Processes Involved in Defusion Exercises
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Carmen Luciano, Universidad de Almería
Juan C. Suárez-Falcón, Universidad Nacional de Educación a Distancia
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz
Bárbara Gil-Luciano, Universidad de Almería

This study aimed to further dismantle the types of relational framings involved in defusion exercises with a single-case experimental design. During baseline, forty participants were repeatedly exposed to two experimental tasks: a cold pressor test and the Paced Auditory Serial Addition Test. Afterwards, participants were randomly assigned to one of the following experimental conditions: (a) Defusion I that receive a protocol based on framing own behavior through deictic relations, (b) Defusion II which also included hierarchical relations, (c) Defusion III which also included giving regulatory functions to the discrimination of own behavior, and (d) Defusion IV which also included an in session practice. Lastly, participants were repeatedly exposed to the experimental tasks to analyze the effect of the defusion protocols. Results will be discussed according to relational processes that seem to improve the efficacy of defusion exercises.

Educational Objectives:
1. Assess the relevance of having an RFT account of typical defusion exercises used in ACT. 2. List the critical relational frames involved in defusion exercises. 3. Compare the differential efficacy of defusion protocols including all critical relational processes versus reduced versions of them.

 

53. Acceptance and Values-Based Approaches for Youth and Young Adults
Symposium (10:30-12:00)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, acceptance and commitment therapy; web interventions; university students, nursing student, wellbeing, stress, depression, you
Target Audience: Beg., Interm.
Location: Estrel Saal C8

Chair: Tobias Lungren, Ph.D., Licensed psychologist, psychotherapist, Department of Psychology, University of Stockholm, Sweden
Discussant: Päivi Lappalainen, University of Jyväskylä, Finland

Early detection and access to evidence based interventions at young age may prevent development of psychological problems. In this symposium we will discuss about ACT-based interventions and assessment methods targeting youth and young adults. We will present follow-up results and participant experiences from two ACT-based randomized controlled studies delivered in Finland and Sweden in a university setting. In addition, we will present data from a study examining the psychometric properties of the Avoidance and Fusion Questionnaire (AFQ-Y) on inpatient youth compared to a same age control in a school setting. Thus, based on the data demonstrated in three papers we will present examples for both assessment and intervention tools for youth and young adults.

• Internet-based guided self-help ACT intervention for Enhancing the Psychological Well-Being of University Students: Results from a 1-year Follow-up Assessment
Panajiota Räsänen, Department of Psychology, University of Jyväskylä, Finland
Päivi Lappalainen, Department of Psychology, University of Jyväskylä, Finland
Raimo Lappalainen, Department of Psychology, University of Jyväskylä, Finland

Background: Universities are challenged in employing psychological interventions that could address the needs of larger groups of students in an easily accessible and cost-effective manner. The current study investigated a web-based psychological intervention, aiming at enhancing the wellbeing of university students while also focusing on transdiagnostic processes that might both prevent and alleviate a wide range of mental health issues. Method: Finnish students (N = 68;19-32 years old) were randomized to either a blended 7-week ACT web-based intervention or to a waiting-list control condition. Participants received two face-to-face meetings and personal weekly written feedback online from trained coaches. Results 1-year follow-up showed that the program was well-accepted and was significantly effective in promoting general well-being, life satisfaction, mindfulness skills while significantly reducing self-reported stress and depression in students. Conclusion: An internet-based guided ACT self-help program could be an effective and well-accepted alternative in enhancing the well-being of university students.

• A Randomized Controlled Pilot Trial of Acceptance and Commitment Training (ACT) for Preventing Stress-Related ill Health Among Future Nurses – Results from One and Two Years Post-Intervention
Elin Frögéli, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Petter Gustavsson, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden

Data from a prospective national cohort study show that levels of psychiatric symptoms are higher among nursing students than among professional nurses. Levels of stress-related ill health increase during nursing education and the increase is particularly pronounced between the second and forth semester indicating a need for an early intervention. In the year or 2011 a randomized controlled pilot trial of a 6 x 2 hour ACT group intervention was initiated and evaluated in a sample of 113 nursing students. Results showed the intervention to decrease experiential avoidance and increase mindful awareness. These changes were shown to mediate reductions in perceived stress and burnout at post-intervention and at a three month follow-up. The nursing students were then followed until graduation and at the symposium data from between group- and mediation analyses one and two years post-intervention will be presented.

• Psychological Inflexibility in Adolescence: Evaluation of the Avoidance and Fusion Questionnaire for Youth
Fredrik Livheim, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden

Background: Efforts to control unwanted thoughts and feelings, also referred to as experiential avoidance (EA), appear to be associated with a diverse array of psychological and behavioral difficulties. Research shows that interventions that reduce EA and help people to identify and commit to the pursuit of valued directions are beneficial for ameliorating diverse problems in living (Biglan et al. 2008). Aim: There are two overarching aims with this study 1) Make a Swedish validation of the AFQ-Y, 17 items, (Avoidance and Fusion Questionnaire for Youth), and 2) Examine levels of experiential avoidance among incarcerated youth compared to a control group of youth in school setting. Method: Swedish inpatient youth aged 15-17 (N = 164) answered the AFQ-Y, 17 twice. Swedish youth in schools aged 14-16 (N = 32) answered the AFQ-Y, 17 twice. Results and Conclusion will be presented at this symposium.

Educational Objectives:
1. Describe and discuss how to promote wellbeing and alleviate psychological problems in young adults and other populations through ACT web-based interventions. 2. Long-term effects of an ACT group intervention targeting stress-related ill health among nursing students. 3. Be able to describe and discuss the concept of experiential avoidance.

 

56. The Power of Love: Using FAP's Model of Social Connection to Address Global Concerns
Symposium (10:30-12:00)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Superv., Train. & Dissem., Theory & Philo., FAP, social connection, racism
Target Audience: Beg., Interm., Adv.
Location: Room 30241

Chair: Robert J. Kohlenberg, Ph.D., University of Washington
Discussant: Michel A. Reyes Ortega, Contextual Science and Therapy Institute (Mexico City), National Institute of Psychiatry Ramón de la Fuente

Social connection has been shown to be a strong predictor of our physical and mental health, surpassing the predictive force of major public health concerns such as cigarette smoking, obesity or hypertension. Functional Analytic Psychotherapy’s (FAP) model of Awareness, Courage, and Love (ACL) attempts to integrate existing research with established behavioral principles to offer interventions focused on improving social connection. In this symposium, we will propose a behavior analytic conceptualization of the model. Additionally, we will apply the ACL model to describe functional processes underlying social functioning of people with visible chronic conditions. Lastly, we will present research that uses the ACL model to address racism and social connection in a non-clinical population.

• A Behavior Analytic Conceptualization of Awareness, Courage, and Love as Functional Response Classes
Adam M. Kuczynski, B.S., University of Washington
Rodrigo N. Xavier, M. A., University of São Paulo
Alessandra Villas-Boas, M.A. Sonia Meyer, Ph.D. Chad Wetterneck, Ph.D. Gareth Holman, Ph.D. Robert J. Kohlenberg, Ph.D Mavis Tsai, Ph.D, Glenn Callaghan, Ph.D., Jonathan W. Kanter, Ph.D.

The terms “Awareness, Courage, and Love” have been used recently to describe common clinical targets in Functional Analytic Psychotherapy (FAP). These terms, however, have been criticized for their lack of behavioral precision. Given FAP’s contextual behavioral underpinnings, it is important to conceptualize awareness, courage, and love as tools that aid in the service of predicting and influencing. In this paper, the authors present a behavior analytic conceptualization of awareness, courage, and love as functional classes of operant behavior relevant to the broad domain of social connection. We believe this model will aid contextual behavioral researchers who wish to empirically investigate the mechanisms within FAP.

• Using Awareness, Courage, and Love to Improve Social Functioning: A Theoretical Model to Improve the Lives of Those with Visible Chronic Conditions
Joanna E. Dudek, M. A., University of Social Sciences and Humanities
Jonathan W. Kanter, Ph.D., University of Washington
Mavis Tsai, Ph.D., University of Washington
Adam M. Kuczynski, B.S, University of Washington
Pawel Ostaszewski, Ph.D., University of Social Sciences and Humanities
Robert J. Kohlenberg, Ph.D Mavis Tsai, Ph.D, Glenn Callaghan, Ph.D., Jonathan W. Kanter, Ph.D.

Those who suffer from visible chronic conditions (e.g., psoriasis, obesity, lipoedema) experience stigmatization that may lead to feelings of shame and social isolation. In this paper, the authors propose a theoretical model that delineates the functional processes of social isolation with respect to this population. More specifically, we propose an intervention informed by Functional Analytic Psychotherapy’s (FAP) model of Awareness, Courage, and Love to help improve interpersonal behavioral repertoires that may lead to improved quality of life in these patients.

• Practical Applications of Awareness, Courage, and Love: Solving Contemporary Issues through Social Connection
Michael Thurston-Rattue, B.A, University of Washington
Mavis Tsai Ph.D., University of Washington
Jonathan W. Kanter, Ph. D., University of Washington
Robert J. Kohlenberg, Ph.D., University of Washington
Adam M. Kuczynski, B.S., University of Washington

Functional Analytic Psychotherapy (FAP) presents a broad and flexible model of behavior change that hopefully is applicable across diverse contexts. Recently, a conceptualization of FAP targets in terms of awareness, courage and love has provided user-friendly in-roads into contexts in which improving social connection is a value and goal. In this paper, the authors describe several projects that utilize The ACL Model to target social connection in different groups of participants. More specifically, we will discuss a workshop-style intervention targeting racism within a North American student population, and a brief “coaching” intervention targeting interpersonal intimacy in a diverse non-clinical population.

Educational Objectives:
1. Describe the FAP's model of social connection. 2. Define awareness, courage and love using behavioral terms. 3. Know various applications of the ACL model and will be able to create intervention based on that model.

 

57. ACT at Work: The impact of PF on mental health and organizational factors
Symposium (10:30-12:00)
Components: Literature review, Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Org. Beh. Management, Prof. Dev., Sickness absence, special education students, minority groups
Target Audience: Beg., Interm., Adv.
Location: Room 30341

Chair: Patrizia Hofer, Ph.D. Candidate, University of Basel, Clinical Psychology and Epidemiology
Discussant: Frank Bond, Goldsmiths, University of London

Psychological Flexibility has been associated with mental health and behavioral effectiveness in the workplace. This symposium will describe the effect of Acceptance and Commitment Training on stress, work absenteeism, mental health and well-being across different occupational categories. The three studies presented in this symposium explore the efficacy of ACT alone and in combination with a workplace intervention, psychological flexibility in regard to work, acceptability and influence on organizational factors including goal setting, quality management, leadership procedures and HR policy.

• ACT and sickness absence – preliminary results from a randomized controlled trial
Anna Finnes, Karolinska Institutet, Stockholm
Joanne Dahl, Ph.D., University of Uppsala

Mental disorders including depression, anxiety, and adjustment problems are currently the most common reason for work absenteeism in Sweden. Evidence-based clinical treatments such as Cognitive Behavioral Therapy have resulted in significant and sustained improvement in clinical symptoms. However, the effect on duration of sick leave is variable and predominately negative, even indicating these interventions might prolong sick leave. With this in mind, we sought to determine the efficacy of Acceptance and Commitment Therapy (ACT) alone and in combination with a Workplace Intervention (WI) on the duration of sick leave and on mental health. We designed a randomized controlled trial with 359 participants on sick leave due to mental disorders, allocated into one of four treatment groups: 1) ACT, 2) WI, 3) ACT and WI in combination and 4) Treatment as Usual (controls). In addition, the possible mediating effect of psychological flexibility in regard to work, which is theorized to underlie the ACT model, was examined. Results from the three months follow up will be presented.

• Preparation for teacher collaboration in inclusive classrooms: stress reduction for special education students via Acceptance and Commitment Training
Simone Gebhard, Institute of Special Education, Department of Special Educational Psychology, Europa-Universität Flensburg
Dietrich Pülschen, Ph.D., Department of Psychiatry, University of Rostock

The integration and participation of people with disabilities in society is of global significance. Therefore Germany’s ratification of the UN Convention on the Rights of Persons with Disabilities is an important step which is accompanied by mayor changes in the education system. It is now intended that special education teachers work side-by-side with other teachers in one school for all children, irrespective of their needs. Here the organization of the collaboration process is in the hands of individual teachers and their coping capability. Teaching is perceived as a profession which is linked to high levels of stress. Only 65% of teachers in Germany reach retirement age while still in service, in many cases because of psychiatric illness. The additional challenge to collaborate with colleagues from different professional backgrounds and with varying levels of skills will potentially lead to further stress. Now we have to recognize that the great challenges of inclusion need to be accompanied by appropriate measures to be realised. Using a 2 (group affiliation) × 2 (measurement time) between subjects design the present study examined the effects of an Acceptance and Commitment Training on the subjective tension of a sample (N = 68) of students studying special education. Questionnaire and role plays were used to assess the collaborative competence and the subjective tension. From the data of this study it can be seen that an Acceptance and Commitment Training is an appropriate way to establish and develop collaboration skills and reduces high levels of subjective stress. Furthermore, the evaluation of the training indicates a high level of acceptance for it. In addition, practical relevance was underlined by all participants.

• Acceptance and Commitment Therapy with deaf clients: Staff training and organizational intervention
Leena Hassinen, MEd, Psychotherapist, Private Practice
Jouni Riihimäki, Service Director, Student of Economic Sciences, The Service Foundation for the Deaf

The Service Foundation for the Deaf has about 200 out-patients and 1000 service users. Most of them have quite severe disabilities, handicaps and/or mental health and social problems. The number of the staff members is 250.Since 2009 The Service Foundation has trained 42 staff members to use Acceptance and Commitment Therapy (ACT) with deaf clients. Staff members received a brief training in ACT including 16 hours lectures, 15 hours supervision, and reading material. Each staff member treated 1-2 clients for 8 – 15 times. As part of the training program several ACT metaphors and exercises were translated into the Finnish Sign Language. Training process indicated that counselors were able to deliver an ACT intervention using sign language after a relatively brief training. The intervention was well accepted by both the clients and the counselors, and showed encouraging effects on clients’ wellbeing as well as counselor’s quality of life. Results showed a significant progress in staff member’s well-being. On the organizational level these procedures had a significant influence on the foundation’s goal setting, quality management, leadership procedures and HR policy. As a result, ACT-approach is widely adaptedinthe Service Foundation for Deaf, on individual and organizational level. Keywords: deaf, sign language, staff training, organization intervention

Educational Objectives:
1. Compare and contrast the ACT model to dominant approaches in mental health care and the process of Return To Work after sickness absence. 2. Describe an appropriate measurement instrument for collaboration between teachers. 3. Discuss how ACT methods and principles can be applied in sign language.

 

58. Clinical Applications of RFT: Assessment and Formulation using Deictic Frames: A Case Series Analysis
Symposium (10:30-12:00)
Components: Conceptual analysis, Case presentation
Categories: Relational Frame Theory, Clin. Interven. & Interests, Theory & Philo., Relational Frame Theory - Clinical Applications
Target Audience: Beg., Interm.
Location: Nizza

Chair: Yvonne Barnes-Holmes, Ph.D., National University of Ireland, Maynooth
Discussant: Miles Thompson, Goldsmiths, University of London; University of the West of England (UWE)

Conceptual developments in Relational Frame Theory (RFT) are increasingly offering new insights into how the theory can be applied in clinical contexts. In line with these developments, this symposium presents three papers that summarize and analyze several case studies that highlight the integration of functional analysis and derived relational responding. The first paper, presented by Dr John Boorman, draws upon a complex looked after (LAC) adolescent case with significant relationship difficulties, to highlight how the relations among significant others can be conceptualized as relational networks. The second paper, presented by Dr Joe Oliver, focuses on an adult with long-standing difficulties with psychosis, to illustrate how RFT can be utilized to inform work with complex paranoia and low self trust. Both papers highlight the formulation of key functional analytic questions as an essential step toward the development of effective treatment strategies. The third paper, presented by Drs Yvonne Barnes-Holmes and Miles Thompson draws functional parallels across the two papers and highlights how RFT provides both the precision and complexity needed to understand and treat divergent and complex clinical cases.

• Bridging the Clinical Gap between ACT & RFT with Young People
Dr John Boorman, National Implementation Service, South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, London, UK

There is an understanding amongst those who work with young people (12-18) that it can be both an extremely challenging and rewarding experience. During adolescence the sense of self is continuously evolving and developing (Harter, 1999; Rosenberg, 1986). Young people often experience difficulties with regards to how they compare themselves to others and where they fit in the world (DuBois & Hirsch, 2000). RFT has been empirically shown to offer a coherent understanding of the self, and attachment with the conceptualised self has be linked to a variety of functional difficulties. Acceptance and Commitment Therapy (ACT) and Relational Frame Theory (RFT) both fall under the wider umbrella of functional contextualism and contextual behaviour science. However, to date there has been little understanding of how these two areas can be combined clinically in a coherent and effective manner. This paper illustrates to therapists working with young people how to bridge this conceptual gap by clinically applying RFT through examining the therapeutic deictic and relational functional analysis. A clear theoretical understanding of RFT’s core concepts is provided in order to help transform their effectiveness in using ACT’s 6 clinical processes. Educational Outcome: Following this presentation the audience will be able to have a more coherent understanding of how ACT and RFT can be combined clinically to enhance the effectiveness of their clinical skills.

• Unlocking the Deictic: Using Verbal Functional Analysis in Working with Paranoia – A Case Study
Dr Joseph Oliver, Camden & Islington NHS Trust, London, UK

Paranoia in the general population is common and it has been estimated that 10-15% of people experience paranoid or suspicious beliefs (Freeman & Garety, 2006). Paranoid or persecutory delusions are a frequent symptom of psychosis and can significantly impact on an individual’s ability to engage in a full and meaningful life. Current cognitive behavioural understandings of paranoia emphasise reasoning biases, emotional processing and sense making of anomalous experiences (Freeman & Garety, 2004). Acceptance and Commitment Therapy (ACT) highlights the importance of the various unhelpful ways clients respond to the experience of paranoia, whilst developing skills to build values-based behaviours (Morris, Johns & Oliver, 2013). This paper seeks to extend these two models by using Relational Frame Theory (RFT) to provide a functional account of paranoia, using an illustrative case study. Emphasis will be given to deictic relations and the ways in which disturbances in the development of these relations may contribute to the on-going experience of paranoia. The paper will also highlight how the clinician can use the therapeutic relationship to target key relational networks implicated in the maintenance of psychological suffering and methods by which these relational networks can be altered. Educational Outcome: To understand how RFT can be used to provide a functional conceptualisation of paranoia.

• The Functional Overlap: Therapeutic Work Built on Deictic Foundations
Dr Yvonne Barnes-Holmes, National University of Ireland, Maynooth
Dr Miles Thompson, Goldsmiths, University of London; University of the West of England (UWE)

The third paper in this symposium seeks to draw out the functional similarities from the previous two case studies using an approach based on Relational Frame Theory (RFT; Hayes, Barnes-Holmes & Roche, 2001). Rather than focusing on the topographical differences between the cases, this part of the symposium will examine the functional overlap within these distinct cases when approached using an RFT account of deictic relations (Barnes-Holmes, Foody, & Barnes-Holmes, 2013). Rather than focusing on ACT, this final paper will highlight how it is possible to work clinically using an understanding of deictics. It will begin by highlighting previous attempts to address issues of self and perspective-taking in language able clinical populations, before presenting a new account more deeply embedded in an RFT led, functional account. The symposium aims to show how RFT knowledge and ACT-relevant clinical skills can be combined to provide a functional analytic guide to treatment. Educational outcome. Having seen this presentation the audience member should be able to describe and discuss the usefulness and possibility of applying an RFT account of deictic relations to topographically distinct but functionally similar therapeutic work.

Educational Objectives:
1. Develop the ability to help clients work with strong and powerful emotions. This will be demonstrated by two, separate clinical cases which apply RFT concepts clinically, including the transformation of emotional functions. 2. Enhance your ACT skills by utilizing the full power of relational perspective-taking and its implications for the self. Attendees will learn about the key elements of perspective-taking from an RFT analysis, including how it can be used with two, distinct clinical presentations. 3. Core RFT principles will be demonstrated in a user friendly and clinically accessible way to enable clinicians to develop compassion and empathy.

 

59. Shame, ACT Processes and their relation to Eating Disorders and Sexual Orientation
Symposium (10:30-12:00)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Clin. Interven. & Interests, Evo., Binge Eating Disorder, eating disorders, shame, sexual orientation, body image flexibility
Target Audience: Beg., Interm., Adv.
Location: Cannes

Chair: Orestis Kassinopoulos, Msc, University of Cyprus
Discussant: Grant Dewar, University of Adelaide

Shame has been suggested to play a central role in developing and maintaining psychopathology. Growing evidence has emerged supporting the use of Acceptance and Commitment Therapy to target shame. This symposium aims to investigate the association between shame, cognitive fusion and symptomatology and severity in eating difficulties and gay men. The effect of psychological flexibility on these relationships will be discussed.

• The role of shame and the entanglement with body image and eating in Binge Eating Disorder
Duarte, C., Cognitive and Behavioural Centre for Research and Intervention (CINEICC)
Pinto-Gouveia, J., Cognitive and Behavioural Centre for Research and Intervention (CINEICC)
Ferreira, C., Cognitive and Behavioural Centre for Research and Intervention (CINEICC)

This study examines the role of body image-related cognitive fusion, shame, depressive symptoms, weight and shape and eating concerns on binge eating, a public health problem associated with obesity and several physical and mental problems. Participated in this study 73 patients with Binge Eating Disorder (BED), evaluated with the Eating Disorder Examination 16.0D. Results revealed positive associations between binge eating symptomatology severity and depressive symptoms, shame, weight and shape concerns, eating concerns, and body image-related cognitive fusion. Cognitive fusion, shame and eating concerns emerged as the best predictors of binge eating. A path analysis showed that shame had a direct effect on binge eating, and an indirect effect through increased eating concern and body image-related cognitive fusion. The model explained 43% of binge eating severity. Findings suggest that in BED patients perceiving that others see the self negatively may become associated with an entanglement with thoughts and concerns about body image and eating, which may, in turn, fuel binge eating symptoms which may be conceptualized as a maladaptive avoidance strategy.

• The impact of traumatic features of shame memories and body image flexibility on eating psychopathology
Marcela Matos, Ph.D., CINEICC, University of Coimbra
Cristiana Duarte, PhD Student, CINEICC, University of Coimbra
Cláudia Ferreira, PhD, CINEICC, University of Coimbra
José Pinto-Gouveia, PhD, CINEICC, University of Coimbra

Shame has been regarded as playing a key role in body image and eating difficulties. The current study examines the impact of early shame memories on eating psychopathology severity and the mediator role of body image flexibility in this association. 466 women from the general population recalled a shame experience from childhood and adolescence and completed measures of traumatic features of that event, eating psychopathology and body image flexibility. Results indicated that eating psychopathology was positively associated with the traumatic features of shame memories and was negatively associated with body image flexibility. A mediation analysis indicated that the traumatic features of shame memories presented an indirect effect on eating psychopathology severity mediated by lower levels of body image flexibility, but also a significant direct effect, with the model explaining 55% of eating psychopathology severity. These findings suggest the importance of addressing body image flexibility, but also the relevance of targeting the traumatic features of shame memories in eating psychopathology.

• Psychological flexibility and self-compassion: An antidote against shame in homosexual men
Marcela Matos, Ph.D., CINEICC, University of Coimbra
Sérgio Carvalho, MSc., CINEICC, University of Coimbra
Marina Cunha, Ph.D., Instituto Superior Miguel Torga and CINEICC, University of Coimbra
Ana Galhardo, Ph.D., Instituto Superior Miguel Torga and CINEICC, University of Coimbra
Carlos Sepodes, Instituto Superior Miguel Torga

Early adverse experiences and feelings of shame are thought to be present among gay men. Growing evidence points to the pathogenic effects of shame memories and shame on psychopathological symptoms and to the protective role of psychological flexibility and compassion on these relationships. However, these associations have never been explored taking into account sexual orientation. Therefore, this paper investigates 1) the differences between heterosexual and homosexual men in shame memories, affiliative memories, internal shame, depressive symptoms, psychological flexibility and self-compassion; 2) the mediator effect of psychological flexibility and self-compassion on the relationships between shame and affiliative memories, and between internal shame and depression according to sexual orientation. 53 heterosexual and 53 homosexual men recalled a shame memory during childhood and adolescence and completed self-report measures of the variables being studied. Results show that homosexual men reveal significantly higher levels of shame memories, internal shame and depressive symptoms, and lower levels of affiliative memories, psychological flexibility and self-compassion. Furthermore, in homosexual men, psychological flexibility and self-compassion mediated the impact of shame memories and affiliative memories on shame and on depressive symptoms. These findings suggest that psychological flexibility and self-compassion are particularly relevant to develop among gay men as a way of decreasing the damaging impact of early negative experiences and shame.

Educational Objectives:
1. Demonstrate the role and significance of shame on cognitive fusion, an important change process in the treatment of eating disorders. 2. Discuss the impact of early experiences of shame and affiliation on internalized shame and depressive symptoms among gay men and recognize the need for continuing social change and of developing a more accepting stance towards gay men in the global community. 3. Describe the role and significance of shame memories and body image inflexibility in eating psychopathology.

 

71. Von den Grundlage zur Praxis: drei kontextuelle Psychotherapiemethoden in der Depressionsbehandlung
Symposium (14:45-16:15)
Components: Conceptual analysis, Literature review, Didactic presentation
Categories: Clinical Interventions and Interests, Beh. med., Depression, Functional Contextualism
Target Audience: Beg., Interm.
Location: Strassburg

Chair: Ulrich Schweiger, M.D., Professor at the Department of Psychiatry and Psychotherapy, Lübeck University
Discussant: Thorsten Kienast, M.D., Private Professor and Researcher, Department of Psychiatry and Psychotherapy, Charité Campus Mitte, University Medicine Berlin

Die psychotherapeutische Behandlung von depressiven Störungen hat innerhalb der vergangenen 20 Jahre deutliche Fortschritte erzielt. Die wissenschaftliche Datenlage belegt vor allem den Einsatz von Psychotherapiemethoden, die unter dem Namen kontexutelle Psychotherapiemethoden zusammengefasst werden. Dazu gehören unter anderem die Acceptance und Committment Therapy (ACT), Behavioral Activation (BA) und das Cognitive Behavioral Analysis System of Psychotherapy (CBASP). Gemeinsam ist allen Verfahren, dass sie nicht nur die Veränderung der Auftretenshäufigkeit von Verhalten in den Fokus der Behandlung nehmen, sondern vor allem dem Kontext und der Funktion von psychologischen Phänomenen besondere Aufmerksamkeit schenken. Wissenschaftstheoretisch stehen sie im Einklang mit Ferster`s funktionsanalytischem Modell der Depression. Alle Verfahren gehen davon aus, dass ein bestimmter Kontext in einem Verstärkerdefizit resultiert. Welche Aspekte des jeweiligen Kontextes gesehen werden ist jedoch sehr unterschiedlich. Während sich ACT und BA vor allem auf intrapsychische und extrapsychische Prozesse des Patienten konzentrieren, beschäftigt sich CBASP schwerpunktmäßig mit dem interpersonellen Kontext. Dieses Symposium stellt die Grundkonzepte von ACT, BA und CBASP in der Behandlung von depressiven Störungen vor. Unter Berücksichtigung der aktuellen Datenlage wird ihre jeweilige Stellung innerhalb der kontextuellen Psychotherapiemethoden zusammengefasst und diskutiert. LITERATUR Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An experiential approach to behavior change. New York: Guilford Press Martell CR, Addis ME and Jacobson NS (2001) Depression in Context: Strategies for Guided Action. New York: W. W. Norton & Company, Inc. McCullough J.P. (2000) Treatment for Chronic Depression. Cognitive Behavioral Analysis System of Psychotherapy. New York: Guilford Press.

• ACT in der Behandlung von Depressiven Störungen
Maria Kensche,M.D, EOS Clinic für Psychotherapy, Alexianer Münster GmbH

Als kontextuelles Psychotherapieverfahren ist ACT inzwischen gut für die Behandlung von depressiven Störungen evaluiert. ACT vertritt ein Psychopathologiemodell, welches dem Phänomen der Erlebnisvermeidung die entscheidende Rolle bei der Entstehung und Aufrechterhaltung von Depressionen zuspricht. Erlebnisvermeidung beschreibt das Bemühen einer Person, unangenehme Affekte, Gedanken und Erinnerungen auszulöschen. Akzeptanz wird in ACT als Alternative zum Vermeidungsverhalten gelehrt. Gedanken und Gefühle werden nicht modifiziert, sondern in ihrer Wirkung durch eine Entkopplung vom Handlungsdrang geschwächt. Auf diese Weise kann beispielsweise die Bereitschaft, Niedergestimmtheit auch langfristig auszuhalten, ohne zu dysfunktionalen Verhaltensstrategien wie sozialem Rückzug zu greifen, erhöht werden. Dieses Vorgehen eröffnet für die Behandlung von depressiven Patienten interessante Perspektiven. Dieser Beitrag stellt die aktuelle Datenlage über den Einsatz von ACT bei diesem schwierigen Patientenklientel vor. LITERATUR Bohlmeijer E, Lamers SMA, Fledderus M (2015) Flourishing in people with depressive symptomatology increases with Acceptance and Commitment Therapy. Post-hoc analyses
of a randomized controlled trial Behaviour Research and Therapy 65: 101-106. A-Tjak JG et al. (2015) A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychother Psychosom;84:30-6.

• Behavioral Activiation als kontextuelle Behandlung für depressive Störungen
Ulrich Schweiger, M.D, Professor at the Department of Psychiatry and Psychotherapy, Lübeck University

Der Vortrag stellt das aktuelle Modell von Behavioral Activation (BA) vor. BA ist eine Behandlungsmethode für depressive Störungen, die sich aus dem behavioralen Modell der Depression heraus entwickelt hat. Dieses Modell wurde ursprünglich von Ferster und Lewinsohn vorgeschlagen. Im Zentrum des Modells stand ursprünglich der Aufbau angenehmer Aktivitäten. Im aktuellen Modell wurde dies durch das Konzept der werteorientierten Aktivitäten aus der Acceptance and Committment Therapie ersetzt. Weiterhin wurde das Konzept des entgegengesetzten Handelns um emotionale Blockaden zu überwinden aus der dialektisch-behavioralen Therapie übernommen. BA nimmt an, dass Depression im Kontext negativer Lebensereignisse entsteht. Dies führt zu einer verminderten positiven Verstärkung von adaptiven Verhaltensweisen und in der negativen Verstärkung von Vermeidungsverhalten. Die Folge ist eine verminderte Aktivität in wertgeschätzten Bereichen und ein vermehrtes Auftreten von Verhaltensweisen, die negativ verstärkt werden. BA geht davon aus, dass Kontakt mit einem breiten Spektrum von Verstärkern erforderlich ist, um das Leben als sinnvoll zu empfinden. Der Vortrag gibt eine kurze Einführung in das Modell von BA und die zugrunde liegenden kontextuellen Annahmen und stellt die zugrunde liegende Evidenz für die Anwendung bei depressiven Störungen dar. LITERATUR Martell-CR, Dimidjian-S, Herman-Dunn-R (2013) Behavioral activation for depression. Guilford, New York. Kanter-JW, Busch-AM, Rusch-LC (2009) Behavioral Activation, Routledge, Hove

• Ist CBASP eine evidenzbasierte kontextuelle Behandlung für chronisch depressive Patienten?
Philipp Klein, M.D., Department of Psychiatry and Psychotherapy, Lübeck University

Das Cognitive Behavioral Analysis System of Psychotherapy (CBASP) wurde von James McCullough zur Behandlung chronischer Depression entwickelt. Der Fokus der therapeutischen Arbeit liegt auf den Konsequenzen des eigenen zwischenmenschlichen Verhaltens. Dabei erlernen die Patienten einen Problemlösealgorithmus zur Bewältigung zwischenmenschlicher Schwierigkeiten unter besonderer Berücksichtigung des gegenwärtigen Kontexts. Dabei werden auch prägende Beziehungserfahrungen der Patienten berücksichtigt. Der Vortrag beginnt mit einer kurzen Zusammenfassung des CBASP-Models und geht dann der Frage nach, inwieweit CBASP bereits als evidenzbasierte Therapiemethode gelten kann. LITERATUR Klein JP, Belz M. Psychotherapie Chronischer Depression. Praxisleitfaden CBASP. Göttingen: Hogrefe (2014). Kensche M, Schweiger U, Klein JP. Störungsorientierte Behandlung der Chronischen Depression nach dem CBASP-Konzept. PSYCH up2date (2014) 8:297-308.

Educational Objectives:
1. Die Grundkonzepte von ACT, BA und CBASP in der Behandlung von depressiven Störungen verstehen. 2. Wesentliche Gemeinsamkeiten und Unterschiede von ACT, BA und CBASP in der Behandlung von depressiven Störungen ableiten und innerhalb der kontextuellen Psychotherapie einordnen können. 3. Die wissenschaftliche Evidenz von ACT, BA und CBASP in der Behandlung von depressiven Störungen kennen.

 

72. Healthier lifestyle and Better Wellbeing by Using ACT - Affecting Intuitive Eating, Physical Activity and Self-Stigma
Symposium (14:45-16:15)
Components: Conceptual analysis, Original data
Categories: Behavioral medicine, Clin. Interven. & Interests, Prevention & Comm.-Based, Overweight, ACT, psychological flexibility, mindfulness, healthy life style chioces, self-stigma
Target Audience: Beg., Interm.
Location: Room 30241

Chair: Päivi Lappalinen, M.A., University of Jyväskylä
Discussant: Maria Karekla, Ph.D., University of Cyprus

WHO has classified overweight, obesity and physical inactivity as major health risks worldwide. However, current research suggests that directly focusing on weight and physical activity behaviour may not be a sustainable strategy for healthy lifestyle and promote long-term lifestyle changes. Subsequently, it is recommended that increasing general health related behaviors rather than decreasing e.g. weight in itself, may be alternative target of treatment. These three studies aim to investigate if interventions based on Acceptance and Commitment Therapy (ACT) can promote healthy lifestyle choices and reduce the impact of self-stigma related to weight. Acceptance of psychological and physical discomfort may play an important role related to enhancing eating behavior and physical activity. The findings suggest that ACT interventions for lifestyle changes work through enhanced ability to continue with valued activities when confronted with negative emotions and thoughts.

• Developing a Physically Active lifestyle Based on Acceptance and Commitment Therapy
Anu Kangasniemi, MSc, LIKES – Research Center for Sport and Health Sciences

This presentation aims to describe a RCT to promote a change in physical activity among physically inactive adults. Participants were randomly allocated to a feedback or ACT-based group intervention. The primary outcome was physical activity. In addition, participants´ cognitions related to physical activity were evaluated at baseline and three- and six-month follow-ups. No difference was observed in the change of mean physical activity level between feedback and ACT-based groups over time. However, the cognitions related to physical activity and exercise improved more in the ACT+FB than in the FB group. After re-analyzing the data among non-depressive participants, higher stability was observed in the individual’s maintenance of physical activity in the ACT+FB group. Acceptance of discomfort was associated with the increase in physical activity in the ACT+FB group. Acceptance also mediated the association between self-efficacy and changes in physical activity.

• Psychological Flexibility Mediates Changes in Intuitive Eating in Acceptance-, Value- and Mindfulness-based Interventions
Essi Sairanen, MSc, University of Jyväskylä

The current research suggests that dieting is not a sustainable strategy for weight loss and does not promote a healthy lifestyle. Methods to foster an adaptive eating, along with how to prevent and treat obesity, need to be explored. One adaptive form of eating that has recently gained recognition is intuitive eating, which is a style of eating that focuses on eating motivated by physical reasons, with an individual relying in their connection with and understanding of physical hunger and satiety cues, rather than on emotional or environmental motivators (Tylka, 2006). This presentation is based on two studies investigating relationships between intuitive eating, psychological flexibility and mindfulness skills in overweight adults reporting symptoms of perceived stress and enrolled in a psychological lifestyle interventions (N= a.300). The present results indicated that weight related psychological flexibility mediated intervention effect on intuitive eating and weight in ACT based interventions (group and mobile).

• Evaluation of a Self-Help Program Based on Acceptance and Commitment Therapy to Promote Quality of Life and Reduce the Impact of Weight-related Stigma Among individuals with Overweight: a Multiple Baseline Design
Emma Wallin, MSc, University of Uppsala
Erik Olsson Thomas Paling Sandra Weineland Joanne Dalh ,

Overweight and obesity is classified by WHO as a major threat to modern day health in the world. However, returning to and maintaining a normal weight over time among those who have established an overweight has been shown to be very difficult. Subsequently, it is recommended that increasing general health related behaviors rather than decreasing weight in itself be the target of treatment. In this study we will investigate if an intervention based on Acceptance and Commitment Therapy (ACT) can promote healthy life style choices and reduce the impact of self-stigma related to weight among individuals with a BMI over 25 (overweight). A Single Subject multiple baseline design (N= 6) with temporal staggering and randomization of treatment onset will be used. Participants will be recruited thorough a stratified non-probability sampling technique.

Educational Objectives:
1. Learn how to promote a physically more active lifestyle by using Acceptance and Commitment Therapy (ACT). 2. Learn what means intuitive eating and how it could be promoted. 3. Receive basic understanding of self-stigma related to weight.

 

73. RFT-Based Analysis of Complex Human Behavior: Time, Hierarchy and False Memories
Symposium (14:45-16:15)
Components: Original data
Categories: Relational Frame Theory, Related FC approaches, Verbal Behavior
Target Audience: Beg., Interm., Adv.
Location: Room 30341

Chair: Adrián Barbero-Rubio, Universidad de Almería
Discussant: Paul M. Guinther, Portland Psychotherapy

This symposium aims to present studies that show how can be modelled in the laboratory complex human behavior by following the functional contextual approach to human language and cognition outlined by Relational Frame Theory (RFT). This approach let to analyze, with experimental procedures, the role of verbal behavior in a contextually controlled way. The first paper established two arbitrary stimuli as BEFORE and AFTER relational cues and examined the transformation of functions according to temporal relations with new stimuli. Similarly, the second paper analyzed complex patterns of hierarchical relational responding and transformation of functions in a hierarchical network when several functions were given to some stimuli of the hierarchy. And the third study addressed the false memory phenomena in a laboratory controlled way, analyzing this behavior in terms of RFT-based analysis. Overall, the results of these studies are relevant to understand complex behaviors from an analytic functional-contextual approach.

• Evidence of Transformation of Functions through Temporal Relations. A Preliminary Study
Juan C. López, Universidad de Almería
Carmen Luciano, Universidad de Almería
Zaida Callejón, Universidad de Almería

The aim of the current study is to demonstrate the transformation of functions accordingly temporal relations. Twenty college students participated. In Phase 1, two arbitrary stimuli were established as BEFORE and AFTER relational cues and this repertoire was tested. In Phase 2, participants were asked to follow arbitrary temporal instructions to ensure they had acquired it and behaved according to temporal relations. Two differential contingences were associated to two arbitrary stimuli during Phase 3. Then, participants were exposed to two test of transformation of functions. The first one (Phase 4) participants had to choose which stimulus they preferred. In the second test, (Phase 5) participants had to allow the continuation of images or escape in relation of the image that was appeared on screen. The results show the transformation of functions to other elements of temporal sequences and add evidence respect the complex behavior of human language.

• Model of Complex Hierarchical Responding
Lidia Budziszewska, Universidad de Almería
Carmen Luciano, Universidad de Almería
Enrique Gil, Universidad de Almería

Participants were involved in an experiment where they learned to respond according to a hierarchical framing based on the formation of several contextual cues following the studies by Gil, Luciano, Ruiz(2014), Slattery&Stewart (2014).Then hierarchical network was established using the previously trained relational cues. Several functions were given to stimuli of the hierarchy and testing proceeded to discover if the response would emerge in accordance with the derived relations of hierarchy.Results are discussed and limitations are identified for further studies.

• Creating False Memories through a Respondent-Type training (ReT)
L. Jorge Ruiz-Sánchez, Universidad de Almería
Carmen Luciano, Universidad de Almería
Paul M. Guinther, Portland Psychotherapy

The Derived Relational Intrusions Following Training (DRIFT) paradigm has shown to be an effective procedure to demonstrate the effect of MTS training on False memory phenomena while permitting an exploratory analysis of semantic versus associative (co-occurrence) effects (Guinther & Dougher, 2010). However, this study does not rule out the possibility that stimulus co-occurrence can influence semantic relatedness, associative strength or false memory phenomena. In fact, verbally competent adults can form equivalence relations with respondents-type procedures. The present experiment pretends: a) to explore the influence of co-occurrence effect on the formation of semantic relations and false recalls using a type-respondent training, and b) analyze the effect of equivalence testing on the formation of false recall. The role of co-occurrence and equivalence testing in the formation of false memories are discussed.

Educational Objectives:
1. Analyze complex human behaviors from a functional-contextual approach. 2. Describe experimental procedures as laboratory controlled way to understand the role of verbal behavior. 3.Discuss the results from a RFT-based analysis.

 

75. Training Therapists in Awareness, Courage, and Love: New Data for the Functional Analytic Psychotherapy Group Training Model
Symposium (14:45-16:15)
Components: Conceptual analysis, Literature review, Original data
Categories: Supervision, Training and Dissemination, Clin. Interven. & Interests, Prof. Dev., Functional Analytic Psychotherapy, FAP
Target Audience: Beg., Interm.
Location: Cannes

Chair: Gareth Holman, Ph.D., Private Practice
Discussant: Dennis Tirch, Ph.D., The Center for Mindfulness and Compassion Focused Therapy

As a functional contextual, principle-based treatment focused on interpersonal therapy process, Functional Analytic Psychotherapy (FAP) has naturally evolved methods of supervising and training that are experiential and directly train therapist interpersonal processes. In other words, therapists learn FAP by doing: applying the FAP principles across an expanding range of contexts, including their personal lives. In recent years, we have made a more systematic effort to formalize these methods into a coherent model of psychotherapy training and also to study the impact of FAP training on therapist outcomes such as burn-out and work quality. This symposium presents the emerging conceptual model - focused on the application of principles in natural social contexts (e.g. therapist consult groups) to shape flexible behavioral repertoires related to Awareness, Courage, and Love - followed by results from two new empirical studies of FAP therapist training.

• The Impact of Awareness, Courage, Love, and Behaviorism for Therapists: A Functional Contextual Model of Therapist Training
Gareth Holman, Ph.D., Private Practice
Jonathan Kanter, Ph.D., University of Washington
Mavis Tsai, Ph.D., University of Washington
Robert Kohlenberg, Ph.D., University of Washington

Conventional group training methods such as workshops improve knowledge of treatment principles but often have limited impact on therapist skills. Functional Analytic Psychotherapy (FAP), a functional contextual, principle-based approach to therapy process, has adopted a training method that directly shapes relevant therapist skills in the natural social context of therapist training groups and daily life. The skills we target may be conceptualized under the broad framework of Awareness, Courage, and Love - FAP’s evolving framework for describing the components of impactful social connection. Taken together, the ACL framework presents a coherent model of therapy relationships and our training method represents a means of training therapy relationship skills. This paper presents our evolving model of FAP training and reviews the literature - from therapy relationships to therapist training - relevant to this approach.

• Reducing Burn-out and Improving Organizational Climate in a BPD Clinic with FAP Therapist Training
Michel A. Reyes, Psy.D., Contextual Science and Therapy Institute (Mexico City), National Institute of Psychiatry Ramón de la Fuente
Jonathan Kanter, Ph.D., University of Washington
Maria Santos, M.S., University of Wisconsin, Milwaukee

A repeated measures design was conducted to assess a the impact of 6 sessions of FAP Therapist Training for a team of 6 therapists working in a Borderline Personality Disorder (BPD) clinic in a public mental health institution in Mexico City. Variables assessed include Burnout (MBI) and working climate (EMCO). Results showed a significant decrease in Burnout over time (F(2, 4)=26.22, p=.005, partial η2=.93), from pre- to post-intervention (t (5)=5.377, p=.003 two-tailed, η2=.85), and from pre-intervention to 7 week follow-up (t (5)=7.066, p=.001 two-tailed, η2=.91). Improvements in organizational climate were found over time as well (F(2, 4)=8.628, p=.035, partial η2=.81), pre- post (t(5)=-4.389, p=.007, η2=.79) and pre- follow (t(5)=-4.526, p=.006, η2=.8). Results were consistent across sub-scales and all therapists showed reliable change in both outcomes, supporting the hypothesis that FAP training helps decrease emotional burden and improve working relationships in therapeutic teams who work with challenging clients as those with BPD.

• Effects of Functional Analytic Psychotherapy on Therapist Trainees in Singapore: A Pilot Study
Emma Waddington, Ph.D., National University of Singapore, Singapore
Shian-Ling Keng, Ph.D., National University of Singapore, Singapore
Michelle Tan Su Qing, B. Soc. Sci., National University of Singapore, Singapore
Bernice Lin Xiang Ting, National University of Singapore, Singapore
Clare Henn-Haase, Psy.D., National University of Singapore, Singapore
Jonathan Kanter, Ph.D., University of Washington

This presentation reports preliminary findings from a randomized controlled trial that examined the effects of a Functional Analytic Psychotherapy (FAP) experiential therapist training program on empathy and self-compassion among therapist trainees in Singapore. Twenty-five students enrolled in a master’s in clinical psychology program in Singapore were recruited and randomly assigned to receive either 8 weekly sessions of experiential FAP training or to a waitlist condition. They completed the Self-Compassion Scale (SCS) and the Interpersonal Reactivity Index (IRI) before and after the intervention. Preliminary analyses using mixed-model ANOVA found that compared to the waitlist group, those in the intervention group reported significant increases in perspective taking, F(1, 21) = 10.47, p = .004, and the tendency to identify with others in the context of fictional situations (e.g., movie characters), F(1, 21) = 4.77, p = .04, from pre- to post-intervention. The intervention group also reported trend-level increases in self-compassion, F(1, 21) = 3.24, p = .09, and decreases in feelings of distress that result from observing others’ negative experiences, F(1, 21) = 3.85, p = .06. There were no significant between-group differences in changes in empathic concerns. The results suggest that FAP may be a promising intervention in improving self-compassion and several aspects of empathy among therapist trainees. Implications of the findings are discussed in relation to the local cultural context.

Educational Objectives:
1. Understand a functional contextual model of the therapy relationship and therapist skills. 2. Describe the hypothesized mechanisms by which FAP Therapist Training may impact therapist relationship skills. 3. Review strengths and weaknesses of data supporting the efficacy of FAP Therapist Training.

 

80. Advances in Assessment and Training in Perspective-Taking: Spain Chapter Sponsored
Symposium (16:30-17:45)
Components: Original data
Categories: Relational Frame Theory, Clin. Interven. & Interests, Performance-enhancing interventions, self-flexibility, deictic relations, IRAP
Target Audience: Interm.
Location: Strassburg

Chair: Juan Carlos López, M.A., University of Almeria
Discussant: Louise McHugh, University College Dublin

Mainstream psychology has considered that the Perspective-Taking (PT) is the ability of an individual to interpret another person’s behavior (e.g. private or public events), being an important part of social interactions and of the self-knowledge. From Relational Frame Theory approach the PT is based on deictic relations, such as I-YOU, HERE-THERE, and NOW-THEN. This approach allows to establish behavioral procedures to develop and improve these complex skills in typically and atypically developing populations. The first two studies try to advance in the training in PT and the third study provides a new evaluation procedure of PT. Concretely, the first one aims to train self-flexibility in adolescents using two experimental conditions: Flexible-self training using deictic relational frames versus Theory of Mind training. The second one examined the effect of different ways of presenting the perspective-taking protocol on deictic relational responding in normally developing children. Finally, the third study aimed to assess relational flexibility under deictic cues using the Implicit Relational Assessment Procedure (IRAP).

• Examining the Effects of Training Self-Flexibility Compared to Theory of Mind in Young People
Orla Moran, University College Dublin
Louise McHugh, Ph.D, University College Dublin

Approximately 20% of young people experience clinically significant mental health concerns in a given year. The emergence of these problems can be linked to a dysfunctional sense of self. Widespread empirical evidence indicates the importance of self-development during adolescence. Contextual Behavioral Science (CBS) identifies a 3-step model for the development of a flexible-self. Step 1 involves training perspective relational frames. Step 2 involves empathy training via the transformation of emotional functions. Step three involves deictic Self-as-Context training. The present study aims to train self-flexibility in adolescents using three online sessions with corrective feedback. Flexible-self training is also compared to Theory of Mind training. Outcome measures of self-esteem, self-compassion, depression, anxiety, stress, well-being, emotional acceptance, and cognitive avoidance, were examined at pre, post and follow-up, and process measures of empathy, mindfulness, self-as-context and perspective-taking were examined at each time-point. Implications and suggestions for future research targeting self-flexibility in adolescents are discussed.

• Different Variations of Perspective-Taking Protocol to Assess Deictic Relational Responding in Children
Mª del Mar Montoya Rodríguez, M.A., University of Almeria
Francisco J. Molina Cobos, PhD, University of Almeria

Many studies have investigated the Relational Frame Theory approach to perspective taking through a protocol developed by Barnes-Holmes, which designed to target explicitly the perspective-taking frames. The present study examined the effect of different ways of presenting the perspective-taking protocol in normally developing children. In Condition 1, a range of visual aids were employed with each trial. In Condition 2, no visual aids were employed. In Condition 3, visual aids were employed separating the part of the reversal of each question. In Condition 4, the most of the trials did not necessarily include the words I, you, here, there, now, and then. Furthermore, each trial used different scenarios from each other and the part of the reversal of each question was separated. It is hoped that the results of this work may help to develop systematic behavioral tools for analyzing and training perspective-taking in individuals who show deficits in this area.

• Implicit Relational Assessment Procedure (IRAP) to Evaluate Deictic Relational Responding
Adrián Barbero-Rubio, M.A., University of Almeria
Juan Carlos López, M.A., University of Almeria
Carmen Luciano, PhD, University of Almeria
Nikolett Eisenbeck, M.A., University of Almeria

The current study aimed to assess relational flexibility under deictic cues using the Implicit Relational Assessment Procedure (IRAP). College students (N = 35) from a Spanish university completed a self-report measure of perspective-taking and a deictic relational task (DRT) that involved reversed and double-reversed trials. Then, participants were asked to complete an IRAP designed to measure flexibility in perspective framing. Results showed, firstly, that the IRAP captured the flexibility when they were asked to change the perspective and the complexity involved in different trial types. On the other hand, the lowest DIRAP was related with high deictic ability showed in the DRT. These findings show that the IRAP can be a relevant tool to measure how flexible they are in deictic framing.

Educational Objectives:
1. Implement CBS -based interventions for self-flexibility and perspective taking. 2. Compare different and new procedures of perspective taking. 3. Analyze the flexibility under deictic cues using IRAP.

 

81. Working the Matrix on Interpersonal Settings: Building Empaty, Pro-Sociability and ACL
Symposium (16:30-17:45)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Clin. Interven. & Interests, Matrix
Target Audience: Beg., Interm.
Location: Room 30241

In this Symposium we will present different clinical experiences and some conceptual issues related to the ACT-Matrix work in interpersonal problems. The Matrix is an interactive diagram for training psychological flexibility in any context with many populations. Since its creation by Kevin Polk, Jerold Hambright and Mark Webster, the Matrix has been broadly used to train individuals in a functional contextual point of view and valued driven behavior. In our practice, we have found that this model is specially useful and can serve as a powerful tool for interpersonal problems that are frequent in clients diagnosed with personality disorders and other complex psychological disorders. In the first presentation, we will present some basis to effectively integrate ACT and FAP principles using the Matrix. In the second one, we will show how to develop functional understanding of behavior (CRB3), and CRB2 generalization to the natural environment (O2) using the Matrix in Borderline Personality Disorders. Finally, we will present some clinical examples of improving empathy trough flexible perspective taking training, and also some conceptual issues about deictic relational responding as the core process "inside" the Matrix.

• A Deep Integration of ACT and FAP trough the MATRIX
Benjamin Schoendorff MA MSc M.Ps, Contextual Psychology Institute. Quebec, Canada

In this presentation it will be shown the integrative use of FAP and the Matrix, to help clients (and clinicians) achieve rapid and lasting change in interpersonal settings. We have found the matrix to be an ideal tool to practice therapeutic-relationship focused ACT and integrate the tools of functional analytic psychotherapy (FAP - Kohlenberg& Tsai, 1991). The matrix is ideally suited to help clients notice the interpersonal functions of their behaviour, which is very useful in clients that present difficulties related to interpersonal adjustment. The therapist can show the client what shows up in his matrix as a function of client behavior and can train perspective taking skills that allow clients to increase their awareness to the contingencies of their behavior, by multiple exemplar training. It will be presented some practical interventions using the Matrix model and some clinical outcomes we observed.

• “How” is important: The Mmatrix as Functional Analytic Psychotherapy Rule 5 and CRB3 Evoking Tool
Michel André Reyes Ortega, Psy D., Contextual Science and Therapy Institute (Mexico City); National Institute of Psychiatry Ramón de la Fuente

Functional Analytic Psychotherapy (FAP) is an interpersonal therapy focused on the contingent interpersonal reinforcement of clients desirable behaviors evoked within the therapy session (CRB2s), the client development of a functional understanding of behavior (CRB3), and CRB2 generalization to the natural environment (O2). FAP therapist follow 5 Rules to achieve this aim, Rule 5 refers to the use of different procedures to develop CRB3 and O2s. This presentation shows the Matrix as a Rule 5 tool as it’s used in a FAP group therapy for Borderline Personality Disorder called Awareness, Courage and Love (ACL) skills training. Through the Matrix, ACL are defined as interpersonal “How is important”, CRB3s are developed through discrimination of toward and away moves, and inner obstacles to ACL are identified. This presentation show the integrative use of FAP and the Matrix, and invite FAP therapists to add it to their Rule 5 repertoire.

• Building Empathy trough the Matrix
Fabián Olaz, Psyd, Faculty of Psychology. University of Cordoba (Argentina)

Despite the centrality of empathy to our development and social adjustment, training empathy is still a challenge in our clinical interventions. May be the more frequent approach in traditional CBT is improving empathy through training in communication skills, emotional disclosure and topographically oriented non verbal behavior training. Following a contextual behavioral approach, in this paper we propose that perspective taking and changing relation to the Self are core process to improves empathy, trough basic process of deictic relational responding that allows us to take the perspective of others. To illustrate clinically this point of view, we present some exercises using the Matrix to train flexible perspective taking skills in clients with interpersonal problems.

Educational Objectives:
1. Assistant will be able to describe some components and applications of the ACT Matrix to interpersonal problems. 2. Integrate interventions using the Matrix with other clinical models. 3. Understand some RFT process involved in working with the Matrix in interpersonal problems.

 

82. Using Basic Science and RFT to Study ACT Processes of Change
Symposium (16:30-17:45)
Components: Conceptual analysis, Original data
Categories: Relational Frame Theory, Theory & Philo., Basic science
Target Audience: Interm.
Location: Room 30341

Chair: Brooke M. Smith, Utah State University
Discussant:Emily Sandoz, University of Louisiana, Lafayette

ACT processes and techniques are theoretically based on the basic sciences of behavior analysis and RFT. The degree to which ACT is empirically supported by basic science has been a matter of some debate, however (McEnteggart, Barnes-Holmes, Hussey, & Barnes-Holmes, 2015). Because of CBS’s emphasis on a coherent model of science, it is important that the empirical links between ACT’s therapeutic principles and their theoretical bases be examined and continually advanced (Foody et al., 2014). The papers presented in this symposium explore recent laboratory findings that may help to inform the theoretical basis of processes of change and therapeutic techniques within ACT.

• Transformation of Thought Suppression Functions Via Same and Opposite Relations
Nic Hooper, Ph.D., University of the West of England
Ian Stewart, Ph.D., National University of Ireland, Galway
Paul Walsh
Ronan O’Keefe
Rachael Joyce
Louise McHugh, Ph.D., University College Dublin

This presentation describes the transformation of thought suppression functions via ‘same’ and ‘opposite’ relations. In Experiment 1 participants were given training and testing with the aim of generating same and opposite relational responding in two five-member relational networks. They then had to suppress a target word from one of the two networks, while words appeared individually onscreen including the target, and words either in the same (target) or a different (nontarget) network. They could remove any word by pressing the spacebar. Findings showed more frequent and faster removal of the target than other words and of words in the target network than other words. Experiment 2, the aim of which was to include predominantly ‘opposite’ relations in the relational networks, produced a similar but weaker pattern. Experiment 3 replicated Experiment 2, while showing that opposite relations produced a more conventional transformation of functions in a context other than thought suppression.

• Enhancing the Efficacy of the Focused Breathing Mindfulness Exercise
Nikolett Eisenbeck, University of Almería
Carmen Luciano, Ph.D., University of Almería
Sonsoles Valdivia-Salas, Universidad de Zaragoza

The aim of this study was to examine possible additional elements to the classic focused breathing mindfulness exercise (FB) in order to enhance its efficacy. 67 healthy undergraduate students were randomly assigned to five conditions: FB, Control, FB with a simple values protocol (FBV), FB with a simple values protocol and an extra attention focusing training (FBFV) and FB with double values protocol and extra attention focusing training (FBFVV). The study used a pre-post design with different outcome measures: the Paced Auditory Serial Addition Task (PASAT-C), stress and mood levels. Results indicated that improved performance on the PASAT-C along with elevated relaxation levels were observed in all mindfulness conditions, but not in the Control. Additionally, FBFVV was better at enhancing performance on the PASAT-C than the FB, suggesting that the addition of the double values protocol and the refocusing training significantly elevated the efficacy of the exercise.

• Development of an Implicit Measure of Emotional Judgments: Relations to Experiential Avoidance and Public Speaking Performance
Jack A. Haeger, Utah State University
Michael E. Levin, Ph.D., Utah State University
Gregory S. Smith, Ph.D., Chrysalis Utah

A key contributor to experiential avoidance, theoretically, is the overextension of verbal problem solving to inner experiences (i.e., certain emotions are “bad” and need to be removed/controlled). Implicit measures provide a venue to study the automatic/immediate judgments of emotions as they are experienced and to test whether such judgments predict experiential avoidance and functional impairment. Not only can this help understand how verbal processes contribute to experiential avoidance, but such implicit measures can broaden the methods used to assess ACT-relevant processes. This study aimed to validate a novel measure of implicit emotional judgments and examine it as a predictor of responding to a public speaking task with a sample of undergraduate students. Results will be presented regarding the relationship of implicit emotional judgments to reactions to a public speaking task (performance, emotional reactivity, use of avoidant coping strategies, behavioral avoidance) as well as self-report measures of experiential avoidance.

Educational Objectives:
1. Describe recent empirical work underlying ACT processes of change. 2. Discuss the conceptual basis of various ACT processes of change. 3. Discuss the importance of clarifying and building upon theoretical conceptualizations and empirical evidence for ACT processes of change and middle level terms.

 

83. Implementing 3rd Wave Therapies in Multidisciplinary Psychiatric Settings- Is it Feasible, is it Working?: Contextual Medicine SIG Sponsored
Symposium (16:30-17:45)
Components: Original data
Categories: Functional contextual approaches in related disciplines, Other, ACT with inpatients
Target Audience: Interm., Adv.
Location: Nizza

Chair: Joris Corthouts, MSc, Psychosis Section, St Hiëronymus, St Niklaas, Belgium
Discussant: Eric Morris, Ph.D., La Trobe University, Melbourne, Australia

In recent years, the research base supporting Acceptance and Commitment Therapy (ACT) for heavy consumers of inpatient health care is growing (see for example the research on psychosis by Gaudiano & Herbert, 2006; White et al., 2011; Bach, Hayes & Gallop, 2012; Shawyer et al., 2012). In this symposium three teams will present their findings and experiences with ACT - along with Basal Exposure Therapy (BET) - in different residential care settings situated in Germany, Sweden and Norway. We’ll be discussing the various methods of administering third wave therapies in this context, the indicators that were used to compare this approach with treatment as usual and the findings. Future research on how to implement ACT in a ward context will also be highlighted.

• Stop Thinking, Start ACTing: The Effectiveness of Acceptance and Commitment Therapy in an Inpatient Sample of a Psychiatric Department
Mareike Pleger, M.Sc. Psych, Ev. Krankenhaus Königin Elisabeth Herzberge, Germany
Psych. Karolin Treppner, M.Sc. Psych, Humboldt-University, Berlin, Germany
Albert Diefenbacher, Prof., Ev. Krankenhaus Königing Elisabeth Herzberge, Germany
Christoph Schade, Dr., Ev. Krankenhaus Königing Elisabeth Herzberge, Germany
Claudia Dambacher, Dipl.-Psych., Ev. Krankenhaus Königing Elisabeth Herzberge, Germany
Ronald Burian, Dr, Ev. Krankenhaus Königing Elisabeth Herzberge, Germany
Thomas Fydrich, Prof., Humboldt-University, Berlin, Germany

Objective. ACT is a contextual approach, which expands traditional CBT by, inter alia, mindfulness and valued living. It has not been unequivocally clarified yet, if ACT is superior to CBT. Although ACT is increasingly applied in clinical practice, only little research has been conducted in this field. Our study aims to explore the therapeutic effect of ACT and CBT groups within a naturalistic setting, taking possible influencing factors into account. Method. Sixty-seven inpatients of a German psychiatric department were assessed with respect to different symptom measures as well as ACT-specific outcomes. Results. ACT and CBT proved to be equally effective treatments regarding symptom reduction. ACT-specific variables turned out to have an influence on therapeutic success. Conclusion. Results suggest ACT to be an equivalent alternative to CBT. Findings are discussed in terms of to what extend outcomes of ACT and CBT are distinct and which variables may be influential.

• ACT for Psychotic Inpatients, Broad Implementation in a Swedish Context
Mårten Tyrberg, M.Sc. Psych., Stockholm University, Sweden
Tobias Lundgren, PhD, Stockholm University, Sweden
Per Carlbring, Stockholm University, Sweden
Thomas Fydrich, Prof., Humboldt-University, Berlin, Germany

In this part of the symposium, pilot results from a small study on a clinical sample in Sweden will be presented. A total of 21 psychotic inpatients were randomized either to treatment as usual (TAU) or TAU plus a short ACT intervention, on average 2 sessions. Groups were measured for rehospitalization and values-based living at pretreatment, post treatment and four month follow-up. Results indicate that the ACT group was rehospitalized to a lesser extent than the TAU group, although the difference was not statistically significant. Also, the ACT group scored higher on the Valued based living (Bull’s-Eye Values Survey) at follow-up, the difference being marginally significant. The results expand somewhat upon previous findings in the same population (Bach & Hayes, 2002; Gaudiano & Herbert, 2006), by indicating that ACT might affect values-based living in addition to decreasing need for rehospitalization.

• Basal Exposure Therapy 24/7: From Poly-Pharmacy and Mechanical Restraints to Second Order Change and Empowerment
Arne Lillelien, M., Vestre Viken Hospital Trust, Norway
Trym Nordstrand Jacobsen, M, ACT&BET Instituttet

Basal Exposure Therapy (BET) was developed for marginalized patients who are heavy consumers of inpatient mental health care and subjected to extensive poly-pharmacy and use of force. These patients typically present with schizophrenia spectrum disorders or complex PTSD with co-morbid personality disorders. BET is theoretically founded in cybernetics and existentialism, with a clinical model that also emphasizes principles from the behavior therapy tradition, including ACT. BET has been developed to both suit and take advantage of the inpatient psychiatric setting, making it a thorough 24/7 approach for fostering psychological flexibility and autonomy. Experiences with implementing BET as a comprehensive 24/7 treatment modality will be shared, along with clinical data from a 10 year period.

Educational Objectives:
1. Audience will be able to describe differences in the therapeutic effect of ACT and CBT for inpatients. 2. Audience will be able to describe effects of ACT-implementation on rehospitalization and values-based living. 3. Audience will know about the basic clinical elements of Basal Exposure Therapy and data collected so far.

 

84. ACT for Autism, Classroom-stress and at-risk parents
Symposium (16:30-17:45)
Components: Original data, Experiential exercises, Didactic presentation
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Edu. settings, Prof. Dev., Parenting, Children, ACT and autism spectrum disorder, Special Education Students
Target Audience: Beg., Interm., Adv.
Location: Cannes

Chair: Vasilis S. Vasiliou, MS, University of Cyprus, ACTHealthy Lab
Discussant: Jacqueline A-Tjak, Msc, PsyQ

This symposium presents three new studies that address the mental health and well-being of children, adolescents and parents. The first study offers new evidence about the impact of an ACT-based group intervention for parents with children with behavioral and emotional difficulties. The second study focuses on stress of special education classrooms? in collaboration situations in inclusive work settings and furthermore examines the effects of an Acceptance and Commitment Training on collaborations skills and stress. Finally, the third study conceptualizes the psychopathology associated with high-functioning autism from a functional contextual perspective and examines the effect of an ACT intervention for autism.

• ACT-based parenting for at-risk families: the Confident Carers Cooperative Kids program.
Mark Donovan, University of Wollongong, Australia
Kathryn Briscoe-Hough, University of Wollongong

This paper provides early data for at-risk parents attending the Confident Carers Cooperative Kids program. CCCK is a 9 week ACT-based group intervention for parents raising primary school aged children with behavioural and emotional difficulties. It was specifically developed to increase the engagement and perseverance of at-risk parents, and to infuse families with flexible ACT-based cultural practices. The CCCK program uniquely integrates parenting concepts and activities theoretically based on a blend of Neurobiology, Attachment Theory, Social Learning Theory and Behaviourism, but delivered within an ACT framework. Early data presented in this paper supports the hypothesis that CCCK is able to help those families who are most in need. This paper also showcases some of the images, metaphors and exercises from the program.

• The impact of an Acceptance and Commitment Training for special education students: psychoneuroendocrinological findings
Dietrich Pülschen, Ph.D., Department of Psychiatry, University of Rostock
Simone Gebhard, Institute of Special Education, Department of Special Educational Psychology, Europa-Universität Flensburg

Teaching is perceived as a profession which is linked to high levels of stress. Only 65% of teachers in Germany reach retirement age while still in service, in many cases because of psychiatric illness. The additional challenge to collaborate with colleagues from different professional backgrounds and with varying levels of skills will potentially lead to further stress. Such stress-related psychological states and processes might affect biological stress- responsive systems which are supposed to be involved in the pathogenesis of stress-related diseases and disorders in the long term. In this study, HPA axis responses to collaboration situations in role plays were examined by measuring salivary cortisol to test whether collaboration in inclusive work settings is accompanied by altered HPA axis stress responses in healthy special education students (N=38). Additionally, the sympathetic system activity reflected by the salivary alpha amylase was measured together with the coping behaviour of the students (stress management questionnaire and behaviour assessment). The sample was then split into an experimental and a control group. The experimental group received a weekly Acceptance and Commitment Training (1,5 h each session) for three month. Furthermore the study examines the effects of the Acceptance and Commitment Training which is expected to establish and develop collaboration skills and to reduce high levels of subjective stress. Also salivary samples were taken from both groups at the second time of measurement. Work in progress – we will have the final results in the End of February 2015. (Data for Baseline and first time of measurement is already collected.)

• Acceptance and commitment therapy (ACT) and high-functioning autism spectrum disorder: a functional contextual approach to conceptualize and treat associated symptoms
Johan Pahnke, clinical psychologist, PhD student, KIND (Center for Neurodevelopment Disorders at Karolinska Institutet), Karolinska Institute, Stockholm city council
Tobias Lundgren, PhD, licensed psychologist, psychotherapist, Affiliated researcher, Department of psychology, Stockholm university Karolinska institute, Stockholm city council
Johan Bjureberg, licensed psychologist, PhD student, CPF, Karolinska Institute
Timo Hursti, associate professor, Department of psychology, Uppsala university
Sven Bölte, professor, KIND (Center for Neurodevelopment Disorders at Karolinska Institutet), Karolinska Institute, Stockholm city council
Tatja Hivikoski, neuropsychologist, PhD, KIND (Center for Neurodevelopment Disorders at Karolinska Institutet), Karolinska Institute, Stockholm city council

Autism spectrum disorder (ASD) is a neurodevelopmental disorder associated with depression, anxiety and stress, and decreased quality of life. ACT processes target core difficulties in ASD, such as psychological inflexibility, although not yet evaluated for this population. Study 1: Using a quasi-experimental design we evaluated the treatment for 28 students with ASD (aged 13–21). Levels of stress, hyperactivity, and emotional distress were significantly reduced and pro-social behavior was increased. Study 2: Using an open trial design the treatment was evaluated for adults (n=10; age range 25-65 years) in an outpatient psychiatric context. Levels of stress were significantly reduced and quality of life increased. Study 3: Using an RCT design we evaluated the treatment for 40 adults with ASD in an outpatient psychiatric context. Preliminary data showed significantly reduced stress and psychiatric symptoms, and increased psychological flexibility and quality of life. Autistic core symptoms were also reduced.

Educational Objectives:
1. Explain how ACT-based images, metaphors and experiential exercises can engage at-risk families and improve outcomes. 2. Train teachers to establish and develop collaboration skills and reduces high levels of subjective stress. 3. Conceptualize the psychopathology associated with high-functioning autism spectrum disorder (ASD) from a functional contextual perspective.

Saturday, 18 July

95. Continuing Developments in Measuring ACT Processes
Symposium (10:30-12:00)
Components: Conceptual analysis, Literature review, Original data
Categories: Theoretical and philosophical foundations, Clin. Interven. & Interests, RFT, Measurement
Target Audience: Interm.
Location: Estrel Saal C6

Chair: Tami Jeffcoat, University of Nevada, Reno
Discussant: Helen Bolderston, Bournemouth University, UK

As research and practice continue with Acceptance & Commitment Therapy and Relational Frame Theory, so do attempts to measure psychological and behavioral processes relevant to them. This symposium includes discussion of recent and ongoing empirical work in measuring ACT processes. The symposium will include discussion of research-programme development in this area and recommendations for collaborative work. New data will be presented on developing measures of self-as-context , perspective-taking, cognitive defusion, and values-based living.

• The Development and Initial Validation of The Cognitive Fusion Questionnaire
David T. Gillanders, University of Edinborough
Helen Bolderston, Bournemouth University

This talk will outline practical details of questionnaire development, some aspects of measurement theory, and some of the tensions between psychometric approaches and ideographic approaches to measurement. It will also show how a programme of research can be developed through sharing, collaboration and graduate student supervision. ACBS is unique in providing a context that fosters such an approach to tool development.

• Measuring Values and Committed Action with the Engaged Living Scale
Hester R. Trompetter, University of Twente, Enschede
P.M. Ten Klooster, University of Twente, Enschede
K.M.G. Schreurs, University of Twente, Enschede
M. Fledderus, University of Twente, Enschede
G. J. Westerhof, University of Twente, Enschede
E.T. Bohlmeijer, University of Twente, Enschede

Until recently, process measures to study the aspects of values and committed action from the psychological flexibility model were only scarcely available. The Engaged Living Scale (ELS: Trompetter, ten Klooster, Schreurs, Fledderus, Westerhof & Bohlmeijer, 2013) was developed to fill this gap. This talk will focus on the development of evaluation of the 16-item ELS. In both a healthy adult sample and a chronic pain sample, the final 16-item ELS has good factor structure, internal consistency and construct validity through significant relations with other ACT process measures and outcome measures, such as depression and acceptance. Additionally, the ELS has good incremental validity over and beyond other ACT process measures. The use of the ELS as a process measure of engaged living is discussed in light of other existing questionnaires to measure values and committed action, such as the Committed Action Questionnaire (CAQ) and Valued Living Questionnaire (VLQ).

• Development of the Reno Inventory of Self-Perspective, Measuring Self-as-Context and Perspective-Taking
Tami Jeffcoat, University of Nevada, Reno
Steven C. Hayes, University of Nevada, Reno
Thomas Szabo, Florida Tech School of Behavior Analysis

The construct of Self-as-Context is a component process in the model of psychological flexibility as applied in Acceptance and Commitment Therapy (ACT), an empirically supported behavioral treatment. ACT targets six core psychological processes, one of which is the perspective taking skill termed self-As-context (SAC). In research and practice it had been customary to use tools that are theoretically related to SAC such as perspective-taking (of others) or empathy measures approximate self awareness and self perspective-taking within an ACT model. Recently self report measures have been in development to specifically capture the ACT self-as-context process. The present study is an attempt to evaluate the psychometric properties of a self-report measure of the abilities of I/here/now perspective-taking. Data on the new measure (2 samples greater than 600N each) will be presented, as will new data on the Self as Context Scale (SACS) and Deictic Relational Task (DRT).

Educational Objectives:
1. Examine the psychometric properties of measures such as the developing CFQ, ELS, RISP, SACS and DRT. 2. Describe how a global community can pool resources to develop measurement tools. 3. Become generally informed on existing process measures for aspects of the psychological flexibility model.

 

96. Values, Flexibility in Eating disorders
Symposium (10:30-12:00)
Components: Original data
Categories: Prevention and Community-Based Interventions, Clin. Interven. & Interests, Eating Behavior, Values, Binge Eating, Obesity
Target Audience: Beg., Interm., Adv.
Location: Estrel Saal C7

Chair: Siri Ming, M.A., Private Practice
Discussant: Georg Eifert, Ph.D., Chapman University

Treatment of eating disorders can be challenging, with even state-of-the-art cognitive-behavioral treatments achieving only moderate success. The three paper presented in this symposium examine different ACT Interventions and the role of ACT relevant constructs for eating-related difficulties. The first study assesses a.) the possible impact of social stress on eating behavior and b.) the utility of values writing as a possible brief intervention for improving eating behavior. The second study conceptualizes binge-eating symptoms from an ACT perspective and examines the role of body image flexibility, emotional eating and binge eating symptoms. Finally, the third study describes the components of an integrative third wave group program for binge eating in obesity, identifies the main psychological processes targeted and evaluates its effect.

• Bullet Proof Vest: Can Values Writing Be a Protective Intervention Against the Impact of Social Stress On Eating Behavior
Emmy LeBleu, University of Louisiana at Lafayette
Emily Sandoz

Eating is an important behavior. In humans eating is directed by a host of environmental influences, including the social environment that they are immersed in. Social situations can have both negative and positive impacts on eating behavior depending on the experience. Individuals who are obese or overweight experience greater amounts of social stress in the form of discrimination and exclusion than normal weight controls. Unfortunately, being ignored by others has been found to increase consumption of palatable foods, which could perpetuate the obesity struggle in a cyclical manner. Fortunately, writing about what one cares about (i.e. one’s values) has been found to attenuate the impact of being ignored or ostracized. This presentation will explore data related to the impact of a one time valued writing exercise on the eating behaviors of obese and non-obese participants following an experience of ostracism.

• Binge eating as an avoidance of negative emotions: The buffering effect of body image flexibility
Duarte, C., Cognitive and Behavioural Centre for Research and Intervention (CINEICC)
Pinto-Gouveia, J., Cognitive and Behavioural Centre for Research and Intervention (CINEICC)

Body image inflexibility has been conceptualized as an important process involved in the vulnerability to and treatment of eating psychopathology, namely binge eating. The current study examined the moderator effect of body image flexibility on the association between emotional eating and binge eating symptomatology. Participants comprised 216 women from the general population who completed measures of body image flexibility, emotional eating and binge eating symptomatology severity. Correlational analyses indicated moderate negative associations between body image flexibility, emotional eating and binge eating severity. Results also showed that body image flexibility moderated the association between emotional eating and binge eating severity. The model explained 60% of the variance of binge eating severity, suggesting that in women who present the tendency to eat in response to negative emotions, those with higher psychological flexibility regarding body image, present lower engagement in binge eating. Findings suggest the relevance of addressing emotional eating and the ability to accept negative emotional states without engaging in reactive avoidance strategies, in binge eating prevention and treatment.

• BEfree – A group programme for Binge Eating in Obesity: preliminar results
Sérgio Carvalho, MSc, CINEICC - University of Coimbra
Lara Palmeira, MSc, CINEICC - University of Coimbra
Paula Castilho, PhD, CINEICC - University of Coimbra
José Pinto-Gouveia, MD, PhD, CINEICC - University of Coimbra

Binge eating (BE) has been associated with an early onset of obesity, its maintenance and severity, and worsened outcomes in response to weight loss treatments. Recently, BE has been conceptualized as an affect regulation strategy aiming at avoiding unwanted internal experiences (e.g. negative affect, shame, self-criticism), although current interventions have neglected these aspects. The aim of this study was to test the efficacy of a 12-session acceptance, mindfulness and compassionate-based group programme for BE in obesity (BEfree). The sample was composed by 32 subjects randomly assigned into two conditions: 1. BEfree (n = 12); 2. TAU (n= 20). Pre to post-test differences in both groups were assessed using the Wilcoxon signed-rank test. Results showed that participants in BEfree significantly decreased levels of binge eating (BES), depressive symptoms (BDI-I), shame (OAS), self-criticism (FSCSR), body image cognitive fusion (BI-CFQ), body image psychological inflexibility (BI-AAQ), and increased levels of quality of life (ORWELL97) and engaged living (ELS). No differences were found in these measures in the control (TAU) condition, except for a significant increase in shame (OAS).

Educational Objectives:
1. Assess the utility of values writing as a possible brief intervention for improving eating behavior. 2. Explain the role of body image flexibility as a buffer on the association between emotional eating and binge eating symptoms. 3.

 

99. Applying Contextual Behavioural Science to Meet the Needs of People with Intellectual Disabilities and Those who Support them: A multiple systems approach
Symposium (10:30-12:00)
Components: Conceptual analysis, Original data, Case presentation
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Intellectual Disabilities, Positive Behaviour Support
Target Audience: Beg.
Location: Strassburg

Chair: Steve Noone, Ph.D., Northumberland, Tyne and Wear NHS Foundation Trust
Discussant: Nick Gore, Tizard Centre, University of Kent

One of the goals for proponents of Contextual Behavioral Science is to develop a “coherent and progressive science of human action that is more adequate to the challenges of the human condition”. In order to progress towards this aim, CBS must be applicable to the millions people with an intellectual disability (PWID) worldwide. Adaptations are essential due to the nature of intellectual disability and the likelihood that PWID are reliant on paid and unpaid support. Recent scandals of the institutional abuse of PWID have prompted policy makers in the UK to promote a Positive Behaviour Support model of care, which, with its behavioural roots and its emphasis on improving quality of life, appears compatible with CBS philosophies. This symposium will present case study work in which ACT interventions have been adapted to meet the needs of PWID, a paper on presenting ACT resilience training to direct care staff, and a theoretical paper considering how systems thinking can add to the multiple contextual influences involved in working with this client group in a CBS-consistent way.

• Adapting ACT interventions for Adults with Intellectual Disabilities
Dr Mark Oliver, Northumberland, Tyne and Wear NHS Foundation Trust

People with intellectual disabilities (PWID) frequently experience psychological distress and can present with behaviour that challenges services. The nature of their impairments makes it difficult for them to access mainstream services and access talking therapies without adaptations. Particular elements of the ACT model are especially problematic in this regard; being either highly abstract and reliant on sophisticated verbal understanding which is difficult for PWID, or that assume a level of control over life choices that may not be reflective of the realities of life for people reliant on paid and unpaid carer support. This paper will present case study examples of successful adaptations to the ACT model as well as areas of the model that have been less successfully applied, or that reveal particular considerations for the clinician working in this field.

• Acceptance and Commitment Therapy (ACT) based Resilience Training for Healthcare Staff
Janet Harrison, Northumberland, Tyne and Wear NHS Foundation Trust

Staff supporting individuals with chronic health needs – such as intellectual disability – experience higher levels of work-related stress than other employed adults. Stressful working environments are linked to increased sickness and absence, reduced productivity in the longer term leading to burnout and increased vulnerability to building negative cognitions. Studies using Acceptance and Commitment Therapy (ACT) in organisational studies have demonstrated beneficial effects in mediating the cognitive factors leading to stress. This presentation describes a study in which ACT based training workshops were delivered to healthcare practitioners. The workshops focused on mindfulness and values based approaches with home practice review. Data will be presented showing significant improvements in general mental health, and levels of burnout, as well as significantly reduced levels of cognitive fusion. The findings will be discussed in relation to meeting the needs of people with intellectual disabilities.

• Working with the System – Individual Agency, Staff Teams, Organisations and Culture
Dr Matt Selman, Northumberland, Tyne and Wear NHS Foundation Trust

People with intellectual disabilities (PWID) often live in a context where they have little personal agency; being dependent on paid or unpaid carers for many aspects of their lives. The carers themselves operate within the context of the organisations that employ them (or values held within a family) that shape their pattern of care. Organisations, in turn, are influenced by the context of market forces, government policy, and legal requirements. When referrals are made to healthcare agencies these contextual factors influence both the type of interventions that are likely to be effective and also the ability to implement these interventions. When healthcare agencies become involved they too form a context that can at times both help or hinder the process. This presentation explores these contextual systems and how this understanding of working with PWID may inform broader service considerations.

Educational Objectives:
1. The learner will appreciate the challenges inherent in applying ACT to an intellectual disabilities population. 2. Will be able to describe the evidence for applying ACT resilience training to healthcare staff. 3. will be able to assess the utility of considering the person with intellectual disability as embedded within multiple systems of influence.

 

100. New findings and procedures in the field of Relational Frame Theory
Symposium (10:30-12:00)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Relational Frame Theory, Clin. Interven. & Interests, Theory & Philo., Related FC approaches, RFT, IRAP, cultural adaptation, self-esteem, academic cheating, work and leisure time, Dark Triad of Personality
Target Audience: Beg., Interm., Adv.
Location: Room 30241

Chair: Joanna E. Dudek, M. A., University of Social Sciences and Humanities
Discussant: Yvonne Barnes-Holmes, Ph.D., National University of Ireland, Maynooth

Gaining psychological knowledge about human cognition poses a challenge due to difficulties in measurement of patterns of thinking, beliefs that may not be readily accessible. One of the ways to meet that challenge is the Implicit Relational Assessment Procedure (IRAP), which allows measurement of relational networks and implicit attitudes. This symposium aims do discuss the application of IRAP across different contexts. The first paper presents the process of adaption of the IRAP for Polish circumstances concerning self-esteem, academic cheating and work and leisure time. The second paper focuses on using IRAP to explore automatic evaluations regarding life and death, examining the role of psychological flexibility on implicit outcomes. Finally, the third paper employs IRAP in self-forgiveness.

• The Cultural Adaptation of Implicit Relational Assessment Procedure (IRAP) in Poland
Magdalena Hyla M.A., University of Silesia in Katowice
Lidia Baran, M.A., University of Silesia in Katowice
Karina Atłas, M.A., University of Silesia in Katowice
Elżbieta Sanecka, M.A., University of Silesia in Katowice
Irena Pilch, Ph.D., University of Silesia in Katowice

Psychological knowledge about human cognition poses a challenge for the measurement of patterns of thinking, beliefs and their connection to behaviour. One of the ways to meet that challenge is the Implicit Relational Assessment Procedure (IRAP) which allows measurement of relational networks and implicit attitudes. However, implementation of this measurement procedure in non-English speaking countries requires consideration of the relevant cultural and linguistic circumstances. The aim of this paper is to present the process of the adaptation of the IRAP for Polish circumstances conducted at the University of Silesia in Katowice. Authors will discuss preparation and conduct of the pilot study (creation of the test script, selection of the linguistically appropriate stimuli, and comments about the procedure received from the participants) and the first three full-scale research projects concerning self-esteem, academic cheating and work and leisure time (difficulties with stimuli selection, specificity and conclusions regarding applying the method in Poland).

• Implicit Responses to Life and Death: Implications for Suicidality and Psychological Suffering
Laura Rai, National University of Ireland, Maynooth
Yvonne Barnes-Holmes, National University of Ireland, Maynooth
Darren Clarke, National University of Ireland, Maynooth
Ciaran Hyland, National University of Ireland, Maynooth
Claire Murray, National University of Ireland, Maynooth

The current paper focuses on using the Implicit Relational Assessment Procedure (IRAP) to explore automatic evaluations regarding life and death. 180 undergraduate participants completed two IRAPs and a number of self-report measures targeting depression, anxiety, hopelessness and self-esteem. Specific response patterns on the IRAP distinguished participants scoring highly on these self-report measures from normative participants. For example, normative participants showed a greater bias towards 'I don't deserve a negative life' than participants who scored high on measures of sub-clinical depression. Findings also highlighted the role of psychological flexibility as a mediator of the implicit outcomes. That is, participants who scored high on experiential avoidance showed stronger and more rigid responses on the IRAP. Implications of the current findings and the predictive validity of implicit measures will be discussed within the domains of suicidality and psychopathology more generally.

• The Development of Implicit Relational Assessment Procedure as a Measure of Self-Forgiveness of Failing and Succeeding Behaviors
Diana Bast, Maynooth University
Dermot Barnes-Holmes, Maynooth University

It will be presented a series of papers, including cross cultural studies with ACT therapists, that employ the Implicit Relational Assessment Procedure (IRAP) in the context of self-forgiveness. Specifically, brief and immediate relational responses (BIRRs) and extended and elaborate relational responses (ERRs) related to feelings and expected outcomes in the context of minor failings and successes. The studies aimed (1) to develop an IRAP of self- forgiveness of minor failures; (2) determine if BIRRs and ERRs yield similar or different results; (3) determine if such measures should target failures in a general or specific manner and if such measures differ depending on whether they target feelings or expected outcomes of “problem” behaviours; (4) explore the relationships among implicit and explicit measures in terms of associated feelings and outcomes, and various indicators of mental health, (5) to test if the self-forgiveness IRAP was sensitive to an Acceptance Commitment Therapy (ACT) training. The results indicate that BIRRs may diverge from EERRs, but when BIRRs reflect problem behaviours specific to the individual participants, correlations with measures of psychopathology may emerge. Besides, the history of ACT training appears to produce an IRAP performance that could be explained by an openness to negative feelings not observed for the control group.

Educational Objectives:
1. Describe theoretical basis and practical applications of IRAP as a method of implicit attitudes measurement. 2. Apply implicit findings to an RFT conceptualisation of psychological suffering. 3. Explore the relationships among implicit and explicit measures (e.g. self-compassion scale), in terms of associated feelings and outcomes, and various indicators of mental health and well-being.

 

101. Deepening into the Acceptance and Commitment Therapy (ACT)
Symposium (10:30-12:00)
Components: Case presentation
Categories: Clinical Interventions and Interests, Clin. Interven. & Interests, RFT, ACT, Fibromyalgia, Elderly, Depression, orientation problem
Target Audience: Beg., Interm., Adv.
Location: Room 30341

Chair: Lidia Budziszewska, University of Almeria & Sinews MTI Multilngual Therapy Institute
Discussant: Lance Mccracken, King's College London, Guy's and St. Thomas' NHS Foundation Trust

Acceptance and Commitment Therapy (ACT) is rooted in a functional analysis of human language known as Relational Frame Theory (RFT). As such, it is not exclusively oriented to a specific population, and nor is a set of exercises or metaphors. On the contrary, clinical ACT methods consist of multiple interactions oriented to change the context of participant’s private events in order to alter their problematic verbal regulation. In this session we present the application of ACT and brief ACT-based protocols to three different populations, emphasizing the importance of RFT in clinical setting: a) elderly nursing home residents with depressive symptomatology; b) fibromyalgia and c) a case study of experiential avoidance, spatial-orientation and self-sufficiency problems.

• A Brief Acceptance and Commitment Therapy (ACT) protocol for Elderly Nursing Home Residents with Depressive Symptomatology
Luis Jorge Ruiz Sanchez, Universidad de Almería
Carmen Luciano, Universidad de Almería
Adrián Barbero Rubio, Universidad de Almería
Adolfo Cangas, Universidad de Almería

Depression is widely prevalent in nursing home residents. However, this population remains unobserved and undertreated. The present study explored the applicability of brief ACT-based protocol to three elderly residents, aged 65 to 84 years old, with depressive symptomatology. The treatment sessions were directed to experience the result of a spiral of unsuccessful effort in relation to personal values; clarifying valued trajectories and learning to verbally discriminate between the ongoing private events (self-as-process) from the person who is experiencing it (self-as-context). Numerous experiential exercises and physical metaphors were used to promote an effective regulation of behavior. The results suggest that this brief ACT protocol produced significant increases on value-consistent behaviors in all subjects at 5 and 12 months follow-up. Clinical improvements were also obtained in psychological flexibility, value-consistent behavior and depressive symptomatology scores.

• A Brief Acceptance and Commitment Therapy Protocol in a Patient Diagnosed with Fibromyalgia
Víctor Manuel Callejón Ruiz, Universidad de Almería
Carmen Luciano, Universidad de Almería

Fibromyalgia is a health problem that is increasing its high prevalence. The treatment is usually carried out as program to alleviate the physical symptoms through a multidisciplinary approach, although the long-term effects have shown to be minimal. Acceptance would respond to experiences related to pain without trying to control or avoid when these are limiting the quality of life. For all this is done a brief intervention protocol from ACT. This intervention is oriented to increase the flexibility to sensations such as pain for increased involvement in activities that are important for the patient. The sessions contained metaphors and exercises with the main elements of ACT. The results highlighted an increase in the valued activities carried out during each day by the patient. Furthermore, the impact of fibromyalgia on the patient decreased in all areas.

• An Intervention Based on Acceptance and Commitment Therapy (ACT) to Enhance Self-Sufficient Skills in a Chronic Case with Spatial Orientation Problem
Adrián Barbero Rubio, Universidad de Almería
Carmen Luciano, Universidad de Almería
Nikolett Eisenbeck, Universidad de Almería
Juan Carlos López, Universidad de Almería

This presentation is a case study of a 34-year-old male (R) with severe deficits in self-sufficiency regards to spatial orientation, self-care and social interactions. The analysis was realized from a functional-contextual perspective, showing an avoidance-based, destructive pattern that consisted of a variety of inflexible rules and responses. This pattern was mainly characterized by an automatic need to only respond to pleasant stimulation. Therefore, in most activities that would have made the client independent, R experienced them as tiresome, boring and monotonous and showed severe attentional disengagement. The problem was conceptualized on the basis of overprotective and dependent family interactions. An intervention based on ACT was selected by its commitment to basic research of the processes involved in the therapeutic change. The results support the suitability of this therapeutic approach in chronic cases.

Educational Objectives:
1. Analysis of clinical cases Relational Frames Theory. 2. Clarification of the processes involved in Acceptance and Commitment Therapy (ACT). 3. Consideration of intervention from Acceptance and Commitment Therapy in different disorders.

 

102. From Computer Games to Avatar Led Treatments: Adapting ACT to Creative Internet Based Programs for the Prevention and Treatment of Various Problems
Symposium (10:30-12:00)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Internet based interventions
Target Audience: Beg., Interm., Adv.
Location: Nizza

Chair: Maria Karekla, University of Cyprus
Discussant: Raimo Lappalainen, University of Jyväskylä, Finland

Internet based adaptations of effective face-to-face programs have become popular in recent years, as they offer various advantages over traditional modalities of treatment delivery and present solutions to problems that have traditionally prevented individuals from seeking treatment. Internet based programs offer the advantages of being easily accessible to even remotely located clients, clients can access programs at their own time and place and proceed at their own pace, and can be presented in formats that become attractive even in difficult to reach populations (e.g. adolescents). This symposium will present three papers utilizing various aspects of internet based interventions grounded in Acceptance and Commitment Therapy principles. These programs reach a wide range of audiences (from chronic pain to depression to eating disorders) and are created utilizing different creative internet-based aspects (adaptation of face-to-face protocol, avatar led, gamefied intervention). The creation of these programs will be presented and obstacles faced as well as creative solutions found will be discussed. The initial acceptability of the programs for the targeted populations will be presented.

• “This gave me many new thoughts and means to cope with life.” Internet-delivered ACT for depression: Participant and coach experiences
Lappalainen, Päivi, University of Jyväskylä, Finland
Lappalainen, Raimo, University of Jyväskylä, Finland

Improving access to psychological treatments for common mental disorders is a priority worldwide. Interned delivered treatments offer a solution and additional advantages: are accessible regardless of time and place and enable working at his/her own time and pace. This study aimed to investigate the effects, and acceptability of a guided web-based ACT intervention for depressive symptoms without any face-to-face contact. Depressed participants (n =39) were randomly assigned to an Internet-delivered ACT (iACT) or a wait list control condition. They were assessed with standardized self-report measures at pre-, post-, and 12-month follow-up. The iACT comprised of homework assignments and online feedback given by psychology students, and weekly reminders. The results showed a clear reduction in most measures at post-treatment and 12-month follow-up. The iACT was well-accepted by both clients and student therapists. iACT without face-to-face sessions but combined with weekly contact via Internet and reminders, is possibly an alternative for mild-to-moderate depression.

• Gamifying an ACT treatment for the Prevention of Eating Disorders among Adolescent and Young Adult Females
Patrisia Nicolaou, University of Cyprus
Maria Karekla, University of Cyprus

Eating Disorders (EDs) constitute a serious public health issue affecting mainly women and develop in adolescence or early adulthood. Prevention of EDs is paramount however, prevention approaches to date have not been uniformly effective. Computer-assisted health interventions grounded in solid theoretical accounts of EDs (e.g. psychological flexibility model) have the capability to improve upon the prevention of EDs. This paper will present the development of an innovative internet based program based on ACT principles and created as a game for adolescent and young adult women. Participants follow the life of a character undergoing challenges (enters a reality fashion show) and assist her so as to overcome body related thought and emotion difficulties and learn to live a more experientially accepting, full and valued life. This interactive program will be presented and preliminary results as to its acceptability will be presented.

• Adaptation of an ACT Based Intervention to a Digital Intervention for Chronic Pain
Orestis Kassinopoulos, University of Cyprus
Vasilis Vasileiou, University of Cyprus
Maria Karekla, University of Cyprus

Acceptance–based psychological interventions have been receiving empirical support. Yet financial barriers for the healthcare system and chronic pain patients as well as obstacles regarding physical access to treatment, highlight the need for innovative cost-reducing digital interventions. To date, there have only been two internet-delivered interventions based on ACT and Chronic Pain (Buhrman et al., 2013; Hester et al., 2014). However, none was adapted in a way to increase adherence rates, a problem often faced by digital interventions. Our adaptation of an ACT-protocol for chronic pain sufferers to a digital intervention aims to improve the human-computer interaction with the use of a persuasive system design, Avatars, short and limited number of sessions aimed at maximum efficiency. The process of converting a face-to-face Acceptance and Commitment Therapy intervention to both a web-based and a mobile-application is described. Obstacles arising during the adaptation and creative solutions to them will be discussed.

Educational Objectives:
1. To propose the utilization of smart internet based technology for the creation of ACT based programs for various problems. 2. To discuss obstacles presented in the creation of internet based programs and propose creative solutions. 3. To present the acceptability of ACT internet based programs to therapists and clients.

 

103. Embracing Psychological Flexibility: Relationship with life quality and satisfaction and executive functioning
Symposium (10:30-12:00)
Components: Conceptual analysis, Original data, Case presentation
Categories: Educational settings, Clin. Interven. & Interests, Prevention & Comm.-Based, Performance-enhancing interventions, Edu. settings, psychological inflexibility, life engagement, college students, SUD, ( executive functions, Mindfulness), adolescence, research, mindfulness, avoidance, cognitive fusion, thought suppression
Target Audience: Beg., Interm., Adv.
Location: Cannes

Chair: Charles Benoy, MSc, ACT-based Behavior Therapy Inpatient Unit Universitäre Psychiatrische Kliniken Basel, Switzerland
Discussant: Fabian Olaz, Faculty of Psychology. University of Cordoba (Argentina)

There has been substantial evidence for the health benefits of psychological flexibility across different populations. This symposium presents the finding of three studies analyzing the relationship between psychological flexibility and different outcomes in two student populations and a population institutionalized for severe substance abuse. The first study aims to analyze the relationship between psychological flexibility, life commitment and satisfaction and alcohol consumption in students. The second study examines the correlations between psychological flexibility, quality of life and wellbeing in a non-clinical sample of adolescents. Finally, the third study demonstrated the impact of an ACT intervention on executive functions in participants institutionalized for severe substance abuse.

• Psychological Inflexibility and Life Engagement as predictor of Drug Consumption and Life Satisfaction in a College Students in Ecuador
Pablo Ruisoto, Ph.D, University of Salamanca
Silvia Vaca, Ph.D., Universidad Técnica Particular de Loja
Esther Gimeno, University of Salamanca

In Ecuador, the use of psychoactive substances is a social problem based on their impact on health and social costs, particularly in the adolescent population. Psychological inflexibility and vital commitment are two central concepts in ACT leading to multiple behavioural problems. This study aims to analyze the relationship between the degree of psychological inflexibility and life life commitment with alcohol consumption and life satisfaction. More than 3,000 students from University of Southern Ecuador were surveyed using AUDIT to measure alcohol consumption, AAQ -7 to assess psychological inflexibility and LET to assess life commitment. An additional item was included to assess life satisfaction (LSQ). The results support the value of these variables to predict problematic alcohol consumption and life satisfaction. The implications for the design of programs aimed at preventing alcohol consumption among college students are discussed.

• A new pearl in the oyster: An exploratory study about the incidence of psychological flexibility on quality of life and psychological wellbeing in adolescence
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive, AISCC
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive, AISCC
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive, AISCC

Acceptance and Commitment Therapy emphasizes six core processes as positive psychological skills: acceptance, being present, defusion, self-as-context, values, committed action. Being psychologically flexible allows people to get a richer and values-directed life, increasing psychological wellbeing and reducing perceived stress. This study investigates the correlations between psychological flexibility, quality of life and wellbeing in a non-clinical sample of about 600 Italian adolescents. The used measures are: STAI –Y and SAFA (anxious, depressive, somatic symptoms) AFQ-Y (cognitive fusion, experiential avoidance, behavioral ineffectiveness) CAMM (lack of present-moment awareness, non-judgmental and non-accepting responses to private events) MAAS-A (presence/absence of attention to/awareness of what is happening in the present moment), SCS (self-compassion), PSS (perceived stress), SLSS and BMSLSS (life-satisfaction), SHS (subjective happiness), DAS (dysfunctional attitudes), FMI (mindfulness) QUEVA (quality of life), A-DES (dissociation). Measures assessing psychological distress result significantly positively correlated with measures assessing psychological inflexibility, dissociation, perceived stress and significantly negatively correlated with instruments evaluating mindfulness, quality of life, subjective happiness. These data were compared with those obtained in a previous exploratory study (Rossi, Melchiorri et al., 2014) about psychological flexibility and distress, supporting the initial hypothesis.

• ACT Training Effects on Mental Health, Psychological Flexibility and Executive Functions for participants institutionalized for severe substance abuse – A targeted ACT Manual and Individual Follow-up Effect Analyses of Data from a Pilot Study in Sweden
Gabriella Svanberg M.Sc. (2015), Institute for the Psychological Sciences
Ingrid Munck, Ph.D, University of Gothenburg, Sweden

Recent studies, suggest that prefrontal activities such as executive functions can be improved by mindfulness training. This led us to believe that the mindfulness based ACT intervention may have a positive impact on executive functions. In this pilot study we measured ACT Training Effects on Mental health, Psychological Flexibility and Executive Functions for participants institutionalized for severe substance abuse within The National Board of Institutional Care of Sweden. The effectiveness was assessed before and after a SUD targeted 6 session ACT manual. Individual follow-up data was collected in ten clinical scales from 18 participants at the beginning and end of the 3 week ACT-intervention. Results from the pilot study show the greatest positive effects on psychological flexibility among the 10 assessment scales confirming that ACT training is useful for institutionalized clients. A strong positive trend was also shown for the executive functions especially for Inhibitory control and Task-monitoring.(148 words)

Educational Objectives:
1. Evaluate psychological inflexibility and life engagement as predictors of drug consumption an large sample of college students. 2. Apply the association between psychological flexibility and perceived stress in clinical practice. 3. Implement a SUD targeted ACT intervention to institutionalized clients.

 

112. Case studies of Acceptance and Commitment Therapy with children
Symposium (14:45-16:15)
Components: Original data, Case presentation
Categories: Clinical Interventions and Interests, Edu. settings, RFT, Children, ACT, RFT, anxiety disorders
Target Audience: Beg., Interm., Adv.
Location: Estrel Saal C7

Chair: Lidia Budziszewska, Universidad de Almería
Discussant: Lisa Coyne, Suffolk University

There is still scarce empirical evidence concerning the use of Acceptance and Commitment Therapy (ACT) in children. The current symposium aims to discuss the implementation of ACT in this population by providing several clinical case studies. First, three case studies with children presenting school-related anxiety disorders will be presented discussing the tools used as a function of the developmental of their verbal behavior. Second, the case of an exceptionally gifted, 11-year-old girl with social relationships issues is presented. The treatment involved a brief, 4-session, ACT intervention. Lastly, the integration of ACT and Functional Analytic Psychotherapy (FAP) is discussed in relation to the treatment of an 8-year-old boy suffering from bullying episodes, impulsive behaviors, and problems initiating and maintaining peer relationships.

• Anxiety disorders in Kids: A Brief Overview of a Contextual Approach to Child Intervention
Giovambattista Presti, Department of Human and Social Sciences, Kore University, Enna (Italy)
Giulia Mazzei, IESCUM and ACT-Italia, Milano, Italy
Daniela Sterniqui, IESCUM and ACT-Italia, Milano, Italy
Gaia Oldani, IESCUM and ACT-Italia, Milano, Italy
Francesca Pergolizzi, IESCUM and ACT-Italia, Milano, Italy
Paolo Moderato, Istituto G. Fabris, IULM University, Milan (Italy)

ACT was designed to face psychological inflexibility as an effect of verbal rules and experiential avoidance in place in adulthood. However there is nothing in the clinical model or in Relational Frame Theory (RFT) that suggests that it could not also be effective with verbally competent children. ACT therapy with kids does not depart from the traditional hexaflex based protocols. However some tweaks to the typical metaphors and experiential exercises are necessary. Three clinical cases of kids presenting school-related anxiety disorders are discussed to show the broad range of clinical tools that a contextual behavioral science offers to clinicians. Those tools will be discussed as a function of the developmental range of how their verbal behavior repertoire contributes to their inflexible behavior. To create clinically meaningful context of changes it is necessary to (re)create overarching verbal environments familiar to children. A functional analysis of each case orients the choice of the clinician and the way the treatment protocol is developed. More traditional behavioral tools, like a token economy, are embedded into ACT informed protocols, depending on the functional link between the problematic behavior that occurs at home and at school and language development.

• ACT-Based Brief Intervention with an Adolescent with Difficulties in Social Relationships: A Case Study
Juan C. López, Universidad de Almería
Adrián Barbero-Rubio, Universidad de Almería
Carmen Luciano, Universidad de Almería

The participant of this case study was an exceptionally gifted, 11-year-old girl who had important difficulties in social relationships in her high-school. Her pattern of verbal regulation was characterized by avoiding aversive private events and neglecting valued actions in the area of social relationships. A brief, 4-session, ACT intervention was implemented. The patient showed significant improvements in her social life, which was maintained during the follow-up. The application of several experiential exercises and metaphors adapted to the problem are discussed.

• Integrating ACT and FAP with Children: A Case Example with a 8-Year-Old Boy Suffering from Bullying
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Carmen Luciano, Universidad de Almería
Rosa M. Vizcaíno-Torres, Universidad de Almería

Although the integration of acceptance and commitment therapy (ACT) and functional analytic psychotherapy (FAP) is relatively usual in the treatment of adults, few efforts has been conducted to date in the work with children. The current paper discusses the potential synergic effect of integrating these therapeutic approaches by presenting the case of an 8-year-old boy, Pablo, suffering from bullying episodes, impulsive behaviors, and problems in initiating and maintaining peer relationships. A brief, five-session intervention integrating strategies from ACT and FAP was conducted. The therapeutic relationship and in-session behavior were used as the source to shape social skills and psychological flexibility. After the intervention, Pablo stopped experiencing bullying episodes and his relationships with other children significantly improved because of his new social skills and the reduction of impulsive reactions. These improvements were maintained and increased during the one-year follow-up.

Educational Objectives:
1. List the empirical evidence of ACT with childre. 2. Describe how ACT can be adapted to the work with childre. 3. Analyze the integration of ACT and FAP in the work with childn.

 

113. RFT, ACT and Developing Accounts of Coercion, Prosocial Behavior, and Social Conflict
Symposium (14:45-16:15)
Components: Conceptual analysis, Original data
Categories: Theoretical and philosophical foundations, Prevention & Comm.-Based, Evo., Org. Beh. Management, RFT, prosocial behavior, coercion, scalable conflict model
Target Audience: Interm.
Location: Estrel Saal C8

Chair: Tami Jeffcoat, University of Nevada, Reno
Discussant: Anthony Biglan, Oregon Research Institute

Social processes have been subjected to RFT accounts and explanations within contemporary evolutionary science. Furthermore, they are implicitly related to components of the Psychological Flexibility Model. This symposium includes discussions of those accounts, explanations, and relationships. Talks include both empirical data and conceptual discussion on our more and less favorite social processes. In these talks, prosocial tendencies and global citizenship behavior as well as coercion and social conflict are discussed from RFT, Evolutionary, Psychological Flexibility theoretical perspectives.

• I-You, Here-There, Now-WHAT?!: Why it’s so Hard to do the Right Thing?
Priscilla Almada, University of Wollongong
Louise McHugh, University College Dublin, Ireland

While perspective taking (PT) has been found to be strongly related to prosocial behavior, the core functional units that are responsible for this relationship are not well understood. Deictic relational responding research has begun to provide a better understanding of what produces observed changes in PT ability. This study will examine how 1) differences in deictic relational ability are related to: general prosocial tendencies, global citizenship behavior (a more specific and advanced form of prosocial behavior), and coercive tendencies, and 2) what psychological variables moderate this relationship (i.e. mindfulness, empathy, psychological flexibility, self compassion, etc.).

• The Impact of Coercive Processes on Human Wellbeing
Anthony Biglan, Oregon Research Institute

Until recently behaviorist accounts of human behavior were seen as incompatible with evolutionary theory. However, Wilson, Hayes, Biglan, & Embry (2014) review the history of evolutionary thinking about human behavior and point out that B. F. Skinner “regarded the open-ended capacity for behavioral and cultural change as both (1) a product of genetic evolution and (2) as an evolutionary process in its own right.” They go on to argue that selection of behavior and of symbolic processes by their consequences are themselves evolutionary process and that taking these propositions seriously allows an integration of major traditions within the basic behavioral sciences, such as behaviorism, social constructivism, social psychology, cognitive psychology, and evolutionary psychology, which are often isolated and even conceptualized as opposed to each other. In this presentation, I will elaborate on one of the most important developments in research on the variation and selection of human social behavior, the study of coercive social interactions. I will review basic studies in coercive social interactions and the contribution that such interactions make to the antisocial behavior, marital conflict, and depression. I will describe the development of powerful prevention and treatment interventions that have been derived from this work.

• Flexible Social Conflict
Tami Jeffcoat, University of Nevada, Reno

Conflict Management and Mediation work is a set of theories, models, practices, and loose research agenda involving both empirical and philosophical analyses. The literature and members in these fields concur that intra-personal behavior is not only relevant to conflict management but also an important part of managing conflict between parties of all sizes. The implications of the analogous relationship between inner conflicts and conflicts among parties have not been carefully discussed in the literature, however. This talk argues that intra-personal conflict is social where it involves language-related cognitive processes. It discusses the analogy of intra-personal to extra-personal conflict systems. It proposes models of flexible social conflict versus intractable conflict, scaled from models of individual psychological flexibility versus pathology. These models are argued to be relevant to conflicts of various forms and sizes and may be useful in guiding management and mediation toward more constructive conflict processes. The aim of this paper is to facilitate discourse related to managing and mediating conflict systems, and to stimulate empirical work and improved practices in these fields.

Educational Objectives:
1. Describe what the recent research and RFT tells us about prosocial behavior. 2. Understand an evolutionary account of social processes or how coercive behavior may be prevented or treated. 3. Examine the scalability of the Psychological Flexibility Model to larger units of social behavior.

 

116. The Role of Acceptance and Commitment Therapy for Improving Sleep
Symposium (14:45-16:15)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Chronic Insomnia, ACT, MBSR
Target Audience: Beg., Interm., Adv.
Location: Room 30241

Chair: Guy Meadows, Ph.D., The Sleep School
Discussant: Frank Bond, Goldsmiths, University of London

Sleep is one of the most underrated performance enhancer with the power to determine our daytime mental, emotional and physical health. Developing ways in which to improve this natural phenomenon could prove essential for managing long term health. Three researchers will present sleep data from work and clinical settings, proposing the potential role of Acceptance and Commitment Therapy for improving sleep.

• The Effectiveness of a Workplace ACT Intervention Compared to MBSR Training for Sleep
Dr Vasiliki Christodoulou, Anakampsi - Substance Misuse Service, Limassol

A number of studies indicate that mindfulness meditation improves sleep and results in a decrease of sleep-interfering processes (eg, stress). The first paper describes main outcomes of a randomized controlled trial that compared a brief mindfulness-based stress reduction program to an acceptance and commitment therapy program for sleep quality and stress. It was examined whether the two programs resulted in analogous improvements. Two-hundred health workers were randomly allocated in one of three conditions; a four-session group acceptance and commitment training (66), a four-session group mindfulness-based stress reduction training (58) and a waitlist (76). Participants completed outcome and mediation measures at baseline (T1), post 4 weeks (T2), post 10 weeks (T3), post 16 weeks (T4), and at follow-up, 22 weeks (T5). The results indicated a significant improvement on sleep over time for both ACT and MBSR compared to the waitlist.

• ACT and MBSR Interventions for Sleep: An Investigation of Mechanisms
Dr Joe Oliver, Camden & Islington NHS Trust, London, UK

The second paper uses data from the above-mentioned RCT to investigate mediatonal pathways to determine the mechanisms by which the ACT and MBSR interventions worked. Improvements on sleep at follow-up for the ACT group were mediated by increases in behavioral activation and reduction in stress while for the MBSR group there was evidence of mediation through increases in psychological flexibility. The study indicates that both brief ACT and MBSR training are helpful interventions in improving sleep though outcomes may result through different mechanisms.

• The Effectiveness of ACT for Insomnia - An Initial Clinical Study
Dr Guy Meadows, The Sleep School

The purpose of this study was to evaluate the effectiveness of using Acceptance and Commitment Therapy (ACT) for adult chronic insomnia. ACT seeks to improve sleep quality, by increase people’s willingness to experience the conditioned physiological and psychological discomfort commonly associated with not sleeping. This is compared with traditional cognitive behavioural Therapy for insomnia (CBT-i), which bases many of its approaches on symptom reduction, a reason cited poor treatment adherence in the long term. 14 chronic insomnia sufferers (Aged 46±9yrs, 8 Females & 6 Males, Insomnia Severity Index score - 21±4) attended a one day workshop involving 6 hours of ACT training. During the day the attendees leant to apply acceptance, mindfulness, defusion, valued living and committed action tools to create their own personal sleep plan to implement over time. A range of quantitative and qualitative sleep measurements, as well as acceptance and mindfulness questionnaires were performed 1 week pre workshop and then at 5 and 10 weeks and 6 and 12 months post workshop. The results demonstrated a significant improvement in sleep quality and acceptance measures over time. This initial clinical study suggests ACT to be an effective treatment for overcoming chronic insomnia and warrants the need for further research into this important area.

Educational Objectives:
1. To understand the differential impact of ACT and MBSR interventions on sleep outcomes in workplace settings. 2. To understand the different pathways by which ACT and mindfulness interventions can impact on sleep outcomes. 3. To understand the clinical effectiveness of using ACT for insomnia within a one day workshop setting.

 

117. Do it yourself: Innovative Delivery Methods on the Rise
Symposium (14:45-16:15)
Components: Original data, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Beh. med., Superv., Train. & Dissem., health anxiety, smoking cessation, self-help, subclinical measures
Target Audience: Beg., Interm., Adv.
Location: Room 30341

Chair: Shane McLoughlin, National University of Ireland Galway
Discussant: Ditte Hoffmann Jensen, Arhus University Hospital, Denmark

Innovative Delivery Methods may facilitate the spread of evidence-based therapies and offer the opportunity to extend care to populations that might be difficult to reach with traditional forms of treatment. The three studies in this symposium discuss the feasibility of internet-delivered ACT for Health Anxiety, Predictors of participation of smokers in a telephone-based ACT for smoking cessation program and the development of self-help for negative thoughts measured by a unique rating form. Benefits and Challenges of new delivery methods will be discussed.

• Feasibility study of internet-delivered Acceptance and Commitment Therapy for Health Anxiety
Ditte Hoffmann Jensen, psychologist, Aarhus University Hospital, Denmark
charlotte ulrikka rask, MD, Ph.D., Aarhus University Hospital, Denmark
Lisbeth Frostholm, Ph.D., Aarhus University Hospital, Denmark

Background: Health anxiety (HA), or hypochondriasis, is characterized by a preoccupation with fear of having a serious illness, which interferes with daily functions and persists despite medical reassurance. HA is costly in terms of patients’ use of health care services, and untreated the disorder seem to be chronic. Aim: To develop an internet-delivered Acceptance and Commitment Therapy (iACT) program for HA, based on an existing ACT-group manual, and to test its feasibility in an open trial before a larger randomized controlled trial. Methods: 10 patients with severe HA will receive 7 sessions of iACT, which is a guided self-help program containing psycho education, written exercises, mindfulness and value-based exposure. During treatment, email support will be provided. Self-report questionnaires will be obtained at baseline and at end of treatment. Illness worry (Whiteley-7) will be the primary outcome measure. Perspective: iACT for HA may be a feasible and flexible treatment form, which can be delivered to a broader patient population, e.g., younger patients or patients with less severe symptoms.

• Predictors of the participation of smokers in a proactive telephone-based, acceptance and commitment therapy for smoking cessation program
YW Mak, Ph.D, School of Nursing, The Hong Kong Polytechnic University
AY Loke, Ph.D, School of Nursing, The Hong Kong Polytechnic University

Objective: The objective of this study is to identify the predictors of participation for a smoking cessation programme among smoking clients of primary health care settings with intention to quit smoking. Design: The smoking clients of 6 different primary health care settings were interviewed and invited to take part in a telephone-based smoking cessation program. The characteristics of participants and the predictors of participation were analyzed by chi-squared test and by logistic regression. Results: A total of 30,784 clinic attendees were approached in which 3890 (12.6%) smokers were screened and identified. All 184 eligible smokers with intention to quit smoking completed the baseline questionnaire and were asked for participation in which 106 (57.6%) agreed to participate in the research. The analysis showed that the predictors of participation in a pro-active smoking cessation program are having secondary educational level or above, perceived craving as an influential factor of cessation, having intention to quit smoking in the coming month, being confident in quitting smoking, and being psychologically flexible. Conclusions: Recruitment approaches should be refined according to the identified factors to target those who might decline an invitation to participate in a smoking cessation program.

• Developing self-help for negative thoughts measured by a unique rating form
Andreas Larsson, PhD, Private Practice
Nic Hooper, University of West England
Louise McHugh, University College Dublin

Over the course of five studies (in Larsson, 2014, unpublished PhD dissertation) a measure that was adapted from Healy et al. (2008) where ten positive and ten negative statements are ranked on (1) believability, (2) comfort, (3) negativity by adding and (4) willingness to experience was used in five studies as a non-clinical measure of negative thinking. Following a reasoning from RFT that anything can be uncomfortable and data from another adaptation of the Healy et al (2010) measure where the positive statements became negative (r=.72), uncomfortable (r=.79) or the subject became unwilling to experience (r=.70) if they were rated as unbelievable (Duff, Larsson & McHugh, under review), a version has been developed and tested where the subject chooses a thought that they themselves find believable, uncomfortable, negative and that they are unwilling to experience. Data shows that this measure is both correlated with clinically relevant measures and sensitive to a brief defusion intervention in two studies, also when compared to a brief cognitive restructuring intervention (1.37 < Cohen’s d < 5.00) showing this to be an interesting addition to the ACT research portfolio. Healy, H., Barnes-Holmes, Y., Barnes-Holmes, D., Keogh, C., Luciano, C., & Wilson, K. G. (2008). An Experimental Test of Cognitive Defusion Exercise: Coping With Negative and Positive Self-Statements.

Educational Objectives:
1. Discuss considerations in adapting face-to-face treatment to internet-based treatment. 2. Describe the flow of participation of a smoking cessation programme for subjects recruited from primary health care settings. 3. Explain the need for sub-clinical measures of negative private content in the context of prevention.

 

119. Prosociality and Prevention: Evolution Science SIG Sponsored
Symposium (14:45-16:15)
Components: Conceptual analysis, Literature review, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Edu. settings, Evo., Superv., Train. & Dissem., Cultural adaptations, Leadership Efficacy, evolutionary science
Target Audience: Beg., Interm.
Location: Cannes

Chair: Sigmund Gismervik, M.D., Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim
Discussant: Louise Hayes, Orygen, The National Centre of Excellence in Youth Mental Health

This symposium presents three studies that discuss different aspects of intervention strategies to increase wellbeing and ameliorate diverse problems in living in entire populations. The first study discusses ACT for use in low-resource settings and focuses on community engagement and cultural adaption processes to deliver an intervention for maximum real-world impact. The second study examines the clinical relevance of epigenetic mechanisms for practical clinical intervention strategies. Finally, the third study describes, how ACT and PROSOCIAL design principles were integrated into a course for improving community wellbeing and how to adapt course objectives to various group settings.

• LOW INTENSITY ACT INTERVENTIONS FOR PEOPLE LIVING IN ADVERSITY: GLOBAL MENTAL HEALTH PERSPECTIVES
Felicity L Brown, PhD, World Health Organization
Mark van Ommeren, PhD, World Health Organization
Wietse Tol, Johns Hopkins University

Psychological and substance use disorders are the leading cause of disability worldwide, and the financial and societal impact is significant. However, the majority of people with mental health problems globally do not have access to adequate treatment. Improving access to services, particularly in low and middle-income countries, is a well-recognized public health priority. The World Health Organization’s Comprehensive Mental Health Action Plan 2013-2020 emphasizes that all individuals affected by psychological disorders should be able to access high quality, culturally-appropriate health and social care in a timely manner, promoting recovery. Within the Department of Mental Health and Substance Abuse at the World Health Organization, a current priority is the development and evaluation of innovative methods for delivery of evidence-based treatment, which is affordable, not-for profit and culturally adaptable. These interventions must be suitable for low-resource settings, and in particular suitable for humanitarian settings in which mental health needs are high, yet access by mental health professionals may be severely restricted. This presentation will discuss the utility of ACT for use in such contexts, outline several current and proposed projects that utilize ACT-based techniques within low-intensity interventions, and describe a detailed protocol for community engagement and cultural adaptation processes to deliver an intervention that has maximum real-world impact.

• Epigenetics and implications for clinical intervention and prevention strategies.
josephine Loftus, Princesse Grace Hospital, Monaco

Epigenetics and implications for clinical intervention and prevention strategies. The scientific concept of the gene has changed from that of a fixed, structural entity to a more functional construct defined by its context ie the organism’s behaviour and its environment. Behaviour and the environment can contribute to the modification of gene function through epigenetic mechanisms and raise the possibility that life experiences including adverse events may be recorded in the genome thus modifying brain function. Epigenetic changes may be reversible. Family studies have shown that children of severely mentally ill parents have a 5 to 6 fold increase in psychopathology. Findings in relation to early adverse life experiences and epigenetics have implications for early intervention strategies such as ACT to modify behaviour and the environment The aim of this paper is to review the literature on epigenetic mechanisms and the implications for psychotherapy and the planning of prevention strategies .

• ACTivating University Students for Social Changemaking using PROSOCIAL
Larry Dumka, Ph.D., Sanford School of Social and Family Dynamics - Arizona State University

To date, applications of ACT have focused predominantly on individual wellbeing and, more recently, on improving couple and parent-child relationships. This paper presents how the ACT model and the PROSOCIAL group design principles were integrated into a university Social Changemaking course to engage students in improving community wellbeing. Students worked in teams to conduct social change projects in collaboration with community human services organizations. Students reported increasing their self-efficacy and psychological flexibility as they addressed internal, team, and contextual barriers to implementing their project. This paper outlines the core content and processes of the Social Changemaking course and provides guidance for adapting course components to diverse settings (businesses, congregations) and to different types of community change initiatives (policy making, grassroots organizing, and social entrepreneurship).

Educational Objectives:
1. Apply a systematic approach to community engagement and cultural adaptation of psychological interventions. 2. Explain the clinical relevance of epigenetic mechanisms. 3. Explain how to adapt Social Changemaking course objectives to various group settings.

 

122. Overcoming the stigma of getting therapy: New technology-based ACT interventions with Potential for Broad Scale Impact on Mental Health: ACTing with Technology SIG Sponsored
Symposium (16:30-17:45)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Technology
Target Audience: Beg., Interm., Adv.
Location: Estrel Saal C7

Chair: Victoria Follette, Ph.D., University of Nevada, Reno
Discussant: Victoria Follette, Ph.D., University of Nevada, Reno

The world of therapy is changing. Today, people suffering with a broad array of mental health problems can choose to see a therapist in an office or do something completely different: get therapy online either as a stand-alone intervention or a complement to traditional face-to-face therapy. The potential benefits of new technologies are huge: access to care for people who are stigmatized about their mental health problems and about entering therapy, low cost, and potentially effective. Not a replacement for face-to-face therapy, web-based therapy opens up ACT to people who might not otherwise seek help and may make them more willing step up care to see a therapist if needed. The ACBS community is recognizing this fundamental change through the ACTing with Technology SIG, which supports these three cutting-edge presentations: (1) Dr. Levin will present new results from a randomized trial testing a web-based ACT program to help college students with a wide variety of mental problems; (2) Dr. McLean will present outcome data from her new web-based ACT program for coping with trauma; (3) Dr. Kaipainen will present outcome data from a new web-based ACT program to help people reduce social anxiety. Dr. Follette will lead a discussion on the potential of new technologies to expand the reach of ACT interventions and overcome the stigma of seeking therapy.

• Testing a Transdiagnostic Web-Based ACT Self-Help Program for College Students
Michael E. Levin, Ph.D., Utah State University
Jack Haeger, PhD, Utah State University
Michael Twohig, PhD, Utah State University

Innovative approaches are needed to improve engagement in psychological services among college students. Websites provide a promising way to deliver treatment while overcoming student barriers including time, access, cost, and stigma; particularly if they can be applied transdiagnostically for a range of problems. This presentation will report a RCT testing a six-session web-based ACT program designed to treat the range of problems college students seek help for by targeting psychological inflexibility. We will describe our development method, which allows for rapid prototyping and iterative revisions without developer costs. The results comparing ACT to waitlist will be reported with a sample of 200 distressed college students on outcomes including depression, anxiety, academic distress, relationship problems, eating concerns, and substance use. Program acceptability/usage will be reported and whether usage predicts improvements in outcomes. Results will be discussed in relation to lessons learned with ACT program development and future research directions.

• ACT for Trauma Related Problems: Outcome Data from a Web-based Intervention
Caitlin McLean, PhD, University of Nevada, Reno
Devika Fiorillo, PhD, Emory University
Victoria Follette,PhD, University of Nevada, Reno

While a number of case studies and unpublished clinical trials have demonstrated the utility of ACT for trauma related problems, rigorous outcome studies are more limited. Moreover, research suggests that web-based interventions are important new tools in disseminating treatment. This study provides important preliminary data on ACT and is the first web based treatment for interpersonal trauma survivors (combat trauma has been delivered using a range of technologies). The current study is a pilot evaluation of a six-session ACT intervention for interpersonal trauma. Participants were a community sample of 22 women trauma survivors who had experienced rape, CSA, and CPA. Pre, mid, and post-treatment measures include PCL-5(PTSD), psychological flexibility, and depression. Participants reported increases in functioning, including reduced symptoms of PTSD, t(18.23)=-5.63, p<.001, d=-1.36, and improvements in psychological flexibility, t(18.65)=-2.98, p<.01, d=-0.71. Results on completers versus non-completers, system usability, and client satisfaction will be discussed.

• Hold Your Nerve: Impact and uptake of an ACT-Based Online Social Anxiety Programme in Finnish and UK Community Settings
Kirsikka Kaipainen, Ph.D., Headsted Limited
Toni Vanhala
David Lees
Päivi Lappalainen
Raimo Lappalainen, University of Jyväskylä

Social anxiety affects one third of people within their lifetimes. They do not usually seek help before co-morbidities emerge. Online interventions can provide low-barrier support and effective self-help. The online Hold Your Nerve programme was launched in September 2014 in Finland as a free service for anyone suffering for social anxiety symptoms. Social anxiety level was measured in the beginning of the programme using Mini-Social Phobia Inventory (range 0-12). Afterwards, users were invited to complete an online post-survey assessing social anxiety and user experiences. In January 2015, 771 users had registered to the programme and 44 social anxiety sufferers had responded to the post-survey. The average decrease in social anxiety was 1.1 points (pre 8.3, post 7.2, p=.004) and 96% recommended the programme to others. Comparison data from the United Kingdom's implementation trials will be available in late spring 2015. We discuss implementation challenges of online programmes in community settings.

Educational Objectives:
1. Learn development strategies and lessons learned in creating web-based ACT programs. 2. Learn the content and treatment outcomes of a web-based ACT program for trauma. 3. Learn the content and treatment outcomes of a web-based ACT program for social anxiety.

 

124. Brief Mindfulness and Acceptance-Based Interventions in Group Settings
Symposium (16:30-17:45)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Beh. med., Mindfulness, Acceptance, Inmates, Parents
Target Audience: Beg.
Location: Strassburg

Chair: David Carreno, M.A., Universidad de Almería
Discussant: Lisa Coyne, Ph.D., Suffolk University, The New England ACT Institute

This symposium presents three studies that evaluated brief acceptance and mindfulness-based interventions in group settings. The studies used diverse populations (undergraduate students, parents of children with behavioral difficulties and inmates) and aimed to adapt their methods to the special circumstances of their participants. The first study was an experiment that analyzed the efficacy of a single mindfulness technique (the focused breathing exercise) among healthy undergraduate students. The second study created a 5-session intervention for parents of children aged 5-17 with severe emotional and behavioral difficulties. Finally, the third study evaluated an 8-session protocol among violent male prisoners compared to a treatment as usual condition. Overall, these studies suggest that even very brief acceptance and mindfulness-based protocols can significantly influence the behavior of the participants.

• Effects of a Brief Mindfulness Intervention on Cognitive Tasks and Mood Evaluations
Nikolett Eisenbeck, M.A., Universidad de Almería
Carmen Luciano, Ph.D., Universidad de Almería
Sonsoles Valdivia-Salas, Ph.D., Universidad de Zaragoza

The aim of this study was to evaluate effects of a group-based mindfulness exercise on cognitive performance and mood evaluations. 47 healthy undergraduate participants were randomly assigned to either a Mindfulness or a Control condition. In Mindfulness, a single session of the focused breathing exercise (FB) was implemented, while participants in the Control listened a neutral audiotape. A pre-post design with two cognitive tasks (an attention task and a memory task) and mood evaluations (Positive and Negative Affect Schedule) was implemented. Results showed no significant effects of the FB protocol on mood evaluations and on the attention task when compared to the Control condition. Nonetheless, participants in the FB condition responded significantly better on the memory task. Results are discussed in comparison with previous studies.

• ACT for Parents: An Open Trial with Parents Raising a Child with Severe Emotional and Behavioral Problems
Carlos E. Rivera, M.S., Suffolk University, The New England ACT Institute
Lisa Coyne, Ph.D., Suffolk University, The New England ACT Institute
Mitch Abblett, Ph.D., Suffolk University, The New England ACT Institute, McLean Child and Adolescent OCD Institute at Harvard Medical School

Whether improving parent mindfulness and acceptance may have a positive influence on parents’ sense of efficacy in raising their youngsters, level of self-compassion, and their quality of life is an empirical question. The present study seeks to address this question through piloting a five-session Acceptance and Commitment Therapy (ACT) parenting workshop with parents of children aged 5-17 with severe emotional and behavioral difficulties in a day-treatment school setting. We expected that parents would find the program acceptable and feasible, and that those who reported post-program increases in acceptance and mindfulness would also report reduced parenting stress, distress, improved quality of life, improved parenting efficacy, and increased reliance on positive, rather than maladaptive, parenting strategies. As an exploratory hypothesis, we were interested in the relationship between improvements in parent functioning and their relationship to parent and teacher-reported child behavioral and emotional functioning. Information was collected at baseline, post-treatment, and 3-month follow-up.

• A brief Acceptance and Commitment Therapy-Based Intervention Among Violent Male Inmates
Katalin Scheitz, M.A., Jász-Nagykun-Szolnok Megyei Büntetés-végrehajtási Intézet
Nikolett Eisenbeck, M.A., Universidad de Almeria
Boglárka Szekeres, M.A., Jász-Nagykun-Szolnok Megyei Büntetés-végrehajtási Intézet
Juan Carlos López López, Universidad de Almería
Adrián Barbero-Rubio, University of Almería, Spain

The aim of the present study was to evaluate the efficacy the Acceptance and Commitment Therapy (ACT) in penitentiary contexts. Thus, the effects of a brief, 8-session ACT group intervention (N = 9) were compared with a treatment as usual (TAU) condition (N = 9) among male inmates who were in pre-trial detention of extremely violent crimes. The ACT protocol consisted of mindfulness, acceptance and values work adapted to the special circumstances of the participants. The TAU consisted of exercises about drug abuse and stress reduction. Participants were assessed at the beginning of the intervention, at the end of the intervention, at 3-months and 6-months follow-up. Self-report questionnaires and external evaluators were used to assess the behavior of the inmates. Results at post intervention and follow-up indicated that ACT was more successful in increasing effective actions among the participants.

Educational Objectives:
1. Adapt acceptance and mindfulness-based protocols to group settings. 2. Adapt acceptance and mindfulness-based interventions to diverse populations. 3. Analyze and enhance efficacy of brief interventions.

 

125. Mindfulness Interventions: Reducing stress and promoting wellbeing and valued behavior
Symposium (16:30-17:45)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Org. Beh. Management, Other, Mindfulness, ACT, burnout, Mindfulness experimental research
Target Audience: Beg., Interm., Adv.
Location: Room 30241

Chair: Mathias Funke, Private Practice
Discussant: David Gillanders, University of Edinburgh

Previous research demonstrated that mindfulness interventions could effectively reduce different mental health problems in both clinical and nonclinical populations. The three studies presented in this symposium examine the relationship between mindfulness, stress, wellbeing and valued behavior. The first study evaluates the effect of a mindfulness- and value-based intervention on recovery from work burnout, taking into account the importance of work-site factors. The second study extends current knowledge by examining the mindfulness state that is elicited in a lab setting. Finally, the third study examines the effect of a mindfulness-based intervention for oncology nurses on mindfulness, ACT relevant constructs and a range of negative mental health outcomes.

• Exploring group and individual level connections between mindfulness skills and burnout – Results from Muupu-research
Anne Puolakanaho, Ph.D., University of Jyväskylä
Sanna Kinnunen, M. A., University of Jyväskylä

Background: There exist limited studies combining mindfulness skills and work-site factors when explaining burnout experiences. Furthermore, little is known of the individual outcome profiles among participants of mindfulness and value-based intervention for burnout. Aims: Muupu-research (randomized control trial, n=109+109) aims to examine the effectiveness of intervention based on mindfulness- program (MBSR, MBCT) and value-based methods (from ACT) to the recovery from work burnout. The 8-week Muupu-intervention is delivered using jointly face-to-face group meetings and web-based program. Methods: Muupu-research elucidates aforementioned issues using SEM (cross-sectional data) and mixture modeling (longitudinal data) techniques. Results: The results suggest that both mindfulness skills and work-site factors have unique and significant association with burnout. In Muupu-research several individual outcome profiles were found that differed on the development of mindfulness skills and burnout during the 6-month follow-up. Implications: This kind of brief, structured intervention is cost-effective way to promote employee well-being in varying settings.

• Mindfulness state and its benefits for planning towards valued goals: an experimental approach
SARA DE RIVAS, PHD, UNIVERSIDAD AUTONOMA DE MADRID
RAQUEL RODRIGUEZ-CARVAJAL, UNIVERSIDAD AUTONOMA DE MADRID
CARLOS GARCÍA-RUBIO, UNIVERSIDAD AUTONOMA DE MADRID
MARTA HERRERO, UNIVERSIDAD AUTONOMA DE MADRID

So far the experimental research on mindfulness is scarce. In our first study we addressed a main issue of applying mindfulness in the lab setting: to actually check for the mindfulness state that is elicitated by the instructions in non-regular mindfulness practitioners. For this purpose, 92 participants were randomly assigned to one of four experimental conditions: mindfulness1, mindfulness2, mindfulness3 and control (relaxation). Using Toronto Mindfulness State scale pre and post punctuations where obtained in each of the conditions. Results showed positive elicitation of the mindfulness state in all mindfulness conditions we found significant main effects for time (Pillai’s trace F (1, 82) = 60.059, p < .000) and significant effects for the interaction time x condition (Pillai’s trace F (3, 82) = 4.870, p < .004). In a study 2, we tested the hypothesis that mindfulness would enhance the identification of critical situational cues in the process of planning. For this purpose, 139 participants were randomly assigned into one of the four experimental conditions. In each condition they were primed with either control, abstract, concrete or mindfulness-mindset. Then, they were asked to identify critical situational cues to solve personal conflicts within a value-context. Results show significant effects regarding the identification of critical situational cues (F=2.899, p=.037). Participants under the mindfulness-mindset condition identified more critical situational cues (M=6.21) than the other conditions (M(control)=5.16, M(concrete)=5.09 and M(abstract)=5.23). Global results (study 1) indicate that it is possible to elicit an actual mindfulness state in the lab setting through brief mindfulness instructions, and that bringing the attention to the present moment might help other psychological processes such as perception and identification of critical cues and the subsequent formation of plans (study 2) that subsequently enhance value-oriented behavior and well-being

• The efficacy of a mindfulness-based intervention for oncology nurses
Joana Duarte, MSc., CINEICC, University of Coimbra, Portugal
José Pinto-Gouveia, CINEICC, University of Coimbra, Portugal

Although the causes and negative consequences of work-related stress among nurses are well known (e.g., burnout, compassion fatigue), there is a lack of empirical studies about effective ways to reduce or prevent such problems. Mindfulness-based programs have proven to be effective in reducing stress and improving health and well-being in a variety of populations, and few recent studies seem to support they might also be effective for stress-related health problems. This study aimed to test the efficacy of a 6-week, mindfulness-based intervention for oncology nurses. In total, 39 nurses participated in the study, and were randomly assigned to either an experimental (n=19) or a control group (n=20). Due to dropouts or incompletion of all measurements, data were analyzed for 15 participants from the experimental group and 13 participants from the control group. Several measures were used to asses the program’s efficacy, namely: burnout and secondary traumatic stress (STS), depression, anxiety and stress symptoms, rumination, experiential avoidance, self-compassion and mindfulness facets. Results demonstrated significant improvements in nurses' burnout, STS, depression and stress symptoms, experiential avoidance, rumination, self-compassion and non-judge mindfulness facet. No significant differences were found in the control group. Participants also reported that the intervention was very important to them, and helped them change their relation to their negative thoughts and emotions and how they typically reacted to difficult situations. These results are promising for the use of mindfulness-based interventions with this population.

Educational Objectives:
1. Describe the role and significance of mindfulness skills and work-site factors when explaining burnout. 2. Discuss and critique mindfulness effects found in the experiments. 3. Evaluate the feasibility of a mindfulness-based intervention program for a specific population (oncology nurses) conducted in a work setting.

 

126. Valued living: Assessment and Interventions
Symposium (16:30-17:45)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Prevention and Community-Based Interventions, Clin. Interven. & Interests, Performance-enhancing interventions, Edu. settings, Org. Beh. Management, Prof. Dev., Other, Teachers, coping with stress, valued living
Target Audience: Beg., Interm., Adv.
Location: Room 30341

Chair: Grayson Butcher, University of Louisiana at Lafayette
Discussant: Emily Sandoz, University of Louisiana at Lafayette

The primary objective of ACT is not to merely provide symptomatic relief, but to enhance valued living. The third paper presented in this symposium focus on the effect of an ACT intervention in the workplace on valued living and its assessment. The first paper examines the changes in valued living, general health and work-related psychological flexibility after an ACT intervention for teachers. The second paper compares a traditional mindfulness with an ACT intervention in the workplace and investigates whether adding values and targeting mindfulness at valued life domains truly adds value. The third paper analyzes changes in valued action during the process of cognitive-behavioral therapy. Pros and cons of various ways to measure valued action will be described and critically discussed.

• The impact of an Acceptance and Commitment Training for teachers: reducing stress and promoting psychological well-being and valued living
Simone Gebhard, Institute of Special Education, Department of Special Educational Psychology, Europa-Universität Flensburg
Dietrich Pülschen, Ph.D., Department of Psychiatry, University of Rostock

Teaching is perceived as a profession which is linked to high levels of stress. Numerous studies confirm that not many teachers in Germany reach retirement age while still in service, in many cases psychiatric diagnoses are associated with these early retirements. The development of this kind of disorders is often related to the malfunction of the stress system. Besides the biological stress response of the body there is also a cognitive stress-component, which is characterized by an increased mental occupation with stressful burdening thoughts and so called aversive cognitions like i.e. sorrowful thoughts and self-criticism. By changing the way of dealing with those aversive cognitions through a cognitive behavioural intervention a person´s individual coping capability could be improved. Acceptance and Commitment Therapy (ACT) is a promising approach to be used in a teacher training for the prevention of stress and the promotion of psychological well-being. Using a wait-list control design the present study examined the effects of an Acceptance and Commitment Training on work related psychological flexibility (WAAQ*), general health (GHQ-12*) and valued living (VLQ*) of a sample of teachers (N= 26). Work in progress – we will have the results in the beginning of March 2015.

• Valued living and its measurement: A critical reappraisal
Juergen Hoyer, Ph.D., TU Dresden
Jasmin Colic, B.Sc., TU Dresden
Andrew T. Gloster, Ph.D., University of Basel

We investigated a) the psychometric criteria of the Valued Living Questionnaire (VLQ; German version), b) whether non-ACT CBT enhances value-oriented action, c) whether value-oriented action predicts successful therapy, and d) whether a gain in value-oriented acting can explain that some patients are satisfied with treatment despite insufficient symptom reduction. We analyzed pre/post/follow-up data of over 500 patients at a university psychotherapy clinic, all assessed with standardized interviews. Questionnaires included the VLQ; Beck Depression Inventory (BDI); Brief Symptom Inventory (BSI), and treatment satisfaction. VLQ moderately correlated with the BDI, but not with the BSI. Significant improvement in value-oriented action was found (d = .33). VLQ values predicted treatment success and stability of outcome. Value-oriented action also explained treatment satisfaction significantly, even if symptom reduction was statistically controlled for. Our findings confirm some validity aspects, but the low incremental validity has to be critically discussed.

Educational Objectives:
1. Explain how to apply ACT to establish and develop collaboration skills and reduces high levels of subjective stress. 2. Design research studies comparing ACT and mindfulness-only interventions. 3. Analyze changes in valued action during the process of cognitive-behavioral therapy.

 

127. ACT for sleeping problems and PTSD
Symposium (16:30-17:45)
Components: Original data
Categories: Clinical Interventions and Interests, Clin. Interven. & Interests, Beh. med., Insomnia; Sleep disturbances; PTSD; Higher level care settings
Target Audience: Beg., Interm., Adv.
Location: Cannes

Chair: Corinna Stewart, B.A., Ph.D. Candidate, NUI, Galway
Discussant: Darrah Westrup, Ph.D., Independent Practice

The three studies in this symposium present new findings on ACT interventions for sleeping problems and PTSD. The first study examined the effect of an ACT intervention for non- or partial responders to CBT with primary insomnia on sleep quality and quality of life. The second study investigated the effect of a specialty track to tailor an existing ACT program to specific needs of patients with PTSD on treatment outcomes in a hospital setting. Finally, the third study aims to examine the effect of a group-based ACT for sleep disturbances. Findings regarding different sleep-related and clinical outcomes, as well as the combination of technology and ACT-based group interventions will be discussed.

• Quality of Life Improvements after Acceptance and Commitment Therapy (ACT) in Nonresponders to Cognitive Behavioral Therapy for Primary Insomnia (CBT-I)
Elisabeth Hertenstein, University Medical Center Freiburg
Nicola Thiel, University Medical Center Freiburg
Marianne Lüking, University Medical Center Freiburg
Dieter Riemann, University Medical Center Freiburg
Kai Spiegelhalder, University Medical Center Freiburg
Christoph Nissen, University Medical Center Freiburg

Background: Cognitive behavior therapy for insomnia (CBT-I) improves subjective and objective parameters of sleep in patients with primary insomnia (PI). However, the perception of poor sleep and an impaired quality of Life (QoL) often persists despite treatment. This study aimed to provide first evidence that Acceptance and Commitment Therapy (ACT), an intervention including mindfulness and value-based changes of behavior, can improve subjective sleep quality and QoL in patients with chronic PI. Methods: Eleven patients with chronic PI who were non- or partial responders to CBT-I were included. Data were collected 6 weeks prior to the intervention (T-1), directly before (T0) and after the intervention (T1), and at 3-months follow-up (T2). The intervention consisted of six ACT sessions in an outpatient group setting. Primary outcomes were sleep-related QoL (Glasgow Sleep Impact Index), global QoL (World Health Organization Quality of Life scale) and subjective sleep quality (measured by sleep diaries). Results: Ten patients completed the study, one dropped out due to scheduling problems. All measures remained stable between T-1 and T0. Significant improvements after the intervention were observed for sleep-related QoL, global QoL, and subjective sleep quality (ANOVA with factor Time, post-hoc contrasts T1 and T2 vs. T0, all Ps<.05, large effect sizes). Subjective total sleep time, sleep onset latency and wake time after sleep onset did not significantly change across the study. Conclusions: The findings provide preliminary evidence that ACT might improve subjective sleep quality and the QoL in patients with PI.

• Development and Pilot-Testing of a Specialty PTSD Track within an Acceptance-based Partial Hospitalization Program: Impact on PTSD Outcomes
Catherine D'Avanzato, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Darren Holowka, Rhode Island Hospital
Theresa A. Morgan, Rhode Island Hospital; Alpert Medical School of Brown University
Kristy Dalrymple, Rhode Island Hospital; Alpert Medical School of Brown University
Mark Zimmerman, Rhode Island Hospital; Alpert Medical School of Brown University

Numerous clinical trials have demonstrated ACT’s efficacy in treating a broad spectrum of psychopathology. However, no published studies to our knowledge have been based on partial hospital settings, and few studies have examined ACT in inpatient settings. As partial hospital programs are increasingly common and present many challenges to applying ACT unique from outpatient clinics, studies which modify and test ACT in these settings are critical. Previously, we demonstrated the efficacy of an ACT based partial hospital program in improving symptom severity, functioning, and ACT-relevant change mechanisms in patients with diverse diagnoses. The purpose of this study was to investigate whether establishing a specialty track to tailor our program to the specific needs of patients with PTSD may enhance their treatment outcomes. Individuals with a PTSD diagnosis who were enrolled in the PTSD specialty track were compared to patients with PTSD who completed the general program on measures of symptom severity, functioning, quality of life, and ACT processes, both daily, as well as at intake and discharge. Preliminary results suggested a trend in which patients within the PTSD track exhibited greater improvement on measures of symptom severity. Data collection is ongoing, which will increase power to detect group differences. We will discuss implications for the development and implementation of ACT-based interventions in higher level care settings.

• ACT for sleep disturbances - an RCT-study investigating Acceptance and Commitment Group Therapy for treatment of insomnia
Raimo Lappalainen, Ph.D., Dept of Psychology, University of Jyväskylä
Päivi Lappalainen, M.A., Dept of Psychology, University of Jyväskylä
Sonja Pelkonen, M.Sc., Dept of Psychology, University of Jyväskylä
Niina Puha, M.Sc., Dept of Psychology, University of Jyväskylä
Ville Suutari, M.Sc., Dept of Psychology, University of Jyväskylä
Elina Naamanka, M.Sc., Dept of Psychology, University of Jyväskylä

Introduction: Sleep disturbances occur in about 10% to 15% of the general population and are often associated with stress, illness and aging. Therefore, treatments targeting this common problem are needed. Objectives and methodology: The aim of this study (N= 65) was to examine the effect of Acceptance and Commitment Group Therapy for participants suffering from sleep disturbances. The treatment consisted of six weekly group sessions from which the first one was held individually via phone. The impact of the study was measured with 15 questionnaires assessing sleep, psychological flexibility and physical and psychological well-being. Results: There was a significant difference between the groups in perceived severity of insomnia, sleep-related dysfunctional cognitions, psychological distress, severity of depressive, anxiety and stress symptoms, and dispositional and state hope over time. Discussion and conclusion: The study showed that the ACT-based group intervention can be effective to treat sleep disturbances. Further research studying processes of insomnia is still needed.

Educational Objectives:
1. Apply ACT to patients with insomnia. 2. Describe pilot data on the effectiveness of a specialty track designed to tailor an existing acceptance-based partial hospitalization program to patients with PTSD. 3. Apply a group-based ACT intervention for sleep disturbances.

 

Sunday, 19 July

135. Taking to the field: Applying the Third-Wave to Sports and Athletics: Sport, Health, and Human Performance SIG Sponsored
Symposium (9:00-10:15)
Components: Conceptual analysis, Original data
Categories: Performance-enhancing interventions, AAQ, Sports, Competition
Target Audience: Beg., Interm., Adv.
Location: Estrel Saal C7

Chair: Raimo Lappalainen, University of Jyväskylä Finland
Discussant: Frank Bond, Goldsmiths, University of London

Beyond applications to improve technical proficiency within athletics, there is a growing interest in psychological skills. Third-wave behavioral approaches are a natural fit. This symposium will offer some conceptual directions for the integration of contextual behavior science to areas of sports and fitness. As well as present recent empirical investigations, and their implications for applying the psychological flexibly model to competitive and recreational sport.

• AAQ for Hockeyplayers: AAQ-H, a Psychometric Evaluation
Tobias Lundgren Ph.D, Psychology Department, University of Stockholm, Sweden

Experiential avoidance and psychological flexibility is at the core of psychopathology and has shown to correlate with behavior effectiveness (Bond et al 2011). In this study the AAQ was adjusted to ice hockey-players and the psychometric properties of the instruments was evaluated. N= 96, ice hockey players at different levels of expertise. Factor analysis showed three main factors, present moment awareness, values and acceptance. The preliminary results show that AAQ-H predicts outcomes on ice and has good criterion related validity. The results show that thoughts and feelings effects performance and suggests that there is a need to evaluate interventions targeting these processes.

• AAQ-II and Its Application to High Performance Populations
Patrick Smith, University of Nevada, Reno
Emily Leeming, University of Nevada, Reno
Steve Hayes, University of Nevada, Reno

The application of the (AAQ-II) is becoming more prevalent across ACT, RFT, and CBT practitioners. As discussed in the development of the original AAQ, sensitivity of the assessment and discrimination ability for specific populations may vary. This presentation will discuss AAQ-II scores collected from college athletes training in CrossFit (N=122). Data suggests that the 7 question assessment in this population is significantly lower than validation averages. Compared to original AAQ-II validation testing (N=206, M=21.41, SD=7.97), athletes scored significantly lower (M=14.46, SD=6.03). The presentation will discuss the potential difficulty in the AAQ-II to detect and discriminate levels of psychological inflexibility among certain competitive athletic populations. Current data, also suggests that more research and potentially developing an athletic specific AAQ maybe necessary to delineate psychological flexibility and inflexibility among high performance populations.

• Applying the Psychological Flexibility Model to Resiliency in Completive Sport
Emily Leeming, University of Nevada, Reno
Steve Hayes, University of Nevada, Reno
Patrick Smith, University of Nevada, Reno

This presentation will serve to expand and follow up on data presented at ACBS Minneapolis on resiliency/mental toughness in competitive athletes. Psychological resiliency is said to be a distinguishing feature between good athletes and great athletic champions but this concept has yet to be studied with scientific rigor. Athletes were exposed to three kinds of specific statements designed to increase performance during a multi-round, high stress, isometric hold test. Two statements were suggested by traditional sports psychology (a statement to focus on the task and a statement to distract from the high demand), and one suggested by relational frame theory (a statement to focus on willingness to persist in the face of aversive emotions). The willingness statement led to decreased rates of fatigue across repeated hold exposures, and improved athlete’s ability to predict task failure. Data from this within-subject methodology will presented. Additionally, data from a larger trial, currently being conducted, will also be presented. Implications and future directions from investigations will be discussed.

Educational Objectives:
1. Identify challenges in assessing high performance populations, discuss psychological flexibility interventions to sports, identify "high performance" populations.

 

138. ACTing Across Contexts: Religion, Diagnostics and Private Events
Symposium (9:00-10:15)
Components: Conceptual analysis, Literature review, Original data
Categories: Organizational behavior management, Clin. Interven. & Interests, Org. Beh. Management, Theory & Philo., Other, Psychotherapy, Psychological Inflexibility across disorders, Philosophy of psychology
Target Audience: Beg., Interm.
Location: Strassburg

Chair: Ronald Burian, M.D., Psychiatric hospital , Königin Elisabeth Herzberge“, Berlin (KEH)
Discussant: Lidia Budziszewska, University of Almería & Sinews MTI Multilingual Therapy Institute

The studies presented in this symposium discuss the application of Act within different religious contexts and different aspects relevant to ACT, including the concept of private events and transdiagnostic processes. The first paper focuses on the relation between the religious attitude and psychotherapy in Muslim country and examines the differences and similarities between Islamic Spiritual Therapy and ACT from an Islamic point of view. The second paper critically analyzes the concept of private events and discusses an alternative perspective based on the notion of “complexity“. Finally, the third paper investigates psychological inflexibility as a transdiagnostic process in depressive, anxiety and eating disorders with and without comorbid personality disorders in psychiatric inpatients.

• A Comparison between Islamic Spiritual Therapy (IPS) and Acceptance Commitment Therapy (ACT)
Dr Tahereh Seghatoleslam, University of Malaya , Centre of Addiction Sciences UMCAS) Malaysia Shahid Beheshti University of Medical Sciences ,Tehran Iran
Hussain Habil, University of Malaya , Centre of Addiction Sciences UMCAS) Malaysia

This study has clarified the differences and similarities between ISP and ACT from an Islamic point of view. It showed that there are a lot of similarities and a few differences in ISP and ACT principles. However, in Islam, everything is related to Allah, and it is said that everything is done in the name Allah; therefore, the Holy Quran emphasises on some actions that are mentioned as “Wajib”, which means they are compulsory, and stresses on the importance of avoiding any unacceptable Islamic behaviour which is a cardinal sin in the Holy Quran. Whereas in ACT, cognitive avoidance is not encouraged. In Islam, there are five prayer times that are “Wajib” (Compulsory) for all Muslims. It is similar to mindfulness in ACT that is the cause of consciousness. The Holy Quran orders that you have to be conscious and be responsible for all of your actions and behaviour to yourself and to other people. Otherwise, you are committing Haram. “Haram” is a religious word that is opposite of Wajeb, which means “compulsory to be avoided”. In the Islamic point of view, it is also recommended that the values play an important role in both personal and social life. These values developed the framework of a cognitive life. Regarding the time as mentioned by ACT, the moment is one of the principles that was proposed by Steven Hays. Moreover, Islam mentions that you should always be aware of the future and think of life in the next world. It is also mentioned that if you care about life in the other world, your future will be blessed by Allah. These dimensions are considered completely in the original paper.

• Is privacy a necessary concept in contextual approach?
Henrique Mesquita Pompermaier, MSc., Universidade Federal de São Carlos

A behavior analytic approach of subjective phenomena, in a great measure, was developed based on the concept of private events (and the notion of privacy implied on it). In this sense, the called “private events theory” was assumed as the model for behavior analysis to comprehend and study some psychological phenomena. Contextual behavioral scientists argue that, in some senses, a simple behavior analytic approach is limited and must be corrected or complemented by a contextual comprehension. Notwithstanding, some of these authors maintain private event as a central concept in their propositions. The present work aims to dispose some critical arguments in sense of arguing that, focusing on contextual contingencies involved in subjective phenomena, the concept of private events is not only needless, but also misleading and incoherent. We alternatively suggested that the notion of privacy can be replaced by the notion of complexity.

• Psychological Inflexibility- a transdiagnostic process?
Jannika De Rubeis, MSc, MAS, EOS-Klinik für Psychotherapie, Münster, Germany
Maria Kensche, Dr. med., EOS-Klinik für Psychotherapie, Münster, Germany
Fabrizio De Rubeis
Diane Lange, Dr., EOS-Klinik für Psychotherapie, Münster, Germany
Markus Pawelzik, Dr. med., EOS-Klinik für Psychotherapie, Münster, Germany

Identifying transdiagnostic models has received growing attention in clinical psychology (Nolen-Hoeksema & Watkins, 2011). Motivated by Levin and colleagues (2014), we investigated psychological inflexibility (PI) as a transdiagnostic process relevant to depressive, anxiety and eating disorders with and without comorbid personality disorders (PD) in psychiatric inpatients. This preliminary sample consists of 287 inpatients (70.7% female) between 15 and 73 years of age. All patients completed self-report measures of general distress, PI and structured diagnostic interviews. PI was significantly higher in patients with PD compared to depression and anxiety disorders. There was no difference in PI between eating disorders and PD. These results remain even after controlling for global symptom severity. Data were analyzed for each diagnostic subgroup separately, with and without comorbid PD. The results are discussed in terms of the merit of understanding psychological inflexibility as a transdiagnostic process and the need for investigating personality disorders in ACT research.

Educational Objectives:
1. Clarify the relation between the religion attitude and psychotherapy in Muslim country. 2. Discuss alternative perspectives based on the notion of "complexity". 3. Discuss the significance of assessing psychological inflexibility as a transdiagnostic process.

 

139. Current RFT Research on Analogical Reasoning
Symposium (9:00-10:15)
Components: Original data
Categories: Relational Frame Theory, Edu. settings, RFT, analogical reasoning, intelligence
Target Audience: Beg., Interm., Adv.
Location: Room 30241

Chair: Carmen Luciano, Universidad de Almería
Discussant: Ian Stewart, National University of Ireland, Galway

Analogical reasoning has been a privileged topic in Relational Frame Theory (RFT) research. This symposium presents current cutting-edge research concerning some aspects of analogical reasoning. The first paper aims to extend previous studies using the Relational Evaluation Procedure (Stewart et al., 2004) to allow the evaluation of networks involving relations of coordination, difference, and opposition and to study for the first time quasi-analogies, which involve establishing relations other than coordination between networks. The second study aims to extend a recent research that showed that common physical properties among relational networks improve analogy aptness (Ruiz & Luciano, 2015). Specifically, this new study analyze whether common physical properties also facilitate analogy derivation about analogy aptness analyze whether common physical properties facilitate analogy derivation. Lastly, the third study analyzed the effect of an analogical reasoning training protocol based on RFT to improve analogical skills in adolescents.

• Training Relational Responding Between Functionally Non-equivalent Relational Networks using the Relational Evaluation Procedure (REP): A Preliminary Model of Quasi-analogy
Shane McLoughlin, National University of Ireland Galway
Ian Stewart, National University of Ireland Galway

Relational Frame Theory (RFT) researchers define analogical responding as the establishment of frames of coordination between functionally equivalent relational networks. One strand of RFT research has used the Relational Evaluation Procedure (REP) to provide a generative model of analogy thus conceptualized. Specifically, this previous work established functions of ‘SAME’ and ‘DIFFERENT’ and ‘YES’ and ‘NO’ in arbitrary stimuli and subsequently tested choosing either ‘YES’ or ‘NO’ in the presence of (i) ‘statement’ networks involving SAME and DIFFERENT relations between novel arbitrary nonsense syllables and (ii) analogical ‘question’ networks that required derivation of relations between stimuli given in (i). The current study extended this model by using the REP to allow evaluation of networks involving ‘opposite’ in addition to ‘same’ and ‘different’ relations and to facilitate not just analogies (sameness between derived relational networks), but also quasi-analogies involving relations of distinction and opposition between networks. Implications and future directions are discussed.

• Common Physical Properties Among Relational Networks Facilitate Analogy Derivation
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Carmen Luciano, Universidad de Almería

This study aimed to analyze whether common physical properties facilitate analogy derivation. Participants were randomly assigned to the experimental or the control condition and formed three separate relational networks. In the experimental condition, the node stimuli of Networks 1 and 2 contained color spots. In the control condition, only the node stimuli of Network 1 had color spots. Participants had to identify twelve proposed analogies as correct or incorrect. In the experimental condition, three of the six correct analogies involved relating combinatorial relations of sameness from relational Networks 1 and 2 (i.e., analogies with common physical properties) while the remaining three correct analogies involved relating Networks 1 and 3 (i.e., exclusively relational analogies). All analogies in the control condition were exclusively relational analogies. Experimental participants responded more accurately and faster to analogies with common physical properties than to exclusively relational analogies whereas control participants did not show a differential performance.

• The Effect of an RFT-Based Training in Analogical Reasoning in Adolescents
Asunta Utande, Universidad de Almería
Carmen Luciano, Universidad de Almería
Sonsoles, Valdivia-Salas
Juan C. López, Universidad de Almería

The present study aimed to evaluate the effect of a training protocol on analogical reasoning based on the RFT conceptualization of analogy. The protocol was formed by multiple examples of coordination among different types of relations. Two types of participants (adolescents showing high and low learning achievements) were divided, respectively, in two conditions: the experimental condition which received the analogy-based protocol, and the control conditions which did not. Pre and post-tests measures in formal tests (DAT and D-70) were taken as well as measures related to their achievement in math and language school classes. Results showed differential effects on the dependent variables as well as in regard to the type of participants. Practical implications of these findings are discussed.

Educational Objectives:
1. Describe the RFT model of analogical reasonin 2. Demonstrate that the RFT model can be extended to analyze higher-order operants not conceptualized within mainstream psychology and to analyze the determinants of analogy aptness. 3. Implement RFT training protocols to improve analogical reasoning skills.

 

140. Treatment of Personality Disorder and Comorbid Substance Addiction: Clinical Approaches Suggested by ACT, DBT and Schema Therapy
Symposium (9:00-10:15)
Components: Literature review
Categories: Clinical Interventions and Interests, Beh. med., Personality Disorder and comorbid Substance Use Disorder
Target Audience: Beg.
Location: Room 30341

Chair: Thorsten Kienast, M.D., M.B.A., Dpt of Psychiatry and Psychotherapy, Charité Campus Mitte, University Medicine Berlin
Discussant: Ulrich Schweiger, M.D., Professor at the Department of Psychiatry and Psychotherapy, Lübeck University

A large number of studies have shown that various psychotherapeutic methods have a positive effect on the course of addiction and comorbid personality disorders when patients are treated separately. Co-morbid occurrence of both disorders is common but a chronologically separated treatment often leads to renewed occurrence of the symptoms of the initially treated disorder. Failures of abstinence motivation, severe drug craving and the activation of dysfunctional behavior patterns frequently lead to renewed consumption of addictive substances. Dialectic behavior therapy, dual focus schema therapy, and acceptance and commitment therapy offer promising treantment approaches for this group of patients. This symposium summarizes the current state of knowledge and introduces all three methods by highlighting the core therapeutic strategies.

• Core strategies in Dialectical Behavior Therapy (DBT) for Patients with Personality Disorder and Comorbid Addiction
Thorsten Kienast, MD, MBA, Dpt of Psychiatry and Psychotherapy, Charité Campus Mitte, University Medicine Berlin

Borderline personality disorder (BPD) affects 2.7% of adults. About 78% of adults with BPD also develop a substance use disorder (SUD) or addiction at some time in their lives. These persons are more impulsive and clinically less stable than BPD patients without substance dependency. DBT-SUD integrates effective strategies for the therapy of substance use disorders such as dialectical abstinence, attachment strategies, specific skills to cope with substance use disorder as well as effective therapeutic interventions for the treatment of substance addiction including the attendance of self-help groups and counselling. This paper outlines the defining principles and evidence of DBT-SUD in treating patients suffering form both BPD and SUD or addiction.

• Core strategies in Schema Therapy (ST) for Patients with Personality Disorder and Comorbid Addiction
Eckhard Roediger, MD, Institute of Schema Therapy, Frauenlobstr. 64, 60487, Frankfurt, Germany

Dual Focus Schema Therapy (DFST) has been established in 1998 by Samuel Ball. He developed and evaluated a 24-week manual-guided individual cognitive-behavioral therapy approach for patients suffering from both, personality disorder and substance addiction. It integrates relapse prevention with targeted intervention for early maladaptive schemas and coping styles. This paper outlines the defining principles and evidence of DFST when treating patients suffering form both personality disorder and substance addiction.

• Core Strategies in Acceptance and Commitment Therapy (ACT) for Patients with Personality Disorder and Comorbid Addiction
Maria Kensche, MD, EOS Klinic for Psychotherapy, Alexianer Münster GmbH, Germany

To date, ACT is a third wave behavioral therapy with empirical evidence in the treatment of drug abuse but also in personality disorders. As a contextual behavioral intervention it provides its own model of psychopathology named experiential avoidance (EA). EA is the phenomenon that occurs when a person is unwilling to experience particular unpleasant private experiences and takes steps to alter these experiences and/or the discomfort associated with them. Growing evidence has highlighted EA as a core of problem behavior in many psychiatric disorders. ACT uses acceptance, mindfulness and values-directed behavior change strategies in order to decrease reliance on EA. This may be particularly valueable in the treatment of comorbid personality and substance addicted patients. By increasing willingness to tolerate withdrawal experiences and associated fears it may prevent the typical flight back to drug use at the first signs of withdrawal. This paper summarizes the current evidence in this field.

Educational Objectives:
1. Recite different behavioral therapeutic approaches. 2. Know evidence based facts about the effectiveness. 3. Compare core techniques of 3 different clinical therapy approaches for ACT, DBT and ST in the treatment of patients with comorbid personality disorder and addiction.

 

141. Thinking Outside the Box: ACT Interventions with Non-Clinical Populations
Symposium (9:00-10:15)
Components: Literature review, Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Edu. settings, GRE, "Street Psychology", Body Image, Bibliotherapy, Self-Help
Target Audience: Beg.
Location: Nizza

Chair: Benjamin Ramos, University of Louisiana at Lafayette
Discussant: Tony Biglan, Ph.D., Oregon Research Institute

Suffering is a ubiquitous human experience. Approximately 26.4% of the population in the United States and 8.2% - 20.5% of the population of Europe met criteria for at least one mental disorder as described in the DSM-IV-TR. Yet only 35.5% to 50.3% of these people have the resources or time to seek out psychotherapeutic treatment in developed nations (Demyttenaere, 2004). The purpose of this symposium is to explore and assess the efficacy of ACT interventions with non-clinical populations or with those who are unable to afford treatment. Whether it is an ACT-based intervention prior to taking an examination that will determine your future, a self-help book for those distressed by their internalized body image, or simple ACT interventions using “street psychology” with the homeless, interventions available outside of the clinic can be a valuable tool for the clinician to use with those in crisis or are otherwise unable to seek help.

• Love Thy Body: The Effectiveness of Flexibility-Based Bibliotherapy for Body Image
Lauren C. Burns, University of Louisiana at Lafayette
Grayson Butcher, University of Louisiana at Lafayette
Benjamin M. Ramos, University of Louisiana at Lafayette
Lauren Griffin, University of Louisiana at Lafayette
Emily K. Sandoz, University of Louisiana at Lafayette

“Body image” is a term used to describe behaviors evoked by the body, including private behaviors like body-related thoughts and feelings, and public behaviors, such as body checking or grooming. For some individuals, body image has little impact on their behavior while for others the experience of their body can be aversive and disruptive to daily functioning. Emerging research suggests that building body image flexibility, or the capacity to experience the full range of body-related experiences without engaging in avoidance, can help to improve wellbeing amongst those with body image struggles. This population, however, tends not to present for treatment, requiring alternative means of intervention. This study examined the impact of a flexibility-based self-help book, Living with Your Body and Other Things You Hate on body image disturbance and overall wellbeing. Preliminary data are promising. Implications for further research and for intervention will be discussed.

• Just Breathe: The impact of a Mindfulness Intervention on GRE Preparation Behaviors and GRE Related Anxiety
Emmy Lebleu, University of Louisiana at Lafayette
Rachael Judice, University of Louisiana at Lafayette
Alyson Giesemann, University of Louisiana at Lafayette
Nolan Williams, University of Louisiana at Lafayette
Benjamin M. Ramos, University of Louisiana at Lafayette
Madison A. Gamble, University of Louisiana at Lafayette

The Graduate Record Examination, commonly known as the GRE, can be a great challenge to students hoping to further their education through graduate schooling. Many students struggle with GRE-related anxiety, which they often respond to by avoiding preparation altogether. While this results in short-term relief it only increases anxiety in the long run by making poor performance more and more likely. Common interventions to improve GRE preparation focus on describing the test and instructing test-taking strategies, with the assumption that anxiety will decrease as students become more prepared. Acceptance and Commitment Training (ACT) offers a different approach, directly targeting flexibility and breadth in the student’s behavior in the context of GRE-related anxiety. This study compared the differential impacts of a traditional GRE preparation workshop with an ACT intervention targeting GRE-related anxiety. Training flexibility with anxiety, through ACT, may increase students’ preparation behavior to a greater degree than traditional GRE workshops.

• Treating Homeless People with High Levels of Comorbidity Using ACT, a Couple of first steps for ‘Street Psychology’?
Olof Molander, Ph.D., Pelarbacken

People that are homeless are scoring high on almost all measures of ill health. It is recommended that all mental health programs for homeless individuals should have an integrated approach that accommodates and meets the need of co-occurring mental health and substance misuse disorders. The need for effective, simple treatment interventions targeting comorbidity of addiction/psychiatry is large, in the health care of homeless patients as well as in the general population. From a functional contextual perspective ‘addictive-’, ‘depressive-’, ‘anxiety’- and "stress-’ behaviors might share the same function; and might therefore be treated using an ACT approach promoting behavior change. This is not a presentation of data. The presentation entails a definition of the population of the homeless in Sweden along with a presentation of the types of psychological problems found in ‘Street Psychology’. A functional contextual behavior analytical conceptualization is suggested and a plausible treatment model presented.

Educational Objectives:
1. To examine the implications of an ACT-based self-help study and evaluate its validity and effectiveness in Contextual Behavioral Science. 2. Explore the impact of a mindfulness supplemented GRE Prep procedure on engagement in test preparation behaviors. 3. Learn more about the psychological problems found in Swedish ‘Street Psychology’, and ACT treatment for people that are homeless.

 

142. The Many Faces of FAP: International Perspectives: FAP SIG Sponsored
Symposium (9:00-10:15)
Components: Conceptual analysis, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Prof. Dev., Theory & Philo., Cross-cultural dissemination; ACT - FAP interactions
Target Audience: Interm.
Location: Cannes

Chair: Luc Vandenberghe, Ph.D., Pontifical Catholic University of Goias - Brazil
Discussant: Benjamin Schoendorff, Institut de Psychologie Contextuelle

This symposium discusses the practice of Functional Analytic Psychotherapy (FAP) related to a variety of clinical and cultural issues. Several experiences are presented to argue the scope and range of FAP as a clinical strategy, including its contribution to tackling client resistance in therapy, providing depth and reach in couple therapy and its flexibility in overcoming cultural boundaries. Bringing these three papers together, illustrates the potential benefits for FAP in diverse settings and contexts.

• FAP Strategies as a Way for Empowering the Therapeutic Relationship with "Resistant" Clients
Katia Manduchi, Ph.D., Private Practice; Affiliated with Iescum. Italy

The paper presents a couple of individual cases treated with FAP strategies as a main resource for enhancing behavioral changes. The first case regards a 28 years old woman with a diagnosis of OCD. The second case focuses on a 21 years old man affected by psoriasis, and panic disorder. In both cases, FAP strategies and the therapeutic relationship built on the principles of FAP perspective were a main key. From the beginning of the treatment, the focus on what was going on between the client and the therapist was the main stone that built the soil for a more resistant a quicker change in the life of the clients. In both cases, the measures of change were verified through 2nd and 3rd wave therapy instruments that showed positive results and some notable differences between the beginning to the end of the treatment.

• FAP for Couples Therapy in a Latin American Community Setting
Luc Vandenberghe, Ph.D., Pontifical Catholic University of Goiás; Brazil.

The present paper illustrates and discusses the role of the logical sequence underlying Functional Analytic Psychotherapy in the process of change of two couples treated in a Brazilian community health setting. The two case studies concern two heterosexual couples seeking help for longstanding problems in their relationship. In both case studies, the interaction with the therapists offered opportunities for the man and the woman in the couple to develop the relational behavior they needed to make their relationship blossom. The logical sequence is identified and illustrated with fragments of treatment sessions. Challenges and possibilities for FAP as a clinical style for couples therapy are discussed.

• FAP and Polish Culture
Joanna Dudek, University of Social Sciences and Humanities; Warsaw. Poland.

Functional Analytic Psychotherapy (FAP), with constantly increasing number of studies and publications, has an important place among the Third Wave Behavior Therapies. Despite its growing popularity in the United States, Latin America and several European countries, FAP is still almost unknown in Poland. Taking into account all the benefits and possible obstacles of FAP dissemination in Poland, we discuss cultural-bound aspects, that are worth considering in the process of introducing FAP to clinical work, training and research.

Educational Objectives:
1. Share FAP based practices in clinical settings around the world. 2. Open a space for dialogue between practitioners of dissimilar cultural backgrounds. 3. Discuss critical possibilities and challenges involved in adopting FAP as an approach for different settings.

 

145. RFT and Reading: From Textual Behavior, to Reading Comprehension and Dyslexia: Italy Chapter Sponsored
Symposium (10:30-12:00)
Components: Conceptual analysis, Original data, Case presentation
Categories: Educational settings, Clin. Interven. & Interests, RFT, Children, Autism, Dyslexia, Reading
Target Audience: Beg., Interm.
Location: Estrel Saal C7

Chair: Paolo Moderato, Istituto G. Ferraris, IULM University, Milan
Discussant: Ian Stewart, University of Galway, Ireland

Relational frame Theory (RFT) provides both a theoretical and an applied framework to understand language and other related cognitive skills including complex repertoires like reading. One mechanism that is enlightened is how symbolic behavior comes to bear and how sound, written word and “meaning” come to be equivalent in frames of coordination. In addition it provides a framework to create programs to “teach reading” as an emergent relational response without directly targeting this behavior. Looking at this skill from an RFT perspective helps also conceptualizing and creating effective reading curricula without implying a vocal response. In addition it offers tools to deal with dyslexia, which, within this framework, can be conceptualized as behavior not controlled by relevant stimulus conditions. We will offer an overview of an RFT perspective in reading and curricula to derive this response without teaching it directly in neurotypical, autistic, non vocal and dyslexic children.

• Reading as Derived Relational Responding in Vocal and Non Vocal Children with Special Needs: Cmbinatorial Effects of two Stimulus Control Strategies
Giovambattista Presti, MD, PhD, Kore University, Enna (Italy)
Melissa Scagnelli, IULM University, Milan (Italy)
Maria Josè Sireci, Kore University, Enna (Italy)
Claudio Premarini, Department of Child Neuropsychiatry and Neurorehabilitation; "Eugenio Medea" Scientific Institute, Bosisio Parini, Lecco, Italy.
Paolo Moderato, IULM University, Milan (Italy)

Relational Frame Theory (RFT) offers a framework to understand language and other related cognitive skills including complex repertoires like reading. One mechanism that RFT enlightens is how symbolic behavior comes to bear and how sound, written word and “meaning” come to be equivalent within a frame of coordination. In addition while explaining the emergence of this complex responses this framework is directly related to programs that can “teach reading” without directly targeting this behavior. On a theoretical level it challenges Skinner Verbal Behavior’s definition of the textual behavior and reading comprehension as the results of many behaviors including intraverbal. Another challenge comes from the definition of textual behavior as a vocal response related to a visual stimulus. Following this definition non vocal subjects might not be suitable to learn reading. We trained, vocal autistic, non vocal autistic and non vocal brain damaged children in a conditional discrimination task to match a printed word in uppercase letters (A stimulus) with its picture (B stimulus) and the picture (B stimulus) with its printed word in lower case letters (C). Each stimulus class included three members. So, after testing for mutual and combinatorial entailment relations, we tested also other combinatorial relations namely A-D (reading printed words in uppercase letters), C-D (reading printed words in uppercase letters) and D-A and D-C (choosing uppercase and lowercase printed words conditionally to an auditory stimulus) relations for the vocal children who were able to tact the picture at baseline. Non vocal children where tested in an auditory discrimination task only. Carefully planning of re-combinative strategy led to a progressive reduction of the number of trials for reaching master criterion in the A-B/B-C training and eventually to spontaneous reading of words never trained before, including non sense words. Non vocal children were also able to match never heard non sense words to their printed equivalent.

• Teaching Reading to Preschool Neurotypical Children
Melissa Scagnelli, IULM University, Milan (Italy)
Giovambattista Presti, Kore University, Enna (Italy)
Davide Carnevali, IULM University, Milan (Italy)
Paolo Moderato, IULM University, Milan (Italy)

Reading and writing are a foundational skills that are essential for effective interaction with one’s environment. They are also the foundation upon which the learning curriculum at school are based on. These skills, however, are difficult to teach to many students. Our research has the objective to evaluate the effectiveness of training based on the principles of Relational Frame Theory in promoting the acquisition of reading lower case and uppercase printed word, as a derived relational response and to identify variables that are involved in the reading learning acquisition process. Training procedure consisted in two different procedures: a pencil and paper procedure and a specific ipad application. Data demonstrates the efficacy of both of them in teaching reading to preschool children.

• Teaching Reading and Writing to Dyslexic and Dysgraphic Children: Exploratory Studies Using an RFT Perspective
Margherita Gurrieri, IESCUM and ACT-Italia (Italy)
Melissa Scagnelli, IULM University, Milan (Italy)
Davide Carnevali, IULM University, Milan (Italy)
Giovambattista Presti, Kore University, Enna (Italy)
Paolo Moderato, IULM University, Milan (Italy)

Reading and writing are fundamental skills, essential for effective interactions with the environment. Learning disorders (dyslexia, dysgraphia, dyscalculia) are considered lifelong conditions that, in some cases, affect many parts of a child's life: school, daily routines, relational life. Relational Frame Theory provides both a theoretical and an applied framework to understand language and other related cognitive repertoires including reading and writing. Applications based on derived stimulus relations have been demonstrated effective in teaching reading, spelling and math skills to persons with different difficulties and learning histories, generating behaviors not explicitly taught. The current paper presents data from exploratory studies with dyslexic and dysgraphic children exposed to a conditional discrimination procedure with arbitrary matching to sample in which the kids have been trained to match pictures to printed words and to copy printed words. Mutual and combinatorial entailment relations have been tested, demonstrating the formation of an equivalence class. Data indicated that the intervention had positive outcomes in terms of accuracy from pre-intervention to follow up. Pre-post treatment changes in standardized tests for dyslexia will be discussed.

Educational Objectives:
1. Introduce RFT perspective on reading and reading comprehension. 2. Offer an overview of the possible applications with neurotypical children and children with special needs. 3. Challenge some of the common assumptions on reading that come from internalistic theories.

 

146. ACT for physical health problems: Benefits for patients with headache, cancer and chronic health problems
Symposium (10:30-12:00)
Components: Conceptual analysis, Literature review, Original data
Categories: Clinical Interventions and Interests, Beh. med., Acceptance, anger, coping, headache patients, Medication Overuse Headache (MOH), ACT, Cancer, children with chronic health problems
Target Audience: Beg., Interm.
Location: Strassburg

Chair: Bartosz Kleszcz, M.A., Zacznij Żyć Private Practice
Discussant: Lisbeth Frostholm, Aarhus University Hospital, Denmark

ACT has been shown to be beneficial for different physical health problems. This symposium presents three studies that evaluated interventions for or examined the relationship between ACT Processes and different physical health conditions. The first study aims to investigate the relationship between acceptance, anger and coping styles in headache patients. The second study provides a conceptual overview of the proposed perspective shifts in cancer care, explores the association between psychological flexibility and commonly used outcome measures and discusses challenges and barriers for ACT in cancer care. Finally, the third study assesses the effect of an acceptance-based intervention on parents and children with chronic physical and mental problems with various health indicators.

• Acceptance, anger and coping styles in headache patients (MOH)
Giuseppe Deledda, Psy, Service Clinical Psycology, at “SacroCuore - Don Calabria” Hospital,Verona, Italy
Margherita Zamboni, Psy, Service Clinical Psycology, at “SacroCuore - Don Calabria” Hospital,Verona, Italy
Eleonora Geccherle, Psy, Service Clinical Psycology, at “SacroCuore - Don Calabria” Hospital,Verona, Italy
Fabio Marchioretto, Med, Neurology Unit, at “SacroCuore - Don Calabria” Hospital,Verona, Italy
Claudio Bianconi, Neurology Unit, at “SacroCuore - Don Calabria” Hospital,Verona, Italy

Background The aim of this study is to investigate the relationship between the acceptance (psychological flexibility), anger and coping styles in headache patients with MOH (Medication overuse headache). Methods Patients were assessed at pre-treatment ACT based (3 sessions during hospitalization’s ten day) with standardized self-report measures (Migraine Disability Assessment (MIDAS), GHQ-12, Buss-Durkee Hostility Inventory (BDHI), COPE-NVI, SCL-90, Distress Thermometer and AAQ-II). Results Seventy-five patients were recruited (61 women; M 48.28 years, SD 11,34). Data showed a negative correlation between AAQ2 and BDHI; higher level of acceptance, lower is the total score of the BDHI (r= -0,464**, p<0,01) and related subscales (TAssault= -0,291*, TResetiment= -0,490*, TSouspiciousness= -0,408*, TGuilt= -0,297*). The same occurs with GHQ12, on general health (r= -0,424**,p<0,01) and GSI (r= -0,624**, p<0,01). Moreover AAQII scores show a significative negative correlation with social support (r = -0.336, p=0.005 ) and avoidance coping strategies (r= -0.310, p=0.011). Conclusions The findings put more emphasis on the relevance of interventions focused on the psychological flexibility (ACT) for headache patients.

• Timing is everything: why changing perspectives in the psychological care of cancer patients makes ACT a timely and much needed intervention.
Nicholas J. Hulbert-Williams PhD, University of Chester UK
Lesley Storey PhD, Queen's University Belfast, UK
Brooke Swash, University of Chester, UK & University of Cambridge, UK
Clare Charman, University of Chester, UK
Kelly Wilson PhD, University of Mississippi

Distress is common in cancer patients, and yet evidence for the benefits of psychological interventions is inconsistent. Recent years have borne witness to shifting perspectives within the field of psychosocial oncology, for example, away from focussing on clinical co-morbidity (e.g. anxiety, depression) to greater appreciation of the problematic nature of sub-clinical distress, and away from solely encouraging ‘fighting spirit’ coping approaches. This presentation beings with a conceptual overview of these perspective shifts, and how these have become, perhaps coincidentally, aligned with contextual behavioural science. We then outline the results of our pilot empirical work which explores: (a) statistical associations between psychological flexibility and commonly used patient-reported outcomes measures; and (b) perceived acceptability of ACT-based interventions from patient and healthcare professional perspectives. The talk closes with discussion of the challenges and barriers we must overcome for ACT to be used broadly within the cancer care setting.

• Acceptance-based intervention for parents and children with chronic health problems: a systematic review and meta-analysis
Yuen Yu Chong, PhD student, School of Nursing, The Hong Kong Polytechnic University
Yim Wah Mak, Ph.D, Assistant Professor, School of Nursing, The Hong Kong Polytechnic University
Alice Yuen Loke, Ph.D, Professor, School of Nursing, The Hong Kong Polytechnic University

Background Managing pediatric chronic health problems requires a lifelong commitment among children and their families. Evidence from systematic review showed that both children with chronic health problems and their parents are at risk of a number of negative psycho-social well-being. Acceptance-based intervention, including Acceptance and Commitment Therapy (ACT), Mindfulness Based Stress Reduction (MBSR) and Mindfulness Based Cognitive Therapy (MBCT) may help this vulnerable population. Objective To assess the effect of acceptance-based intervention on parents and children with chronic physical and mental problems with various health indicators: physical and mental health as well as quality of life for children; mental health, quality of life and family functioning for parents. Methods Randomized controlled trials (RCTs) were searched from 1946 to January 2015 from the following databases: CENTRAL, MEDLINE, EMBASE, CINAHL and PsycINFO. A reference search and citation search of all the included studies were conducted in order to identify additional studies that were not included in the above databases. The standard methodological procedures in data collection and analysis were adhered to the Cochrane Collaboration. Results A total of five RCTs involving 312 participants, of which 81 were parent-child dyad and 231 were children only, were included in the review. No trials involved only parents as participants. Of the 5 RCTs, three of them (179 participants, of which 39 parent-child dyad and 140 children only) examined the effect of acceptance-based intervention (ACT in 2 studies, MBSR in 1 study) on children diagnosed with chronic mental health problems such as anxiety, depression and mood disorder on their depressive symptoms when compared to treatment-as-usual (TAU). At post-intervention, the overall effect on reducing child depressive symptom was significant with a small to medium effect size (SMD= -0.41, 95%CI: -0.77 to -0.11). No heterogeneity was noted between studies (Chi2=0.45; df=2; P=0.80; tau2=0.00) and the quality of evidence of this outcome was good. One study compared ACT with multidisciplinary care on children with chronic pain. Their effects on child physical and mental health outcome were comparable. One study investigated the effect of MBCT with TAU on depressed children, and the overall mental health status was significantly improved. No studies had reported parental outcomes and family functioning outcomes. Conclusion This review provided us information about the current applications of acceptance-based intervention in helping children with chronic health problems, in particular those with mental health problems, in reducing depressive symptoms when compared to treatment as usual. Effects on parental health outcomes, family functioning and quality of life of the parents are not discovered in the reviewed studies.

Educational Objectives:
1. Describe current application of acceptance-based intervention, including Acceptance and Commitment Therapy, Mindfulness Based Stress Reduction, Mindfulness Based Cognitive Therapy, for children with chronic physical and mental health problems and their parents in terms of their health outcomes. 2. Discuss the implications for clinical practice and future research about acceptance-based intervention on populations with chronic health problems. 3. Intrepret how broader conceptual shifts in psychosocial oncology align with contextual behavioural science

 

147. University Students and Psychological Flexibility: Deepening Our Understanding
Symposium (10:30-12:00)
Components: Original data
Categories: Educational settings, Clin. Interven. & Interests, College students
Target Audience: Beg., Interm., Adv.
Location: Room 30241

Chair: Lanaya Ethington, Ph.D., University of Iowa Counseling Services
Discussant: Anthony Biglan, Ph.D., Oregon Research Institute

Psychological flexibility (PF), or the lack thereof, has been repeatedly associated with a number of mental health issues, such as depression and anxiety, in cross-sectional studies with college students. Less is known about the relationship of PF to university students’ struggles longitudinally or to university student functioning per se; nor do we know the role that different facets of PF play as transdiagnostic predictors of psychological problems with students. This symposium will present data obtained from university students in the U.S. and Australia, deepening our understanding of PF and university student mental health, cross-sectionally and prospectively.

• Psychological Flexibility Correlates With and Predicts Suicidality in College Students
Jacqueline Pistorello, Ph.D., University of Nevada, Reno Counseling Services
Steven C. Hayes, Ph.D., University of Nevada, Reno
John Seeley, Ph.D., Oregon Research Institute
Derek Kosty, Ph.D., Oregon Research Institute

The purpose of this study was to examine the relationship of self-reported psychological flexibility to self-reported or blind clinical interviews of suicidality in college students (n = 732). The present study examined their correlation at college entrance; whether psychological flexibility at entry predicted changes in suicidality over the next three years; and whether changes over that time in psychological flexibility predicted changes in suicidality. In all three analyses, psychological flexibility measures correlated with and predicted suicidality. For example, psychological flexibility as measured by the AAQ-II and suicidal intent as measured by the BDI item #9 correlated at baseline (r=.35, p<.0001); baseline AAQ score predicted changes in suicidal intent over the next three years (t=6.20, p<.0001), and changes in the AAQ related to changes in suicidal intent over that 3-year period (t=8.88, p<.0001). Similar patterns were seen with other flexibility and suicidality measures.

• Examining Facets of Psychological Inflexibility as Transdiagnostic Predictors of Psychological Problems with College Students
Jack A. Haeger, B.A., Utah State University
Michael E. Levin, Ph.D., Utah State University
Benjamin Pierce, B.A, Utah State University

Psychological inflexibility includes a set of pathological processes such as experiential avoidance, cognitive fusion, inflexible attention, deficits in perspective taking, and lack of values clarity. Previous research has primarily focused on using the Acceptance and Action Questionnaire (AAQ) as a measure of psychological flexibility/inflexibility, and has found that the AAQ is predictive of a broad range of psychological problems. However, it is unclear the degree to which each theorized facet of psychological inflexibility contributes to psychological problems. This presentation will report the results of a 1-month longitudinal study with over 300 college students, which sought to examine specific facets of psychological inflexibility as transdiagnostic predictors of psychological problems. Results will be reported with measures of values, cognitive fusion, present moment awareness, acceptance, and inflexibility in relation to measures of anxiety, depression, addiction, eating problems, academic distress, and relationship problems.

• University Student success in Australia: The vital Ingredient of Psychological Flexibility
Philomena Renner, Ph.D., University of Sydney Counselling and Psychological Services

In 2012, a student mental health survey was conduced in a major Australian University to capture rates of reported psychological distress and psychological flexibility. In this sample of university students aged 16–25 years, 43% reported taking one or more days out of role in the previous month—this is considerably higher than that reported by the general population. Furthermore, the psychological distress levels of the students in this study were higher than that found in the general population of Australian young adults. This is consistent with the notion that the university environment is psychologically distressing for many young people, and that increased levels of distress are associated with lower functioning. Interestingly, students who experienced high psychological distress, but possessed greater psychological flexibility, reported less impairment in functioning. This supports the notion that psychological flexibility is a protective factor. Findings will be discussed in terms of potential applications within the university environment.

Educational Objectives:
1. Describe the relationship of psychological flexibility to suicidality in college students. 2. Learn about how specific facets of psychological flexibility relate to a range of problems among college students. 3. Describe the relationship of psychological flexibility to university student functioning.

 

148. Basic Research on Relational Frame Theory and its Implications for Global Concern Problems: Spain Chapter Sponsored
Symposium (10:30-12:00)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Relational Frame Theory, Derived relational responding, Coherence, Insensitivity to Contingencies
Target Audience: Beg., Interm., Adv.
Location: Room 30341

Chair: Nikolett Eisenbeck, University of Almeria
Discussant: Yvonne Barnes-Holmes, Ph.D., Ghent University, National University of Irland Maynooth

This symposium presents three new studies about some basic behavioral processes involved in Relational Frame Theory. The first study offers new evidence about the impact of breaking derived relations. Here we will see how equivalence relations within a set of stimuli can be inter-dependent so that the breaking of its coherence can alter previous and potential relations. Subsequently, the second study analyses the reinforcing power of coherence by showing how individuals prefer contexts that make sense for them instead of incoherent contexts. Finally, the third study focuses on insensitivity to contingencies by analyzing the transfer of rules via equivalence relational responding. The aim of the symposium is not only providing information about these processes but also showing different examples of their implications for global concern problems.

• Breaking Derived Relational Responding in a Single Set of Stimuli: The Phenomenon of Derived Broken Equivalence
David Carreno, University of Almeria
Carmen Luciano, University of Almeria

This study analyzes the phenomenon of derived broken equivalence within a single set of stimuli in 52 participants. Derived broken equivalence consists on responding without equivalence in non-trained situations as a result of breaking previous equivalence relations. To achieve this aim, we carried out two experiments using a match-to-sample task with three phases each. The option ‘none of them is correct’ was strategically included among comparisons. In Phase 1, relations A1-B1, A2-B2, C1-B1, C2-B2 were trained and it was tested for equivalence. In Phase 2, equivalence relations A2-C2, C2-A2 were explicitly broken. In Phase 3, a novel stimulus D was incorporated in each class. Finally, participants were tested to observe whether the trained broken equivalence had altered other relations. The results demonstrate that the breaking of some equivalence relations can alter either previous or potential equivalence relations. These results also question the methodology to break equivalence responding encountered so far.

• A New Analysis of Making-Sense: Exploring Reinforcing Properties
Zaida Callejón Ruiz, University of Almeria
Carmen Luciano, University of Almeria
Juan Carlos López López, University of Almeria

Sense making is a powerful reinforcer developed in the own personal history. The current study seeks to provide empirical evidence on how individuals show a preference towards coherent responding. In Phase 1, participants were exposed to a match-to-sample (MTS) task designed to establish four contexts. In the first context, positive and negative feedback was provided contingent on participants’ perfor¬mance. In the second, this negative and positive feedback always was paired with unpleasant slides. In the third and fourth context, feedback was presented independent of performance. Then participants were asked about their degree of distress and sense of control through self-report. In Phase 2, participants were finally placed in a choice procedure to determine their preferences for each kind of task as well as to measure their self-generated rules. The findings suggest that coherent contexts, in which sense making is possible, are generally preferred by verbally competent humans.

• Insensitivity to Contingencies by Rules Transferred Via Equivalence Relational Responding
James Greville, Swansea University
Nic Hooper, University of the West of England
Jean-Louis Monestes, University of Grenoble

This study assessed whether a previously learned rule would transfer to other members of a stimulus class through derived generalization and result in insensitivity to changes in contingency. Participants completed three tasks: Firstly, a points-scoring task was used to establish two simple rules through use of reinforcement schedules attached to stimuli A1 and B1. Secondly, participants underwent equivalence training in which two stimulus classes were established (A1, A2, A3 and B1, B2 and B3). Finally, participants re-engaged in the points scoring task with the new stimuli (A2, A3, B2, B3) but with the schedules attached to the stimulus classes switched. It was hypothesized that participants would show derived insensitivity to this reversal of rules and persist with the behaviour that was previously successful. However, the results obtained did not support these predictions. We would welcome feedback from the ACBS community on how this research could be improved.

Educational Objectives:
1. Demonstrating the impact of breaking derived relations upon human behavior. 2. Analyzing the role of coherence in the maintenance of psychopathology. 3. Analyzing the impact of rules transferred via derived relational responding upon environmental changes.

 

149. Applying Functional Contextualism to Issues of Gender, Sexuality, and Identity
Symposium (10:30-12:00)
Components: Conceptual analysis, Literature review, Original data
Categories: Prevention and Community-Based Interventions, Clin. Interven. & Interests, Prevention & Comm.-Based, Edu. settings, Related FC approaches, Other, LGBTQ, Gender, Identity
Target Audience: Beg., Interm., Adv.
Location: Nizza

Chair: Grayson Butcher, University of Louisiana at Lafayette
Discussant: Aisling Curtin, ACT Now Ireland

Issues related to gender, sexuality, and identity have only recently been reassessed in light of new approaches. As research continues to be conducted on these topics, outdated and reified concepts, often founded upon structural thinking, are being discarded in favor of more functional and pragmatic lines of inquiry. Investigations of the stigmatization of marginalized groups such as the LGBTQ community and those with nonconforming gender identities, while important, only provide insight into part of the complex context within which these issues are continually occurring. Analyses of the contextual factors contributing to stigma, psychological distress and inflexibility, and discrimination are necessary from a functional contextual perspective. This symposium will address multiple efforts being made to further our understanding of issues of gender, sexuality, and identity as they impact our daily experiences, our lives, and our culture.

• Beyond Sexuality: Psychological Inflexibility, LGBTQ Stigma, and Responsiveness to Education-Based Stigma Interventions
Madison Gamble, University of Louisiana at Lafayette
Lauren Burns, University of Louisiana at Lafayette
Lauren Griffin, University of Louisiana at Lafayette
Emily Sandoz, Ph.D., University of Louisiana at Lafayette

Stigma associated with marginalized groups is quite common. The Lesbian Gay Bisexual Transgender and Queer/Questioning (LGBTQ) community are frequent victims of stigma. LGBTQ persons are often subjected to discrimination, harassment, and violence. Educational interventions have addressed stigma with mixed results. Factors that have yet to be addressed, such as psychological inflexibility, may play a role. Recent investigations on stigma reveal that psychological inflexibility might 1) facilitate stigma, and 2) interfere with new learning that could undermine stigma. The current study examined the relationship between psychological flexibility, LGBTQ stigma, and responsiveness to an education intervention. Participants reported explicit attitudes toward the LGBTQ community, along with behavioral intentions, before being exposed to an educational intervention designed to decrease LGBTQ stigma. Preliminary data suggest that psychological flexibility predicts stigma and responsiveness to education interventions designed to decrease stigma. Implications for integrating flexibility-based interventions with education will be discussed.

• Bridging the Gap: The Effects of Gender Identity on Physical Activity
Garret Cantu, University of Louisiana at Lafayette
Madison Gamble, University of Louisiana at Lafayette
Ryan Albarado, University of Louisiana at Lafayette
Alyson Giesemann, University of Louisiana at Lafayette
Benjamin Ramos, University of Louisiana at Lafayette
Emily Sandoz, Ph.D., University of Louisiana at Lafayette

The assumptions surrounding gender identity have undergone a significant change in recent years, where the emphasis is now placed on one’s identity as the internalized experience of gender that may or may not be congruent with the individual’s biological sex. Unfortunately, nonconforming individuals are more likely to experience discrimination in society than others, which can have a significant impact on the individual. The experience of discrimination and the discord between physical appearance and self-identified gender may exacerbate body image distress as nonconforming adolescents and young adults engage in less vigorous physical activity (Calzo et al., 2014) in comparison to those who are more satisfied with their bodies and engage in greater amounts of exercise (Fountoulakis & Grogan, 2012). In this study, ecological momentary assessment was used to determine the effects of discrimination, body image disturbance, and body image flexibility on patterns of physical activity in the participants’ daily experiences.

• Gender Diversity and Identity
Laura Silberstein, Psy.D., The Center for Mindfulness and Compassion Focused Therapy

This paper explores the existing literature on gender diversity and identity. Traditionally, gender has been approached as a binary categorical system with empirical focus on gender stereotyping (Zosuls, Miller, Ruble, Martin, & Fabes, 2011). This antiquated view of gender may benefit from a more pragmatic perspective and functional approach (Ruble, Martin, & Berenbaum, 2006; Sylvester and Hayes, 2010; Weinstein, Wilson, Drake, & Kellum, 2008). This paper explores the functional dimensions of gender at the level of individuals, groups, and societies. The aim is to highlight behaviors and processes of interest in research and clinical work, such as social stigma, oppression, and the maladaptive adherence to arbitrary rule governed behavior, expressed at multiple levels of human behavior. Finally, this paper is a call for CBS research and application of flexible perspective taking, with precision, depth, and scope, to further understanding these processes and their impact our lives and our world.

Educational Objectives:
1. Attendees will be made knowledgeable of various ways in which discrimination, body image issues, and body image flexibility factor into the physical activity of individuals with various gender identities. 2. Attendees will be able to discuss the impact that stigma and psychological flexibility have on the marginalized group of LGBTQ persons. 3. Attendees will gain a review and exploration of the existing research and overview of the capacity for CBS to provide a pragmatic perspective and functional approach to gender related diversity, inequality and identity.

 

150. Current findings in RFT and Implications
Symposium (10:30-12:00)
Components: Conceptual analysis, Original data, Experiential exercises, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, RFT, Psychopathology, RFT, Deictic relations, Theory of Mind
Target Audience: Beg., Interm., Adv.
Location: Cannes

Chair: Terry de Luca M. Ed Leadership., MA Counselling, Teacher, ACT Education Directorate and Independent Schools. Counsellor in private practice
Discussant: Francisco Ruiz, Fundación Universitaria Konrad Lorenz

The two studies presented in this symposium discuss new findings and procedures in the field of RFT. The first study focuses on the context mapped out by ACT practitioners working with Self Compassion and will highlight the specific therapeutic work required for workable self forgiveness based on the relational frame theory approach. The second study investigates the generalization of exclusion functions via ’Same’ and ‘Opposite’ relations and discusses implications for understanding the impact of exclusion along with future research.

• Religion and Spirituality and Transcendence, and the Imperatives for RFT Based Response to Psychopathology and Psychotherapy which Address Workable Self Forgiveness.
Grant Dewar, University of Adelaide

The edited book Relational Frame Theory a Post-Skinnerian Account of Human Language and Cognition edited by Hayes Barnes-Holmes and Roche, considers the important role of relational frame theory in addressing the experience of spirituality transcendence and God. The approach outlined regarding psychopathology and psychotherapy contains within it important implications for work which focuses specifically on self forgiveness in response to the pervasiveness of human psychopathology. Forgiveness and self forgiveness as therapeutic approaches have been either assumed as being part of self compassion or as an area which is addressed by psychologists and counsellors from a religious context. This presentation will focus on the context mapped out by work being done ACT practitioners working with Self Compassion and will highlight the specific therapeutic work required for workable self forgiveness based on the relational frame theory approach elucidated in the “purple book” . The presentation will include data provided from series of outcomes for client case studies who have been taken through a developing protocol on self forgiveness which addresses the costs and benefits of bidirectional transformation of functions, thought suppression ineffective coping is styles and reason giving. The protocol is base on work by Harris, Toerneke, Ramenero, Villatte and Villatte and outlines the importance of values, acceptance and willingness of experiencing pain in the presence of values, addressing shame, guilt, remorse and reparative action within a framework of perspective taking present focused action and committed action to work towards rebuilding lives based on values. The presentation will also identify the important links to spirituality and transcendence which allow all to consider the therapeutic benefits whether they come from a religious background or from a background of non-theism.

• The Transformation of Social Exclusion Functions through Same and Opposite Relations
Anita Munnelly, University College Dublin
Charlotte Dack, University of Bath
Louise McHugh, University College Dublin

The present study sought to investigate the generalization of exclusion functions via ‘Same’ and ‘Opposite’ relations. Participants were first exposed to nonarbitrary relational training and testing using the Relational Completion Procedure (RCP) to establish the contextual functions of ‘Same’ and ‘Opposite’ for two arbitrary images. Next, participants were exposed to arbitrary relational training and testing to establish responding to nonsense words in accordance with the relational frames of ‘Same’ and ‘Opposite’. Participants were first trained on: Same A1-B1, Same A1-C1, Opposite A1-B2, and Opposite A1-C2, followed by testing with novel stimulus combinations (Same B1-C1, Same C1-B1, Same B2-C2, Same C2-B2, Opposite B1-C2, Opposite C2-B1, Opposite B2-C1, Opposite C1-B2). Participants were then exposed to the Cyberball exclusion conditioning game in which one stimulus (B2) from the relational network was employed as the Cyberball exclusion game name. During a subsequent transformation of function questionnaire, participants were asked to rate how included or excluded they thought they would be from other games, corresponding to members of the relational network. Findings showed the derived generalization of exclusion functions from the directly trained exclusion game (B2) to the derived ‘Same’ game (C2). In addition, participants rated that they felt they would be ‘more’ included in games (B1 and C1) that were previously established as being ‘Opposite’ to the trained exclusion game. Implications for understanding the impact of exclusion along with future research directions are discussed.

Educational Objectives:
1. Identify and describe how Self forgiveness protocols sit within the context of Relational Frame Theory. 2. Assess and compare and describe the links and differences in self compassion approaches and self forgiveness approaches. 3. Apply new evidence bassed approaches to current client needs.

Transportation (Local, Airport, Directions) and Flight Discounts

Airport Transfer Information

[250]The Estrel hotel is only 13 kilometres from Berlin’s Schönefeld Airport (SXF) and from the upcoming Berlin Brandenburg Airport (BER) set to open in the near future.

Estrel Berlin
Sonnenallee 225
12057 Berlin, Germany
Phone +49 30 6831 0

Directions from Airports 

Berlin Tegel Airport (TXL)
Take the X9 bus line from the airport to the "Jungfernheide" bus stop. Transfer then to the S42 S-Bahn commuter train line (Ringbahn) until you reach the "Sonnenallee" st Public transport journey duration: roughly 40 minutes
Taxi journey duration: roughly 30 minutes
Taxi price: roughly 35 euros

Berlin Schönefeld Airport (SXF)
Take the 171 bus line until you reach the "Sonnenallee" stop.
Public transport journey duration: roughly 40 minutes
Taxi journey duration: roughly 15 minutes
Taxi price: roughly 25 euros

Public transport ticket information
To reach the Estrel using Berlin’s public transport facilities, you will require a single journey ticket for the AB zone costing 2.60 euros (Exception: Please note that when travelling from the Berlin-Schönefeld Airport SXF, you will require an ABC zone ticket costing 3.20 euros). You can purchase tickets at the BVG service counters, the BVG ticket vending machines located in the S-Bahn and U-Bahn stations or on busses directly from the driver (please have change ready for bus drivers). More information about train, tram, and bus routes and fares here. [960]

Taxi Information

Information on taxi services for Berlin here. [961]

Airport Shuttle Services

If you prefer to take an airport shuttle to or from the airport, you can book a shuttle through one of these companies:

German Transfer [962]
Shuttle Direct [963]
Berlin Airport Shuttle [964]
 


View Airport Map [965] in a larger map

Driving Directions and Train Information

[250]The Estrel Berlin’s convenient location and ideal transportation connections mean that it is easy to reach both by car and when using public transport. The nearest slip road to the highway is only 1.5 kilometres away, and the hotel is only 13 kilometres from Berlin’s Schönefeld Airport (SXF) and from the upcoming Berlin Brandenburg Airport (BER) set to open in the near future. The Sonnenallee S-Bahn commuter train station can be reached on foot in only three minutes, and a bus stop and taxi rank are located right in front of the hotel.

Estrel Berlin
Sonnenallee 225
12057 Berlin, Germany
Phone +49 30 6831 0

Directions for Car Travel 

From the West / South
When approaching Berlin from the A2 or A9 autobahns, switch on to the A10 / Berliner Ring, then onto the A115 and afterwards onto the A100 in the direction Wilmersdorf / Kurfürstendamm / Flughafen Schönefeld.Take exit 26 “Grenzallee“ and follow the construction detour signs that will take you via Bergiusstraße, Haberstraße and Neuköllnische Allee and bring you onto Grenzallee. At the traffic light intersection that follows, turn left on Sonnenallee. After approximately 500 meters, the Estrel is on the right hand side.

From the North
Take the A24 Dreieck Havelland interchange onto A10 / Berliner Ring toward Berlin, then change onto the A111 autobahn in the direction Flughafen Tegel / Berlin-Zentrum / Berlin-Reinickendorf. Shortly afterwards take the A100 autobahn. Take exit 26 “Grenzallee“ and follow the construction detour signs that will take you via Bergiusstraße, Haberstraße and Neuköllnische Allee and bring you onto Grenzallee. At the traffic light intersection that follows, turn left on Sonnenallee. After approximately 500 meters, the Estrel is on the right hand side.

From the East
When approaching Berlin from the A13 or A12 / A10 autobahns, take the "Schönefelder Kreuz" interchange onto the A113 toward Berlin-Zentrum. Take exit 26 “Grenzallee“ and follow the construction detour signs that will take you via Bergiusstraße, Haberstraße and Neuköllnische Allee and bring you onto Grenzallee. At the traffic light intersection that follows, turn left on Sonnenallee. After approximately 500 meters, the Estrel is on the right hand side.

Parking
The hotel has its own underground parking garage offering 450 parking spaces (18 euros per day). 

Interested in sharing a ride?
Check out our room share/ride share page here [880].

Directions for Public Transportation

More information about train, tram, and bus routes and fares here. [960]

Berlin Central Train Station (Hauptbahnhof)
Take the M41 bus line until you reach the "Ziegrastraße" stop.
Public transport journey duration: roughly 40 minutes
Taxi journey duration: roughly 20 minutes
Taxi price: roughly 20 euros

Südkreuz Station
Take the S42 S-Bahn commuter train line (Ringbahn) until you reach the "Sonnenallee" stop.
Public transport journey duration: roughly 10 minutes
Taxi journey duration: roughly 14 minutes
Taxi price: roughly 18 euros

Ostbahnhof Station
Take either one of the S5, S75 or S9 S-Bahn commuter train lines until you reach the "Ostkreuz" station. Then transfer to the S41 S-Bahn line (Ringbahn) and continue until you reach the "Sonnenallee" stop.
Public transport journey duration: roughly 15 minutes
Taxi journey duration: roughly 15 minutes
Taxi price: roughly 16 euros

Public transport ticket information
To reach the Estrel using Berlin’s public transport facilities, you will require a single journey ticket for the AB zone costing 2.60 euros (Exception: Please note that when travelling from the Berlin-Schönefeld Airport SXF, you will require an ABC zone ticket costing 3.20 euros). You can purchase tickets at the BVG service counters, the BVG ticket vending machines located in the S-Bahn and U-Bahn stations or on busses directly from the driver (please have change ready for bus drivers).

Taxi Information

Information on taxi services for Berlin here. [961]

Flight Discounts (5-15%) to Berlin Tegel Airport (TXL) on select international fares with Delta and Skyteam Partners

Delta Air Lines, Air France, KLM, Alitalia, and other SkyTeam Partners are pleased to offer 5, 10 and 15% discounts off applicable worldwide airfares for the ACBS World Conference 13 in Berlin, Germany (TXL).

Flights to Berlin Tegel (TXL):

Discounts are as follows (below). This discount will vary based on the booking class, availability, and departure location. A discount is valid only for the travel dates over this program (9-24 July, 2015).

1) Go here to book your flight, [966] and see the discount.

or

2) Visit http://www.skyteam.com/en/Supporting-your-business/Global-meetings/Attend-an-event/ [967] and enter your Event ID: 2787S (note, that is an "S" not a "five" at the end)

(Why is ACBS doing this? 1. To give you the chance to lessen your airfare, if the flights/schedules/prices work for you. 2. ACBS can earn credit toward flights it can use for invited speakers, staff, etc. If the rate here is the same as you can find elsewhere it will still help ACBS if you enter our Meeting Event Code when you purchase your ticket on Delta.com or with your Travel Agent.)

The airlines of SkyTeam, Official Alliance Network for our event, offer attractive airfares for participants.

SkyTeam comprises 20 leading international airlines:
Aeroflot, Aerolíneas, Argentinas, Aeroméxico, Air Europa, Air France, Alitalia, China Airlines, China Eastern, China Southern, Czech Airlines, Delta Air Lines, Kenya Airways, KLM Royal Dutch Airlines, Korean Air, Middle East Airlines, Saudia, TAROM, Vietnam Airlines
and Xiamen Air, serving 1,052 destinations in 177 countries with over 16,323 flights daily.

 
Breakdown of eligible fare categories
SkyTeam Airlines participating
 
15% discount on Economy/Coach and Business class fares
10% discount on Economy/Coach and Business class fares
5% discount on Economy/Coach and Business class fares
Aeroflot
 
D, A, B
J, C, W, S, Y
I, Z, M, U, K, H, L, Q, T, E, N
Aerolineas Argentinas
 
-
-
-
Aeromexico
 
-
A, J, Y, B, N
N, K, S, H, T, Q
Air Europa
(from 01JUN13)
D, B
J, Y
C, M, L, E, V
Alitalia
Europe
B, D
C, E, I
Y, M, H, K, V, T, N, S, Q, X
Intercont.
MEO
B, D
J, C, E, I
Y, M, H, K, V, T, N, S,
Air France – KLM
Worldwide
B
Z
C, S, A, M, U, K, H, Q, T
Europe
B, D
I, S, A, M, U
P, C, Z, K, H, L, Q, T
Air France
France Domestic
-
-
B, M*, U, H, Q, T, E
China Airlines
 
-
-
-
China Eastern
Domestic
-
F, J, W, Y
B, M, E, H, L, K, N
International
J, D, W, Y, B
C, M
E, H, L, K, N, R
China Southern
Domestic
-
F, J, W, Y
B, M, H, K, U, L Q
International
J, D, W, Y, B
C, S, M
H, K, U, L, Q, E
Czech Airlines
 
 
J, C, D, Y, M
B, H, K, T, A, L, X, U
V, N, S, W, O - 3%
Delta Air Lines
International
D, B
J, I, Y, M, S
C, Z, H, Q, K, L, U
Domestic
 
F, I, C, D, Y, A, P
P, A, B, M, S, H, Q, K, L, G -5%
U, T, V, X – 2%
Garuda Indonesia
 
-
-
-
Kenya Airways
 
C, B
J, D, Y, M, U, K, H, L, Q
-
Korean Air
 
J, C, Y
-
B, M, H, E
Middle East Airlines
 
-
-
-
Saudia Airlines
 
Y**, C**
 
 
TAROM
International
C, Y
D, I, B
M, U, K, R, H, L, Q, N, T, V
Domestic
-
C, Y
B, M, U, K
Vietnam Airlines
 
-
-
-
Xiamen Airlines
Domestic
-
F, Y
B, M
International
J, D, Y, B
C, M
L, K
* Discounts not applicable for KSEFR (47% discount) and MSEFR bases, which are already discounted on domestic France routes.
**Y fare, when inventory is available in B and C fare, when inventory is available in D
The discount terms above are only eligible on the mentioned SkyTeam Airlines and are subject to change without notice.
NB – These discounts may not be accrued with other fare reductions.

Local Public Transportation Information

Trains, Trams, & Buses [250]

Berlin offers easy and convenient public transportation options throughout the city:

  S-Bahn [968]: urban rail (mainly above ground network of trains)

  U-Bahn [968]: metro rail (mostly underground subway type network of trains)

  Trams [969]: punctual, accessible, and efficient alternative to the trains and buses

  Buses [970]: popular bus lines for visitors are the 100 and 200 between Zoo Station and Alexanderplatz
 

You can also view an interactive network map [971].

Public transit has the following three different pay zones:

Zone A: All areas within the S-Bahn circle line (main city center area) (A/B 2,70 Euros)
Zone B: Goes out to Berlin's city limits (B/C 3,00 Euros)
Zone C: Berlin’s nearby surrounding areas (for example: Schönefeld Airport, Potsdam, Oranienburg) (A/B/C 3,30 Euros)

The same ticket is valid on ALL U-Bahn, S-Bahn, trams, and buses. (If needed, you can also pay for combined tickets for zones AB, BC and ABC.)

Method of Payment:
S- and U-Bahn trains: Cash or credit cards can be used to purchase tickets at machines at all stations. You must validate your ticket before entering the trains.
Trams: Coins are your only method of payment on all tram services.
Buses: Payment is directly to the driver for your ticket.

Popular ticket options:
- Short trip ticket (Kurzstrecke): valid for three stops on S- and U-Bahn services, and six stops on buses and trams.
- Small group ticket (Kleingruppenticket): permits up to five people to travel on one calendar day until 03:00 the next morning.

Tickets for adults are at the regular rate, children age 6-14 get a discounted rate, and children under 6 do not need a ticket. More information on fares and other ticket options can be found here [972].

Operating times for trains, trams, and buses can be found here [973]. You can even put in your starting address and final destination into the BVG online system [974] and find routes for trains, trams, buses, and even ferries.

Taxis:

You can wave down a taxi on the street, or you can contact one of these taxi services:

Taxi Berlin: +49 30 – 20 20 20
Würfelfunk: +49 30 – 21 01 01
TaxiFunk Berlin: +49 30 – 44 33 22
Quality Taxi: +49 30 – 26 300 0
City-Funk Berlin: +49 30 – 21 02 02
Funk Taxi Berlin: +49 30 – 26 10 26
Talixo: +49 30 – 346 497 360 or online [975]

A 10% tip is recommended for taxi drivers. Other details about how taxis work in Berlin can be found here [976].

The address of the hotel is: Estrel Berlin, Sonnenallee 225, 12057 Berlin
 

ACBS World Conference 14 - Seattle, June 16-19, 2016

What is the World Conference?

The World Conference brings together clinicians and researchers to present cutting-edge research in ACT, RFT, and Contextual Behavioral Science, as well as experienced trainers to lead experiential workshops so that you can learn how to better serve your clients.

The World Conference is for psychologists, social workers, professional counselors, marriage and family therapists, psychiatrists, physicians, drug counselors, health researchers, language researchers, behavior analysts, students and more.... Anyone in a similarly related helping or research field is invited to attend.

Registration in the full conference is all-inclusive and includes lunch, coffee/tea breaks, open access to workshops, research symposia, posters, panel discussions, plenary sessions with CBS researchers and practitioners, and our IGNITE sessions.

 

This event has concluded. Please join us in June 2017 in Seville, Spain [977] or July 2018 in Montreal, Canada.

 

Handouts and Powerpoints from World Conference 14 can be found here [978].

 

Venue

We'll see you at the Westin Seattle [979], 1900 5th Avenue, Seattle, WA, 98101!

Program

The brief schedule of all sessions [980] and full program [981] now available.  Check it out! 

Pre-Conference Intensive Workshops [982]

First class intensive workshops [982] held the 2 days prior to the World Conference get things started off right, June 14-15, 2016.

   

Conference App

Stay up to date and make your own schedule by getting the conference app. Go to the link: http://my.yapp.us/ACBS [832] on you iOS or Android device, you'll be directed to your app store to download our FREE container app, Yapp, if you don't already have it on your device. Once Yapp is downloaded, open it and your app will install automatically inside. This year you can create your own customized schedule on the app, to help you schedule your time.

Conference Highlights

  • Confirmed Speakers: Kristin Neff, Marsha Linehan, Lisa Diamond, James Coan, Michael Twohig, and Sue McCurry. See more information here [983]
  • A great venue, Westin Seattle, in the heart of Downtown Seattle, for networking & fostering local and international collaboration
  • Lunches and coffee/tea are included so that you have more time to network
  • Workshops, Workshops, Workshops. Half-day workshops are included (no extra charge), with your conference registration. These 30+ workshops are one-of-a-kind learning opportunities.

Call for Submissions - Closed

[827]Call for Submissions for the ACBS World Conference 14

Click to jump to submission types (below)

The annual 2016 conference theme—Reach—is dedicated to sharing work that actively reaches through typical barriers to advance contextual behavioral science and practice toward our highest aspirations. We especially encourage submissions that:

• make great science accessible to a broader audience. For example, reaching across sub-disciplines or specialties or multi-disciplinary perspectives on the same phenomena for a symposium that includes basic experimental work alongside research on practical applications. A workshop that shows how to integrate the best scientific evidence into practice would be very welcome. 

• diversify the people sharing work (presenters and attendees) or the people whom the work serves. Present your work to an audience that you would normally not present to, or make your work more accessible to new groups.

• broaden ACBS as a welcoming home for CBS practitioners and researchers beyond its historical emphasis areas. Presentations on therapies other than ACT and basic research lines other than RFT are encouraged.

• concretely build skills needed to reach our highest aspirations as practitioners and scientists. Please share your knowledge to improve how we apply core CBS principles in practice or research, with diverse groups, or to disseminate our findings.

RFT Track: At this year’s conference, an RFT Track will be organized for submissions of RFT data, as well as conceptual and clinically-relevant submissions to address the needs of those interested in RFT across experience levels. 

A final request, please encourage colleagues who might be interested in ACBS to submit to our conference. There are many great professionals we can learn from and who might enjoy the work we are doing. Our hope is to broaden our REACH!

Mike Twohig (President) and Kelly Koerner (Program Chair)

Poster and Chapter/SIG meeting deadlines: March 15, 2016

(Deadline for Other Submissions was February 15, 2016)

If you have any problems submitting, please contact support@contextualscience.org

Chapter/SIG/Committee Meeting 

This gives Chapters/SIGs/Committees (or forming chapters and sigs) the opportunity to reserve a space and time to get together and plan, meet, hang out, etc. This form allows you to request space before or during the conference day (early am, during the conference, during lunch, etc.) 

Plenary/ Invited Address (use only if instructed) 

 

IGNITE 

The Ignite presentation is a short, structured talk in which presenters present on ideas and issues they are most passionate about using a “deck” of 20 slides that auto-advance every 15 seconds (no exceptions). Exactly 5 minutes total. Topics may be empirical, conceptual, philosophical, historical, or methodological. Presentation should be well-practiced and high energy (perhaps even... fun!).
For more on Ignite presentations, see:

http://igniteshow.com/ [275]

http://www.speakerconfessions.com/2009/06/how-to-give-a-great-ignite-talk/ [276]

Panel Discussions 

Panel discussions consist of 3 to 5 speakers selected for some shared interest or expertise in an area. Panelists respond to one or more questions or issues, with time allotted for interaction among the speakers and with the audience. A panel discussion is organized by a chairperson who serves as the session’s moderator.

Symposia (chair, 3 papers and a discussant) 

Organized by a chairperson who moderates the 80–minute session, symposia are a series of three 20–minute presentations focused on either empirical research or conceptual, philosophical, historical, or methodological issues. A discussant highlights and integrates the contributions of various speakers in the symposium and moderates questions from the audience. Chairpersons are encouraged to use symposia as an opportunity to integrate related work by: 1) bringing speakers of different affiliations together rather than showcasing the work of a single group and 2) incorporating different kinds of talks (e.g., historical, conceptual and research-based) on the same topic into one symposium. Papers from submissions that are not accepted may be considered for a poster session. This year, we are prioritizing submissions that are research and data driven. In service of being more data aware, we encourage you to include research citations (data citations) with your proposal.

Paper (not part of a pre-arranged symposium) 

Paper submissions are individual, oral presentations, usually concerned with conceptual, philosophical, historical, or methodological issues. A paper submission may report empirical research if it is too complex for effective presentation in a poster (e.g., an integrated series of experiments). Otherwise, most data-based and single-study paper submissions will be accepted as poster presentations. All paper presentations will be 20 minutes long. Accepted addresses will be organized into paper sessions of 50 or 80 minutes. Submissions not accepted will be considered for a poster session. This year,we are prioritizing submissions that are research and data driven. In service of being more data aware, we encourage you to include research citations (data citations) with your proposal.

Workshop

Workshops are training sessions of 3 hours (or less) and usually focus on some combination of experiential and/or didactic exercises. Workshops should be regarded as opportunities to directly train specific skills rather than to present research findings, discuss conceptual, philosophical, or methodological issues, or share opinions. Submissions that are not clearly focused on training will be considered for other formats. In service of being more data aware, we encourage you to include research and data citations supporting your topic with your proposal, and to briefly present these (1-2 slides) during your workshop.

Posters

Posters usually report empirical research and will be organized into one or more sessions, during which attendees will be invited to review the research presented and discuss findings with poster presenters. Presenters must be at their poster during their assigned time of the poster session and may choose to provide handouts. 

World Conference 14 Chapter/ SIG/ Committee Meeting

Chapter/SIG/Committee Meetings. Depending on the final schedule, chapter/sig/committee meetings may be scheduled early in the morning, during lunch, or during another time of day.  If you have a preference as to the time of day, which day, or the amount of time, please indicate it in the "Other Information" section, we'll do our best to accommodate you.

If you Login [984] to your ACBS account before submitting, you can edit your submissions until the deadline. (All mandatory fields must contain a keystroke to save/submit the form.)

Please gather the following information before attempting to submit.

  1. Title
  2. Abstract
  3. Meeting Facilitators, Affiliations, Emails, and Presenting this submission?
  4. Audio & Visual Needs
  5. Number of Seats Required
  6. Other information

(If you have any problems or questions about the form below, you may contact us at acbs@contextualscience.org)


Title of your Chapter/SIG meeting.

Please type or paste your meeting description and audience ("members only" "all are welcome" etc.).

Please try to limit your abstract to 150 words or less, if possible.

Enter the name of your first meeting facilitator. Ex. "Jane Smith, Ph.D." 

Enter the affiliation of your first facilitator. Ex. "University of Paris" or "GGNET" or "Private Practice"

If applicable.

Please select all of the Audio and Visual needs for your presentation. All presentation rooms come with a projector (beamer), with PC compatible cords.

(Note: If you use a MAC laptop, please bring an adapter for hooking it up to the projector (all projectors are PC compatible). Likewise, please bring any needed international plug adapters if applicable. Also bring your presentation (PC capable) on a memory stick, as a back up.)

Minimum number of seats you need in your meeting room, so as to accommodate expected attendance.

If you think the program committee needs additional information in order to schedule your meeting room, please enter it here.

Ex. "Please don't schedule at the same time as the Evolution Science SIG, because we have a lot of membership overlap."

Ex. "We'd prefer to meet at lunch on Thursday or Friday, but we can be flexible and meet in the early AM or lunch on any of the conference days if necessary."

World Conference 14 Plenary/ Invited Address

Only use this form if directed to submit by ACBS or the Conference Program Committee. Plenaries are 75 minutes (including the introduction and any discussion), and most Invited Addresses will be 45-60 minutes.

If you Login [984] to your ACBS account before submitting, you can edit your submissions until the deadline. (All mandatory fields must contain a keystroke to submit(save) the form and then you may edit your submission until the submission deadline.)

Please gather the following information before attempting to submit.

  1. Title
  2. Components
  3. Topic Areas (primary)
  4. Topic Areas (secondary)
  5. Topic sub-Category (Education, Depression, IRAP, etc.)
  6. Chapter/SIG sponsored?
  7. Target Audience
  8. Amount of Time Required
  9. Abstract
  10. Authors Names, Affiliations, Emails, Bios, and Photos
  11. CVs for all presenters (to attach) (doc, pdf, etc.)
  12. 3 Educational Objectives
  13. Audio & Visual Needs 
  14. Commercial Support Information & Disclosure
  15. Video/Audio release permission from all authors (if video & audio taping is agreed to by your presenters)
  16. Other information

(If you have any problems or questions about the form below, you may contact us at acbs@contextualscience.org)


Title of your plenary/invited talk.

Select all that apply.

Please select the primary Topic Area.

Please select the secondary Topic Area.

Please enter the sub-category for your submission. Ex. PTSD, Children, Buddhism, Depression, Mindfulness, IRAP, OCD, etc.

Please select all that apply.

Please select the approximate amount of time required for your submission.

Please type or paste your submission abstract.

Please try to limit your abstract to 150 words or less, if possible.

Enter the name of your first author. Ex. "Jane Smith, Ph.D." 

Enter the affiliation of your first author. Ex. "University of Paris" or "GGNET" or "Private Practice"

Enter the name of your second author. Ex. "Jane Smith, Ph.D." or "Johan Bach, M. A." if applicable.

Enter the affiliation of your 2nd author. Ex. "University of Paris" or "GGNET"

Please attach the CV (Vitae, Resume, etc.) of the First Presenter. ***Required for all presenters.

Please attach the CV (Vitae, Resume, etc.) of the Second Presenter. ***Required for all presenters.

Please list 3 Educational Objectives for your session.

Educational objectives, or educational outcomes, are statements that clearly describe what the learner will know or be able to do as a result of having attended an educational program or activity. Educational objectives must be observable and measurable. Educational objectives should (1) focus on the learner, and (2) contain action verbs that describe measurable behaviors. Verbs to consider when writing educational objectives:

  • list, describe, recite, write
  • compute, discuss, explain, predict
  • apply, demonstrate, prepare, use
  • analyze, design, select, utilize
  • compile, create, plan, revise
  • assess, compare, rate, critique

Examples of good Educational Objectives:

Implement traditional exposure-based interventions as adapted for an acceptance-based model.; Describe the role and significance of avoidance in the development and maintenance of psychopathology.; Conduct a full-scale values assessment with clients.

Examples of poor Educational Objectives:

Hear the latest research about ACT. (not learner-focused; not about measureable behaviors) ; See a role-play. (not learner-focused; not about measureable behaviors)

Please select all of the Audio and Visual needs for your presentation. All presentation rooms come with a projector (beamer), with PC compatible cords.

(Note: If you use a MAC laptop, please bring an adapter for hooking it up to the projector (all projectors are PC compatible). Likewise, please bring any needed international plug adapters if applicable. Also bring your presentation (PC capable) on a memory stick, as a back up.)

Your approval or denial of taping will in no way affect whether your submission is accepted for presentation at the ACBS World Conference.

If you think the reviewers need any additional information in order to accurately evaluate or schedule your presentation, please enter it here.

Ex. "I can not present on Saturday Morning, July 18, due to a known scheduling conflict."

Ex. "Here is the information for presenter/author #6, #7... etc. Name, Affiliation, Email, etc."

Ex. "This submission may look unconventional, but I have presented it 3 times before with good feedback.  You can ask Dr. XXX at xxx@gmail.com for a reference if necessary."

Pre-Conference Workshops for WC14

[827]

June 14-15, Seattle, Washington, USA

Unforgettable. Inspiring. Cutting-edge. Inviting. ACBS Pre-Conference Workshops are well-known as a source for world-class ACT and RFT trainings. Here is the heart of ACBS. Where therapists and researchers of all ages sharpen their skills, and push their limits. Where expert trainers from across the globe converge as a creative force aiming to shape and support all those in attendance. Where life-long friends reconnect, or meet for the first time.

What to Expect

The 2016 Pre-Conference Workshops offer exciting new opportunities that will engage therapists and researchers of any skill level. Highlights include:

Acceptance and Commitment Therapy (ACT): Participate in experiential and didactic workshops to learn this empirically supported therapy
ACT & RFT: For persons with Autism
Relational Frame Theory (RFT): Apply this modern perspective on cognition and language to your own research or practice
Contextual Behavioral Science (CBS): Explore the foundations of ACT and RFT to enrich your understanding
Compassion Focused Therapy (CFT): Engage compassionate emotions within your clients in order to target anxiety and mood disorders

Combining therapy role-plays, experiential exercises, case presentations, data graphics, focused lectures, and small group discussions, you can expect high-quality training from ACBS Pre-Conference Workshops. Continuing Education Credits are available.

Be sure to review the list of workshops below [985] to see your full list of options.

When, Where, and How Much?

These workshops will be held the two days immediately preceding the ACBS World Conference 14.

Tuesday, June 14, 2016 - 9:00am-5:15pm
Wednesday, June 15, 2016 - 9:00am-5:15pm

They will be held at the Westin Seattle [986] in Seattle, Washington, USA.

More general Registration information can be found here [987].

Pre-Conference Workshop Registration Rates (June 14-15, 2016)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference 14. They will be 9:00am-5:15pm on each day.

The workshops [988] run concurrently, so you may only register for one pre-conference workshop. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference). CE credits [989] are available.

                                        ONSITE REGISTRATION
Professional $429
Student $279
Professional, Non-Member $489
Student, Non-Member $309

Above prices include lunch each day, AM & PM coffee/tea on site, and a general certificate of attendance.

Additional information about registrations, refunds, etc., can be found here [987].


Still need to Register?

You may register onsite at the Westin Seattle. You can speed up registration by completing the form and bringing it with you. DOC [990] or PDF [991]

*(consider joining ACBS and register as a member [673])

You may register onsite for pre-conference workshops:

Monday, June 13, 5:00-6:00pm, Mezzanine (2nd) Level Foyer

Tuesday, June 14, 7:30-9:00am, Mezzanine (2nd) Level Foyer

Learn about the specific workshops here [988].

Complete List of Pre-Conference Workshops - WC14 Seattle

ACBS World Conference 14, Pre-Conference Workshops

June 14-15, 2-day workshops:

  • Using RFT and ACT to Optimize Therapy for Persons with Autism [992]

Mark R. Dixon, Ph.D.
(Clinical; Research; Beginner, Intermediate, Advanced)

  • Acceptance and Commitment Therapy for Anxiety Disorders: Transforming Anxious Suffering Into a More Vital Life [993]

John P. Forsyth, Ph.D., Jamie R. Forsyth, M.A.
(Beginner, Intermediate)

  • Learning ACT from the Inside Out: A skills building workshop for people near the start of their ACT journey [994]

David Gillanders, DClinPsy. & Helen Bolderston, Ph.D.
(Beginner)

  • How Contemporary Behavior Therapists Can Use the Best of DBT [995]

Kelly Koerner, Ph.D.
(Clinical; Intermediate, Advanced)

  • From Isolation to Belonging: Using ACT and Affective Science to Deepen Your Work with Clients Stuck in Self-Criticism and Shame [996]

Jason Luoma, Ph.D., Jenna LeJeune, Ph.D., & Melissa Platt, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Mindfulness and Acceptance for Gender and Sexual Minorities: Contextual Strategies to Foster Self-Compassion, Connection, and Equality [997]

Matthew Skinta, PhD, ABPP, Aisling Curtin, M.Sc., Reg. Psychol., Ps.S.I., & Lisa M. Diamond, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Inside This Moment: Using Present Moment Interventions to Promote Radical Change in ACT - Strosahl, & Robinson [998]

Kirk Strosahl, Ph.D., Patricia Robinson, Ph.D.
(Clinical; Intermediate, Advanced)

  • Foundations of Compassion Focused Therapy and Compassion Focused ACT for Anxiety and Mood Disorders [999]

Dennis Tirch, Ph.D. & Laura Silberstein, Psy.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Mastering the Clinical Conversation: Language as Intervention [1000]

Matthieu Villatte, Ph.D., Jennifer L. Villatte, Ph.D., & Steven C. Hayes, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Acceptance & Commitment Therapy: Focusing on Values Work, Self-Care, and Self-Compassion [1001]

Kelly G. Wilson, Ph.D.
(Clinical; Research; Beginner, Intermediate, Advanced)

Go here for information about the schedule, location, and registration. [982]

You can also click on the links below to learn about each pre-conference workshop.

Acceptance & Commitment Therapy: Focusing on Values Work, Self-Care, and Self-Compassion - Wilson (Clinical; Research; Beginner, Intermediate, Advanced)

Acceptance & Commitment Therapy: Focusing on Values Work, Self-Care, and Self-Compassion

Workshop Leader:
Kelly G. Wilson, Ph.D., University of Mississippi
 
Graduate Student Assistants (University of Mississippi):
Emily Jacobson, Emmie Herbert, Solomon Kurz, & Yash Bhambhani
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 
Workshop Description:

What is Acceptance and Commitment Therapy?
Acceptance and Commitment Therapy (ACT) is an evidence-based treatment with over 100 randomized clinical trials. ACT is grounded in emerging clinical science that demonstrates the broad utility of mindfulness and values in human wellbeing. ACT is a hybrid therapy, bringing together aspects of mindfulness, Gestalt therapy, and humanist-existential thought, all organized under a contemporary contextual behavioral framework. The paradox upon which ACT is founded is that radical acceptance of what cannot be changed empowers us to recognize and change the things that we can. The ACT approach is about embracing necessary suffering in order to make more committed, life-affirming choices and live in accordance with deeply held personal values.

Values, Self-Care, and Self-Compassion in a Stressed Out World:

Living a life that you love, a life that is dedicated to your most profoundly held values, is the ultimate act of self-care and self-compassion.

This workshop will provide two days focused on values work in ACT. ACT is an integrated model, so our work together will necessarily touch upon other components of the model. However, our work with other components will show how these other components link to and facilitate values work.

In ACT, values work both directs and dignifies the therapy. ACT is not a therapy aimed at symptom reduction. It is a therapy aimed at increasing engagement in abundant, rich, and valued living.

We will workshop a variety of challenges and opportunities in doing values work with clients and with ourselves as health care providers.

Self-Care and Self-Compassion are often experienced as competing with “other-focused” values, such as parenting, intimate relations, and work. In this workshop, we will learn through direct experience how powerful acts of self-care and self-compassion can enrich and empower all other valued living. Self-care and self-compassion will be explored as foundational values work.

ACT principles will guide participants in new interventions, worksheets, and interviews that can be used in any human services environment, including mental health clinics, but also, medical settings, workplaces, schools, and community centers.

The workshop will be densely experiential and will focus on a set of tools and skills that participants will be prepared to use immediately following the workshop. We will show how the interface between self-compassion and self-care relate to values work in ACT can promote life enhancing change and powerful therapeutic alliance.

The workshop will contain enough of the basic model, no jargon, just plain speaking was to understand this fundamental area of human functioning. Because of the common sense language, even therapists new to ACT will benefit. However, there will be sufficient focus on values work to maintain the interest and engagement of the most seasoned ACT therapists and researchers.

About Kelly G. Wilson, Ph.D.:

Kelly G. Wilson, Ph.D., is a Professor of Psychology at the University at Mississippi. He is one of the co-developers of Acceptance and Commitment Therapy. He has devoted his career to teaching psychological and physical practices aimed at increasing richness, meaning, and quality of life. He has publishing 49 articles, 38 chapters, and 10 books including Acceptance and Commitment Therapy 2ed, Things Might Go Terribly, Horribly Wrong: Living a Life Liberated from Anxiety, and his most recent effort The Wisdom to Know the Difference: An Acceptance and Commitment Therapy Workbook for Overcoming Substance Abuse. He has central interests in the application of behavioral principles to understanding topics such as purpose, meaning, values, and mindfulness. Dr. Wilson’s most recent fascination is the deep interconnection between physical and mental wellbeing. Dr. Wilson has presented workshops in 32 countries, and has participated as co-investigator in a wide range of research projects in the U.S. and around the world.

Learning Objectives:
The attendee will be able to:
1) Work with clients who feel lost and without a sense of valued direction.
2) Work with clients who are highly inflexible and stuck with specific values outcomes.
3) Work with clients who experience intense emotion around pursuing values including feelings of anger, fear, guilt, or a powerful sense of unworthiness.
4) Work with values conflicts—when one value seems to work against another.
5) Develop brief one-time values interventions for primary and emergency care.
6) Build dynamic, evolving life practices that support valued living.
7) Incorporate values interventions into therapy that is not ACT-based.
8) As a therapist, embody this work in your therapy sessions, in your health care practice more broadly, and in your personal practice.
9) Integrate mindfulness into your values interventions.
10) Integrate mindfulness into your committed action plans.
 
Target Audience: Beginner, Intermediate, Advanced, Clinical, Research
 
Components:  Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Acceptance and Commitment Therapy for Anxiety Disorders: Transforming Anxious Suffering Into a More Vital Life - Forsyth, Forsyth (Beginner, Intermediate)

Acceptance and Commitment Therapy for Anxiety Disorders: Transforming Anxious Suffering Into a More Vital Life

Workshop Leader:
John P. Forsyth, Ph.D., University at Albany, SUNY
Jamie R. Forsyth, Ph.D., Union College
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 
Workshop Description:

Anxiety disorders are common, chronic, and disabling. In this intensive 2-day workshop, mental health professionals learn about the practical application of Acceptance and Commitment Therapy (ACT) as a way to transform the suffering associated with major anxiety disorders.

ACT is an evidence-based approach that balances mindfulness and acceptance processes with commitment and behavior change in the service of living a more vital life. Through lectures, live and video demonstrations, and practical experiential exercises, participants learn ways to help their clients live well, richly, and meaningfully, without first having to defeat or eliminate sources of emotional and psychological pain.

This work can be challenging for both therapists and clients alike because it calls us to stand in difficult places and open up to that difficulty, without struggle or resistance, as we create a life that matters to us and our clients. Participants will be encouraged to engage the material at a personal level, as it applies to their own lives, and then also in the context of their clinical work.

About John P. Forsyth, Ph.D.:

John P. Forsyth, Ph.D. is an internationally recognized author, speaker, and trainer in the use of Acceptance and Commitment Therapy (ACT) and practices that cultivate mindfulness, loving kindness (Metta), and compassion. For over 20 years, his work has focused on developing ACT and mindfulness practices to alleviate human suffering, awaken the human spirit, and to nurture psychological health and vitality. His personal journey and experience, balanced with practical insights grounded in scientific evidence, offers hope to those wishing to find a path out of suffering and into wholeness.

He has written several popular ACT books, including Acceptance and Commitment Therapy for Anxiety Disorders (for mental health professionals), and three self-help books for the public: The Mindfulness & Acceptance Workbook for Anxiety, and ACT on Life, Not on Anger, and Your Life on Purpose.

John holds a Doctorate in Clinical Psychology, and is a Professor of Psychology and Director the Anxiety Disorders Research Program at the University at Albany, SUNY in Upstate New York. He is also widely sought after ACT trainer and consultant and serves as a senior editor of the ACT book series with New Harbinger Publications.

John regularly gives talks and workshops to the public and professionals in the United States and abroad, and offers ACT trainings at the Omega Institute for Holistic Studies in Rhinebeck, NY, where he serves as a member of the teaching faculty.

He is known to infuse his teaching and trainings with energy, humility and compassion, and his down-to earth workshops are consistently praised for their clarity, depth and utility.

Collectively, his work has helped foster growing interest in acceptance and mindfulness in psychology, mental health, medicine, and society.

 

About Jamie R. Forsyth, M.A.:

Jamie R. Forsyth, M.A. is a gifted clinician and clinical supervisor, with extensive expertise the application of ACT with severe forms of mental illness (eg. psychosis and personality disorders) and forms of psychological suffering in inpatient, outpatient, and college mental health settings. Beyond ACT, Jamie is a skilful researcher and clinician, with specialized knowledge in relational and process-oriented therapeutic work, addictions, motivational interviewing, including mindfulness and self-compassion practices.

Jamie holds a Master’s degree in Clinical Psychology from the University at Albany, SUNY. She is a Doctoral Fellow at Union College, where she offers ACT-based outpatient psychotherapy to college students presenting with psychological and behavioural challenges. Her clinical work, grounded in evidence-based practices, offers unique insights into the subtle nuances of ACT as it unfolds in clinical practice. Jamie is also actively engaged in the dissemination of ACT and mindfulness practices within her college community and, along with her husband John, co-leads ACT workshops in the United States and internationally.

Although ACT is her primary theoretical orientation, Jamie draws upon relational and psychodynamic theories to help create a holistic person-centered approach to treatment. Her clinical wisdom, coupled with the depth and scope of her knowledge and skills, bridges various approaches and streams of practice within an ACT point of view.  

 
Learning Objectives:
The attendee will be able to:
 

1) Describe the ACT model of human suffering linked with six central treatment targets of ACT in practice;
2) Conceptualize anxiety and fear within an ACT framework
3) Identify excessive struggle and avoidance while promoting more mindful and compassionate actions
4) Assess their own and their clients’ ability to balance acceptance and change while moving toward values and goals
5) Define and identify “fusion” and “experiential avoidance” and their role in various forms of anxious suffering;
6) Utilize ACT with individuals suffering from all of the anxiety-related disorders;
7) Utilize at least 2 basic ACT mindfulness and defusion techniques and describe how they can be useful for their patients and for themselves;
8) Demonstrate clarifying values and barriers to valued action and how this can be useful for their patients and for themselves;
9) Describe and conduct exposure-based strategies in the context of mindful acceptance and valued living using experiential exercises, metaphors, and defusion techniques;
10) Use strategies to help clients disarm their anxieties with mindful acceptance and kindness while moving in the direction of their chosen values and life goals.

Target Audience: Beginner, Intermediate
 
Components:  Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Foundations of Compassion Focused Therapy and Compassion Focused ACT for Anxiety and Mood Disorders - Tirch & Silberstein (Clinical; Beginner, Intermediate, Advanced)

Foundations of Compassion Focused Therapy and Compassion Focused ACT for Anxiety and Mood Disorders

Workshop Leaders:
Dennis Tirch, Ph.D., The Center for Compassion Focused Therapy
Laura Silberstein, Psy.D., The Center for Compassion Focused Therapy
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 
Workshop Description:

During this workshop, participants will explore how the science of compassion can be used to enhance and expand our clinical work, using an ACT-consistent, Compassion Focused Therapy approach. Recent advances in psychological research, theory and practice have suggested that compassion may be a significant, active process in psychotherapy effectiveness. This two day clinical/experiential workshop is specifically designed to help ACT and other behavior therapy practitioners deepen their understanding and practice of compassion focused treatment of anxiety and mood disorders . Participants will learn a new evolutionary model of compassionate flexibility, that is grounded in Compassion Focused Therapy (CFT), ACT, and elements of Functional Analytic Psychotherapy (FAP). Direct, experiential exercises, including a range of compassion focused imagery practices, will invite participants into contact with their compassionate minds. Rather than being a soft option, the deliberate activation of our compassion system can generate the emotional strength and psychological flexibility we need to face life's challenges, and step forward into lives of meaning, purpose and vitality.

Human beings have evolved to have a fast acting, automatically triggered threat detection system that can fire up at a moment’s notice to help us survive. However, the power and efficiency of our threat detection leads to trouble, when a struggle with our feared experiences begins to dominate the ways that we approach our lives. Fortunately, we have also evolved to have powerful allies in facing life’s – our evolved capacity for mindfulness, wisdom and compassionate courage. This workshop will take an experiential journey into the foundations of CFT's compassionate imagery, meditation practices, and applications in exposure and behavioral activation. These methods can compliment and strengthen even a state of the art, ACT approach. Participants will learn how cultivating compassion can undermine fusion with shame based self-criticism, help address the narrowing influence of threat based behavioral patterns, and how the experience of compassionate courage can help to mobilize us to move towards lives of greater meaning and vitality.

About Dennis Tirch, Ph.D.:

Dr. Tirch is the Founder and Director of The Center for Compassion Focused Therapy in New York and President of The Compassionate Mind Foundation USA. Dr. Tirch is an author of 6 books, and numerous chapters and peer reviewed articles, including "The ACT Practitioner’s Guide to The Science of Compassion" and "Buddhist Psychology and CBT: A Clinician's Guide” with Dr. Laura Silberstein and colleagues. He has served on the faculty of Cornell Weill Medical College and Albert Einstein Medical School. Dr. Tirch regularly conducts Compassion Focused ACT (CFACT) and CFT trainings & workshops globally. He is a Diplomate, Fellow & Certified Consultant & Trainer for The Academy of Cognitive Therapy, Founding Fellow and the President of The NYC-CBT Association, & Founding President Emeritus of The New York City Chapter of ACBS. Dr. Tirch is an Associate Editor of The Journal of Contextual Behavioral Therapy.

About Laura Silberstein, Psy.D.:
Laura Silberstein, Psy.D. is the Associate Director of The Center for Compassion Focused Therapy in New York. Dr. Silberstein also serves as a Adjunct Assistant Professor and Consultant at Albert Einstein Medical College. She is the co-author of 3 books including Buddhist Psychology and Cognitive Behavioral Therapy, A Clinician’s Guide and The ACT Practitioner’s Guide to The Science of Compassion. Dr. Silberstein completed a 2 year externship at the American Institute for Cognitive Therapy, in Manhattan; a pre-doctoral internship at Wyoming State Hospital, and a two year Postdoctoral Fellowship in Cognitive Behavioral Therapy at the Cognitive Behavioral Institute of Albuquerque, New Mexico. Silberstein has advanced experience, and serves as a consultant and trainer in a range of 3rd Generation behavior therapies including CFT, ACT, and DBT.

Learning Objectives:
The attendee will be able to:
1) Help clients to better accept and effectively respond to anxiety and other difficult emotions; through the activation of their evolved capacity for mindful compassion.
2) Explain and apply the fundamentals of Compassionate Flexibility, including a contextual and evolutionary theory of emotion regulation, attachment, and cognition.
3) Integrate compassion focused methods into ACT-consistent practice
4) Practice and teach compassion focused imagery methods and guided meditations drawn from CFT, Buddhist Psychology and ACT
5) Develop and use of the concept of The Compassionate Self Imagery practice in the treatment of anxiety and depression
6) Adapt a compassion focused approach to evidence based techniques such as exposure and response prevention, defusion, and behavioral activation
7) Assess and formulate a compassion focused case conceptualization for people being treated for anxiety and mood disorders
8) Create and implement compassion focused interventions implementing self-as-process role plays and multiple chair work
9) Describe and apply the Three Circle Model of Emotions from CFT
10) Implement compassion focused interventions in the service of cultivating psychological flexibility
 
Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Literature review, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

From Isolation to Belonging: Using ACT and Affective Science to Deepen Your Work with Clients Stuck in Self-Criticism and Shame - Luoma, LeJeune, & Platt (Clinical; Beginner, Intermediate, Advanced)

From Isolation to Belonging: Using ACT and Affective Science to Deepen Your Work with Clients Stuck in Self-Criticism and Shame

Workshop Leaders:
Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center
Jenna LeJeune, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center
Melissa Platt, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 
Workshop Description:

Persistent self-criticism and shame are often central for our most chronic, interpersonally difficult, and stuck clients. These emotional responses have been shown to play an important role in a variety of psychological problems, including depression, post-traumatic stress disorder, borderline personality disorder, eating disorders, schizophrenia, substance addiction, and others. It’s likely that self-criticism is a transdiagnostic process that, if targeted successfully, can improve outcomes across a range of mental health difficulties. Only recently have interventions for shame and self-criticism begun to receive scientific scrutiny and demonstrate evidence for their effectiveness. One such intervention is Acceptance and Commitment Therapy (ACT).

This workshop will offer a functional evolutionary perspective on shame and social emotion, which can be used to inform how ACT is implemented to uniquely target problems of shame and chronic self-criticism. A particular focus of this workshop is on the ACT theory of self and its centrality in working with shame, self-criticism, and the development of self-compassion. In looking at the role of both the conceptualized self and conceptualized other, this workshop will provide practical guidelines for incorporating compassion-focused interventions within an ACT model. The workshop will move from the theoretical to the applicable, exploring how ideas such as self as context and flexible perspective taking can have very practical applications in helping clients develop newer and more flexible ways of relating to themselves based on values of self-compassion, kindness, and caring.

Participants will have the opportunity to observe and experience a variety of defusion, acceptance, mindfulness, and perspective-taking interventions designed to target shame and self-criticism. They will also engage in experiential practice in small groups using ACT processes as applied to shame and self-criticism. Guidance on how to sequence ACT interventions when specifically targeting these difficulties will be provided. Participants will also receive instruction on specific measures useful in identifying and tracking shame and self-criticism and guidance on how these measures can be used as therapeutic tools. Attendees can expect to walk away with an increased experiential and practical understanding of how to use acceptance, mindfulness, perspective-taking, and values interventions with clients suffering from chronic shame and self-criticism.

About Jason Luoma, Ph.D.:

Jason Luoma, Ph.D.is Director of Portland Psychotherapy Clinic, Research, and Training Center in Portland, OR where he also maintains a small clinical practice. After earning his doctorate, Jason spent four years at the University of Nevada, Reno studying ACT with Steven Hayes. Jason is an internationally recognized trainer in ACT, former chair of the ACT training committee, and past president of ACBS. He is also an author of Learning Acceptance and Commitment Therapy, a book popular with professionals for its mixture of sophistication and accessibility. He has conducted research on interventions for shame and stigma for over a decade and recently published the first randomized trial of an ACT approach to shame in addiction at the Journal of Consulting and Clinical Psychology.

About Jenna LeJeune, Ph.D.:
Jenna LeJeune, Ph.D. is the Director of Clinical Services at Portland Psychotherapy Clinic, Research, and Training Center in Portland, Oregon. In her clinical practice, Jenna specializes in working with adults who struggle with intimacy problems, trauma-related difficulties, problematic eating/body image, and others who tend to experience a high levels of shame and self-criticism. She also provides training in ACT to other professionals around the world. Her research interests include issues related to stigma and shame, specifically developing compassion-focused interventions within a contextual behavioral science framework for those struggling with chronic shame and self-criticism.

About Melissa Platt, Ph.D.:
Melissa Platt, Ph.D. is a clinical psychologist at Portland Psychotherapy Clinic, Research, and Training Center. Dr. Platt has published several peer-reviewed articles on the topic of trauma-related shame, co-authored a review paper on the role of compassion in ACT, and regularly contributes clinical tools, original writings, and research updates to the website ACTwithCompassion.com. She also co-facilitated the ACT on Life class at Portland Psychotherapy, which is an experiential course for the general public. Clinically, Dr. Platt specializes in working with clients who have been affected by interpersonal trauma to live more connected, compassionate, and expansive lives.

 
Learning Objectives:
The attendee will be able to:
 

1) Understand a functional and evolutionary account of shame and self-criticism
2) Formulate problems with shame in terms of ACT and affective science
3) Identify ways in which they can work with shame in the present moment with clients
4) Explain how to sequence ACT interventions for chronic shame and self-criticism
5) Detect shame through nonverbal cues more easily
6) Gain better facility with defusion in treating clients with self-critical thoughts
7) Describe how to adapt ACT processes for use with highly self-critical and shame-prone clients
8) Describe how compassion-focused interventions fit inside an ACT model
9) Use theory around flexible perspective taking to guide the implementation of compassion focused interventions
10) Develop a basic understanding of the use of chair work in an ACT approach to shame and self-criticism

Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Literature review, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

How Contemporary Behavior Therapists Can Use the Best of DBT - Koerner (Clinical; Intermediate, Advanced)

How Contemporary Behavior Therapists Can Use the Best of DBT

Workshop Leader:
Kelly Koerner, Ph.D., Evidence-Based Practice Institute
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 
Workshop Description:

Dialectical Behavior Therapy (DBT) offers tools to help any therapist be more effective, especially when working with clients who face multiple complicated and severe problems and pervasive emotion dysregulation. In this workshop, participants will learn and practice weaving (1) behavioral, (2) acceptance-based, and (3) dialectical principles and strategies, the three foundations of DBT. You do not need to have prior training in DBT to attend. The workshop is designed to help experienced therapists increase their range of options in difficult moments by ‘trying on’ selected interventions through instructor modeling, paired and small group practice. Based on prepared vignettes and audience members case examples, teaching and practice will focus on:

* how to use a target hierarchy and functional analysis to rapidly triage complicated streams of behavior and identify common causal links across problems
* how to build a ‘playbook’ of mini-treatment plans for these common causal links and problems (e.g., specific collaborative steps in treating self-invalidation, dissociation, and more extreme escape behaviors such as nonsuicidal self-injury)
* situations that call for a blend of informal exposure and wise emotion regulation such as when clients’ exquisite sensitivity or emotion dysregulation interfere with change or difficulties generalizing in-session exercises to between session behavior change
* therapist’s use of validation, irreverence, mindfulness, and radical genuineness in the therapy relationship

About Kelly Koerner, Ph.D.:

Kelly Koerner, Ph.D., is Creative Director of the Evidence-Based Practice Institute, LLC, where she combines technology, design, and social enterprise to help clinicians improve clients' outcomes. She is an expert clinician, clinical supervisor, and trainer in Dialectical Behavior Therapy with specialized training in other evidence-based practices and contemporary behavior therapies (acceptance and commitment therapy, compassion focused therapy, emotion-focused therapy, functional analytic psychotherapy, and integrative behavioral couple therapy). As a trainer, she is known for her warmth and highly engaging, practical teaching style. She is adjunct clinical faculty at the University of Washington. She is the author of Doing Dialectical Behavior Therapy: A Practical Guide and maintains a small private consulting and psychotherapy practice in Seattle, Washington, USA.

Learning Objectives:
The attendee will be able to:
1) Describe how to triage multiple severe problems using a target hierarchy
2) Describe a non-judgmental formulation that generates collaboration
3) Demonstrate chain analysis of problematic behavior
4) Demonstrate validation strategies
5) Describe a dialectical dilemma faced by one of their clients
6) Demonstrate use of informal exposure and shaping to increase in-session emotional experiencing
7) Demonstrate stylistic strategies of irreverence and reciprocal communication
8) Describe a mini-treatment plan for a maladaptive problem-solving behavior such as non-suicidal self-injury
9) Describe a mini-treatment plan for self-invalidation
10) Describe a mini-treatment plan for dissociation
 
Target Audience: Intermediate, Advanced, Clinical
 
Components:  Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Inside This Moment: Using Present Moment Interventions to Promote Radical Change in ACT - Strosahl & Robinson (Clinical; Intermediate, Advanced)

Inside This Moment: Using Present Moment Interventions to Promote Radical Change in ACT

Workshop Leaders:
Kirk Strosahl, Ph.D., Central Washington Family Medicine
Patricia Robinson, Ph.D., Mountainview Consulting Group
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 
Workshop Description:

A defining feature of ACT is the use of present moment/mindfulness based interventions to counteract the corrosive effects of emotional avoidance and cognitive fusion. Despite the central role of present moment interventions in ACT, the defining features of such interventions are elusive and poorly understood by most clinicians. This workshop will demonstrate a neuro-clinical model of present moment intervention, which is used in the Focused Acceptance and Commitment Therapy approach, and is strongly supported by both mindfulness and neuroscience research. This approach holds that learning to pay attention to painful private experience in a focused, non-reactive way is a skill that must be cultivated through practice. Therapy is the forum in which this practice takes place. The ability to maintain the integrity of attention in the presence of unwanted, distressing thoughts, feelings memories or physical sensations is central to the process of radical change. To this end, attendees will learn the three defining attributes of flexible attention and how to recognize failures of attention during therapy. Experiential exercises and self-assessments will be used to help attendees appreciate their own strengths and weaknesses with regard to paying attention and staying in the moment. The ability to notice one's own escape tendencies and to curb them during crucial moments in therapy is a pre-requisite for promoting transformation in clients.

We will spend considerable time describing and demonstrating the five sequential phases of present moment awareness interventions: noticing what has showed up (Observe), naming what is in awareness (Describe), letting go of over-identification (Detach), releasing oneself from self-loathing narratives (Soften) and reframing life purpose to transform the meaning of personal pain and set back (Expand). For each component, we will present a live or video taped example to show what the skill looks like in the clinical moment. Then, each attendee will get an opportunity to practice that particular skill following a case vignette lead in. The goal is to teach participants new clinical skills that can applied in professional practice immediately after the workshop.

About Kirk Strosahl, Ph.D.:

Dr. Strosahl is a co-founder of Acceptance and Commitment Therapy and has developed a brief therapy version of ACT known as Focused Acceptance and Commitment Therapy (Strosahl, Robinson & Gustavsson, 2012). His "day job" involves working as a practicing clinician in a practice of 32 Family Medicine Physicians at Central Washington Family Medicine, a community health center serving low income and disadvantaged clients.. His work extends well beyond the application of ACT principles in brief therapy. He has been a key influence in the movement to the redesign of the United States primary care system. He has also co-authored professional and self-help books which have been a key part of the evolution of ACT, including Brief Interventions for Radical Change: Principles and Practice of Focused Acceptance and Commitment Therapy (Robinson & Gustavsson, co-authors, 2012, New Harbinger Publications) and Inside This Moment: Promoting Radical Change in Acceptance and Commitment Therapy (Robinson & Gustavsson, co-authors, 2015). His current interests include developing the ACT framework to better integrate mindfulness and neuroscience concepts and to make ACT concepts accessible to non-mental health professionals as well as the general public.

About Patricia Robinson, Ph.D.:
Patricia Robinson has been involved in the evolution of ACT since its' inception. She is widely regarded as a master clinician specializing in brief applications of ACT. She currently consults with primary care systems around the United States that are seeking to integrate behavioral services into the general health care setting. She is an author of numerous articles and book chapters on ACT and has published books, including Real Behavior Change in Primary Care: Improving Patient Outcomes and Increasing Job Satisfaction (Gould & Strosahl, co-authors, 2010), Behavioral Consultation and Primary Care: A Guide to Integrating Services, 2nd Edition (Reiter, co-author 2016), and The Mindfulness and Acceptance Workbook for Depression: Using Acceptance and Commitment Therapy to Move Through Depression and Create a Life Worth Living. (Strosahl, co-author, 2008). Dr. Robinson has conducted numerous workshops both in the United States and abroad on Focused Acceptance and Commitment Therapy.

 

Learning Objectives:
The attendee will be able to:
1) Describe the scientific literature on rapid response in psychotherapy and the evidence for brief interventions
2) Analyze the core principles of Focused Acceptance and Commitment Therapy
3) Apply case conceptualization methods to help analyze client strengths and weaknesses in present moment processes
4) Describe the three major features of attention and their clinical relevance
5) Discuss the neuroscience regarding the brain's attention resources and its' clinical relevance
6) Analyze personal strengths and weaknesses with paying attention and staying in the present moment
7) Demonstrate five components of present moment awareness interventions from mindfulness and neuroscience perspectives
8) Analyze the neuroscience and mindfulness research as it applies to emotional processing and integration
9) Describe how to facilitate client movement from one component to the next
10) Discuss strategies for dealing with emotional "blockages" that show up during a present moment intervention

 

Other Information:
Recommended Readings:
Strosahl, K., Robinson, P. & Gustavsson, T. (2015) Inside this moment: A clinician's guide to promoting radical change in acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.

Strosahl, K. & Robinson, P. (2014) In this moment: Five steps to transcending stress using mindfulness and neuroscience. Oakland, CA: New Harbinger Publications.

Strosahl, K., Robinson, P. & Gustavsson, T. (2012) Brief interventions for radical change: Principles and practice of focused acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.

Target Audience: Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Literature review, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.
 
CEs available [1003]:  BCBA, NBCC, APA type, and NASW (NASW are pending approval)
 
 

Learning ACT from the Inside Out: A skills building workshop for people near the start of their ACT journey - Gillanders & Bolderston (Beginner)

Learning ACT from the Inside Out: A skills building workshop for people near the start of their ACT journey

Workshop Leaders:
David Gillanders, DClinPsy., University of Edinburgh
Helen Bolderston, Ph.D., Bournemouth University, UK
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 

Workshop Description:

This workshop is suitable for people who have never been to an ACT experiential workshop, as well as for people who have done an introductory workshop and are looking for opportunities to practice and develop their ACT skills.

Day one begins with setting the context for training, including an early introduction to mindful awareness, the importance of experiential learning, participants as active in choosing what they engage in, informed consent about the potential for emotional experience, creating a safe yet gently challenging context for the active psychological work of learning ACT.

Then the six psychological flexibility processes are introduced both conceptually and experientially by guiding participants through exercises, teaching and discussion. Many of the exercises and ways of speaking that you will encounter in the workshop are exactly the tools and techniques that you will be learning to apply in your own client work. Emphasis is made on the distinction between form and function, and the personal values and way of being of the therapist, as these are key underpinnings to the work. There may be a homework task between day one and two.

Background theory and philosophy is only touched on lightly in this training, as this can be gained from books, which the experiential part cannot. You will be given details of useful resources for self study following from the workshop.

In day two we move into case conceptualisation: learning to think about case work from an ACT perspective. We then move into the process of ACT or steps in therapy, beginning with workability analysis (called creative hopelessness). You will get to see demonstrations of how to deliver metaphors, as well as use defusion, acceptance and values based commitment strategies.

In the later stages of day two (depending on progress), participants work in small group role-plays to begin applying ACT to their own client work. This frequently also brings up further opportunities for experiential learning, as participants encounter their own barriers to delivering ACT, their own rules and habits about therapy.

The workshop presenters are experts in applying ACT with people with long term physical health conditions and mental health and personality problems. The material that you bring to work with will be based on your own case work and so the workshop is suitable for a very broad range of professionals working in physical and mental health, as well as other contexts such as social work, coaching, and organizational psychology.

About David Gillanders, DClinPsy.:

David Gillanders is a Chartered Clinical Psychologist, member of the British Psychological Society, Health & Care Professions Council, British Association of Behavioural & Cognitive Psychotherapy and a founder member of the Association for Contextual Behavioural Science. He is a senior lecturer in clinical psychology at the University of Edinburgh and Academic Director of the doctoral programme in clinical psychology. Formerly working for the NHS, he has extensive experience of working psychologically with people with chronic health problems from both an ACT and traditional CBT perspective. Like most clinical psychologists he also has training and experience in applying other theoretical approaches, such as systemic and psychodynamic thinking. David has trained several hundred therapists in this approach across the globe and also supervises others using an ACT approach. He is a peer reviewed ACT trainer with ACBS, one of only 5 people in the United Kingdom to achieve successful peer review. The peer review is the international association’s mark of high quality, high fidelity ACT training as evidenced by the applicant submitting a portfolio of training work (including observations) to be reviewed by independent ACT trainers and evaluated according to competency based criteria.

About Helen Bolderston, Ph.D.:
Helen Bolderston is a Chartered Clinical Psychologist with 25 years experience working predominantly in mental health settings, and is also a lecturer in Psychology at Bournemouth University. She was a consultant psychologist in the UK National Health Service for many years before moving to her current academic post. Her particular area of expertise is acceptance-based psychotherapies, especially Acceptance and Commitment Therapy and mindfulness taught in the form of Mindfulness Based Stress Reduction and Mindfulness Based Cognitive Therapy. She has also trained in Dialectical Behaviour Therapy. Her most recent NHS clinical work was predominantly with people with complex, chronic psychological difficulties; people who are often given personality disorder diagnoses. In others settings she has worked with people with a broad range of mental health difficulties, as well as physical health issues such as chronic pain. As part of her academic work she conducts acceptance, compassion, and mental health focused research. She also has a particular interest in clinician self-compassion, psychological self-care, and burnout. For more information about Helen Bolderston, go to: http://staffprofiles.bournemouth.ac.uk/display/hbolderston

Learning Objectives:
The attendee will be able to:
1) Describe the six psychological flexibility and inflexibility processes and experience these six processes from the inside.
2) Understand some basic behavioural underpinnings and history to this work, such as the importance of functional analysis.
3) Track and monitor how the six processes influence the learner’s own behaviours, particularly in the context of delivering ACT.
4) Use this awareness to gain greater choice over own behaviour both inside and outside of the professional context.
5) Conceptualise client work / therapy through an ACT lens
6) Generate case conceptualisations based on ACT
7) Begin to deliver ACT based interventions, or enhance their skill in delivering such interventions.
8) Understand next steps in their own journey in learning ACT and know some avenues / resources for further exploration.
9) Know that this is just the beginning and they have a long road of learning ahead, (and likely be OK with that).
10) Develop connections to a global community of practitioners and scientists interested in creating a psychology more adequate to the understanding of the human condition
 
Target Audience: Beginner
 
Components:  Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Mastering the Clinical Conversation: Language as Intervention - M. Villatte, J. Villatte, & S. Hayes (Clinical; Beginner, Intermediate, Advanced)

Mastering the Clinical Conversation: Language as Intervention

Workshop Leaders:
Matthieu Villatte, Ph.D., Evidence-Based Practice Institute, Seattle
Jennifer L. Villatte, Ph.D., University of Washington
Steven C. Hayes, Ph.D., University of Nevada, Reno
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 
Workshop Description:

As empirically minded practitioners struggle to keep pace with the proliferation of evidence-based interventions, interest in common psychological treatment mechanisms is at an all-time high. Yet the element shared by virtually all psychotherapies--language--has largely been ignored. In this workshop, we present an evidence-based approach to using language intentionally to produce therapeutic effects, independent of specific treatment packages or modalities. Grounded in relational frame theory (RFT), our training provides a conceptual toolkit and practical strategies for harnessing the power of language to free clients from life-constricting patterns and promote psychological flourishing.

Exploring the role of language processes in the development and maintenance of psychological problems, we will address a core question: How can psychotherapists alleviate the suffering caused by language and cognition through the use of language and cognition? We will propose innovative ways to enhance assessment and intervention using specific kinds of clinical conversations. We will demonstrate techniques for identifying language traps that keep clients stuck, activating and shaping behavior change, building a flexible sense of self, fostering meaning and motivation, creating powerful experiential metaphors and exercises, and strengthening the therapeutic relationship.

The structure of the training is intended to build clinical competence, not just knowledge. Didactic presentations will be pragmatic and opportunities for practice and feedback will be emphasized. Learning activities will include examples from a variety of evidence-based practices, including non-CBS approaches. Practice activities will include video demonstration and analysis, behavioral rehearsal of micro-skills, guided self-assessment, and planning for continued improvement.

This training is appropriate for clinical practitioners at all levels of expertise and working with any population in any treatment setting. Researchers may find this training useful in understanding the clinical context that influences the translation of basic behavioral science to applied work, and for generating impactful research questions and methods. No prior knowledge of CBS and RFT is required.

The workshop leaders will donate 100% of their proceeds to Commit and Act [1004], a charitable association of global mental health professionals dedicated to training healthcare workers in Sierra Leone and other African countries in Acceptance and Commitment Therapy.

About Matthieu Villatte, Ph.D.:

Matthieu Villatte, Ph.D., is Research Scientist and Clinical Trainer at the Evidence-Based Practice Institute in Seattle. He has conducted workshops on the clinical applications of RFT and contextual behavioral science in North and South America, Europe, and Australia. Dr. Villatte's current work focuses on the dissemination of evidence-based practices, and he has published articles and book chapters on RFT, contextual behavioral science, and cognitive-behavioral therapy. He is also an associate editor of the Journal of Contextual Behavioral Science.

About Jennifer L. Villatte, Ph.D.:
Jennifer L. Villatte, Ph.D., is a clinical psychologist committed to advancing health equity through contextual behavioral science. Her approach to health promotion is holistic and person-centered, with an emphasis on efficiently targeting core drivers of behavior change and a goal of living well. She is assistant professor in the department of Psychiatry and Behavioral Sciences at the University of Washington and director of the Contextual Behavioral Science & Technology Lab, which partners with technology innovators and data scientists to improve the reach and impact of behavioral interventions that enhance individual and community well-being.

About Steven C. Hayes, Ph.D.:
Steven C. Hayes, Ph.D., is Nevada Foundation Professor in the Department of Psychology at the University of Nevada, Reno. He has served as president of multiple scientific and professional organizations, including the Association for Behavioral and Cognitive Therapies (ABCT) and the Association for Contextual Behavioral Science. His work has been recognized by the Award for Impact of Science on Application from the Society for the Advancement of Behavior Analysis and the Lifetime Achievement Award from the ABCT, among other awards. The author of 41 books and over 575 scientific articles, Dr. Hayes has focused on understanding human language and cognition and applying this understanding to the alleviation of human suffering and the promotion of human welfare.

Learning Objectives:
The attendee will be able to:
 

1) Describe the principles of RFT applied to clinical work
2) Describe the framework for using RFT in clinical practice.
3) Apply RFT principles to improve awareness
4) Apply RFT principles to shape functional sense making
5) Apply RFT principles to increase response flexibility
6) Apply RFT principles to foster a flexible sense of self
7) Apply RFT principles to build meaning
8) Apply RFT principles to sustain motivation
9) Apply RFT principles to use experiential metaphors
10) Apply RFT principles to use experiential exercises

Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.
 
CEs available [1003]:  BCBA, NBCC, APA type, and NASW (NASW are pending approval)
 

Mindfulness and Acceptance for Gender and Sexual Minorities: Contextual Strategies to Foster Self-Compassion, Connection, and Equality - Skinta, Curtin, & Diamond (Clinical; Beginner, Intermediate, Advanced)

Mindfulness and Acceptance for Gender and Sexual Minorities: Contextual Strategies to Foster Self-Compassion, Connection, and Equality

Workshop Leaders:
Matthew Skinta, PhD, ABPP, Palo Alto University
Aisling Curtin, M.Sc., Reg. Psychol., Ps.S.I., ACT Now Ireland
Lisa M. Diamond, Ph.D., University of Utah
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 
Workshop Description:

In this workshop we will cultivate our own compassion and values as clinician’s toward meeting the challenges of moving through life as a gender or sexual minority (GSM). This workshop will facilitate an awareness of the ways that GSM histories, and the therapist’s own history of cultural messages about gender and sexuality, might arise in the therapeutic relationship. Through the use of awareness, courage, therapeutic love, compassion, perspective-taking, and acceptance, participants will grown in their ability to relate as gendered and sexual beings. From this place, powerful and therapeutic relationships can blossom.

The workshop will be theoretical and experiential. Moving through life as a gender or sexual minority often entails some period of secrecy, guardedness, shame, and familial ruptures. From a foundation of examining the GSM hexaflex of factors that shape inflexibility or psychological flexibility and resilience, we will explore how the integration of ACT, FAP, and CFT approaches might best provide a nurturing and healing environment in therapy.

We will use this contextual foundation of experiencing gender and sexuality to address common clinical concerns that arise, as well as how one navigates the cultivation of perspective-taking and reduces a focus on self-as-content when one’s identity and labels may be so central to their experience of the world and specific experiences of pain. Particularly attention will be made toward the cultural and global concerns that arise as both acceptance and animus are on the rise globally toward GSM communities.

About Matthew Skinta, PhD, ABPP:

Matthew juggles clinical work, supervision, and research at Palo Alto University in the San Francisco Bay Area. He has a special interest in sexual and gender minority health and well-being, compassion training, and the ways HIV continues to shape sexual communities. Matthew began his training working with children from a behavior analytic approach, so from the start viewed his work with adults through the lens of ACT and FAP. Now, Matthew is a peer-reviewed ACT trainer whose workshops generally alternate between core ACT skills and the emotional challenges of working with sex and sexuality. He and Aisling are currently editing Mindfulness and Acceptance for Gender and Sexual Minorities: A Clinician’s Guide to Fostering Compassion, Connection, and Equality Using Contextual Strategies, which is due out from New Harbinger Press in Fall 2016. When he's not finding excuses for traveling the world, he tends to either be buried in a book, cooking too much food for small dinner parties, or attempting to practice a new language.

About Aisling Curtin, M.Sc., Reg. Psychol., Ps.S.I.:
Aisling is a Registered Counselling Psychologist and Founding Director of ACT Now Ireland, the largest provider of Acceptance and Commitment Therapy (ACT) workshops in Ireland. She completed her training in Trinity College Dublin. Aisling specializes in Acceptance and Commitment Therapy (ACT) and Functional Analytic Psychotherapy (FAP). She has experience working across a variety of settings including psychiatry, addictions, psycho-oncology, community, public and educational settings. She teaches on University courses and regularly gives ACT workshops internationally; most notably she has given workshops at Harvard Medical School. Aisling is a published author internationally in ACT and is keen to bring this transformative approach out to as many people as possible. She is known for her enthusiasm, passion, humour, authenticity and her capacity to make complex concepts easy to understand and apply. Aisling is currently writing and editing Mindfulness and Acceptance for Gender and Sexual Minorities, due for release with New Harbinger in 2016. She has appeared regularly on radio and newspapers internationally. Aisling writes fiction and does improvisational comedy in her spare time.

About Lisa M. Diamond, Ph.D.:
Lisa M. Diamond is Professor of Psychology and Gender Studies at the University of Utah. She studies the development and expression of sexual identity and orientation over the life course and the psychobiological mechanisms through which close relationships influence physical and mental health. Dr. Diamond is best known for her research on sexual fluidity, which describes the capacity for individuals to experience shifts in their pattern of same-sex and other-sex attraction over time. Her 2008 book, Sexual Fluidity, published by Harvard University Press, describes the changes and transformations that she has observed in the sexual attractions, behaviors, and identities of a sample of lesbian, bisexual, and “unlabeled” women that she has been following since 1995. Sexual Fluidity has been awarded the Distinguished Book award from the American Psychological Association’s Society for the Study of Lesbian/Gay/Bisexual/Transgendered Issues. Dr. Diamond has received numerous other awards for her work from the American Association of University Women, the Society for the Scientific Study of Sexuality, the Society for the Psychological Study of Social Issues, and the American Psychological Association. Dr. Diamond has published over 80 articles and book chapters, and has been invited to present her researach at over 60 Universities and international conferences Dr. Diamond has been awarded grants in support of her research from the National Institute for Mental Health, The W.T. Grant Foundation, the American Psychological Foundation, the American Institute for Bisexuality, and the Gay and Lesbian Medical Association.

 
Learning Objectives:
The attendee will be able to:
 

1) Learn how to conceptualize GSM issues from an ACT, FAP and CFT perspective
2) Experience functional contextually-based experiential exercises in the area of learning histories related to gender and sexuality
3) Sharpen your ability to notice key ACT and FAP processes as they occur in the moment in relation to gender and sexual identity
4) Apply a functional contextual approach to development of a sexual identity
5) Apply a functional contextual approach to development of a gender identity
6) Explore how to give voice to the anger and losses that arise in living in a heterocentric world that promotes gender-conformity
7) Practice willingness to be with the discomfort of discussing sex and sexuality
8) Contact and explore our own fusion with gender identity and gendered behaviors
9) Discuss how social and cultural aspects influence the well-being of GSM
10) Develop ideas on how to cultivate acceptance of gender and sexual diversity in our own communities

Target Audience: Beginner, Intermediate, Advanced, Clinical
 
Components:  Conceptual analysis, Literature review, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.

Using RFT and ACT to Optimize Therapy for Persons with Autism - Dixon (Clinical; Research; Beginner, Intermediate, Advanced)

Using RFT and ACT to Optimize Therapy for Persons with Autism

Workshop Leader:
Mark R. Dixon, Ph.D., Southern Illinois University
 
[1002]
 
Dates & Location of this 2-Day Workshop:
The Westin Seattle, Washington, USA
9am-5:15pm on Tuesday, June 14, 2016
9am-5:15pm on Wednesday, June 15, 2016
 
Contact Hours/CE credits available: 13
 

Workshop Description:

Our society is facing a global epidemic as the prevalence of children with autism continue to rise every year. There are many theories as to the cause of autism, and even more supposed treatments for minimizing the impact of this condition for children and adults. Over the past decade the field of Applied Behavior Analysis (ABA) has risen to the top of scientifically validated approaches for treating persons with autism. Within the field of ABA, there are a variety of specific techniques which can be utilized to improve the human condition. Until recently, most ABA treatments have been based on traditional Skinnerian approaches to language and understandings of behavior. Such ABA has accomplished fantastic things, and countless children with autism have benefited. However, more careful exploration of the types of skills targeted, the repertoire depth, and the sophistication of cognitive abilities reveal that ABA techniques could clearly be improved upon. Furthermore, an unexpected side effect of developing language and cognition for persons with autism is that once they begin to close developmental gaps, the same worries, anxieties, and fears that plague their neurotypical peers start to emerge. When such a child expands their ability to think abstractly, the troubles of the world (both real and perceived) come into play. Contextual behavior science holds the keys to change everything.

This workshop will introduce attendees to the power that contextual behavioral science has for developing meaningful, robust generalizing repertoires for children with autism. Dr. Dixon will provide an overview of the PEAK Relational Training System – our field’s most empirically validated assessment and curriculum. All four PEAK modules will be discussed which include: programming for simple motor responses and language, social emotional comprehension, advanced generalization, stimulus equivalence, and relational framing. PEAK has rapidly become the ABA protocol leader in terms of dynamic skill acquisition. Peer reviewed research has shown correlational relationships with IQ, convergent validity with expressive and receptive language tests, factor analyses of curriculum items, exceeding alternative ABA assessments / treatments in complexity, inter-rater reliability and perhaps most importantly treatment gains in only 60 days in a randomized clinical trial. At the completion of this training attendees will be able to effectively use the PEAK assessments, understand the procedures for data collection and management when running ABA programs as well as use the treatment protocols to promote skill gains. Dr. Dixon will also explore the potential that higher level therapeutic interventions such as ACT can have for children and young adults with autism. He will take attendees through the direct links between traditional ABA therapy and its connections to RFT and ACT, and provide many of the exact treatment protocols used in his clinic and in schools across the world.

About Mark R. Dixon, Ph.D.:

Dr. Mark R. Dixon, BCBA-D, is a Professor and Coordinator of the Behavior Analysis and Therapy Program at Southern Illinois University. For the past ten years he has also served as the Director of an SIU initiative (Behavioral Consultant Group) to infuse behavior analysis within schools, alternative education, and residential facilities serving individuals with autism and other developmental disabilities. Mark also runs the Language and Cognition Development Clinic at SIU that delivers RFT and ACT interventions to children with autism on a daily basis. Dr. Dixon has published 10 books, over 150 peer reviewed journal articles, and delivered over 500 presentations nationally and internationally. Dr. Dixon is recognized as one of the most skilled programmers of behavior analysis research and data collection systems worldwide. His software has been distributed across many countries and has been translated into foreign languages. Mark has been the Editor of the peer-reviewed journals, Behavior Analysis in Practice and Analysis of Gambling Behavior. He is also a former Associate Editor for Journal of Applied Behavior Analysis and Associate Editor for the Journal of Organizational Behavior Management. Mark’s research and/or expert opinions have been featured in Time Magazine, Newsweek, The New York Times, National Public Radio, This American Life, and local affiliates of ABC, CBS, PBS, and the Southern Illinoisan. Most recently Dr. Dixon has developed an animal laboratory which uses cockroaches and octopuses as models of the applied challenges associated with autism.

Learning Objectives:
The attendee will be able to:
1) Describe the current state of science related to autism assessment and treatment.
2) Conduct full scale assessment of language and cognition in persons with autism.
3) Demonstrate the ability to design a comprehensive language and cognition training curriculum for children with autism based on assessment results.
4) Describe how the four learning modalities of the PEAK Relational Training System are similar and different.
5) Interpret the results of various PEAK assessments allowing for the creation of educational and clinical reports for ABA services for children with autism.
6) Explain the empirical and conceptual links between RFT and ACT when treating persons with autism.
7) Demonstrate treatment delivery of both RFT and ACT protocols for use with children with autism.
8) Write progress reports and generate data-based graphical summaries of treatment success.
9) Describe remediation procedures when lack of progress is encountered.
10) Apply RFT and ACT techniques for children with autism with confidence.
 
Target Audience: Beginner, Intermediate, Advanced, Clinical, Research
 
Components:  Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation
 
Package Includes: A general certificate of attendance, lunch, and AM & PM coffee/tea break on site.
 
CEs available [1003]:  BCBA, NBCC, APA type, and NASW (NASW are pending approval)
 
 

Accessibility Information

[827]

All of the meeting rooms at The Westin Seattle are wheelchair accessible. The meeting rooms are on varying levels, but venue is designed with all of the spaces accessible by elevators (the layout is similar to our 2014 Minneapolis venue).

If you have any questions or concerns please email seattle.info@westin.com

Continuing Education (CE) Credits

[827]Possible credit hours (may vary depending on desired credit type):

  • 2-day pre-conference workshops: 13 hours
  • ACBS World Conference 2016 (attending all CE events): 25 hours

Types of Credit Available:

  • CE credit is available for psychologists. (APA type)
  • CE credit is available for Counselors from NBCC (National Board of Certified Counselors) [449]. (all pre-conference workshops [982] are approved, and all numbered sessions [1005] of the conference EXCEPT sessions: 8, 35, 40, 47, 50, 75, 77, 83, 93, 95, 114, 118, 140, 142)* You may download a schedule here of all sessions approved for NBCC credit [1006].
  • CE credit is available for Social Workers from the National Association of Social Workers (NASW) [343].
  • CE credit for BCBAs is available for select events. Eligible pre-conference workshops: Dixon [992], Strosahl/Robinson [998], Villattes/Hayes [1000]. The eligible WC14 conference sessions [1007].

The Association for Contextual Behavioral Science is approved by the American Psychological Association to sponsor continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for this program and its content. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

Information about the CE Process at the Event:

Please remember to scan in and out at the beginning and end of each session using our scanner system. If there is a problem and the scanners are not working, please make sure to sign in and out on the paper check-in sheet provided. We cannot give CE credit if you do not scan/sign in and out.

Please DO NOT SCAN in and out for coffee/tea breaks. CE credits are NOT available for IGNITE sessions, sessions #47, and #77, or Chapter/SIG/Committee meetings or other lunch time sessions.

You will need to complete an evaluation for each session you attend, in order to earn CEs (of any type offered). The evaluations will all be done online. You can complete your evaluations at http://contextualscience.org/evals [1008]. These online evaluations must be completed by Wednesday, July 6, 2016. We will email you a printable copy of your certificate by August 15, 2016. This email will come to you from “ACBS”. If you do not receive it, please email support@contextualscience.org.
 

BCBA credits are sponsored by Foxylearning [693].  Thank you Foxylearning! [693]

*The ACBS Pre-Conference Intensive Workshops have been approved by the National Board for Certified Counselors for NBCC Credit. ACBS is solely responsible for all aspects of the program. NBCC Approval No. SP-2706.

*The ACBS Annual World Conference 14 has been approved by the National Board for Certified Counselors for NBCC Credit. Sessions approved for NBCC credit are clearly identified. ACBS is solely responsible for all aspects of the program. NBCC Approval No. SP-2707*.

*This program is Approved by the National Association of Social Workers (Approval # 886495791-0) for 13 Social Work continuing education contact hours. (This is for the pre-conference workshops.)

*This program is Approved by the National Association of Social Workers (Approval # 886495791-0) for 25 Social Work continuing education contact hours. (This is for the conference.)

Certificate with Number of Hours Attended
As an alternative to a CE certificate, some credentialing agencies (please check with yours) may accept a certificate with the number of hours attended. This requires that an individual verifies their attendance by signing in and out of each session that they attend during the event. The cost for this type of certificate is $10.00.


Fees:

A $45 fee will be required to earn CEs.  If you attend either a pre-conference workshop(s), World Conference, or both, only $45 is due.  If you register for multiple events seperately, please only pay the fee one time. This fee is non-refundable (unless you cancel your registration in its entirety before the cancellation deadline). Attendance verification (sign in/out) and evaluations also may be required.

BCBA credits are charged at $8 per credit hour, after the event.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Rodrigues, 1-269-267-4249 or through the Contact Us [294] link on this website.

  • CEs are only available for events that qualify as workshops, symposia, invited lecture, panel discussion, or plenary sessions. Poster sessions, IGNITE sessions, and some other specialty sessions do not qualify for Continuing Education.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

Commercial Support Disclosures:

The following sessions have indicated that there is commercial support for their presentation:
Pre-Conference Workshop (June 14-15, 2016): Inside This Moment: Using Present Moment Interventions to Promote Radical Change in ACT - Strosahl & Robinson
World Conference (June 16-19, 2016): Sessions 19, 95, 111, & 84

Please click here [1009] to view the commercial support disclosures.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Flight Discounts to Seattle on ALL domestic & select international fares with Delta and Partners

[272]Delta Air Lines, Air France, KLM, and Alitalia and other SkyTeam Partners are pleased to offer up to 10% or 20% discount off applicable worldwide airfares for the ACBS World Conference 14 in Seattle, Washington, USA (SEA).

Domestic USA flights:

ALL domestic Delta and Delta Connection flights are discounted 2% - 10% off of published fares.

To take advantage of these discounts, follow one of these 3 booking options:

1) Click on www.delta.com [272], click "Book a Trip", then "More Search Options" to open the screen to enter the Meeting Event code and search for your flight. Enter the Meeting Event Code NMMJY in the box and continue with the booking process.

Or go directly here [273] and enter the Meeting Event Code NMMJY.

2) Call Delta Meeting Network® Reservations in the USA 1-800-328-1111, Monday - Friday, 7:30 a.m. - 7:30p.m. (Central Time) and refer to Meeting Event Code NMMJY  (**There is a $25 service fee for booking via the 800 number. Online booking is free!)

3) Call your Travel Agent and reference Meeting Event Code NMMJY

This discount will vary based on the booking class, availability, and departure location. A discount is valid only for the travel dates over this program (June 2, 2016 to June 25, 2016).

DELTA BOOKING CLASS PERCENTAGE OFF
F / G / J / C / D / Y /A / P / I - 10%
B / M / S / H / Q / K / L - 5%
U / T / V / X - 2%

International flights to the USA:

Delta, KLM, and Air France discounts are as follows, based on the fare class/code (valid June 2, 2016 to June 25, 2016):

1) Click on www.delta.com [272], click "Book a Trip", then "More Search Options" to open the screen to enter the Meeting Event code and search for your flight. Enter the Meeting Event Code NMMJY in the box and continue with the booking process.

Or go directly here [758] and enter the Meeting Event Code NMMJY.

2)  Call your Travel Agent and reference Meeting Event Code NMMJY.

Fares as referred below. These discounts are valid on Delta International, KLM, and Air France (DL, KL, AF) codeshare flights (must be DL designated). All percentage discounts will also apply from MSP/DTW/ATL airports.
DELTA BOOKING CLASS-PERCENTAGE OFF
J / C / D / W / Y / B / M - 10%
S / H / Q / K / L / U - 5%
T - 3%
X / V - 0%

The following discounts are valid on Transpacific Delta and codeshare partners published fare basis codes (does not have to be booked as a Delta flight).
J / C / W - 20%
D / I / B / M / H / Q / K - 10%
L / U / T - 5%
X / V - 3%

(Why is ACBS doing this? 1. To give you the chance to lessen your airfare, if the flights/schedules/prices work for you. 2. ACBS can earn credit toward flights it can use for invited speakers, staff, etc.  If the rate here is the same as you can find elsewhere it will still help ACBS if you enter our Meeting Event Code when you purchase your ticket on Delta.com or with your Travel Agent.)

General Schedule of Events - June 14-19, 2016

[827]

Pre-Conference Workshops (2-days)

June 14, 2016 - 9:00am-5:15pm

June 15, 2016 - 9:00am-5:15pm

ACBS World Conference 14

June 15, 2016 - (approx.) 7:30pm - June 19, 2016 - 12:00 noon


By day...

Note: The break and lunch times listed below are approximate.

Monday, June 13, 2016

5:00pm-6:00pm

Registration (registration desk on Mezzanine Level)

Tuesday, June 14, 2016

7:30am-4:30pm

Registration (registration desk on the Mezzanine Level)

9:00am-5:15pm (Breaks, 10:30-10:45am; Lunch, 12:00pm-1:15pm; Break, 3:30-3:45pm)

Workshops

Wednesday, June 15, 2016

7:30am-4:30pm

Registration (registration desk on the Mezzanine Level)

9:00am-5:15pm (Breaks, 10:30-10:45am; Lunch, 12:00pm-1:15pm; Break, 3:30-3:45pm)

Workshops

7:00pm-7:45pm

Rookies Retreat: ACBS Conference Orientation (Student and First Time Attendee event) (room: Fifth Avenue)

7:30pm-9:00pm

Registration (registration desk on the Grand Level)

7:30pm-10:30pm

Opening Social, Chapter & SIG Event (Grand Ballroom) (A cash bar will be available. All family & friends are welcome at this event.)

Thursday, June 16, 2016

7:30am-4:30pm

Registration (registration desk on the Grand Level)

8:00am-9:00am

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:30pm)

Conference Sessions

7:00pm-10:00pm

Poster Sessions, Session #1 (7-8pm), Session #2 (8-9pm) (Grand Ballroom & Grand Ballroom I)

Friday, June 17, 2016

8:00am-4:30pm

Registration (registration desk on the Grand Level)

8:00am-9:00am

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:30pm & 4:30pm-4:45pm)

Conference Sessions

19:00

Free night & Chapter/SIG socials

Saturday, June 18, 2016

8:00am-4:30pm

Registration (registration desk on the Grand Level)

8:00am-9:00am

Aikido & Embodying ACT (room: Elliott Bay)

Chapter/SIG/Committee Meetings

9:00am-5:45pm (Breaks, 10:15am-10:30am; Lunch, 12:00pm-1:15pm; Break, 4:15pm-4:30pm)

Conference Sessions

8:00pm-10:30pm (Follies begin at approx. 8:30pm)

Follies! in the Grand Ballroom (A cash bar will be available. All family & friends are welcome at this event.)

10:30pm-1:00am

Dance Party! (DJ & dance floor... what more do you need?)

Sunday, June 19, 2016

8:30am-12:00pm

Registration (registration desk on the Grand Level)

9:00am-12:00pm (Break, 10:15am-10:30am)

Conference Sessions

Hotel Information

The Westin Seattle [979] [827]
1900 5th Avenue
Seattle, Washington, 98101

Group block rate:
$225 per night (exclusive of taxes) - single or double occupancy
Rooms with 2 Double Beds, or 1 King Bed and a Single Sofa Bed available.

$255 per night (exclusive of taxes) - single or double occupancy - Premium Water View
1 King Bed and a Single Sofa Bed available.

Complimentary High Speed Internet Access (3MB) included in the group rate.

Rooms in our block at the Westin (if rooms are available) are only available for reservations until 5:00pm (Seattle time), on May 23, 2016. After this date the "prevailing" rate will apply.

room.png [1010]

or call (from the U.S. or Canada) 1-888-627-8513 and reference the "ACBS World Conference 2016".

Accessibility questions: For any requests concerning special accommodations, like rooms for disabled persons, please contact the reservation department at Camila.venn@westin.com [1011].

OVERFLOW HOTELS

If the dates you need above are not available at the Westin, we also have the following blocks available at nearby hotels:

Sheraton Seattle - 1400 Sixth Avenue, Seattle, WA 98101 ($279 per night, for single/double occupancy, standard internet included, 6/14-6/19 available) This block is available for reservation through May 31, 2016. Please verify terms and conditions of cancellations/changes when booking.

Reserve a room at the Sheraton [1012]

Grand Hyatt Seattle - 721 Pine Street, Seattle, WA 98101 ($339 per night (King), $354 per night (2 Doubles), for single/double occupancy, 6/13-6/20 available) This block is available for reservation through May 23, 2016. Please verify terms and conditions of cancellations/changes when booking.

Reserve a room at the Grand Hyatt [1013]


Room Share / Ride Share

[827]

Please use this page to find hotel [1014] roommates or rides for the ACBS World Conference 14 and/or pre-conference workshops.

Please be sure to post a "check-in" and "check-out" date in your posting and if you already have a room reserved or not (and where).

To post your need: click "add new comment" (which appears in blue below). It is recommended that you list your email address so that you may be contacted directly, but that is up to you.

To respond to a posting: click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).

See the "Example Post" and "Example Reply" below to understand what this will look like.

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us [304]" above in the header of the site for feedback or assistance. (You only need a login to interact with this page, paid membership is not required to participate.)

Please note that it becomes the responsibility of each participant in the program to communicate with and to work out an agreement with a potential room sharer. ACBS's role is strictly limited to the maintenance of this website page who have signified interest in the program and will maintain the page but will not (a) screen participants, (b) make any determination as to the appropriateness of any resulting room share, or (c) represent that any room share which may follow use of the service will prove to be satisfactory to the participants.

Invited Speakers for the World Conference 14


Anthony Biglan, Ph.D.

Anthony Biglan, PhD, is a Senior Scientist at Oregon Research Institute. His research over the past 30 years has helped to identify effective family, school, and community interventions to prevent the most common and costly problems of childhood and adolescence.

Dr. Biglan is a former president of the Society for Prevention Research. He was a member of the Institute of Medicine Committee on Prevention, which released its report in 2009 documenting numerous evidence-based preventive interventions that can prevent multiple problems. His recent review of preventive interventions concluded that diverse psychological, behavioral, and health problems can be prevented through the promotion of nurturing families, schools, and communities.

Dr. Biglan’s book, The Nurture Effect: How the science of human behavior can improve our lives and our world [1015] (New Harbinger Publications) describes the progress that behavioral science has made in the past fifty years in improving human wellbeing 


James Coan, Ph.D.

Dr. James Coan is Associate Professor of Clinical Psychology and Director of the Virginia Affective Neuroscience Laboratory at the University of Virginia. Dr. Coan has consulted for clinicians, businesses and researchers, working with groups as diverse as the Stanford University Psychiatry Department, the Oregon Social Learning Center, Linkage Inc., the University of Arizona Communication Department, InsightLabs, Cambridge International Consulting, the Anna Freud Center, the Kurt Lewin Institute, Community of Democracies, Creating Connections, and the Mindsight Institute. He is co-editor of the Handbook of Emotion Elicitation and Assessment and has authored more than fifty scientific articles. He has been featured in Science, Nature, the New York Times, The Washington Post, Time Magazine, the New Yorker, The Atlantic, BBC News, Discovery Channel, New Scientist, Scientific American, CBS Sunday Morning, and other major media outlets. Dr. Coan received the inaugural Janet Taylor Spence Award for Transformative Early Career Contributions from the Association for Psychological Science, and the Award for Distinguished Early Career Contributions from the Society for Psychophysiological Research. He is also Chief Scientific Advisor at Movius Consulting.


Pamela J Crooke, Ph.D., CCC-SLP

Dr. Pamela Crooke is the Chief Strategy Officer and a Senior Therapist at the Social Thinking Center in Santa Clara, CA. She is the co-author (with Michelle Garcia Winner) of four award-winning books related to Social Thinking. She has served on the clinical faculty of three universities and worked in the Arizona public schools for 15 years. Her current areas of research include Practice-based research and Implementation Science related to the Social Thinking methodology. 


Lisa M. Diamond, Ph.D.

Lisa M. Diamond is Professor of Psychology and Gender Studies at the University of Utah. She studies the development and expression of sexual identity and orientation over the life course and the psychobiological mechanisms through which close relationships influence physical and mental health. Dr. Diamond is best known for her research on sexual fluidity, which describes the capacity for individuals to experience shifts in their pattern of same-sex and other-sex attraction over time. Her 2008 book, Sexual Fluidity, published by Harvard University Press, describes the changes and transformations that she has observed in the sexual attractions, behaviors, and identities of a sample of lesbian, bisexual, and “unlabeled” women that she has been following since 1995. Sexual Fluidity has been awarded the Distinguished Book award from the American Psychological Association’s Society for the Study of Lesbian/Gay/Bisexual/Transgendered Issues. Dr. Diamond has received numerous other awards for her work from the American Association of University Women, the Society for the Scientific Study of Sexuality, the Society for the Psychological Study of Social Issues, and the American Psychological Association. Dr. Diamond has published over 80 articles and book chapters, and has been invited to present her researach at over 60 Universities and international conferences. Dr. Diamond has been awarded grants in support of her research from the National Institute for Mental Health, The W.T. Grant Foundation, the American Psychological Foundation, the American Institute for Bisexuality, and the Gay and Lesbian Medical Association.


Mark R. Dixon, Ph.D.

Dr. Mark R. Dixon, BCBA-D, is a Professor and Coordinator of the Behavior Analysis and Therapy Program at Southern Illinois University. For the past ten years he has also served as the Director of an SIU initiative (Behavioral Consultant Group) to infuse behavior analysis within schools, alternative education, and residential facilities serving individuals with autism and other developmental disabilities. Mark also runs the Language and Cognition Development Clinic at SIU that delivers RFT and ACT interventions to children with autism on a daily basis. Dr. Dixon has published 10 books, over 150 peer reviewed journal articles, and delivered over 500 presentations nationally and internationally. Dr. Dixon is recognized as one of the most skilled programmers of behavior analysis research and data collection systems worldwide. His software has been distributed across many countries and has been translated into foreign languages. Mark has been the Editor of the peer-reviewed journals, Behavior Analysis in Practice and Analysis of Gambling Behavior. He is also a former Associate Editor for Journal of Applied Behavior Analysis and Associate Editor for the Journal of Organizational Behavior Management. Mark’s research and/or expert opinions have been featured in Time Magazine, Newsweek, The New York Times, National Public Radio, This American Life, and local affiliates of ABC, CBS, PBS, and the Southern Illinoisan. Most recently Dr. Dixon has developed an animal laboratory which uses cockroaches and octopuses as models of the applied challenges associated with autism.


Shannon Dorsey, Ph.D.

Shannon Dorsey, Ph.D., is Associate Professor in the Department of Psychology, Adjunct Associate Professor in the Department of Global Health, and a Licensed Clinical Psychologist at the University of Washington. Her research is on evidence-based treatments (EBT) for children and adolescents, with a particular focus on dissemination and implementation of EBT domestically and internationally. Her work has often focused on Trauma-focused Cognitive Behavioral Therapy (TF-CBT), with hybrid research designs that include both effectiveness and implementation questions. Research has focused on adaptation for unique populations (e.g., foster care) and on training and supervision strategies to deliver TF-CBT and other EBT. Dr. Dorsey is a Principal Investigator on two NIH-funded randomized controlled trials (RCT) involving TF-CBT, both of which include implementation and clinical outcome research questions. The first, in Washington State, studies the role of supervisors in public mental health settings in supporting EBT with clinicians under their supervision. It includes both a descriptive study of common supervision practices and a RCT of supervision strategies. The second, in Tanzania and Kenya, is a RCT of TF-CBT using a task-shifting/task-sharing model in which lay counselors, with little to no prior mental health training, deliver group-based TF-CBT to children and adolescents who have experienced the death of one or both parents, under close supervision by local supervisors, themselves supervised by TF-CBT experts. Dr. Dorsey is also involved in common elements EBT training initiatives and research both in Washington State and internationally, in low and middle income countries. With colleagues at Johns Hopkins Bloomberg School of Public Health, she is involved in RCT and feasibility studies in Southern Iraq, the Thailand-Burma border, Colombia, Zambia, and Ethiopia. dorsey2.png (69 KB


Debra Kaysen, Ph.D.

Dr. Kaysen is a clinical psychologist, and a Professor in the Department of Psychiatry & Behavioral Sciences at the University of Washington, with adjunct positions in the Global Health and Psychology Departments. She is the Director of the Trauma Recovery Innovations Program at the University of Washington, a division dedicated to developing and testing more robust interventions for trauma-exposed populations. Her area of specialty both in research and clinical work is in the care of those who have experienced traumatic events including treatment of PTSD and comorbid disorders. Dr. Kaysen is board certified in in cognitive and behavioral psychology by the American Board of Professional Psychology. Dr. Kaysen is a trainer in Cognitive Processing Therapy, an evidence-based treatment for PTSD providing a wide range of CPT workshops in the US, Canada, Australia, and in low- and middle-income countries. Dr. Kaysen is a prolific researcher, publishing 90 refereed articles. Her research predominantly concerns improving treatments for those who have been trauma exposed and increasing access to effective treatments. Other research involves better understanding how people cope following trauma exposure. She has been principle investigator for numerous federal grants. She has been involved in international studies to adapt evidence-based treatments for trauma-exposed populations for use in low- and middle-income settings. She is currently the Vice President for the International Society for Traumatic Stress Studies and is the Depression Therapy Research Endowed Professor for the Department of Psychiatry at University of Washington.


Marsha Linehan, Ph.D., ABPP

Marsha Linehan PhD, ABPP, is Professor of Psychology and of Psychiatry and Behavioral Sciences and is Director of the Behavioral Research and Therapy Clinics at the University of Washington where her primary research is in the development and evaluation of evidence-based treatments for high suicide risk, multi-diagnostic and difficult to treat populations with severe mental disorders. Together with the non-profit Linehan Institute and Behavioral Tech Research, Inc both of which she founded, she is also highly involved in developing effective means of disseminating evidence based behavioral treatments to all those who need them.
Dr. Linehan is the recipient of the Louis I. Dublin Award for Lifetime Achievement in the Field of Suicide, the Distinguished Research in Suicide Award from the American Foundation of Suicide Prevention and the International Academy of Suicide Research Morselli Medal for lifetime achievement in the field of suicide research.

In her honor, the American Association of Suicidology created the Marsha Linehan Award for Outstanding Research in the Treatment of Suicidal Behavior. She has also been recognized for her clinical research including the Distinguished Scientist Award from the Society for a Science of Clinical Psychology, the award for Distinguished Scientific Contributions to Clinical Psychology from the Society of Clinical Psychology and awards for Distinguished Contributions to the Practice of Psychology from the American Association of Applied and Preventive Psychology and for Distinguished Contributions for Clinical Activities from the Association for the Advancement of Behavior Therapy. The American Psychological Foundation awarded her the Gold Medal Award for Life Achievement in the Application of Psychology, is the recipient of the Association for Psychological Science APS James McKeen Cattell Award, 2014 and is the only Ph.D. to be honored with the National Alliance for Mental Health (NAMI) Research Science Award 2015.

She is the past-president of both the Association for the Advancement of Behavior Therapy and of the Society of Clinical Psychology, Division 12, American Psychological Association. Dr. Linehan is a graduate of Loyola University of Chicago and was trained in spiritual direction under Gerald May and Rev. Tilden Edwards at the Shalem Institute in Washington, D.C. and is a Zen master (Roshi) in both the Empty Cloud Sangha under Willigis Jaeger Roshi (Germany) as well as in the Diamond Sangha (USA). She teaches mindfulness via workshops and retreats for health care providers.


Robert Kohlenberg, Ph.D.

Dr. Kohlenberg received his doctorate at UCLA and is a Professor of Psychology at the University of Washington where he served as the Director of Clinical training. He is certified by the American Board of Professional Psychology and received the Washington State Psychological Association’s Distinguished Psychologist Award. He is the co-originator of Functional Analytic Psychotherapy (FAP), has attained research grants for FAP treatment development, has co-published many papers and several books, including Functional Analytic Psychotherapy: A guide for creating intense and curative therapeutic relationships.


Sue McCurry, Ph.D.

Sue McCurry is Research Professor and Vice-Chair of Research at the University of Washington School of Nursing Department of Psychosocial and Community Health, and Adjunct Research Professor in Psychiatry and Behavioral Sciences. She received her PhD at University of Nevada Reno in 1991, and was in Steve Hayes’ lab when ACT was still called “Comprehensive Distancing.” As part of the UW Northwest Research Group on Aging team, she has worked to help develop, systematically evaluate, and translate non-pharmacological interventions to improve quality of life for older adults, including persons with cognitive impairment. Dr. McCurry is a fellow in the Gerontological Society of America. She is author on over 150 scientific articles and peer-reviewed chapters, two books plus one APA video designed to help family caregivers and health care professionals provide more effective and compassionate care to cognitively impaired individuals and caregivers, and investigator on 31 Federal, State, and foundation grants related to aging and dementia. Her ongoing research includes (1) development and evaluation of training programs for family and professional staff working with persons with cognitive impairment, including homeless individuals; (2) examination of the environmental, behavioral, and psychosocial factors associated with successful physical and cognitive aging; and (3) assessment and treatment of sleep disturbances in older adults with co-morbid medical conditions including Alzheimer’s disease, chronic pain, and menopausal vasomotor symptoms.


Kristin Neff, Ph.D.

Kristin Neff is currently an Associate Professor of Educational Psychology at the University of Texas at Austin. She is a pioneer in the field of self-compassion research, conducting the first empirical studies on self-compassion over a decade ago. In addition to writing numerous academic articles and book chapters on the topic, she is author of the book "Self-Compassion: The Proven Power of Being Kind to Yourself," released by William Morrow, and the 6 CD audio set called “Self-Compassion Step by Step,” released by Sounds True. In conjunction with her colleague Dr. Chris Germer, she has developed an empirically supported eight-week training program called Mindful Self-Compassion, and offers workshops on self-compassion worldwide. Kristin is also featured in the bestselling book and award-winning documentary The Horse Boy, which chronicles her family’s journey to Mongolia where they trekked on horseback to find healing for her autistic son.


Mavis Tsai, Ph.D.

Dr. Tsai, co-originator of FAP, is a clinical psychologist in independent practice, and also works at the University of Washington as a research scientist and as the director of the FAP Specialty Clinic within the Psychological Services and Training Center. She has co-authored four books and over 50 articles, and received the 2014 Washington State Distinguished Psychologist Award in recognition of significant contributions to the field of Psychology. She is on the Fulbright Senior Specialists Roster, has presented “Master Clinician” sessions at the Association for Behavior and Cognitive Therapy, has led numerous workshops nationally and internationally, and trains clinicians all over the world in FAP via Skype.


Michael P. Twohig, Ph.D.

Michael P. Twohig, Ph.D. is a licensed psychologist in the state of Utah and an Associate Professor of Psychology at Utah State University. He received his B.A. and M.S. from the University of Wisconsin-Milwaukee, his Ph.D. from the University of Nevada, Reno, and completed his clinical internship at the University of British Columbia Hospital. He is currently the president of the Association of Contextual Behavioral Science His research primarily focuses on the use of ACT across a variety of clinical presentations. He has published over 100 scholarly works including two books: An ACT-Enhanced Behavior Therapy approach to the Treatment of Trichotillomania (with Woods) and ACT Verbatim for Depression and Anxiety (with Hayes). His research has been funded through multiple sources including the National Institute of Mental Health. His work is generally in the area of clinical behavior analysis.


David Sloan Wilson, Ph.D.

David Sloan Wilson is SUNY Distinguished Professor of Biology and Anthropology at Binghamton University. He applies evolutionary theory to all aspects of humanity in addition to the rest of life, both in his own research and as director of EvoS, a unique evolutionary studies program that has received NSF funding to expand into a nationwide consortium. His books include Darwin’s Cathedral: Evolution, Religion, and the Nature of Society, Evolution for Everyone: How Darwin’s Theory Can Change the Way We Think About Our Lives, and The Neighborhood Project: Using Evolution to Improve My City, One Block at a Time and Does Altruism Exist? Culture, Genes, and the Welfare of Others.

Photos of the 2015 Berlin World Conference

                                                        

Program

[827]

Conference (June 16-19)

The current draft of the Brief Schedule of sessions during the WC14 (June 16-19) is available here:

WC14 brief schedule final.pdf
[1016]

The final draft of the program is here:

WC14 Program Final (6MB, pdf) [1017]

The complete list of posters (including abstracts) that will be presented June 16 is here:

WC14 Posters [1018]

Detailed information about symposia (including individual paper abstracts)

WC14 Symposia [1019]

Pre-conference Workshops (June 14-15)

Complete information about our Pre-Conference workshops (June 14-15) can be found here [985].

We've got fantastic workshops:

  • Kelly Wilson [1001] on Self-Compassion
  • Mark Dixon [992] on using ABA/RFT/ACT for persons with Autism
  • Kelly Koerner [995] showing us the best uses of DBT
  • Matt Villatte, Jenn Villatte & Steve Hayes [1000] on building clinical competency
  • Kirk Strosahl & Patti Robinson [998] on present moment interventions
  • Dennis Tirch & Laura Silberstein [999] on CFT
  • Jason Luoma & Jenna LeJeune [996] on Self-Criticism and Shame
  • Matt Skinta, Aisling Curtin, and Lisa Diamond [997] on working with Gender and Sexual Minorities
  • John Forsyth [993] on ACT for Anxiety Disorders
  • David Gillanders & Helen Bolderston [994] on a clinician's Intro to ACT

Registration

Please register [987] at your convenience.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Registration & Fees - WC14 & Pre-Conference Workshops

[827]

This event has passed.

World Conference 14 Registration Rates (June 16-19, 2016)

 

ONLINE & ONSITE REGISTRATION
Professional $649
Student $379
Professional, Non-Member $709
Student, Non-Member $409

Above prices include 3 lunches, AM & PM coffee/tea on site, and a general certificate of attendance.


Pre-Conference Workshop Registration Rates (June 14-15, 2016)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference 14. They will be 9:00am-5:15pm on each day.

The workshops [985]run concurrently, so you may only register for one pre-conference workshop. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

                                        ONLINE & ONSITE REGISTRATION
Professional $429
Student $279
Professional, Non-Member $489
Student, Non-Member $309

Above prices include lunch each day, AM & PM coffee/tea on site, and a general certificate of attendance.


Please Note:

  • To qualify for the rates above, registration as well as payment must be received in Jenison, Michigan, USA by the dates listed.
  • Emerging Economy Professionals - reduced registration rates available - go here for more information [1024]
  • Additional fees are required for certificates that track the number of hours you attended ($10) and CE credits [1003] ($45). These fees cover all events from June 14-19, 2016 and do not need to be paid twice for attending multiple events.
  • Lunches are provided, June 14-18 if a corresponding registration is purchased, as well as coffee/tea during the AM & PM breaks (approx. 10:30am & 3:30pm).
  • We apologize that we may not be able to accommodate special meal requests (gluten free, vegan, etc.) for registrations received after May 18.
  • To register via Mail or Fax, or pay via PayPal [847], please use the Printable Version. DOC [990] or PDF [991]
  • Online registration is not available after June 10, 2016. 
  • Faxed (1 (225) 302-8688) or mailed registrations must be received at P.O. Box 655, Jenison, MI, 49429, USA, by May 27. (Note that prevailing rates will apply upon receipt.)
  • Student Registration/Membership is available to individuals who are enrolled in a program of study leading to a bachelor’s, master’s, or doctoral degree, are interns, or are postdoctoral candidates. Postdoctoral candidates qualify for Student Registration for up to 2 years, with proof of status from their employer. After this time, they need to register as a Professional. Note: Those registering for the conference as a student are ineligible to earn any kind of CE credits.
  • NEED HELP? If you're having trouble registering, please email Ashley at support@contextualscience.org

Refunds:
A $50 processing fee will be charged for World Conference & Pre-conference registration refunds up to May 27, 2016. (Per refund transaction.)

We regret that after May 27, 2016, refunds can not be made, however we will allow a substitute registrant. If you need a refund, please contact us [1025] via email. (Note: Shared registrations are not permissible... meaning that you can't attend one day and your colleague the next, etc.) 

Photograph/Video Release:
ACBS has official photographers/videographers for this meeting. Photographs/video taken at ACBS's Annual World Conference may be used in future marketing, publicity, promotions, advertising and training activities for ACBS. By registering for this meeting, you agree to allow ACBS to use the photographs/video—which may include you—in all media formats worldwide. If you do not want to be photographed or videotaped, please notify the individuals capturing the information.

Waiver of Liability:
Each individual attending ACBS's Annual World Conference assumes all risks associated with his/her attendance and participation in all on- and off-site activities that occur during this time. By registering for this meeting, you agree to indemnify and hold harmless ACBS and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to your attendance and participation at ACBS's Annual World Conference.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Things to do in Seattle

There are a lot of great things to do while in Seattle!

The Westin Seattle has a great map with some of the local attractions. [1026]

http://www.westinseattle.com/local-attractions [1026]  

There are a lot of great dining options [1027] near the hotel.

  

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Transportation options to the Westin Seattle

The Westin has a great list of transportation options here [1028].

Volunteer Opportunities at the World Conference

ACBS is a small staff association. We NEED volunteers to help us pull off the amazing event that is the ACBS World Conference.

We typically limit volunteer opportunities to students, but if you have special skills or knowledge (sometimes knowledge of a local language or area would qualify) please put your name in.

We will accept volunteers on a first come, first served basis, depending on their intended time commitment and general flexibility. 

We'll contact our "selected" volunteers before the end of Early Registration (at the latest). Contacted volunteers will need to register for the ACBS World Conference before your spot will be confirmed.  Any financial discount for volunteering is done as a refund, and is paid onsite at the conference upon the completion of volunteer activities. 

If you have any questions please email Courtney at Staff@contextualscience.org

Thank you!

WC14 Posters

[250]Poster files will be added as we receive them. If you would like your poster file to be added to this list, please email it to Fred at acbsstaff@contextualscience.org [910].

Location: Grand Ballroom

Thursday, June 16, 2016, 7:00-8:00pm - Poster Session #1 

Thursday, June 16, 2016, 8:00-9:00pm - Poster Session #2

Image denotes ACBS Junior Investigator Poster Award Recipients

Thursday, June 16, 7:00-8:00pm - Poster Session #1

1. Weight-related psychological inflexibility among Hispanic college students: Initial validation of the Acceptance and Action Questionnaire for Weight-related Difficulties
Primary Topic: Behavioral medicine
Subtopic: Weight
Karley K. James, Metropolitan State University of Denver
Maureen K. Flynn, Ph.D., Metropolitan State University of Denver
Olga Berkout, Ph.D., Western Psychiatric Institute & Clinic
Solomon Kurz, M.A., University of Mississippi

There is a growing amount of evidence suggesting that psychological inflexibility influences a variety of psychological difficulties, including obesity, disordered eating, and life satisfaction. The Acceptance and Action Questionnaire for Weight-Related Difficulties (AAQ-W) is a measure psychological flexibility for weight-related issues specifically. Previous studies have shown that the AAQ-W is psychometrically sound and has mediated treatment outcomes. Weight-related flexibility has yet to be studied using in Hispanic populations. The purpose of the current study was to examine weight-related flexibility and the psychometrics of the AAQ-W in a Hispanic sample. Hispanic undergraduate students (n = 313) from a university on the Texas/Mexico border completed a battery of web-based assessments. Weight-related inflexibility was significantly associated with greater levels of disordered eating and general psychological inflexibility, and lower levels of mindfulness and obesity-related life satisfaction. Weight-related psychological inflexibility also added to the prediction of disordered eating and obesity-related wellbeing above and beyond BMI, general psychological inflexibility, and mindfulness. This study provides initial support for the validity of the AAQ-W in a Hispanic college student sample.

2. Is pain acceptance a good indicator for differential response to various rehabilitation packages? [1029]
Primary Topic: Behavioral medicine
Subtopic: Chronic pain, Interprofessional rehabilitation, Assessment & Prediction, comparison between ACT and CBT
Linn Wifstrand, MD, University of Gothenburg
Graciela Rovner, Ph.D., 3Division of Rehabilitation Medicine, Section for Highly Specialized Pain Rehabilitation, Department of Clinical Sciences, Dande
David Gillanders, Ph.D., University of Edinburgh, School of Health in Social Science, Edinburgh, United Kingdom

Introduction: Behavioral medicine and inter-professional rehabilitation is considered as the state of the art in the area of chronic pain. Rehabilitation programs based on Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) are known to have strong evidence. What is not known is which patient benefits of what kind of rehabilitation program. One way to explore differences in patients’ response to rehabilitation is to stratify and group them according to their behaviors in order to identify common rehabilitation needs. How patients relate to, and accept their pain can potentially be a useful and pragmatic indicator, according to prior studies. Aim: To investigate patients’ differential response to ACT respectively CBT-based pain rehabilitation programs and to explore the usefulness of clustering patients according to their pain acceptance. Method: This study includes 391 patients who underwent ACT or CBT based rehabilitation at Danderyd’s Rehabilitation Clinic in Sweden. Measures of physical, mental and social function were gathered. Patients were grouped into four clusters based on their pain acceptance scores measured through the Chronic Pain Acceptance Questionnaire- 8 items. Baseline differences between ACT and CBT groups were analyzed with independent t-tests and chi-square tests while the differences between the four clusters were explored with a one-way ANOVA. To compare patients’ response to rehabilitation t-tests and mixed between-within-subjects ANOVAs were performed. Results: Patients in the ACT group mainly suffered from widespread pain while the patients in the CBT group mainly had local pain (neck- and/or back). Both groups improved during rehabilitation, but only the ACT group improved regarding physical function. When clustering patients according to their pain acceptance, each cluster became homogenous regarding the patients’ status and distinct differences were found between clusters. Differential response to treatment could be identified: cluster including patients that had lower functional level and quality of life before rehabilitation, got best results from the ACT program. Overall, the group that underwent CBT decreased their kinesiophobia, but only the group that underwent ACT showed an increase of physical function. Conclusion: This study provides further support for the usefulness of clustering patients according to their pain acceptance. Results from this study suggest that patients with the lowest quality of life, highest pain and lowest function benefit more from rehabilitation with ACT than CBT. Results also suggest that ACT better targets and improves patients’ physical function compared to CBT, which in this study only induced cognitive changes regarding patients fear of movement and failed to improve their actual physical function. These preliminary results would need to be replicated with randomized controlled trials in order to be conclusive. Key word: Pain acceptance, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, rehabilitation, chronic pain The study was granted ethical clearance by the Regional Ethics Board in Gothenburg (approval number 815-12).

3. Using Acceptance and Commitment Therapy to Treat Chronic Pain [1030]
Primary Topic: Behavioral medicine
Subtopic: Cognitive defusion, self as context versus self as concept, acceptance
Ryan Tolman, MSW, LICASW, Northwest Nazarene University

Chronic pain persists for more than three months with no known way to resolve, often without physical explanation. This author sought a practical behavioral medicine tool to treat chronic pain which patients and practitioners can easily understand. Acceptance and Commitment Therapy (ACT) provides a theoretical framework of elegant simplicity which can be used with great depth by the medical or mental health practitioner yet is easy for non-professionals to understand. This author reviewed over 40 peer-reviewed journal articles related to ACT and psychological treatment of chronic pain. The literature indicates that ACT is a very hopeful treatment to alleviate suffering for chronic pain patients. Treatment as usual, including opioid painkillers and surgery, can include psychological treatment if doctors, psychologists, therapists, and other care providers have a framework (such as ACT) to guide treatment. The following themes emerged from the literature review: Using "acceptance" in therapy is indicated more effective than mindfulness to treat chronic pain; valued living (doing what matters) is an important facet to managing chronic pain; there was a wide variety of ACT consistent therapy used in research, from group therapy to workbooks to online training, and still be delivered in a manner consistent with ACT adherent theory. This author will present different ways ACT can be used for practitioners and patients towards the alleviation of suffering. Research seemed to indicate that cognitive defusion (seeing one's self in context, not as a rigid concept, such as "I'm always in pain, I can't move") combined with acceptance training is likely to be effective in treatment. The poster will have three themes. The first theme defines chronic pain and the biology/psychology of pain and how the initial signal of pain passes through neuro pathways to the brain. The second theme relates the ACT Triflex to the treatment of chronic pain. The third theme presents what this author discovered through a literature review of ACT treatment of chronic pain (i.e. results of research, ways to use ACT to treat chronic pain.) This author recognizes that the psychological treatment of chronic pain can evoke shame from the chronic pain sufferer, i.e. "You think this is all in my head!!!" This author and current researchers promote the patient following all treatment as usual and using psychological treatment as an adjunct therapy to reduce suffering and increase the patient's ability to "do what matters" to them. During this author's research, everyone who was part of the process either experienced or knew someone who experienced chronic pain. The subject matter written by this author was well received by those with chronic pain in their life, and the poster presentation will reflect empathy for chronic pain sufferers and the practitioners who may be frustrated by challenges in chronic pain treatment.

4. Coping Styles of Patients Hospitalized in an Intermediate Trauma Unit
Primary Topic: Behavioral medicine
Subtopic: Traumatic Injury
Ana C. Sala, PsyD, University of Puerto Rico, School of Health Professions and School of Medicine
Karen Martínez, MD, University of Puerto Rico, School of Medicine
Lydia Temoshok, PhD, University of Maryland
Milagros Figueroa, RN, PhD, University of Puerto Rico, School of Nursing
Omar Rodríguez, PhD, University of Puerto Rico, School of Medicine
Giselle Alicea, MA, University of Puerto Rico, School of Medicine
Lourdes Guerrios, MD, University of Puerto Rico, School of Medicine
Pablo Rodríguez, MD, FACS, FCCM, FACP, FCCP, University of Puerto Rico, School of Medicine

Background: Injury occurs in a social context. Therefore, both physical and environmental elements should be taken into account when predicting and improving patient outcomes post-injury. Patients who suffer from traumatic injuries may also experience psychological distress and there is abundant literature documenting the psychological sequelae of an unexpected injury. The physical and mental changes that a person experiences as a result of an external stressor such as a traumatic injury, may affect a patient’s coping repertoire. Effective coping, such as active and adaptive coping, involves selecting thoughts or behaviors that address the problem and decrease stress and have shown to promote healing. Ineffective coping, such as anxiety, depression, hostility and avoidant behavior, on the other hand, can negatively influence the course of injury. Although research suggests that when coping patterns and contexts are taken into account predictions of health outcomes are more accurate, there is very little research on coping styles of patients hospitalized in trauma units after unexpected injuries. This study aims to describe the coping styles of a group of patients hospitalized in our local trauma unit and their relation to patient personal and clinical characteristics in attempts to develop culturally adapted interventions that promote adaptive coping. Methods: Forty-three trauma patients (41.9% female, 58.1% male; mean age of 39.49) were recruited during their hospital stay to assess their coping styles by using vignettes that exemplify adaptive, active, avoidant, Type A & Type C coping. Median scores of each vignette were calculated to determine the most frequently used coping styles. A semi-structured socio-demographic interview and medical record review was completed to obtain patient personal and clinical characteristics (i.e., age, gender, SES, length of hospital stay, mechanism of injury, physical and psychiatric comorbidities). The association between coping style and personal and clinical characteristics and their impact on coping style were established by calculating Spearman’s correlations. Results: Patients reported higher use of adaptive coping style (median=9.0) in which they selected particular thoughts and behaviors to decrease stress, followed by active coping (median=7.0) in which they reported seeking information to take control of their situation. There were no significant correlations between patient personal characteristics and coping style. However, increased length of stay was associated with increased use of Type A coping (r=0.310; p=0.043) which is characterized by a tendency to react with a hostile edge, impatient or critical of others. Discussion: Although most of our subjects used adaptive coping skills to deal with the trauma, our findings highlight the need to develop novel, culturally appropriate interventions to sustain adaptive skills in patients with prolonged hospital stay. Acceptance and commitment therapy (ACT), which focuses on diminishing experiential avoidance, through acceptance and valued based living, has proven to be effective with multiple health-related problems including emergency care. Effective implementation of coping strategies in these more medically complicated cases may promote compliance with treatment, result in reduced recidivism and translate into lower costs for our healthcare system. “This presentation is supported by National Institute on Minority Health and Health Disparities of the National Institutes of Health Award No. R25MD007607. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.”

5. Attention bias in irritable bowel syndrome: Implications for acceptance and commitment therapy. [1031]
Primary Topic: Behavioral medicine
Subtopic: Irritable bowel syndrome, attention bias, modified stroop task, ACT
Masataka Ito, M.A., Graduate school of psychology, Doshisha University
Takashi Muto, Ph.D., Faculty of Psychology, Doshisha University

Study objective: The biopsychosocial model suggests that attention plays a role in the mechanism of irritable bowel syndrome (IBS). The present study examined selective attention to visceral stimuli in IBS and explores the relationship between Quality of Life, experiential avoidance, cognitive fusion, mindfulness, and indices of selective attention. Design: A between-subjects design was used to enable comparison between an IBS group and healthy controls in selective attention. Methods: Thirty-five undergraduates who scored above the clinical cutoff in the Irritable bowel syndrome severity index (IBS group) and 35 healthy undergraduates who scored below the clinical cutoff were recruited into the study. All participants attended a single testing session. They completed the Mixed-Modified Stroop task (using 4 word categories: neutral, IBS-related, negative, and positive). Both groups also filled out a set of psychological questionnaires (the SF-36, AAQ, CFQ, and FFMQ scales). Results: The results did not show selective attention in the IBS group (all p’s >.10). Selective attention in the IBS group showed no correlations with any measures (all p’s > .10). The IBS group showed higher scores in the AAQ and lower scores in the FFMQ factor than healthy controls. Conclusion: Contrary to the cognitive behavioral model of irritable bowel syndrome model, the IBS group showed no selective attention to IBS-related words and no correlations with any questionnaires. Although it is possible that IBS sufferers do not show selective attention to IBS-related words, we suggest using ACT for IBS.

6. Engage in ACTivity: Group therapy for chronic pain sufferers significantly improves engagement in life activities [1032]
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Pain
Lauren Baras, M.D., Medical University of South Carolina
Sharlene Wedin, PsyD, ABPP, Medical University of South Carolina

BACKGROUND: Individuals with chronic pain often find their lives narrowly defined by their illness and the pursuit of pain elimination. Frequently individuals neglect meaningful life activities, placing life “on hold” until total pain relief is achieved. Acceptance and commitment therapy focuses on accepting unpleasant experiences while increasing engagement in value-oriented life activities. METHODS: Seventeen female patients (mean age = 46 ± 13.52) experiencing nonmalignant chronic pain of more than 6 months duration participated in a six-week acceptance and commitment therapy (ACT) group. Participants were referred from surgical and medical subspecialties at the Medical University of South Carolina. Patients were assessed initially and upon completion of therapy using the Center for Epidemiologic Studies Short Depression Scale (CES-D 10), Chronic Pain Acceptance Questionnaire (CPAQ) and the Freiburg Mindfulness Inventory (FMI). RESULTS: Mean scores were calculated for each measure at session 1 and session 6. Subscales of Willingness and Engagement on the CPAQ were calculated separately. All scores showed changes in the expected direction as follows: CES-D (16.71±8.28; 15.76±7.40), FMI (34.88 ± 6.32; 36.76 ± 7.51), CPAQ-W (16.00 ±9.41; 19.24 ±8.77), and CPAQ-E (26.23 ±14.57; 31.06 ±12.90). Paired t-test analyses revealed a significant difference in the Engagement score from session 1 to session 6 (P = .037). CONCLUSION: These findings suggest that brief ACT group treatment is an effective means of increasing engagement in life activities as measured by the Chronic Pain Acceptance Questionnaire (CPAQ). Considering that attempts to eradicate chronic pain are often unsuccessful and that chronic pain sufferers frequently neglect day-to-day activities, ACT group therapy provides a means to transition from waiting for a life after chronic pain to engaging in a meaningful life with pain.

7. Does a Reduction of Distress Following Values Clarification Relate to EA?
Primary Topic: Clinical Interventions and Interests
Subtopic: Values and Experiential Avoidance
April R. Wentworth, B.S., San Jose State University
Jannet E. Lara, San Jose State University
Stephanie Lin, San Jose State University
Elain Yin, San Jose State University
Soultana Mboulkoura, San Jose State University
Polline Villalobo, San Jose State University
Kendra Fisher, San Jose State University
Jennifer Gregg, Ph.D, San Jose State University
Jessica Meyer, San Jose State University

ABSTRACT Background. It is unclear whether a reduction in distress in experimental preparations demonstrates an effective intervention or an increase in experiential avoidance during the experiment. While studies have demonstrated a reduction in distress and cortisol following a values intervention (Gregg, Namekata, Louie, & Chancellor-Freeland, 2014) the mechanism of distress reduction is unclear. Certainly behavioral outcome measures are a stronger demonstration of effective values interventions than a reduction in distress. The current study sought to elucidate this difference by examining both distress and a behavioral values measure in a laboratory preparation of social rejection. Method. Participants (N = 29) were given false negative, neutral, or positive social feedback following a social interaction with a fellow student, and then randomized to receive a brief values clarification intervention or not. Participants then gave subjective ratings of distress and also recorded a video message for the participant with whom they interacted as a behavioral measure. Results. Results demonstrate that participants who received the values clarification exercise actually reported increased distress, compared to control participants. Discussion. Values clarification in the middle of a complex social interaction may not proffer the same distress reduction seen in other laboratory stress paradigms.

8. How Does Experiential Avoidance Cloud Values Clarification Outcomes?
Primary Topic: Clinical Interventions and Interests
Subtopic: Experiential Avoidance, Values
Kendra Fisher, San Jose State University
Soultana Mboulkoura, San Jose State University
Amanda Stacy, San Jose State University
Polline Villalobo, San Jose State University
Jannet Lara, San Jose State University
Jessica Meyer, San Jose State University
Stephanie Lin, San Jose State University
April R. Wentworth, B.S., San Jose State University
Jennifer Gregg, Ph.D, San Jose State University

Background. The relationship between experiential avoidance (EA) and values is complex, with awareness of values eliciting more, rather than less, EA in some context. For example, when examining a values clarification task in a laboratory preparation, individuals high in EA may demonstrate lower emotional reactivity and distress due to avoidance, rather than lower experienced emotion. Methods. Participants (N = 29) were assessed on baseline levels of EA, and then put in an experimental preparation where they were given false negative, neutral, or positive social feedback following a social interaction with a fellow participant. Participants were then randomized to receive a brief values clarification exercise, and Profile of Mood States were administered throughout the experiment. Results. Results indicated an interesting interaction with EA and values clarification, with individuals reporting high EA demonstrating a significantly less distressed trajectory than individuals with low EA following the values clarification. Results are discussed in terms of intervention development. Discussion. While this study demonstrated a short-term relationship between distress and EA following values clarification, studies focusing on the long-term are needed to truly understand the role of clarifying values in experiential avoidant individuals.

9. Effect of values clarification on student’s academic procrastination [1033]
Primary Topic: Clinical Interventions and Interests
Subtopic: Procrastination
Oscar Alejandro Cordoba-Salgado, Fundacion Universitaria Konrad Lorenz
Marcela Porras-Melo, Fundacion Universitaria Konrad Lorenz
Diana Riaño-Hernández, Fundacion Universitaria Konrad Lorenz

The aim of this study was to identify the effectiveness of two brief Acceptance and Commitment Therapy (ACT) based protocols. Participants were 20 university students from Bogota, ranging between 18- and 34-years-old, who reported on academic procrastination. They were assessed weekly using the Academic Procrastination Scale (APS), Cognitive Fusion Questionnaire (CFQ), Action Acceptance Questionnaire-II (AAQ-II), Values Questionnaire (VQ), and reported daily using self-record cards to assess valued actions. Ten participants were randomly assigned to each condition. The first condition was focused on values clarification exclusively and the second condition on creative hopelessness, cognitive defusion and values clarification. A multiple baseline design across participants was used. Baselines were obtained during at least two weeks and then interventions were applied. Overlap and trend analysis were performed with each case along with size effect caculations for each intervention. Results showed no difference between the interventions' effect size although a reduction on applied measures was found. Implications regarding the effect of the condition isolating the values component are discussed

10. Gamified Web-based Acceptance and Commitment Therapy program for Benzodiazepine discontinuation: A Pilot Study for Randomised Controlled trial
Primary Topic: Clinical Interventions and Interests
Subtopic: Substance Use Disorders, ACT-Technology
Toshitaka Ii, Departmant of Psychiatry, Nagoya City Univrsity Graduate School of Medical Sciences
Sei Ogawa, Departmant of Psychiatry, Nagoya City Univrsity Graduate School of Medical Sciences
Masaki Kondo, Departmant of Psychiatry, Nagoya City Univrsity Graduate School of Medical Sciences
Keiko Ino, Departmant of Psychiatry, Nagoya City Univrsity Graduate School of Medical Sciences

【Back ground】 Benzodiazepine(BZ) has been used for many anxiety disorders. However, Long term BZ using causes dependence. Tapering and Cognitive Behavioral Therapy (CBT) have been widely used for BZ dependence but, providing tapering and CBT take a high cost. One of the solution to this problem is self-help interventions, but the effectiveness of self-help interventions is not enough compared with the wait list (odds rate 2.3 95% Cl 1.3 to 4.2) and more than 50% of participants dropped out of the study. For these reasons, highly effective and motivated self-help intervention is necessary for BZ dependence. Acceptance and Commitment Therapy (ACT) is one of the promising intervention for substance use disorder. Gamified web-based ACT program may be highly effective and motivated self-help intervention for BZ discontinuation. The aim of this study is to provide a preliminary examination for randomised controlled trial. 【Methods】 In this pilot study, we targeted a sample size of five patients ages 20 to 60 years who had been taking BZ for more than two months. Participants received six weeks gamified web-based program. This program was provided free on the internet. When participants type given URL, they can access the program with their personal computer or smart phone. The primary outcome is BZ discontinuation at two months. Depression and anxiety symptoms was measured with K6 and State-Treat Anxiety Inventory. Severity of dependence was measured with Severity of Dependence Scale. Process measurement for ACT such as Cognitive Fusion Questionnaire or Acceptance and Action Questionnaire-Ⅱ was measured. 【Result】 We have already finished developing gamified web-based ACT program for BZ discontinuation. We have also recruited participants for this study. However, the follow-up assessment has not been completed yet. Results and discussions will be presented by the ACBS World Conference.

11. Self as Context Intervention Versus Focused Breathing Intervention to Cope with Negative Thoughts
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness
Varsha Eswara Murthy, University College Dublin
Louise McHugh, Ph.D, University College Dublin

Intrusive negative thoughts are experienced by a large majority of the non-clinical population. These thoughts if intensified can lead to the precipitation of various psychopathologies. Avoidance or control strategies have been empirically proven to be an ineffective method of dealing with such thoughts, leading to the development and popularity of acceptance and mindfulness based interventions. Acceptance and Commitment Therapy’s main objective is to increase psychological flexibility, which can be facilitated through enhancing a sense of self that is decentred from one’s psychological content, known as self as context. A gap in the literature exists in highlighting how self-based mindfulness techniques can specifically enhance therapeutic outcomes, as they are normally combined with other processes such as cultivating present moment awareness. The present study aims to compare whether a self as context intervention, a verbal, self-based intervention is more effective than a somatic based mindfulness intervention for coping with a personally relevant negative thought. Participants were asked to identify a personally relevant negative thought and given either a self as context, focused breathing or control strategy to manage the negative thought over a five-day period. The self as context intervention involved the completion of the ‘observer you’ exercise daily, as well as utilising hierarchal metaphors in order to cope with the negative thought. The somatic based intervention group completed a focused breathing exercise daily, as well as being instructed to focus on their breath and bodily sensations when the negative thought occurs as a coping strategy. Daily questionnaires assessed the total frequency and level of willingness to have the thought. Also, 10 positive and negative self-statements were rated on the same scales, and self-report measures of mood, mindfulness and psychological flexibility were completed. Findings indicated that the self as context intervention lowered believability, increased comfort, increased willingness and decreased negative affect significantly more than than the focused breathing or control strategy. The focused breathing strategy also made significant gains in the same direction as the self as context strategy in comfort, willingness, believability and affect of the target negative thought, however, the control group did not. Similar trends were observed in the reduction of the frequency of negative thought occurrence and also in the effects the strategies had on the positive and negative self-statements. Levels of mindfulness increased in both intervention strategies with no group differences observed pre and post intervention, however, levels of mindfulness were maintained for the no instruction control group. Findings provide evidence for the efficacy of self-based mindfulness intervention as a superior strategy for managing negative intrusive thoughts over strategies that employ present moment awareness alone.

12. A Comparison between Cognitive Therapy and Acceptance and Commitment Therapy for dysmorphic concern in Iranian women seeking cosmetic rhinoplasty [1034]
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy
Milad khajepoor, Young Researcher and Elite Club, Roudehen Branch, Islamic Azad University, Roudehen, Iran
Zahra-sadat khoshcheshm, Young Researcher and Elite Club, Roudehen Branch, Islamic Azad University, Roudehen, Iran
Sajad bahrami, Young Researcher and Elite Club, Roudehen Branch, Islamic Azad University, Roudehen, Iran
Peyman Rezaiemaram, Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
Sirous Momenzadeh, Queensland Health, Psychosis Academic Clinical Unit (Metro South Addiction &Mental Health Service), AUSTRALIA ، QLD
Parichehr Sharifi, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, University of Leipzig, Germany

Background: Iran has high rates of cosmetic rhinoplasty in the world. According to research findings, one of the most common complaints reported by rhioplasty applicants is dysmorphic concern—an intensive and/or irrational preoccupation with slight (or imagined) flaws in physical appearance. Dysmorphic concern can lead to the tendency to take various maladaptive control strategies, such as excessive and inflexible checking/camouflaging of perceived body defects, social avoidance, reassurance-seeking about appearance, and demanding cosmetic surgeries. Cognitive Therapy (CT) focuses on individuals adopting learned strategies to alter unhelpful thought patterns about their own body appearance. However, from an Acceptance and Commitment Therapy (ACT) perspective, the focus is on learning new skills to change the relations individuals have with their negative conceptualized self and to accept uncomfortable feelings involved. ACT views ‘psychological inflexibility’ as the root cause of people’s persisting behavior in seeking rhinoplasty. Functionally speaking, the primary goal of such behavior is to avoid unpleasant private experiences related to body appearance. These reactions may be reinforced by relatives and friends. In view of the different emphasis of CT and ACT, the aim of this study was to examine the effectiveness of CT and ACT in reducing dysmorphic concerns of Iranian women who were requesting rhinoplasty. Method: The research design included a randomized pretest-posttest control group. Forty-five women, aged 18-25 years who decided to undergo rhinoplasty, at three medical centers in Tehran participated in this study. They were assigned randomly into three groups (15 participants per group). The first group received eight-sessions of CT; the second group received eight-sessions of ACT; and the third group served as a waiting control. The participants of these three groups completed the Persian version of the Body Image Concern Inventory (BICI) before and after the completion of treatments. Finally, an analysis of covariance (ANCOVA) was undertaken to investigate the effectiveness of CBT and ACT on participants' dysmorphic concern. In the analysis, the pretreatment score entered as a covariate. Results: A post-hoc analysis indicated that although the BICI score was significantly reduced in both treatment groups compared with the control group, the ACT group showed more a significant reduction than the CT group. It should also be noted that one participant of the CT group and three participants of the ACT group withdrew from the study as they refrained from cosmetic surgery. discussion: In this study, The Iranian women undergoing rhinoplasty who attended an ACT based treatment reported less dimensions of dysmorphic concerns (i.e., excessive preoccupation of one's appearance, and avoidant and safety behaviors against one's perceived flaws ) than their counterparts who attended CT based treatments. It remains unknown the underlying reasons for the ACT group in this study showing more improvement in expressing their dysmorphic concerns than the CT group. It is also not clear if their expressed concerns will be translated into a long term and more accepting behavior, where people are able to live their life without seeking further medical advice on their physical appearance. In other terms, to compare long-term therapeutic effects of these two treatments, a follow-up assessment would be beneficial. It is worth inquiring about the mediating factors contributing to such outcome and comparing the processes mediating the effect of ACT and CT on Iranian women seeking cosmetic rhinoplasty.

13. Predictors of Depression and PTSD Treatment Response Among Veterans Participating in Mindfulness-Based Stress Reduction
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness, PTSD, Depression
Benjamin Felleman, Ph.D., UC San Diego & VA San Diego Health Care System
David Kearney, M.D., University of Washington & VA Puget Sound Health Care System

Background: Posttraumatic stress disorder (PTSD) and depression are prevalent and often co-occur among veterans. There has been a growing interest in the effects of mindfulness-based interventions among veterans. This study examined PTSD and depression outcomes, and baseline predictors of response, among veterans who participated in Mindfulness-Based Stress Reduction (MBSR). Method: A retrospective analysis of 116 veterans with PTSD before and after MBSR. Multilevel modelling assessed baseline predictors of change in PTSD and depressive symptoms. Results: There were clinically significant reductions in PTSD and depression symptoms post-treatment and at 4-months follow-up. For PTSD, effect sizes were in the medium range post-treatment (d = -.63) and at follow-up (d = -.69), and for depression post-treatment (d = -.58) and at follow-up (d = -.70). Baseline PTSD was a significant predictor of slope (β = .03, p = .04) on PCL outcomes; higher baseline PTSD predicted greater rate of reduction in symptoms. For depression (β = .04, p < .01,), those with severe or moderately severe depression exhibited the greatest rate of improvement. However, veterans with high symptom severity did remain symptomatic post MBSR. Discussion: These findings show preliminary support for MBSR in facilitating symptom reduction for veterans with severe PTSD and co-occurring depression.

14. A comparison of brief cognitive intervention methods - cognitive defusion, cognitive restructuring and perspective taking - in coping with angry thoughts
Primary Topic: Clinical Interventions and Interests
Subtopic: Anger
Tracey McDonagh, M,Sc, University College Dublin
Louise McHugh, Ph.D.

Background: Anger has many adaptive functions but can also become dysfunctional; it can be disruptive to people’s lives and the pursuit of valued living. Despite this, anger has been under researched in comparison with other emotional disorders and there is no clear consensus on how it should be defined or treated. The current study aims to assess the relative effectiveness of cognitive restructuring, cognitive defusion and perspective taking techniques for coping with angry thoughts. Method: 80 participants from student and community populations will undergo mood induction in order to bring to mind autobiographical memories of a recent anger inducing inter-personal encounter. They will report on the state anger they experienced by completing the relevant questions from a STAXI inventory. Pre- and post-intervention participants will report (a) anger associated with the thought (measured by the state items of the STAXI inventory) (b) believability of the thoughts, (c) discomfort associated with the thoughts, and (d) willingness to experience the thoughts. The experiment will involve a mixed design with group (defusion, restructuring, perspective taking, control) as the between-subject factors and Time 1 (T1) and Time 2 (T2) measures as the within-subject factor. Results: This study is exploratory, aiming to assess the potential effectiveness of the aforementioned techniques for managing angry thoughts. However, it is expected, given findings suggesting that cognitive defusion was more effective in managing negative thoughts than cognitive restructuring (Larsson , Hooper, Osborne, Bennett and McHugh, 2015) that cognitive defusion may also be more effective for managing angry thoughts. It is postulated that all three of the techniques will be more effective than a no intervention control. Discussion: While cognitive restructuring is an established technique in the treatment of anger, recent research on negative thoughts has suggested that cognitive defusion lowers believability, increases comfort and willingness to have the target thought, and increases positive affect significantly more than a control and cognitive restructuring (Larsson et al, 2015). The current study hypothesises that these findings may generalise to negative thoughts generated by affective processes. Perspective taking is also hypothesised to also be an effective brief anger reduction technique. This study may have implications for anger management treatments, which could be useful in the reduction of aggression and criminal activity, with potentially important social implications.

15. Proposing a factor structure for the Diabetes Acceptance and Action Scale and examining relations with diabetes-related outcomes
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescents with Diabetes
Tiffany M. Rybak, M.S., The University of Memphis
Kristoffer S. Berlin, Ph.D., The University of Memphis; The University of Tennessee Health Science Center
Gabrielle G. Banks, M.S., The University of Memphis
Kimberly L. Klages, B.S., The University of Memphis
Jeanelle S. Ali, M.S., The University of Memphis
Riply Wood, B.A., The University of Memphis
Ramin Alemzadeh, M.D., Le Bonheur Children's Hospital; The University of Tennessee Health Science Center
Robert J. Ferry, M.D., The University of Tennessee Health Science Center
Alicia Diaz-Thomas, M.D., Le Bonheur Children's Hospital; The University of Tennessee Health Science Center

BACKGROUND: Type-1 diabetes (T1D) is a burdensome and complex illness to manage during adolescence. Researchers have posited that psychological processes such as cognitive fusion and experiential avoidance lead to some of the difficulties with managing T1D. The Diabetes Acceptance and Action Scale is an unpublished measure developed by Greco and Hart (2005) that was developed to assess youth’s psychological flexibility with regard to having T1D. However the factor structure and validation of the DAAS has yet to been tested. The purpose of this study is to test a proposed factor structure and examine how it relates to diabetes-related outcomes, such as glycemic control, diabetes-related quality of life (QoL), adherence to medical regimen, and diabetes-specific conflict with caregivers. METHODS: Youth (N = 174) aged 12-18 (Mage = 14.63, SD = 1.68) with T1D and their caregivers completed the PedsQL 3.2 Diabetes Module, Self-care Inventory, and Diabetes Family Conflict Scale. Youth also completed the Diabetes Acceptance and Action Scale. Youth’s HbA1c was obtained from their medical record. RESULTS: Confirmatory factor analyses of a hypothesized five-factor model of the DAAS (acceptance, action, values impairment, experiential avoidance, and cognitive fusion factors) in relation to diabetes-related outcomes yielded an acceptable model fit (X2/df=1.65, CFI=0.936, RMSEA=0.061, 90% C.I. [0.054, 0.068]). Values impairment was inversely related to pediatric QoL reported by youth and caregiver (β = -0.757, p = 0.006; β = -0.979, p = 0.02, respectively). Values impairment is also positively associated with HbA1c (β = 0.844, p = 0.027). Lastly, experiential avoidance is associated with greater diabetes-specific conflict with caregiver per youth report (β = 0.704, p = 0.012). No factors were associated with reports of adherence. DISCUSSION: A five-factor model is supported for the DAAS and can help delineate elements of psychological flexibility or inflexibility that can be targeted for future ACT-based interventions for youth with T1D. One such area of focus may be on values impairment, given that it was related to poorer quality of life and higher HbA1c. Thus, it may be important to examine how strategies to manage difficult thoughts and feelings about living with T1D interfere with adolescents’ ability to live consistently with their values. Targeting experiential avoidance may lead to less diabetes-specific conflict among youth and caregivers. Overall, this study suggests that these core processes representing psychological flexibility measured by the DAAS may be influential in improving the physical and psychological wellbeing of youth with T1D.

16. Psychological flexibility and dyadic adjustment: the mediating role of communication. [1035]
Primary Topic: Clinical Interventions and Interests
Subtopic: couple, relationship satisfaction, communication, dyadic adjustment, ACT,
Alexandre Marseille, Psy.D.(c), Université du Québec à Trois-Rivières
Yvan lussier, Ph.D., Université du Québec à Trois-Rivières
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières

Acceptance and commitment therapy (ACT) is becoming increasingly popular among behavioral therapists, having been supported empirically in the treatment of various disorders including anxiety, depression, chronic pain, substance abuse, and psychotic disorders (A-Tjak, 2015). Despite the recent emergence of ACT in all areas of psychopathology, few studies have explored the relationship between psychological flexibility and couple satisfaction (Harris, 2009; Peterson, Eifert, Feingold, & Davidson, 2009). In an attempt to better document this reality, our study attempts to assess the contribution of psychological flexibility’s major constructs (acceptance, mindfulness, and engaged action) to explain dyadic adjustment, taking into account the mediating role of communication. The sample is composed of 411 participants (87% women, M age = 28.3 years) who responded to a series of questionnaires measuring each of these variables. Results of a path analysis demonstrate that experiential avoidance associated with non-acceptance of unwanted thoughts or feelings is directly linked to weak dyadic adjustment, and indirectly linked through the demand-withdrawal communication pattern. Mindfulness and engaged action are associated to dyadic adjustment through the mediating role of positive communication. Our model explains 37% of the dyadic adjustment variance. Clinical implications as well as future research will be discussed.

17. Getting Our ACT Together: A Pilot Study with Adolescents in Outpatient Mental Health
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescence, Group Therapy
Susie McAfee, Ph.D., IWK Health Centre
Amber Johnston, Ph.D., IWK Health Centre
Melanie Khu, M.Sc., University of Calgary

The current pilot study was proposed to address a perceived gap in service within a large pediatric, hospital-based, outpatient mental health program. Current treatment options consist of traditional CBT groups for primary anxiety disorders and individual therapy (of various modalities) for depression or other presenting problems. Given that these CBT for Anxiety groups have shown low retention rates and individual therapy may not be the most cost-effective, we developed a transdiagnostic ACT group for youth 15-18 years old. Three groups are planned with results of the first two presented here (N=13). It was hypothesized that this group would have lower rates of attrition, would show increases in psychological flexibility and valued living, as well as decreases in mood symptoms, anxiety, and believability of negative automatic thoughts. Pre-post results from the first two groups demonstrated a high rate of retention, statistically significant increases in psychological flexibility (AFQ-Y) and valued living (VQ), as well as statistically significant decreases in depression (CDI2), anxiety (MASC), frequency and believability of negative automatic thoughts (ATQ). Participants will be followed for at least 3-months post-treatment to assess whether treatment results were maintained over time and explore possible reductions in costly mental health service utilization.

18. Italian validation on the AAQ-S scale: a preliminary investigation of its psychometric properties
Primary Topic: Clinical Interventions and Interests
Subtopic: Stigma assessment
Cristina Rizzo, Kore University, Enna (Italy)
Palmira Faraci, Kore University, Enna (Italy)
Michael Levin, Utah State University
Giovambattista Presti, Kore University, Enna (Italy)

Stigma can be conceptualized as a general tendency to evaluate and discriminate others based on identification with a social group. Following this conceptualization it is possible to investigate and identify the processes that contribute to the development of stigma and its generalization as well as work on it from the point of view of psychological flexibility. The Acceptance and Action Questionnaire – Stigma (AAQ-S) was specifically developed to assess psychological flexibility with stigmatizing thoughts, to have a more sensitive scale focused on a specific and unique area (Levin, Luoma, Lillis, Hayes & Villagarda, 2014). In the context of providing Italian researchers and clinicians with tools related to the psychological flexibility construct we translated and validated the AAQ-S (Levin, Luoma, Lillis, Hayes & Villagarda, 2014). The scale was translated, the translation was evaluated by experts and then back-translated by two English mother-tongue individuals, before being administered. AAQ-S was administered along with the Social Dominance Scale (SDO), the Right-wing Authoritarianism Scale. In addition the empathic attitude of the subject (Interpersonal Reactivity Index -IRI), mindfulness skills (Mindful Attention and Awareness Scale - MAAS) and Experience Questionnaire (EQ) to measure decentering were administered to correlate to the stigma construct. A heterogeneous sample of 220 individuals, 78 of whom responded online, while the others responded to a paper pencil version responded to all the questionnaires. Overall 80% of the sample is female and mean age is 22. AAQ-S in the Italian version has a bi-factorial structure with two subscales: Psychological Inflexibility Subscale and Psychological Flexibility Subscale. Preliminary analysis show a Cronbach’s alpha of .754, that the scale correlates with its two subscales AAQ-S inflexibility r=0.646 p<0.01, AAQ-S flexibility r= 0.731 p<0.01, and a positive correlation with the personal distress subscale of IRI, r=0.190 p<0.05.

19. Mindfulness as Relationship: Opportunities for Mothers and their Infants [1036]
Primary Topic: Clinical Interventions and Interests
Subtopic: Attachment
Lindsey R. Wallace, M.A., Hofstra University

Mindfulness is a way of relating to the self and others through acceptance, openness, and compassion. It is uniquely positioned to assist women in the transition to motherhood and strengthen the bond between mother and infant, as it helps to improve intrapersonal and interpersonal attunement. The purpose of this poster is threefold: (1) to address the psychological needs of women through pregnancy and childbirth (2) to emphasize the importance of prenatal and postnatal attachment, and (3) to highlight the ways in which mindfulness strategies can benefit mothers and their infants during the perinatal period. Current empirical research on mindfulness theory and mindfulness-based interventions for the prenatal and postnatal are described. Additional mindfulness strategies and directions for future research are suggested throughout.

20. Willing to Stutter? Stuttering Treatments Combined with Brief ACT Intervention Improves Speech, Quality of Life, and Employment Outcomes of Prospective Health Care Professional. A Case Report.
Primary Topic: Clinical Interventions and Interests
Subtopic: Stuttering
Anthony Garrett Hazelton, Ph.D., East Carolina University
Patricky M. Briley, M.S., East Carolina University

Background The current case study focuses on a 25 year old Caucasian female with a moderate to severe stuttering disorder. She was in her final year as a graduate student and preparing for a career in the medical field. Marked distress related to speaking led her to “white knuckle” her way in through school, particularly in situations in which speaking was involved. With years of speech therapy and ongoing disability in speech, she avoided class presentations, obtaining permission to engage in alternative projects or written activities. However, with internship and employment the next step of her professional journey, she decided to take control of her speech. She sought treatment and was offered a speech correcting device accompanied by speech therapy. Despite initial improvements in fluency, her speech therapist referred her to ACT due to ongoing and severe dysfunction on measures of speech related quality of life. Methods Patient was fitted with a SpeechEasy Device, initiated a course of Speech Therapy, and then was referred to and participated in 3 monthly sessions of ACT. Psychological treatment focused on concepts of experiential avoidance, dirty distress, mindfulness, willingness, and value based action in the context of stuttering disorder. Fluency was measured by clinical rating scales. The Overall Assessment of the Speaker’s Experience of Stuttering (OASES) was used to assess baseline and post-treatment quality of life. Results Qualitatively, at baseline she described how challenged she was socially with her speech impairment and how she continued to struggle with self-doubt and anxiety. Clinical rating scales indicated severe dysfluency in speech at the start of treatment that improved to mild dysfluency by the end of the 3 months treatment process. Her Overall Impact Rating on the OASES began in the severe range at 4.22 and by the end of treatment her score was in the mild to moderate rage at 1.97. She also obtained an internship and part-time employment in her field much easier than she had expected. Discussion The speech of a person who stutters (PWS) in a social context can result in reduced quality of life as experiential avoidance emerges from attempts to reduce social anxiety and the constant internal struggle with speech. The dirty distress that occurs when a PWS struggles with fluency can actually worsen fluency during speech. Experiential avoidance in PWS commonly occurs through disengaging socially and avoiding job opportunities that require talking. In the current case, a brief course of ACT combined with an evidence based speech protocol resulted not only in improved fluency but also in QOL and the patient finding employment. Education on experiential avoidance, defusing from the idea that dysfluency needs to be cured, enhancing mindfulness of when dirty distress arises, and value based goal setting were key ingredients to a brief and effective course of ACT in a PWS.

21. The impact of body image flexibility on dietary habits and weight gain in breast cancer adjuvant therapy
Primary Topic: Clinical Interventions and Interests
Subtopic: Eating behavior
Sara Poli, Psy, Clinical Psychology Service, Hospital “SacroCuore - Don Calabria” Negrar, Verona, Italy
Matteo Giansante, Clinical Psychology Service, Hospital “SacroCuore - Don Calabria” Negrar, Verona, Italy
Monica Turazza, Med, U.O. Oncology, Hospital Sacro Cuore-Don Calabria, Negrar, Verona, Italy
Stefania Gori, Med, U.O. Oncology, Hospital Sacro Cuore-Don Calabria, Negrar, Verona, Italy
Giuseppe Deledda, Psy, Clinical Psychology Service, Hospital “SacroCuore - Don Calabria” Negrar, Verona, Italy

Background: Weight gain is a demonstrate side effect in the adjuvant treatment (chemotherapy, endocrine therapy, radiotherapy after surgery) of breast cancer. Little is known concerning the impact of psychological variables. The aim of the study is to explore the impact of the psychological flexibility on eating behavior and weight gain in breast cancer patients during treatment. Method: Subjects enrolled in the study completed questionnaire concerning: psychological flexibility (AAQ-II; BIAAQ) and eating behavior (TFE.Q-51). The whole sample was divided on the basis of the weight changes (g1: increased; g2: loss / no change); T-tests and correlation analysis (Spearman's Rho) were finally performed. Results: 54 breast cancer patients were enrolled (age: M=53; SD=9.39]). T-test analysis showed significant difference between groups, g1 reported lower scores in BIAAQ [g1: M = 54.17 [DS = 16.69) , g2: M = 65.15 [DS = 13.85], p <.05) and higher scores in TFEQ total score (g1: M = 60.28 [SD = 5.08], g2: M = 43.08 [SD = 24.70, p <. 05]) and in TFEQ-disinhibition scale (TFEQ-Disinhibition g1: M = 8.62, SD = 2.53, g2: M = 6.02 [SD = 2.14], p <.05). Significant inverse correlation was found between BIAAQ score and TFEQ-Total score (rho = -.482 variables, <.01) and BIAAQ mean score and TFEQ- disinhibition score (rho = -. 480, p <.01). Discussion: Body image inflexibility seem to affect eating behavior and specifically disinhibition (the tendency to respond impulsively to the stimulus of hunger).

22. Measuring psychological flexibility and inflexibility in developmental age: A report on instruments available for Italian adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescents, psychological flexibility, diagnosis
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC); Associazione Psicologia Cognitiva (APC) - SPC
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC); Associazione Psicologia Cognitiva (APC) - SPC

Children and adolescents mental disorders occur very frequently, with adverse consequences from both clinical and societal point of view. An accurate and early diagnosis, made with measures characterized by strict psychometric properties and validated on particular samples of population, is necessary to take prompt action. This poster presents a review of the clinical instruments currently available in order to measure psychological flexibility and inflexibility in Italian youths. Three self-report instruments were found: (1) Child and Adolescents Mindfulness Measure (CAMM), measuring mindfulness and acceptance; (2) Avoidance and Fusion Questionnaire for Youth (AFQ-Y), assessing fusion and experiential avoidance; (3) Mindful Attention Awareness Scale for Adolescents (MAAS-A), measuring mindfulness as a "receptive state of attention and awareness of the present experience". Since in our clinical practice we use these three measures with very promising implications, we encourage other clinicians in their use. However, it is advisable to wide even more the range of the assessing instruments for psychological flexibility on Italian youth, and this represents a future achievement for our research.

23. Taking a picture of Italian adolescents: How psychological inflexibility can affect psychological well-being?
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescents, psychological flexibility, psychological distress
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC); Associazione Psicologia Cognitiva (APC) - SPC
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC); Associazione Psicologia Cognitiva (APC) - SPC
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

This paper outcomes moved from two validation studies of seventeen measures on two different non clinical Italian adolescents samples (n. tot = 1315). The considered instruments assess psychological inflexibility and flexibility (with a particular focus on mindfulness facets, such as acceptance, presence, awareness), psychological distress (anxiety, depression, somatization, dissociation, perceived stress), well-being and quality of life. The scores obtained were submitted to a correlation analysis in order to explore the relationship between the ACT core processes and psychological well-being. As a result, it was supported the existence of a direct correlation between psychological flexibility and psychological well-being, so that at the increase of the first parameter corresponds the increase of the second one. Furthermore, it was highlighted an inverse correlation between psychological distress and mindfulness abilities. This study has important implications for both research and clinical practice.

24. "What about being an accepting and committed mum?" An ACT contribution on psychological well-being in pregnancy
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychological flexibility, distress, mindfulness, pregnancy
Erika Melchiorri, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC); Associazione Psicologia Cognitiva (APC) - SPC
Emanuele Rossi, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC); Associazione Psicologia Cognitiva (APC) - SPC
Alessia Panzera, Psy.D., Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

This study explores the effects of incorporating childbirth preparation classes with a six-week Acceptance and Commitment Therapy intervention on a group of ten pregnant women enrolled between 15 and 35 weeks gestation. The samples was non-clinical (absence of psychological or medical diagnosis) but, as reported in literature, pregnancy is characterized by deep changes, in both body and mind, for the most of the women, The study starts from the assumption that, if these changes are accepted in a mindful way, a woman’s life, as mum and partner, will be more rich and meaningful. The main focuses of the intervention were on values and on the acceptance of their private events, in order to gain a greater flexibility towards life. To check the effect of this intervention women compiled twice (T0 and T1) a set of questionnaires on psychological wellbeing, anxiety, depression, mindfulness abilities and psychological flexibility. The study reveals an increase in mindfulness, self compassion and psychological flexibility scores over time and a decrease in stress and anxiety scores. These results seem to endorse the effect of an ACT contribution on women’s psychological wellbeing during pregnancy.

25. A Preliminary Psychometric Evaluation of the I-AAQ: A measure of Interpersonal Psychological Flexibility
Primary Topic: Clinical Interventions and Interests
Subtopic: FAP
Lindsey Knott, M.A., Western Michigan University
Chad Wetterneck, Ph.D., Roger's Memorial Hospital
Sonia Singh, M.A., Bowling Green State University

Psychological flexibility appears to be an important process related to overall functioning and quality of life. This flexibility is the balance of making contact with the present moment, accepting one’s thoughts and feelings as they arise, while pursuing values toward a more meaningful existence. The Acceptance and Action Questionnaire (AAQ-II) is a measure developed in an attempt to capture this process. Thirteen years ago, one of the founders of ACT presented at the first ACBS conference and called for more specific variations of experiential avoidance to be examined (Hayes, 2003). Since that time, several variations on the AAQ have been developed to address particular disorders or relevant transdiagnostic processes. To date, no variations have been looked at for psychological flexibility in the context of interpersonal relationships. This study examines a new measure, called the Interpersonal AAQ (I-AAQ), which may fill that void. Utilizing a clinical cPTSD sample (n > 64) and a non-referred clinical OCRD sample (n > 500) we collected data on the AAQ-II, I-AAQ, and other relevant measures of interpersonal relevance (i.e., Functional Idiographic Assessment Template Short form -- FIAT-SF; Awareness, Courage, Love – ACL; Experiences of Shame Scale – ESS; Self-Compassion Scale Short Form – SCS; Quality of life measures – WHOQOL, Fear of Intimacy Scale – FIS). We evaluated basic psychometrics the I-AAQ demonstrated excellent internal consistency and demonstrated a pattern of convergent validity to related measures and divergent validity with unrelated constructs. Although the I-AAQ and AAQ-II were highly correlated, there was a differential pattern of correlations with other measures, with the I-AAQ being more highly related to interpersonal avoidance and shame than the AAQ-II. Further results and implications will be discussed.

26. How does the Awareness Courage Love scale relate to treatment change? Results from a PTSD treatment program.
Primary Topic: Clinical Interventions and Interests
Subtopic: FAP
Chad Wetterneck, Ph.D., Roger's Memorial Hospital
Lindsey Knott, M.A., Western Michigan University
Jennifer Parra-Brownrigg, M.A., Rogers Memorial Hospital
Beth Ann Wuerl, M.A., Rogers Memorial Hospital

Post-traumatic stress often reduces one’s functioning in emotional intimacy and in engagement with interpersonally oriented values. An adjunct to prolonged exposure therapy, Functional Analytic Psychotherapy (FAP) may be a useful treatment to target disengagement in relationships in those with complex PTSD (cPTSD). Researchers recently developed a tool to that may capture important constructs in FAP (i.e., Awareness, Courage, and Love; ACL scale) and may also be beneficial for evaluating the efficacy of such enhanced treatment protocols. The ACL model and measurement tools (i.e., ACL scale) require further investigation in order to demonstrate that these constructs are relevant to functioning and engagement in interpersonal relationships. At a PTSD partial-hospitalization program, a sample of approximately 50 patients with cPTSD received prolonged exposure therapy enhanced with contextual behavior therapies, such as FAP and ACT, and completed the ACL scale at pre- and post-treatment. In order to assess engagement in interpersonal values domains, patients were given the Valued-Living Questionnaire (VLQ) each week during treatment. Preliminary results show that the interpersonally relevant domains on the VLQ (i.e., family and social) predict change in the ACL from pre- to post-treatment, indicating that the ACL may be a sensitive clinical tool to capture change over time. Likewise, this predictive relationship may indicate that intentional engagement in interpersonal relationships may be one of the mechanisms leading to change in these FAP relevant constructs. Further implications of these data will be discussed.

27. Comparison between MCBT-I and CBT-I among college student with Insomnia
Primary Topic: Clinical Interventions and Interests
Subtopic: insomnia
Yoon Jin Kim, Chung-Ang University
Haekyung Koo, M.A., Chung-Ang University
Xinyu Gu, M.A.,
Myoung Ho Hyun, Ph.D, Professor, Chung-Ang University

Background: People with insomnia have predisposing factor (i.e., rumination tendency, depression, emotional arousal, and neuroticism) precipitating factor (i.e., stressor), and perpetuation factor (i.e., frequently making up for short sleep time, doing activities in bed that are irrelevant to sleeping, having dysfunctional belief and attitude about sleeping, and worrying about daytime sleepiness and fatigue due to insomnia). Cognitive Behavior Therapy for Insomnia (CBT-I) is known as the effective therapy for insomnia. CBT-I usually includes sleep restriction, sleep hygiene, stimulus control, and correction of dysfunctional beliefs and attitudes about sleep. However, while CBT-I focuses on perpetuation factors, the therapy does not deal enough with predisposing factor and precipitating factor. In recent years, researchers have begun to apply mindfulness in diverse subjects. Mindfulness therapy is revealed to be effective on reduced depression, rumination, emotional arousal, and stress etc. Therefore we expected Mindfulness based Cognitive Behavior Therapy for insomnia (MCBT-I) to be more effective than traditional CBT-I. The aim of the present study was to compare CBT-I and MCBT-I on college students with insomnia. Method: There were total of 20 participants. 10 in CBT-I and 10 in MCBT-I. All participants individually met with a therapist six times: 1 orientation, once a week for 4-week treatment, and 1 wrap-up session. All participants recorded sleep diary, KIMS, PSAS, DBAS-16, ISI, WBSI, DHS-Revised 3 times (before treatment, end of treatment, and 2 month later after the therapy). Results: All participants showed decreased scores on PSAS, DBAS, ISI, and components of sleep diary after the treatment. However, KIMS score did not decrease after the treatment. When we compared CBT-I and MCBT-I with repeated measures ANOVA, only Wake After Sleep Onset (WASO) was significantly different: CBT-I showed greater decreased on WASO than MCBT-I. Treatment effects also maintained 2 months after the therapy. Discussion:. The Duration of treatment was too short to show significant effect of mindfulness on the participants. Also, the participants in MCBT-I showed low rate of adherence on meditation homework. All participants have primary insomnia, which means their insomnia was due to poor sleeping habits and dysfunctional belief about sleep. Therefore, mindfulness treatment was not effective to these participants. Further research should compare MCBT-I and CBT-I among people with secondary insomnia. Despite of the unexpected results, this study was first study using MCBT-I and CBT-I in individual short-term therapy.

28. Experiential Avoidance and Change in Self-Control in Response to ACTV
Primary Topic: Clinical Interventions and Interests
Subtopic: Intimate Partner Violence
Meg Berta, Iowa State University
Amie Zarling, Ph.D., Iowa State Univeristy

Experiential Avoidance and Change in Self-Control in Response to ACTV Background The current study investigates Achieving Change Through Values-Based Behavior (ACTV; Lawrence, Langer Zarling, & Orengo-Aguayo, 2014), a new treatment for male intimate partner violence (IPV) offenders in the Department of Corrections, which is modelled after Acceptance and Commitment Therapy, emphasizes experiential learning, developing adaptive responses to one’s thoughts and emotions, and recognizing and acting on one’s values. In the current study, ACTV is implemented in jail. In-jail ACTV lasts eight weeks and consists of three two-hour sessions per week. Methods ACTV targets experiential avoidance, the tendency to avoid aversive thoughts and feelings, by teaching offenders to move toward their values instead of away from aversive thoughts and feelings. One aim of this study is to examine the relationship between experiential avoidance and self-control, an important predictor of IPV, (Finkel, DeWall, Slotter, Oaten, & Foshee, 2009). In addition, changes in experiential avoidance and self-control in response to ACTV will be examined. Results Experiential avoidance was measured with the Avoidance and Fusion Questionnaire for Youth (AFQ-Y; Greco, Lambert, & Baer, 2008) due to the reading level of participants. The 10-Item Self-Scoring Self-Control Scale (Tangney, Baumeister, & Boone, 2004) showed a significant negative correlation with experiential avoidance at the start of treatment (r= -.362, p=.098). The AFQ-Y did not show a significant change over the course of treatment (t= 1.31, df= 12, p = .213). Additionally, self-control improved over the course of treatment (t= -2.931, df= 11, p=.014). Discussion While these results are preliminary, they indicate a promising connection between a target of ACT, experiential avoidance, and a core deficit among IPV offenders. ACTV’s ability to change not only experiential avoidance but self-control makes it a good choice for incarcerated IPV offenders. References Finkel, E. J., DeWall, C. N., Slotter, E. B., Oaten, M., & Foshee, V. A. (2009). Self-regulatory failure and intimate partner violence perpetration. Journal of Personality and Social Psychology, 97(3), 483-499. Tangney, J. P., Baumeister, R. F., & Boone, A. L. (2004). High self‐control predicts good adjustment, less pathology, better grades, and interpersonal success. Journal of personality, 72(2), 271-324.

29. PTSD Symptom Severity and Functional Impairment: The Moderating Role of Valued Living
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD
John Donahue, Psy.D., University of Baltimore
Jefferson Huggins, University of Baltimore
Humama Khan, MS, University of Baltimore

Background and introduction. Posttraumatic Stress Disorder (PTSD) is a psychological disorder with a lifetime prevalence of 6.8% (Kessler, et al., 2008). The debilitating nature of PTSD is evident in its consistent associations with functional impairment in social (Sayers, et al., 2009), occupational (Stein, et al., 2000), and physical (Vasterling, et al., 2008) domains. However, while the positive association between PTSD symptomology and functional impairment is generally assumed to be strong, a recent meta-analysis by McKnight and colleagues (2016) only found a moderate mean correlation between PTSD symptom severity and global functioning (M = .33). These findings are concerning when considering that treatment trials for PTSD largely use measures of symptom severity as primary outcome measures (see Becker, et al., 2011; Watts, et al., 2013). Acceptance and Commitment Therapy (ACT; Hayes, et al., 1999) is a contextual behavioral treatment with the goal of fostering psychological flexibility, with symptom reduction viewed as secondary to valued living (Hayes, et al., 2013). As such, while ACT generally results in a reduction of symptoms across problem areas (Hayes, et al., 2006), its underlying theory suggests that valued living may increase (and functional impairment thereby decrease) even in circumstances in which symptoms remain present. Aim and hypothesis. The primary aim of this study is to investigate the moderating influence of valued living in the relationship between PTSD symptom severity and functional impairment in a sample of trauma-exposed adults. It is specifically predicted that the link between symptomology and impairment will be attenuated under conditions in which valued living is high. Method. Two hundred fifty online participants (Mean Age = 35.01) from across the country completed a battery of questionnaires including the Brief Trauma Questionnaire (BTQ; Schnurr, 1999), The PTSD Checklist-5 (PCL-5; Weathers, et al., 2013), the Valued Living Questionnaire (VLQ; Wilson, et al., 2010), the Overall Anxiety Severity and Impairment Scale (OASIS; Norman, et al., 2006), and the Patient Health Questionnaire - 3 (PHQ-3; Kroenke, et al., 2001). One hundred thirty-three participants identified a history of at least one DSM Criterion A trauma, and were selected for analysis. Results. A hierarchical regression analysis was computed to examine the hypothesis that valued living moderates the relationship between PTSD symptom severity and functional impairment after controlling for PHQ-3 measured depression. Supporting our hypothesis, preliminary results revealed that the PHQ-3 (β = .48), PCL-5 (β = .39), and VLQ (β = -.14) each emerged as significant predictors; the overall model explained substantial variance in impairment, R2 = .69, F(4, 128) = 72.99, p < .001; and, the addition of the VLQ-PCL interaction explained incremental variance in OASIS ratings, ΔR2 = .02, F(1, 128) = 7.23, p < .01. Therefore, valued living was a significant moderator of the relationship between PTSD symptom severity and functional impairment. Discussion. These results empirically demonstrate valued living as an important construct in understanding functional impairment among trauma-exposed individuals, even when PTSD symptomology is high. Our discussion will emphasize the clinical implications of these findings as they relate to contextual behavioral treatments for PTSD.

30. Measuring Activation in Depressed Adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression
Carmelita S. Foster, Western Michigan University
Alison DeLizza, Western Michigan University
Julissa Duenas, Western Michigan University
De'Lon Dixon, Western Michigan University
Andrew Register, Western Michigan University
Scott T. Gaynor, Ph.D., Western Michigan University

Behavioral Activation is a contemporary behavioral therapy designed to activate clients by scheduling activities that are functional and informed by the client’s life values (Kanter, Busch, & Rusch, 2009). Research evidence suggests that Behavioral Activation is a promising treatment for depression in adolescents; however, there is a paucity of research on whether or not Behavioral Activation actually increases activation levels. This study utilized a single-subject, A/B (stepped care) design, and measured the effectiveness of Behavioral Activation with 13 depressed adolescents between the ages of 14 and 18. All participants were offered up to 12 sessions, but they each received varying amounts of MIA (Phase A) or VBBA (Phase B) based on their scores on the Behavioral Activation for Depression – Short Form (BADS-SF) rating scale. Of the 13 participants who consented to treatment, three received varying amounts of Phase A and eight received varying amounts of both Phase A and Phase B. At the single case level, results suggest half of the participants, who only received MIA, showed baseline trend improvement on the Beck-Depression Inventory- Primary Care version (BDI-PC). Single case results also suggest that one participant, who received both MIA and BA, showed a significant improvement on the BDI-PC during VBBA. At the group level, all participants who received both MIA and VBBA showed significant symptom improvement on the BDI-PC and the CDRS-R. At the single case level, results suggest baseline improvement on the BADS-SF for only one of the participants who received only MIA. At the individual level, results show that four of the participants who received both MIA and VBBA showed significant trend in baseline improvement during MIA and no significant differences in scores during VBBA. There is evidence to include that activation scores increased and depression scores decreased after the exposure to the intervention, however, more rigorous methodology is needed to conclude that VBBA is responsible for the results found.

31. A comparison of four protocols for managing intrusive thoughts: A failure to replicate Marcks and Woods (2005)
Primary Topic: Clinical Interventions and Interests
Subtopic: Thought Suppression
Lucas Cylke, B.A., Wichita State University
Robert Zettle, Ph.D., Wichita State University

Wegner's seminal thought suppression research has shown that attempts to suppress thoughts can lead to a paradoxical increase in the frequency of that thought as well as distress towards that thought. This phenomenon has been a central component of cognitive- behavioral models of disorders such as obsessive-compulsive. The present study tried to replicate a Marcks and Wood (2005) study in which they compared three groups (thought suppression, acceptance, and monitor-only groups) on the frequency and distress associated with experiencing personally relevant intrusive thoughts over three five minute time periods (baseline, experimental condition, baseline). Their results revealed that those instructed to suppress their intrusive thoughts were unable to do so and experienced an increased level of distress after suppression, while the acceptance-based strategy experienced a decrease in discomfort level (but not thought frequency) after having used such a strategy. The current study used the same protocol but added 2 new conditions (total of four conditions), acceptance, acceptance using directions with a metaphor, suppression, and not suppress. It was expected, like the Marcks and Woods (2005) study, that the suppression group would have higher thought frequency and more distress towards their target thoughts. Despite our predictions, the results of the current study did not replicate, finding no difference between groups on distress and found opposite results on thought frequency, with the suppression group having significantly less frequency of intrusive thoughts than the other three groups. These results either suggest that the ironic effects of thought suppression may not be as robust as once thought or that their needs to be better methodology in studies dealing with intrusive thoughts and acceptance and suppression strategies.

32. Under One Roof: Evaluating and ACT based intensive outpatient program for military and first responders
Primary Topic: Clinical Interventions and Interests
Subtopic: Military and First Responders
Susan Faye Balaban Ph.D., Brattleboro Retreat Uniformed Service Program
Hannah Saltzman, Smith College
Nicholas Morrison M.S., Department of Psychology University of Massachusetts-Amherst
Nnamdi Pole Ph.D., Smith College Department of Psychology

This study examines the relation between individual differences in mental health difficulties and demographic variables and treatment outcomes (symptom reduction and changes in acceptance, awareness, and avoidance) in patients (primarily white, male, N = 650, M = 46) participating in an ACT-based intensive outpatient program for first responders and military personnel (current, separated, and retired). Most group based programs for uniformed service personnel partition treatment programs, focusing on "mental health" or "substance abuse," or triaging patients into separate treatment tracks based on these categories. This program, acknowledging hearty evidence that behavioral health problems in this population often involve complex combinations of chronic pain, sleep difficulties, trauma, mood disorders, neurocognitive challenges, and stress related medical problems. This study showed overall positive outcomes for patients. Our results also indicated that clinical presentation (e.g., severity of PTSD greater than severity of addiction) predicted greater benefits from ACT based treatment, as did specific demographic factors (service type & age). These results reflect the uniquely good fit of ACT based programs for culture specific therapy programs with highly diverse clinical presentations while highlighting the areas for growth and refinement in addressing the individual needs of patients struggling with diverse problems.

33. Under One Roof: Evaluating and ACT based intensive outpatient program for military and first responders
Primary Topic: Clinical Interventions and Interests
Subtopic: Military and First Responders
Susan Faye Balaban Ph.D., Brattleboro Retreat Uniformed Service Program
Hannah Saltzman, Smith College
Nicholas Morrison M.S., Department of Psychology University of Massachusetts-Amherst
Nnamdi Pole Ph.D., Smith College Department of Psychology

This study examines the relation between individual differences in mental health difficulties and demographic variables and treatment outcomes (symptom reduction and changes in acceptance, awareness, and avoidance) in patients (primarily white, male, N = 650, M = 46) participating in an ACT-based intensive outpatient program for first responders and military personnel (current, separated, and retired). Most group based programs for uniformed service personnel partition treatment programs, focusing on "mental health" or "substance abuse," or triaging patients into separate treatment tracks based on these categories. This program, acknowledging hearty evidence that behavioral health problems in this population often involve complex combinations of chronic pain, sleep difficulties, trauma, mood disorders, neurocognitive challenges, and stress related medical problems. This study showed overall positive outcomes for patients. Our results also indicated that clinical presentation (e.g., severity of PTSD greater than severity of addiction) predicted greater benefits from ACT based treatment, as did specific demographic factors (service type & age). These results reflect the uniquely good fit of ACT based programs for culture specific therapy programs with highly diverse clinical presentations while highlighting the areas for growth and refinement in addressing the individual needs of patients struggling with diverse problems.

34. The Effects of Creative Hopelessness on Wishing to Avoid Speech Situations
Primary Topic: Clinical Interventions and Interests
Subtopic: Social anxiety, Creative Hopelessness, willingness, Exposure
Kazuya Inoue, Waseda University

The present study examined effectiveness of Creative Hopelessness on avoidance feelings from speech situations. Undergraduate students with social anxiety tendency (n=29) were assigned to Creative Hopelessness groups (n=10), Control groups (n=10), Placebo groups (n=9). All participants completed measure before and after the intervention to assess Believability and Motivation of Change Agenda, SUD rating on Speech task. Results suggested reduction of Believability and Motivation of Change Agenda following the intervention were found only in the Creative Hopelessness groups as well as previous research. Moreover positive correlation was observed between the rate of change of believablitiy of Change Agenda and wishing to avoid speech Situations. But other indicators was't observed correlation for wishing to avoid speech Situations. It was considered decreasing the believablitiy of Change Agenda read to increase willingness in phobia situations.

35. The impact of a Mindfulness-Based Art Therapy Program on Body-image Dissatisfaction [1037]
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness, Body-Image, Creative/Art Interventions
Kyle Horst, California State University, Chico
Jasmine Buck, California State University, Chico

In the context of negative body image, the use of mindfulness addresses appearance-related cognitions by encouraging self-acceptance (Stewart, 2004). Rather than attempting to control or combat one's negative thoughts and feelings, mindfulness teaches a more adaptive way of relating to one's thoughts and feelings, allowing for an increase in body image flexibility, acceptance, and non-judgmental awareness (Wendel, Masuda & Le, 2012). The following poster outlines results from a non-randomized control study of the efficacy of a Mindfulness-Based Art Therapy group program on negative body-image dissatisfaction. The poster will discuss the development of program, giving the audience samples from the program manual. The poster will also discuss the strengths and challenges of practicing mindfulness within a creative art therapy framework. Finally, pre-post, follow-up, and focus-group data from participants in three groups (Intervention Group, “Treatment as usual” group, and no treatment control) on multiple domains of body-image will be reviewed.

36. Students’ Understandings and Applications of Mindfulness Meditation [1038]
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness, Misconceptions, Learning, Meditation
Ethan G. Lester, University of North Texas
Danielle Moyer, University of North Texas
Nina Laurenzo, Naropa University
Amy Murrell, University of North Texas

Mindfulness meditation is an increasing area of interest for both mental health professionals and the general public alike. Benefits of these practices are well documented in the literature, although the variety of measurement techniques makes interpreting research difficult. Construct definitions vary, and anecdotal accounts from practitioners suggest many people hold misconceptions about mindfulness meditation, even when taught otherwise. Still, no formal research has been introduced on misconceptions of mindfulness – or, if they exist, how such misinformation affects acquisition of related skills. The current analogue study was used to explore how the presentation of mindfulness meditations (i.e., inaccurate rationale/meditation and accurate rationale/meditation) affected university students’ acquisition of said skills. Specifically, self-reported mindfulness and meditation skills, mood questionnaires, a match-to-sample task, and qualitative measurements were used in an experimental design to assess acquisition. Results, limitations, and applications of this research for clinical scientists will be discussed.

37. Time allocation as a translational process in contextual behavioral science [1039]
Primary Topic: Clinical Interventions and Interests
Subtopic: Translational research
Cory E. Stanton, M.S., University of Nevada-Reno
Thomas J. Waltz, Ph.D., Eastern Michigan University

Background One of the goals of contextual behavioral science is to foster meaningful conversations between basic and applied scientists, and developing coordinated research programs. This poster presents empirical data from a measure development project examining the convergent and discriminant validity of self-reported time allocation, an attempted extension of the quantitative matching law from the experimental analysis of behavior. Previous basic research has shown that time allocation may be an acceptable proxy for response allocation, including work with human participants. The matching law has been linked to contextual analyses of depression. Method Undergraduate college students completed a battery of self-report measures, including measures of depression and physical / mental health. Participants also completed the Time Allocation Task (TAT), which asked participants to report time spent on meaningful activities, managing life’s negatives, and sleep. In addition, participants reported 1-10 subjective quality ratings of these three areas. Results Preliminary analyses (n = 204) suggest that the TAT predicted 22% of the variance in depression scores on the PHQ-9, and 26% of the variance on the BADS in regression analyses. Subjective quality ratings of time allocated were found to be as or more predictive of outcomes, a finding that was not expected. Final analyses for the conference will include an expanded sample, and correlation matrices of study variables. Discussion The relationship between time allocated toward life’s negatives, the perceived effectiveness of that time and the study's findings related to the AAQ-II will be reviewed.

38. Adjustment to problems of appearance in women with lipedema.
Primary Topic: Clinical Interventions and Interests
Subtopic: lipedema, body dissatisfaction
Joanna E. Dudek, University of Social Sciences and Humanities, Warsaw
Pawel Ostaszewski, Ph.D., University of Social Sciences and Humanities, Warsaw
Wojciech Bialaszek, Ph.D., University of Social Sciences and Humanities, Warsaw
Tilly Smidt

Background: Lipedema is a chronic, progressive condition that affects mainly women, is under-recognized and frequently misdiagnosed as obesity. Lipedema is characterized by accumulation of fat tissue on the extremities with accompanying swelling and pain that is not responsive to dieting or exercising. It may lead to severe disfigurement. Method: We conducted an online survey of 330 women with lipedema, mostly from North America and Europe. Results: Results showed how lipedema severity, psychological flexibility, social connection are related to adjustment to problems of appearance in women with lipedema. Further implications of these results will be discussed.

39. Softened Blows: Psychological Flexibility, Self-Compassion, and Coping Style and the Relationship between Daily Experiences of Discrimination and Distress among Gender and Sexual Minorities
Primary Topic: Clinical Interventions and Interests
Subtopic: Gender and Sexual Minorites
Lauren E Griffin, BS, University of Louisiana at Lafayette
Alyson Gieseman, BS, University of Louisiana at Lafayette
Emily K Sandoz, PhD, University of Louisiana at Lafayette

Gender and sexual minorities (GSM) are at increased risk of psychological distress, mental health difficulties, physical health problems, and high-risk behavior in several domains (Kirsch, Conley & Riley, 2015). This seems to be in part attributable to limited social resources, discrimination, and victimization experienced by many GSMs (Kirsch et al., 2015). It is unclear, however, what differentiates well-functioning GSMs from those struggling to thrive in similarly hostile social climates (Herek & Garnets, 2007). This may be related to a distinct ability of some GSMs to experience psychological distress without threat to psychological well-being. GSMs that respond to discrimination with self-compassion and psychological flexibility may be at decreased risk for the psychological suffering that contributes to mental and physical health problems and high-risk behaviors. The current study explores the distress associated with daily experiences of stigma and discrimination, along with the role of psychological flexibility, self-compassion, and coping.

40. The role of psychological flexibility in cancer patient with pain: an observational study
Primary Topic: Clinical Interventions and Interests
Subtopic: ncological patients, Pain, psychological flexibility
Dr. Giuseppe Deledda, Sacro Cuore Don Calabria Hospital Verona Italy
Dr. matteo giansante, Sacro Cuore Don Calabria Hospital Verona Italy
Dr. Sara Poli, Sacro Cuore Don Calabria Hospital Verona Italy

Background It has been extensively studied chronic pain in patients suffering from different non-cancer diseases. Aim of this study is to investigate the role of psychological flexibility in cancer patients with pain. Methods Patients with pain were asked to complete questionnaires designed to detect pain (NAS , BPI), the psychological flexibility (AAQ II), the anxiety-depressive symptoms (HADS) and distress (TS). Results 27 patients, completed questionnaires, (M= 62 years (SD 11.28)), 52% of which are female. Greater levels of psychological flexibility showed a higher correlation with lower levels of anxiety (r = - 0.73, P <0.000), depression (r = - 0.59, P <0.001), distress (r = - 0.45 P <0.019) and emotional interference (rs = 0.38, P <0:40). Discussion The results seem consistent with studies in patients with non-cancer pain. In the future study it could further investigate the role of psychological flexibility to adapting to pain in cancer disease.

41. Measuring Awareness, Courage, and Love as a Contextual Behavioral Interpersonal Process Model for the Development of Intimacy
Primary Topic: Clinical Interventions and Interests
Subtopic: Functional Analytic Psychotherapy, Social Functioning, Psychometrics
Adam M. Kuczynski, University of Washington
Jordan Epistola, University of Washington
Joanna E. Dudek, University of Social Sciences and Humanities
Jonathan W. Kanter, University of Washington

The present research describes the development and psychometric evaluation of a self-report measure of awareness, courage, and love. The items were designed to reflect a well-researched model of social connection that involves attention to interpersonal contextual cues (i.e., awareness), engagement in interpersonally vulnerable behavior in the service of one’s values (i.e., courage), and naturally reinforcing responses to those behaviors (i.e., love). With exploratory and confirmatory factor analyses we identified a subset of items that demonstrate strong reliability and validity. In total, over 1,800 participants were surveyed from five large universities. Results demonstrated a positive association with quality-of-life, self-compassion, and empathy, and a negative association with loneliness and fear of intimacy. The final measure has utility for researchers and clinicians alike.

42. KORSA: An ACT-based intervention developed to help university students live better with their stress. [1040]
Primary Topic: Educational settings
Subtopic: University students
Simon Grégoire, Université du Québec à Montréal
Lise Lachance, Université du Québec à Montréal
Thérèse Bouffard, Université du Québec à Montréal
Lysa-Marie Hontoy, Université du Québec à Montréal
Laurence DeMondehare, Université du Québec à Montréal

Stress-management workshops (www.korsa.uqam.ca) were offered to students enrolled in four universities in Canada. The workshops were based on the six core processes of ACT and included both didactic activities and experiential exercises. A pretest-posttest switching-replication design was used to assess changes in mental health (stress, anxiety, depression, psychological wellbeing) and school commitment among students (N = 179). The data were collected using self-report questionnaires at baseline (t1), week 5 (t2) and week 9 (t3) and examined using multivariate analysis of variance. The results showed that the workshops helped reduce stress, anxiety, and depression among students while they increase their level of wellbeing and school commitment. The results also showed that parts of the effects of the workshops on mental health were mediated by psychological flexibility. This study makes two important contributions: it introduces a novel ACT intervention specifically designed for university students and assesses its impact by using a research design rarely used in ACT studies.

43. Cross-Cultural Comparison of Values in Acceptance and Commitment Therapy with Expressive Writing Paradigm in the United States and South Korea [1041]
Primary Topic: Educational settings
Subtopic: cross-cultural comparison
Woolee, An, M.S., Missouri State University
Ann Rost, Ph.D., Missouri State University

The aim of the current study is threefold: (a) to explore similarities and differences in values between students in the United States and students in South Korea based on the ACT perspective; (b) to study the impact of expressive writing, which might be a tool for improving value concordant life, on value concordant living; and (c) to examine potential differences in writing across cultures. A total of 571 participants from the US and 547 participants from South Korea were recruited for part 1 of the study. Different rank orders in the Valued Living Questionnaire between these two countries were observed using mean differences. The top three important values in VLQ for the students in the United States were ‘Family Relations,’ ‘Education/Training,’ and ‘Friends/Social Life.’ However, the top three important values in VLQ for the students in South Korea were ‘Family Relation,’ Friends/Social Life,’ and ‘Marriage/Couples/Intimate Relations.’ While the top three consistent values in VLQ for the student in the United States were ‘Education/Training,’ ‘Family Relations,’ and ‘Friendships/Social life,’ the top three consistent values in South Korea were ‘Friendships/Social life,’ ‘Family Relations,’ and ‘Citizenship/Community Life.’ A total of 51 students from the US and 14 students from South Korea were recruited for part 2 of this study. A Friedman test was used, and several statistical differences were observed between these countries due to the impact of expressive writing. Participants were divided into three experimental groups: Values, Traumatic, and Control. The values in South Korea showed significant differences in anger from the POMS, and the control group showed significant difference in confusion and total scores from the POMS. However, the value groups from the United States showed several significant differences, such as the VLQ total difference score, the total AAQ score, BAI score, Anger score from POMS, and the total POMS score. The traumatic group in the United States showed significant differences in total score on the AAQ and BAI. The control group of the United States also showed several significant differences in the VLQ total difference score, the total score of AAQ, BAI score, the mental disengagement of COPE, tension score from POMS, anger score from POMS, and the total score of POMS. In the part 3 of this study, a brief content analysis was conducted on the actual writings from participants between the United States and South Korea. Different and similar values themes were confirmed from the writings between the two, consistent with the results of part 1.Most participants in the United States wrote about their family, friend, and personal values like education and recreation while participants in South Korea were mainly focused on their relationships with other people. These findings from the qualitative and quantitative analyses provide some degree of support for the concepts associated with ACT from a cross-cultural perspective. Due to the relative lack of research in this area, however, much more investigation in to these issues in warranted.

44. Improving cognitive performance in college students: The impact of a single mindfulness training session
Primary Topic: Educational settings
Subtopic: Mindfulness
Scott Williamson, Metropolitan State University of Denver
Maureen Flynn, Metropolitan State University of Denver

Past research has shown that extensive and repeated training in mindfulness techniques can help improve a variety of cognitive functions, including working memory, attentional focus, and decrease feelings of anxiety in order to improve performance on cognitive tasks (Fjorback, Arendt, Ørnbøl, Fink, & Walach, 2011: Brunye, Mahoney, Giles, et. al., 2012). This present study examines whether a single session of mindfulness training improves performance on a cognitive task, specifically questions derived from the Standardized Aptitude Test (SAT). The sample included 97 undergraduates. Study sessions were randomly assigned to the experimental condition (a brief mindfulness training session) or the control condition (an audio book recording). Results showed that participants in the single session mindfulness training reported higher levels of state mindfulness post-intervention than those in the control condition but there were no significant differences between groups on performance on the standardized test. Implications of this study will be presented.

45. The Impact of Mindfulness on Residential Treatment Direct Care Providers’ Job Satisfaction and System Participation [1042]
Primary Topic: Performance-enhancing interventions
Subtopic: Mindfulness
Drew Heckman, Ph.D., Boys Town Outpatient Mental Health Clinic
Wesley J. Sheeley, Ph.D., Complete Children’s Health Pediatric Clinic

The Boys Town Treatment Family Home Program (TFH) is part of a residential treatment approach for middle and high school aged males and females that are typically developing, but present with a wide variety of clinically significant emotional and behavioral concerns. The Boys Town model incorporates a continuum of care for these children, with TFH incorporating traditional family style living arrangements, with clinical supports and behavior modifications from a team of in-home service providers and clinical staff. Mindfulness has been shown to have positive performance impact for individuals, as well as for quality of care by mental health service providers. The study aimed to incorporate psychoeducation and regular mindfulness exercises over an eight week program to direct care providers. As the group itself is a pilot project, analysis only included pre-post testing on all data points. We assessed treatment related direct effects (i.e., self-reported job satisfaction, burn out) and indirect effects (i.e., ratios of positive to negative teaching interactions for residential youth, frequency of serious behaviors exhibited by youth in their care). A mixed methods design incorporating single case, within subject, and qualitative components was used, with data collection for burn out/job satisfaction, positive and negative point interactions with youths, and other behavioral incidences of the providers’ homes (school incident reports, consultation, etc.). Using the structured mindfulness-based cognitive behavioral therapy approach the intervention design incorporated small group discussion, mindfulness activities, and structured homework done on an individual basis. Five direct-care providers (Family Teachers) volunteered for the pilot program and participation was unrelated and in addition to their existing job duties. Data collection for Treatment B phase is currently ongoing, with baseline data visual inspection indicating high risk of burn out, issues with depersonalization from job expectations and programming, and low ratings of personal achievement. Discussion section for this study will focus on impact of mindfulness for both individual provider job satisfaction and burnout, and systemic change indicators for a residential treatment facility. The study hopes to show how mindfulness can be used as a support to improve results of a residential placement for high risk teens, relationships between providers and teen age clients, as well as reduce burn out and improve job satisfaction for a high risk mental health service position.

46. A Mindfulness-Acceptance-Commitment Based Leadership Training to Improve the Performance of Olympic Athletes
Primary Topic: Performance-enhancing interventions
Subtopic: sport psychology
Karoly Schlosser, Goldsmiths University of London
Frank Bond, Goldsmiths University of London

Applied sport psychology has become key interest field within professional sport to increase the performance and psychological well-being of athletes. Arousal regulation is one of the major approaches within the field and the interpretations of the ACT concept can be implemented well into this context. ACT works contrary to existing interventions, instead of attempting to control internal events it encourages the individual to pay attention to external stimuli resulting in better engagement in task and sense of psychological well-being and therefore in better performance (Bond, Hayes, & Barnes-Holmes, 2006). Gardner and Moore (2007) explored the ACT concept (Mindfulness-Acceptance-Commitment Approach) within the sport field and results show that it might benefit elite athletes better than typically used interventions. Combining the MAC approach with leadership development, this study aims to increase the competitiveness of the table tennis section of the British Olympic Team (N=29) for the upcoming games in Rio de Janeiro 2016. After the training, atheletes will be followed up throughout a year.

47. Examining the Effectiveness of Group Based Acceptance and Commitment Therapy for Adolescents in a Community Outpatient Mental Health Setting [1043]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescents, Group Treatment, Transdiagnostic intervention, Anxiety, Depression,
Tajinder Uppal Dhariwal, M.A., OISE/University of Toronto
Sheri Turrell, Ph.D., Trillium Health Partners
Mary Bell, M.S.W., R.S.W., Trillium Health Partners
Marci Gordeyko, M.A., OISE/University of Toronto

Background: Acceptance and commitment group therapy has been found to be effective for a transdiagnostic adult population within the hospital setting (Pinto et al., 2015). There is limited research of ACT group treatment with adolescents (Halliburton & Cooper, 2015). The effectiveness of ACT group treatment for adolescents diagnosed with heterogeneous psychiatric disorders in a community hospital has not yet been examined. Objective: The present study examined the effectiveness of 10 week group-based ACT treatment for adolescents presenting with primarily anxiety and depression-related psychiatric difficulties in a community outpatient mental health setting. Methods: Adolescents (n = 72) diagnosed with anxiety and depression-related psychiatric disorders took part in the present open trial. Data were collected prior to treatment, post-treatment and three months following the treatment. Participants completed outcome measures examining anxiety and depression symptoms and ACT process measures examining cognitive fusion/experiential avoidance, mindfulness and values-based direction. The present study consisted of data collected from fifteen groups run over four years. Results: Analyses revealed significant reductions in anxiety and depression symptoms from pre- to post-treatment. Significant reductions in anxiety and depression symptoms were also found from post-treatment to three months following the treatment. Changes in ACT processes were determined to predict changes in anxiety and depression symptoms. Discussion: The present research provides support for ACT group treatment as a transdiagnostic approach for adolescents presenting with primarily anxiety and depression-related heterogeneous psychiatric disorders in the community. Future research comparing ACT group treatment and existing treatments in the community setting with a similar population is warranted. References Halliburton, A. E., & Cooper, L. D. (2015). Applications and adaptations of Acceptance and Commitment Therapy (ACT) for adolescents. Journal of Contextual Behavioral Science, 4(1), 1–11. doi:10.1016/j.jcbs.2015.01.002 Pinto, R. A., Kienhuis, M., Slevison, M., Chester, A., Sloss, A., & Yap, K. (2015). The effectiveness of an outpatient Acceptance and Commitment Therapy Group programme for a transdiagnostic population. Clinical Psychologist. doi:10.1111/cp.12057

48. Feasibility, Acceptability, and Preliminary Outcomes of Randomized Controlled Trial Comparing Loving Kindness Meditation to Referral to Treatment as Usual for College Students with PTSD Symptoms and Problem Drinking.
Primary Topic: Prevention and Community-Based Interventions
Subtopic: PTSD, problem drinking, loving-kindness meditation
Helen Valenstein-Mah, University of Washington
Matthew Enkema, University of Washington
Hye In Cho, University of Washington
Tracy Simpson, VA Puget Sound
Sarah Bowen, Pacific University
Mary Larimer, University of Washington

Background: College can be a period of personal growth and development for many students; however, many also struggle with mental health issues, including trauma exposure and PTSD symptoms. Two thirds of students have experienced a traumatic event in their lifetime, and students with PTSD symptoms are more likely to drop out of college (Duncan, 2000). In addition to reporting high rates of trauma exposure, college students also engage in high rates of problem drinking (Perkins, 2002). They do so for a number of different reasons; however, there is increasing evidence that those experiencing PTSD symptoms often drink heavily to cope and that students with PTSD have worse drinking outcomes than those that do not (Read et al., 2012). For young adults with PTSD symptoms and problem drinking, college may be a critical time for intervention, since effective early intervention could decrease chronicity and lessen future need for PTSD and alcohol treatments. No studies to date have evaluated mindfulness for students with both posttraumatic stress symptoms and problem drinking. This study aims to evaluate a group loving-kindness meditation for college students with PTSD symptoms and problem drinking compared to existing services to determine if this intervention a) is feasible and acceptable, b) reduces PTSD symptoms and problem drinking, and c) contributes to a deeper understanding of the relationship between PTSD symptoms, problem drinking, self-compassion, experiential avoidance, and negative cognitions. Method: Undergraduate students at a large public university in the Northwest United States were recruited from the psychology subject pool. Students were eligible for the study if they: a) had experienced at least one traumatic event in their lifetime, b) had PTSD symptoms in at least two symptoms clusters lasting more than one month; c) had engaged in heavy episodic drinking at least twice in the past month; and d) were not actively suicidal or having psychotic symptoms. Students were randomized to attend either a four-week loving-kindness meditation group (based on the protocol developed by Kearney et al., 2013) or receive referrals to low-cost or free existing mental health services for college students both on and off campus. Students will be assessed pre-treatment, on a weekly basis for 4-weeks during the study, post-treatment, and at a one-month follow-up. Results: Currently 20 undergraduates are enrolled in the study and an estimated 40 will have completed the study by the ACBS conference date. Pre-to-post changes in PTSD symptoms and drinking quantity and frequency will be examined for both groups. Self-compassion, as measured by the Self-Compassion Scale (Neff, 2003), and experiential avoidance, as measured by the Acceptance and Action Questionnaire (Bond et al., 2011), will be examined as potential mediators of changes in PTSD symptoms and problem drinking pre-to-post treatment and pre-treatment to the one-month follow-up. Group acceptability, as measured by a participant satisfaction, will also be discussed. Discussion: These preliminary findings will be discussed as well as potential implications for disseminating LKM interventions for student populations will also be discussed.

49. ACT with Mindfulness: Piloting a Curriculum for Reducing Intern/Resident Burnout [1044]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Burnout
Amy House, Ph.D., Augusta University
Christopher F. Drescher, Ph.D., Augusta University

Background: Clinician burnout, defined as the emotional exhaustion, depersonalization, and a low sense of personal accomplishment experienced in practice (Epstein, 1999), is a prevalent phenomenon. Studies estimate up to 60% of practicing physicians report burnout (Shanafelt et al., 2002), which is correlated with poorer quality of care (Shanafelt et al., 2003), patient dissatisfaction (Haas et al., 2000), increased medical errors (Crane, 1998), decreased ability to express empathy (Shanafelt et al., 2005), increased rates of substance abuse (O’Connor & Spickard, 1997), stress-related health problems, and familial discord (Spickard et al., 2002). Burnout can be found among trainees, including up to 75% of clinicians in residency training (Shanafelt et al., 2002). As noted by Krasner et. al (2009) there remain very few programs that exist to prevent the symptoms of burnout and effectiveness data is scarce. To date, there are no studies that examine the efficacy of any such programs on the well-being of psychiatry residents and psychology interns specifically. One possible intervention to address clinician burnout, Acceptance and Commitment Training (ACT), has been used in a variety of workplace settings and been shown to improve employee well-being and reduce psychological distress (Flaxman et al., 2013). In an effort to expand the research on interventions promoting clinician resilience and preventing burnout, our project tested the impact and acceptability of an ACT intervention for reducing and preventing burnout in psychology and psychiatry trainees. Method: Psychiatry and psychology trainees at an academic medical center (n = 22) participated in a 6 session ACT intervention over 4 months, and completed pre- and post-intervention surveys. Measures included the Work-Related Acceptance and Action Questionnaire (WAAQ), the Maslach Burnout Inventory (MBI), the Professional Quality of Life Scale (ProQOL), and questions regarding how many of the ACT sessions they attended, and how satisfied they were with the intervention. Results: Analyses from the pre-intervention survey indicate that the psychology and psychiatry trainees (N = 22) were reporting high levels of professional efficacy, but also high levels of exhaustion and cynicism on the MBI. Those who completed measures at post-intervention (N = 12) reported moderate levels of satisfaction with the ACT intervention, and that it had been moderately helpful to them. Attending more sessions was correlated with perceiving the intervention to be more helpful and influential. Step-wise regression analyses examined the impact of the number of ACT sessions attended while controlling for scale scores at Time 1. The number of ACT sessions attended significantly predicted post-intervention scores on the WAAQ (β = .49, p < .01), the Burnout scale of the ProQOL (β = -.70, p < .01), the Compassion Satisfaction scale of the ProQOL (β = .65, p < .05). In contrast, the Secondary Traumatic Stress scale of the ProQOL, and the subscales of the MBI were not predicted by number of sessions attended. Discussion: The ACT intervention was successfully implemented with psychiatry and psychology trainees at an academic medical center. There was some evidence of a dose-response effect, indicating that participants attending more intervention sessions experienced greater psychological benefits. Results of this study are limited by the small sample size and attrition in data collection. ACT may be an acceptable and useful intervention to decrease clinician burnout among psychiatry and psychology trainees.

50. Extending ACT’s Reach: Building Leadership for Community Improvement [1045]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Leadership Development
Larry Dumka, Ph.D., Arizona State University

To date, applications of ACT have focused on individual well-being and more recently, on couple and parent-child relationships.This poster presents how the ACT model is used to train university students to lead action research projects that improve community well-being. In the year long Community Action Research Experiences (CARE) program, students pitch and collaborate with a community human services organization, whose mission they are passionate about, to complete a project that increases that organization’s effectiveness. Students increase their psychological flexibility as they address the challenges of developing a proposal collaboratively, implementing their action research project, and impacting their community organization. Correspondingly, the community organizations increase their capacity to integrate evidence to improve their practices.This poster outlines how the CARE program works, how ACT is employed to transform students from consumers to citizens, and how results are evaluated.

51. Promoting emotional and cognitive health (PEACH) among African-Americans residing in Peoria, Arizona
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Emotional and cognitive health
Janina Krell-Roesch, Mayo Clinic, Scottsdale, Arizona
Yonas E. Geda, Mayo Clinic, Scottsdale, Arizona

Background: A growing body of literature indicates that in the absence of adaptive emotional self-regulation, the wear and tear of day-to-day stressors can make a person vulnerable to mental and neurocognitive disorders. We hypothesize that high levels of perceived daily stress coupled with a person’s implicit or explicit evaluation of an adverse event, can be modified by our PEACH (Promoting Emotional And Cognitive Health) intervention which is anchored upon ACT. Method: To test our hypothesis, we conducted a feasibility study involving 12 African-Americans from a church community in Peoria, Arizona that underwent 4 PEACH sessions and completed perceived stress scale (PSS), quality of life questionnaire (WHO-QOL), valued living questionnaire (VLQ-2) and cognitive measures before and after the intervention. Results and Discussion: Preliminary analyses show a significant difference between pre- and post-intervention for VLQ-2 and PSS indicating more favorable outcomes. The participants’ self-assessment revealed that post-intervention, the consistency of their actions directed towards personal values was higher and perceived stress levels were lower than at baseline.

52. Factor Analysis of the M-Tracker 5: Theoretical Significance for Mindfulness Research
Primary Topic: Theoretical and philosophical foundations
Subtopic: Mindfulness
Nicholas Borgogna M.A., RBT, Roosevelt University
Jonathan Smith Ph.D., Roosevelt University

Title: The Factor Structure of Relaxation and Mindfulness: Two States or One? Background: Mindfulness, (open monitoring meditation), is an increasingly popular form of self-regulation (Davidson, 2015). Many scholars and practitioners consider mindfulness as one of many relaxation tools (such as progressive muscle relaxation, autogenic training, tai-chi, yoga, and hypnosis). A debate has emerged as to whether such exercises evoke a single self-reported psychological state or several. Benson’s (1975) relaxation response model suggests that most approaches to relaxation and mindfulness evoke a single nonspecific state of low arousal, the “relaxation response.” If this is the case, different techniques should be interchangeable since they all reduce stress arousal. Smith (2001, 2005, 2011, 2016) has suggested that mindfulness is different from traditional relaxation exercises and that different approaches have different psychological effects. Little research has directly addressed this important question. Do mindfulness and relaxation exercises evoke a single self-reported psychological state or several? Corbeil (2015) conducted a factor analysis on the Smith Relaxation States Inventory 3 (SRSI-3), a comprehensive measure containing both items related to mindfulness and general relaxation. She found three factors: Basic Relaxation, Positive Energy, and Spirituality. Consistent with Benson’s model, she found a single relaxation factor, Basic Relaxation, defined by both relaxation items (physical relaxation) and mindfulness items (at ease/peace). However, Corbeil tested college students in class (not after practicing relaxation or mindfulness), severely limiting the generalizability of her findings. The purpose of the present study was to explore the factor structure of self-reported mindfulness and relaxation among actual practitioners of yoga relaxation and mindfulness. Method: Participants were recruited from various yoga, meditation, and mindfulness organizations in the Chicago area. Graduate research assistants attended group sessions where they administered the M-Tracker 5, an updated version of the SRSI-3 (Smith, 2016), to participants after a session (n=119). Participants also included college students from a large Midwestern university (n=115) who filled out the M-Tracker 5 at the beginning of various courses. These students did not engage in any mindfulness or relaxation related exercises. Results: We conducted an exploratory factor analysis using orthogonal varimax rotation. Five factors were initially observed; however, two items loaded on single factors. We deleted these items, and repeated the analyses. This yielded three factors with eigenvalues ≥ 1. For surviving items, communalities were all ≥ .484. Internal consistencies were r ≥ .844. Only items loading ≥ .530 on one factor were considered as defining factor items. Discussion: Consistent with Corbeil’s study, we found three factors, which we name: Mindful Relaxation, Spirituality, and Positive Emotion. Our Mindful Relaxation factor is consistent with Benson’s model of a generalized nonspecific relaxation state. We found such a state includes self-reported mental relaxation (“at ease,” “at peace”) and mindfulness (“focused,” “centered,”). However, in examining this factor it is clear that it is most heavily defined by mindfulness items, rather than items related to mental or physical relaxation. For this reason, we suggest the term “relaxation response” is misleading, as is Corbeil’s factor name, “Basic Relaxation.” If there is a generalized state evoked by both relaxation and mindfulness exercises, this state is defined primarily by our most highly loading items (loadings higher than .70). Perhaps as Smith has suggested (2016), mindfulness is the core of all self-reported relaxation. To elaborate, Smith has suggested, that one does not necessarily have to practice open monitoring mindfulness in order to experience “Mindful Relaxation.” Yoga, or any effective self-relaxation approach such as deep breathing, progressive muscle relaxation, or autogenics may cultivate easy mindful focus, which in turn may lead to psychological and physical relaxation.

53. A longitudinal study exploring the role of mindfulness and reflective functioning in the social nteractions between mothers and babies. [1046]
Primary Topic: Theoretical and philosophical foundations
Subtopic: Mindfulness
Judy Pickard, PhD candidate, University of Wollongong,
Brin Grenyer, PhD, University of Wollongong
Michelle Townsend, PhD, University of Wollongong
Peter Caputi, PhD, University of Wollongong

The importance of attachment history to developmental outcomes and its propensity to cross generations is well documented (Bowlby, 1982; Sroufe, Egeland, Carlson, & Collins, 2005a). This has generated much research interest in the factors that may influence attachment security continuity and, potential discontinuity. To this end, mindfulness and reflective functioning; the ability to make sense of one’s underlying mental state, has been identified as influential in the process (Fonagy & Target, 2005; Shaver, Lavy, Saron, & Mikulincer, 2007). The current study followed 36 mothers from the Illawarra Born Cross-generation health study during the prenatal and postnatal period. Measures relating to attachment style, mindfulness , emotional regulation and reflective functioning were completed at 30 weeks gestation and again at 7-10 weeks and six months postpartum. Video recorded feeding and teaching sessions were recorded respectively during the two post partum data collection points. The videos were coded using the NCAST Teaching and Feeding Scales (Summer & Spietz, 1994), exploring the social interaction between mother and baby. It is proposed that mothers who score higher on the measures of mindfulness and reflective functioning and lower in regards to difficulty in emotional dysregulation will exhibit higher levels of positive maternal/ infant social interaction and contingent responding, independent of their attachment history. A sequential mediation relationship between the variables is explored, suggesting an avenue for therapeutic intervention in the development of positive parenting and discontinuity from the influence of an insecure attachment history. Bowlby, J. (1982). Attachment: Attachment and Loss (2nd ed. Vol. 1). New York: Basic Books. Fonagy, P., & Target, M. (2005). Bridging the transmission gap: An end to an important mystery of attachment research? Attachment and Human Development, 7(3), 333-343. Retrieved from http://www.scopus.com/inward/record.url?eid=2-s2.0-27744441028&partnerID=40&md5=917097e48f5729922a91055ae9371f8e Shaver, P. R., Lavy, S., Saron, C. D., & Mikulincer, M. (2007). Social foundations of the capacity for mindfulness: An attachment perspective. Psychological Inquiry, 18(4), 264-271. Retrieved from http://www.scopus.com/inward/record.url?eid=2-s2.0-36349000584&partnerID=40&md5=4b68cd73509be8ba41c6155d5af2b120 Sroufe, L. A., Egeland, B., Carlson, E., & Collins, W. A. (2005a). The development of the person: The Minnesota study of risk and adaptation from birth to adulthood. New York: Guildford. Summer, G., & Spietz, A. (1994). NCAST Caregiver/Parent-Child Feeding Manual. Seattle: NCAST Publications.

54. Self-Compassion Versus Self-Esteem as Predictors of Resilience and Well-Being [1047]
Primary Topic: Theoretical and philosophical foundations
Subtopic: Self-Compassion
Kimberley Schulz, MA, Alliant International University
Jill Stoddard, PhD, Alliant International University

Background: A concept only recently considered within the literature, self-compassion involves three core components that are demonstrated during times of suffering or failure: a) self kindness and understanding, b) seeing and accepting one’s own suffering as being a part of the larger human condition, and c) adopting a stance of nonjudgmental awareness toward one’s own pain without over-identification (Neff, 2003b; Neff & Tirch, 2013). Research suggests that self-compassion is an emotionally positive attitude toward the self that enhances mental health factors, life satisfaction, optimism, and overall health and well-being (Barnard & Curry, 2011; Neff, 2003b; Raes, 2010). Despite praise for the protective nature of self-compassion, emotional resilience (a well-researched construct) has yet to be directly examined within self-compassion research. There is therefore a need to inquire more thoroughly into the protective potential of self-compassion and to understand how such protection may differ from what is offered through other psychological constructs such as self-esteem, which differs in its protective functions and stability, as well as how it may enhance these factors. This project aimed to identify differences in the relationships between self-compassion, self-esteem, and various factors associated with mental health. It predicted self-compassion to be a more powerful predictor of resilience, positive affect, psychological flexibility, and life satisfaction than self-esteem. Method: Anonymous participants were administered electronic assessments that contained the Self-Compassion Scale (SCS; Neff, 2003a), Rosenberg Self-Esteem Scale (RSE; Rosenberg, 1979), and Connor Davidson Resilience Scale (CD-RISC 10; Campbell-Sills, Forde, & Stein, 2009), in addition to scales measuring other constructs associated with mental health, including positive affect, psychological flexibility, and satisfaction with life. Statistical results were analyzed to determine if positive and negative correlations existed between the SCS, RSE, and other measures, and if differences in the relationships between self-compassion, self-esteem, and various factors associated psychological well-being were indicated. Results: Based on the general adult sample (n=139), findings indicated those more likely to be resilient express more self-compassionate attitudes; participants who respond in a more self-compassionate way to stressors also scored significantly higher on self-reported resilience. As well, there was a significant inverse relationship between self-compassion and self-esteem, indicating that those possessing more self-esteem are less self-compassionate, and vice-versa (supporting previous research). An inverse relationship between self-esteem and resilience was indicated; participants possessing higher levels of self-esteem scored lower on self-reported resilience. Lastly, correlations with psychological flexibility indicated decreases in relation to higher levels of self-compassion and resilience, but increases in relation to higher self-esteem. Preliminary analysis suggest self-compassion to be a stronger predictor than self-esteem of resilience. Discussion: In directly studying the link between resilience and self-compassion, specifically in how this relationship differs from that with self-esteem, this study further clarifies self-compassion’s benefits and protective functions. A more precise understanding of the construct can aid in more effective utilization within mental health treatment.

55. Meaning in Life, Psychological Flexibility, and Valued Living: Birds of a Feather? [1048]
Primary Topic: Theoretical and philosophical foundations
Subtopic: Psychological Flexibility
Mathew A. Tkachuck, M.A., University of Mississippi
Lauren N. Weathers, M.A., University of Mississippi
I. Andrea Florez, M.A., University of Mississippi
Stefan. E. Schulenberg , Ph.D., University of Mississippi

Background: While theoretically, meaning and life and values appear closely related, scientifically, they are conceptualized differently and have been studied as separate constructs. One important area of research related to valued living includes psychological flexibility, or the ability to achieve one’s goals and values in the face of aversive psychological events. However, there is a paucity of research investigating psychological flexibility and meaning in life more directly. The current study investigated the relationship between psychological flexibility and both the presence of meaning and the search for meaning in relation to a new validated measure of valued living, the valuing questionnaire (VQ). Methods: Questionnaires were administered to undergraduate college students, including the acceptance and action questionnaire (AAQ), the VQ and the meaning in life questionnaire (MLQ). Results: Two hierarchical regression analyses were conducted for each of the meaning in life subscales (i.e., presence [n = 408] and search [n = 412] were the dependent variables) entering the AAQ in step one and both VQ subscales simultaneously in step two. Results suggest that psychological flexibility was a statistically significant predictor of both the presence of meaning in life even after (β = -0.13, p < .001) adding valued living to the model. When controlling for psychological flexibility, progress in valued living was found to be a statistically significant predictor of the presence of meaning (β = 0.58, p < .001), while obstruction of valued living had no significant effect (β = -0.02, p = .742). Over psychological flexibility, valued living accounted for an additional 23.5% of the variance of perceived meaning in life, a statistically significant difference (F = 80.117, p < .001). In relation to the search for meaning, psychological flexibility was also found to be a statistically significant predictor of the search for meaning even after (β = 0.11, p = .008) adding valued living to the model. When controlling for psychological flexibility, only obstruction of valued living was found to be a statistically significant predictor of search for meaning (β = 0.27, p < .001). Over psychological flexibility, valued living accounted for only 2.9% of additional variance in the search for meaning, a statistically significant difference (F = 6.489, p = .002). Discussion: Findings related to perceived meaning in life were as expected; more psychological flexibility and valued living lead to an increase in how meaningful one perceives their lives to be. However, search for meaning appears to be strongly related to both psychological inflexibility and obstruction of valued living, but not related to the enactment of values. In other words, searching for meaning is viewed as a barrier to valued living. Furthermore, the significant added effect of the VQ obstruction to the AAQ suggests that there are differences in these constructs in relation to search for meaning.

56. Reuniting RFT and therapy: Implications of theory within practice
Primary Topic: Theoretical and philosophical foundations
Subtopic: RFT, ACT, Middle level Terms
Andrew Ahrendt, M.A., University of Nevada, Reno
Fredrick Chin, M.S., University of Nevada, Reno
Amanda Munoz, M.S., University of Nevada, Reno

Background Within the contextual behavioral model, there is an emphasis on using middle-level terms that are supported and explained by basic functional processes. These terms enable mental health providers across psychotherapeutic approaches to effectively treat clients without having extensive knowledge of theoretical assumptions. As such middle level terms may provide a key role in the dissemination of empirically supported treatments. Methods/Results Authors evaluated the extant research connecting ACT processes to the underlying theoretical model. More specifically, researchers examined hexaflex processes and their level of fit between research, theory and practice. Based on the gaps that exist between middle level terms and basic functional processes, authors discuss the implications of this discrepancy, and provide specific empirically supported recommendations for future research aimed at clarifying the connection between basic and applied principles. Discussion Scientists need to be grounded to basic theory in order to ensure that their account remains consistent and coherent at all levels of analysis. Such coherence allows fluid movement between basic and applied science. While middle-level terms offer utility to practitioners, the inappropriate use may affect the efficiency and effectiveness of the treatment. Though efforts have been made to better connect ACT mid-level processes with basic science, we believe that future research can be done to strengthen the connection between the transformation of functional relationships and the verbal processes that are present within applied settings. Avenues to pursue this research line include specific preparations utilizing IRAP, delayed discounting paradigms, and other conditional discrimination tasks.

57. The relationship between childhood emotional neglect and emotional non-acceptance in adulthood: Evidence for experiential avoidance [1049]
Primary Topic: Theoretical and philosophical foundations
Subtopic: Experiential avoidance
Meaghan Lewis, M.S., Western Michigan University
Amy Naugle, Ph.D., Western Michigan University
Summer Chahin, Western Michigan University
Elise Trim, B.S., Battle Creek Veterans Affairs Medical Center

Contextual behavioral scientists are increasingly interested in emotional non-acceptance and the factors that contribute to its development. Emotional neglect is linked with a series of harmful consequences in adulthood such as depression and posttraumatic stress disorder (Valdez, Bailey, Santuzzi, & Lilly, 2014). While emotional neglect is associated with alexithymia (Aust, Härtwig, Heuser, & Bajbouj, 2013), few studies report information on the relationship between emotional neglect and general emotional non-acceptance. Experiential avoidance is one proposed paradigm for understanding functional classes of behavior that operate to escape or avoid emotion. Conceptually, individuals who experience emotional neglect in childhood may lack effective skills repertoires in effectively managing emotions such that they overemploy experiential avoidance. Overuse of experiential avoidance may take the form of harmful behaviors. The present study aimed to further elucidate the relationship between emotional neglect and non-acceptance of emotions through an experiential avoidance framework. It was hypothesized that experiential avoidance would mediate the effect of emotional neglect on non-acceptance of emotions. A sample of undergraduate students at a Midwestern university (N = 226) completed self-report measures using an anonymous survey regarding experiential avoidance, emotion dysregulation, childhood trauma history, and engagement in problem behaviors. Multiple regression analyses indicated that experiential avoidance predicted non-acceptance of emotions above and beyond emotional neglect in childhood. Experiential avoidance was also predictive of deliberate self-harm and restrictive eating beyond emotional neglect. A single mediation model was evaluated using non-parametric bootstrapping in Process software by Hayes (2013), revealing a partial mediating effect of experiential avoidance on the relationship between emotional neglect and non-acceptance of emotions. Early childhood repertoires in the development of workable emotion regulation strategies may play an important role in preventing emotional non-acceptance. Preventing harmful consequences of pervasive experiential avoidance will be discussed using an acceptance-based therapy framework.

58. The Role of Executive Attention in the Relationship between Mindfulness and Emotion Regulation. [1050]
Primary Topic: Theoretical and philosophical foundations
Subtopic: Mindfulness
Lindsey R. Wallace, M.A., Hofstra University

The mechanism through which mindfulness works to engender effects on cognitive and emotional outcomes is an unresolved question in the literature. The present study seeks to understand if attention mediates the relationship between mindfulness skills and improvements in emotional regulation. The Attention Network Test (ANT) was modified to examine attention network responses to both non-word cues and negative, positive, and neutral word cues. The “ANT-E” was modeled off of the Ainsworth, Eddershaw, Meron, Baldwin, and Garner (2013) paper. The task differs in that it includes positive word cues and the words were chosen based on arousal and valence from norming data. Participants completed the Five-Facet Mindfulness Questionnaire (FFMQ), the Difficulties in Emotion Regulation Scale (DERS), and the emotional variant of the ANT. Proposed results are that mindfulness scores will be inversely correlated with emotion dysregulation, and mindfulness will be positively correlated with executive control in the ANT-E. Expectations are that participants with stronger emotion dysregulation will have lower scores on executive attention for positive and negative cue words, but not for neutral cue words. Predictions are that executive function scores will mediate the relationship between mindfulness and emotion regulation. Results might suggest that mindfulness targets deficits in executive attention that are implicated in problems with emotion regulation. This study is novel in that it includes positive word cues. If results are as expected, it would lend support for the idea that individuals with emotion dysregulation have deficits in disengaging their attention from emotionally salient stimuli, regardless of their valence.

59. The Utility of Self-Compassion for Experiences of Ostracism: A Proposed Model [1051]
Primary Topic: Theoretical and philosophical foundations
Subtopic: Self-Compassion; Ostracism
Russell Anderson, M.S., University of Denver

Ostracism is a ubiquitous social phenomenon that has debilitating consequences, such as heightened aggression, decreased self-regulation, and suppressed immune and cardiovascular functioning (Wölfer & Scheithauer, 2013). Research suggests that self-esteem (SE) moderates the detrimental effects of ostracism, including poor health and risk behaviors. Interestingly, however, individuals with high SE have been shown to experience more stress on high rejection days compared to individuals with low SE (Ford & Collins, 2013). These results may suggest that individuals with high SE expect good outcomes and feel deserving of these outcomes; and ostracism, an unexpected contingency, results in increased stress. Perhaps, self-compassion, a related but different construct, offers a more functional alleviation to the effects of ostracism without the potential negative side effects of high SE. While self-esteem typically entails a comparison of one's self to another, self-compassion can be fostered independently of others through mindfulness in times of suffering, awareness of common humanity, and self-kindness (Neff, 2003). While self-compassion and ostracism have been researched extensively and independently, the extant literature on the relationship between self-compassion and ostracism is lacking. The purpose of this project is to examine the independent literature regarding these two constructs and propose a model for the relationship between self-compassion and ostracism. One prominent model of rejection reactions suggests that responses occur in five successive stages: immediate response (e.g., negative affect, lowered self-worth), construal (e.g., perceived unfairness), motivated response (e.g., prosocial response; withdrawal), achievement of restoration of sense of acceptance, and mental and physical health outcomes (Smart Richman & Leary, 2009). This author proposes that self-compassion moderates the relationship between the event that connotes rejection and the initial reaction stage of immediate response, thus transforming the succession of reactions following rejection. The functions of this mechanism are detailed in this paper from a synthesis of existing literature in self-compassion and ostracism research, elaborating on all three facets of self-compassion as they relate to coping with experiences of ostracism. While this conceptual project may propose a sound theoretical model, experimental studies need to be constructed to empirically test the relationship between self-compassion and ostracism. This task can be accomplished through experimental designs that include simple self-compassion interventions preceding and/or following ostracism manipulations, using established paradigms such as Cyberball (Williams & Jarvis, 2006). If this proposed model is supported by empirical research, then self-compassion interventions specific to ostracism can be justifiably formulated for dissemination to clinicians.

60. Experiential avoidance predicts impulse control difficulties in adulthood beyond childhood physical abuse
Primary Topic: Theoretical and philosophical foundations
Subtopic: Experiential avoidance
Meaghan Lewis, M.S., Western Michigan University
Dana Goetz, B.S., Western Michigan University
Amy Naugle, Ph.D., Western Michigan University
Elise Trim, B.S., Battle Creek Veterans Affairs Medical Center
Summer Chahin, Western Michigan University

Traumatic events experienced during childhood appear to be important distal risk factors in predicting deleterious outcomes in adulthood (Hovens et al., 2015). In particular, childhood trauma exposure is associated with harmful consequences such as risky sexual behavior, alcohol use, and psychological distress in adulthood (Min, Farkes, Minnes, & Singer, 2007; Walsh, Latzman, & Latzman, 2014). Yet the mechanisms by which childhood trauma exposure relates to adverse adulthood experiences are not well understood. From a behavior analytic perspective, difficulties regulating emotions with a negative valence in particular may be linked with a reinforcement history of avoiding said emotions. Indeed, there is emerging evidence to suggest experiential avoidance plays a critical role in maintaining a number of problem behaviors regardless of form (Kingston, Clarke & Remington, 2010). The present study collected data from a sample of primarily young adult undergraduate students at a Midwestern University. Data were collected in the form of an anonymous online survey regarding childhood trauma experiences, experiential avoidance strategies, and difficulties in emotion regulation. It was hypothesized that individuals with a history of childhood trauma may experience difficulties regulating emotions later in life. Difficulties regulating emotions was hypothesized to be maintained through an overreliance on experiential avoidance. At the bivariate level, experiential avoidance was strongly associated with both childhood trauma history and impulse control difficulties. Hierarchical linear regression analyses indicated that experiential avoidance predicated impulse control difficulties over and above a history of childhood physical abuse. Survivors of childhood physical abuse may be at particular risk for impulse control difficulties which may serve an experiential avoidance function. Implications for understanding this trajectory are discussed within a contextual behavioral framework.

61. A Comparison between Islamic Spiritual Therapy (IPS) and Acceptance Commitment Therapy (ACT)
Primary Topic: Theoretical and philosophical foundations
Subtopic: Comparision Islam and ACT
Associate Professor Dr Tahereh Seghatoleslam, University of Malaya/ Shahid Beheshti university of Medical Sciences tehran Iran
Professor Hussain Habil, Universitof Mahsa Malaysia

This study has clarified the differences and similarities between ISP and ACT from an Islamic point of view. It showed that there are a lot of similarities and a few differences in ISP and ACT principles. However, in Islam, everything is related to Allah, and it is said that everything is done in the name Allah; therefore, the Holy Quran emphasises on some actions that are mentioned as “Wajib”, which means they are compulsory, and stresses on the importance of avoiding any unacceptable Islamic behaviour which is a cardinal sin in the Holy Quran. Whereas in ACT, cognitive avoidance is not encouraged. In Islam, there are five prayer times that are “Wajib” (Compulsory) for all Muslims. It is similar to mindfulness in ACT that is the cause of consciousness. The Holy Quran orders that you have to be conscious and be responsible for all of your actions and behaviour to yourself and to other people. Otherwise, you are committing Haram. “Haram” is a religious word that is opposite of Wajeb, which means “compulsory to be avoided”. In the Islamic point of view, it is also recommended that the values play an important role in both personal and social life. These values developed the framework of a cognitive life. Regarding the time as mentioned by ACT, the moment is one of the principles that was proposed by Steven Hays. Moreover, Islam mentions that you should always be aware of the future and think of life in the next world. It is also mentioned that if you care about life in the other world, your future will be blessed by Allah. These dimensions are considered completely in the original paper.

62. Problems with psychological testing for the behavior analyst: Issues of philosophical dissensions beyond semantics
Primary Topic: Theoretical and philosophical foundations
Subtopic: traditional psychological assessment
Lindsey Gagnon, Psy.D., private practice
Ragnar Storaasli, Ph.D., University of Denver

Traditional psychological testing is arguably the gold standard for clinical assessment and diagnosis in most areas of contemporary psychology. Consequently, the ability to competently administer and/or interpret tests impacts marketability for independent clinicians and agencies, particularly as pressure increases to offer outcome informed evidence based practice hinged on a diagnostic system. For the behavior analyst, however, traditional psychological assessment is at odds with the philosophical and theoretical foundations of contextual behavioral science and according therapeutic applications. Such odds are not just semantics that can be accommodated with choice of terminology, but rather begin at the level of worldview. Differences in worldview between behavior analysis and mainstream contemporary psychology are discussed with emphasis on major distinctions in relation to language, causality, and science plans, and how these distinctions directly apply to psychological assessment. The paper concludes with a discussion about how the behavioral analyst can approach testing given some fundamental philosophical dissensions that cannot be modified or translated via semantic changes.

Thursday, June 16, 8:00-9:00pm - Poster Session #2

1. Trauma and Somatic Symptoms: Psychological Flexibility as a Mediator [1052]
Primary Topic: Behavioral medicine
Subtopic: Adolescents
Anne I. Roche, B.S., University of Iowa
Emily B. Kroska, M.A., University of Iowa
Michael W. O'Hara, Ph.D., University of Iowa
Rosaura Orengo-Aguayo, M.A., University of Iowa

Background: Students who attend alternative high schools are at increased risk for a variety of adverse experiences, including having been victims of physical or sexual abuse (Lehr et al, 2009). Studies have consistently shown a relationship between a history of childhood traumatic events such as physical, sexual, and verbal abuse and various types of chronic pain (Goldberg & Goldstein, 2000). These relationships have been examined in patients with pelvic pain, lower back pain, fibromyalgia, facial pain, migraines, and gastrointestinal disorders (Goldberg and Goldstein, 2000). While previous research has examined these associations within the context of pain conditions, little research has focused on somatic symptoms that do not rise to the level of a diagnosable condition. Importantly, studies have indicated that engaging in pain acceptance rather than avoidance strategies results in better outcomes for chronic pain patients (McCracken et al, 2003). Pain acceptance is emphasized in Acceptance and Commitment Therapy (ACT), which has strong empirical support for the treatment of chronic pain. Research on the association between trauma and pain has not been examined in the context of psychological flexibility, which is the ability to engage in values-based behavior in the presence of difficult internal experiences. The current study seeks to understand the mechanism by which trauma leads to increased somatic symptoms (including pain) in the context of the ACT model. Method: The present study examined the mediating roles of avoidance and mindfulness in the relationship between traumatic experiences and somatic symptoms in a group of at-risk adolescents enrolled in an alternative high school in the Midwest (N=51). The sample was 60% female and 40% male, and students were 16.29 years old (SD=1.01) on average. Measures included the Early Trauma Inventory, Acceptance and Fusion Questionnaire-Youth, the Child Acceptance and Mindfulness Measure-10, and the Patient Health Questionnaire—Somatic Symptom Severity scale (PHQ-SSS). The mean number of traumatic experiences reported in this sample was nearly three times the average reported by healthy adults in the study validating this measure (M = 9.61; Bremner et al., 2007). Results: Mediation analyses were conducted in SPSS, version 23, using the PROCESS macro (Hayes, 2013). All direct pathways were significant (ps < .05). We tested the significance of the indirect effects using bootstrapping. The mediation analyses showed significant indirect effects through both avoidance (CI: 0.0019-0.2650) and mindfulness (CI: 0.0289-0.2953) in the association between traumatic events and somatic symptoms. The models accounted for a substantial amount of the variance in somatic symptoms: mindfulness and trauma (r2 = .4896), avoidance and trauma (r2 = 0.486). Discussion: The results indicate that avoidance and mindfulness significantly mediate the association between traumatic events and somatic symptoms. The findings underscore the importance of psychological flexibility as a point for intervention in the established association between trauma and physical symptoms. Furthermore, the current analyses provide support for the use of ACT as a prevention tool in traumatized or at-risk populations. Interventions aimed at decreasing avoidance and increasing mindfulness are of critical importance in improving outcomes.

2. From values identification to committed action in persons with chronic illness: Where does the rubber meet the road?
Primary Topic: Behavioral medicine
Subtopic: Chronic Illness
Abbie Beacham, Ph.D., Xavier University
Jennifer K. Altman, M.A., University of Louisville
Meghan Jones, B.A., Xavier University
Matthew Maley, M.A., Xavier University

Background: Values clarification can illuminate a path toward valued living. This process becomes motivational as the discrepancy between values and behaviors becomes apparent. Various modalities of values assessment have been applied in different populations and settings. Although identification of importance of valued domains and corresponding behaviors is necessary, it may not be sufficient to prompt action. We hypothesized that the Importance-Satisfaction discrepancy would be predictive of actions in valued domains. Method: We surveyed online Chronic Illness (CI) support group members between ages 20-84 (N=399; Mage=53.05, SD=12.49). Participants were primarily married/partnered (62.5%), Caucasian (90.7%), female (80.9%), well educated (Myrs=15.48, SD=2.57) and had an average of 2.34 CIs. The Valued Directions worksheet (Eifert & Forsyth, 2005) was adapted to assess ten domains: Family, Intimate Relationships, Parenting, Friends/Social, Work/Career, Education/Training, Recreation, Spirituality, Citizenship and Health/Physical. Participants rated (1=Not at all to 10=Very) “How important is this area to you?” and in areas regarded as important, “Overall, how satisfied are you with the quality and depth of your experience in this aspect of your life?” Followed by, “How often have you done something to move you forward in this area during the last week?” For each of the domains, an Importance-Satisfaction deviation score (I-SDiff) was calculated and predictors of actions specific to each domain were assessed. Those who rated Importance >=7 were selected for analyses. IVs entered into regression models were: I-SDiff, #CIs, Perceived Illness Disability, Mindfulness, Positive and Negative Affect, Experiential Avoidance and CI Acceptance (Activity Engagement and Willingness). Results: The primary focus of this study was to assess predictors of action in the Health/Self-care domain. However, domain specific I-SDiff scores were significant in each of the ten domains (Betas = -.320 to -.728, all p’s <.001). CI Acceptance - Activities Engagement predicted Action in 8 of 10 domains (Betas = .144 to .234, all p’s<.05). Models accounted for .239 to .629 of the total variance. Discussion: Notably, none of the other IVs in the models were significant. Counter to our a priori predictions, Mindfulness, Experiential Avoidance and Affect all failed to predict actions. Contradictory to previous findings, perceived illness disability failed to predict Action. Results underscore the need to assess not only the importance of patients’ valued domains, but the extent of the disparity with satisfaction in them.

3. Navy's First Functional Restoration Pain Program: Improving Readiness, Restoring Function, and Relieving Pain.
Primary Topic: Behavioral medicine
Subtopic: Biospsychosocial Chronic Pain Treatments
Kathleen A. McChesney, Psy.D., Naval Medical Center San Diego
M. Schumacher, Naval Medical Center San Diego
Steven Hanling, M.D., Naval Medical Center San Diego
Tara Sheridan, M.D., Naval Medical Center San Diego
Parisa Navahandi, Naval Medical Center San Diego
Sheila Medina-Torne, Naval Medical Center San Diego

A multimodal, interdisciplinary functional restoration pain program (FRPP) is a cost-effective way to reduce chronic musculoskeletal pain and to promote a speedier return to full active duty in some military personnel. Chronic pain is a significant issue in the military because of the associated escalating health care and disability costs as well as loss of productivity and income. Authors conducted this study to test the efficacy of the FRPP for increasing patients' physical and mental coping strategies and to encourage patient independence from medical treatment resources through the promotion of self-efficacy, independent & patient-driven active modes of self-care, acceptance, and enhanced resiliency with flexible functionality. The FRPP consists of five half days per week for 8 weeks and combines optimization of psychoeducation on the biopsychosocial model of health, medication management, utilization of psychological interventions including ACT, CBT, Motivational Interviewing, Mindfulness, Mind Body Medicine, provision of complementary alternative medicine modalities, nutrition, sleep care, and quantitatively directed progressive exercise rehabilitation. All the patients were diagnosed with musculoskeletal disorders with pain duration > 3 months and have not responded well to treatments such as high dose medication and other standard interventions. Outcome measures used include Pain Catastrophizing Scale, Chronic Pain Acceptance Questionnaire, and the NIH Patient-Reported Outcomes Measurement Information System measures of pain interference, physical function, fatigue, sleep-related impairment, depression, anxiety, anger, and social satisfaction. All patient data—pre and post FRPP—were collected using the Pain Assessment Screening Tool and Outcomes Registry (PASTOR), a tool that produces a comprehensive 3-page clinician report of a patient's chronic pain. PASTOR portrays the data in a longitudinal manner that improves clinic efficiency and allows patient and providers to easily see areas of improvement. Their pilot study found that 73% of the 22 active duty members included in the study were cleared for full duty upon completing the 8-week long program, enabling formerly limited service members to return to active duty status, retain their careers, and reduce healthcare and disability costs. This interdisciplinary education program teaches military service members and families to take a proactive self-regulation approach in managing their pain, in order to regain a sense of internal empowerment and commitment toward meaningful & value-based actions. Authoritative organizations and expert panels worldwide promote an active, as opposed to passive, approach to rehabilitation. This, in turn, creates a focus on restoration through education, exercise, pain-coping and pacing skills, and the use of stress-management techniques. While there may not be a cure for chronic pain, it is believed many people are able to regain a better quality of life, improve mood, anxiety, and experiential avoidance, and gain flexibility, strength, and endurance through this program. This study was funded by an award from the Congressionally Directed Medical Research Program.

4. Clinical utility and characteristics of the Chronic Illness Acceptance Questionnaire-Short Form
Primary Topic: Behavioral medicine
Subtopic: Primary Care
Abbie O. Beacham, PhD, Xavier University
John Forrette, M.A., Xavier University
Chava Urecki, M.A., Xavier University
Desiree Green, M.A., Xavier University
Mike Bruner, M.A., Xavier University

Background: Chronic illnesses (CI) and health conditions are among the most frequently diagnosed illnesses and costly in health care. In real world settings, patients seek “simultaneous” medical care for multiple co-morbid CIs and related symptoms (Grumbach, 2003; Starfield et al, 2003). We previously adapted a measure of Acceptance effectively utilized in chronic pain populations (Chronic Pain Acceptance Questionnaire; CPAQ; McCracken, Vowles, & Eccleston, 2004) for use with patients with heterogeneous CI diagnoses to create the Chronic Illness Acceptance Questionnaire (CIAQ; Beacham et al., 2015). The 20-item CIAQ replicated the CPAQ two factor structure - Activity Engagement (AE) and Willingness (W) - with adequate-to-good fit to the data. The AE factor reflects a commitment to engaging in valued activities even in the face of illness related symptoms and the W factor constitutes a willingness to experience sometimes painful or aversive symptoms if it means being able to participate in valued life activities (McCracken, 2010). Although there is high utility for this measure in a variety of medical populations and settings, there remains a need to have similar, but more brief, valid and reliable assessment instruments. Given that the majority of CIs are managed in primary care settings where behavioral healthcare consults and appointments are allotted 15-30 mins, brief measures of this nature are even more vital. The purpose of this study is to evaluate preliminary data and utility of a CIAQ-Short Form (CIAQ-SF). Method: In accordance with the development of the CPAQ-8 (Fish et al, 2010), we selected a total of 8 items from the CIAQ with the strongest factor loadings (4 per factor) as follows: AE .77 to .82 and W .58 to .75. Data collected from online (CI) support group sample participants (Ppts; N = 397) were analyzed. Ppts ranged in age from 20-84 years [Mean age = 53.18 (12.39)] and were diagnosed with 1-7 (M = 2.36; SD = 1.39) CIs. Items for the AE and W subscales were summed and had moderate-to-high Internal Consistencies (Alphas = .887, .679, respectively). Results: CIAQ- SF scores were strongly correlated with CIAQ long form scores (r’s = .888 - .922, p’s < .001). Consistent with previous results with the CIAQ long form, the CIAQ-SF subscale scores were associated with other measures of psychological flexibility and affect. Both the AE and W subscales were positively associated with Mindfulness and Positive Affect (r’s = .193 to .589) and inversely associated with Experiential Avoidance and Negative Affect (r’s = -.163 to -.507). Regression analyses (Method=Enter) again replicated previous findings. With all measures of psychological flexibility, affect and # CIs entered, 43.2% of variance was accounted for by the model [F (7, 277) = 31.885, p<.001]. Perceived Illness-Related Disability (DV), a “proxy” for functional outcomes in medical populations, was predicted by # of CIs (Beta= .188, p<.001), CIAQ-SF- AE (Beta = -.518, p<.001) and CIAQ-SF-W (Beta = -.166, p=.001). Discussion: These preliminary analyses of existing data suggest that the CIAQ-SF would perform adequately and similarly to the longer version. Although additional data collection and analyses are necessary, this brief CI Acceptance measure offers considerable utility in a variety of health care settings especially fast-paced primary care settings.

5. Valued Action in Breast Cancer survivors: What predicts Action in highly valued life domains?
Primary Topic: Behavioral medicine
Subtopic: ACT Assessment
Abbie O. Beacham, PhD, Xavier University
Stefanie Schmidbauer, M.A., Xavier University
David Downing, B.A., Xavier University
Stacy Lorenz, M.A., Xavier University

Background: Cancer diagnosis and survivorship can enhance potential for positive psychosocial and health behavior change (Andrykowski et al., 2006). Values consistent behavior change in cancer patients and survivors has been conceptualized as a response to an extraordinary opportunity for ‘growth’ and ‘benefit-finding’ (Antoni et al., 2001; Kissane et al., 2003; Stanton et al., 2002). Accordingly, in clinical application, the identification of one’s values can lay a sound foundation for movement toward increased satisfaction and function in valued life domains. Although identification of importance of valued domains and corresponding behaviors is necessary, it may not be sufficient to understand what facilitates action. We hypothesized that the Importance-Satisfaction discrepancy would be predictive of actions in highly valued domains in a sample of breast cancer survivors. Method: We surveyed online breast cancer (BrCA) support group members between ages 20-79 (N=286; Mage=55.01, SD=10.26). Participants were primarily Caucasian (87.8%), well educated (Myrs=15.45, SD=2.62) and 88.1% diagnosed with stage 0-II breast cancer. The Valued Directions worksheet (Eifert & Forsyth, 2005) was adapted to assess ten domains: Family, Intimate Relationships, Parenting, Friends/Social, Work/Career, Education/Training, Recreation, Spirituality, Citizenship and Health/Physical. Participants rated (1=Not at all to 10=Very) “How important is this area to you?” and in areas regarded as important, “Overall, how satisfied are you with the quality and depth of your experience in this aspect of your life?” Followed by, “How often have you done something to move you forward in this area during the last week?” Those in the sample who rated Importance >=7 in respective life domains were selected for each of the regression analyses. For each of the domains, an Importance-Satisfaction deviation score (I-SDiff) was calculated and predictors of actions specific to each domain were assessed. IVs entered into regression models were: age, education, Mindfulness, Positive and Negative Affect, Experiential Avoidance and Chronic Illness Acceptance (Activity Engagement and Willingness) and I-SDiff score for the corresponding life domain. Results: Notably, the primary focus of this study was to assess predictors of action in the Health/Self-care domain in a “medical” population. However, domain specific I-SDiff scores were significant predictors of Action in 9 of 10 domains (Betas = -.360 to -.666, all p’s <.001). Surprisingly, and counter to our a priori predictions and findings in other samples, none of the other IVs were significant with the exception of positive affect which predicted Action in 4 of 10 domains (Betas = .220 to .423, all p’s<.05). Models accounted for .259 to .441 of the total variance. We examined predictors of in the Health/Self-care domain more closely. Given that The I-SDiff score predicted Action (Beta = -.570) all other IVs were assessed as predictors of I-SDiff scores. Of these, Acceptance: Activity Engagement (Beta = -.300, p = .029) and Experiential Avoidance (Beta= .332, p = .034) predicted I-SDiff scores. Discussion: Taken together, results underscore the need to assess not only the importance of patients’ valued living domains, but the extent of the disparity between importance and satisfaction within them. Preliminary results also suggest that it may be useful to assess core ACT processes as they relate to the importance-satisfaction disparities. Certainly, in medical populations, there is merit to doing so especially in the area of health and self-care as those are germane to survivorship quality of life (Andrykowski et al, 2006).

6. Building Prosocial communities in Sierra Leone
Primary Topic: Clinical Interventions and Interests
Subtopic: Developing nations, prosocial, ACT, PTSD
Edmond Brandon, commit and act
Tien Mandell, commit and act, University of Glasgow

Sierra Leone is a land of powerful mixtures. scarred by a history of deprivation and conflict, the people value peace and resilience, living in a land of majestic mountains, lush greenery and many beautiful beaches. it is now faced with many challenges, such as teenage pregnancy, exploitation, violence against girls, female genital mutilation, ebola and many socio-economic problems. our charity, commit and act, has supported people through many of these problems. in our girl shelter, we provide individual and group counseling session for victims, parents, and caregivers. helping to heal the bodies inside and out with prosocial behavior change, food for daily sustenance, dignity kits, educational opportunities, medical support, legal support, support the caregiver, recreational facilities and follow-up visitations. commit and act centre practice prosocial and act in our meetings, trainings and workshops to change behavior. we have helped people to create rich, full and meaningful lives, whilst accepting that life inevitably brings pain. we use act mindfulness exercises to help handle painful thoughts and feelings, and the matrix to support them in taking valued directions to achieve the goals that really matter. in the recent fight against Ebola, we trained teachers that have gone into the communities to help to break the chain of transmission of Ebola in the Bo district with cultural-specific behavioral changes.

7. A Research Proposal: Self-Compassion as the Antidote for Shame in Transgender Adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: Transgender
Emily Ball, Gonzaga University

“Owning our story and loving ourselves through that process is the bravest thing that we will ever do.” (Brown, 2010) Background: Why is owning our story such a hard thing to do? Many would argue that it is difficult because “owning our story” means acknowledging and accepting our imperfections. Our imperfections are integral to our identity as human beings, yet as a human race we condemn the imperfections both that others display and that we display within ourselves. One population that is frequently condemned is the transgender population. Transgender individuals are often seen as sick, freakish, and threatening. These stigmas thrusted upon the transgender population often then become internalized by the transgender individual him/herself which leads to staggering rates of depression, anxiety, and suicide. This research examines one component of this internalized stigma—shame—and proposes a quantitative way of measuring shame and the reduction of shame via self-compassion therapeutic intervention. While the research has not yet been conducted, as I am only a first year graduate student, this proposal lays the groundwork for how professionals in the field of mental health may better reach their transgender clients. Hypothesis: Shame levels will decrease in transgender adolescents as self-compassion levels increase within transgender adolescents through self-compassionate therapeutic intervention. Method: Subjects - The subjects participating in this study will be from a nonrandom, purposive sample. Subjects will be 30 self-identifying transgender adolescents. For this study, adolescent is defined as a person aging from 13-17. Subjects will be individuals who are seeking out therapy due to some aspect of their status as a transgender person. Subjects will be fully informed of the process and assured that their identities will be kept anonymous. Subjects will also be assured that the resulting research will be a by-product of their therapy and that they may withdraw their information for research purposes at any time. Instruments - The instruments used in this study will be the Shame Inventory (Rizvi, 2010) and the Self-Compassion Scale (Neff, 2015).The Shame Inventory (Rizvi, 2010) is a self-report measure designed to assess an individual’s experience of shame both globally and in response to specific life events. The inventory has two parts. Part I examines general experiences of shame on a 5-point Likert scale, such as the frequency, intensity, and negative effects of shame. Part II looks at 50 potential shame cues. Subjects are asked to rate each cue on a 0–4 scale to indicate the intensity of their current levels of shame about that event or characteristic, or to indicate if they have never experienced the event/ behavior/characteristic. The total score is the average rating on selected items and ranges from 0 to 4, with 4 indicating higher degrees of shame. The Self-Compassion Scale is also a self-report inventory comprised of 26 questions about the participant’s typical behavior. The subjects rank how often they do or do not experience the specific behavior referenced rating from 1 (almost never) to 5 (almost always). Lower scores indicate lower levels of self-compassion, while higher scores indicate higher levels of self-compassion. Overall score is then averaged and coded accordingly. Design - The research design will be an experimental pre-test/post-test design using self-report inventories to measure the variables. The dependent variable studied will be shame and the independent variable studied will be self-compassion. Subjects will be given the Shame Inventory (Rizvi, 2010) and the Self-Compassion Scale (Neff, 2015) both at the start of therapy and at the end of therapy to measure baseline levels of shame and self-compassion and post-intervention levels of shame and self-compassion. The hope is that after self-compassion therapeutic intervention, shame levels will be reduced, as quantitatively measured by the Shame Inventory (Rizvi, 2010), and self-compassion levels will have increased, as quantitatively measured by the Self-Compassion Scale (Neff, 2015), thus resulting in a correlation between the two variables. Procedure - Transgender subjects will seek out self-compassion therapy on their own accord. I, as both the researcher and a licensed mental health counselor, will describe the self-compassion therapeutic process and its success in reducing negative states of being. If the client chooses to pursue therapy, he/she will sign off on the informed consent document. The counselor will then give the client the shame and self-compassion assessment tools to establish a research baseline. Germer and Neff (2013) suggest an outline for what each session should look like. I have chosen to allot 10 sessions per subject to ensure that rapport is established and that the client does not feel rushed at any point during the process. At the end of 10 sessions, the same instruments will be used to assess post-intervention levels of shame and self-compassion. The same process will be repeated until the researcher has collected data on 30 subjects. The gathering of data will sought to be completed over a span of 5 years or less. Subjects will receive counseling services at no charge. Results: I expect that after running the one-way repeated measure ANOVA test, my post-test data will differ significantly from the pre-test data. As the hypothesis suggests, I am anticipating there to be a negative correlation between shame and self-compassion. As self-compassion levels increase among subjects, shame levels decrease. Ideally, after running the test my ANOVA value would compute close to -1, demonstrating that not only does a relationship exist between the variables, but that there is a negative correlation between them—endorsing my intervention as a successful one. Discussion: The National Alliance on Mental Illness, NAMI, (2015) reports that “between 38-65% of transgender individuals experience suicidal ideation” and suicide remains to be a leading cause of death for transgender individuals. The time is now to develop effective strategies for helping transgender individuals—this includes within the counseling setting. Assuming my study yields significant results, this study would provide the counseling profession with a framework for working with transgender individuals, which is currently somewhat of uncharted territory. Shame is a common reported feeling across suicidal individuals, yet the shame a transgender person feels is a very unique kind of shame that most people will never experience. However, this does not mean that we cannot empathize or develop ways to preserve these lives and restore worth and self-compassion within the transgender population. My findings would indicate a way to do just that—preserve lives through an effective therapeutic relationship and restore self-worth by way of increasing self-compassion. The process of acceptance and tolerance must begin within the self. The results of my study would specify how to facilitate the rejection of shame and embark on the journey of self-compassion leading to feelings of worth and kindness to self, thus reducing suicidal ideation and self-hatred amongst the transgender population.

8. Acceptance and Commitment Therapy (ACT) for a female Chinese adolescent with Depression and Trichotillomania (Hair Pulling Disorder): A single case study.
Primary Topic: Clinical Interventions and Interests
Subtopic: Children and Youth, Trichotillomania, Depression
Celeste Cai Jieni, MA (Applied Psychology), KK Women's and Children's Hospital, Singapore

Background: Trichotillomania (TTM) is characterised by repeated hair pulling that results in noticeable hair loss (American Psychiatric Association, 2000). The highest incidence of the onset of TTM is experienced during childhood and adolescence (Huynh, Gavino, Magid, 2013) and prevalence of depression and anxiety is also common (Lewin et al., 2009). ACT Enhanced Behavioral Therapy (AEBT) for TTM has shown promising results for the treatment of adults (Twohig & Woods, 2004; Woods, Wetterneck, et al., 2006). However, there is limited empirical evidence regarding the efficacy of ACT in adolescent TTM and none of them has featured treatment of depression with TTM in adolescents. This single case study aims to illustrate the use of ACT in the treatment of a 14-year old female Chinese adolescent suffering from major depression and TTM. Zoe is a high achiever secondary school student whose depression was triggered by her poor performance in her exams during one of her school terms. To cope with her stressful experiences and negative feelings, she engaged in a hair-pulling habit which gradually developed into TTM. Method: 10 sessions were conducted using the AEBT protocol. Steps were taken to modify her treatment according to her needs and progress. To investigate the effectiveness of ACT, direct measures of trichotillomania, Massachusetts General Hospital (MGH) Hair Pulling Scale (Keuthen et al., 2007) was used at the start of every session. Acceptance and Action Questionnaire (AAQ-II) (Bond et al., 2011), and Beck Youth Inventories (BYI-II) (Beck, Beck, Jolly, Steer, 2005), were used at pre and post treatment intervals. Results indicated a reduction of experiential avoidance, decreased depression symptoms and decreased hair-pulling severity. Discussion: The third-generation cognitive behavioural therapies such as ACT can significantly improve negative feelings as it deals with the person's tendency to avoid, control or escape from thoughts, urges, emotions or any other unwanted internal experiences (Hayes, Strosahl, Wilson, 1999). In TTM, evidence has shown that the act of pulling controls these negative internal experiences and as such, the pulling is used to avoid or escape from them (Begotka, Woods, & Wetterneck, 2004; Norberg, Wetterneck, Woods, Conelea, 2007). The data from the present case report is one of the first to suggest that ACT may be a suitable treatment for adolescent with depression and TTM. Further research involving the application of ACT on TTM in adolescents is also therefore worth exploring.

9. Effects of brief-ACT on college student drinking and correlates of drinking: A pilot study
Primary Topic: Clinical Interventions and Interests
Subtopic: College student drinking
Justine A. Grosso, M.S., Baylor University, Waco, TX
Lauren L. Greenberg, Psy.D., George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT
Jules C. Martowski, B.A., Baylor University
Alexis Humenik, B.A., The George Washington University, Washington, DC
Thomas A. Fergus, Ph.D., Baylor University, Waco, TX
Sara L. Dolan, Baylor University, Waco, TX

Existing empirically supported individual-level interventions for college student drinking reduction focus on changing perceptions of social norms and expectancies (e.g., social motives, conformity motives) in order to affect drinking outcomes. Researchers are beginning to target college student motives for drinking related to changing unpleasant internal experiences (e.g., coping motives) via brief mindfulness- and acceptance-based interventions. The current study examined the preliminary effectiveness of a single session of Acceptance and Commitment Therapy (ACT). Participants were 139 undergraduate students (77.7% women, M = 19.28 years old, 79.1% Caucasian) who completed questionnaires at baseline (BL), the intervention, and then questionnaires at follow-up (FU; two- to four-weeks post-intervention). The study investigated whether various drinking outcome variables (e.g., negative alcohol-related consequences, alcohol quantity and frequency) would significantly decline after the intervention as well as how drinking coping motives may be associated with these drinking outcomes. Statistically significant reductions were found in all drinking outcomes (Cohen’s d’s = .35 – 1.78) from BL to FU. Exploratory autoregressive analyses using hierarchical linear regression revealed significant positive associations between all drinking outcomes and coping motives for drinking (semi-partial r2s = .10 - .18, small effects). These findings suggest that this intervention may be associated with reducing some of the most impairing symptoms along the alcohol use disorder continuum. These data also suggest that drinking coping motives are an important target deserving of continued focus. It may be that certain processes targeted by ACT, such as experiential avoidance/acceptance and cognitive fusion/defusion, attenuate automatic alcohol coping behavior in response to unpleasant internal experiences.

10. Cognitive fusion: pre-post changes associated with a brief-ACT intervention and its moderating role on the relationship between baseline and follow-up negative alcohol-related consequences
Primary Topic: Clinical Interventions and Interests
Subtopic: Cognitive fusion
Justine A. Grosso, M.S., Baylor University, Waco, TX
Lauren Greenberg, Psy.D., George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT
Jules Martowski, B.A., Baylor University, Waco, TX
Alexis Humenik, B.A., The George Washington University, Washington, DC
Thomas A. Fergus, Ph.D., Baylor University, Waco, TX
Sara L. Dolan, Ph.D., Baylor University, Waco, TX

Cognitive fusion, a theoretically-hypothesized mechanism of change in Acceptance and Commitment Therapy (ACT) has yet to be evaluated empirically in treatment studies. Participants were undergraduate students (N = 139; 77.7% women, M = 19.28 years old, 79.1% Caucasian) who completed questionnaires at baseline (BL), a single-session ACT intervention, and questionnaires at follow-up (FU; two- to four-weeks post-intervention). The present study examined pre-post changes in cognitive fusion as well as cognitive fusion’s moderating role on the relationship between BL and FU negative alcohol-related consequences. Cognitive fusion was measured using the Cognitive Fusion Questionnaire (Gillianders et al., 2014). There was a statistically significant reduction in cognitive fusion from BL (M = 26.07, SD = 9.33) to FU (M = 23.76, SD = 9.78), t(138) = 3.32, p <.001 (Cohen’s d = 0.24, small effect). Additionally, the interaction between BL cognitive fusion and BL negative alcohol-related consequences was statistically significant. Simple slope analyses indicated that BL and FU negative alcohol-related consequences were significantly positively associated at 1 SD below the mean of cognitive fusion (β = 0.26, p < .001) and significantly positively associated at 1 SD above the mean of cognitive fusion (β = 0.62, p < .05). The pattern of the interaction indicates that participants who had high BL levels of cognitive fusion had greater stability of negative alcohol-related consequences and those with lower levels of BL cognitive fusion had greater reductions of alcohol-related consequences from BL to FU. It may be that individuals who were high in BL cognitive fusion were so reactive to internal experiences that attachment to unpleasant thoughts and feelings were not weakened enough by the intervention. Results suggest that increasing session number or session duration to accommodate additional experiential exercises that facilitate defusion may further weaken urges to drink to cope with unpleasant internal experiences and subsequent negative alcohol-related consequences for individuals who were high in cognitive fusion at BL.

11. Effectiveness of Acceptance and Commitment Therapy (ACT) on resiliency of female with psoriasis
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy, Psoriasis, Resiliency
Asghar Aghaei, Professor, Department of educational science and psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
Pariya Heidari, M.A. Department of educational science and psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

Background: The purpose of this study was to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on resiliency of female with psoriasis in Isfahan(Iran) . Methods: This was an experimental study with pre-test, post-test and follow up.The statistical population were psoriasis patients referred to Sedighe Tahereh’s Skin and Leishmanias Research Center who have been referred by specialist Doctors and have records. Thirty patients were randomly selected and were contacted to come and involve in study. The selected patients were divided into two groups of 15 people as intervention group and non intervention.Acceptance and Commitment therapy in the experimental group during the post two month, in weekly meeting for 120 minutes was performed. The subjects completed the following questionnaire: Resiliency (Conner and Davidson, 2003). Results:The result of covariance analysis showed that there were significant differences between experimental and control groups(P<0.05). Discussion:The results of this research had shown that Acceptance and Commitment Therapy was effective in the increase resiliency .The result also showed a treatment effect was persistent during the follow up. So ACT may be considered to be an effective intervention approach for increase of resiliency in patient with psoriasis.

12. Effectiveness of acceptance and commitment therapy on family cohesion in spouses of drug dependent men
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy, family cohesion, family process, spouses of drug dependent men
Leyli Nourian, M.A., Islamic Azad University, Najafabad branch, Isfahan, Iran
Fereshteh Sedighi, M.A., Islamic Azad University, Najafabad branch, Isfahan, Iran
Asghar Aghaei, Ph.D., Department of educational science and psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

Background: The purpose of this study was to determine the effectiveness of acceptance and commitment therapy on family cohesion in spouses of drug dependent men. Method: This research was a quasi-experimental research with pre-test, post-test and tow month fallow up with control group. The statistical population consisted of all spouses of drug dependent men who refereed to addiction treatment centers of Isfahan (Iran). 32 spouses of drug dependent men were selected with available sampling method among the statistical population (from two treatment centers). They were randomly incorporated to an experimental and a control group (16 per group). All participants were assessed by cohesion subscale of family processes scale (Samani, 2008) at pre-test, post-test and tow month after the treatment in the follow up stage. The intervention involved 10 sessions of acceptance and commitment therapy, each lasting for 90 minute, which were administered only to the experimental group. Results: The result of covariance analysis indicated a significant improvement in the experimental group in variables of family cohesion in post-test (p<0.05) and the results were sustainable in fallow up (p<0.05). Discussion: According to the findings of this research, use of this therapeutic approach is recommended to improve family cohesion in family of drug dependent men.

13. Psychological Flexibility as a Predictor of Quality of Life and Eating Disorder Risk in a Residential Treatment Setting
Primary Topic: Clinical Interventions and Interests
Subtopic: Eating Disorders
Eric B. Lee, MA, Utah State University
Ellen Bluett, MS, Utah State University
Clarissa Ong, BA, Utah State University
Ginger Lockhart, Ph.D., Utah State University
Michael Twohig, Ph.D., Utah State University
Tera Lensegrav-Benson, Ph.D, Avalon Hills Residential Eating Facility
Benita Quakenbush-Roberts, Ph.D., Avalon Hills Residential Eating Facility

Psychological flexibility has been hypothesized to be a mechanism of change within eating disorders. However, little data has examined this proposed relationship. Promoting psychological flexibility could potentially play an important role in improving ridged, perfectionistic thinking and obsessive behaviors often seen in those with eating disorders. It was hypothesized that increasing psychological flexibility would reduce eating disorder risk and improve quality of life of individuals with an eating disorder. The data presented in this talk were collected from 112 inpatients of a residential treatment facility. Sequential multiple regression analyses were performed to test whether pre-treatment levels of psychological flexibility longitudinally predicted quality of life and eating disorder risk after controlling for age and baseline effects. Pre-treatment psychological flexibility significantly predicted post-treatment quality of life. The incremental change in R2 at the final step was significant, Finc (1, 109) = 4.209, p<.05 and the adjusted R2 indicated that approximately 19% of the variation in post-treatment quality of life was attributable to age and pre-treatment psychological flexibility. Similar results were found when testing post-treatment eating disorder risk as an outcome, as pre-treatment psychological flexibility significantly predicted post-treatment eating disorder risk. The incremental change in R2 at the final step was significant, Finc (1, 110) = 4.367, p<.05 and the adjusted R2 indicated that nearly 30% of the variation in post-treatment eating disorder risk is attributed to age and pre-treatment psychological flexibility. These data were examined used change scores, with results indicating that improvement in psychological flexibility over the course of treatment lead to improved quality of life and eating disorder risk outcomes.

14. A Pilot Study of Acceptance and Commitment Therapy for Anger Dysregulation among Trauma-Exposed Military Veterans
Primary Topic: Clinical Interventions and Interests
Subtopic: Anger and Aggression
John Donahue, Psy.D., University of Baltimore
Andrew Santanello, Psy.D., Center for Deployment Psychology
Mary Marsiglio, Ph.D., VA Portland Health Care System
Lynn Van Male, Ph.D., VHA CO, Office of Public Health, Occupational Health Strategic Healthcare Group

Background: Anger dysregulation and attendant problem behaviors are commonly reported by treatment-seeking military veterans, particularly those with a history of trauma exposure. However, there is a paucity of studies examining interventions for dysregulated anger and aggressive behavior in this population. With its emphasis on promoting psychological flexibility, both theory and empirical evidence suggest Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 1999) may be a viable and effective treatment for anger dysregulation among veterans. Method: The present study sought to examine the feasibility and preliminary effectiveness of an open trial of a 12-week ACT group intervention for trauma-exposed military veterans reporting difficulties with anger and aggressive behavior. Participants were recruited from mental health and primary care clinics at a large Veterans Health Administration (VHA) medical center in the northwestern United States. Participants were assessed at pre-treatment, post-treatment, and six-week follow-up on a variety of self-report measures, including anger (Dimensions of Anger Reactivity Scale), trait physical and verbal aggression (Aggression Questionnaire), psychological flexibility (Acceptance and Action Questionnaire - II), quality of life (Quality of Life Questionnaire), and a participant satisfaction survey. Results: Results indicated that treatment completers (n = 16) found the intervention favorable, participation was associated with improvements in trait physical aggression and psychological flexibility, while findings pertaining to changes in anger were mixed. Furthermore, changes in psychological flexibility accounted for substantial variance in participants' reduction in physical aggression, after accounting for relevant control variables. Discussion: Findings suggest a group-based ACT intervention for anger dysregulation is feasible among trauma exposed military veterans and warrants further investigation.

15. A Meta-Analytic Review of Functional Analytic Psychotherapy Single-Subject Research
Primary Topic: Clinical Interventions and Interests
Subtopic: Meta-Analysis
Sonia Singh, M.A., Bowling Green State University
Leah Bogusch, Bowling Green State University
William H. O'Brien, Bowling Green State University

Functional Analytic Psychotherapy (FAP) is a contextual behavior therapy that utilizes basic behavioral principles to within the therapy session to implement change in order to allow these changes to generalize outside of session. The therapist works to reduce problematic in-session behavior (CRB1s) and increase functional in-session behavior (CRB2s). A majority of the published studies in FAP are single-subject design. The current study synthesized data from FAP single-subject investigations using single-subject meta-analytic techniques. Percentage of non-overlapping data (PND) was calculated for graphed outcome data. The reliable change index (RCI) was calculated for questionnaire outcome data. Results indicated that cumulative PND for CRB1s was 57.76% and fell in the “moderately effective” range, and for CRB2s was 81.06% and fell in the “fairly effective” range. The overall RCI for was 4.03 which indicates that pre-post changes on questionnaire outcome data are large and statistically reliable.

16. A preliminary investigation of Acceptance and Commitment Therapy as a treatment for binge eating disorder in Japanese female adults. [1053]
Primary Topic: Clinical Interventions and Interests
Subtopic: binge eating disorder
Takashi Muto, Ph.D., Doshisha University
Kazuyo Kikuta, M. A., Clinical Center of Doshisha University
Takashi Mitamura, Ph.D., Ritsumeikan University
Aiko Ohya, Doshisha University

Binge eating disorder (BED) is one of the feeding-and-eating-disorders in DSM-5, characterized by recurrent binge eating (i.e., eating an unusually large amount of food, accompanied by a sense of loss of control and marked distress) in the absence of significant compensatory behaviors (e.g., self-induced vomiting, excessive exercise). Some individuals with BED have these disordered behaviors as a function of experiential avoidance, that is, a way of escaping and distracting themselves from difficult thoughts and emotions. Acceptance and Commitment Therapy (ACT) may be an effective intervention for individuals diagnosed with BED because it directly undermines experiential avoidance and promotes alternative valued behaviors. In this study, 4 Japanese female adults who met the criteria for BED (moderate severity level) were treated with 10 weekly sessions of ACT, followed by 6 biweekly booster sessions, and follow up was conducted at intervals of 3, 6, 12, 18, and 24 months. The effects of the intervention were assessed using a multiple probe across participants design. After the last ACT booster session, all participants self-reported having very few episodes of binge-eating behavior per week. At follow-up sessions, they reported that these improvements had been maintained and their weight had decreased. Moreover, questionnaire scores for disordered eating, depression, general mental health, experiential avoidance, and self-compassion were also improved and maintained over 2 years. This preliminary study suggests that ACT might be an effective treatment for Japanese female adults with BED.

17. Acceptance and Commitment Therapy: Focused Brief Intervention for Health-Related Behavioral Change [1054].
Primary Topic: Clinical Interventions and Interests
Subtopic: Brief Interventions, ACT
Monica Barreto, MS., Western Michigan University
Scott Gaynor, Ph.D., Western Michigan University

Substance misuse, physical inactivity, and unhealthy eating and sleeping habits are important health-related behaviors for current life satisfaction and forestalling chronic health conditions. The current study examined the plausibility of offering a 1-session (60 minute) acceptance and commitment therapy (ACT) intervention for college students seeking health-related behavior change. In this ongoing study, the 22 participants who have received the ACT session reported a statistically significant increase in their confidence in making the desired health-related behavior change immediately following the session, t = 3.80, p = .001. Moreover, the 9 participants who have currently completed the 30-day follow-up period reported statistically significant changes in the health-related behavior targeted for change in the ACT session, t = 2.99, p = .02. Other non-targeted health-related behaviors showed no statistically significant change. These data suggested that a single session of focused ACT may be useful in promoting health-related behavior change.

18. The interaction between mindful awareness and acceptance in predicting couples satisfaction
Primary Topic: Clinical Interventions and Interests
Subtopic: Couples, Mindfulness
Jennifer E. Krafft, Utah State University
Jack Haeger, Utah State University
Benjamin Pierce, Utah State University
Michael E. Levin, Ph.D., Utah State University

Background: Previous studies have connected mindfulness to a wide range of relationship outcomes. Research on specific components of mindfulness is limited, but preliminary findings highlight the role of the awareness and acceptance components of mindfulness in relationship satisfaction (Khaddouma et al., 2015). Yet, no studies have investigated the possibility that the awareness and acceptance components of mindfulness interact to predict relationship outcomes (a moderating effect that has been found with other problems such as substance abuse; Eisenlohr-Moul et al., 2012). Method: This poster presents the results of an online survey assessing components of mindfulness and couples’ satisfaction in a sample of undergraduate students (n=135). The Couples Satisfaction Index (CSI; Funk & Rogge, 2007) and Philadelphia Mindfulness Scale (PHLMS; Cardaciotto et al., 2008) were administered. Results: Higher acceptance predicted higher couples satisfaction (β=.34, p<.001), but higher awareness predicted lower satisfaction (β =-.18, p=.035). There was a significant interaction effect for acceptance and awareness (ΔR2=.05, p=.004). Higher levels of awareness predicted lower couples’ satisfaction only when acceptance was low (β =-.21, p=.003), but not when acceptance was high (β =.04, p=.52). When switching the moderator and predictor variable, higher levels of acceptance predicted greater couples’ satisfaction when awareness was high (β =.22, p<.001), but not when awareness was low (β =.01, p=.82). Discussion: These results highlight the importance of the combination of awareness and acceptance for relationship satisfaction and suggest that components of mindfulness should be considered not just individually, but in terms of interactions.

19. Modeling the Cognitive Mechanisms Linking Autism Symptoms and Anxiety in Adults
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness and Acceptance
Max Maisel, Brigham Young University
Kevin Stephenson, Brigham Young University
Mikle South, Ph.D., Brigham Young University
Jacqui Rodgers, Ph.D., University of Newcastle
Mark H. Freeston, Ph.D., University of Newcastle
Sebastian Gaigg, Ph.D., City University London

Background: Emotional acceptance, alexithymia, and intolerance of uncertainty (IU) contribute to anxiety disorders in neurotypical populations. Their association with anxiety in people diagnosed with autism spectrum disorder (ASD) has not been studied. We aimed to model the contributions of these constructs on the relationship between dimensional measures of autism and anxiety. Method: Participants were 151 adults recruited from two sites, including those diagnosed with ASD (n=76) and a matched comparison group (n=75). All participants completed a battery of questionnaires measuring core autism symptoms, anxiety, emotional acceptance, alexithymia, and intolerance of uncertainty. Results: Structural equation modeling with mediation was used to examine directional relationships among these variables. Autism symptoms directly predicted less emotional acceptance and increased alexithymia and IU. Alexithymia and acceptance were shown to explain 64% of the effect between autism symptom severity and anxiety level. Discussion: This study suggests that people with ASD experience increased levels of anxiety because they are more likely to react aversively to their emotional experiences, while lacking the ability to identify and understand their emotions. Developing and implementing mindfulness-based interventions aimed at assuaging alexithymia and IU, while increasing emotional acceptance, may be especially helpful in treating anxiety in ASD.

20. Assessing the efficacy of a self-help ACT based program in the treatment of anxiety disorders: a single-case study
Primary Topic: Clinical Interventions and Interests
Subtopic: Self-help
Catherine Ethier, D.Psy (c), Université du Québec à Trois-Rivières
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières
Frédéric Langlois, Ph.D., Université du Québec à Trois-Rivières

In North America, one person out of five suffers from an anxiety disorder. ACT has shown its efficacy in the treatment of a wide range of anxiety disorders. Self-help programs stand as a promising option to enhance accessibility to treatments while offering an excellent cost-efficiency ratio. This single-case study (N=4) with repeated measures (daily, weekly and pre/post treatment) aims to assess the efficacy of a six weeks self-help ACT based program relying on the book The Happiness Trap (Harris, 2008). Participants all suffered from anxiety at a clinical or subclinical level, diagnostics ranging from generalized anxiety disorder to social anxiety disorder and panic disorder. As expected, preliminary analysis show an association between the program and a enhancement in quality of life, as well as an improvement of the core change processes of ACT, connection to the present moment, acceptance and defusion. However, the intervention did not reduce anxiety symptoms for all participants. This study contributes to shed light on the potential effects of a self-help ACT based treatment and its limitations. The challenges related to the implantation of such an intervention and future directions will be discussed.

21. Telephone-supported Acceptance and Commitment Bibliotherapy for People with Multiple Sclerosis and Psychological Distress: A Randomised Controlled Feasibility Trial
Primary Topic: Clinical Interventions and Interests
Subtopic: Multiple Sclerosis
Barnaby, J, Proctor (BSc), The University of Nottingham, UK
Nima Moghaddam, The University of Lincoln, UK
Roshan Das Nair, The University of Nottingham, UK

Background: Telephone-supported self-help Acceptance and Commitment Therapy (ACT) may be a way of providing accessible and effective psychotherapy to people with Multiple Sclerosis (MS). The aim of this trial was to determine the feasibility of a randomised controlled trial (RCT) of telephone-supported ACT bibliotherapy compared to treatment-as-usual (TAU), and explore the effectiveness of the intervention. Methods: The study was a randomised control feasibility trial. The intervention was eight weekly support calls guiding participants through the ACT self-help text “Get Out Of Your Mind and Into Your Life” (Hayes, 2005). Participants were assessed at baseline and post-intervention using the Generalised Anxiety and Depression Measure (GAD) and the Patient Health Questionnaire (PHQ) as primary outcome measures. The EuroQol (EQ-5D-5L) and Multiple Sclerosis Impact Scale (MSIS-29) were secondary outcome measures, and the Acceptance and Action Questionnaire (AAQ-II) was a process measure. A sample of participants were interviewed to assess RCT feasibility. Results: 27 participants with MS with anxiety and/or depression were recruited from an outpatient MS clinic and an MS charity. The majority of participants found the different elements of the RCT acceptable. Overall attrition was 66%, and 64% in the intervention group. Linear mixed model analysis and effect size calculation found a significant effect (p=0.004) and large effect size (0.84 (95% confidence intervals 0.02-1.66)) at post-intervention in favour of the intervention on anxiety in intention-to-treat analysis. Smaller non-significant positive effects were found on other measures. Intervention completers had significantly lower scores on the MSIS and the AAQ-II at baseline. Discussion: Telephone-supported ACT bibliotherapy delivered in a RCT format may be a feasible research method for people with MS, and the intervention has the potential to be effective in reducing psychological distress. However, attrition rates must be addressed: practical changes to the method of delivery to increase participant retention are suggested.

22. Acceptance and commitment therapy for Tojikomori in Japanese older adults: A preliminary investigation [1055]
Primary Topic: Clinical Interventions and Interests
Subtopic: Tojikomori, Acceptance and commitment therapy (ACT), Japanese elderly
Kohei Hashimoto, M.A., Graduate School of Psychology, Doshisha University
Takashi Muto, Ph.D., Faculty of Psychology, Doshisha University

Tojikomori means being housebound in old age without any deficits in physical or cognitive functioning. Elderly people with Tojikomori have low levels of physical, psychological and social health, and Tojikomori is a risk factor for disability. It is thought that individuals with Tojikomori have psychological problems such as cognitive fusion with a damaged conceptualized self and feeling they have nothing to live for (i.e. unclear value and persistent inaction). In this study, 2 Japanese elderly women living in a nursing home who met criteria for Tojikomori (P1 and P2) were treated with acceptance and commitment therapy (ACT). The treatment was delivered in 7 weekly sessions and 2 biweekly booster sessions in participants’ living rooms. The effects of the intervention were assessed using a nonconcurrent multiple baseline across participants design. P1 whose acceptance and defusion processes were well at baseline showed a positive change in physical activity. Her psychological flexibility, psychological quality of life, and depression remained well across the treatment phase. P2 whose acceptance and defusion processes were unwell at baseline showed positive changes in psychological flexibility and psychological health across the treatment phase and improvements were maintained in 1 month. However, no improvements were observed in physical activity in this participant. One of the factor that inhibit the effectiveness of ACT for physical activity for P2 seemed to be a decline of physical function across the study duration. Implications and the distinctiveness of ACT as a treatment for Tojikomori are discussed.

23. Does imagination affect efficacy of ‘leaves floated down the river’ defusion exercise? [1056]
Primary Topic: Clinical Interventions and Interests
Subtopic: Defusion
Yuuka Nakatani, Doshisha University
Aika Shinomiya, Doshisha University
Yuri Shirouchi, Tsukuba University
Asako Sakano, M. A., Doshisha University
Takashi Muto, Ph. D., Doshisha University

Study objective: The present study examined whether the differences between low and high imagination have influences on the efficacy of cognitive defusion exercise needed mental operation. Design: Two Groups (low imagination (LI) or high imagination (HI)), pre-post comparison. Participants: Twenty-four undergraduates, 11 with high imagination and 13 with low imagination. Intervention: All participants completed cognitive defusion exercise, or ‘leaves floated down the river’. Measure: (1) a score of Cognitive Fusion Questionnaire (CFQ), and (2) the increasing ratio of tolerance time in cold pressor task. Results: (1) An ANOVA revealed that a score of CFQ didn’t significantly differ between two groups (LI and HI). (2) The t-test revealed that LI group reported significantly lower increasing ratio of tolerance time in cold pressor task than HI group. Conclusion: The present results suggested low imagination worked against the efficacy of ‘leaves floated down the river’ defusion exercise.

24. What is an effective defusion exercise for persons with low imagination? [1057]
Primary Topic: Clinical Interventions and Interests
Subtopic: Defusion
Aika Shinomiya, Doshisha University
Yuuka Nakatani, Doshisha University
Yuri Shirouchi, Tsukuba University
Asako Sakano, M.A., Doshisha University
Takashi Muto, Ph.D., Doshisha University

Study objective: The present study examined an effective defusion exercise for persons with low imagination. Design: Two-factor mixed design was used; Group (experimental group, control group) × time (pre, post). Participants: twenty-seven under-graduates with low imagination participated in this study. Intervention: A freight train exercise was used. Experimental group completed it in the real scene, whereas control group completed it with imagination only. Measures: (1) The increasing ratio of tolerance time in cold pressor task and (2) the score of Cognitive Fusion Questionnaire were used. Results: (1) There was no significant difference between experimental group and control group (t(23)=1.13, ns.). (2) Main effects of group and time were not significant (F(1,23)=0.002, ns. ; F(1,23)=.05, ns.). Interaction was significant (F(1,23)=5.98, p<.05), but all simple main effects were not significant. Conclusion: These results couldn’t clarify what defusion exercise might be effective for persons with low imagination.

25. Can ACT enhance effects of abstinence-based contingency management in patients with cocaine use disorder?
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT
Angela Stotts, Ph.D., University of Texas Health Science Center at Houston, McGovern Medical School
Kathryn Tipton, MA, University of Texas Health Science Center at Houston, McGovern Medical School

Background: Contingency management (CM) is a reinforcement-based approach that provides tangible rewards for objectively verified drug abstinence. CM is the most effective available behavioral intervention for cocaine use disorders; however, response to CM is variable, with significant rates of nonresponse. A secondary profile analysis of potentially modifiable cognitive–affective characteristics of cocaine dependent patients participating in a CM treatment found that CM nonresponders (i.e., continued users), relative to responders (i.e., abstinent), reported significantly higher levels of avoidance and behavioral inflexibility (p < .01) in the context of distressing cocaine-related thoughts, feelings, and bodily sensations (Stotts et al., 2015), as measured by the Avoidance and Inflexibility Scale (AIS). These data suggest that acceptance and commitment therapy (ACT) may serve as a therapeutic strategy for enhancing response to CM for cocaine use disorders. Methods: We adapted an opioid use disorder treatment manual to target cocaine use and pilot tested the first 6 sessions with two clients diagnosed with severe cocaine use disorder. Twice-weekly individual ACT therapy sessions focused on acceptance and defusion from unpleasant cocaine thoughts and cravings and were delivered in conjunction with high-magnitude abstinence-based CM. Results: Both participants attended 100% of treatment sessions and reported high rates of satisfaction at end-of-treatment. Participant #1 (54yo, AA, Fe) failed to achieve abstinence, defined as four consecutive cocaine-negative urine screens. This participant’s AIS scores at baseline and treatment Week 4 showed no change in response style to cocaine-related thoughts, feelings, and bodily sensations. In contrast, Participant #2 (42yo, AA, Ma) successfully achieved two weeks of cocaine abstinence and showed clinically meaningful reductions in AIS scores from baseline to Week 4. This participant’s scores on measures of emotional and physical distress tolerance showed similar improvement during ACT with CM treatment, relative to Participant #1. Therapist ratings of attention and engagement correlated with observed differences in treatment outcome, with Participant #1 described as “difficult to rouse and engage in therapy-related activities.” Discussion: Based on these first two pilot cases, we are encouraged about the feasibility of using ACT to enhance CM effects. Both therapist and participant feedback are being used to finalize the manual in preparation for a large-scale adaptive clinical trial.

26. Five facets of mindfulness and its associations with disordered eating behaviors among Japanese college samples: Implications of treatment for eating related problems. [1058]
Primary Topic: Clinical Interventions and Interests
Subtopic: mindfulness, disordered eating
Naoki Mampuku B.A., Graduate School of Psychology, Doshisha University
Takashi Muto Ph.D., Faculty of Psychology, Doshisha University

Background: Many studies have examined the efficacy of mindfulness-based interventions in the treatment for disordered eating. However, few researchers have explored the associations between facets of mindfulness and eating behavior. This study aimed to investigate multiple facets of mindfulness (acting with awareness, non-reactivity, non-judging, describing, and observing) and its associations with three disordered eating behaviors (restrained, emotional, and external eating). Method: An online survey was conducted to assess the relationship between eating behavior and facets of mindfulness among a Japanese sample. In this study, Japanese undergraduate students (n=243, female: 147 male: 96) completed the Five Facets of Mindfulness Questionnaire and the Dutch Eating Behavior Questionnaire, in addition to filling out a demographic questionnaire. Results: Regression analysis revealed that “acting with awareness” and “non-reactivity” were negatively associated with emotional eating (β=-.14, p<.05, β=-.15, p<.05). “Non-judging” was inversely related to external eating (β=-.17, p<.05), independent of sex, age, and body mass index. Moreover, “observing” and “acting with awareness” were positively associated to restrained eating (β=.14, p<.05, β=.16, p<.05). Discussion: Different facets of mindfulness were associated with more restrained and less emotional and external eating in a Japanese college sample. These results are discussed considering the potential role of facets of mindfulness in disordered eating.

27. Self-help for Social Anxiety: Preliminary Results on a Mindfulness and Acceptance-based Approach [1059]
Primary Topic: Clinical Interventions and Interests
Subtopic: Social Anxiety
Nancy Kocovski, Ph.D., Wilfrid Laurier University
Jan Fleming, MD, Mindfulness Clinic
Meagan MacKenzie, Ph.D., Ryerson University
Alison Flett, Wilfrid Laurier University
Rebecca Blackie, M.A., Wilfrid Laurier University

Although there are empirically supported treatments for social anxiety, many people are not able to access them for various reasons (e.g., financial, lack of availability, stigma). Self-help may be one way to access these underserved populations. The present study reports preliminary results on the effectiveness of an ACT-based self-help book for social anxiety (Fleming & Kocovski, 2013). Community participants wanting help with social anxiety or shyness were recruited via flyers and online posts and randomly assigned to self-help or wait-list (N = 120 recruited; data collection in progress). Those assigned to self-help were given the book and asked to follow an 8-week plan, including the following strategies: mindfulness practice, values and goals, defusion, and exposure. At post-treatment (8 weeks; based on n = 90), compared to the control condition, those in the self-help condition reported being significantly less fused with thoughts, less socially anxious and depressed, and had higher levels of mindfulness and self-compassion. Data are also being collected at a one-month follow-up (data collection will be complete by time of conference). Given the difficulties with accessing treatment for some individuals with social anxiety, a mindfulness and acceptance-based self-help approach may be recommended.

28. A case study of acceptance and commitment therapy for a Japanese woman with chronic low back pain [1060]
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic pain
Asako Sakano, M.A., Graduate School of Psychology, Doshisha University
Takashi Muto, Ph.D., Faculty of Psychology, Doshisha University
Mie Sakai, Ph.D., Center for Clinical Psychology, Doshisha University
Masataka Ifuku, Ph.D., Ifuku Pain Clinic

In recent years, there has been an increase in the demand for psychological treatments for chronic pain in Japan. We examined the effects of acceptance and commitment therapy (ACT) on a Japanese woman in her 40s with chronic low back pain. The treatment program was delivered in ten sessions. Using an AB design with baseline and treatment phases, we assessed the effects of the program on outcome measures (activity based on her values, health-related quality of life, and other psychological variables) and process measures (AAQ, CFQ, and FFMQ). Results showed an increase in valued activity. Additionally, Short Form Health Survey (SF-36) scores significantly improved from pre- to post-treatment in terms of general health perception, vitality, role functioning/emotional, and mental health, while physical functioning improved from pre-treatment to the four-month follow up. The scores for physical disability, pain catastrophizing, anxiety, and depression also significantly improved and were maintained until the four-month follow up. Furthermore, process measures of ACT improved before changes to the outcome measures were observed. Overall, the results suggest that ACT helps participants with chronic low back pain by weakening the influence of pain-related thoughts or feelings on their behavior and improved functional performance and quality of life.

29. The Relationship of Experiential Avoidance and Value Importance with Related Behavioral Choices
Primary Topic: Clinical Interventions and Interests
Subtopic: Values
Jia Hui Chaw, M.A., Wichita State University
Dr. Robert Zettle, Wichita State University

Background: The ultimate goal of acceptance and commitment therapy is to enhance psychological flexibility or the ability to make behavioral adjustments necessary to live a life congruent with personal values. One barrier to psychological flexibility targeted by ACT is experiential avoidance (EA). The purpose of this project was to examine at both macro and microlevels of analyses how EA and the importance of personal values in various life domains contribute to related behavioral choices. Method: A total of 222 college students were included in this study. For the microanalysis, the Value-Congruent Behavior Scale (VCBS) was developed to assess scenario-specific, value-consistent actions within nine life domains. The Valued Living Questionnaire (VLQ) was administered for the macroanalysis. Participants also completed the Acceptance and Action Questionnaire-II (AAQ-II) and two measures on social desirability. Correlations and regression analyses were conducted to analyze the data. Results and discussion: While the interaction between levels of EA and the importance of values predicted value-consistent behavior at a macrolevel of analysis, similar findings were obscured by social desirability when examined at a microlevel with the VCBS. Discussion: The implications of the findings for further study of the contributions of EA and values to related behavior in addition to clinical practice are discussed. The use of ecological momentary assessment may be a viable alternative to measure value-congruent behaviors while minimizing the risk of social desirability and recall biases. If the interaction found is replicated in a clinical population, value-congruent behaviors can be increased in clinical work by either increasing the motivational impact of values or reducing the experiential barriers to these behaviors.

30. Long-term effectiveness of Group acceptance and commitment therapy for chronic dizziness: a pilot single-arm study
Primary Topic: Clinical Interventions and Interests
Subtopic: somatic symptom disorder
Masaki Kondo, Nagoya City University Graduate School of Medical Sciences
Wakako Igarashi, Kikuchi mental clinic
Keiko Ino, Nagoya City University Graduate School of Medical Sciences,
Toshitaka Ii, Nagoya City University Graduate School of Medical Sciences,
Sei Ogawa, Nagoya City University Graduate School of Medical Sciences,
Meiho Nakayama, Nagoya City University Graduate School of Medical Sciences,
Tatsuo Akechi, Nagoya City University Graduate School of Medical Sciences

Background: Chronic dizziness, so-called psychogenic dizziness, is characterized by dizziness or unsteadiness unexplained medically and existing most days for months or years. Chronic dizziness has a great impact on quality of life, and is assumed to be related to multi factors, such as vestibular function, somatic sensation, visual sensation, autonomic nervous system, and psychological elements. Cognitive behavioral therapy is one of the promising interventions, however, some patients seems to be reluctant to it because of their experiential avoidance. Therefore, we hypothesized that acceptance strategy may be functioning. The purpose of this preliminary study is to examine long-term effectiveness of group acceptance and commitment therapy for chronic dizziness. Methods: We enrolled adult outpatients at a special dizziness clinic who met the criteria of persistent postural-perceptual dizziness, which is the diagnosis criteria equivalent to chronic dizziness defined by the International Society for Neuro-Otology. Other vestibular diseases such as Ménière's disease, benign paroxysmal positional vertigo were accepted. Schizophrenia, bipolar disorder, depression, substance abuse and dependence, and severe medical condition were excluded. Participants received six weekly sessions of manualized group acceptance and commitment therapy combined with vestibular rehabilitation. The primary outcome was Handicap due to dizziness at six months after the intervention, measured by Dizziness Handicap Inventory. The secondary outcome was frequency of vestibular-related symptoms at six months after the intervention, measured by Vertigo Symptom Scale-short form. Paired t-test was conducted and within-subject effect size was calculated. Results: All nine participants received group acceptance and commitment therapy. Both handicap due to dizziness and frequency of vestibular-related symptoms were significantly decreased between pre-intervention and six months after the intervention with Hedges’s g = 1.56 and 1.09, respectively. . Conclusion: The results suggest that group acceptance and commitment therapy for chronic dizziness may remain effective for six months.

31. Long-term effectiveness of group acceptance and commitment therapy for chronic dizziness: a pilot single-arm study
Primary Topic: Clinical Interventions and Interests
Subtopic: somatic symptom disorder
Masaki Kondo, Nagoya City University Graduate School of Medical Sciences
Wakako Igarashi, Kikuchi mental clinic
Keiko Ino, Nagoya City University Graduate School of Medical Sciences
Toshitaka Ii, Nagoya City University Graduate School of Medical Sciences
Sei Ogawa, Nagoya City University Graduate School of Medical Sciences
Meiho Nakayama, Nagoya City University Graduate School of Medical Sciences
Tatsuo Akechi, Nagoya City University Graduate School of Medical Sciences

Background: Chronic dizziness, so-called psychogenic dizziness, is characterized by dizziness or unsteadiness which is unexplained medically and existing most days for months or years. Chronic dizziness has a great impact on quality of life, and is assumed to be related to multi-factors, such as vestibular function, somatic sensation, visual sensation, autonomic nervous system, and psychological elements. Cognitive behavioral therapy is one of the promising interventions, however, some patients seem to be reluctant to cognitive behavioral therapy because of their experiential avoidance. Therefore, we hypothesized that acceptance strategy may be functioning. The purpose of this preliminary study is to examine long-term effectiveness of group acceptance and commitment therapy for chronic dizziness. Methods: We enrolled adult outpatients at a neuro-otology clinic who met the criteria of persistent postural-perceptual dizziness, which is the diagnostic criteria equivalent to chronic dizziness defined by the International Society for Neuro-Otology. Other comorbid vestibular diseases such as Ménière's disease, benign paroxysmal positional vertigo were accepted. Schizophrenia, bipolar disorder, depression, substance abuse and dependence, and severe medical condition were excluded. Participants received six weekly sessions of manualized group acceptance and commitment therapy combined with vestibular rehabilitation. The primary outcome was handicap due to dizziness at six months after the intervention, measured by the Dizziness Handicap Inventory. The secondary outcome was frequency of vestibular-related symptoms at six months after the intervention, measured by Vertigo Symptom Scale-short form. Wilcoxon signed-rank test was conducted and within-subject effect size was calculated. Results: Nine participants received group acceptance and commitment therapy. Handicap due to dizziness was significantly decreased between pre-intervention and six months after the intervention (p<0.01, Hedges’s g = 1.56). Frequency of vestibular-related symptoms showed non-significant improvement between pre-intervention and six months after the intervention (p=0.051, Hedges’s g = 1.09). Conclusion: The results suggest that group acceptance and commitment therapy for chronic dizziness may remain effective for six months.

32. Psychometric properties of the Spanish version of the Valuing Questionnaire
Primary Topic: Clinical Interventions and Interests
Subtopic: Valuing Questionnaire, Values, ACT
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Juan C. Suárez-Falcón, Universidad Nacional de Educación a Distancia
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz

The Valuing Questionnaire (VQ) is a measure of valued living according to the definition of values of the acceptance and commitment therapy (ACT). It has a robust two-factor structure, comprising Progress and Obstruction. The VQ has shown good internal consistency and convergent and incremental validity. The current study analyzed the psychometric properties and factor structure of the Spanish version of the VQ in Colombia. The VQ was administered to a total sample of 1587 participants, including undergraduates, general population, and a clinical sample. Results were very similar to those obtained in the original VQ version. Internal consistency across the different samples was good (global Cronbach’s alpha of .85 for Progress and .84 for Obstruction). The two-factor model showed a good fit to the data, and measurement invariance was found across sample and gender. The mean Progress and Obstruction scores of the clinical sample were lower and higher, respectively, than the scores of the nonclinical samples. Correlations with other constructs were in the expected direction. The VQ was sensitive to the effects of a one-session ACT intervention. In conclusion, the Spanish version of the VQ shows good psychometric properties in Colombia.

33. Cognitive Defusion versus Cognitive Restructuring: An Analogue Examination of Potential Moderating Variables
Primary Topic: Clinical Interventions and Interests
Subtopic: Cognitive Defusion
Eric Richardson, M.A., Wichita State University
Robert Zettle, Ph.D., Wichita State University

The impact of negative self-referential thoughts on psychological problems has long been targeted in cognitive behavioral therapy (CBT) through cognitive restructuring. More recently, acceptance and mindfulness-based approaches within CBT have suggested cognitive defusion as an alternative strategy. The primary purpose of this analogue study was to compare the effects of brief cognitive restructuring and cognitive defusion protocols in reducing the believability and discomfort of targeted negative self-referential thoughts among college students. Its secondary purpose was to investigate whether levels of dysfunctional attitude endorsement and cognitive fusion differentially moderate the impact of the two interventions. While both protocols significantly reduced believability and discomfort to an equivalent degree, moderating effects were noted only for reducing emotional discomfort via cognitive defusion. The impact of this intervention was greatest for participants who endorsed dysfunctional attitudes to a lesser degree and reported greater entanglement with negative thoughts.

34. Designing a measure of generalized pliance: The Generalized Pliance Questionnaire
Primary Topic: Clinical Interventions and Interests
Subtopic: Generalized pliance, measurement
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Juan C. Suárez-Falcón, Universidad Nacional de Educación a Distancia
Paula Odriozola-González, Universidad de Valladolid
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz
Adrián Barbero-Rubio, Universidad de Almería
Juan C. López-López, Universidad de Almería
Nikolett Eisenbeck, Universidad de Almería

Pliance is a functional class of rule-governed behavior under the control of a history of socially mediated reinforcement for the correspondence between the rule and the person’s behavior (Zettle & Hayes, 1982). Generalized pliance occurs when social approval is established as the main, verbally constructed reinforcer across life domains (Luciano, Valdivia-Salas, & Ruiz, 2012; Törneke, Luciano, & Valdivia-Salas, 2008). The most relevant characteristic of individuals displaying generalized pliance is their hypersensitivity to social whim in a way that no consequences are important and/or contacted other that those socially mediated. This behavioral pattern is often problematic because traps the person in needing social approval, which is highly uncontrollable and unpredictable, and prevents contacting with many other naturally, positively reinforcing consequences. This study shows the development and psychometric properties of the Generalized Pliance Questionnaire (GPQ) in Spain and Colombia. Thirty-eight items were written by experts in relational frame theory and were applied to a Spanish sample of 130 undergraduates. According to the psychometric results, 20 items were eliminated and the 18-item questionnaire was applied to samples of undergraduates, general population, and clinical participants in both countries. The results showed that the GPQ has excellent psychometric properties and theoretically coherent correlations with other constructs.

35. Experiential avoidance mediates the relationship between generalized pliance and depression
Primary Topic: Clinical Interventions and Interests
Subtopic: Generalized pliance, Experiential avoidance, Depression
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Paula Odriozola-González, Universidad de Valladolid
Juan C. Suárez-Falcón, Universidad Nacional de Educación a Distancia
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz

Generalized pliance represents a rigid pattern of behavior regulation that can be summarized as behaving how it is supposed to in order to obtain others’ approval. It is often problematic because traps the person in needing social approval, which is highly uncontrollable and unpredictable, and prevents contacting with many other naturally, positively reinforcing consequences (e.g., Törneke et al., 2008). Thus, generalized pliance would potentially lead to negative thoughts and depressive feelings in reaction to negative life events mainly related to social issues. Even worse, generalized pliance often leads to patterns of experiential avoidance and psychological inflexibility because feeling good is usually connected to others’ approval and it is established as a necessary state to do other things in life (Luciano et al., 2012). The current study aimed to test whether experiential avoidance mediates the effect of generalized pliance in depression symptoms in diverse nonclinical and clinical samples from Spain and Colombia. The results were widely consistent with the previous assumption.

36. Group ACT Program for Patients with Panic Disorder.
Primary Topic: Clinical Interventions and Interests
Subtopic: Panic disorder
Keiko ino, Nagoya City University Graduate School of Medical Sciences
Toshitaka Ii, Nagoya City University Graduate School of Medical Sciences

【Background】 Panic disorder is a recurrent or chronic disease in the majority of cases. The most promising psychotherapy for panic disorder is cognitive behavioral therapy(CBT), and it works in a group setting as well as in individual. However, CBT works out controlling strategy, that sometimes allows patients to control anxiety in vain and then their symptoms remain. Acceptance and commitment therapy(ACT) developed opposite strategy that helps patients to release control and live for their value. ACT is promising therapy for treatment resistant panic disorder for this reason. Since ACT was introduced in Japan, it have been conducted in an individual setting in most cases. We started group ACT program specialized for panic disorder patients, which was the first attempt in Japan as far as we know. The aim of this study is to examine effectiveness of this program. 【Methods】We enrolled outpatients with chronic panic disorder in our university hospital. Participants received 12 weekly sessions which took 2 hours for each. One group was for 2 to 4 patients. We made our program reviewing “Acceptance and Commitment Therapy for Anxiety Disorder ” written by G.H. Eifert and J.P. Forsyth. The primary outcome is Panic Disorder Severity Scale(PDSS). We examined Cognitive Fusion Questionnaire and Acceptance and Action Questionnaire-Ⅱ as secondary outcome. 【Results】Two participants completed all the sessions and after a month follow up, as far as this abstract submission. On baseline assessment their PDSS scores located in 13 (markedly ill) and 9 (slightly ill). After the therapy, their scores improved to 7 (slightly ill) and 3 (borderline). One month after treatment, their PDSS scores are 1 (normal) and 2 (normal) and patient didn’t complain any symptoms. We are enrolling several patients and group therapy is now ongoing. 【Conclusion】Group ACT for panic patients may be effective. Patients improve their symptoms much better during one month after therapy. We will examine efficacy of this program with more participants and be ready for presentation at ACBS world conference, 2016.

37. Mindfulness and Acceptance for Type 2 Diabetes: A Meta-Analysis
Primary Topic: Clinical Interventions and Interests
Subtopic: Meta-analysis
Leah Bogusch, M.A., Bowling Green State University
Sonia Singh, M.A., Bowling Green State University
William O'Brien, Ph.D., Bowling Green State University
Tanya Watford, M.S., Bowling Green State University

Among people with Type 2 Diabetes Mellitus (T2DM), mindfulness and acceptance may be associated with decreased distress and improved health outcomes. The present study provides a quantitative review of studies utilizing mindfulness or acceptance interventions among individuals with T2DM to improve diabetes-related outcomes. A literature search yielded 12 unique treatment-outcome studies. Meta-analytic results of mindfulness- and acceptance-based interventions yielded a small and reliable effect size for pre-post changes on HbA1c and fasting blood glucose for treatment groups (d = .23, 95% CI = .06, .41), and an unreliable effect size for control groups (d = .11, 95% CI = -.12, .34). Treatment-control group comparisons at post-test were statistically unreliable for HbA1c and fasting blood glucose (d = -.07, 95% CI = -.46, .32). These results indicate that participation in mindfulness- or acceptance-based interventions likely confers improvement in metabolic functioning, though these effects may be partially attributable to unrelated factors.

38. Coping With Autism - Providing Functional Contextual Support for Parents in Crisis
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression, Coping, Autism, Parenting
Carmen McGuinness, EdD, BCBA-D, Chrysalis School, Chrysalis Center for Change, Nova University, Capella University
Larry J. Leech, Freelance author of memoirs

BACKGROUND: The diagnosis of autism can be devastating news for parents. Whether parents lean in and cope through engagement with their child, or avoid and deny the problem, is directly related to their sense of well-being. Parents who engage have a higher sense of well-being, while parents who deny or avoid have a lower sense of well-being. Children whose parents are actively engaged in parenting and treatment will have better outcomes than their peers whose parents deny or avoid. Parenting self-efficacy is also associated to coping strategies for parents of children with autism. When parents know what to do it is easier to cope by engaging. When parents do not know what to do parenting self-efficacy is low, which worsens sense of well-being as well as child outcome trajectory. METHOD: A single-subject quasi-experimental A-B-C research design study was conducted to investigate the effects of a 6-week parent training workshop in Applied Behavior Analysis on parent coping, parent self-efficacy, parent sense of well-being, and child compliance to parental requests. Baseline, treatment, and follow-up phase data were collected. During the treatment phase parents received training in behavior change procedures, the interaction of behavior and development, compliance training, thoughts as behaviors, parental coping, reinforcement and the physiology of thoughts, and reframing and defusion. Parents were taught to use applied behavior analysis for the management of their child’s behavior as well as their own behavior insomuch as it relates to their child’s behavior and their own sense of well-being. RESULTS: Phase data were graphed for visual analysis of repeated measures. Analysis included intensity of parental coping, parental self-efficacy, and parental sense of well-being, and frequency of child compliance. Results of this study indicate that parents’ engagement coping, parenting self-efficacy, parents’ sense of well-being, and child compliance to parental requests increased significantly following a 6-week parenting workshop. DISCUSSION: These findings point to the importance of functional contextual treatment of parents of children with autism in conjunction with instruction in behavior analytic practices for treatment of autism. With the rise in autism diagnoses, it is critical that therapists prepare for supporting parents of children with autism.

39. The Role of Psychological Flexibility in Living with Lipedema
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT, lipedema
Joanna E. Dudek, M.A., University of Social Sciences and Humanities, Warsaw
Adam M. Kuczynski, University of Washington
Pawel Ostaszewski, Ph.D., University of Social Sciences and Humanities, Warsaw
Wojciech Białaszek, Ph. D., University of Social Sciences and Humanities, Warsaw
Tilly Smidt

Background Lipedema (lipoedema) is a chronic disease of unknown etiology that leads to uncontrollable, visible changes in body appearance and associated chronic pain. It affects approximately 11% of women in Western countries and is often mistaken as obesity given that the main symptom is fat accumulation on the extremities. Previous research shows that psychological flexibility (PF) positively predicts quality of life in women with lipedema when controlling for symptom severity. Methods 330 women suffering from lipedema were recruited from various international online groups. Each participant took an hour-long online survey to explore the association between psychological flexibility (PF) and quality of life while controlling for symptom severity, mobility, psychological functioning, and appearance related avoidance and distress. Results Using hierarchical multiple regression analysis, we replicated the results of existing research as well as demonstrated that PF remains a significant predictor of quality of life while controlling for other important variables. Discussion Results suggest that an intervention targeting psychological flexibility may be beneficial for women with lipedema.

40. Acceptance and Commitment Therapy in a Maximum Security Prison [1061]
Primary Topic: Clinical Interventions and Interests
Subtopic: Maximum Custody Offenders
Eric Rainey-Gibson, Ph.D., Washington State Penitentiary (WSP)
Jamie Davis, MA, Washington State Penitentiary (WSP)

Background: Both at the Federal and the State level, there is increasing attention being placed on segregated offenders in a prison population setting. Currently, there is a push coming down from the headquarters level of our state prisons to be providing programming to segregated offenders. As such, there is a need to identify and address the psychosocial needs of this at risk population using culturally relevant and accepted methods. Acceptance and Commitment Therapy (ACT) principles, though relatively new to the prison culture is proving effective in working with this particular population. Method: Students are selected to participate in the Achieve Your Potential (AYP) program at Washington State Penitentiary’s (WSP’S) maximum security unit based on submitted applications, mental health diagnosis, and willingness to participate in programming. Students attend classes twice a week. Students learn Dialectical Behavior Therapy skills and Acceptance and Commitment Therapy Skills over the course of 8 weeks. Classes include psycho-education, group discussion, skills application, and homework assignments. Outcomes measures include the following self-report measurement: the Acceptance and Action Questionnaire (AAQ-II). The AAQ-II is administered pre-treatment, mid-treatment, and post-treatment. Preliminary results for 16 patients will be available for presentation in June 2016 together with a discussion on clinical implications and future research plans. Discussion implications of these results and future prison implementation will also be discussed. Future studies should include using ACT processes across different prison custody levels and prison settings (maximum custody, close custody, medium custody, minimum custody, residential treatment, women’s prison).

41. Exposure Therapy and Mindfulness for Agoraphobia in a Nursing Home Setting
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness
Mary Moeller, Bowling Green State University
Leah Bogusch, M.A., Bowling Green State University
William O'Brien, Ph.D., Bowling Green State University

BACKGROUND: Agoraphobia is one of few anxiety disorders that seem able to occur for the first time during old age (Flint, 1994). The widely-accepted treatment for agoraphobia is exposure therapy. Mindfulness can be used to increase willingness to approach uncomfortable situations (Treanor, 2011). Because teaching mindfulness is associated with improvement in emotion regulation, it may supplement exposure therapy well (Arch & Craske, 2006; Treanor, 2011). Very few studies have used mindfulness on nursing home residents, and this present case study also explores the feasibility and efficacy of using such an intervention with that population. METHODS: The participant in this study was a 59-year-old ambulatory Caucasian female who had lived in a nursing home for the past year and was experiencing symptoms of severe agoraphobia. Progress was measured using a pedometer to track the number of steps she took. Self-report measures were also used, including the Acceptance and Action Questionnaire (AAQ-II), Five Facet Mindfulness Questionnaire (FFMQ), daily rankings of depression and anxiety, and a brief questionnaire asking how many times she left her room each day and how many people she interacted with. The intervention was administered over the course of five weekly hour-long sessions. Baseline data were collected during the first two sessions, and it was during those sessions that exposure therapy was explained and the patient collaborated with the researchers to create a values hierarchy. A functional analytic model of her behavior was also created after two sessions with the client and was updated as needed throughout the study. The third, fourth, and fifth sessions focused on implementing progressive exposures based on her values hierarchy and brief mindfulness exercises. RESULTS: Therapy outcomes were analyzed using Reliability of Change Indices for the AAQ and FFMQ. They showed that the client had a significant reduction in psychological inflexibility (RCI: -4.46) and a significant increase in global mindfulness (RCI: 5.07). The percentage of non-overlapping data points for the number of steps taken by the client (33.33% above baseline) showed that the client increased her activity levels with treatment. The results also indicated through non-overlapping data points that the client had less anxiety (22.22% below baseline) and depression (22.22% below baseline) after the last session. DISCUSSION: Results indicate that the patient became more willing to face uncomfortable emotions and sensations associated with leaving her room. Increases in mobility may have psychological implications for her: among the nursing home population, increased mobility is associated with better mental health and quality of life (Aydin, Sari, Bingul, & Bulgan, 2014). These findings provide preliminary support for the use of mindfulness to supplement exposure therapy among nursing home residents with agoraphobia. They also support the use of mindfulness in a nursing home setting in general. References Arch,J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: Emotion regulation following a focused breathing induction. Behaviour Research and Therapy, 44,1849-1858. Aydin, M., Sari, N., Bingul, B. M., & Bulgan, C. (2014). The effects of recreation activities on life quality of old age people in a local nursing home. International Journal of Academic Research, 6(1), 117-120. Flint, A. (1994). Epidemiology and comorbidity of anxiety disorders in the elderly. The American journal of psychiatry, 151(5), 640-650 Treanor, M. (2011). The potential impact of mindfulness on exposure and extinction learning in anxiety disorder. Clinical Psychology Review, 31, 617-625.

42. Policy and Prejudice: Implicit Bias Toward People in Poverty and its Predictive Relationship to Welfare Funding and Voting Behavior [1062]
Primary Topic: Functional contextual approaches in related disciplines
Subtopic: IRAP
A. Theodore Artschwager, B.A., University at Albany, State University of New York
Timothy R. Ritzert, M.A., University at Albany, State University of New York
John P. Forsyth, Ph.D., University at Albany, State University of New York

Background: Negative bias toward people in poverty is highly prevalent. Such response tendencies can manifest as a range of behaviors such as discrimination, stigmatization, and reduced willingness to contribute to social programs assisting people in poverty, resulting in negative outcomes. However, poverty bias research has been conducted solely using explicit self-report questionnaires, which are prone to social desirability influences. Indeed, poverty researchers have suggested it might be helpful to assess poverty bias using implicit measures, which do not require deliberate introspection and elaborated responding. Yet, no research has used implicit assessments to examine responses to people in poverty. Moreover, little research has explored the relation between poverty bias and important behaviors, such as voting. Such work is important considering attention given to social issues such as economic inequality during recent US elections. Better understanding how people respond to those in poverty, and how such tendencies relate to other behaviors, might increase understanding of voting behavior and aid in the design of interventions targeting reductions of economic inequality. Objective: The aims of this study are to evaluate explicitly- and implicitly-assessed poverty bias, the relation of poverty bias to relevant constructs, and the incremental predictive validity of implicitly assessing poverty bias in the prediction of voting behavior related to welfare programs and political candidates. Method: Data collection is ongoing, with 30 undergraduates completing a version of the Implicit Relational Assessment Procedure (IRAP; Barnes et al., 2006) designed to assess properties of relational responding toward people in poverty and middle-class individuals. The IRAP is an implicit measure, based on Relational Frame Theory (RFT), that assesses the strength of relational responses (i.e., the degree to which stimulus relations have been derived in the past). Participants are also completing self-report measures assessing beliefs about poverty causes, political party affiliation, and relevant constructs. Finally, participants are completing an assessment measuring willingness to allocate funds to government-run welfare programs and voting preference for US Presidential candidates. Conclusions/Expected Results: We expect participants to demonstrate IRAP effects indicative of an anti-poor/pro-middle-class relational bias, suggestive of histories of responding negatively to poor people. Furthermore, we expect IRAP effects correlate with related self-report measures and political party affiliation, such that individuals exhibiting traditionally conservative attributes (e.g., endorsement of the Protestant Work Ethic) will display stronger IRAP effects. Finally, we anticipate that IRAP effects will predict voting behavior, over and above explicit measures. Results will be discussed in the context of using a contextual behavioral science (CBS) approach to assessing the nature and impact of poverty bias. This work is consistent with recent efforts to expand the reach of CBS outside clinical psychology, using CBS to address a broad spectrum of social justice issues.

43. On Being Present in Therapy: Validation of a French Translation of the Therapeutic Presence Inventory [1063]
Primary Topic: Other
Subtopic: Therapeutic Presence
Marie-Eve Martel, M.A., Psy.D.(c), Université du Québec à Trois-Rivières
Joel Gagnon, Ph.D.(c), Université du Québec à Trois-Rivières
Maxime Bourgault, Psy.D.(c), Université du Québec à Trois-Rivières
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières

Background: Despite the growing amount of research on mindfulness over the past few years, therapeutic presence seems to have only lately begun to spark interest in scientific research, and more research is needed to better understand its role in psychotherapy. Recently, the Therapeutic Presence Inventory (TPI; Geller, Greenberg, & Watson, 2010) has been developed to measure therapists’ presence in psychotherapy, but this self-report measure has yet to be translated and validated in French for clinicians or researchers. Method: This study aims to bring preliminary data on the factorial structure of a French translation of the 21-item TPI. The study was conducted among a sample of 151 French-speaking therapists in the province of Quebec (Canada). The majority of participants were women (70%), with a mean age of 46.3 (SD = 11.32). Results: Results from an exploratory factor analysis yielded a two-factor solution in which positively worded items represented one factor and negatively worded items represented the other factor. Confirmatory factor analyses were used to test for possible method effects based on the wording of items. Six alternative models were tested. Results showed that all the models controlling for method effects fit the data better than the two-factor solution. Discussion: These results suggest the presence of possible method effects based on the wording of items of the French TPI. Implications and future research directions will be put forward. Keywords: Therapeutic Presence; Mindfulness; Psychotherapist Training/Supervision/Development; Process Research; Translation.

44. Predicting psychological well-being of children based on their mothers psychological flexibility, mindfulness, mother-child relationships and demographic characteristics
Primary Topic: Other
Subtopic: psychological well-being, psychological flexibility, mindfulness, mother-child relationship
Leili Nourian, M.A., Islamic Azad University, Najafabad branch, Isfahan, Iran
Asghar Aghaei, Ph.D., Department of educational science and psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

The aim of this study was to predict psychological well-being of children based on their mother’s psychological flexibility, mindfulness, mother-child relationship and demographical characteristics. The research employed a correlational method. The sample consisted of 472 children (221 boys, 251 girls) aged 9 to 13, who were selected through multi-stage random cluster sampling from elementary school students in Isfahan (Iran) in 2015. Research Instruments were String Children’s Well-being Scale (SCWBS), Parental Psychological Flexibility Questionnaire (PPF), Five Facet Mindfulness Questionnaire (FFMQ), Mother-Child Relationship Evaluation (MCRE), and demographic characteristic questionnaire. The results of stepwise regression analysis indicated that cognitive defusion and acceptance of mothers, age of fathers, mothers education and financial situation of family can predict children’s well-being (P<0.05). So, using treatment methods to help mothers to increase their acceptance and cognitive defusion skills is recommended to increase the children psychological well-being. Also some of demographic characteristics like financial situation of family, level of mother’s education and age difference between father and child, should be considered as influential variables on psychological well-being of children.

45. The Reliability and validity of the Korean version of Parental Acceptance Questionnaire(6-PAQ)
Primary Topic: Other
Subtopic: Parenting, children, psychological flexibility
Seunmin Kim, Seoul Women's university
Kyung Park, Ph.D, Seoul Women's unversity

Background: The purpose of this study focused on the validation of the korean version of the Parental Acceptance Questionnaire(6-PAQ) which was developed by Greene, Field, Fargo and Twohig(2015). The 6-PAQ assesses all six process of parental psychological flexibility. Recently, the researchs of the ACT for distressed parents has been conducted, and the therapeutic effects has been proven in korea. But for the general measure of psychological flexibility is uesed the Acceptance and Action Questionnaire-II. So, the development of measurement tools that adequately measure psychological flexibility in the parenting is needed in korea. Method: To develop the Korean version of 6-PAQ, after obtaining permission of the original authors, one clinical psychologist and professional translator translated the English version into korean. Then, two clinical psychologists and ACT professionals modified the korean version to preserve the conceptual equivalence of original version. The participants were parents of children between the ages of 3 and 12 who agree with the purpose of this study. The study materials included the K-6-PAQ, K-AAQ-II, KIMS, EQ, PWBS, PSOC, PSI/SF, PANAS and Hwa-Byung symptom scale. Results: Now, the collected data is in the process of conducting statistical analysis.

46. Impact Of A Routine Treatment Programme Applied in Addiction Centers In Turkey On Psychological Flexibility [1064]
Primary Topic: Other
Subtopic: drug addiction
Dr. M. Emrah Karadere, MD, Hittite University, School of Medicine, Department of psychiatry , Corum
Turkan Dogan, Eskişehir State Hospital, Eskişehir, Turkey
Basak Demirel, Konya Training and Research Hospital, Konya, Turkey
Esra Porgalı Zayman, Elazıg State Hospital For mental Health and Disorders
Sevinc Ulusoy, Elazıg State Hospital For mental Health and Disorders
Ece Yazla, Hittite University, School of Medicine, Department of psychiatry , Corum

Background: Substance use disorders are characterized by recurrent, maladaptive use of drugs and/or alcohol (1) which often leads to significant distress and impairment in social, interpersonal, and occupational settings (2,3). Several psychotherapy approaches and medications are being used in the treatment of addiction. SAMBA is a kind of psychoeducation programme applied in the form of group therapy in addiction centers of state hospitals in Turkey (4). Investigation the impact of SAMBA programme on psychological flexibility is aimed in this study. Method: According to DSM-V criteria, 15 inpatients with cannabis and opioid use disorders from three different addiction centers in Turkey were enrolled. Patients participated three-week and 9 session SAMBA programme. Clinical Global Impression scale (CGI), Beck depression inventory (BDI), Beck Anxiety Inventory (BAI) and Acceptance and Action Questionnaire-II (AAQ-II) were applied before and after the treatment programme to evaluate the clinical change. Also Addiction Severity Index (ASI) was used to evaluate disorder severity. Results: The mean age of participants was 27,63±8,67 and all of them were male. The 40% (6) were married, 47,7%(7) were single and 13,3% (2) were divorced. 53,3%(8) of the participants were primary school graduate, 33,3%(5) were high school graduate and 13,3%(2) were university graduate. Ratio of the subscales of ASI was: drug 0,45; alcohol 0,33; psychological 0,45; physical 0,22; family 0,46; employment 0,58. The initial mean scores of BDI, BAI, CGI and AAQ-II were 32,27±15,17; 23,60±15,69; 28,00±10,99; 3,87±1,06 respectively. A significant difference was found between the initial and after treatment mean scores of BDI and CGI (p<0,001). No significant difference was found between the initial and after treatment mean scores of BAI(p=0,042) and AAQ-II(p=0,046). Discussion: This paper shows the preliminary results of a study about psychological flexibility and psychoeducation weighted group therapy programme.Our results about BDI and BAI can show that change process may be related with metacognitive process like rumination rather than worry. It should be replicated in a large sample for certain results. Reference: 1. American Psychiatric Association, 2013. Diagnostic and statistical manual of mental disorders, 5th ed. American Psychiatric Publishing, Arlington, VA. 2. Henkel, D., 2011. Unemployment and substance use: a review of the literature (1990–2010). Curr. Drug Abuse Rev. 4, 4–27. 3. Mueller, S.E., Degen, B., Petitjean, S., Wiesbeck, G.A., Walter, M., 2009. Gender differences in interpersonal problems of alcohol-dependent patients and healthy controls. Int. J. Environ. Res. Public Health 6, 3010–3022. 4. Ögel K., Koç C., Aksoy A., Basabak .A, Evren C. Sigara, Alkol ve Madde Bağımlılığı Tedavi Programı (SAMBA). Yeniden Yayınları, İstanbul, 2012

47. Psychological Inflexibility Predicts Attitudes Toward Syrian Refugees and National Security Policies [1065]
Primary Topic: Other
Subtopic: Political Psychology
Arthur Hatton, M.S., Georgia Southern University
Michael Nielsen, Ph.D., Georgia Southern University

Our research examines whether psychological inflexibility predicts support for national security policies that limit civil liberties, unfairly target Muslims, and exclude Syrian refugees from entering the country. New research has suggested that high psychological inflexibility may be implicated in prejudice (Vilardaga, Estevez, Levin, & Hayes, 2012). According to that theory, inflexibility may contribute to discriminatory behaviors because it describes a person's tendency to engage in behaviors aimed at down-regulating internal distress. Recently, an enormous number of refugees from Syria have relocated from Syria into the EU, other Middle Eastern Countries, and in the United States. A political backlash to both the threat of terrorism and the large number of refugees has emerged in the United States, with a number of governors declaring that their states will not accept these refugees. We hypothesize that inflexibility may predict whether people support policies aimed at making the nation safer in light of terrorist threats, even if those policies restrict civil rights or unfairly target minorities. We surveyed 107 students from a southern American university to examine whether psychological inflexibility predicted support for a number of civil rights-restricting security policies, including policies that ban Syrian refugees from entering the country. We found that inflexibility was highly correlated with support for these policies. We then ran a regression to see which personality traits were most predictive of support for banning Syrian refugees from settling in the country. The results showed that political conservatism and inflexibility were both significant predictors, with inflexibility being slightly more predictive.

48. The Efficacy and Acceptability of Third Wave Behavioural and Cognitive eHealth Treatments: A Systematic Review and Meta-analysis of Randomised Controlled Trials
Primary Topic: Other
Subtopic: eHealth
Martin O'Connor, M.Sc., University College Dublin
Anita Munnelly, Ph.D., University College Dublin
Robert Whelan, Ph.D., University College Dublin
Louise McHugh, Ph.D., University College Dublin

Background: eHealth has the potential to improve access to third wave behavioural and cognitive therapies. This systematic review and meta-analysis aimed to determine the efficacy and acceptability of third wave eHealth treatments. Methods: A comprehensive search of electronic bibliographic databases including PubMed, PsychINFO and Web of Science was conducted to identify randomised controlled trials of third wave treatments in which eHealth was the main component. Results: Twenty-six studies were included in the review, 24 of which featured in the meta-analyses. Meta-analyses revealed that third wave eHealth significantly outperformed both inactive and active control conditions at post-treatment with small to medium effect sizes. The efficacy of third wave eHealth was not significantly different to that of comparison interventions. Conclusions: The findings of this review indicate that third wave eHealth treatments are acceptable to participants and efficacious in improving a range of psychological problems, but not more so than comparison interventions.

49. Unwillingness: Finding common ground among experiential avoidance, distress intolerance and related constructs
Primary Topic: Other
Subtopic: Measurement of core constructs
Tamara Loverich, PhD, Eastern Michigan University
Kate Happel Krautbauer, Eastern Michigan University
Jessica Baker, Eastern Michigan University
Sarah Webb, Eastern Michigan University

Experiential avoidance and distress intolerance are key transdiagnostic constructs in contextual behavioral science. Many studies utilize one or both concepts as indices of the unwillingness to adaptively experience private events, whether purely physiological, or more broadly cognitive or emotional in nature. Conceptually related constructs such as intolerance of uncertainty, low frustration tolerance, nonacceptance, and shame aversion have been similarly employed. Our science may be better served by further clarifying the conceptualization and measurement of unwillingness and its factors. This presentation will offer pilot data from a university sample using EFA and CFA to initially explore the convergence and distinctiveness of the dimensions of the AAQ-II, MEAQ, IUI-A, DTS, IUS, FDS, SSAS, DERS and the SHARQ, and discuss the potential for and implications of developing consensus around a single unifying unwillingness construct.

50. The Acceptance and Action Questionnaire - Stigma: An exploratory factor analysis using a Hispanic college student sample
Primary Topic: Prevention and Community-Based Interventions
Subtopic: stigma
Jessica Villarreal, Metropolitan State University of Denver
Maureen K. Flynn, Ph.D., Metropolitan State University of Denver
A. Solomon Kurz, M.A., University of Mississippi

The Acceptance and Action Questionnaire – Stigma (AAQ-S; Levin, Luoma, Lillis, Hayes, & Vilardaga, 2014) is a measure of psychological flexibility with stigmatizing thoughts. The AAQ-S has adequate internal consistency reliability and good construct validity (Levin et al., 2014). Regarding factor structure, the AAQ-S showed a two-factor solution using a principal components analysis (PCA) with a varimax rotation (Levin et al., 2014). Problems arise, however, when examining the factor structure of a measure using a PCA and varimax rotations and it is recommended that an exploratory factor analysis (EFA) with an oblique rotation be used instead (e.g., Preacher & MacCallum). To date, there are no published studies examining the factor structure of the AAQ-S using an EFA. The purpose of the current study was to examine the factor structure of the AAQ-S using an EFA. The current study’s sample consisted of 237 Hispanic college students enrolled in a university on the Texas/Mexico border. A parallel analysis was conducted to determine the number of factors in the AAQ-S. This examination suggested that three factors could be extracted from the data. Next, an EFA with a direct oblimin rotation using Maximum likelihood estimation was conducted. Results showed a three-factor solution. No items were removed due to high cross loadings with other factors. Implications and future directions will be discussed.

51. Effects of Mindful Food Parenting on Children’s Eating Habits and Behavior
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Mindfulness
Lindsey Roberts, M.A., Bowling Green State University
Lynnel Goodman, B.S., Bowling Green State University
Jenna Marx, M.S., Bowling Green State University
Dara Musher-Eizenman, Ph.D., Bowling Green State University

Children’s eating habits and taste preferences are established early, with many children establishing lasting patterns and relations to food during the preschool years (e.g., Birch & Marlin, 1982). Although parental feeding practices have been studied in relation to children’s weight and food intake, relatively little attention has been paid to mindfulness and the ways in which it might relate to children’s eating habits and behavior. The current study (N = 481) looked at mindful food parenting for children 3 to 6 years old and hypothesized that increased parental mindfulness would be associated with healthier eating patterns and less problematic behavior by children. Two subscales--Present-Centered Awareness and Satiety Mindfulness— comprise the Mindful Food Parenting Scale (Meers, 2013). As hypothesized, linear regressions revealed that both subscales were negatively associated with children’s problematic mealtime behavior (r2 = .11, p < .001), emotional overeating (r2 = .23, p < .001), food fussiness (r2 = .15, p < .000), and food responsiveness (r2 = .16, p < .001); contrary to hypotheses, parental mindfulness did not predict children’s satiety responsiveness. Overall, these results suggest that promoting mindful feeding practices among parents could help children to establish healthy relations to food at a young age, with mindfulness serving as a low-cost, easily applicable intervention with long-lasting health implications.

52. Mindful Food Parenting Practices across Parenting Styles
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Mindfulness, Parenting, Feeding
Lynnel Goodman, B.S., Bowling Green State University
Lindsey Roberts, M.A., Bowling Green State University
Jenna Marx, M.S., Bowling Green State University
Dara Musher-Eizenman, Ph.D., Bowling Green State University

Parents play an important role in developing their child(ren)’s eating habits, with research suggesting that parenting style is related to child weight and eating behaviors (e.g., Rhee, Lumeng, Appugliese, Kaciroti, & Bradley, 2006). However, very little research has examined the role of mindfulness in feeding. The present study (n = 475) examined how two aspects of mindful feeding—Present-Centered Awareness and Satiety Mindfulness—differed across three parenting styles (authoritative, authoritarian, and permissive), hypothesizing that authoritative parents would use more mindful feeding practices than would permissive or authoritarian parents. A one-way MANOVA revealed that mindful feeding significantly differs across parenting styles, Wilks’ λ =.834, F (4,562) = 13.34, p <.001. Pairwise comparisons revealed that authoritative parents (M = 3.87, SD = .74) were significantly higher in Present-Centered Awareness than authoritarian (M = 3.35, SD = .67) or permissive parents (M = 3.56, SD = .69). Authoritative parents were also significantly higher in Satiety Mindfulness (M = 4.25 SD = .61) than authoritarian (M = 3.70 SD = .70) or permissive parents (M = 3.84 SD = .70). Overall these results suggest that authoritative parents feed their children more mindfully than authoritarian or permissive parents, suggesting that mindfulness may be one mechanism through which authoritative parenting predicts positive feeding outcomes and may be important to include in feeding interventions.

53. ACT with At-Risk Adolescents: A Community-Based Preventive Intervention
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescents
Emily B. Kroska, M.A., University of Iowa
Rosaura Orengo-Aguayo, M.A., University of Iowa
Michael O'Hara, PhD, University of Iowa
James Marchman, PhD, University of Iowa

Background: Acceptance and Commitment Therapy (ACT) has demonstrated improvements in functioning across mental and physical health domains and has garnered empirical support through hundreds of clinical trials. Community-based interventions and prevention research are a necessary step in both research and dissemination. The use of ACT as a prevention tool will help individuals to develop and implement psychological flexibility before the emergence of psychopathology. Recent research suggests that ACT may be particularly effective with youth (Horowitz & Garber, 2006). The current study addressed three gaps in the ACT research literature: 1) the application of ACT to prevention science, 2) the implementation of ACT in community settings, and 3) the use of ACT with adolescents. Method: The present study tested the effectiveness of a five-hour group ACT intervention with adolescents attending an alternative high school in Iowa. Fifty-three students were aged 14-18 volunteered to participate in the study. The intervention was based on the core ACT processes with the goal of increasing psychological flexibility. Experiential activities and discussion were used to clarify valued life directions, examine the workability of avoidance, and suggest mindfulness and acceptance as alternatives. Participants completed assessments at baseline (at time of enrollment), pre-intervention, one-month follow-up, three-month follow-up, six-month follow-up, and one-year follow-up. In addition, attendance and grades data were obtained at pre- and post-intervention. Results: Longitudinal analyses using mixed-effects modeling revealed significant improvements in the targeted processes (higher levels of mindfulness, reduced avoidance) and secondary outcomes (lower levels of depressive and anxiety symptoms). Objective data obtained from the school indicated that attendance increased between pre- and post-intervention (trend-level significance). Moderation analyses indicated that change over time varied as a function of the number of traumatic experiences reported at baseline. Simple effects analyses revealed that individuals who reported higher levels of trauma benefited most from the intervention across depression, anxiety, avoidance, and mindfulness. Discussion: The current study underscores the importance of applying ACT to prevention work and in community settings. The findings indicate that significant change was observed over time across outcome variables, and this change was moderated by number of traumatic experiences. Thus, the implementation of ACT in an alternative high school was feasible and acceptable. The effectiveness of this intervention should be further examined through a RCT.

54. Examining the Effectiveness of Group Based Acceptance and Commitment Therapy for Adolescents in a Community Outpatient Mental Health Setting
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescents, Group Treatment, Transdiagnostic intervention, Anxiety, Depression
Tajinder Uppal Dhariwal, M.A., OISE/University of Toronto
Sheri Turrell, Ph.D., Trillium Health Partners
Mary Bell, M.S.W., R.S.W., Trillium Health Partners
Marci Gordeyko, M.A., OISE/University of Toronto

Background: Acceptance and commitment group therapy has been found to be effective for a transdiagnostic adult population within the hospital setting (Pinto et al., 2015). There is limited research of ACT group treatment with adolescents (Halliburton & Cooper, 2015). The effectiveness of ACT group treatment for adolescents diagnosed with heterogeneous psychiatric disorders in a community hospital has not yet been examined. Objective: The present study examined the effectiveness of 10 week group-based ACT treatment for adolescents presenting with primarily anxiety and depression-related psychiatric difficulties in a community outpatient mental health setting. Methods: Adolescents (n = 72) diagnosed with anxiety and depression-related psychiatric disorders took part in the present open trial. Data were collected prior to treatment, post-treatment and three months following the treatment. Participants completed outcome (anxiety and depression symptoms) and ACT process measures (cognitive fusion/experiential avoidance, mindfulness and values-based direction). The present study consists of data collected from fifteen groups run over three years. Results: Analyses revealed significant reductions in anxiety and depression symptoms from pre- to post-treatment. Significant reductions in anxiety and depression symptoms were also found from post-treatment to three months following the treatment. Changes in ACT process measures were determined to predict changes in anxiety and depression symptoms. Discussion: The present research provides support for ACT group treatment as a transdiagnostic approach for adolescents presenting with primarily anxiety and depression-related heterogeneous psychiatric disorders in the community. Future research comparing ACT group treatment and existing treatments in the community setting with a similar population is warranted. References Halliburton, A. E., & Cooper, L. D. (2015). Applications and adaptations of Acceptance and Commitment Therapy (ACT) for adolescents. Journal of Contextual Behavioral Science, 4(1), 1–11. doi:10.1016/j.jcbs.2015.01.002 Pinto, R. A., Kienhuis, M., Slevison, M., Chester, A., Sloss, A., & Yap, K. (2015). The effectiveness of an outpatient Acceptance and Commitment Therapy Group programme for a transdiagnostic population. Clinical Psychologist. doi:10.1111/cp.12057

55. Implicit attitudes to female body size in women with high and low body dissatisfaction: An IRAP study. [1066]
Primary Topic: Relational Frame Theory
Subtopic: IRAP
Alba Antequera-Rubio, M.Sc., University of Jaén, Spain
Monica Hernandez-Lopez, Ph.D., University of Jaén, Spain
Miguel Rodriguez-Valverde, Ph.D., University of Jaén, Spain

Background: Research on implicit attitudes to body size reveals the existence of a preference for images of thinness over images of fatness. Studies that have employed the Implicit Relational Assessment Procedure (IRAP) have shown that this attitudinal bias is specifically attributable to a pro-thin attitude, rather than to an anti-fat one. Method: In this study two groups of nonclinical female college students (22 women with high levels of body dissatisfaction and 21 women with low levels of body dissatisfaction, measured by the Body Shape Questionnaire) completed an IRAP with two labels (Pleasant and Unpleasant) and twelve targets (six photographs of underweight girls and six of overweight girls). Additionally they completed a visual analogue scale with the same photographs to measure explicit attitudes. Results:The IRAP results indicate that women with high levels of body dissatisfaction showed a pro-thin bias while women with low levels of body dissatisfaction did not. The explicit measure results revealed a general pro-overweight but not anti-thin attitude in both groups. The pro-overweight attitude was stronger in participants with high levels of body dissatisfaction. Discussion: Dissatisfaction with one's own body image appears to affect implicit attitudes to thinness and fatness.

56. Investigation of validity on the Kanji maze task as a defusion measure from verbal relation and relational responding. [1067]
Primary Topic: Relational Frame Theory
Subtopic: Depression Defusion
Yuki Shigemoto, Graduate School of Psychology, Doshisha University, JSPS Research Fellow
Takashi Muto Ph.D, Faculty of Psychology, Doshisha University

Background: The purpose of this study was to investigate whether the Kanji maze task is a valid measure of defusion. While the IRAP (Implicit Relational Assessment Procedure) is a useful tool for assessing defusion, it is difficult to implement in clinical interview due to its length. Thus, this study developed a new behavioral task, the Kanji maze task, to measure defusion and investigated its validity in regard to verbal relation and relational responding. Method: An alphabet-maze was the basis of the Kanji maze task. In this study two types of Kanji maze were developed. One is the depressed words Kanji maze and the other is the neutral words Kanji maze. A total of 73 undergraduate students completed the Ruminative Response Scale (RRS), Cognitive Fusion Questionnaire (CFQ), Acceptance and Action Questionnaire-II (AAQ-II) and Beck Depression Inventory-II (BDI-II) and performed the IRAP and Kanji maze task. Results: Two scores are calculated for the Kanji maze task: the reaction time as a measure of verbal relation ant the inflexibility score as a measure of relational responding. The validity of verbal relation was examined using reaction time on the Kanji maze task and the IRAP. No correlation was found between scores on these two tasks. However, those who scored higher on the BDI-II chose depressive words of Kanji maze faster than those with a lower BDI-II score. A 2 (high score / low score of questionnaire)×4 (4 trial types of IRAP) ANOVA was conducted. On the AAQ-II and CFQ, high-scoring individuals confirmed positive feelings more slowly and refused negative feelings faster than low-scoring ones. The validity of relational responding was examined through the inflexibility score of the Kanji maze and overall Dscore of the IRAP. A significant negative correlation between inflexibility score and overall Dscore was found. Discussion: The results of indicate that the reaction time on the Kanji maze task is not a valid measure of verbal relation. However, the results do suggest that the reaction time of depressive individuals is slower than that of minimal or mild depressive individuals. The finding for relational responding showed that the inflexibility score of the Kanji maze task has validity.

57. An Initial Application of Relational Frame Theory to Anorexia Nervosa
Primary Topic: Relational Frame Theory
Subtopic: Anorexia Nervosa
Kate Happel Krautbauer, B.A., Eastern Michigan University
Tamara Loverich, Ph.D., Eastern Michigan University

Background: Anorexia nervosa impacts approximately 0.4% of young women. This disorder is particularly concerning because it has a higher mortality rate than many other mental illnesses, with an estimated mortality rates between 5% and 15%. However, there is currently no clearly evidence-based treatment for the disorder in adults. Thus, improving current knowledge about anorexia is vital. Method: Data were collected as part of a larger qualitative study examining pro-anorexia (“pro-ana”) social media sites. Frequency counts for codes relating to thinness, desirability, social approval, fatness, and negative emotion were obtained to determine how often these codes occurred simultaneously. Results: Data are still being collected for this study, however preliminary results indicate high overlap between codes relating to thinness, desirability, and social approval. Preliminary results also suggest that codes related to fatness and disgust and anger demonstrate a high frequency of overlap. Discussion: The intersection between codes indicating “good” and “thinner than” and social desirability suggest that these concepts may have come to be linked in a relational frame by social media users reporting anorexia. It is also interesting to note the apparent opposite frame, “bad” related to “fatter than”. These results provide insight into the relational frames be maintaining factors in anorexia nervosa and may suggest an initial formulation of anorexia using an RFT framework.

58. Face off: implicitly and explicitly detecting “emotional threshold” by grading facial expressions.
Primary Topic: Relational Frame Theory
Subtopic: IRAP
Annalisa Oppo Psy. D., SFU, Milan (ITALY)
Enrica Basile (ITALY), Kore University, Enna Italy
Valeria Squatrito, Kore University, Enna Italy
Giovambattista Presti, MD, Kore University, Enna Italy

In addition to different contextual stimuli successful social interactions may depend also from the recognition of some of them as “emotional”: facial expressions are the most salient among them. Research commonly uses marked exemplars of facial expressions and the role of soft expressions remain unclear at the explicit level and rarely investigated at the implicit level. The aim of this study was to assess an “emotional threshold” both at explicit and implicit level, using implicit relational assessment procedure (IRAP) for the latter one. Thirty-seven participants were enrolled in this study. Assessment included explicit measures that evaluated self-compassion skills and depressive symptoms. A standardized set of graded, from full expression to neutral, emotional faces developed by Tottenham et al. (2009) and adapted by Gao & Maurer, D. (2009) were used. Following the procedure described by Calder and colleagues (1996) and using MorphX software facial expressions at varying intensity levels were generated. In this study facial emotions of anger, fear, sadness, happiness, disgust, and surprise at 100% versus 25% were used. Each stimulus has a resolution of 506 X 650 pixels with RGB color. Results showed that the “emotional threshold” seems higher at the explicit level than at the implicit level. Furthermore depressive symptoms seems to moderate the threshold both at the implicit and at the explicit level. Preliminary results will be presented. References Calder, A. J., Young, A. W., Perrett, D. I., & Etcoff, N. L. (1996). Categorical perception of morphed facial expressions. Visual Cognition, 3, 81–117. Gao, X. & Maurer
, D. (2009). Influence of intensity on children’s sensitivity to happy, sad, and fearful facial expressions. Journal of Experimental Child Psychology. Journal of Experimental Child Psychology 102(4):503-21. Tottenham, N., Tanaka, J. W., Leon, A. C., McCarry, T., Nurse, M., Hare, T. A., et al (2009). The NimStim set of facial expressions: Judgments from untrained research participants. Psychiatric Research, 168, 242–249.

59. Diffusion of Defusion: A Mixed-Methods Approach to Longitudinally Measure the Implementation of Acceptance and Commitment Therapy in a Community Mental Health Center. [1068]
Primary Topic: Supervision, Training and Dissemination
Subtopic: Evidence-based practice implementation, Qualitative data
Sean P. Wright, MA, MS, LMHC, Lutheran Community Services Northwest
Sonia Combs, MS, LMHC, Lutheran Community Services Northwest
Monica Frost, MS, Grand Canyon University; Lutheran Community Services Northwest

In community mental health, dissemination and implementation of evidence-based practices (EBPs) traditionally involves a top-down approach in which particular EBPs are specified at the system level by funders or agency administration. Little is known about individual clinician preferences for specific EBPs as well as preferences for implementation of new EBPs in agency settings. To address this gap, we surveyed clinicians at our agency to capture their attitudes toward EBPs and measure specific interest and knowledge about Acceptance and Commitment Therapy (ACT) since ACT is currently not an official EBP at the agency and all training efforts are therefore voluntary. We measured demographic variables, qualitative responses to open-ended questions about EBPs using a grounded approach, ACT experience level using questions adapted from Long (2015), and knowledge of the ACT model using the ACT Knowledge Questionnaire (Luoma & Vilardaga, 2013). Using a diffusion of innovations framework, we hypothesized that clinician commitment to learning ACT will increase over time (and there will be reliable predictors of which clinicians voluntarily commit to training in and using ACT with clients). From a population (N = 39), we obtained a high response rate (56%, n = 22). Qualitative coding of data replicated previous findings in the literature that clinicians typically are in favor of proven interventions provided they are flexible to use, apply to client population, and are supported by supervisors. We also replicated the literature finding that clinicians face significant barriers to training in new EBPs such as large caseloads, concern about burnout, and lack of system support for the specific EBP. We confirmed our hypothesis that current levels of ACT experience and enthusiasm can be partially accounted for based on the clinician’s organizational ties to the two peer clinicians who are leading monthly trainings in ACT. The diffusion of innovation prediction that clinical knowledge will precede experience was confirmed: mean ratings of Likert-scale items for competence and confidence in the model were low; however, performance on the ACT knowledge questionnaire was significantly above chance performance for the 16 clinicians who agreed to have their knowledge tested (two-tailed t=2.144, p < 0.05). Together, these data suggest that our survey is a sensible way to measure the diffusion of ACT in a community mental health setting. It further suggests the need to design training interventions that address perceived barriers. Finally, our mixed method approach will be refined in preparation for a second round of data collection in May 2016, which will allow within subjects comparisons and model fitting. These forthcoming data will be incorporated into this poster. Long, D. (2015). Development and evaluation of an acceptance and commitment therapy online competency assessment: A contextual behavioral building block approach (Unpublished doctoral dissertation). University of Nevada, Reno. Luoma, J. B. & Vilardaga, J. P. (2013). Improving therapist psychological flexibility while training acceptance and commitment therapy: A pilot study, Cognitive Behavioral Therapy 42(1), 1-8.

60. ACT Workshop for teachers and staffs working for children having disabilities
Primary Topic: Supervision, Training and Dissemination
Subtopic: Teachers, staffs
Shinji Tani, Ph. D., Ritsumeikan University
Kotomi Kitamura, Ph.D., Osaka University of Human Sciences

Background: The ACT is expected to give benefits to children having disabilities. Teachers and staff learn the skills of ACT, and teach children mindfulness skills and other relating skills to ACT. That could be useful. Furthermore, teachers and staffs often have some mental health issues. Therefore, it could be beneficial for them to learn ACT on both children and themselves. Purpose: The purpose of this research is to show the effects of ACT WS on acquisition of knowledge and skills of ACT and mental health of participants. Method: 37 participants (six men and 31 women, ranged 23 to 68 years old) attended this research. They are teachers or staffs working at social service agents for children having disabilities. They attended the ACT WS, which was conducted in a group format and lasted for five hours. AAQ-II, FFMQ, and GHQ-28 were used to assess the effect of the WS. The knowledge test of ACT was conducted after the WS. Pre-test/post-test experiment design was used. Three questionnaires were implemented before starting the WS and a month after the WS. A textbook and a Power Point slide were used in the WS. Experiential exercises and metaphors were practiced in order to learn ACT skills and knowledge. Results: The statistical analysis revealed the score of AAQ-II, some of FFMQ were changed between pre-test and post-test significantly. There is no significant change on the score of GHQ-28. However, negative significant correlation was found between the score of AAQ-II at the pre-test and the change score of GHQ-28. This result indicated participants showing low psychological flexibility at the pre-test improved in psychological QOL (GHQ-28) after the WS. There were ten participants showing above six of the score of GHQ-28. The score of AAQ-II and GHQ-28 changed significantly among them. The result of the knowledge test showed the mean was 15.7 (11-20), SD was 2.5. There was no correlation with any measures. Discussion:The results showed the WS was effective for both of acquisition of knowledge and skills of ACT and mental health issues. The participants learned mindfulness skills. The participants showed lower QOL improved after the WS.

61. Therapist Agreement with Sensitivity to Context (TASC) and deictic relational complexity: Demonstration of an assessment prototype
Primary Topic: Supervision, Training and Dissemination
Subtopic: Assessment
Douglas M. Long, Ph.D., Alpert Medical School of Brown University

Background: This poster describes a prototypical demonstration of a procedure that extends the basic contextual behavioral science of language and cognition into the area of therapist skill assessment and training. While expert-guided consultation and experiential training are increasingly recognized as essential ingredients in efforts to address global health challenges through clinical workforce development, public health needs remain unmet in part because the processes by which expertise is transferred are not understood with a degree of precision necessary for efficient regulation of scarce training resources. Relational Frame Theory (RFT) provides an empirically progressive analysis of symbolic behavior that precisely specifies the manipulable social conditions under which otherwise arbitrary stimuli acquire behavior regulatory functions (Hayes, Barnes-Holmes, & Roche, 2001). RFT comports with the evolution science of language development, has demonstrated clinical utility in predicting and influencing cognitive skills – including those involved in perspective-taking, and can be used to guide clinician behavior in the delivery of any psychosocial intervention (Villate, Villate, & Hayes, 2016; Wilson, Hayes, Biglan, & Embry, 2014). Method: Therapist Agreement with Sensitivity to Context (TASC) is an assessment strategy whereby participant relational responses to contextual cues (i.e., videos of simulated therapy sessions) are compared to the relational responses of experts to those same stimuli. The TASC prototype presented in this poster was developed as a web-based competency assessment in Acceptance and Commitment Therapy (ACT) that was distributed to clinicians before and after participation in experiential training workshops (Long & Hayes, 2015). In an analysis of TASC responses provided by 76 therapists of varying skill levels, agreement with experts required participants to demonstrate perspective-taking responses of high relational complexity (i.e., “I see YOU seeing THAT process THEN which is DIFFERENT from THIS process I see HERE NOW”). Results: Variability in perspective-taking responses was mildly associated with number of years spent practicing as a clinician and with self-rated familiarity with RFT – even while statistically accounting for other ACT-consistent TASC responses -- creating a regression model with R-squared = .155, p = .007. Discussion: While this correlation was small, its specificity was notable, in that other therapist demographic and training-history variables did not display this relationship. This provides an empirical demonstration of the relevance of RFT to the development of clinical skill assessments that can be used to efficiently evaluate psychotherapy training practices.

62. Fostering Psychological Flexibility in Cancer Patients: A Chilean Experience
Primary Topic: Clinical Interventions and Interests
Subtopic: Cancer, Oncology, Psycho-Oncology
Cristian Soza, Ph.D., Oncoloop Foundation
Tatiana Corbeaux, Ph.D., Oncoloop Foundation
Fernando Parada, Oncoloop Foundation

Cancer is one of the main causes of morbidity and mortality around the world; In 2012 there were approximately 14 million new cases and 8,2 million Cancer-related deaths. It is expected that the number of new cases grow to an approximate of 70% in the next 20 years, this means that the annual Cancer cases will grow from 14 million in 2012 to 22 million in the next 2 decades. Of the new cases mentioned, over 60% come from Africa, Asia, Central and South America. These regions represent 70% of the Cancer Deaths around the World. The World Health Organization and the Panamerican Health Organization have dedicated great efforts to revert and prevent this situation, revealing that health institutions have a key role in this subject: "Organizing systems that articulate the access and continuity in health assistance". These systems should provide prevention tools, early diagnosis, treatment and paliative care against these diseases. In Chile, Cancer is the second cause of death after Cardiovascular Disease. From 20% to 25% of the deaths nationwide are caused by this disease. It is estimated that in 2008, 22 thousand people died from Cancer, this statistics are more similar to an industrialized than to a developing country. According to the National Health Ministry, the main objective in the battle against Cancer is to cure, prolong and improve quality of life, as well as to alleviate pain and suffering, which can be achieved in 90% of the cases. This is why both the private and public health system in Chile have organized to help offering paliative care for Cancer, being included as a part of the National Health Warranties (GES for Garantías Explícitas en Salud). As part of this nationwide effort to prevent and treat Cancer, the Oncoloop foundation emerges as an organization dedicated to the evaluation and improvement of the existent treatment protocols for Cancer in Chile, as well as to the design and implementation of new and evidence-based interventions for the effective approach and treatment of this disease. In this context, the Onocloop foundation is currently working in several areas related to well being and quality of life in Cancer patients, one of which is the Psychological area. Currently in Chile there is no unified protocol for the Psychological assistance of Cancer patients. Despite there's a significant amount of psychologists working in Oncology units and the existence of a Diploma in a State University regarding Pyscho-Oncology, there are no official protocols for the best evaluated psychological treatment for Cancer in Chile, which could be a problem when it comes to measuring and evaluating outcomes. Therefore, the Oncoloop Foundation is currently working in the Design and Implementation of a group protocol for people diagnosed with Cancer. This protocol is based on the studies and trials conducted in developed countries, such as Spain, England and United States, all related to the use of Acceptance and Commitment Therapy (ACT) and Mindfulness for the improvement of quality of life and mental health of these patients. The main goal for this protocol is to foster psychological flexibility in people diagnosed with Cancer, which has been related to improvements in their quality of life, distress and mood issues (Feros, et, al, 2013). In order to accomplish such goal, a 6 session protocol has been designed to aim specific Psychological Flexibility processes with participants, which are expected to foster these abilities and, therefore, improve their quality of life, distress and mood indicators. This is an ongoing investigation, results and conclusions will be published once the process is finished.

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WC14 Powerpoints & Handouts

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WC14 Powerpoints & Handouts  [978]

WC14 Symposia Detail

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Thursday, June 16
Friday, June 17
Saturday, June 18
Sunday, June 19

 

Thursday, June 16

5. Defining Defusion: Structure, Intervention, and Effects of Cognitive Defusion in Research and Clinical Practice
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Original data
Categories: Clinical Interventions and Interests, Clin. Interven. & Interests, Other, Defusion
Target Audience: Beg., Interm.
Location: Vashon 1

Chair: Theresa A. Morgan, Ph.D., Rhode Island Hospital, Alpert Medical School of Brown University
Discussant: J. T. Blackledge, Morehead State University

Defusion is integral to Acceptance and Commitment Therapy (ACT) and has a documented effect on treatment outcomes. It is targeted directly in ACT using a combination of experiential exercises, metaphors, and didactics that shift emphasis away from literal meanings, and highlight the independence of thought and behavior. Nevertheless, there is little research examining defusion’s primary structural components, assessment, and associations with related constructs. Moreover, targeted examinations of defusion interventions are rare, and its acceptability and effect in naturalistic treatment settings is not well established. This symposium presents three investigations of defusion including both experimental and applied studies in diverse populations. The first addresses the conceptual underpinnings, measurement, and structure of defusion across four samples. The second presents rapid effects of a technology-enhanced defusion technique on thought believability and distress in a clinical sample. The third discusses the effectiveness of initiating ACT-based treatment with defusion in an acute treatment setting.

• Examining the Structure and Construct Validity of Defusion and Decentering
Kristin Naragon-Gainey, Ph.D., University at Buffalo, the State University of New York
Kenneth G. DeMarree, Ph.D., University at Buffalo, the State University of New York

Defusion and decentering are related constructs that describe an objective, distanced, and open approach towards one’s internal experiences (Bernstein et al., 2015). Numerous measures of these constructs exist, but little is known about how they relate to one another or their ability to predict important outcomes like thought believability. Across four samples (clinical and non-clinical), we found that five measures of defusion and decentering were only weakly to modestly associated with one another. Item-level analyses revealed a two-factor structure, consisting of “Observer Perspective” and “(Lack of) Struggle with Thoughts,” which generally showed expected and distinct patterns of convergent and discriminant validity, although the latter factor had questionable discriminant validity viz-a-viz psychological distress. The factors also related differently to believability of positive vs. negative thoughts, which was partially explained by the predominance of negative items in defusion and decentering measures. Implications for the conceptualization and assessment of defusion are discussed.

• The Immediate Effect of Cognitive Defusion in a Clinical Sample: Distress, Believability, and the Role of Psychological Flexibility
Kristy L. Dalrymple, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Brandon A. Gaudiano, Ph.D., Butler Hospital; Alpert Medical School of Brown University
Lia Rosenstein, B.A., Rhode Island Hospital; Alpert Medical School of Brown University
Emily Walsh, B.A., Rhode Island Hospital; Alpert Medical School of Brown University

Defusion tasks (e.g., vocal repetition) result in greater reductions in distress and believability towards negative thoughts relative to thought control or distraction tasks (e.g., Masuda et al., 2009; 2010). A few studies have been conducted in clinical samples, but no known studies have examined the use of mobile technology to enhance the defusion effect. We previously conducted intermediate analyses of the effects of nontechnology and technology-enhanced defusion tasks compared to a thought distraction task on negative thoughts in a subsample diagnosed with a depressive disorder. The current study will present results from the final sample of 97 participants and explore the role of psychological flexibility. Results showed that defusion resulted in decreased believability from pre- to post-task compared to thought distraction. Greater psychological inflexibility was associated with less change in distress and believability in the thought distraction condition only. Additional findings, limitations, and implications of the findings will be discussed.

• Changes in Symptoms and Functioning After Initiating Treatment with Defusion
Theresa A. Morgan, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Brian Pilecki, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Catherine D'Avanzato, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Kirsten Langdon, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Darren Holowka, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Kristy Dalrymple, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Mark Zimmerman, MD, Rhode Island Hospital; Alpert Medical School of Brown University

Few studies examine the unique effect of defusion on clinical treatment, but those that do identify it as a significant contributor to positive outcomes (e.g., Levin et al., 2012; Bach & Hayes, 2002). Despite this, we could find no reported clinical protocols that begin treatment with defusion or that quantify the results of doing so. The current study examines the effect of applying defusion at intake in ACT-based group treatment. Participants include 750 patients in an open-enrollment, ACT-based partial hospitalization program, 144 of whom initiated treatment with defusion. Preliminary results showed that patients receiving defusion at intake reported significant improvement in symptoms and functioning 24 hours after initiating treatment. Group comparisons showed higher defusion and flexibility in the intake-defusion group 24 hours after initiating treatment, however these differences were no longer present at discharge. Clinical implications and issues that arise when applying defusion early in treatment will also be discussed.

Educational Objectives:
1. Describe the primary elements that underlie measures of defusion and decentering, evaluate the construct validity of existing defusion scales, and identify current challenges in measuring and conceptualizing defusion. 2. Describe the effects of nontechnology and technology-enhanced defusion tasks on negative thoughts compared to a thought distraction task, and the association between these effects and pre-task psychological flexibility. 3. Discuss the effectiveness and outcomes of applying defusion interventions at intake in acute psychiatric settings, and the clinical issues associated with this process.

 

9. Mindfulness and Acceptance-Based Interventions for PTSD in Acute and Complex Populations: Refining Treatment and Clarifying Mechanisms of Change
Symposium (10:30am-Noon)
Components: Literature review, Original data
Categories: Clinical Interventions and Interests, PTSD, partial hospitalization, Adults, veterans
Target Audience: Beg., Interm.
Location: Cascade 1B

Chair: Catherine D'Avanzato, Ph.D., Rhode Island Hospital
Discussant: Victoria M. Follette , Ph.D., Department of Psychology, University of Nevada Reno

ACT-based interventions have demonstrated efficacy for trauma-exposed populations. Given the complexity and functional impairment characterizing this population, ACT may be a particularly suitable intervention, as it has demonstrated improved outcomes among individuals who do not respond adequately to traditional behavioral therapies. This symposium will address two important gaps in the existing literature on ACT for PTSD: first, a lack of research investigating higher-level care settings which are increasingly serving this population and second, a need to clarify the pathways through which change in specific ACT processes influences outcomes. The first presentation (Megan Kelly) focuses on examining change in experiential avoidance as a mechanism underlying social support among returning Veterans. The second (Catherine D’Avanzato) and third (Kirsten Langdon) presentations highlight outcome data of a specialty PTSD partial hospital program, as well as underlying ACT mechanisms of change. Implications for refining existing ACT-based interventions for PTSD will be discussed.

• Experiential avoidance as a mediator of the association between posttraumatic stress disorder symptoms and social support: A longitudinal analysis
Megan Kelly, Ph.D., VISN 1 Mental Illness Research, Education, and Clinical Center, Bedford, MA, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA; Social and Community Reintegration Research Program, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA; University of Massachusetts Medical School, Worcester, MA
Bryann B. DeBeer, Ph.D., Dept. of Veterans Affairs, VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX; Texas A&M University
Eric Meyer, Ph.D., Dept. of Veterans Affairs, VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX; Texas A&M University
Nathan Kimbrel, Ph.D., Durham Veterans Affairs Medical Center; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center; Duke University School of Medicine
Suzy Gulliver, Ph.D., Warriors Research Institute, Baylor, Scott & White Healthcare System, Waco, TX, USA
Sandra Morissette, Ph.D., The University of Texas at San Antonio, Department of Psychology

Veterans with PTSD often experience difficulties with social reintegration following deployment due to avoidance of social interaction. The present study evaluated whether experiential avoidance (Acceptance and Action Questionnaire – II ) mediated the association between PTSD symptoms (Clinician Administered Scale for PTSD) and post-deployment social support (Deployment Risk and Resilience Inventory – Post Deployment Social Support Questionnaire). Veterans (n = 145) who served in support of the conflicts in Iraq and Afghanistan participated in a study evaluating returning Veterans’ experiences. Results showed experiential avoidance was a significant mediator the relationship between lifetime PTSD symptoms and 8-month social support, indirect effect = -.0048 (95% CI: -.0074, -0.0029). Results also showed that experiential avoidance was a significant mediator of the association between baseline PTSD symptoms and 8-month post-deployment social support, indirect effect = -.0061 (95% CI: -.0101, -.0027). Experiential avoidance appears to be an important mediator between PTSD symptoms and social support following deployment.

• Effectiveness of an ACT-based Partial Hospitalization Program for PTSD: Trajectories of Change in PTSD symptoms and Core ACT Processes
Catherine D'Avanzato, Ph.D., Rhode Island Hospital, Providence, RI
Darren Holowka, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Kirsten J. Langdon, Ph.D., Rhode Island Hospital
Theresa A. Morgan, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Brian Pilecki, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Sarah McCutcheon, M.A., Rhode Island Hospital

ACT appears to be an efficacious and well-received intervention for trauma-exposed individuals (e.g. Walser et al., 2015; Mulick et al., 2011), however further research demonstrating its efficacy is needed. Further, as partial hospital programs are becoming an increasingly prevalent treatment modality for this population, more research is needed on the effectiveness of ACT for PTSD in acute care settings. The present study investigated the effectiveness of our ACT-based PTSD track in reducing PTSD severity, as indicated by the PTSD Check List (PCL), building upon past results indicating significant change in anxiety and depression symptoms. We first validated the PCL in our non-veteran sample, comprised of individuals exposed to diverse trauma types. A significant reduction in PTSD severity from pre to post-treatment was hypothesized and tested using structural equation modeling (N>300). Results on pre-post change in symptoms, quality of life, functioning, and ACT processes will be reviewed, as well as trajectories of symptom change over time. Implications for the refinement of ACT-based PTSD interventions in higher level care settings will be discussed.

• Experiential avoidance and mindfulness: Putative mechanisms underlying symptom change during intensive ACT-based treatment among a trauma-exposed population
Kirsten J. Langdon, Ph.D., Rhode Island Hospital
Darren Holowka, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Catherine D'Avanzato, Ph.D., Rhode Island Hospital
Theresa A. Morgan, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Brian Pilecki, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Sarah McCutcheon, M.A., Rhode Island Hospital
Kristy Dalrymple, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Mark Zimmerman, MD, Rhode Island Hospital; Alpert Medical School of Brown University

Recent research suggests that ACT may be an especially effective treatment for trauma-exposed populations, given its emphasis on encouraging participants to observe and accept unwanted thoughts, feelings, and memories (McLean & Follette, 2015; Woidneck, Morrison, & Twohig, 2014). The present study evaluated whether change in certain ACT-based processes, namely experiential avoidance and mindfulness, during participation in a specialized PTSD track within a partial hospital program, predicted improvement in symptom severity across treatment. Results indicated that decreases in experiential avoidance and increases in mindfulness were associated with reductions in PTSD, anxiety, depression, and anger severity across time. An examination of the differential effects of specific mindfulness facets in relation to symptom change will also be presented. These data highlight experiential avoidance and mindfulness as putative mechanisms underlying change in PTSD and related symptoms during intensive ACT-based treatment. Clinical implications for addressing experiential avoidance and encouraging mindful awareness in trauma-exposed populations will be discussed.

Educational Objectives:
1. Present data on the effectiveness of three ACT-based interventions for PTSD in novel populations and/or setting. 2. Examine the relation between specific ACT core processes and treatment outcome indices. 3. Discuss implications for developing and refining ACT interventions for PTSD in novel clinical settings and populations.

 

11. Pursuing a comprehensive assessment agenda for Functional Analytic Psychotherapy
Symposium (10:30am-Noon)
Components: Conceptual analysis, Didactic presentation
Categories: Performance-enhancing interventions, Superv., Train. & Dissem., Assessment
Target Audience: Interm., Adv.
Location: Cascade 2

Chair: Amanda M. Muñoz-Martínez, MSc., University of Nevada, Reno
Discussant: William C. Follette, Ph.D., University of Nevada, Reno

Research in Functional Analytic Psychotherapy (FAP) has advanced in different directions. Several methods have been implemented to identify how therapeutic relationship produce changes in-session and its effect on client’s natural contexts. However, FAP lacks of a coordinated methodological agenda that extends its empirical support in a functional perspective instead a topographical approach. This symposium addresses some issues to unstuck research progress in this therapeutic approach. First, we explored psychometric measurements that assess improvements in the interactions in-session and out-of-session, that could provide standardized parameters of clients improvements. Second, we discuss areas of influence on client's behavior and the complexities of functional assessment. Third, we propose implementing systematic functional descriptive analysis as an option, to guarantee the integrity of the independent variable and the reliability of the dependent variable, in FAP.

• Psychometric measurement of interactions in- and out-of-session
Timothy Feeney, University of Nevada, Reno
Cory Stanton, M.S., University of Nevada, Reno

Functional Analytic Psychotherapy (FAP) is an approach that assumes interpersonal interactions between the therapist and client account for a large proportion of the variance explaining therapeutic change. Measures have been developed that directly target features important to the intervention. These include measures that inform a functional case conceptualization, provide procedures for coding and analyzing the dyad, and measures of dependent variables. The field of interpersonal interventions is not limited to FAP; methods and measures have been developed that maintain features important to the analytic goals of FAP (prediction and influence). This paper will discuss measurement procedures that exist in FAP, what is missing, and what methods have been developed for other domains that may be adapted for research that takes a functional approach to the therapist-client dyad as a mechanism of change. The paper will explore the varying clinical and empirical implications for using these devices in a functional paradigm.

• Areas of influence on client behavior and the complexities of analysis
William C. Follette, Ph.D., University of Nevada-Reno

Functional Analytic Psychotherapy (FAP) is an approach to therapy that assumes there are functional and definable features of the therapeutic dyad. Further, these features account for a significant proportion of the variance that contribute to the probability of achieving an outcome favorable to both the therapist and the client. Some proportion of this variance will be called “client characteristics;” these are functional repertoires of behavior that may be under generalized stimulus control and interact with “therapist characteristics” in a way that increases or decreases the probability of achieving therapeutic goals. Other features that contribute to the variance will be discussed and include treatment fidelity, the supporting influences of the client’s direct acting environment, and how these interact with “client and therapist characteristics.” All of these units are functional and contextual and provide a dynamic view of the change process and create a context where attending to treatment adherence is insufficient.

• Assessing treatment integrity and reliability in FAP
Amanda M. Muñoz-Martínez, MSc., University of Nevada, Reno
Natalie Bennett, University of Nevada, Reno

Treatment adherence or treatment integrity, as the extent by which an intervention is implemented as intended, is an important aspect of research in psychotherapy. Strong conclusions cannot be drawn between the independent variable (treatment) and dependent variable (client’s behavior) unless it is known whether or not the therapist adhered to the treatment (Gresham, 2009). Otherwise, reliability of the dependent variable is fundamental to provide accurate conclusions about treatment effectiveness. Currently, Functional Analytic Psychotherapy (FAP) lacks standardized assessments of treatment integrity and reliability, given its emphasis on client–therapist functional interaction. We propose utilizing assessments that integrate descriptions of functional units of analysis by clients (CRB’s) and therapist’s (therapeutic rules) behaviors in-session to obtain inter-observer agreement as a feasible alternative to evaluate FAP therapist’s adherence and the consistency of therapeutic achievements across research in diverse domains.

Educational Objectives:
1. Describe the current state of assessment in Functional Analytic Psychotherapy and its impact on research progress. 2. Present alternative methods to evaluate FAP effectiveness, validity, and reliability, in- and out-of-session. 3. Discuss the importance of integrating measurements, that account for FAP effects with fidelity and control confounding variables in the therapeutic interaction.

 

16. ACT in Medicine: Efficient Contextual Interventions that Target Diverse Medical Populations
Symposium (10:30am-Noon)
Components: Original data
Categories: Behavioral medicine, Clin. Interven. & Interests, Behavioral Medicine
Target Audience: Beg., Interm., Adv.
Location: Mercer/Denny

Chair: Joanna J. Arch, University of Colorado Boulder
Discussant: Kirk Strosahl, Ph.D., Mountainview Consulting

The vast majority of adults with mental health problems present in medical settings; additionally, many medical conditions put adults at risk for mental health problems. These twin facts create a remarkable need for mental health professionals with knowledge of medical populations. Fast-paced medical settings demand brief, resource-efficient interventions that target transdiagnostic principles of change to quickly facilitate improvement. This symposium highlights ACT’s potential to flexibly intervene with diverse medical populations using targeted, efficient interventions. We will present original data from five studies in diverse medical populations that employ ACT interventions ranging from one-day workshops to weekly groups. We will also reflect upon the lessons learned from deploying ACT in medical settings. Our collective work demonstrates the feasibility and preliminary efficacy of applying ACT to address the psychosocial needs of diverse medical populations.

• One-Day Acceptance and Commitment Training Workshops Targeting Distress in Medical Populations
Lilian Dindo, Ph.D., Baylor College of Medicine
James Marchman, Ph.D., University of Iowa
Jess Fiedorowicz, M.D., Ph.D., University of Iowa
Ana Recober, MD, University of Pennsylvania

Management of chronic medical illnesses can be challenging. The challenge is accentuated by comorbid depression or anxiety, which interfere with motivation and drive. ACT provides a unified model of behavior change and has shown promise in treating depression, anxiety, and chronic medical conditions. Aim: To evaluate the efficacy of a 1-day ACT intervention on depression and anxiety in different medical populations. Study 1: patients with vascular disease and comorbid depression or anxiety were assigned to 1-day ACT plus Illness Management (ACT-IM) or Treatment as Usual (TAU); Study 2: patients with comorbid depression and migraine were assigned to ACT-IM or TAU. Results: In both studies, patients in the ACT-IM condition showed significantly greater improvements in depression, anxiety, and functioning at the 3- month follow-up compared to patients in TAU. The benefits and challenges of, and lessons learned from, implementing 1-day ACT workshops in medical contexts will be discussed.

• Acceptance and Commitment Therapy for medical patients with co-occurring psychiatric conditions
Megan Oser, Ph.D., Department of Psychiatry, Brigham and Women’s Hospital and Harvard Medical School
Gabe Gruner, LICSW, Department of Psychiatry, Brigham and Women’s Hospital
Vanessa Alvarez, M.A., Department of Psychology, Suffolk University

We conducted a pilot feasibility test of an Acceptance and Commitment Therapy (ACT) group for medical patients with psychiatric conditions (N = 32). We characterize the sample; evaluate pre to post changes, and discuss lessons learned from embedding ACT in this medical context. Treatment completers did not differ from non-completers (n = 11) on baseline anxiety screener (PHQ-4), quality of life (SF-8), experiential avoidance (Acceptance and Action Questionnaire-II), anxiety sensitivity (Anxiety Sensitivity Index), and distress tolerance (Distress Tolerance Scale). However, non-completers endorsed significantly higher pre-treatment depressive symptoms (p = .01). Although improvements in experiential avoidance and anxiety sensitivity were observed, only distress tolerance (p = .03) and mental health related QoL (p = .01) significantly improved during treatment. Limitations of statistical analyses for a heterogeneous sample, the incubation period of capturing improvements in ACT, and adaptations for patients with medical conditions will be discussed.

• Integrating the ACT Matrix into Post-Surgical Pain Management
Aliza Weinrib, Ph.D., Toronto General Hospital; Department of Psychology, York University, Toronto
Muhammad Abid Azam, M.Sc., Toronto General Hospital; Department of Psychology, York University, Toronto
Janice Montbriand, Ph.D., Toronto General Hospital; Department of Psychology, York University, Toronto
Hance Clarke, MD, Ph.D., Dept. of Anesthesia and Pain Management, Toronto General Hospital
Timothy Gordon, MSW, Private Practice
Joel Katz, Ph.D., Toronto General Hospital; Department of Psychology, York University, Toronto

The Transitional Pain Service at Toronto General Hospital is a novel, multidisciplinary approach to managing pain after major surgery that incorporates an ACT Matrix protocol. The service provides acute pain care in-hospital for complex surgical patients and continued care for the 5-10% of patients who develop chronic post-surgical pain after hospital discharge. Early findings (N = 143) indicate that patients who participated in more than two sessions of the ACT intervention (n = 36) were able to reduce their opioid use after surgery more than patients who participated in less than two sessions (n = 32) or no sessions (n = 75). In addition, reductions in pain intensity for the 2+ session ACT group were associated with less depressive symptoms and reduced pain interference in daily activities; these correlations were not significant in patients who received less or no ACT treatment. Lessons learned from clinical implementation will be discussed.

• An Acceptance and Commitment Therapy Group Intervention for Cancer Survivors Experiencing Anxiety at Re-entry
Joanna J. Arch, Ph.D., University of Colorado Boulder, Department of Psychology and Neuroscience
Jill L. Mitchell, LCSW, Ph.D., Rocky Mountain Cancer Centers-Boulder; Tebo Family Medical Pavilion, Boulder, CO

Background: This paper will present data from a pilot study (n=42) investigating the preliminary feasibility and efficacy of an ACT group intervention for anxious adult cancer survivors. We will present “lessons learned” from this pilot study that we applied to our recently initiated randomized clinical trial (RCT) comparing ACT to usual care in community cancer care centers throughout Colorado (target n=100+). Methods: We assessed pilot study outcomes across a month-long multiple baseline period, mid-intervention, post-intervention, and 3-month follow-up. Results and Conclusions: Intent-to-treat, HLM analyses demonstrated robust improvement across all outcomes from the multiple baseline to Post, ps ≤ .05, ds = .21-.78, and FU, ps ≤ .01, ds = .37-1.00, with anxiety and depression symptoms showing the largest improvements. Change in cancer-related psychological flexibility predicted or nearly predicted subsequent change in 8 of 9 outcomes. Numerous “lessons learned” have facilitated a successful first year in the ongoing RCT.

Educational Objectives:
1. Describe adaptations of acceptance-based interventions for use with medical populations. 2. Use the broad range of psychological and health-related outcomes that acceptance-based interventions can impact. 3. Apply 'lessons learned' about implementing ACT interventions and research in diverse medical settings.

 

21. Receptivity to ACT as a Smoking Cessation Intervention for People with Mental Health Conditions
Symposium (2:45-4:15pm)
Components: Original data
Categories: Clinical Interventions and Interests, Smoking cessation
Target Audience: Beg., Interm., Adv.
Location: Vashon 1

Chair: Jaimee L. Heffner, Ph.D., Fred Hutchinson Cancer Research Center
Discussant: John Forsyth, University at Albany, State University of New York

People with mental health conditions have two to three times higher prevalence rates of cigarette smoking than people without these conditions, and quit rates are up to 50% lower. Standard treatment approaches for smoking cessation, based on US Clinical Practice Guidelines, do not address some of the unique barriers to quitting reported by smokers with mental health conditions, including fears about worsening mental health symptoms and smoking to “treat” symptoms of the disorder. ACT may be a better treatment model, helping smokers with mental health symptoms to quit through acceptance of these smoking triggers and identification of core values guiding quitting. As a step toward developing tailored ACT interventions for smokers with mental health conditions, the presenters in this symposium will provide evidence that smokers with posttraumatic stress symptoms (Dr. Kelly), social anxiety symptoms (Dr. Watson), and bipolar disorder (Dr. Heffner) respond favorably to ACT for smoking cessation.

• Receptivity of a Web-Delivered ACT Smoking Cessation Treatment for Smokers with Posttraumatic Stress Disorder Symptoms
Megan M. Kelly, Ph.D., Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA; University of Massachusetts Medical School
Jaimee L. Heffner, Ph.D., Fred Hutchinson Cancer Research Center
Kristin E. Mull, M.S., Fred Hutchinson Cancer Research Center
Jonathan B. Bricker, Ph.D., Fred Hutchinson Cancer Research Center

An ACT smoking cessation treatment may be particularly helpful in addressing triggers related to stressful and traumatic life events, which are often substantial triggers for tobacco use. The present study evaluated the receptivity and engagement of a web-delivered ACT smoking cessation therapy by individuals who endorsed clinically significant posttraumatic stress disorders symptoms (measured on a 6-item abbreviated version of the PTSD checklist; n= 694) compared to those who endorsed fewer symptoms (n=622). Participants with clinically significant PTSD symptoms were less likely to login to the program (p=.002) than participants with fewer symptoms. However, participants with clinically significant PTSD symptoms were more satisfied with the program (p=.008) and felt like it was more useful for quitting (p=.042) than participants with fewer symptoms. Overall, people who endorse more clinically significant PTSD symptoms related to stressful life events appear to be more satisfied with a web-delivered ACT smoking cessation treatment.

• Smokers with Social Anxiety: Comparing Receptivity to Web-Delivered ACT vs CBT in the Large WebQuit Randomized Trial
Noreen L. Watson, Fred Hutchinson Cancer Research Center
Jaimee L. Heffner, Ph.D., Fred Hutchinson Cancer Research Center
Kristin E. Mull, M.S., Fred Hutchinson Cancer Research Center
Jonathan B. Bricker, Ph.D., Fred Hutchinson Cancer Research Center

Background: Smokers with social anxiety disorder (SAD) are less likely to quit smoking with standard treatments. ACT-based cessation programs might be better suited for these smokers, but no prior studies have tested this hypothesis. Methods: In a large general sample RCT (N = 2,637), we compared receptivity among smokers with SAD (n =796) randomized to an ACT (n=408) or a CBT (n=388) cessation website at 3-months post-randomization (91% follow-up). Results: Compared to those assigned to CBT, smokers with SAD assigned to ACT: (1) logged-in more often (M = 11 vs. 4 times; p <.0001), and (2) rated intervention exercises and the website as more useful (ps < .05). Conclusions: Socially anxious smokers were more engaged with and receptive to the ACT intervention. Since engagement predicts outcome, results show the potential value of ACT for socially anxious smokers. Implications for tailoring web-based interventions for this group will be discussed.

• “It’s Not as Much Willpower as It Is Embracing It and Letting It Go”: Qualitative Analysis of Response to an ACT Intervention for Smokers with Bipolar Disorder
Jaimee L. Heffner, Ph.D., Fred Hutchinson Cancer Research Center
Noreen L. Watson, Ph.D., Fred Hutchinson Cancer Research Center
Jennifer B. McClure, Ph.D., Group Health Research Institute
Robert M. Anthenelli, MD, University of California at San Diego
Sarah Hohl, M.P.H., Fred Hutchinson Cancer Research Center
Jonathan B. Bricker, Ph.D., Fred Hutchinson Cancer Research Center

Background: We previously pilot tested the first ACT smoking cessation intervention for smokers with bipolar disorder, delivered in combination with nicotine replacement therapy, and found promising end-of-treatment quit rates: 40% for face-to-face counseling and 33% for telephone counseling. To follow up on these preliminary findings, we qualitatively assessed participants’ receptivity to the intervention and how they implemented ACT skills in the quitting process. Method: We conducted semi-structured interviews with 10 participants who completed the ACT treatment. Two coders applied descriptive coding and an inductive content analysis approach to interviews. Results: Participants generally perceived ACT to have been helpful in their quitting process, as themes consistent with acceptance, defusion, present moment, self-as-context, values and committed action emerged from the interviews. Conclusions: The intervention was well-received by participants, and it helped them implement the core ACT change processes. Potential methods of refining the intervention based on participant feedback will be explored.

Educational Objectives:
1. Demonstrate knowledge of the acceptability of a web-based Acceptance and Commitment Therapy Smoking Cessation Treatment for Individuals with Posttraumatic Stress Disorde symptoms. 2. Describe why ACT-based interventions may be well-suited for smokers with SAD and identify at least one possible intervention target for smokers withSAD. 3. Describe how smokers with bipolar disorder implement ACT processes as part of a targeted treatment for smoking cessation.

 

23. Beyond the couch: Functional contextual applications for community mental health and behavior change
Symposium (2:45-4:15pm)
Components: Original data, Didactic presentation
Categories: Prevention and Community-Based Interventions, Clin. Interven. & Interests, HIV, Stigma, Refugees, Mindfulness, IPA
Target Audience: Beg., Interm.
Location: St. Helens

Chair: Daniel S. Steinberg, M.A., University of North Texas
Discussant: Anthony Biglan, Ph.D., Oregon Research Institute

Community public health is increasingly becoming an area of focus for psychologists. Rather than being concerned exclusively with the care of the individual, psychologists in the 21st century might work to assist communities to facilitate community decision-making and to assess the well-being of community members (Biglan and Smolkowski, 2002). To this end, psychological studies have been examining community issues, with a focus on community-wide issues and integration of interventions at the community-level. Three papers will be presented, each with qualitative data addressing a relevant community-level issue. The first is a study on stigma in younger men with HIV in an area with an active PrEP program, the second examines the physical and mental health benefits of community gardening in a refugee population, and the third explores mindfulness in public health interventions broadly, with a specific example of using mindfulness to increase antiretroviral adherence in adolescents living with HIV.

• The Changing Context of Stigma for Gay Men Living with HIV: Preliminary Findings
Matthew D. Skinta, Ph.D., ABPP, Palo Alto University
Benjamin Brandrett, University of California
Erin Margolis, Palo Alto University

Stigma has been a target of great importance in the field of HIV treatment and prevention, as it creates barriers to testing, regular medical contact, and adherence to anti-retroviral therapy regimens. Historically, stigma, shame, and fear of seroconversion have also created a de facto divide within sexual minority mens’ communities. This presentation will focus on ongoing data collection exploring the experience of young gay men (<40 years old) living with HIV in an urban area that has had one of the longest roll-outs of pre-exposure prophylaxis. Utilizing interpretive phenomenological analysis (IPA), a qualitative method that emphasizes the experience and behaviors of individuals grounded within a particular context, we will share preliminary themes in these men’s experiences. Discussion will also focus on the similarities between IPA and functional analysis in extrapolating important areas to consider in clinical and public health work.

• “As the seeds grow, so our minds grow too”: Mindfulness and cultural connections in community gardening among Bhutanese refugees
Monica M. Gerber, M.S., University of North Texas
Danielle N. Moyer, M.S., University of North Texas
Jennifer L. Callahan, Ph.D., ABPP, University of North Texas

Since 2008, almost 85,000 Nepali Bhutanese refugees have been resettled in the United States (Refugee Processing Center, 2015). Many refugees struggle to adapt to new lifestyles, economy, language, and social structures (APA, 2010; Pumariega, 2005). Unfortunately, mental health providers, typically operating from a Western perspective, have found it difficult to address the needs of this population (APA, 2010). In response to this challenge, refugee resettlement agencies throughout the country use community gardens to promote psychological healing, self-sufficiency, community engagement, and a return of human dignity. Nepali Bhutanese culture, typically communal in nature, strongly emphasizes the present moment and family functionality over individual experience (APA, 2010; Dutton, 2011). This paper will present data from an exploratory mixed methods study on community garden among Bhutanese refugees. Quantitative results will be briefly discussed, while qualitative themes of mindfulness and connection to cultural roots will be provided in depth.

• Integrating mindfulness based approaches to public health interventions: Looking at the methodological and practical issues
Stephanie V. Caldas, M.S., Johns Hopkins Bloomberg School of Public Health
Julie A. Denison, MHA, Ph.D., Johns Hopkins Bloomberg School of Public Health

Mindfulness-based strategies have gained popularity in the last few decades in clinical settings, and research has generated a rigorous body of empirical evidence to support its effectiveness at the individual level. This research shows the potential impact of mindfulness-based interventions on multiple health and behavioral outcomes in different settings, including schools and the community (Smout et al., 2008). However, there is a dearth of research that investigates the integration of mindfulness-based techniques as part of larger public health interventions. Research is needed to address the particular methodological and practical issues involved in the implementation of clinically developed techniques by community health workers. This paper will use a case of increasing ART adherence in adolescents living with HIV as a framework to discuss and understand these issues. Particularly, the challenges of interdisciplinary collaboration between clinical psychology and public health will be discussed.

Educational Objectives:
1. Analyze the impact of community context on HIV-related health and wellness. 2. Describe the facilitators and challenges of integrating mindfulness into community based public health interventions. 3. Describe observed benefits of community gardening in a refugee population, while highlighting the importance of community consultation and flexibility in program development and research with diverse populations.

 

25. Examining the Intersections: Stigma, Culture, and Minority Status from a Contextual Behavioral Science Perspective: Diversity Committee Sponsored
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Functional contextual approaches in related disciplines, Clin. Interven. & Interests, Prevention & Comm.-Based, Superv., Train. & Dissem., Prof. Dev., Theory & Philo., Psychological flexibility, Minority Stress Theory, HIV/AIDS, ACT, Sexual Minority Women, Immigrants
Target Audience: Beg., Interm.
Location: Cascade 1B

Chair: Kayla N. Sargent, M.A., Georgia State University
Discussant: Khashayar F. Langroudi, M.A., ASPP at Argosy San Francisco

Minority group members experience psychological distress and diagnostic disorders at disproportionately high levels relative to the general population (Syymanski & Stewart, 2010). Minority statuses themselves reflect social categories that are applied to groups of people based upon social differences such as sex, race, ethnicity, health (e.g. HIV/AIDS status), religion, size, ability, sexual orientation, expression of gender, and immigrant status. It is theorized that minority status itself is an incomplete and indirect predictor of heath disparities (Meyer, 2003). Instead, psychological and health disparities observed in marginalized communities result from well-learned verbal and sociocultural processes (Masuda et al., 2012), impacting those with HIV positive (Gonzalez et al., 2009), sexual minority (Yadavia & Hayes, 2012), and diverse ethnic statuses (Pascoe & Richman, 2009). This symposium seeks to highlight research that examines the direct predictors of minority outcomes, such as self-concealment, acculturation, and social support as well as offer a contextual behavioral framework for influencing adaptive changes both within these communities and in their broader cultural contexts.

• Examining Psychological Flexibility and Minority Stress in Sexual Minority Women
Kayla N. Sargent, M.A., Georgia State University
Akihiko Masuda, Ph.D., Georgia State University

Sexual minority women have unique experiences relative to majority populations (Selvidge, Matthews, & Bridges, 2008), and they are traditionally understudied and underserviced in our scientific and social communities. According to Minority Stress Theory (Meyer, 1995; Meyer, 2003), holding minority identities leads to sociocultural contexts in which experiences of prejudice, internalized sexism and heterosexism, as well as self-concealment. Psychological flexibility models have been used as a framework for predicting and influencing these contexts. Our sample of female college students (n=1555) demonstrates that self-reported lesbian or bisexual minority status (p < .001), but not ethnic minority status (p = .993), psychological distress (p < .001), and self-concealment (p < .001) predicted higher levels of psychological inflexibility, whereas mindfulness predicted less inflexibility (r2 = .51, p < .001). Application of these findings within a psychological flexibility framework will be discussed.

• The Perceived Social Support and Immigrants’ Acculturation Dynamics: The Impact of Support from Ethnic vs. the Wider Community
George Gharibian, Ph.D., Institute for Multicultural Counseling and Education Services

Factors impacting Immigrants’ acculturation dynamics and in turn the stress related to poor acculturation have been explored and examined in numerous research studies. One of these factors includes the immigrants’ perceived social support in the host country. Social support can be perceived from either immigrants’ ethnic community or support from the wider community. However, there are very limited studies that explore the differences between these two types of social supports. This research examines the acculturation dynamics of a group of first generation immigrants in the US and their perceived social support either from one’s ethnic or the wider community. This study hypothesizes that the perceived social support from the wider community have a stronger impact on better acculturation than the perceived support from one’s ethnic community. A bi-dimensional acculturation theory is considered in this study in which four acculturation categories of integration, assimilation, separation, and marginalization are identified. Additionally, analyses are made on acculturation dynamics and factors such as cultural background, the age at the time of immigration, education, marital status, income, physical or mental health concerns. In conclusion, the results of the findings are discussed and recommendations have been made.

• Using ACT to address HIV Stigma and promote Collective Empowerment in Ethnoracial Communities
Kenneth Fung, MD, University of Toronto
Josephine Wong, Ph.D., University of Toronto

Ethnoracial minorities often face discrimination at an interpersonal level and systemic level. These challenges are compounded when they have HIV/AIDS, where homophobia, sexism, racism, and xenophobia lead to intersecting marginalization. We will report on The Community Champions HIV/AIDS Advocates Mobilization Project, a community-based research, which evaluated ACT and Social Justice Capacity Building (SJCB) to decrease HIV/AIDS stigma among People Living with HIV (PLHIV) and Community Leaders (CL) from ethnoracial communities. A total of 35 PLHIV and 31 CL completed the interventions. Pre, post, and 9-month post-intervention quantitative data indicated that HIV stigma was reduced. Our qualitative data showed that experiential activities enhanced stigma reduction and collective empowerment by increasing their understanding of unique and common experiences of marginalization; promoting empathy and compassion for self and others; and inspiring hope and commitment for change. Finally, we will report on the project’s impact, including spin-off participant-driven initiatives and related research studies.

Educational Objectives:
1. Examine a framework for predicting and influencing minority stress related outcomes (e.g., stigma, self-concealment) in sexual minority women. 2. Describe the use of ACT related strategies to address HIV/AIDS stigma and promote collective empowerment in ethnoracial communities. 3. Describe the impact of the perceived social support of one's ethnic community in compared to the wider community on the acculturation dynamics of first generation US immigrants.

 

27. How to implement case study in the era of evidence-based practice in psychology (EBPP): Some new methods of measuring, graphing, and analyzing: Japan Chapter Sponsored
Symposium (2:45-4:15pm)
Components: Original data, Case presentation
Categories: Clinical Interventions and Interests, Superv., Train. & Dissem., Prof. Dev., EBPP
Target Audience: Beg.
Location: Elliott Bay

Chair: Takashi Muto, Ph.D., Doshisha University
Discussant: Steven C. Hayes, Ph.D., University of Nevada, Reno

As you know, evidence-based practice in psychology (EBPP) is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences. And the purpose of EBPP is to promote effective psychological practice and enhance public health by applying empirically supported principles of psychological assessment, case formulation, therapeutic relationship, and intervention (APA, 2006). The purpose of this symposium is to promote implementation of evidence-based psychological PRACTICES in ACBS, through showing some new contrivance of measuring, graphing, and analyzing OUR real therapy-processes. This symposium has three parts as below: 1) Measuring the therapy processes with HIGH-TECH and LOW-COST devices, for example, a small-and-easy-operating activity meter, GPS logger, and action-camera, 2) making graph of your data, in particular, making CUMULATIVE graph, and 3) analyzing and evaluating your single-case data with STATISTICAL tools. Moreover, Dr. Steven Hayes will discuss the above JAPAN-WAY.

• Measuring clients' daily behavior with some high-tech devices
Kohei Hashimoto, B.A., Doshisha University

True behavioral therapists are eager to collect data on client’s BEHAVIOR in order to conduct precise pre-treatment assessments and evaluate the running treatment. We introduce three high-tech devices which enable many therapists to measure client’s behavior. (1) Active Pro HJA-750c (Omron Corporation) is a triaxial accelerometer which can measure various kinds of physical activity data. Firstly, we’ll explain what does physical activity means. Next we’ll show how to use this device and what we can measure with this device. (2) Super Trackstick (Telespial Systems) is a GPS logger: We can grasp client’s range of lives. We’ll show how to use this device and visualize the client’s real data. (3) Kodak PIXPRO SP360 (Eastman Kodak Company) is a potable camera which can be used as session recorder. We’ll propose that this recorder be the less stimulative device. We’ll show the real image and explain how to process the movie.

• Why do we make cumulative-graph of clients’ longitudinal data?
Asako Sakano, M.A., Doshisha University

The modern clinician is accountable for an improvement of clients to various people. As its method, we suggest creating and showing cumulative-graph of clients’ longitudinal data. Our presentation contains the following four topics. (1) What is the cumulative record?; we will briefly explain about its definition, required element, and history. (2) How to make a cumulative record; we will show the procedure of creating it using client’s real data of physical activity. (3) Strengths of the cumulative record; we will explain that the cumulative record make it easy for many people to capture the change of clients over time visually and intuitively. In this topic, we will compare a line graph of measured values and that of accumulated value. (4) Application of the cumulative record; we will show a new kind of cumulative record which includes an element of behavioral variation using client’s real data of valued action.

• Statistical analysis of single-case data: Useful tools for clinical activities
Naoki Manpuku, B.A., Doshisha University

Compared to group-designs, it’s likely that you are less familiar with statistical methods for single-case designs. This works as barrier to analyzing outcomes of your clinical activities. However, a lot of statistical analysis for single-case designs is proposed and we can use them more easily. We suggest how to use these statistical tools and what kinds of data are appropriate to make use of them. Our presentation consists of three following topics. (1) How to analyze client’s responses from questionnaire; this is commonly used in clinical settings and we will introduce a statistical method for it. (2) Examining cumulative records; this makes it easy to understand the change of clients over time and we will explain about a statistical tool of cumulative data. (3) Introducing a new index; statistical analysis for practical settings is developed and we will show a recent index of single-case research.

Educational Objectives:
1. Measure the date of therapy-process in clinical setting. 2. Design the cumulative graph of your data of therapy-process in clinical setting. 3. Evaluate your data of therapy-process in clinical setting with statistical analysis.

 

28. Expanding the reach of contextual behavioral science to older adult populations: Washington Chapter Sponsored
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Beh. med., Older adults, gerontology
Target Audience: Beg., Interm.
Location: Puget Sound

Chair: Susan M. McCurry, Ph.D., University of Washington, School of Nursing, Seattle, WA
Discussant: Helen Bolderston, Ph.D., Bournemouth University, Bournemouth, Dorset, England

Globally, the number of individuals 60 years and older is expected to more than double by 2050. The U.N. International Plan of Action on Ageing (MIPAA) focuses on three priority areas: older persons and development; advancing health and well-being into old age; and ensuring enabling and supportive environments. This symposium presents three culturally diverse lines of research relevant to these priority areas and the contextual behavioral science community. Dr. Gillanders from the United Kingdom examines the relationship between psychological flexibility and the gerontological theory of Selection, Optimisation, and Compensation. Dr. McGowan presents data on an ACT-informed variation of CBT for insomnia that has been piloted with U.S. veterans with a variety of medical morbidities. Ms. Souza presents data from a Seattle-based participatory research study examining contextual challenges identifying and serving homeless older adults with cognitive impairment. Combined, the papers illustrate the complexity of serving this diverse and growing clinical population.

• Psychological flexibility in an aging population: Exploring the impact of age on psychological flexibility, the use of selection, optimisation and compensation strategies, and their relationship with living well
Dr. Victoria Thomson, Mental Health Older Adult Service, NHS Borders, Melburn Lodge, Borders General Hospital, Melrose, UK
Dr. Paul Graham Morris, Clinical Psychology, School of Health in Social Science, University of Edinburgh
Dr. April Quigley, Mental Health Older Adult Service, NHS Borders, Melburn Lodge, Borders General Hospital, Melrose, UK
Dr. David Gillanders, Clinical Psychology, School of Health in Social Science, University of Edinburgh

Background: Gerontological theories have been useful in adapting second wave CBT for working with older people, yet there have been few investigations of the relationships between constructs of the psychological flexibility model, constructs from gerontology, such as the Selection, Optimisation and Compensation (SOC) model and indices of wellbeing in older people. Method: A community sample of 203 people, aged 55 to 98 years, completed measures of psychological flexibility, SOC, wellbeing and distress. Correlation, multiple regression, and conditional process modelling was used to analyse the data. Results: A range of theoretically predicted relationships support the potential of the ACT model in older people, and also suggest a coherent integration between psychological flexibility and selection optimisation compensation theory. Discussion: Change and adaptation in older people can readily be conceptualised through a contextual behavioural science approach in ways that support and enhance current gerontological theory, leading to more developmentally targeted treatment strategies.

• Acceptance and the behavioral changes to treat Insomnia (ABC-I): A novel approach to treating insomnia among older adults
Sarah Kate McGowan, Ph.D., VA Greater Los Angeles Healthcare System
Lavinia Fiorentino, Ph.D., Moores Cancer Center, University of California-San Diego, San Diego, CA, USA
Najwa Culver, Ph.D., VA Greater Los Angeles Healthcare System
Morgan Kay, Ph.D., VA Greater Los Angeles Healthcare System
Jennifer L. Martin, Ph.D., VA Greater Los Angeles Healthcare System and David Geffen School of Medicine, UCLA

Insomnia is a common and often severe problem, especially among individuals with complex medical and psychiatric conditions. Cognitive behavioral therapy for insomnia (CBT-I) is an effective treatment; however, adherence to treatment recommendations is challenging, particularly among those with comorbidities. Interventions that enhance adherence and retention in insomnia therapies are needed. Acceptance and the Behavioral Changes to Treat Insomnia (ABC-I) is a novel treatment that incorporates elements of Acceptance and Commitment Therapy (ACT; Values, Committed Action, Acceptance, Mindfulness, Cognitive Defusion, Self as Context) with the behavioral interventions of CBT-I (Sleep Education, Sleep Restriction, Stimulus Control). In two pilot trials of ABC-I with older Veterans, one among women Veterans (N=4; age M=56.4years) and the other among male Veteran s (N=3; age M=72.7years), participants demonstrated significant improvements from pre- to post-treatment in the therapeutic direction on sleep outcomes. These results suggest the need for further research examining ABC-I as an alternative to CBT-I in older adults with insomnia disorder.

• Creating nurturing environments for homeless older adults with cognitive impairment: An exploration of barriers and opportunities
Anita Souza, Ph.D., University of Washington, School of Nursing, Seattle, WA, USA
Susan M. McCurry, Ph.D., University of Washington, School of Nursing, Seattle, WA, USA
Francesca Martin, Ph.D., Compass Housing Alliance, Seattle, WA
Robert M. Bowery, M.A., Compass Housing Alliance, Seattle, WA

Background: The number of older adults with cognitive impairment experiencing homelessness is rapidly increasing in urban communities. Creating environments attuned to both past influences and present needs of these individuals is complex for housing providers, social service agencies, and health professionals. Method: A community-based participatory process was utilized to develop and validate a semi-structured interview conducted with 10 homeless service providers in Seattle, WA. Points of service included shelters, transitional housing units, hygiene centers, and day programs. Interviews were recorded, coded, and analyzed for thematic content utilizing Dedoose. Results: The paper will present data on variables identified by service providers that influence organizational capacity to create a nurturing environment that supports the wellbeing of this population. Discussion: Creating nurturing environments for older homeless adults with cognitive impairment begins with cultural change amongst service providers and health care professionals. Functional contextualism provides a framework to begin examining and addressing these challenges.

Educational Objectives:
1. Assess how ACT can be integrated with Gerontological theory in theoretically coherent and clinically practical ways. 2. Assess the components of ABC-I and its application with older individuals. 3. Describe the challenges of developing nurturing environments for older homeless adults with cognitive impairment.

 

33. Exploring Psychological Flexibility Repertoires with the Implicit Relational Assessment Procedure
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Theory & Philo., IRAP
Target Audience: Beg., Interm., Adv.
Location: Vashon 1

Chair: Travis Sain, Southern Illinois University
Discussant: Dermot Barnes-Holmes, Ghent University, Belgium

Acceptance and Commitment Therapy (ACT) and the Implicit Relational Assessment Procedure (IRAP) bear conceptual roots in the same theory of human cognition and behavior – Relational Frame Theory (RFT). In spite of this commonality, conceptual and empirical works specific to each currently have little in common. This symposium contains a collection of studies that may be viewed in one of at least two ways – as studies of ACT components involving measurement of relational repertoires, or as IRAP studies exploring possible avenues into clinically relevant behavior. These studies examine idiographic, “orthogonal”, and otherwise unconventional approaches to IRAP stimulus selection, and also use the IRAP both as an independent variable as well as a measure of dependent variables. We offer this symposium in the hopes of refining our future research, promoting research innovations and activities in other labs, and sparking debate about the reticulated model of contextual behavioral science.

• Me-Flexible, Me-Not-So-Flexible: A Preliminary Investigation of a Psychological Flexibility IRAP
Ryan Kimball, Southern Illinois University
Anke Lehnert, M.A., Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University

Recent research has demonstrated the potential to measure experiential avoidance using the IRAP (Hooper, Villatte, Neofotistou, & McHugh, 2010; Drake, Timko, & Luoma, under review). The current study was designed to address some methodological limitations of existing studies, to broaden the scope beyond experiential avoidance, and to explore innovations in IRAP stimulus selection. 106 college students initially completed questionnaires designed to acquire specific information regarding their personal values and coping strategies which would serve as the IRAP stimuli. This idiographic approach was hypothesized to improve IRAP psychometrics for reliability and validity. Results revealed a combination of flexible and inflexible biases, as well as some support for convergent validity with self-reports, including a replication of counter-intuitive effects reported by Drake, et al. (under review). Future work in this area may benefit from further refinements of methodology as well as careful consideration of the expected relationship between psychological flexibility and IRAP performance.

• Get Out of Your Mind and Into the IRAP: Testing the Effectiveness of the IRAP as a Defusion Intervention
Travis Sain, M.A., Southern Illinois University
Samuel Kramer, M.A., Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University

Previous research with the Implicit Relational Assessment Procedure (IRAP) has demonstrated the IRAP’s sensitivity to changes in psychological distress produced by defusion exercises (e.g., Kishita, Muto, Ohtsuki, & Barnes-Holmes, 2014). No known study has examined the IRAP’s potential as a defusion intervention itself, which could generate a program of research on the effectiveness of defusion activities, similar to that of Masuda, Hayes, Sackett, and Twohig (2004) with the Milk exercise. Two experiments utilized the IRAP as a defusion assessment instrument and intervention by altering IRAP stimuli, with the first assessing biases toward Abraham Lincoln and Adolf Hitler (N = 120), and the second assessing biases toward known individuals selected idiographically by participants (N = 150). Results revealed tentative evidence for changes from pre to post-assessment, and a number of possible confounds may provide suggestions for future studies with this paradigm while raising conceptual issues about the nature of the IRAP.

• Not all Trial-Types Are Created Equal: Investigating an Orthogonal Approach to Stimulus Arrangement with a Racial Attitudes Implicit Relational Assessment Procedure
Kail Seymour, M.S., BCBA, Southern Illinois University
Travis Sain, M.A., Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University

The Implicit Relational Assessment Procedure (IRAP) proved useful for investigating implicit attitudes, including those for racial evaluations (Barnes-Holmes, Murphy, Barnes-Holmes, & Stewart, 2010; Drake et al., 2015). Many IRAP stimulus presentation permutations remain unexamined, including some potentially relevant to social and/or clinical concerns. In this study, racial categories (i.e., Black people; White people) and evaluative words (e.g., smart, stupid) were paired using standard IRAP (SIRAP), as well as an “orthogonal” (OIRAP), configurations. While both contained “White people-positive evaluation” and “Black people-negative evaluation” trials, the OIRAP presented previously unexplored trial-types: “Black people-White people” and “positive evaluation-negative evaluation”. . Self-report measures were also administered. Psychology research pool participants (n = 158) were quasi-randomly assigned to one of four condition orders. The SIRAP primed stereotypical race attitudes in subsequent OIRAP trials; bias decreased in SIRAP trials following OIRAP trials. These differences and other findings will be discussed along with future potential research directions.

Educational Objectives:
1. Describe the counter-intuitive results revealed for validity in this study. 2. Describe the IRAP stimulus selection strategy embraced for the defusion conditions in these studies. 3. Describe the four trial-types of an orthogonal IRAP containing stimuli for racial categories and evaluative words.

 

39. Challenges in the application of ACT in clinical psychiatric settings: Empirical data and clinical experiences: Psychosis SIG Sponsored
Symposium (4:30-5:45pm)
Components: Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Superv., Train. & Dissem., Psychosis, body dysmorphic disorder, autism
Target Audience: Beg.
Location: Puget Sound

Chair: Andreas Larsson, Ph.D., Karolinska Institutet, Department of Clinical Neuroscience & Centre for Psychiatry Research and Education
Discussant: Roger Vilardaga, Ph.D., University of Washington

Conducting research in clinical psychiatric settings presents significant challenges. Patients’ suffering is often severe, and organizational aspects might hinder the implementation of structured psychological treatment. In this symposium, empirical data are presented from three different projects concerning ACT for different diagnoses – psychosis, body dysmorphic disorder (BDD) and high functioning autism spectrum disorder (ASD). The first talk concerns training inpatient ward staff in using the ACT model with psychosis patients. Data suggest slight positive changes in psychological flexibility for patients and staff. The second talk describes the evaluation of an ACT group treatment intervention for BDD outpatients, with results showing significant reductions in BDD symptomatology. The third talk covers a research project on ACT adapted for students and psychiatric outpatients with ASD, where data indicate reduced levels of stress and autistic core symptoms. Presenters will share their data, as well as common clinical experiences of implementing ACT in clinical psychiatric contexts.

• Implementation of ACT training in a psychiatric ward: Clinical experiences and staff-patient outcomes
Mårten Tyrberg, M.Sc., Ph.D. student, Stockholm University; Västmanlands Hospital, Västerås, Sweden
Per Carlbring, Department of Psychology, Stockholm University
Tobias Lundgren, Ph.D., Karolinska Institutet and Department of Psychology, Stockholm University

Psychiatric ward staff members report low job satisfaction, and suffer from burnout to a higher degree compared to other fields. Furthermore, reports from both patients and staff indicate institutional aimlessness and lack of care content beyond medication and containment. Attempts at implementing various psychosocial interventions based on cognitive behavior therapy (CBT) have shown promise, but little systematic outcome data has been presented. This pilot study investigated the feasibility and effects of a 12-hour training in acceptance and commitment therapy (ACT), a CBT based psychotherapy model, on staff (n=20) and patients (n=9). The context was a psychiatric inpatient ward specializing in psychosis. The staff members of a neighboring unit acted as non-randomized controls. Mean difference scores suggest slight positive changes in psychological flexibility for patients and staff post-intervention. Results are discussed in light of methodological and institutional limitations, and clinical experiences.

• Acceptance and commitment therapy (ACT) and high-functioning autism spectrum disorder (ASD): A functional contextual approach to conceptualize and treat associated symptoms
Johan Pahnke, M.Sc., Ph.D. student, Karolinska Institutet, Department of Clinical Neuroscience & Centre for Psychiatry Research and Education
Johan Bjureberg, M.Sc., CPF, Karolinska Institutet
Timo Hursti, Department of Psychology, Uppsala University
Sven Bölte, KIND (Center for Neurodevelopment Disorders at Karolinska Institutet), Stockholm City Council
Tatja Hirvikoski, Ph.D., KIND (Center for Neurodevelopment Disorders at Karolinska Institutet), Stockholm City Council
Benjamin Bohman, Ph.D., Karolinska Institutet, Dept. of Clinical Neuroscience & Centre for Psychiatry Research and Education
Gerhard Andersson, Linköping University and Karolinska Institutet
Tobias Lundgren, Ph.D., Karolinska Institutet, Dept.of Clinical Neuroscience & Centre for Psychiatry Research and Education

Autism spectrum disorder (ASD) is a neurodevelopmental disorder associated with depression, anxiety and stress, and decreased quality of life. ACT processes target core difficulties in ASD, such as psychological inflexibility, although not yet evaluated for this population. Study 1: Using a quasi-experimental design we evaluated an adapted ACT-protocol for 28 students with ASD (aged 13–21). Levels of stress, hyperactivity, and emotional distress were significantly reduced and pro-social behavior was increased. Study 2: Using an open trial design the ACT treatment was evaluated for adults (n=10; age range 25-65 years) in an outpatient psychiatric context. Levels of stress were significantly reduced and quality of life increased. Study 3: Using an RCT design we evaluated the ACT treatment for 40 adults with ASD in an outpatient psychiatric context. Preliminary data showed significantly reduced stress and psychiatric symptoms, and increased psychological flexibility and quality of life. Autistic core symptoms were also reduced.

Educational Objectives:
1. Discuss ways of handling organizational challenges in implementation of psychological treatments. 2. Describe common obstacles in conducting clinical research in psychiatric settings. 3. Compare different diagnostic groups and identify similarities in treatment interventions.

 

Friday, June 17

45. Helping the helpers: ACT interventions for healthcare providers
Symposium (10:30am-Noon)
Components: Original data
Categories: Behavioral medicine, Org. Beh. Management, Workplace interventions
Target Audience: Beg.
Location: Vashon 1

Chair: Dayna Lee-Baggley, Ph.D., QEII Health Sciences Centre
Discussant: Patricia Robinson, Ph.D., Mountainview Consulting Group

Research shows that one third to half of North American and European physicians and nurses experience burnout (Canadian Medical Association, 2003; Hildebrandt, 2013; Medscape, 2016; Solar et al., 2008). In fact, US physicians suffer more burnout than any other American workers (Shanafelt et al., 2012). Despite these rates, physicians and nurses are often the less likely to seek help (e.g., Rosvold & Bjertness, 2002). Acceptance and mindfulness based workplace interventions have been shown to improve employees’ well-being and to decrease burnout (e.g., Lloyd, Bond, & Flaxman, 2013). This symposium highlights interventions based on Acceptance and Commitment Therapy (ACT) being offered to healthcare providers. Presenters will provide information on the nature of their programs, adaptations from other workplace interventions needed for a healthcare setting, and data on effectiveness. As an international expert in ACT in primary care settings, our discussant, Patricia Robinson, will discuss bringing ACT to a population in need of interventions yet often reluctant to seek personal help.

• Professional Resiliency Program for Healthcare Providers
Dayna Lee-Baggley, Ph.D., QEII Health Sciences Centre
Jill Chorney, Ph.D., Dalhousie University

We will present data on an empirically supported workplace program designed to improve the health and well-being of healthcare providers. Our Professional Resiliency Training Program is adapted from an evidence-based workplace program based on Acceptance and Commitment Therapy (ACT), designed to increase employee well-being by learning skills to work with negative feelings, thoughts, and sensations and to move toward valued behaviours (Flaxman, Bond, Livheim, Hayes, 2013). Although the Professional Resiliency Training Program has been demonstrated to be effective across a number of different workplace environments (see Bond, Hayes & Barnes-Holmes, 2006), there is less evidence of its effectiveness in hospital settings. We provide preliminary pre and post data of healthcare providers from a tertiary level hospital in Canada drawn from a larger randomized clinical trial currently in progress. Adaptations to the program made for a healthcare setting will also be discussed.

• Spirited Primary Care: A Brief Intervention for Primary Care Providers
Melissa Baker, Ph.D., HealthPoint
Patricia Robinson, Ph.D., Mountainview Consulting Group

We will provide intervention materials for a 3-session class designed to be acceptable to primary care providers, particularly those that self-identify work stress as a significant problem. Data concerning acceptability and revisions to the curriculum will be provided. Additionally, data on the Primary Care Provider Stress Checklist and the Primary Care Provider Acceptance and Action Questionnaire (Robinson, Gould, Strosahl, 2011) will also be provided. We will also share recommendations about changes to the system of care that are likely to enhance provider resilience.

• Professional Resiliency Training for Pediatric Providers: A Pilot Program
Sarah T Trane, Ph.D., Gundersen Health System
Jennifer Kleven, MD, Gundersen Health System

We will discuss the implementation of a pilot program designed to address physician and nurse practitioner resilience in a large health system. Participants included outpatient primary care and hospital based pediatric specialty providers with a range of years in practice from 1-34 years. Preliminary data using the Maslach Burnout Inventory (MBI; Maslach & Jackson, 1981, Maslach et al. 1996) and the ProQOL (Stamm, 2009) will be presented on our baseline (n=24) and post-intervention samples, noting that practitioners were free to choose to participate voluntarily in the program. There were anywhere from 3-15 practitioners within each group, with modal number attending at about 10 participants. The provider resiliency training program was adapted from an evidence-based workplace program based on Acceptance and Commitment Therapy (ACT; Flaxman, Bond, Livheim & Hayes, 2013) as well as published resilience intervention used with physicians (West, 2012), and designed to increase well-being by learning skills in mindfulness, boundaries, self care and valued actions. The opportunities and challenges within a busy healthcare environment will be discussed as well as ideas to improve overall psychological flexibility of health care providers.

Educational Objectives:
1. Describe the content of ACT program for healthcare providers. 2. Describe adaptations needed in providing ACT to healthcare providers. 3. Review data on the effectiveness of ACT programs for healthcare providers.

 

46. Using Psychological Flexibility to Reach Across the Barriers of Prejudice: Examinations of Obesity, Race, and Sexual Orientation Stigma
Symposium (10:30am-Noon)
Components: Original data
Categories: Clinical Interventions and Interests, ACT, psychological flexibility, stigma, obesity, sexual orientation, gender identity
Target Audience: Beg., Interm., Adv.
Location: Vashon 2

Chair: Regan M. Slater, Ph.D., Pittsburg State University
Discussant: Matthew Skinta, Ph.D., ABPP, Palo Alto University

The effects of stigma can be detrimental, not only to the person who is stigmatized, but also to the person holding the stigmatizing beliefs as it can prevent connection and understanding among people (Byrne, 2001; Masuda, Price, Anderson, Schmertz, & Calamaras, 2013). Psychological flexibility has been examined in relation to stigma in several areas including psychological disorders (Masuda et al., 2007), substance abuse counseling (Hayes et al., 2004), and obesity (Lillis, Hayes, Bunting, & Masuda, 2009). The data-based papers presented in this symposium offer an examination of the impact of psychological flexibility on stigma in three areas: obesity, race, and sexual orientation. This symposium addresses stigma from the perspective of the person being stigmatized, as well as from the stigmatizer. Implications for further application of psychological flexibility in these three areas will be discussed, and future directions in these and similar areas will be offered.

• When Thin Still Isn’t Good Enough: Residual Obesity Stigma and Psychological Flexibility
Emily R. Squyres, M.S., Louisiana Tech University
Lore M. Dickey, Louisiana Tech University

Given that the current ideal body shape is “thin,” it should not be surprising that overweight and obese individuals are stigmatized on a daily basis due to their weight (Puhl & Brownell, 2003). It seems like the only avenue that these individuals have in order to gain public approval is to lose weight. However, research has shown that obesity stigma extends to previously obese individuals who have lost weight and are now considered to be “thin” (Latner, Ebneter, & O’Brien, 2012). In the current study, participants read one of several vignettes about an individual who either: a) had a history of being thin and was currently thin, b) had a history of being obese and was currently thin, c) had a history of being obese and was currently obese, or d) had a history of being obese and was currently very thin. The relationship between residual obesity stigma across various body weights and psychological flexibility will be discussed.

• No Spice, No Rice: Developing a Measure of Sexual Racism
Yash Bhambhani, M.A., University of Mississippi
Maureen K. Flynn, Ph.D., Metropolitan State University of Denver
Kelly G. Wilson, Ph.D., University of Mississippi
Kate Kellum, Ph.D., University of Mississippi

Research on sexual racism is proliferating (Callander, Newman, & Holt, 2015; Han et al., 2015; Rudder, 2009). Researchers have found acceptability of online sexual racism to be linked to a lower multicultural attitude (Callander et al., 2015), and experiencing sexual racism to predict risky sexual behavior (Han et al., 2015). Researchers have studied sexual racism only qualitatively or with a few unstandardized questions. The aim of the present study was to develop a quantitative measure of sexual racism and evaluates its factor structure, reliability and validity. Relationship of sexual racism with psychological flexibility and other constructs were explored. The constructed scale can be useful in both clinical cases, and research contexts that aim to reduce racist attitudes.

• Psychological flexibility as a moderator between Hispanic undergraduates’ attitudes towards LGBTQ individuals and willingness to engage in behaviors that help the LGBTQ community
Maureen K. Flynn, Ph.D., Metropolitan State University of Denver

Although acceptance of LGBTQ individuals is increasing, they continue to experience negative responses from society. LGBTQ individuals can internalize such negative responses, which can lead to psychological difficulties (e.g., Meyer & Dean, 1998; Szymanski, Kashubeck-West, & Meyer, 2008). Interventions targeting psychological flexibility have been shown to decrease stigmatizing attitudes towards substance abusers (Hayes et al., 2004) and people with mental illness (Masuda et al., 2007). Psychological inflexibility is also related to attitudes towards other ethnicities (Levin, Luoma, Lillis, Hayes, & Vilardaga, 2014). The aims of this study were to examine 1) the relationship between psychological flexibility and homophobia and transphobia and 2) whether psychological flexibility moderates the relationship between negative attitudes towards LGBTQ individuals and willingness to engage in behaviors that help the LGBTQ community among Hispanic college students. In the current study, 237 Hispanic undergraduates completed a series of web-based surveys. Results and implications will be discussed.

Educational Objectives:
1. Explore and assess psychological flexibility and residual obesity stigma from the perspective of the stigmatizer. 2. Discuss why studying sexual racism is important and brainstorm strategies/interventions to reduce sexual racism. 3. Discuss and assess whether psychological flexibility is 1) related to homophobia and transphobia and 2) moderates the relationship between negative attitudes towards LGBTQ individuals and willingness to engage in behaviors that help the LGBTQ community.

 

49. Meta-Analysis in Contextual Behavior Science: A Symposium of Synthesis
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review
Categories: Clinical Interventions and Interests, Other, Meta-Analysis
Target Audience: Beg., Interm., Adv.
Location: Cascade 1B

Chair: Fredrick Chin, M.A., University of Nevada, Reno
Discussant: Michael E. Levin, Ph.D., Utah State University

Meta-Analysis is a statistical technique used to combine data from several research studies to provide a quantitative review of the literature in a particular field. Meta-analyses use a common metric, or effect size, from several studies to tell a coherent story about the research studies analyzed. The resulting aggregate review provides a broad overview of the research findings within a given field, and play a pivotal role in establishing the overall efficacy of psychotherapy treatments. Though several meta-analyses have evaluated the application of contextual behavioral therapeutic approaches across broad domains (e.g. A-Tjak et al., 2015; Hayes, Luoma, Bond, Masuda, & Lillis, 2006), it is worthwhile to evaluate outcomes within a given functional problem with greater precision and depth. The current symposium plans to provide an in depth analysis of specific, novel areas in contextual behavior science. The topics reviewed will be Acceptance Commitment Therapy for substance use disorders, acceptance/ mindfulness for Type 2 Diabetes, and Functional Analytic Psychotherapy single-subject research.

• An Initial Meta-analysis of ACT for Substance Use Disorders
Eric Lee, M.A., Utah State University
WooLee An, Utah State University

In the past decade, multiple studies have examined the effectiveness of Acceptance and Commitment Therapy (ACT) for substance use disorders relative to other active treatments. The current meta-analysis examined the aggregate effect size when comparing ACT to other treatments (e.g., CBT, pharmacotherapy, 12-step, treatment as usual) specifically on substance use outcomes. A total of 10 randomized controlled trials were identified through systematic searches. A significant small to medium effect size was found favoring ACT relative to active treatment comparisons following treatment. Effect sizes were comparable across studies for smoking cessation (k = 5) and for other drug use disorders (k = 5). Based on these findings, ACT appears to be a promising intervention for substance use disorders. The current state and future directions of ACT for substance use disorders will be discussed.

• Mindfulness and Acceptance for Type 2 Diabetes: A Meta-Analysis
Leah Bogusch, M.A., Bowling Green State University
William H. O'Brien, Ph.D., Bowling Green State University

Among individuals with Type 2 Diabetes Mellitus (T2DM), diabetes-related distress is associated with decreased medication adherence and increases in blood glucose. Mindfulness and acceptance may be associated with reductions in diabetes-related distress and improved health outcomes in this population. The present study provides a quantitative review of 1) all studies utilizing mindfulness or acceptance interventions among individuals with T2DM in order to improve HbA1c, blood glucose, or self-management of blood glucose and 2) all cross-sectional studies examining relationships between mindfulness and acceptance, diabetes-related distress, and HbA1C, blood glucose, or self-management of blood glucose among people with T2DM. A literature search yielded 10 treatment-outcome and 14 cross-sectional studies. Meta-analytic results of mindfulness and acceptance-based interventions revealed a small, but reliable, impact on improving HbA1c and fasting blood glucose in comparison to control groups (d = .1822, CIbootstrap: -0.3364 to -0.0325).

• A Meta-Analytic Review of Functional Analytic Psychotherapy Single-Subject Research
Sonia Singh, M.A., Bowling Green State University
William H. O'Brien, Bowling Green State University

Functional Analytic Psychotherapy (FAP) is a contextual behavior therapy that utilizes basic behavioral principles to implement in-session change with the idea that these changes will generalize to outside-of-session settings. The therapist uses specific techniques designed to reduce problematic in-session behavior (CRB1s) and increase adaptive in-session behavior (CRB2s). A majority of the published studies in FAP are single-subject design. The current study synthesized data from FAP single-subject investigations using single-subject meta-analytic techniques. Percentage of non-overlapping data (PND) was calculated for graphed outcome data. The reliable change index (RCI) was calculated for questionnaire outcome data. Results indicated that cumulative PND for CRB1s was 57.76% and fell in the “moderately effective” range, and for CRB2s was 81.06% and fell in the “fairly effective” range. The overall RCI for was 4.03 which indicates that pre-post changes on questionnaire outcome data are large and statistically reliable.

Educational Objectives:
1. Articulate the synthesis of Acceptance and Commitment Therapy treatment/outcome studies for substance use disorders. 2. Describe acceptance and mindfulness related constructs and interventions within the context of Type 2 diabetes. 3. Demonstrate the quantification of efficacy for Functional Analytic Psychotherapy single-subject design research studies.

 

51. Incorporating ACT-based Interventions into University Classrooms: University Student Mental Health SIG Sponsored
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Original data
Categories: Educational settings, Prevention & Comm.-Based, Depression, Anxiety
Target Audience: Beg., Interm.
Location: Cascade 2

Chair: Wanda L. Smith, Ph.D., McMaster University, Private Practice
Discussant: Jaqueline Pistorello, Ph.D., University of Nevada, Reno

As college educators, we want our students to live rich and meaningful lives. We want to expand our Reach of the foundational life skills needed to live such lives. This symposium focuses on the use of well-designed ACT-based interventions in university classrooms to enhance the psychological flexibility of students. This symposium contributes by describing an introduction level course that uses ACT-based personal goal setting, evaluating a university course aimed at promoting student psychological flexibility and describes a the effects of a brief versus an extended ACT intervention in a university classroom. Collectively, we offer different perspectives and approaches for incorporating ACT-based interventions into university classrooms. This symposium addresses implications for educators as they implement interventions for improving psychological flexibility. The discussion will attempt to integrate findings and suggest future directions.

• How to Give ACT Away 1.5 million People at a Time
Cody Christopherson, Ph.D., Southern Oregon University

Approximately 1.5 million US students enroll in an introduction to psychology course every year (Cush, & Buskist, 1997) and introduction to psychology is the second most popular college course in the US (National Center for Education Statistics, 2004). Most student will start and end their formal contact with scientific psychology with this course. Therefore, this is the single greatest direct contact that Psychologists will ever have with the general public who do not seek therapy and a prime opportunity for introducing contextual behavioral science and ACT broadly. In this presentation, I will demonstrate an incorporation of ACT into the applied component of the Introduction to Psychology curriculum. Specific components of ACT include contact with the present moment, values identification/clarification, and committed action. ACT activities can be easily adapted & incorporated into units on Psychopathology, Psychotherapy, Motivation & Emotion, Industrial & Organizational Psychology, or Health Psychology.

• Using ACT as a Tool to Holistically Prepare College Students
Anna Whitehall, M.A., Washington State Unviersity
Denise Yost, Ph.D., Washington State University
Laura Hill, Ph.D., Washington State Unversity

College is a time and place to holistically prepare emerging adults to be successful contributors to society in both discipline and life skills. Human Development (HD) 205 is an undergraduate communication and life skills course that focuses on developing students’ abilities to foster successful personal and professional relationships using psychological flexibility and values-based decision-making. Over the course of six semesters, we measured psychological flexibility in over 1,800 HD205 students using the Acceptance and Action Questionnaire. Paired pre- and post-semester participation surveys show small increases in psychological flexibility with trivial to small effect sizes of 0.03 (p = .53) to 0.12 (p = .03) in three of six semesters. Semesters with decreased psychological flexibility scores coincided with significant changes in course delivery methods, likely accounting for some of the observed variability among semesters, an area for future research. In additional to within-semester changes, changes in psychological flexibility from beginning-to-end of semester predict higher GPA 3 years later.

• Comparison of brief versus extended Acceptance and Commitment Therapy exercises introduced in a university classroom
Sarah Kupferschmidt, M.A., McMaster University and Mohawk College
Heather Poole, Ph.D., McMaster University
Wanda L. Smith, Ph.D., McMaster University and Private Practice

University students are increasingly suffering from anxiety and stress (Twenge et al, 2010). ACT has been shown to decrease stress and anxiety even when presented as a brief intervention in groups (Zettle & Rains, 1989; Bach & Hayes, 2002). We compared the effects of ACT on university students when training exercises were infused into two university classrooms on different schedules; one class received the training over 10 sessions (distributed training), the other class had the exercises compressed into two sessions at the end of the term (massed training). Students were assessed on various stress and ACT-relevant measures on the first and last days of class. Over the course of the semester, test anxiety decreased in both groups and Five-Facet Mindfulness Questionnaire – Observing subscale scores increased. Perceived Stress increased in students receiving massed ACT training, but remained stable in the distributed ACT training. Student feedback on the ACT activities was overwhelmingly positive. These results support ACT as a promising method for reducing student stress; different delivery schedules will be discussed.

Educational Objectives:
1. Prepare to seamlessly incorporate elements of ACT into an Introductory Psychology curriculum. 2. Demonstrate potential public health effects of incorporating ACT into a classroom setting. 3. Describe and compare the effects/impact of a brief and an extended ACT intervention in a university classroom.

 

53. Working Together: How Clinicians, Trainers, and Language Researchers can Increase the Reach of Psychosocial Interventions in an Era of Integrated Care
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Supervision, Training and Dissemination, Clin. Interven. & Interests, RFT, Other, Integrated Care
Target Audience: , Interm.
Location: Puget Sound

Chair: Douglas M. Long, Ph.D., Alpert Medical School of Brown University
Discussant: Kirk Strosahl, Ph.D., Mountainview Consulting Group

As psychosocial interventions are implemented in primary care settings, clinician skills can inform innovations in training and assessment methods that improve care efficiency and quality. This symposium will begin with process and outcome data from a four-week Focused Acceptance and Commitment Therapy (FACT) group implemented as part of routine clinical care in a Veterans Affairs integrated primary care setting (N = 51). A study will then be presented that investigated clinician perspectives on efforts to expand reach and efficiency through trainer-led and self-paced online trainings in Behavioral Activation (BA) that demonstrated differential improvements in skill (N = 80). Finally, data from a new method of training outcome assessment called Therapist Agreement with Sensitivity to Context (TASC) will be shared in demonstration how of a research strategy informed by Relational Frame Theory (RFT) can empower experiential trainings that influence how therapists “see” and “hear” their clients (N=398).

• The Efficacy of Focused Acceptance and Commitment Therapy Group Psychotherapy in a Veterans Affairs Integrated Primary Care Setting
Natalie G. Glover, Ph.D., VA Puget Sound Health Care System
Patrick D. Sylvers, Ph.D., VA Puget Sound Health Care System; University of Washington, Department of Psychiatry and Behavioral Sciences
Erika M. Shearer, Ph.D., VA Puget Sound Health Care System
Mary-Catherine Kane, Ph.D., VA Puget Sound Health Care System
Peter C. Clasen, Ph.D., University of Washington, Department of Psychiatry and Behavioral Sciences
Amee J. Epler, Ph.D., VA Puget Sound Health Care System
Jennifer C. Plumb-Vilardaga, Ph.D., VA Puget Sound Health Care System
Jordan T. Bonow, Ph.D., VA Sierra Nevada Health Care System
Matthew Jakupcak, Ph.D., VA Puget Sound Health Care System; University of Washington, Department of Psychiatry and Behavioral Sciences

Focused Acceptance and Commitment Therapy (FACT) is an abridged version of ACT, a trans-diagnostic approach to psychotherapy that views psychological rigidity as a ubiquitous phenomenon underlying psychopathology and behavioral problems. While there is a growing body of research on the efficacy of FACT for a variety of populations and disorders, there is little research to date on the efficacy of FACT when delivered in the group therapy milieu. This presentation will describe outcomes related to changes in psychological flexibility, health and mental health status, and symptom reduction among 51 Veterans who attended a four-week FACT group as part of routine clinical care in a Veterans Affairs integrated primary care setting. This project showcases an efficient and cost-effective treatment strategy that can be implemented in primary care settings to facilitate improvements in mental and physical health as well as overall quality of life.

• What Worked and How to Make it Better: Therapists’ Qualitative Feedback on Self-Paced Versus Trainer-Led Behavioral Activation Online Training
Ajeng J. Puspitasari, Ph.D., Indiana University
Jonathan W. Kanter, Ph.D., University of Washington
Jennifer C. Plumb-Vilardaga, Ph.D., VA Puget Sound Health Care System
Jordan T. Bonow, Ph.D., VA Sierra Nevada Health Care System

Online training is an initial strategy to disseminate evidence-based psychotherapies that allows broader reach and may be cost-effective. Two versions of online Behavioral Activation (BA) training were compared and those receiving trainer-led training showed significantly higher BA skills gain, although both groups showed significant improvements in skills. In the context of this previous trial, trainees (N = 80) who were randomly assigned to either the self-paced or trainer-led BA online training provided qualitative feedback on the specific features and overall quality of the training as well as future recommendations for the trainings. This qualitative study will be a foundation for future BA online trainings that further incorporate users’ perspectives. Results will also be relevant for other evidence-based psychotherapy online training.

• Therapist Agreement with Sensitivity to Context (TASC): Monitoring and Enhancing Clinical Training Outcomes
Douglas M. Long, Ph.D., Alpert Medical School of Brown University
Steven C. Hayes, Ph.D., University of Nevada, Reno

One desirable outcome of clinical training is for therapists to “see” and “hear” their clients in ways that help to create new opportunities for intervention. Therapist Agreement with Sensitivity to Context (TASC) is an assessment method that seeks to track this process as it develops. TASC involves quantitative comparisons between trainer and trainee verbal responses to videos of simulated therapy sessions. This presentation will describe data from a web-based ACT TASC prototype that was distributed to 209 participants in intensive experiential ACT workshops conducted by expert trainers and 189 undergraduates who had no training in ACT. This project illustrates a research design strategy that can be generalized to other therapy models, provides one empirical avenue by which Relational Frame Theory (RFT) can guide model development, and allows for the routine evaluation of training efforts in professional organizations and clinical practice settings.

Educational Objectives:
1. Describe the efficacy of Focused Acceptance and Commitment Therapy in a Veterans Affairs integrated primary care setting. 2. Describe how qualitative feedback from users can inform online training in evidence-based psychotherapy. 3. Describe how Therapist Agreement with Sensitivity to Context (TASC) may provide a clinically relevant method of tracking educational outcomes.

 

56. Conceptual Developments in RFT
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data
Categories: Relational Frame Theory, RFT, Relational Frame Theory, Learning
Target Audience: Interm., Adv.
Location: Mercer/Denny

Chair: Yvonne Barnes-Holmes, Ghent University
Discussant: Dermot Barnes-Holmes, Ghent University

There are a number of exciting and fundamental conceptual developments of RFT underway. These build firmly upon existing well-supported RFT concepts. The first paper in this symposium lays out the broadest and most fundamental expansion of RFT since the 2001 book. The MDML is a multi-dimensional, multi-level model of the different types of relational response, and the different dimensions along which these interact and can be assessed. The scond paper explores the merits of the concept of environmental regularities as a definition of learning and as a means of carving up learning research. This paper proposes that environmental regularities may unlock new empirical (and conceptual) possibilities for future RFT research. The third paper is empirical and describes three studies that represent the first attempt to systematically manipulate levels of derivation and complexity in an experimental setting. The results demonstrate how these two core concepts interact.

• A multi-dimensional multi-level framework for RFT
Dermot Barnes-Holmes, Ghent University

In a recent chapter (Barnes-Holmes, Barnes-Holmes, Hussey, & Luciano, 2016) we proposed a framework for analyzing the dynamics of arbitrarily applicable relational responding by conceptualizing such behavior in terms of multiple dimensions and multiple levels, and abbreviated the name of the framework, the MDML. The current paper will present an up-dated version of the MDML, the aim of which is to focus on those features of Relational Frame Theory that seem most in need of emphasis as we move forward with the reticulating model of basic and applied science that serves to characterize contextual behavioral science itself.

• Using the Concept of Environmental Regularities to Refine Our Understanding of Learning and Accelerate Research on RFT
Sean Hughes, Ghent University
Jan De Houwer, Ghent University

Although learning is a core concept in psychology, opinions often differ about what it means to say that learning has occurred. In this presentation we revisit and extend the work of De Houwer, Barnes-Holmes, and Moors (2013) who argued that learning can be conceived of as the impact of regularities in the environment on behavior. More specifically, we explore the merits of the concept of environmental regularities not only for the definition of learning but also as a way to carve up the realm of learning research. We will show how this concept can be useful not only in an analysis of learning research that predates the development of Relational Frame Theory (RFT) (i.e., Learning 1.0) but also in an analysis of learning as conceived of from the perspective of RFT (i.e., Learning 2.0). We believe that environmental regularities may unlock new empirical (and conceptual) possibilities for future work on RFT.

• Examining the Impact of Relational Complexity and Levels of Derivation on the Speed and Accuracy of Relational Responding
Sean Hughes, Ghent University

In a recent paper Hughes, Barnes-Holmes, and Vahey (2012) argued that the complexity of a relational response and the degree to which it has been previously derived can vary along continua from low to high. They also argued that these two factors may influence the speed and accuracy (or indeed any other property) of relational responding. The current work represents a first attempt to systematically manipulate levels of derivation and complexity in an experimental setting. In three different studies participants completed a relational training and testing procedure: in each case complexity was held constant within participants while levels of derivation were manipulated between participants. Results demonstrated that the speed with which a relational response was emitted depended not only on its (relational) complexity but also on levels of derivation. As levels of derivation increased the differences in response speed due to complexity decreased. Open questions and potential directions for future research are discussed.

Educational Objectives:
1. Demonstrate how the concept of environmental regularities can be used to improve the definition of learning . 2. Showcase how the concept of environmental regularities can help accelerate the study of Arbitrarily Applicable Relational Responding (AARR). 3. Highlight growing emphasis on relational coherence, complexity, and derivation in RFT. 4. Demonstrate conceptual developments within RFT.

 

61. RFT & Rule Governed Behavior: Conceptual and Empirical Developments
Symposium (2:45-4:15pm)
Components: Literature review, Original data
Categories: Relational Frame Theory, Clinical Interventions and Interests, RFT, Systematic Review, Pliance,Tracking, Augmenting, Pain, RFT, Rules, Valuing
Target Audience: Beg., Interm.
Location: Vashon 1

Chair: Yvonne Barnes-Holmes, Ghent University
Discussant: Jonathan Tarbox, FirstSteps for Kids

Rules are a critical concept in human learning, but have proven hard to define precisely and manipulate experimentally. The first paper in this symposium explores the utility of, and evidence for, the concepts of pliance, tracking, and augmenting. The paper systematically reviews their empirical basis and how each has been operationalized. The conclusions suggest that the data lags far behind theoretical and clinical applications, and the paper offers key directions for future research. The second paper is empirical and presents a study that systematically compares a derived versus instructed rule in a match-to-sample task, to determine the extent to which these might differentially influence resistance to new contingencies. The findings indicate differential effects for rules that are instructed directly versus those that are derived. The third paper, also empirical, presents four studies, again on the insensitivity effect, and explores the potential impact of three variables: pliance vs. tracking; social vs. self-generated; and pain vs. non-pain related consequence). The results suggest differential influences of these variables on insensitivity. The fourth paper, also empirical, examines the impact of derived values functions on behavioral flexibility and contingency insensitivity. The data suggest that insensitivity varies in terms of the salience of derived values functions.

• A Systematic Review of Research on Pliance, Tracking, and Augmenting
Ama Kissi, Ghent University
Sean Hughes, Ghent University
Geert Crombez, Ghent University
Jan De Houwer, Ghent University
Dermot Barnes-Holmes, Ghent University

Three types of rule-governed behavior - pliance, tracking, and augmenting - have enjoyed widespread theoretical and therapeutic appeal within the RFT and ACT literatures. Yet, to the best of our knowledge, the assumptions underpinning, and the distinctions between pliance, tracking, and augmenting seem to be rooted more in theory than in data. With this in mind, we conducted a systematic review to determine whether (a) empirical work corroborates the functional distinction between pliance, tracking, and augmenting, and (b) how each of these classes of rule-governed behavior has so far been operationalized. Our review indicates that the empirical literature currently lags far behind theoretical and clinical applications and that existing work on this topic could be improved in several notable ways. We conclude our talk by identifying what we consider to be key directions for future research in this area.

• The Impact of Derivation on Persistent Rule-following
Colin Harte, Ghent University
Yvonne-Barnes-Holmes, Ghent University
Dermot Barnes-Holmes, Ghent University
Ciara McEnteggart, Ghent University

Almost since its inception, Relational Frame Theory (RFT) has grappled with the impact of rules and instructions on derived relational responding. And yet, few basic experimental studies have investigated this important and complex phenomenon. In the current basic match-to-sample study, participants were given either a direct rule for responding or were required to derive the correct rule via a pre-experimental derivation training task. During the main task, the contingencies for correct responding changed without warning, and a second experimental manipulation varied the number of trials presented prior to the contingency change (i.e., 10 or 100). Our key aims, therefore, were to explore potential differences in terms of direct or derived rule-following and of short vs extended rule-following upon participants’ ability, or resistance, to adjust to the new task contingencies. Preliminary findings show some differences in rule-following across the four conditions and are discussed in terms of the relationship between persistence of rule-following and derivation.

• The Dark-Side of Rule-Governed Behavior: An Empirical Investigation of the Insensitivity Effect
Ama Kissi, Ghent University
Sean Hughes, Ghent University
Jan De Houwer, Ghent University
Geert Crombez, Ghent University

Within the RFT and ACT literatures psychological and health-related problems are often argued to stem from an over adherence to ineffective rules which prohibit contact with other contingencies in the environment (i.e., “the insensitivity effect”). Across four studies we investigated whether this insensitivity effect was moderated by three variables: the type of rule involved (pliance vs. tracking), the source of the rule (socially vs. self-generated) and the consequences of rule-following (pain vs. non-pain related consequences). In each case participants completed a conditional discrimination (MTS) task consisting of six blocks of trials. During the first three blocks socially provided rules were consistent with programmed contingencies. Then, unknown to participants, these rules became inconsistent with programmed contingencies during the second set of blocks. Results suggest that the insensitivity effect may be moderated more by the source of the rule (self-vs. social) than the type of rule involved (pliance vs. tracking). Open questions and future directions will be discussed.

• Values and Behavioral Flexibility: What are the effects of valuing on sensitivity to contingencies of reinforcement?
Gina Q. Boullion, M.S., University of Louisiana at Lafayette
Nolan R. Williams, University of Louisiana at Lafayette
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette

Contacting one’s values and engaging in behavior consistent with those values has been associated with improved physical and mental health (Nygren et al., 2005), increases in quality of life (Plumb & Hayes, 2008), and increases in overall well-being (Reker et al., 1987), among others. Values have long been vital to the psychological flexibility model (Hayes, Wilson, & Stroushal, 2012) and the topic of countless papers in the CBS community; however, relatively little investigation has been done in regards to how valuing effects behavioral variability and sensitivity to changing contingencies. It is thought that holding rigid ideas about what values one “must” pursue and how one must pursue them can create fused values, which can result in inflexible behavioral repertories and lowered ability to contact present contingencies of reinforcement (Plumb et al, 2009). The current study examined the impact of derived values functions on behavioral flexibility and sensitivity to changing contingencies of reinforcement. Preliminary data suggest that contingency sensitivity varied, depending on which derived values functions were made salient. Implications of contingency sensitivity in the presence of values and future directions will be discussed.

Educational Objectives:
1. Describe the current state of the research on pliance, tracking, and augmenting. 2. List 2 ways in which valuing effects behavioral variability. 3. Analyze the impact of values on sensitivity to reinforcement.

 

62. Self-Compassion and its Implications for Mental Health: Empirical Evidence and a Contextual Framework
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data, Case presentation
Categories: Clinical Interventions and Interests, Theory & Philo., Self-Compassion
Target Audience: Interm., Adv.
Location: Vashon 2

Chair: Joanna J. Arch, University of Colorado Boulder
Discussant: Kristin D. Neff, University of Texas at Austin

This symposium aims to inform both the empirical and theoretical understanding of self-compassion – a topic of growing interest to researchers and clinicians alike. We pair two empirical papers with a theory-driven paper to demonstrate the contextual behavioral science conceptualization, measurable correlates, and biopsychological outcomes of self-compassion across experimental, community, and clinical settings. Specifically, the two empirical presentations focus on the implications of self-compassion for responding to social stressors (3 studies) and the specific correlates linking self-compassion to well-being (relative to compassion for others, 1 study). Thus, the empirical work addresses self-compassion’s link to well-being and potential to optimize social stressor responding. The final paper situates self-compassion within contextual behavioral science, showing how self-compassion informs case conceptualization and treatment particularly within the context of negative social emotions such as shame. Collectively, this symposium contributes to specifying the benefits, correlates, conceptualization, and clinical application of self-compassion.

• Comparing compassion for self and others: Impacts on personal and interpersonal well-being
Marissa Knox, University of Texas at Austin
Kristin D. Neff, Ph.D., University of Texas at Austin

To date almost no research has compared compassion for self versus others as they impact wellbeing. This study examined self-reports of self-compassion and other-compassion in a sample of community adults (N=1366) and Buddhist meditators (N=172). We found that among community adults, 6% displayed more self-compassion than other-compassion, 76% displayed more other-compassion than self-compassion, and 16% displayed the same levels of each. Results were almost identical among Buddhists. In both samples self- and other-compassion were only weakly correlated. In the community sample, self-compassion predicted most of the significant variance in personal wellbeing (e.g., happiness, life-satisfaction, depression, anxiety, stress, empathetic distress), while other-compassion was a stronger predictor of interpersonal outcomes (e.g., altruism, perspective-taking, and forgiveness). The Buddhist sample had similar results, except that self-compassion was the stronger predictor of perspective-taking and forgiveness, and both equally predicted empathetic distress. Few interaction effects were found. Implications of findings for interventions will be discussed.

• The Impact of Brief Self-Compassion Training on Responses to Social Stressors
Joanna J. Arch, Ph.D., University of Colorado Boulder
Lauren Landy, M.A., University of Colorado Boulder

Across three studies, we evaluate the impact of brief self-compassion (trained or induced) on social stressor responses. In Study 1, women (n=104) randomized to brief self-compassion training showed lower subjective anxiety and sympathetic responses to a social performance stressor, relative to rigorous control conditions. In Study 2, during recovery from a challenging social feedback task, adults with or without social anxiety disorder (SAD; n=57) were randomized to a self-compassion-induction or waiting period. Adults in the self-compassion condition reported lower anxiety, and those with SAD benefitted similarly as those without SAD. In Study 3, currently ongoing, we evaluate whether a self-compassion induction mitigates our finding that adults with SAD incorporate negative social feedback more quickly into their sense of self than positive social feedback. To the extent that self-compassion functions as a form of flexible perspective taking, these collective findings inform contextual behavioral approaches for addressing social anxiety and enhancing well-being.

• Contextual Behavioral Science, Perspective Taking, and Self-Compassion
Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center

This paper aims to contextualize the other papers in this symposium for the ACBS audience through the presentation of a contextual behavioral science (CBS) framework on self-compassion. From a CBS perspective, self-compassion relies centrally on the flexible use of perspective taking (i.e., deictic framing) and the effective transformation of emotional functions. From this vantage point, self-compassion can be seen as a form self-to-self relating, wherein a person responds to their own behavior with the same repertoires of caregiving and cooperation that one might apply to a friend or loved one. As such, self-compassion is a fairly complex cognitive task that requires the person to be able to observe their own behavior and access evolved caregiving responses and associated emotions that primarily evolved in response to others, but instead apply them to oneself. Examples of how this process is relevant in a clinical context will be provided.

Educational Objectives:
1. Describe how brief training in self-compassion effects responses to social performance stress. 2. Distinguish the well-being correlates of self-compassion and compassion from others. 3. Situate self-compassion within a contextual behavioral science framework.

 

63. Improving Outcomes and Better Understanding Processes: Using Smartphone Technologies in Clinical Research
Symposium (2:45-4:15pm)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, smart phone technologies
Target Audience: Beg., Interm., Adv.
Location: St. Helens

Chair: Andrew Gloster, University of Basel
Discussant: Todd Kashdan, George Mason University

Innovations in technology and their widespread use in the general population, such as with smart phones, has introduced new ways for psychologists to examine phenomena, access individuals in remote areas or hard to reach populations, and intervene. These new technologies allow for studying processes of treatments with the aim of improving outcomes. Event Sampling Methodology (ESM) is an ecologically sensitive methodology that captures events in participants’ chosen environments and in close proximity to when an actual behavior of interest occurs. The first paper in this symposium will present the use of smart phone technology to assess individuals diagnosed with MDD, Social Phobia and controls, using a one-week ESM paradigm. Results will be presented with suggestions about how better to promote well-being and pro-social activity in the flow of daily life while testing contextual behavioral theory. The second paper, examines the impact of enhancing face-to-face Acceptance and Commitment Therapy (ACT) smoking cessation with the use of treatment related text messages vs. providing only date and time of next session information. Data will be presented that shows that receiving content-related text messages leads to a decrease in CO exhalation levels when compared to the general text messaging suggesting that the use of ACT content messages leads to a higher utilization of taught techniques and thus improved treatment outcomes. The third study, will present data on how the receptivity and cessation outcomes of a smoking cessation are achieved with an ACT-conistent smartphone application.

• The Ups and Downs of a Flexible Life: Using ESM to Capture Daily Fluctuations of Emotions and Behaviors in Participants with Depression, Social Anxiety, & Controls
Andrew Gloster, Ph.D., University of Basel
Andrea Meyer, Ph.D., University of Basel
Roselind Lieb, Ph.D., University of Basel

Introduction: Event Sampling Methodology (ESM) assesses events in participants’ chosen environments, close to the occurrence of the behavior. ESM is ecologically sensitive while limiting recall bias. As such, ESM offers unique advantages to testing contextual behavioral predictions such as how psychological flexibility changes as a function of context and how this affects well-being. Method: Using smartphones, a one-week ESM paradigm with assessments every three hours assessed participants diagnosed with MDD (n=87), Social Phobia (n=41), and controls (n=87); [67% female]. Results: Over 90.4% (n=8240) of prompted assessments were completed. Preliminary models indicate that state levels of psychological flexibility moderated the relationship between stress and frequency of interacting with other people. Models will further differentiate between diagnostic groups, test for outcomes of pro-social behavior and well-being. Conclusions: These data offer suggestions about how to promote well-being and pro-social in the flow of daily life while testing contextual behavioral theory.

• Does the use of treatment content text message reminders enhance the utilization of ACT techniques and improve smoking cessation outcomes?
Maria Karekla, Ph.D., University of Cyprus
Andria Christodoulou, M.A., University of Cyprus

Introduction: Acceptance and Commitment Therapy (ACT) makes use of an individual’s values to motivate a change in behavior and has been shown quite effective for smoking cessation. Innovations in smart phone technology have led to individualized text messaging based interventions with the potential to attract and engage previously hard-to-reach groups, adolescents. However, to date differences between providing treatment-related content text messages vs. simple date and time of next appointment reminders has not been evaluated. This study aimed to compare the use of content specific (with an emphasis on linking smoking cessation to values) vs. general text messages in combination to ACT smoking cessation among adolescents. Method: 118 smokers were randomly assigned to one of two groups: an ACT relevant content SMS plus ACT group (8 sessions) vs. a general SMS plus ACT group smoking cessation. Carbon Monoxide (CO) exhalation levels and other smoking and ACT related variables were tested pre and post treatment. Results: Repeated measures ANOVAs indicated a significant reduction in CO upon completion of the intervention compared to pre-intervention levels, with the ACT-content SMS group having significantly lower post-intervention CO levels than the general SMS group. However, the groups did not differ on ACT related measures at post intervention. Conclusions: Both groups responded similarly to the learning of ACT content but differed only in their application of information to achieving smoking cessation, providing support for the importance of enhancing treatment content with regular text messages in-between sessions.

• Single Arm Trial of the SmartQuit Acceptance & Commitment Therapy Smartphone Application for Smoking Cessation
Jonathan Bricker, Ph.D., Fred Hutch Cancer Research Center & University of Washington
Wade Copeland, M.S., Fred Hutch Cancer Research Center & University of Washington
Jaimee Heffner, Ph.D., Fred Hutch Cancer Research Center & University of Washington

Introduction: There are 500 English-language smartphone applications (“apps”) for quitting smoking, downloaded over 3.2 million times in 2012-2013. Their ubiquity makes apps a potentially helpful cessation aid, especially for smokers who are hard to reach. We explored this potential through evaluating the receptivity and cessation outcomes for the SmartQuit app that follows Acceptance & Commitment Therapy (ACT). Methods: Participants were 99 adult smokers (at least 5 cigarettes/day) who were 78% female and 60% unemployed. Results: The follow-up data retention rate at the 2-month follow-up was 85%. Regarding receptivity, 85% of participants were satisfied with the app, 82% found ACT exercises useful, and 93% reported the app was easy to use. The quit rates at the 2-month follow-up were 21%. Among program completers, the quit rates at 2-month follow-up were 33%. Conclusion: SmartQuit was well-received and showed promising quit rates among the challenging population of primarily low SES female smokers.

Educational Objectives:
1. Describe how technologies can be use to promote outcomes. 2. Describe how ACT consistent variables unfold in daily life and in individually applied interventions. 3. Explain the relationship between process and outcome using ecologically sensitive data.

 

65. Processes of Change
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Literature review, Original data
Categories: Prevention and Community-Based Interventions, Clinical Interventions and Interests, Edu. settings, Org. Beh. Management, Theory & Philo., RFT, Cognitive defusion, coping with stress, anxiety, component analysis, resilience, mindfulness, values, non-clinical
Target Audience: Beg., Interm., Adv.
Location: Cascade 1B

Chair: Rebecca Schneider, M.A., University of Colorado Boulder
Discussant: Chad E. Drake, Ph.D., Southern Illinois University

Understanding processes of change can shed more light on the progression of psychological inflexibility as well as guide more targeted interventions. Coping with stress, negative thoughts, and emotion has received considerable attention from different theoretical perspectives. In this symposium, we examine the process of coping from a contextual behavior perspective. For instance, individual differences in coping with stress may be better explained by cognitive defusion. We will discuss 3 studies that show how cognitive defusion may add to theories of coping in understanding how individuals relate to stress. We will also present data on a comparison of cognitive restructuring and cognitive defusion approaches to negative thoughts, including an RFT-based analysis of both techniques. A study of a mindfulness-only intervention versus an ACT intervention will be presented as well as a discussion of contexts in which each approach might be more appropriate. We will also discuss the predictive relevance of emotion regulation skills - targeted by mindfulness- and acceptance-based therapies - in the development of physical and social anxiety via a longitudinal study. Together, these studies can help us better understand and target processes that might be critical to enhancing well-being.

• Defusion or restructuring as a question of human language
Andreas Larsson, Centre for Psychiatric Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services

Humans have this amazing ability to make thoughts seem completely real. In more technical terms we have difficulty discriminating derived stimulus reactions from direct contingencies. This is one reason language place such a large role in psychopathology. For this reason a central part of psychotherapy involves providing clients with coping strategies for negative thoughts. Cognitive restructuring and cognitive defusion are two of the most common such methods. However they derive from two different theoretical outlooks, one is Acceptance and Commitment Therapy, reticulatedly related to RFT and based in functional contextualism and the other is Cognitive Therapy, a more mechanistic model. This presentation will give a common, RFT-based description of both methods and present data comparing them both. In a recent study (Larsson et al., 2015) participants were either provided with a cognitive restructuring, defusion or no instruction control technique to manage a personally relevant negative thought. Participants were reminded, via SMS messages, to use their assigned strategy in managing the thought across a five-day period. Pre- and postmeasures were the (1) believability, (2) comfort, (3) negativity and (4) willingness to experience their unwanted thought. The results indicate that both restructuring and defusion were effective in decreasing the believability and negativity, and increasing comfort and willingness to have the negative thought. Further analyses suggested that defusion tended to be more helpful than restructuring across all four domains and both delivery methods but that face-to-face delivery was more effective than online. The findings are discussed in terms of the differences in the contextual language cues provided in the different interventions for managing unwanted thoughts.

• The Longitudinal Effect of ACT-Targeted Emotion Regulation Strategies on Anxiety Levels in Youth
Rebecca Schneider, M.A., University of Colorado Boulder
Joanna Arch, Ph.D., University of Colorado Boulder
Ben Hankin, University of Denver

Objective: There is growing evidence linking emotion dysregulation to anxiety. However, few studies have examined this relationship longitudinally or developmentally. Additionally, no studies have specifically examined the predictive relevance of the emotion regulation skills taught in mindfulness- and acceptance-based therapies. We explore whether specific ACT-targeted emotion regulation processes differentially predict specific anxiety symptoms over time among children and adolescents. Methods: Initial emotion non-awareness, nonacceptance, and difficulties with goal-directed behavior (corresponding to the ACT processes of awareness, acceptance, and committed action) were assessed in a community sample (n = 312, age range = 8-16, mean age = 11.68, 59% female, 69% Caucasian). Social anxiety, separation anxiety, and physical anxiety symptoms were assessed every 3 months for 3 years. Hierarchical linear modeling was used to examine the concurrent and longitudinal effects of emotion dysregulation assessed at baseline or 18 months on anxiety. Results: After controlling for depression, age, and gender, all three processes concurrently predicted physical and social anxiety, and all but nonacceptance predicted separation anxiety. Only difficulties with goal-directed behavior, however, predicted longitudinal change in separation anxiety over time with covariates. Additionally, emotion non-awareness and difficulties with goal-directed behavior predicted subsequent changes in social anxiety. Conclusions: Emotion dysregulation may serve as a potential risk factor for the development of anxiety symptoms among youth. It may be beneficial to target reductions in maladaptive strategies in prevention or intervention work.

• Transfer of fear measured with blink-startle modulation
Miguel Rodriguez-Valverde, Ph.D., University of Jaén, Spain
Monica Hernandez-Lopez, Ph.D., University of Jaén, Spain
Miguel A. Lopez-Medina, B.Sc., University of Jaén, Spain

Research on fear conditioning is key to understanding the genesis and maintenance of anxiety disorders. A still scarce but growing evidence shows that physiological fear reactions may transfer amongst physically dissimilar but symbolically related (e.g. equivalent) stimuli. The limited investigation published to date has relied on skin conductance responses as its main measure. Thus far, no published studies have analyzed this phenomenon using more emotionally sensitive psychophysiological measures, like blink startle. Participants (N=20) in this study underwent a matching-to-sample procedure for the formation of two equivalence classes (A1-B1-C1-D1 and A2-B2-C2-D2). Then, one element from each class was used in a differential aversive conditioning procedure (CS+: B1; CS-: B2) with electric shock as the UCS. Eye-blink startle (measured as EMG activity of the orbicularis oculi muscle after a burst of white noise) was the main dependent variable. Preliminary results from transfer tests show potentiation of blink startle with C1 and D1, but not with C2 and D2.

Educational Objectives:
1. Describe the evidence for ACT versus mindfulness-only group interventions on how individuals cope with stress. 2. Describe the longitudinal relationship between emotion regulation and anxiety. 3. Analyze the main psychophysiological measures used in research on the derived transfer of fear.

 

69. Promoting psychological flexibility in laboratory, exceptionally gifted children, and victims of sexual violence
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, RFT, Laboratory study, exceptionally gifted children, sexual violence
Target Audience: Beg., Interm., Adv.
Location: Puget Sound

Chair: Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Discussant: Carmen Luciano, Universidad de Almería

Promoting psychological flexibility is the main aim of acceptance and commitment therapy (ACT). This symposium presents three studies focused on promoting psychological flexibility in several contexts. The first presentation consists of a laboratory study that first modelled a pattern of psychological inflexibility in participants’ behavior and then compared a brief protocol to promote psychological flexibility versus a control condition. The second study presents the effect of a brief ACT protocol applied to exceptionally gifted children experiencing significant levels of school maladjustment. The protocol was focused on disrupting rumination and procrastination, and promoting psychological flexibility while facing with boring and unattractive tasks. Lastly, the third study shows the effect of a 4-session ACT protocol applied to adolescent who suffered conflict-related sexual violence in Colombia. Overall, the current symposium shows the several levels of analysis of the promotion of psychological flexibility via ACT interventions.

• The weakening of psychological inflexibility: Analysis of the epitaph exercise
Adrián Barbero-Rubio, Universidad de Almería
Carmen Luciano, Universidad de Almería

The Acceptance and Commitment Therapy (ACT) model is oriented to disrupt psychological inflexibility (PI) and to increase psychological flexibility (PF). Recent laboratory studies have analyzed the conditions under which ACT exercises impact on enhancing PF. However, these studies do not establish a context of PI which the conditions for its weakening can be isolated. This preliminary study analyzes these conditions by designing experimental analogs of ACT-based exercises. This study had five phases: (1) eighteen participants were randomly assigned to two groups, responded to questionnaires and were exposed to an experimental task with discomfort to capture rigid psychological reactions; (2) both groups received an Inflexibility-protocol; (3) all groups were re-exposed to the experimental task; (4) group I received a Flexibility-protocol (the epitaph exercise) dedicated to weaken the PI while group II received a control-protocol; (5) all participants repeated the experimental task. Results indicate significant effects the Flexibility-protocol on increasing task performance.

• Effect of a brief ACT protocol in improving school adjustment of exceptionally gifted children
María Belén García-Martín, Fundación Universitaria Konrad Lorenz
Katherine Barreto, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz

An exceptionally gifted child stand out in general intelligence, easily learns contents of any domain, and demonstrate behavior more sophisticated than his/her reference group. However, a good number of exceptionally gifted children presents school maladjustment due to experiencing school tasks as low-demanding and boring. This usually leads to emotional difficulties and scholar failure. The current study describes the effect of a brief acceptance and commitment therapy (ACT) intervention focused in disrupting rumination and procrastination, and increase valued actions in exceptionally gifted children. A multiple-baseline designs across participants was used with 5 children experiencing significant levels of school maladjustment. All children were identified as exceptionally gifted by means of intelligence quotient and learning potential tests. Results are discussed in terms of how psychological flexibility can enhance the use of high-level cognitive abilities and put them at the service of valued behavioral directions.

• Use of Acceptance and Commitment Therapy with female adolescents exposed to conflict-related sexual violence: Experiences in Colombia
Melissa Schellekens, Private Practice
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz

Over fifty years of internal armed conflict in Colombia has involved unprecedented levels of conflict-related sexual violence perpetrated against women and girls, to which adolescents are particularly vulnerable. This study examined the effects of a 4-session group protocol on the values adherence behaviour and life functioning of adolescent females exposed to conflict-related sexual violence. The protocol proposed in this study incorporates elements of the DNA-V framework and an art-based process. A group of females aged between 13 and 18 participated in a randomised controlled study of the protocol. They were sourced through a local non-governmental organisation operating in regions of Colombia with high levels of conflict. The protocol appears to be an initial step toward enhancing research into ACT-based treatments for adolescents with trauma symptoms. Additional research proposed includes investigation into scaling-up use of this protocol across large numbers of adolescent females in Colombia.

Educational Objectives:
1. Model psychological (in)flexibility in a laboratory setting. 2. Apply ACT to improve school adjustment in exceptionally gifted children. 3. Explain the relevance of promoting psychological flexibility in victims of sexual violence.

 

74. Effect of brief ACT protocols focused on disrupting worry and rumination in clinical and nonclinical participants
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, RFT, Worry, Rumination, Emotional Disorders, Couples
Target Audience: Beg., Interm., Adv.
Location: Vashon 1

Chair: Bárbara Gil-Luciano, Madrid Institute of Contextual Psychology
Discussant: Carmen Luciano, Universidad de Almería

The current symposium presents cutting-edge research in the application of brief acceptance and commitment therapy (ACT) protocols focused on disrupting negative repetitive thinking (RNT). RNT in the form of worry and rumination has been robustly identified as a transdiagnostic factor implicated in the onset and maintenance of emotional disorders. The symposium presents three studies in which ACT protocols were focused from the very beginning in decreasing RNT levels. The first study shows the effect of a one-session ACT protocol applied to individuals suffering from moderate emotional symptoms and experiencing dysfunctional worry/rumination for at least six months. The effect sizes of the intervention were very large. The second study aims to extend the previous findings to improving couple relationship in cases where one of the members showed high levels of RNT. The third study analyzes the effect of a 4-session protocol to treat moderate to severe depression and generalized anxiety disorders.

• Acceptance and commitment therapy to disrupt negative repetitive thinking: A randomized multiple-baseline design
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz
Juan C. Suárez-Falcón, Universidad Nacional de Educación a Distancia
Carmen Luciano, Universidad de Almería

Repetitive negative thinking (RNT) in the form of worry and rumination has been robustly identified as a transdiagnostic factor implicated in the onset and maintenance of emotional disorders. The current study analyzed the effect of a one-session acceptance and commitment therapy (ACT) protocol in disrupting RNT using a two-arm, randomized-multiple baseline design. Participants were 11 adults experiencing RNT that interfered in their functioning for at least the last six months. Five RNT-related measures were administered: a daily RNT self-register, measures of pathological worry, rumination (reflection and brooding), and frequency with negative thoughts. Ten participants showed significant reductions in at least half of the RNT measures. Effect sizes were very large in most RNT-related measures (Cohen’s d from .93 for reflection to 2.15 for worry) and in valued living (d from .77 to 2.35), emotional symptoms reduction (d = 1.71), experiential avoidance (d = 2.09), and cognitive fusion (d = 2.23).

• Improving couple relationship by reducing worry and rumination through a brief ACT protocol
Diana García-Beltrán, Fundación Universitaria Konrad Lorenz
Andrea Monroy, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz

Repetitive thinking in the form of worry and rumination about the couple relationship can have a deleterious effect in couple satisfaction for several reasons such as: not being present while sharing time with the couple, doubts about continuing or breaking the relationship, maintaining toxic relationships, jealous, etc. The current study aims to explore the effect of a brief acceptance and commitment therapy (ACT) protocol in improving satisfaction with couple relationships through reducing worry and rumination. The ACT protocol was based on the study by Ruiz, Riaño-Hernández, Suárez-Falcón, and Luciano (2016) that showed very large effect sizes of a one-session protocol in disrupting general worry and rumination. A multiple-baseline design was conducted with participants who were unsatisfied with their couple relationships and showed significant levels of worry/rumination that interfered adequate functioning in this area. Results will be mainly discussed in terms of participants’ progression in having a valued couple relationship.

• Effect of a transdiagnostic ACT protocol focused on disrupting negative repetitive thinking
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz
Juan C. Suárez-Falcón, Universidad Nacional de Educación a Distancia
Carmen Luciano, Universidad de Almería

The current study aims to analyze the effect of a 4-session acceptance and commitment therapy (ACT) intervention focused on disrupting worry and rumination in the treatment of emotional disorders. Both worry and rumination usually serve an experiential avoidance function and have been robustly identified as transdiagnostic factors implicated in the onset and maintenance of emotional disorders. A multiple baseline design was implemented with participants suffering from depression and/or generalized anxiety disorder. Dependent variables were daily measures of repetitive thinking and weekly self-reports of emotional symptoms, worry, rumination, negative thoughts, valued living, experiential avoidance, and cognitive fusion. Initial results show that most participants obtained significant clinical improvements. The results will be discussed highlighting the need to conduct a randomized clinical trial comparing the effect of this protocol with a standard ACT protocol to treat emotional disorders.

Educational Objectives:
1. Describe the role of worry/rumination in the etiology and maintenance of emotional disorders. 2. Demonstrate worry/rumination as important experiential avoidance strategies. 3. Analyze the effect of ACT protocols focused on disrupting worry/rumination in clinical and nonclinic participants.

 

78. Investigating the effects and processes of brief ACT interventions with different populations
Symposium (4:30-5:45pm)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Edu. settings, ACT, brief interventions, youth, university students, wellbeing, stress, depression, anxiety
Target Audience: Beg., Interm.
Location: Cascade 1B

Chair: Raimo Lappalainen, Ph.D., Department of Psychology, University of Jyväskylä, Finland
Discussant: Jacqueline Pistorello, University of Nevada, Reno

Brief psychological interventions offer several advantages, and they are used frequently in clinical practice. The form of delivery of interventions with less than 10 sessions can vary from individual and group treatments to different forms of web- and mobile-approaches. This symposium aims at describing the effects of 6-7 session ACT interventions. Three studies will be presented describing interventions offered to adolescents (15-20 years old, n = 160), young adults (19-32 years old, n = 68) and middle-aged clients with depression (n = 56). The interventions were delivered either in a group format or as individual sessions combined with an internet-program and face-to-face. We will discuss the effectiveness and usefulness of these short ACT interventions to different populations and crucial psychological processes and mechanisms of change possibly explaining the effects.

• A controlled trial of Acceptance and Commitment Training (ACT) for treating comorbid psychosocial problems among inpatient youth
Fredrik Livheim, MSc., licensed psychologist, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden

Background: Youth sentenced to inpatient care is a group often burdened with severe comorbid problems. The current quasi-experimental outcome study investigated the possible effects of an ACT group-based intervention as an adjunct to treatment as usual (TAU). Method: This study involved 160 Swedish youth (15-20 years old) sentenced to institutional care. Ninety-one adolescents were in units that received ACT + TAU, and the remaining adolescents were in units that received TAU, only. The ACT group-based intervention consisted of 6 sessions á 2 hours. Results: The ACT groups as an addition to TAU significantly lowered youth levels of anxiety, depression, anger, drug- and alcohol use, conduct problems, hyperactivity, criminality and increased psychological flexibility, prosocial behaviours and Self-Concept. Conclusion: This 12-hour ACT group-based intervention could be an effective tool in enhancing the well-being of youth with psychosocial problems.

• Mindfulness as a mediator of change in wellbeing, stress, and symptoms of depression: Results from a guided online ACT-based program for university students
Panajiota Räsänen, MSc., Licensed Psychologist, Department of Psychology, University of Jyväskylä, Finland
Asko Tolvanen, Department of Psychology, University of Jyväskylä, Finland

A web-based, coach-guided ACT intervention, aiming at enhancing the wellbeing of university students while also focusing on transdiagnostic processes that might both prevent and alleviate a wide range of mental health issues has been previously found to be an effective alternative in reaching the needs of the university population (Räsänen et. al, 2016). The present study explored the possible mediators of change accounting for outcomes in that previously reported randomized trial. Our primary goal was to examine whether changes in mindfulness skills would mediate changes in psychological wellbeing, perceived stress and symptoms of depression in the participants (N = 68; 85% female; 19-32 years old). Results showed that Non-Reactivity was the primary mediator that partly explained changes in all outcome measures. This study is a first step toward understanding the potential mechanisms of change taking place in online, guided ACT-based programs. The implications and limitations of the findings are discussed.

• Fast improvement during a brief 6 –session ACT intervention: The phenomena and discussion of processes
Katariina Keinonen, Department of Psychology, University of Jyväskylä, Finland
Raimo Lappalainen, Department of Psychology, University of Jyväskylä, Finland

Objective: Sudden gains, abrupt reductions in symptom severity, have been shown to occur in various treatment settings resulting in better treatment outcome. We were interested in investigating the amount of clients showing fast improvement and whether process measures such psychological flexibility were associated with early improvement. Method: The data consisted of 56 participants with diagnosed major depressive disorder. They were offered a 6 session individual ACT intervention, and classified to (fast) improvers and non-improvers based on changes in symptoms of depression during first two weeks of intervention. Results: About 25% of the clients improved very fast (between group ES for BDI-II g =1.44 after two sessions). During the 6 –session intervention, the pattern of change was different in psychological flexibility, believability on depression thoughts and for hopefulness between the improvers and non-improvers. Conclusions: Changes in psychological flexibility could be associated with fast improvement in brief psychological interventions.

Educational Objectives:
1. Describe and discuss the effects of this ACT-intervention among Swedish incarcerated youth. 2. Identify and discuss how mindfulness skills may mediate changes in psychological wellbeing, perceived stress and symptoms of depression in an online, guided ACT program for university students. 3. Explain individual differences in interventions effects and possible psychological processes associated with these differences.

 

80. This Modern (Evaluative) World: Exploring Contemporary Approaches to Assessing and Addressing Stigmatizing Attitudes toward Psychological Struggles
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Literature review, Original data
Categories: Functional contextual approaches in related disciplines, Clin. Interven. & Interests, Assessment, Stigma, Intervention
Target Audience: Beg., Interm., Adv.
Location: Puget Sound

Chair: Chad E. Drake, Ph.D., Southern Illinois University
Discussant: Chad E. Drake, Ph.D., Southern Illinois University

Verbally competent human beings readily engage in comparative and evaluative relational responding. Given the social nature of our species, these proclivities readily enter into our perspectives on self, social identity, and social classification. Of particular concern are the types of perspectives that lead to stigmatizing attitudes. While stigma may be readily recognized for group comparisons along racial, sexual, or religious categories, stigmatizing attitudes toward those who struggle with psychopathology are also common and damaging (e.g., Link, Struening, Rahav, Phelan, & Nuttbrock, 1997). This symposium will focus on mental illness stigma with an emphasis on contemporary approaches to assessing attitudes: two studies utilizing a paradigm involving evaluation of faux “tweets” via twitter.com as well as a study with the Implicit Relational Assessment Procedure. Using multiple analytic and methodological strategies, issues of predictive validity and intervention strategies will be examined.

• Judgment on the bus goes round and round: Decreasing mental illness stigma by expanding the context
Teresa Hulsey, B.A., University of North Texas
Melissa L. Connally, M.S., University of North Texas
Danielle N. Moyer, M.S., University of North Texas
Taylor Lincoln, B.A., University of North Texas
Amy R. Murrell, Ph.D., University of North Texas

Approximately 1 in 5 American adults experience mental health difficulties (U.S. Department of Health and Human Services, 2014). Yet, mental health stigma remains one of the most frequently identified barriers to seeking treatment (Corrigan, 2004). One factor that contributes to mental health stigma is the tendency to over attribute behaviors to internal factors, while under attributing behaviors to external factors (i.e., fundamental attribution error; Ross, Greene, & House, 1977). This paper will examine the impact of contextual information on stigmatizing attitudes toward an ambiguous mental health scenario. Participants (n = 483) were presented a series of faux tweets with increasingly elaborate contextual information, and their attitudes were assessed after each tweet. A mixed factor repeated measures ANOVA will explore changing attitudes toward mental health over time. The role of psychological distress, experiential avoidance, and mental health history in relation to these changes will also be examined.

• Helpers Can Be Haters, Too: Examining Substance Misuse Stigma Among Therapists with the IRAP
Trent Codd, EdS, Cognitive-Behavioral Therapy Center of WNC, P.A.
Sunni Primeaux, M.A., Southern Illinois University
Sam Kramer, M.A., Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University
Christeine M. Terry, Seattle Psychology, PLLC

Substance misusers are more stigmatized than individuals with other health conditions (Rao et al. 2009). In addition to affecting social status, employment, and housing, stigma has also been recognized as a barrier to treatment (Gary, 2005). Unfortunately, research has shown that stigma is not only found among the general population but among mental health professionals as well (Maslach, Jackson, & Leiter, 1996). The current study examined stigma toward substance misusers among 38 mental health professionals with traditional self-report methods as well as the Implicit Relational Assessment Procedure (IRAP). Preliminary analyses revealed a mixture of IRAP effects as well as some evidence for convergence between the IRAP and explicit measures. Additionally, the IRAP was found to predict willingness to write letters of support for employment and disability applications for substance users. Future research may focus on altering the content strategy of the IRAP and/or broadening the focus of assessment.

• Three tweets to the wind: Decreasing substance use stigma in 140 characters or less
Ethan G. Lester, B.S., University of North Texas
Danielle N. Moyer, M.S., University of North Texas
Amy R. Murrell, Ph.D., University of North Texas

Substance use and misuse are highly stigmatized mental health issues in the United States (Livingston, Muilne, Fang, & Amari, 2011), despite research supporting the critical role of environmental and contextual risk factors (Stone, Becker, Huber, & Catalano, 2012). The fundamental attribution error (FAE; Ross, Greene, & House, 1977) provides one explanation for this discrepancy. The FAE is the propensity for an individual to overly attribute behavior to dispositional characteristics while ignoring potential external causes of behavior. Increasing contextual information may decrease the frequency of committing the FAE (Quattrone, 1982). After receiving contextual information via faux tweets, 483 undergraduate students responded to an ambiguous situation related to substance use. Contextual information was presented hierarchically, and participants rated their attitudes towards an individual each time. A mixed factor repeated measures ANOVA will evaluate changes in stigmatizing attitudes over time, and in relation to attributional complexity, intolerance, and mental health history.

Educational Objectives:
1. Demonstrate the relationships among contextual information, stigmatizing attitudes, distress and treatment, and experiential avoidance. 2. Describe the evidence for the predictive validity of the substance misuse IRAP. 3. Demonstrate the impact of contextual information on stigmatizing attitudes and discuss the implications for substance use stigma, specifically.

 

82. RFT & Relational Coherence
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Original data
Categories: Relational Frame Theory, Theory & Philo., RFT, Experimental Analysis of Behavior, IRAP
Target Audience: Beg., Interm., Adv.
Location: Pine

Chair: Yvonne Barnes-Holmes, Ghent University
Discussant: Nic Hooper, Ph.D., University of West England

The concept of coherence has been used in psychology for a long time, but has thus far escaped behavior analytic scrutiny. And yet, coherence, defined provisionally as deriving relational responses that are congruent with one another, appears to play a key role in many complex verbal behaviors. The first paper in this symposium highlights recent efforts to explore the reinforcing properties of relational coherence. The results suggest that coherence has appetitive properties and that contextual factors influence the relative reinforcing value of coherence. The second empirical paper determines whether incoherence is aversive. The results show strong pereferences for contextual coherence, in terms of both facial expression and the AAQ. The third paper, also empirical, explores the IRAP’s use of the response options “True” and “False” as relational coherence indicators (RCIs), and determines whether these influence IRAP performances. The findings indicate that Crels and RCIs should not be considered as functionally equivalent, and the use of different types of response options requires systematic analysis.

• Chasing Coherence: Recent Refinements in a Reinforcer Assessment Paradigm
Sean Hughes, Ph.D., Ghent University
Michael Bordieri, Ph.D., Murray State University

Coherence, preliminary defined as deriving relational responses that are congruent with one another, is argued to play a key role in many complex verbal behaviors. While previous accounts of coherence have been mainly conceptual in nature (e.g., the relational elaboration and coherence model; Barnes-Holmes, Barnes-Holmes, Stewart, & Boles, 2010), recent empirical work has sought to investigate relational coherence in the laboratory (Bordieri, Kellum, Wilson, & Whiteman, 2016; Wary, Dougher, Hamilton, & Guinther, 2012; Quinones & Hayes, 2014). In this paper we highlight some recent efforts to explore the reinforcing properties of relational coherence. Results from a series of studies suggest that coherence has appetitive properties for many participants and that contextual factors can manipulate the relative reinforcing value of coherence. Our findings partially support the assertion that coherence is a reinforcer for verbally competent humans. Implications for future research and paradigm development will be discussed.

• Analytical Perspective of Coherence
Zaida Callejón, Ph.D. candidate, Universidad de Almería
Carmen Luciano, Ph.D., Universidad de Almería
Juan Carlos López-López, Ph.D. candidate, Universidad de Almería

The current study aimed to check the reinforcing function of coherence. Specifically, this study analyzed if the incoherence experience is felt as an aversive event. Nine undergraduate students participated and followed the next sequence: (1) Firstly, they received conditional discrimination training for the formation of three 5-member equivalence classes. Subsequently, (2) they were exposed to a 24-trial block to assess mutual and combinatorial relations providing feedback to establish three contexts defined on the basis of different contingencies: a) coherent feedback based on the previous training was provided contingent to participants’ responses; b) consequences were randomly assigned as incoherent context; c) without feedback. During this phase, the response latency and participants’ facial expressions were recorded. In addition, participants were asked to rate their experiences of discomfort and sense of control on each context. Finally, (3) participants were exposed to a test of derived relations along with a choice procedure to determine their preferences based on the different context previously trained as a, b, or c. Results showed that most of participants (88%) preferred coherent context. During incoherent trials, an increased response latency and facial expressions of discomfort were detected. Moreover, the AAQ-II negatively correlated to selecting incoherent context (r = -.631). The findings suggest that coherent context, in which sense making is likely, is the most preferred.

• The Similarities and Differences between “Similar” and “Different” and “True” and “False” in Relational Frame Theory: Analyzing Relational Contextual Cues versus Relational Coherence Indicators using the IRAP
Emma Maloney, Maynooth University
Dermot Barnes-Holmes, Ghent University

Early studies using the Implicit Relational Assessment Procedure (IRAP) involved using relational contextual cues (Crels) as response options. A large number of IRAP studies, however, have also employed relational coherence indicators (RCIs), the two most common being “True” and “False”. The untested assumption was that the nature of the response options should have no impact on IRAP performance. The current study addressed this gap in the literature. Undergraduate participants were exposed to two IRAPs, one employing the Crels “Similar” and “Different” and the other employing the RCIs “True” and “False”. When participants first completed an IRAP using the Crels and then completed a second IRAP using the RCIs there was a significant reduction in the effect and it also became non-significant (from zero). This finding indicates that Crels versus RCIs should not be considered functionally equivalent and the use of different types of response options requires careful and systematic analysis.

Educational Objectives:
1. Describe recent refinements and limitations of an experimental preparation designed to assess relational coherence. 2. Evaluate the reinforcing properties of coherence and discuss the influence of contextual factors. 3. Analyze empirically the reinforcing function of coherence and assess if the incoherence experience is felt as an aversive event.

 

Saturday, June 18

89. RFT & Experimental Analyses of Psychological Suffering
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data
Categories: Relational Frame Theory, Clin. Interven. & Interests, RFT, IRAP, clinical applications of RFT, obesity
Target Audience: Interm., Adv.
Location: Vashon 2

Chair: Yvonne Barnes-Holmes, Ghent University
Discussant: Yvonne Barnes-Holmes, Ghent University

RFT-based empirical analyses of various aspects of psychological suffering are greatly in demand and this symposium represents further moves in that direction, in terms of phobia, hearing voices, obesity, and body image. The first paper presents two IRAP studies as a measure of spider fear, approach, and avoidance. The results show that in the context of a live spider (but not a molt), the IRAP predicts spider approach, and provides evidence of the separation of fear, avoidance, and approach at the implicit level. The second paper uses the IRAP to understand voice hearing. The results indicate that both non-clinical and clinical voice hearers show implicit negativity to voices, while accepting positive voices and avoiding negative voices. The demonstrates the utility and precision of the IRAP in this domain. The third paper again uses the IRAP in three studies that manipulate food deprivation with clinically obese and normal-weight participants. The results show that automatic food-related cognition is moderated by weight status and food deprivation. The fourth paper presents the The Body Image Flexibility Assessment Procedure (BIFAP) as a measure of psychological flexibility with body image and reviews the data thus far, including convergence with the IRAP.

• An RFT analysis of the derived transformation of Spider Fear, Avoidance and Approach, measured by the Implicit Relational Assessment Procedure (IRAP)
Aileen Leech, Ghent University
Dermot Barnes-Holmes, Ghent University
Lara Madden, National University of Ireland Maynooth

Over 20 years ago, behavioral researchers began to use the derived transformation of functions as a paradigm to explore how verbally-able humans come to both fear and avoid stimuli in the absence of direct stimulus pairings. The current research examined the use of the Implicit Relational Assessment Procedure (IRAP) as a measure of spider fear, approach and avoidance. The research comprised 2 studies. Study 1 employed two IRAPs, one targeting spider fear, the other targeting spider approach/avoidance. The FSQ and a BAT using a spider molt were also employed. The data showed that both IRAPs failed to predict performances on the BAT. Study 2 was similar to Study 1, but used a live spider. Results here, however, showed that the IRAP did predict performance on the BAT, and provided evidence of the separation of fear, avoidance and approach at the implicit level.

• Towards a Relational Frame Theory Understanding of Voice Hearing
Ciara McEnteggart, Ghent University
Yvonne Barnes-Holmes, Ghent University
Dermot Barnes-Holmes, Ghent University
Jos Egger, Radboud University

The current study used the Implicit Relational Assessment Procedure (IRAP) as a step towards a more functional-analytic approach to understanding of voice hearing, by exploring the potentially different implicit reactions of clinical and non-clinical groups to voices. In doing so, we attempted to parse out emotional versus behavioral responses toward voices (n=55) using a Valence and an Acceptance IRAP. Both non-clinical and clinical voice hearers showed implicit negativity in the Valence IRAP, and clinical and non-clinical voice hearers implicitly accepted positive voices and avoided negative voices in the Acceptance IRAP. Furthermore, acceptance of positive voices correlated with high psychological inflexibility, and acceptance of negative voices correlated with overall voice acceptance. The current study demonstrates the utility and precision of the IRAP in this domain, and it is through this precision that we may begin to look at the functional-analytic processes at work in voice hearing experiences.

• Obesity, Food Restriction, and Implicit Attitudes to Healthy and Unhealthy Foods: Lessons Learned from the Implicit Relational Assessment Procedure
Ian McKenna, Maynooth University
Sean Hughes, Ghent University
Dermot Barnes-Holmes, Ghent University
Maarten De Schryver, Ghent University
Ruth Yoder, St. Columcille’s Hospital, Loughlinstown
Donal O'Shea, St. Columcille’s Hospital, Loughlinstown

It has been argued that obese individuals evaluate high caloric, palatable foods more positively than their normal weight peers, and that this positivity bias causes them to consume such foods, even when healthy alternatives are available. Yet when self-reported and automatic food preferences are assessed no such evaluative biases tend to emerge. We argue that situational (food deprivation) and methodological factors may explain why implicit measures often fail to discriminate between the food-evaluations of these two groups. Across three studies we manipulated the food deprivation state of clinically obese and normal-weight participants and then exposed them to an indirect procedure (IRAP) and self-report questionnaires. We found that automatic food-related cognition was moderated by a person’s weight status and food deprivation state. Our findings suggest that the diagnostic and predictive value of implicit measures may be increased when (a) situational moderators are taken into consideration and (b) we pay greater attention to the different ways in which people automatically relate rather than simply categorize food stimuli.

• The Body Image Flexibility Assessment Procedure: Development of a Behavioral Measure of Body Image Flexibility
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette
Jessica Auzenne, University of Louisiana at Lafayette
Nolan Williams, University of Louisiana at Lafayette
Grayson Butcher, University of Louisiana at Lafayette
Gina Boullion, University of Louisiana at Lafayette

Assessing private events has always presented a challenge to behavior analysis (see Wolf, 1978). Assessing responses to private events (e.g., psychological flexibility and its components) complicates that challenge even further (e.g., Hayes et al., 2004). The Body Image Flexibility Assessment Procedure (BIFAP) was developed as a behavioral measure of psychological flexibility with body image. The BIFAP presents a series of tasks that train, using principles of RFT, body image and values functions to arbitrary stimuli, then assess the flexibility of responding to compound stimuli with body image and values functions. The current series of studies will review the development of the BIFAP along with the convergence between BIFAP performance and two other measures of body image flexibility –a Body Image Implicit Relational Assessment Procedure (IRAP; Barnes-Holmes et al., 2006), which assesses brief immediate relational responses to body image stimuli, and daily self-reported body image flexibility via Ecological Momentary Assessment. Aspects of both divergence and convergence will be discussed in terms of validity of the BIFAP, and the complexity of assessment of private events.

Educational Objectives:
1. Explain what the IRAP can tell us about the separation of implicit fear, approach, and avoidance. 2. Describe a behavioral conceptualization of body image flexibility. 3. Design an IRAP to assess an individual's relationship with food and body image. 4. Describe convergence and divergence among approaches to assessing body image flexibility.

 

90. RFT & Education
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Original data
Categories: Relational Frame Theory, Edu. Settings, Children, IRAP
Target Audience: Interm.
Location: St. Helens

Chair: Thomas Szabo, Ph.D., Florida Institute of Technology
Discussant: Thomas Szabo, Ph.D., Florida Institute of Technology

While RFT has seen increasing application to psychological therapy, its potential benefits in remedial education remain largely untapped. This symposium presents three areas of research that attempt to tackle this important gap. The first paper investigates the potential of, and preliminary data from, PEAK -- a comprehensive remedial learning package designed to establish derived relational responding and its precursors in individuals who display deficits in these critical developmental repertoires. The second paper represents one of the first RFT studies to establish problem solving skills in people who do not have them. Problem solving is taught via multiple exemplar training to children with autism. The effects of the intervention are evaluated in a multiple baseline across learners, and although the required duration of training differs across individuals, the treatment is generally effective and results in the generalized ability to solve novel problems. The third paper is one of a small number of IRAP studies conducted with children, and specifically measures psychological flexibility in 10-year olds. The IRAPs assessed attitudes toward happiness and sadness, and whether these emotions were perceived as barriers to performing valued activities. The results show a positive bias toward happiness and an indication that neither emotion is perceived as a barrier, interpreted here as evidence of high psychological flexibility.

• Using RFT to teach higher order language and cognition skills to children with autism
Jacob H. Daar, M.A., Southern Illinois University
Mark R. Dixon, Ph.D., Southern Illinois University

Since its inception, practitioners of behavior analysis have striven to understand all aspects of human behavior. One of the more daunting tasks has been the study of the complex human repertoires of verbal behavior. While some progress has been made in this area, traditional conceptualizations of verbal behavior have yielded few applied successes in producing repertoires that extend beyond the most basic of verbal operants. One contemporary approach, Relational Frame Theory (RFT), provides a promising base for launching behavior analysis into a greater understanding and more effective practice of teaching verbal behavior. The current talk will report upon a series of the studies that sought to establish language skills in children with Autism Spectrum Disorder by establishing and building upon repertoires of arbitrarily applicable derived relational responding. Demonstration of the acquisition of complex skills, such as perspective-taking, temporal referencing, inclusion through hierarchical relations and more, will be presented with an emphasis on teaching procedure, the transfer of non-arbitrary relational training to arbitrarily applicable relations, and program adjustment. Implications for future research and the inclusion of RFT based programming in current early intervention and language acquisition curriculums will be discussed.

• Evaluation of a Relational Frame Theory Approach to Teaching Problem-Solving Skills to Children with Autism
Jonathan Tarbox, FirstSteps for Kids
Lisa Stoddard, FirstSteps for Kids
Ashely Farag, FirstSteps for Kids
Erica Christin, FirstSteps for Kids
Amanda Mury, FirstSteps for Kids

Problem solving is a complex behavior that has been the subject of very little previous behavioral conceptual or empirical research. Skinner defined a problem as a situation in which a consequence would be reinforcing, if only the individual possessed the behavior needed to bring it about. Colloquially speaking, a problem is a situation in which one knows what one wants but one does not know what to do to get it. Skinner suggested that the behaviors one engages in that eventually result in making the effective terminal response available are, themselves, to be considered problem-solving behaviors. Problem solving, then, in large part, involves talking to oneself about potential future behaviors and what their outcomes might be. Put another way, problem solving involves deriving multiple rules about potential future actions and their consequences. Relational Frame Theory (RFT) provides a practical analysis of rule-deriving, based on conditional relating and multiple exemplar training. Despite the utility of this analysis, little to no RFT research of which we are aware has attempted to establish problem solving skills in people who do not have them. Children with autism have documented difficulties with problem solving and could therefore benefit from such research. In the current study, Problem solving was taught via multiple exemplar training to children with autism. The component behaviors include identifying the problem, explaining why it’s a problem, creating multiple possible solutions, selecting the solution most likely to be effective, implementing the solution, self-monitoring the success of the solution, and altering the solution if it is not successful. The effects of the treatment were evaluated in a multiple baseline across learners. The required duration of training differed across individuals but the treatment was generally effective and resulted in the generalized ability to solve novel problems.

• Using the IRAP as a measure of psychological flexibility in children
Gloria Torres-Fernandez, M.Sc., University of Jaén, Spain
Monica Hernandez-Lopez, Ph.D., University of Jaén, Spain
Miguel Rodriguez-Valverde, Ph.D., University of Jaén, Spain

The IRAP is a useful method for the measurement of implicit attitudes in several domains. Nonetheless, there is nearly no published research about its implementation with children. This study explores its applicability for measuring psychological flexibility in 10-year old children. Forty-three participants performed two IRAP tasks. The first one assessed attitudes towards emotions of happiness and sadness; the second one assessed whether these emotions were perceived as barriers to performing valued activities. Participants also completed explicit measures of psychological flexibility (AFQ-8Y) and emotional intelligence (EQi-YV). Results show a positive bias towards happiness with the first IRAP. The second IRAP shows no evidence of bias (neither being happy nor being sad were perceived as barriers for performing valued activities). The results from IRAP 2 can be interpreted as indicative of a high degree of psychological flexibility, although they do not correlate with AFQ-8Y scores. These findings point to the IRAP as a potentially useful tool to investigate psychological flexibility.

Educational Objectives:
1. Describe an RFT analysis of problem solving behavior as rule deriving. 2. Describe Skinner's behavioral conceptual analysis of problems and problem solving. 3. Describe an RFT-based intervention to teach children problem solving skills.

 

92. Analyses of the relational processes that improve the effect of metaphors and defusion exercises
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data
Categories: Relational Frame Theory, Clin. Interven. & Interests, Metaphors, Defusion
Target Audience: Beg., Interm., Adv.
Location: Cascade 1B

Chair: María Belén García-Martín, Fundación Universitaria Konrad Lorenz
Discussant: Carmen Luciano, Universidad de Almería

Research based on relational frame theory (RFT) can be very useful to improve the effect of the techniques used in acceptance and commitment therapy (ACT) such as metaphors and defusion exercises. The current symposium presents studies that try to advance in this direction. The first study shows an analogue study with a pain tolerance task. The main independent variable was the presence or absence of common physical properties to the discomfort experienced during the task in a metaphor that highlighted the benefit of tolerating pain in order to advance in a valued direction. The second study shows the result of a brief ACT protocol with physicalized metaphors versus the same protocol without physicalizing the metaphors. Lastly, the third study presents an experimental analysis of the transformations of functions involved in defusion exercises using the performance on an attentional task as the dependent variable.

• Increasing the effect of metaphors by including common physical properties with the discomfort
Marco Sierra, Fundación Universitaria Konrad Lorenz
Lorena Flórez, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz
Carmen Luciano, Universidad de Almería

This study aims to extend the findings of the basic relational frame theory (RFT) study by Ruiz and Luciano (2015) concerning analogy aptness. These authors found that analogies with common physical properties (CMP) were considered as more apt than purely relational analogies. In this study we try to advance in the clinical implication of the previous finding by designing an analogue study using the cold-pressor as a pain tolerance task. Eighty participants were exposed to a pre-intervention cold-pressor task and then were randomly assigned to four conditions: (1) a metaphor involving personal values and CMP with the discomfort experienced during the task, (2) a metaphor with values but without CMP, (3) a metaphor without values and with CMP, (4) a metaphor without values and without CMP. Subsequently, participants were re-exposed to the cold-pressor task. Results will be discussed highlighting the promotion of metaphor efficacy by incorporating CMP.

• Do we need to physicalize metaphors?: An experimental study with a 1-session ACT protocol
Lorena Flórez, Fundación Universitaria Konrad Lorenz
Marco Sierra, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz
María Belén García-Martín, Fundación Universitaria Konrad Lorenz
Katherine Barreto, Fundación Universitaria Konrad Lorenz

Metaphors are a widely used clinical tool in acceptance and commitment therapy (ACT). However, the analysis of the metaphor elements that potentiate their effect is still scarce. One guideline that is often provided in ACT books and workshop is that physicalize metaphors can improve their effect. This study aims to analyze this point by applying two almost identical 1-session ACT protocols: one that only introduced metaphors verbally and one that introduced the same metaphors in a physical way. Thirty participants suffering from mild to moderate emotional symptoms and dysfunctional worry and rumination were recruited. The ACT protocols were based on the 1-session protocol conducted by Ruiz, Riaño-Hernández, Suárez-Falcón, and Luciano (2016) and focused on reducing worry and rumination levels. Primary outcomes were measure of repetitive negative thinking and emotional symptoms, whereas process measures included experiential avoidance, cognitive fusion, and valued actions.

• The effects of different types of relational framing in defusion interactions on attentional performance
Juan C. López-López, Universidad de Almería
Carmen Luciano, Universidad de Almería

The current study aimed to analyze the effects of the relational framings involved in defusion on attentional performance. Fifty-two participants completed several questionnaires and two experimental tasks which induced discomfort (pre-test). Then, they were randomly assigned to one of the following conditions: (a) Defusion I, where participants received a protocol based on framing own behavior in distinction with the deictic ’I’, (b) Defusion II also included the hierarchical framing, (c) Defusion III added the regulatory functions, (d) Defusion IV included the discrimination of defused behaviors, and (e) Control, which did not include any active component. Finally, participants were re-exposed to the experimental tasks (post-test). Results indicate that all participants’ performance increased after the intervention. However Defusion III and IV showed better results than Control condition and Defusion I and only Defusion IV showed superiority to Defusion II. The relevance of these data is discussed in terms of improving defusion interactions.

Educational Objectives:
1. Explain the potential of RFT research to improve the effect of techniques used in ACT. 2. Describe some of the relational processes responsible for the effect of metaphors according to RFT. 3. Explain the relational processes underlying the effect of defusion exercises.

 

96. Delivering ACT in Technology-Based Formats: Outcomes, Processes, and Provider Attitudes
Symposium (10:30am-Noon)
Components: Original data
Categories: Clinical Interventions and Interests, Technology
Target Audience: Interm.,
Location: Puget Sound

Chair: Kristy Dalrymple, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Discussant: Roger Vilardaga, Ph.D., University of Washington

Research in recent years has explored internet and mobile technology interventions as treatment options to address logistical barriers to effective treatment (Barak et al., 2008). For example, these delivery formats may be more cost-effective, reduce the risk of dropout (Hedman et al., 2011), improve adherence rates (Andersson, 2009; Carlbring et al., 2011), address varied learning styles and education levels, and provide ongoing opportunities for independent skill learning and application. Thus far, ACT-based internet and mobile interventions have demonstrated efficacy, but additional research in this area is needed to refine them and maximize their “reach.” The first presentation will discuss the development and initial outcomes of a brief, values-based internet-delivered adjunctive program for depression and anxiety. The second will present results from a smartphone-based just-in-time adaptive intervention for adherence to a weight loss diet. The third will discuss results from an ACBS member survey assessing therapist attitudes towards ACT-based mobile apps.

• Development of a Brief, Values-Based Online Adjunctive Intervention for Depression and Anxiety
Kristy Dalrymple, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Michael Levin, Ph.D., Utah State University
Jack Haeger, B.A., Utah State University
Emily Walsh, B.A., Rhode Island Hospital
Lia Rosenstein, B.A., Rhode Island Hospital
Brandon Gaudiano, Ph.D., Butler Hospital; Alpert Medical School of Brown University

Many studies have examined online treatments as primary therapeutic programs, but few have examined their use as adjunctive treatments in routine clinical practice. Some data suggest a stronger effect when they are used as adjunctive treatments compared to primary programs (Spek et al., 2007). Internet-based ACT treatments have shown efficacy in the treatment of a variety of problems, and have proven to be a viable therapeutic option (e.g., Lappalainen et al., 2013; Bricker et al., 2013). The aim of the present study is to develop and pilot test a 4-session values-based online program as an adjunctive treatment for depression and anxiety in routine clinical practice settings. Sixteen participants have been enrolled thus far, with data collection ongoing. Changes in depression and anxiety symptoms, valued living, and psychological flexibility over the 4 sessions will be presented. Additional results (e.g., acceptability/feasibility), limitations, and implications of the findings will be discussed.

• A Preliminary Investigation of a Just-In-Time Smartphone Application to Promote Dietary Adherence
Stephanie P. Goldstein, B.S., Drexel University
Evan Forman, Ph.D., Drexel University
Brittney C. Evans, Drexel University
Stephanie M. Manasse, Drexel University
Adrienne S. Juarascio, Ph.D., Drexel University
Meghan L. Butryn, Ph.D., Drexel University

Lack of success in weight loss programs can be attributed to poor adherence to dietary recommendations, i.e., dietary lapses. As such, we have set out to create a smartphone-based system, called DietAlert that utilizes machine learning to predict lapse behavior and deliver tailored, momentary interventions. Preliminary quantitative and qualitative results suggest that participants (current n=12) were highly satisfied with the app (M=6.42/7.00) and felt that it enhanced awareness of behaviors contributing to lapses. Currently 159 interactive interventions have been developed based on principles of acceptance and commitment therapy, dialectical behavior therapy, social cognitive theory, and the transtheoretical model of behavior change. Clarity, satisfaction and preliminary effectiveness of the intervention-capable app will be presented. Overall, results will be used to evaluate the potential of DietAlert and similar systems to meaningfully improve weight loss and other health behaviors.

• Use, preferences, and barriers with ACT-related mobile apps: Results from a survey of ACBS members
Michael E. Levin, Ph.D., Utah State University
Benjamin Pierce, Utah State University
Michael Twohig, Ph.D., Utah State University

The use of mobile apps to support mental health care is a growing trend and several ACT-related mobile apps have recently been developed. However, little is known about the use, attitudes, and needs of mental health providers in using ACT-related mobile apps. An improved understanding could inform more effective development, dissemination and implementation of ACT-related apps in clinical work. The current survey study assessed 356 ACBS members regarding their use, interest, preferences and barriers to using ACT-related mobile apps. Results suggest participants were not familiar with (65%) and rarely used these apps with clients (65%). However, the vast majority (93%) were interested in using ACT apps. Patterns were identified in terms of highly and poorly rated app features/functions as well as barriers to app use (e.g., lack of guidelines, ethical concerns, privacy). Results of the survey are discussed in the context of ongoing development and implementation efforts with ACT-related apps.

Educational Objectives:
1. Describe the development and preliminary results of a brief, values-based online adjunctive intervention for depression and anxiety in routine clinical practi. 2. Describe the phases of development for a just-in-time smartphone application that promotes dietary adherence and use this knowledge to develop similar smartphone apps for other health behaviors. 3. Explain barriers and facilitators to using ACT-related mobile apps in clinical work.

 

97. Building an Empirical Bridge: Linking Technique to Evaluation in Applications of the Matrix: Mexico Chapter Sponsored
Symposium (10:30am-Noon)
Components: Original data
Categories: Clinical Interventions and Interests, The Matrix, Research Design
Target Audience: Interm., Adv.
Location: Pike

Chair: Benjamin Pierce, M.S., Utah State University
Discussant: XXX,

The Matrix (Polk & Schoendorff, 2014) has emerged as a popular experiential clinical model among ACT therapists and practitioners, yet has received little research attention may be because its recent dissemination. Despite a variety of applications among clinicians, coaches, and consultants, the extent to which the Matrix improves outcomes as a stand-alone or adjunctive intervention remains unclear from an empirical standpoint. Further, there exist few recommendations for how to track client progress with a Matrix-based intervention, or incorporate the Matrix into a research paradigm. Therefore, this symposium presents diverse applications of the Matrix and methods for studying it in clinical and coaching applications. It attempts to bridge the gap between the technique and empirical evaluation by providing a range of examples of how to study the Matrix in practice settings. Further, it discusses the promise and challenges of conducting applied research with the Matrix model.

• Testing the Matrix as an Enhancement of ACT for People Diagnosed with BPD
Michel Reyes, Ph.D., Contextual Behavioral Science and Therapy Institute (Mexico City)
Benjamin Schoendorff, M.A., MSc., M.Ps., Contextual Psychology Institute (Quebec)
Nathalia Vargas, Psy.D., Contextual Behavioral Science and Therapy Institute (Mexico City)
Edgar Miranda Terres, MPs, CBS and Therapy Institute, Mexico City; Mexico's National Institute of Psychiatry (INPRF)
Arango, I., Mexico National Institute of Psychiatry

A pre-posttest with six months follow RCT (n=71) was conducted to test ACT Matrix clinical value as an addition to an already tested traditional ACT treatment for BPD diagnosed clients. The study consisted of two group´s receiving ACT (n=34) or ACT+Matrix (n=37) treatment. T test analysis showed statistically significant p ≤ .05) and large size effects (d ≥ .80) improvements in posttest and follow up scores compared to prestest in BPD symptom severity, psychological flexibility, emotion regulation and self-stability self-administered questionnaires. T test between groups showed statistically significant and large size effects in favor of ACT+Matrix group at posttest and follow up. Mediation analysis indicate that psychological flexibility mediated change in BPD symptoms in both groups. This results suggest Act Matrix significantly enhanced classic ACT impact, and provides evidence of ACT Matrix clinical value as a functional contextualist tool that improves psychological flexibility.

• Developing an “easy to use” visual analysis of clinical data using the Matrix
Fabián Olaz, Psy.D., Integral Center of Contextual Psychoterapies, Cordoba, Argentina

Currently, many clinicians have chosen to integrate different interventions into matrix work noticing their clients becoming more engaged and interventions becoming simpler. Olaz (in preparation) developed a simple protocol using a special worksheet developed by Schoendorff to work with depressive clients doing Behavioral Activation. I this presentation I will show an evidence-based procedure to conduct visual analyses of single-subject data using the Matrix. Specifically, I will show the results of a N=1 (ABAB) design carried out to provide evidence of a Matrix based Behavioral Activation intervention for a male client, with depressive symptomatology. Taking into consideration that visual analysis of data is the basis of single-subject research participants will learn an easy way to make visual representations and will be able to apply this procedure to their clients and to continue this Matrix research trend in clinical settings.

• Prompting the “Away-Towards” Distinction in Matrix-Based Health Behavior Change
Benjamin Pierce, M.S., Utah State University
Michael E. Levin, Ph. D., Utah State University
Benjamin Schoendorff, M.A., M.Sc., M.Ps., Contextual Psychology Institute (Quebec)

The Matrix was developed as a way to succinctly demonstrate core concepts in Acceptance and Commitment Therapy (ACT). One of these concepts is the distinction between behaviors intended to move “towards” values versus “away” from unwanted inner experiences. Despite its centrality to the Matrix, scant research has examined whether the “away-towards” distinction helps people make values-consistent choices or fosters psychological flexibility. Therefore, this study examined the utility of prompting “away-towards” discrimination in a Matrix-based coaching intervention for health behavior change. The coaching paradigm with app-based prompting will be presented, along with the results of ecological momentary intervention (EMI) data from a mixed college student and community sample. The implications of the study findings for understanding mechanisms of change within Matrix-based interventions will be discussed. Recommendations for ecologically prompting ACT processes using Matrix will be provided.

Educational Objectives:
1. Provide a variety of examples of how to monitor client progress using the ACT Matrix from diverse applications. 2. Describe current approaches to studying the Matrix from diverse methodologies and in diverse applied settings. 3. Identify possible benefits and challenges associated with conducting research on the Matrix.

 

99. Which Skills for Whom?: Identifying and Applying Mindfulness Skills in Diverse Populations
Symposium (10:30am-Noon)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Mindfulness, Meditation
Target Audience: Beg., Interm., Adv.
Location: Mercer/Denny

Chair: Brian Pilecki, Rhode Island Hospital; Alpert Medical School of Brown University
Discussant: Dennis Tirch, The Center for Compassion Focused Therapy

Mindfulness-based treatments (MBTs) are increasingly popular for a range of medical and psychiatric problems. They have shown to provide efficacious and effective treatment, particularly for anxiety and depression (Hofmann et al., 2010) but also for overall well-being (Carmody & Baer, 2008). However, there is no consensus regarding the definition of mindfulness, which may comprise several facets or processes. This impacts both researchers—whose outcomes may be obfuscated by poor measurement/definitions—and clinicians, who may struggle to clarify targets of change. This symposium presents three investigations into specific mindfulness components across diverse populations. The first presents concurrent analyses of mindfulness skills, symptoms, and impairment in psychiatric and medical outpatients. The second presents results from an acute-care setting, assessing characteristics and treatment outcomes in patients choosing to attend meditation groups. The final presents results of an innovative mindfulness-based intervention targeting self-care in healthy adults and its impact on different aspects of mindfulness.

• Concurrent relations between mindfulness processes, psychiatric symptoms, and functioning in psychiatric and pre-bariatric surgery outpatients
Theresa A. Morgan, Rhode Island Hospital; Alpert Medical School of Brown University
Kristy Dalrymple, Rhode Island Hospital; Alpert Medical School of Brown University
Brian Pilecki, Rhode Island Hospital; Alpert Medical School of Brown University
Catherine D'Avanzato, Rhode Island Hospital; Alpert Medical School of Brown University
Kirsten Langdon, Rhode Island Hospital; Alpert Medical School of Brown University
Darren Holowka, Ph.D., Rhode Island Hospital; Alpert Medical School of Brown University
Mark Zimmerman, Rhode Island Hospital; Alpert Medical School of Brown University

Links between (1) mindfulness and psychiatric symptoms and (2) mindfulness and functioning are well-established. However, few studies examine unique contributions of mindfulness to symptoms and functioning concurrently. A single exception assessed this model only in alcohol use (Fernandez et al., 2010). We present results analyzing concurrent relations between symptoms, functioning, and mindfulness processes in two transdiagnostic samples. Participants included 1099 psychiatric outpatients and 1820 bariatric surgery candidates, each of whom completed the Five-Facet Mindfulness Questionnaire (FFMQ) as well as established measures of symptoms and psychosocial functioning. Results showed that four of five mindfulness facets (Observe, Act with Awareness, Nonjudge, Nonreact) related to symptoms and functioning in both samples. However, direct and indirect effects modeled varied between samples, suggesting differential import of mindfulness skills in each group. The fifth scale (Describe) was dropped from both models. Additional findings, limitations, and implications for the conceptualization and assessment of mindfulness will be discussed.

• Initial Results of a Daily Meditation Group for Patients in an ACT-Based Intensive Partial Care Program
Brian Pilecki, Rhode Island Hospital; Alpert Medical School of Brown University
Theresa A. Morgan, Rhode Island Hospital; Alpert Medical School of Brown University
Matthew Multach, Rhode Island Hospital
Kristy Dalrymple, Rhode Island Hospital; Alpert Medical School of Brown University
Catherine D'Avanzato, Rhode Island Hospital; Alpert Medical School of Brown University
Darren Holowka, Rhode Island Hospital; Alpert Medical School of Brown University
Mark Zimmerman, Rhode Island Hospital; Alpert Medical School of Brown University

An optional meditation group was offered to patients in an ACT-based partial hospitalization program. Adapting meditation to this severe population will be discussed, as well results related to satisfaction and acceptability. Demographic differences between patients who choose to attend will be discussed, suggesting which types of patients may mostly benefit from mindfulness training. Preliminary results show trends towards being female (78.95) and having attended at least some college (79.2%). Differences between attending and non-attending patients will show whether daily meditation has an incremental impact mindfulness skills that relate to improved treatment outcomes. Preliminary results of 107 patients suggest that despite equal baseline scores, patients who attended the meditation group had higher scores on the FFMQ (Baer et al., 2006) subscale of observing (3.1) and nonreacting (2.4) than patients who did not attend (2.7;2.0; t = -2.66, p = .01; t = -2.3, p =.03).

• The Effectiveness of a Mind-Body Training to Foster Self-Care in Health Professionals
Myriam Rudaz, Utah State University
Brooke Smith, Utah State University
Sarah Potts, Utah State University
Michael Levin, Utah State University
Michael Twohig, Utah State University

Although working as a health professional can lead to satisfaction, health professionals are also vulnerable to develop compassion fatigue and burnout. We present preliminary result of graduate students in applied programs that were randomly assigned to either a brief mind-body training using Mindfulness-Based Stress Reduction (MBSR) and values-oriented Acceptance and Commitment Therapy (ACT) or to a waitlist control group. The training consisted of one mind-body day and four booster sessions over the course of four weeks. In addition, participants were invited to use a mindfulness or values mobile app. Self-reported questionnaires measuring five aspects of mindfulness (observing, describing, acting with awareness, non-judging of inner experience, and non-reactivity to inner experience), self-care, stress, burnout, compassion fatigue/satisfaction, self-compassion, and acceptance were administered at three time points: before the mind-body day, 4 weeks after, and 8 weeks after the mind-body day. The results will be discussed in the light of feasibility and acceptance of the mind-body training for health professionals as well as which aspects of mindfulness seem to be most relevant for this population.

Educational Objectives:
1. Explain conceptual and methodological limitations in studying mindfulness. 2. Demonstrate a greater understanding of issues in adapting mindfulness-based interventions to specific populations. 3. Describe examples of future research studies needed in helping to further clarify the multi-faceted nature of mindfulness skills.

 

104. Eating Disorder Interventions
Symposium (2:45-4:15pm)
Components: Original data
Categories: Clinical Interventions and Interests, Beh. med., Anorexia Nervosa, Eating Disorders
Target Audience: Beg., Interm., Adv.
Location: Vashon 1

Chair: Ashley A. Moskovich, Ph.D., Duke University Medical Center
Discussant: Adria Pearson-Mauro, PhD, University of Colorado, Denver

Eating disorders and efforts to control weight are major issues for our population. These studies will discuss findings on two groups who struggle with these issues – people with Anorexia Nervosa and people with Type 1 Diabetes (T1D). Anorexia Nervosa (AN) is one of the deadliest psychiatric conditions and is extremely challenging to treat. According to a contextual approach, rigid rule-following might be a significant factor in the behavior of those with AN. We present data from a study on the relationship between insensitivity to contingencies and tolerance of uncertainty in adults weight-recovered from AN. In another study, we examined the effect of an ACT-based family treatment for adolescents with AN with particular attention to psychological flexibility and anxiety reduction as processes of change in adolescent and parent behavior. We also present data from studies on the impact of negative affect, distress, and avoidance related to Type 1 Diabetes (T1D) and eating disorders and proper insulin administration. We describe how we are translating these findings into an ACT-based mobile intervention to improve management in the natural environment as well as how these findings might inform practice within endocrinology clinics to reduce the incidence of EDs in this vulnerable population.

• Diabetes Distress and Avoidance: Key Contributors to Life-Threatening Eating Disorders in Type 1 Diabetes
Ashley A. Moskovich, Ph.D., Duke University Medical Center
Natalia O. Dmitrieva, Ph.D., Northern Arizona University
Nancy L. Zucker, Ph.D., Duke University Medical Center
Lisa K. Honeycutt, M.A., Duke University Medical Center
Rhonda M. Merwin, Ph.D., Duke University Medical Center

Eating disorders (EDs) are common among young women with type 1 diabetes (T1D) and incur 3-fold increased risk of early and severe diabetes-related medical complications and premature death (1-2). Studies indicate EDs in T1D do not respond optimally to conventional ED treatments (3), suggesting unique contributory factors that are not adequately addressed with extant treatments. T1D is an autoimmune disorder in which individuals survive by self-administering insulin based on current blood sugar and insulin-to-carbohydrate ratios. This is an inherently imprecise system that incurs health consequences irrespective of how well it is implemented. Among individuals with T1D, ED symptoms may function to manage distress related to living with a chronic illness in which there is little certainty or control over negative outcomes. Eighty-three adults (63 with EDs and 20 T1D controls) completed a comprehensive assessment battery, including 28-day retrospective recall of ED symptom frequency and 3 days of momentary assessment in the natural environment. We conducted a series of theoretically driven tests to identify factors accounting for the greatest variance in ED symptom severity, including traditional predictors of EDs (e.g., perfectionism) and diabetes-specific factors (diabetes distress and avoidance). Diabetes distress and avoidance were the strongest predictors, accounting for 56% variance in ED symptomatology over the past 28 days, 38% variance in metabolic control and 11-38% variance in frequency of binge eating and insulin restriction for weight loss over the 3-day period (ps< .05). We describe how these findings might inform practice within endocrinology clinics to reduce the incidence of EDs in this vulnerable population. (5R01 DK-089329-03, Merwin).

• Rigid Rule-following and Intolerance of Uncertainty in Anorexia Nervosa
Ashley A. Moskovich, Ph.D., Duke University Medical Center
Rhonda M. Merwin, Ph.D., Duke University Medical Center
Nancy L. Zucker, Ph.D., Duke University Medical Center

Anorexia nervosa (AN) is characterized by rigid rule-following (e.g., calorie limits) despite negative and potentially life-threatening outcomes (1). A neuropsychological account attributes this rigidity to neurocognitive deficits in cognitive flexibility (i.e., the inability to shift mental sets) (2). The current paper presents data suggesting that rigid adherence to rules in AN may be formulated as avoidant behavior that emerges in contexts of uncertainty. We administered the Wisconsin Card Sorting Task (WCST) to 36 adults weight-recovered from AN (AN-WR) and 38 control participants (CN). The WCST requires individuals to formulate rules (e.g., sort according to shape) and then adjust their rules in response to task contingencies. We tested the relationship between perseverative errors (i.e., failure to adjust to new contingencies) and intolerance of uncertainty. As expected, the AN-WR group made a greater number of perseverative errors relative to the CN group (p<.01). Perseverative errors were related to intolerance of uncertainty exclusively in the AN-WR group (p<.05). Findings suggest that individuals with AN may rigidly adhere to rules as a way to decrease the experience of uncertainty, but that this in turn decreases sensitivity to environmental feedback. Individuals with AN may therefore benefit from targeted interventions that increase behavioral flexibility in the presence of uncertainty.

• Psychological Flexibility as a Process of Change in the Treatment of Anorexia Nervosa
Rhonda M. Merwin, Ph.D., Duke University Medical Center
Ashley A. Moskovich, Ph.D., Duke University Medical Center
Lisa K. Honeycutt, M.A., Duke University Medical Center
Nancy L. Zucker, Ph.D., Duke University Medical Center
James D. Herbert, Ph.D., Drexel University
C. Alix Timko, Ph.D., Children's Hospital of Philadelphia
Natalia O. Dmitrieva, Ph.D., Northern Arizona University

Anorexia nervosa (AN) is the deadliest of the psychiatric conditions and remains one of the most challenging to treat (1). Outcomes have improved over the last 20 years with family based treatment (FBT), but only half the adolescents treated achieve full remission (2). This has resulted in augmentation of FBT in effort to potentiate treatment effects (3-4). However, treatment augmentations are occurring largely in the absence of data on the processes by which individuals with AN improve. We describe a series of analyses examining processes of change among adolescents with AN treated with an ACT-based family treatment. Forty-seven adolescents completed 6 months of treatment and 3 months of follow-up. We tested an increase in psychological flexibility and a decrease in anxiety (over the course of treatment) as competing hypotheses of processes of change in adolescent AN, and examined relative contribution of change in the adolescent versus change in the parents in predicting outcomes. An increase in adolescent psychological flexibility over the course of treatment predicted decreased AN symptomatology at post-treatment (ps< .05), with a similar trend at follow-up. An increase in mother psychological flexibility accounted for additional variance in adolescents’ eating concerns and predicted lower levels of parent expressed emotion (known to be associated with poor prognosis) (5-6) at end-of-treatment (ps<.05). Decreases in parent or child anxiety, in contrast, were less consistently associated with outcomes and accounted for less variance in AN symptoms.

• Using Mobile Technology to Reach Individuals with Type 1 Diabetes Intentionally Withholding Insulin to Lose Weight
Rhonda M. Merwin, Ph.D., Duke University Medical Center
Natalia O. Dmitrieva, Ph.D., Northern Arizona University
Ashley A. Moskovich, Ph.D., Duke University Medical Center
Lisa K. Honeycutt, M.A., Duke University Medical Center
Nancy L. Zucker, Ph.D., Duke University Medical Center
Richard S. Surwit, Ph.D., Duke University Medical Center
Mark Feinglos, MD, Duke University Medical Center

Individuals with type 1 diabetes (T1D) who restrict insulin to control weight are at high risk for diabetes-related complications and premature death (1-3). However, little is known about this behavior or how to effectively intervene. We used ecological momentary assessment (EMA) methods to identify real time precursors to intentional insulin restriction among 83 individuals with T1D. Participants reported emotions, eating, and insulin dosing throughout the day using their cellular telephone. Linear mixed models were used to estimate the effects of heightened negative affect (e.g., anxiety) prior to eating and characteristics of eating episode on risk of insulin restriction. Individual differences in average negative affect impacted the likelihood of restricting insulin such that a one unit increase in average negative affect above the sample mean more than quadrupled the odds of insulin restriction (OR, 6.77; p<0.01). Momentary increases in anxiety and guilt/disgust 60 minutes prior to eating further increased odds of restricting insulin at the upcoming meal (OR, 1.72–1.84; ps<.05). Insulin restriction was more likely when individuals reported that they broke a dietary rule (e.g., “No desserts.”) (OR, 11.07; p<.001). Results suggest that insulin restriction might be decreased by helping T1D patients respond effectively to heightened negative affect and encouraging patients to take a less rigid, punitive approach to diabetes management. We describe how we are translating these findings into an ACT-based mobile intervention to improve management in the natural environment (5R01 DK-089329-03, Merwin; 1 R21 DK106603-01; Merwin).

Educational Objectives:
1. Describe neurocognitive differences observed among individuals with anorexia nervosa (e.g., deficits in set-shifting) behaviorally. 2. Discuss how psychological flexibility as a process of change may inform the continued evolution of family-based treatment in adolescent anorexia nervosa. 3. Describe how findings are being translated into an ACT-based mobile intervention to reduce insulin restriction for weight control in the natural environment.

 

105. To blend or not to blend: Advantages of mixing ACT with new technologies
Symposium (2:45-4:15pm)
Components: ,Didactic presentation
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Beh. med., Technology
Target Audience: Beg., Interm., Adv.
Location: Vashon 2

Chair: Ellen Excelmans, Psy.D., Learn2ACT, Belgium
Discussant: Michael E. Levin, Ph.D., Utah State University, Logan, Utah

Technology permeates our world: in a relatively short period of time, the internet, smartphones, and tablets have become an essential part of our lives. It is therefore not surprising that these new technologies have also started to play a significant role in mental health care. The possibilities are enormous and many of our clients are ready for change. To the ACT-therapist, however, the added value of these new technologies is not always clear. Technology surely can’t replace the therapist, but blending technology with our therapeutic work has it’s benefits. Furthermore, when direct therapy isn’t an option due to perceived stigma or logistical barriers, technology can provide an alternative method for intervention. In this symposium we present four mobile applications developed by and for ACT-therapists. We examine how these apps can enrich our therapeutic work, provide support to individuals outside of the therapy room, and also reflect on their limitations.

• Learn to Quit: Rationale, ideation, design and testing of a smoking cessation app for people with psychiatric disorders
Roger Vilardarga, Ph.D., University of Washington, Department of Psychiatry and Behavioral Sciences
Javier Rizo, B.A., Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA
Emily Zeng, B.A., Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA
Julie A. Kientz, Ph.D., Department of Human Centered Design and Engineering, University of Washington, Seattle, WA
Brian Marr, MBA, Smashing Ideas, Seattle, WA
Chad Otis, B.A., Smashing Ideas, Seattle, WA
Richard Ries, MD, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA

Smoking rates in the US have been reduced in the last decades to 17% of the general population. However, up to 88% of people with psychiatric symptoms still smoke, leading up to high rates of disease and mortality. Therefore, there is a great need to develop smoking cessation interventions that are inexpensive, have high reach and can be used in conjunction with health providers. Contextual behavioral science and digital technology design can be leveraged together to address this need. In this presentation we report the rationale, ideation, design and testing of a novel smoking cessation app for people with a diagnosis of schizophrenia, schizoaffective and bipolar disorder, and chronic recurrent depression. With the collaboration of Smashing Ideas, a leading partner in the design of digital experiences, we will describe the development of Learn to Quit, an ACT smoking cessation app that promotes quitting through Learning, Practice and Play. Funding: National Institute of Drug Abuse (1K99DA037276-01) to RV

• Learn2ACT: A 'handy' life compass
Ellen Excelmans, Psy.D., Learn2ACT, Belgium
Bart Roelands, M.E., Learn2ACT, Belgium
Richard Ries, MD, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA

Learn2ACT was developed as an answer to certain needs in our clinical practice. We were looking for a way to help our clients work on what they've learned in therapy outside the therapy room. A mobile app seemed the solution. It provides the oppurtinity to monitor and intervene in-time and in-place. We will present the functionalities of Learn2ACT and show some premilinary research data. In our research we examined the added value of the Learn2ACT app to the satisfaction and the effectiveness of an ACT group treatment. Participants of ACT groups from three mental health care services in Flanders took part in the study. A pre- and post-assessment of quality of life and psychological flexibility (OQ-45, VLQ and FIT-60) was conducted. We found that people with a positive attitude towards technology benefit the most from the app. mHealth seems to be a virtual food for someone who's hungry.

• Using mobile technology to augment therapy and provide self-help: Preliminary research findings with the ACT Daily mobile app
Jack A. Haeger, B.A., Utah State University, Logan, Utah
Michael E. Levin, Ph.D., Utah State University, Logan, Utah

Mobile applications are a promising technology for improving mental health services. These programs are readily available throughout the day, provide a convenient system to monitor and prompt skill use, and can tailor content based on clients’ responses. Thus, a mobile app could be used to integrate a high frequency/low intensity skill coaching program into clients’ daily life. In response, we developed ACT Daily, a prototype mobile app that utilizes an ecological momentary intervention design that prompts the user throughout the day to check-in with distress levels and ACT processes, followed by a recommended tailored intervention based on check-in data. Results will be presented on three studies: 1) ACT Daily as an adjunct to face-to-face ACT therapy, 2) self-guided ACT Daily as a support for individuals on a college counseling center waitlist, and 3) RCT comparing self-guided ACT Daily to a waitlist condition with depressed and/or anxious college students.

• Understanding Requirements for Self-Experimentation to Tailor the Effectiveness of Mobile Interventions for Smoking Cessation
Arpita Bhattacharya, M.S., Dept. of Human Centered Design and Engineering, University of Washington, Seattle, WA
Sean A. Munson, Ph.D., Dept. of Human Centered Design and Engineering, University of Washington, Seattle, WA
Roger Vilardaga, Ph.D., Dept. of Psychiatry and Behavioral Science, University of Washington, Seattle, WA
Julie A. Kientz, Ph.D., Dept. of Human Centered Design and Engineering, University of Washington, Seattle, WA
James Fogarty, Ph.D., Dept. of Human Centered Design and Engineering, University of Washington, Seattle, WA
Jasmine Zia, MD, Division of Internal Medicine, University of Washington, Seattle, UW

Quitting smoking can be better supported with provider expertise and guidance. However, strategies that work for one individual might not work for others. Trying strategies unsystematically can lead to inconclusive results and client burden. A mobile application that walks participants through a systematic process of self-experimentation could address this need. We interviewed 28 providers to understand their smoking cessation counseling experience and obtained their feedback on low fidelity prototypes of a smoking cessation mobile application based on the concept of self-experimentation. We analyzed these interviews to identify design requirements for the application to support expertise of providers in various behavioral strategies such as ACT. Providers emphasized the need for an individualized approach to counselling and enabling clients with a tool to evaluate interventions systematically based on their own tracking data. Findings from this study will inform the design of a framework for self-experimentation that individualizes support for smoking cessation. Funding: 2015 UW Innovation Award to AB, SM, JK, and RV; NIDA (1K99DA037276-01) to RV.

Educational Objectives:
1. Describe the design and the development process of four ACT applications. 2. Apply ACT applications in therapy. 3. Explain the added value of using apps in combination with therapy and explore how apps can be used outside of therapy in a self-help format.

 

108. Substance Use and CBS
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Theory & Philo., RFT, Mindfulness, Motivational Interviewing, Substance Abuse
Target Audience: Beg., Interm., Adv.
Location: Cascade 1B

Chair: Aaron L. Bergman, M.A., M.S., Pacific University
Discussant: Don Sheeley, M.D.,

Substance abuse presents a significant economic and public health burden. To address this growing crisis, further development and understanding of effective treatment approaches are needed. Relapse following treatment for substance use disorders is highly prevalent, and craving has been shown to be a primary predictor of relapse. The results from a Mindfulness-based Relapse Prevention intervention on the relationship between cravings and relapse will be presented. In addition, data from a study examining the role of psychological flexibility and specific facets of mindfulness in predicting cravings will be discussed. Another issue in substance abuse is faced by parents struggling with a substance using child face a dearth of evidence-based practitioners and resources at a moment of tremendous need, leaving them few reasonable options. We will discuss the development of a Parent-to-Parent “shared experience” national coaching network based on the research-supported principles embedded in Motivational Interviewing (MI) and Community Reinforcement and Family Therapy (CRAFT) and present pilot data from 50 coaching cases. Last, a conceptual paper exploring the refinement of MI technology over time and accounting for them in relational frame theory (RFT) terms to show where MI is consistent or inconsistent with other CBS approaches will be presented including suggestions for increasing harmony between the two.

• Clarifying the Relationship Between Substance Craving, Mindfulness, and Psychological Flexibility
Aaron L. Bergman, M.A., M.S., Pacific University
Josh Kaplan, B.A., Pacific University
Michael Christopher, Ph.D., Pacific University
Sarah Bowen, Ph.D., Pacific University

Substance abuse presents a significant economic and public health burden. To address this growing crisis, further development and understanding of effective treatment approaches are needed. Interventions intended to increase psychological flexibility and mindfulness have demonstrated promising outcomes in addictions treatment. Psychological flexibility and mindfulness appear conceptually related, both demonstrating meditating roles between treatment and outcomes across contexts. The current study attempted to clarify the relationship between psychological flexibility and mindfulness by examining how these constructs predict craving, a primary predictor of relapse. Hierarchical liner regressions suggested mindfulness was significantly negatively associated with craving (β=-.29, p < .001), but psychological flexibility only yielded a trend-level relationship (β = .10, p=.07). Subsequent regression models examined specific facets of mindfulness. Results demonstrated Acting with Awareness (β=-.31, p < .001) and Non-reactivity (β = -.15, p=.015) accounted for variance in craving, while psychological flexibility did not (β = .07, p = .280). These findings suggest that mindful awareness and non-reactivity should be a central target for addiction intervention, above and beyond psychological flexibility. Clinical implications are discussed.

• Combining Shared Experience and Evidence-Based Models In Addiction: Development of a Parent-to-Parent Coaching Network
Jeff Foote, Ph.D., Center For Motivation and Change

Parents struggling with a substance using child face a dearth of evidence-based practitioners and resources at a moment of tremendous need, leaving them few reasonable options. “Self-help” options (typically 12-Step “Anon” programs) can provide support, but offer little in the way of evidence-based understandings or practices. We discuss development of a Parent-to-Parent “shared experience” national coaching network based on the research-supported principles embedded in Motivational Interviewing (MI) and Community Reinforcement and Family Therapy (CRAFT). Parents coach other parents in communication, positive reinforcement and self-care strategies, also incorporating their own strengths and experience, an approach found highly acceptable to other parents, potentially addressing the low penetrance of evidence-based strategies among families and extending evidence-based practices to a wider range of under-served communities. Coaching also provides a healing and self-sustaining role for parents, potentially impacting the long-term sustainability of a self-help coaching network. Pilot data on 50 coaching cases will be presented.

• Mindfulness practice moderates the relationship between craving and substance use in a clinical sample
Matthew Enkema, University of Washington
Sarah Bowen, Ph.D., Pacific University

Objective: Relapse following treatment for substance use disorders is highly prevalent, and craving has been shown to be a primary predictor of relapse. Mindfulness-based relapse prevention (MBRP) is a psychosocial aftercare program integrating mindfulness and cognitive-behavioral approaches, aimed at reducing the risk and severity of relapse. Results from a recent randomized clinical trial demonstrate enhanced remission resilience for MBRP participants versus both cognitive-behavioral and treatment-as-usual controls. The current study investigated between-session formal and informal mindfulness practice, a hypothesized primary mechanism of action in this treatment, as an attenuating factor in the relationship between craving and substance use. Method: Participants in this secondary analysis were 57 eligible adults who completed either inpatient treatment or intensive outpatient treatment for substance use disorders, were randomized in the parent study to receive MBRP, and completed relevant follow-up assessments. Results: For formal mindfulness practice at post-course, both number of days per week (p=.006) and number of minutes per day (p=.010) significantly moderated the relationship between craving at post-course and number of substance use days at 6-month follow up. Informal practice did not significantly influence the craving-use relationship in this analysis. Conclusions: These results indicate that increasing formal mindfulness practice may reduce the link between craving and substance use for MBRP participants and enhance remission resiliency.

• Integrating Motivational Interviewing into Contextual Behavioral Science
Sean P. Wright, M.A., M.S., LMHC, Lutheran Community Services Northwest

Motivational Interviewing (MI) is a widely used therapeutic approach to support behavior change that is of increasing interest to the contextual behavioral science (CBS) community. Christopher and Dougher (2009) provided a behavior-analytic account (including derived relational responding) of MI that was fundamentally sound. That account was of necessity brief on details about how MI guides the therapist to increased contextual control of therapeutic responses to client verbal behavior. Moreover, MI has continued to develop in recent years, most notably abandoning the term “client resistance” (which had historically acquired strong contextual control over therapist behavior when clients were labeled resistant) in favor of the term “discord” in order to foster more effective therapist responses. This conceptual paper explores the refinement of MI technology over time and accounts for them in relational frame theory (RFT) terms to show where MI is consistent or inconsistent with other CBS approaches. After reviewing the developments in MI over time (including the recent addition of action reflections), I highlight the strengths of MI in using deictic framing to reduce pliance and counterpliance, the benefit of transforming the stimulus function of ambivalence (changing the relational response of opposition between client change and sustain talk into a part/whole relational response), and the benefit of the therapist discriminating client responses into one of the trans theoretical model’s stages of change (Prochaska and DiClemente, 1983) in order to have effective contextual control over therapist response (stage matching). I also illustrate how MI’s focus on the content of verbal behavior is problematic as suggested by the RFT literature, particularly early work on the problems with self-rules (Hayes, 1989). Finally, suggestions for making MI more experiential are presented to increase the effectiveness of MI and harmonize it with other applied CBS approaches.

Educational Objectives:
1. Describe the relationship between psychological flexibility, mindfulness, and craving in the context of addiction treatment. 2. Describe evidence-based models (including the key elements from MI and CRAFT) for helping families deal with substance abuse issues in their children. 3. Apply RFT principles to identify how motivational interviewing techniques (OARS skills, importance/confidence ruler, etc.) attempt to transform stimulus functions of client change/sustain talk.

 

109. RFT & Deictic Relations: Experimental & Applied Analyses
Symposium (2:45-4:15pm)
Components: Original data
Categories: Relational Frame Theory, Clinical Interventions and Interests, Superv., Train. & Dissem., IRAP, perspective taking training, adults, austism, tutors, ABA
Target Audience: Interm., Adv.
Location: Cascade 1C

Chair: Ciara McEnteggart, Ghent University
Discussant: Louise McHugh, University College Dublin

The deictic relations appear to be critical to clinical applications of RFT, but more sophisicated empirical work is needed to understand these complex relations and how they operate in therapeutic contexts. The first empirical paper in this symposium uses the IRAP to investigate the strength or flexibility of deictic relations. Strong, significant IRAP effects on I-I and OTHERS-OTHERS are interpreted as inflexible deictic responding, with weaker or more flexible responding on I-OTHERS and OTHERS-I. While the data are preliminary, the current methodology may provide a useful alternative procedure for the study of deictic relations. The second paper uses the IRAP to study self-forgiveness in ABA tutors, following three conditions: training in perspective-taking, relaxation, and control. The findings help us to explore the relationship between perspective-taking and self-forgiveness. The third paper also explores self-forgiveness using the IRAP, but with ACT versus CT practitioners. These two groups show different implicit profiles on the IRAP that appear to be in line with their training histories.

• An RFT analysis of perspective-taking in a non-clinical sample using the Implicit Relational Assessment Procedure (IRAP)
Deirdre Kavanagh, Ghent University
Yvonne Barnes-Holmes, Ghent University
Dermot Barnes-Holmes, Ghent University
Ciara McEnteggart, Ghent University

Perspective-taking has been argued to be a key process in the development of “self”, particularly within Relational Frame Theory (RFT). The current study investigated the strength or flexibility of perspective-taking relations in a non-clinical sample using the Implicit Relational Assessment Procedure (IRAP). Thirty-five participants completed a simple perspective-taking IRAP that comprised four trial-types: I-I; OTHERS-OTHERS; I-OTHERS; and OTHERS-I. The results showed strong, significant IRAP effects on both the I-I and OTHERS-OTHERS trial-types, interpreted as inflexible deictic relational responding. Weaker IRAP effects on the I-OTHERS and OTHERS-I trial-types may suggest weaker or more flexible patterns of deictic responding. While the data are preliminary, the current methodology may provide a useful alternative methodology for the study of deictic responding.

• Measuring the effect of a RFT-based perspective-taking intervention on explicit and implicit self-forgiveness in ABA tutors
Diana Bast, Universidade Federal de São Carlos
Ian Stewart, National University of Ireland Galway
Celso Goyos, Universidade Federal de São Carlos
Dermot Barnes-Holmes, University of Ghent

This study will examine the effects of a RFT-based perspective-taking intervention on implicit and explicit self-forgiveness in Applied Behavior Anaysis (ABA) tutors. Forty eight ABA-trained tutors will be randomly assigned to one of three conditions: (i) perspective-taking, in which participants are trained to take perspective on past failures in their work with autistic clients; (ii) an active control (relaxation) condition; or (iii) a no-treatment control condition. All participants will be assessed both pre- and post-intervention using measures of self-forgiveness and psychological health. To measure self-forgiveness, an Implicit Relational Assessment Procedure (IRAP) will be used in addition to conventional self-report measures. Mixed group design statistics will be used to compare the effects of the interventions both within and across groups. This will be the first study to examine the effects of a function-analytically defined perspective-taking intervention on multiple indices of psychological health including implicit self-forgiveness.

• ACT & CBT Therapists: Self Compassion Behavior and Implicit and Explicit Response to Failure and Success
Annalisa Oppo, Psy.D., Sigmund Freud University, Milan Italy
Davide Carnevali, Ph.D., IULM, Milan
Francesco Dell'Orco, Ph.D., IESCUM, Milan, Italy
Chiara Manfredi, Ph.D., Studi Cognitivi, Modena, Italy
Giovambattista Presti, MD, Ph.D., Kore University, Enna, Italy

The key elements of Self-compassion as defined in the evolutionary compassion focus therapy (CFT) are conceptually related to hexaflex processes in very clear ways: Motivation to Care for Well-Being (values), Sensitivity to Suffering (Contact with the present moment), Sympathy & Empathy (flexible perspective taking), Distress Tolerance (Acceptance), Non-Judgement (defusion) and Committed Action to alleviate suffering in our lives. One of the most common way to assess Self-compassion is using explicit measures that capture, according to REC model, the Extended and Elaborated Relational Responses (EERR). However there are other form of relational responding (Brief and Immediate Relational Responding (BIRR) that can capture different aspects of the behavioral repertoire. The primary goal of this study is to analyse explicit and implicit response to self-forgiveness in therapists with different training history. Fifty-five therapists were recruited in this study: 32 ACT therapists and 23 CT therapists.CT therapists and ACT therapists reported similar scores on Self Compassion Scale. However CT therapists and ACT therapists report different implicit profile that seems to be in line with their training history. These results will be presented.

Educational Objectives:
1. Describe a new protocol on perspective taking for self-forgiveness. 2. Explain how an RFT-based intervention can impact on attitudes (implicit and explicit). 3. Describe differences in explicit and implicit tool to assess self compassion construct.

 

112. Trauma, BPD, Suicide
Symposium (2:45-4:15pm)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Performance-enhancing interventions, Theory & Philo., Functional contextual approaches in related disciplines, Suicide, PTSD, Borderline Personality Disorder, Veterans, ACT Matrix, Emotion Regulation, Rumination, Self
Target Audience: Beg., Interm., Adv.
Location: Puget Sound

Chair: Sean M. Barnes, Ph.D., Rocky Mountain Mental Illness Research, Education, and Clinical Center
Discussant: John Donahue, Psy.D., University of Baltimore

Cognitive fusion with the content of thoughts and the conceptualized self can perpetuate symptoms of various disorders, such as BPD and PTSD. This symposium explores different approaches to understanding and treating these disorders, including, a technique from Vippasana meditation, the ACT Matrix, and Dialectical Behavior Therapy (DBT) with Prolonged Exposure (PE). The first study examined the impact of mental noting - a Vipassana meditation technique in which practitioners silently label thoughts as they arise - on participants’ experiences of suicide-related thoughts. Another study presents three-years of outcome data from the 12-week DBT-PE “Journeys” Intensive Outpatient Program at the Minneapolis VA, as well as an overview of the structure of program implementation. Additionally discussed will be how functional contextualism has been used in this program as a guiding philosophical approach to effectively integrate multiple behavioral therapies into one success treatment flexible enough to address the complexities of co-morbid conditions. A comparison between ACT alone and ACT with the Matrix for people diagnosed with BPD and reasons for different findings will be discussed. In addition, a CBS analysis of why some trauma survivors go on to develop rigid and ineffective rumination and others do not will be presented.

• Does Mental Noting Decrease Cognitive Fusion with Suicide-Related Thoughts?
Sean M. Barnes, Ph.D., Rocky Mountain Mental Illness Research, Education, and Clinical Center
Lindsey L. Monteith, Rocky Mountain Mental Illness Research, Education, and Clinical Center
Lisa A. Brenner, Ph.D., Rocky Mountain Mental Illness Research, Education, and Clinical Center
Jeri E. Forster, Ph.D., Rocky Mountain Mental Illness Research, Education, and Clinical Center
Theresa D. Hernández, Rocky Mountain Mental Illness Research, Education, and Clinical Center
Nazanin H. Bahraini, Ph.D., Rocky Mountain Mental Illness Research, Education, and Clinical Center

Cognitive fusion with suicidal ideation can perpetuate rumination, distress, and the intensity of suicidal urges (Luoma & Villatte, 2012). Mental noting is a Vipassana meditation technique in which practitioners silently label thoughts as they arise. It shares many similarities with popular ACT mindfulness and defusion exercises. The current study examined the impact of mental noting on participants’ experiences of suicide-related thoughts. We hypothesized that simulated mental noting would result in less self-reported distress and physiological arousal, and that qualitative reports would reflect greater defusion from suicide-related thoughts. Thirty-four participants who reported recently being distressed by suicidal ideation were randomized to a control group or a simulated mental noting group. Following baseline assessment, all participants were presented with their suicide-related thoughts written on note cards and were asked to read them aloud. Participants randomized to the simulated mental noting condition were asked to categorize the thoughts (e.g., “judging”, “planning”); participants in the control condition were not asked to categorize thoughts. Objective data indicated similar levels of self-reported distress and physiological arousal across groups. A lack of initial reactivity may have limited our ability to detect potential differences related to the simulated mental noting. Qualitative data is being coded to determine whether mental noting and/or viewing suicide-related thoughts on cards subjectively decreases cognitive fusion with such thoughts. Implications for the use of ACT with suicidal patients will be discussed.

• Considering the Self: Exploring the Interplay of Post-Trauma Cognitions and the Conceptualized Self
Lia Stern, M.A., Clark University
Kathleen Palm Reed, Ph.D., Clark University

Trauma-related rumination is a well-documented factor related to PTSD symptom development and maintenance (Clark & Ehlers, 2007). Research suggests that trauma-related rumination originates in early attempts to derive insight from traumatic experiences (Tait et al., 2014; Lindstrom, Cann, Calhoun, & Tedeschi, 2013). However, it remains unclear why some trauma survivors go on to develop rigid and ineffective rumination and others do not. A contextual behavioral science model of behavior change suggests that individuals who endorse a conceptualized sense of self, or rigidly defined personal narrative, will likely develop experiential avoidance when confronted with ego-dystonic experiences or emotions (Hayes, Pistorello, & Levin, 2012). Among trauma survivors, this process may become more pronounced as they try to understand why and how such horrific events have happened to them. Thus, individuals who demonstrate a more conceptualized sense of self prior to trauma exposure may be more likely to develop post-trauma ruminatory behaviors than their cognitively flexible counterparts. We propose that this rumination stems from cognitive processes related to (1) heightened emotional avoidance and/or (2) struggling to integrate the traumatic material into a rigidly bounded conceptualized sense of self.

• Comparison and mechanisms of change between two Group-Treatments for people diagnosed with BPD: ACT and a Matrix enhanced ACT treatment: Mexico Chapter Sponsored
Michel A. Reyes Ortega, Ph.D., Contextual Behavioral Science and Therapy Institute, Mexico City
Nathalia Vargas Salinas, Ph.D., Contextual Behavioral Science and Therapy Institute, Mexico City
Benjamin Schoendorff, MPs, Contextual Psychology Institute, Quebec
Edgar Miranda Terres, MPs, CBS and Therapy Institute, Mexico City; Mexico's National Institute of Psychiatry (INPRF)

A pre-posttest design was conducted to test ACT Matrix impact as an addition to an already tested 16 sessions ACT group treatment for people diagnosed with BPD. The only difference between treatments was that the ACT+Matrix group completed a Matrix as debriefing exercise after every session. ANOVA showed intragroup statistically significant differences (p≤.05) and big size effects (d≥.80) improvements in BPD symptom severity, psychological flexibility and emotion regulation self-administered questionnaires in both groups. ANOVA between groups found significant differences and medium (d≥.50) size effects in posttest in favor of ACT+Matrix group (n=14). Psychological flexibility mediated BPD symptoms change in ACT group (n=16), but not in ACT+Matrix group. These results suggest ACT Matrix enhanced ACT impact, possibly due to BPD clients neuropsychological characteristics. Future research is needed to test the hypothesis the Matrix impact on perspective taking as mechanism of change.

• Welcome to the Third Wave: Lessons Learned from Integrating DBT and PE into One Effective Treatment for Military Veterans
Ren Stinson, Ph.D., Minneapolis VA Health Care
Ethan McCallum, Ph.D., Minneapolis VA Health Care
Emily Voller, Ph.D., Minneapolis VA Health Care
Laura Meyers, Ph.D., Minneapolis VA Health Care

“The third wave reformulates and synthesizes previous generations of behavioral and cognitive therapy and carries them forward into questions, issues, and domains previously addressed primarily by other traditions, in hopes of improving both understanding and outcomes” (Hayes, 2004). To address the high rates of psychological trauma faced by military veterans the Veterans Health Administration (VHA) has prioritized the use of evidence-based treatments (EBTs) across all 1,700 sites of care. While helpful for many veterans with Post-Traumatic Disorder (PTSD), these cognitive behavioral treatments for PTSD have been less effective in treating some co-occurring conditions – for example PTSD and Borderline Personality Disorder (BPD). Research has demonstrated that integrating Dialectical Behavior Therapy (DBT) and Prolonged Exposure (PE) is an effective approach to treating co-occurring PTSD-BPD (Harned, Korslund, and Linehan, 2014). This paper presents three-years of outcome data from the 12-week DBT-PE “Journeys” Intensive Outpatient Program at the Minneapolis VA, as well as an overview of the structure of program implementation. Additionally discussed will be how functional contextualism has been used in this program as a guiding philosophical approach to effectively integrate multiple behavioral therapies into one success treatment flexible enough to address the complexities of co-morbid conditions.

Educational Objectives:
1. Describe the role and significance of the conceptualized self in post-trauma rumination. 2. Explain the benefits and limitations of the presented ACT interventions for BPD diagnosed clients. 3. Describe the role and significance of psychological flexibility in the BBP symptoms reduction.

 

119. RFT: Novel Approaches & Analyses
Symposium (4:30-5:45pm)
Components: Original data
Categories: Relational Frame Theory, RFT, Other, IRAP, Network Models
Target Audience: Beg., Interm.
Location: Vashon 2

Chair: Yvonne Barnes-Holmes, Ghent University
Discussant: Yvonne Barnes-Holmes, Ghent University

There are over 50 published studies on the IRAP, but as the measure is increasingly used for more complex and applied purposes, there is increasing need for systemtaic methodological and analytical scrutiny. The first empirical paper in this symposium determines whether response inhibition is related to performance on the IRAP. The findings show that neither response inhibition nor self reported attentional control correlate with the IRAP. These findings suggest that the IRAP is resistant to response inhibition as a source of potentially contaminating individual differences. The second paper presents three studies that investigate the impact of different types of instruction on the IRAP. The findings illustrate that type of instruction influences the strength and direction of trial-type effects, and suggest that instructions interact with the order in which IRAP blocks are presented. The third paper explores the potential use of a network analysis for analyzing IRAP data. To first illustrate a network analysis, a cross-sectional dataset are presented, followed by an IRAP dataset. The fourth paper similarly explores the Probabilistic Index (PI) is an alternative effect size measure to the D algorithm typically used in IRAP research. The PI appears to be robust against outliers, has a sound interpretation in cases of non-normality and/or heteroscedasticity, and offers a clear interpretation of the data. To examine the potential of this new scoring algorithm, IRAP data are reanalyzed, and show a systematic improvement in the estimated reliability compared to the D-score, without reducing existing correlation coefficients.

• Response inhibition and IRAP performance
Miguel A. Lopez-Medina, BSc, University of Jaén, Spain
Miguel Rodriguez-Valverde, Ph.D., University of Jaén, Spain
Monica Hernandez-Lopez, Ph.D., University of Jaén, Spain

The present study explores if the ability to inhibit prepotent responses (response inhibition) is related to performance on the IRAP. A simple, generic IRAP (samples: Pleasant/Unpleasant; targets: positively valenced words/negatively valenced words) was used with non-clinical adult participants (N=93). In addition, the Attentional Control Scale (ACS) was used as a self-report measure of attentional capabilities. A subset of participants (N=49) also underwent the stop-signal task, a specific reaction-time based measure of response inhibition. Results indicate that response inhibition does not correlate with performance on the IRAP, either with D-IRAP scores or with percentages of correct responses. Self reported attentional control (ACS scores) correlated only moderately (r=-0,23; p=0,03) with the amount of exposures to practice blocks necessary to reach the test phase in the IRAP, but not with IRAP performance during the test phase (either in terms of D scores or percentage of correct responses). These findings appear to indicate that the IRAP as a measure is resistant to response inhibition as a source of potentially contaminating individual differences.

• The Impact of Instruction Type on IRAP Effects
Martin Finn, Ghent University
Dermot Barnes-Holmes, Ghent University
Ian Hussey, Ghent University
Joseph Graddy, University of Waikato, New Zealand

The procedural variables that impact the effects generated by the Implicit Relational Assessment Procedure (IRAP) have not been subjected to a systematic experimental analysis, in spite of increasing use of the procedure in applied and clinical settings. The introductory instructions issued to participants are one such variable. The current study investigated the impact of different types of instruction across three experiments in a sample of university undergraduates. The findings of these experiments illustrate that the type of instruction influences the strength and direction of the trial-type effects that are produced by the measure. The results also suggest that the instructions interact with the order in which the IRAP blocks are presented (i.e. history-consistent first versus history-inconsistent first). These findings have implications for the assessment of relational responding.

• Exploring behavior-behavior relations by network models: An introduction and illustration using Applied Research Findings and IRAP Data
Maarten De Schryver, Ghent University
Dermot Barnes-Holmes, Ghent University

Based on graph theory, network analysis appears to be a promising method to obtain a more comprehensive view on the interaction between behaviors, and between behaviors and contexts. In a network analysis, constructs are conceptualized as networks of related observable variables and variables as 'autonomous causal entities in a network of dynamical systems'. While first introduced as an alternative measurement model (i.e. to relate observable variables to a construct), a network model seems also well-suited as a structural model (i.e. to relate constructs to one another). For illustrative purposes, we analyze a cross-sectional dataset containing information about stressors and PTSD symptoms of 445 youths gathered in Northern Uganda. A further illustration is provided using basic research data from the IRAP.

• The Probabilistic Index: A new effect size measure for the IRAP
Maarten De Schryver, Ghent University
Dermot Barnes-Holmes, Ghent University

Scoring algorithms are an important feature of implicit methodologies, such as the Implicit Relational Assessment Procedure. The IRAP currently employs an algorithm based on a D-effect size, but several authors have questioned the appropriateness of this. The Probabilistic Index (PI) is an alternative effect size measure that appears to be robust against outliers, has a sound interpretation in cases of non-normality and/or heteroscedasticity, and offers a clear interpretation of the data. To examine the potential of this new scoring algorithm, we re-analyzed data from an IRAP study using the PI and found a systematic improvement in the estimated reliability compared to the D-score, without reducing existing correlation coefficients. The PI will also likely increase the face validity of the IRAP.

• You Think You Can, You Think You Did: The Impact of Derived Causal Efficacy on Inattention and Impulsivity
Benjamin Ramos, University of Louisiana at Lafayette
Emily Sandoz, Ph.D., University of Louisiana at Lafayette

Individuals that struggle with inattention, hyperactivity, and impulsivity experience difficulties in several life domains including struggles in academia (Breslau, Miller, Chung, & Schweitzer, 2011), interpersonal relationships (Friedman et al., 2003), marital satisfaction (Eakin et al., 2004), and occupational performance (Barkley, Murphy, & Fischer, 2008). In spite of a history of academic and social failures, many individuals with ADHD maintain a self-protective bias in which they maintain high self-evaluations of causal efficacy (Owens et al., 2007). This may contribute to increased levels of inattention, impulsivity, and resulting dysfunction, as self-evaluation is rule-governed rather than a result of self-awareness and discrimination. This study aimed to examine how derived causal efficacy might impact inattention and impulsivity. Participants completed a series of Go/NoGo tasks with and without contextual cues that had derived causal efficacy functions through their relations with discriminative stimuli for high or low rates of responding. The impact of derived causal efficacy was then examined in terms of errors of omission (inattention) and errors of commission (impulsivity). Implications for behavioral interventions for ADHD will be discussed.

Educational Objectives:
1. Analyze the potential contaminating effects of individual differences on IRAP performance. 2. Discuss inattention and impulsivity as complex operant human behavior. 3. Explain the methodology and results of the study as an assessment of the role of causal efficacy in ADHD.

 

120. Expanding the Toolbox: Some Initial Research with a Collection of New ACT-Relevant Self-Report Measures
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Superv., Train. & Dissem., Psychological Measures, Values, Psychological Flexibility, Assessment
Target Audience: Beg., Interm., Adv.
Location: St. Helens

Chair: Ryan Kimball, Southern Illinois University
Discussant: Amy R. Murrell, Ph.D., University of North Texas

Although measures of ACT-relevant processes are gradually appearing, some ACT processes lack measures that are useful in a clinical setting and/or lack well-established psychometrics. The areas of values and committed action, in particular, seem to be relatively under-addressed upon review of ACT outcome studies. This seems especially problematic in light of valued action as a primary outcome focus with ACT treatment. Furthermore, psychological flexibility is a complex and multifaceted treatment target, and existing measures either focus on individual repertoires organized by the Hexaflex or an unbalanced collection of them. This symposium offers a collection of studies intended to offer additional measures to the ACT practitioner’s toolbox, as well as a review of initial data with each. Specifically, two presentations will discuss new measures of values and committed action, and one presentation will discuss a brief but comprehensive measure of the entire Hexaflex.

• Values Measure Fight Club: An Initial Comparison and Evaluation of the Valued Time and Difficulty Questionnaire
Ryan Kimball, Southern Illinois University
Sam Kramer, Southern Illinois University
Sunni Primeaux, Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University

Although measures of values have existed for decades (Beierlein, et al., 2012; Rokeach, 1974), few measures have been developed for clinical use and/or by ACT treatment developers. The Valued Time and Difficulty Questionnaire (VTDQ) was derived from the Valued Living Questionnaire (Wilson, Sandoz, Kitchens, & Roberts, 2010) and developed within a clinical context to provide a more accessible measure of values and committed action. Self-report data was gathered via Amazon’s mTurk from a large and diverse sample (n=425). Results indicated that the three scales of the VTDQ (importance, time on valued action, and difficulty due to private events) exhibited good internal consistency and convergent validity with other values measures. Additionally, the Importance and Time scales were significantly correlated with measures of life satisfaction and quality of life. These results will be discussed as well as how the VTDQ may be used to inform treatment in a broad population.

• Last Week Tonight!: Constructing and Evaluating a Weekly Hexaflex Assessment (WHA)
Kail Seymour, Southern Illinois University
Sunni Primeaux, Southern Illinois University
Travis Sain, Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University

The Hexaflex model of Acceptance and Commitment Therapy (ACT) emphasizes six content areas that guide treatment delivery, all of which comprise a psychological flexibility model of mental health. Current measures of psychological flexibility either measure specific areas of the Hexaflex (Gillanders, 2014; Wilson, Sandoz, Kitchens, & Roberts, 2010) or measure psychological flexibility without a balanced approach across the six areas (Bond et al., 2010). Because a brief and balanced measure of all six areas may have value for clinicians (e.g., to help structure sessions, provide a progress measure, etc.), the Weekly Hexaflex Assessment (WHA) was created by an ACT practicum team. This talk will present preliminary supportive data for the WHA from a sample of college undergraduates (n = 131) regarding internal reliability and convergent validity with other psychological flexibility measures. The results suggest a need for revision of certain items and, perhaps, a different approach to WHA item generation.

• I Can’t Get No Valued Action: Exploring the Valued Action and Satisfaction Questionnaire
Travis Sain, Southern Illinois University
Sunni Primeaux, Southern Illinois University
Chad E. Drake, Ph.D., Southern Illinois University

Acceptance and Commitment Therapy emphasizes values consistent action, but few measures developed by ACT practitioners or researchers target values repertoires. Measures that have been developed such as the Valued Living Questionnaire (Wilson, Sandoz, Kitchens, & Roberts, 2010) have limited databases, and have shown psychometric shortcomings (Vanbuskirk, et al., 2012). The current study administered the Valued Action and Satisfaction Questionnaire (VASQ), a new measure of values and committed action, to 131 participants at a mid-western American university to assess reliability and validity. Comprised of three subscales (importance, valued action, satisfaction with action), the VASQ was compared to various measures of psychological flexibility repertoires (e.g., Acceptance and Action Questionnaire) and quality of life (e.g., Flourishing Scale). Significant correlations were found between the VASQ subscales, psychological flexibility, and quality of life. Results provide evidence for further exploration of the VASQ as a measure of values and committed action.

Educational Objectives:
1. Describe the subscales of the VTDQ. 2. Identify the Hexaflex/Inflexahex repertoire for each item of the WHA. 3. Describe the psychometric properties of the VASQ.

 

122. Innovative randomized trials of Acceptance and Commitment Therapy addressing weight management
Symposium (4:30-5:45pm)
Components: Original data
Categories: Behavioral medicine, Clin. Interven. & Interests, overweight, obesity
Target Audience: Beg.
Location: Cascade 1B

Chair: Niloofar Afari, Ph.D., VA Center of Excellence for Stress and Mental Health & Department of Psychiatry, University of CA, San Diego
Discussant: Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center, Division of Public Health, & Department of Psychology, University of Washington

Two-thirds of Americans are overweight or obese and the prevalence is growing across the globe. A handful of studies suggest that Acceptance and Commitment Therapy (ACT) may show promise in improving weight management and emotional or other disordered eating patterns that contribute to overweight and obesity. This symposium features several recent randomized trials that use ACT in novel ways to address weight control and related eating patterns. The innovative approaches include integrating ACT with traditional weight loss protocols, using ACT to augment other weight control programs, and examining the generalizability of ACT skills from tobacco cessation to weight loss. Other unique characteristics include the delivery of ACT in workshops, brief group settings, and apps. Findings and lessons learned from these studies can guide future research on method of delivery, duration, and potential moderators in effective use of ACT for weight management and related eating behavior.

• A comparison of different approaches for utilizing Acceptance and Commitment Therapy to improve long-term weight control
Jason Lillis, Ph.D., The Miriam Hospital & Brown Medical School
Rena Wing, Ph.D., The Miriam Hospital & Brown Medical School

This paper will give an overview and results from 2 randomized trials that attempt to improve long-term weight control by adding ACT to traditional weight loss methods. The first study (n=162) integrated ACT with traditional methods and compared it to current gold standard weight loss intervention on 24-month weight loss. The second study compared the use of a back-end workshop, comparing an ACT workshop, a Self-Regulation workshop, and a self-monitoring only condition among participants who had completed a 3-month on-line weight loss program and lost at least 5% of their starting weight. Results indicate ACT could be helpful for improving long-term weight control. Potential mechanisms, advantages and disadvantages of different approaches, implications and future directions will be discussed.

• Brief ACT for binge eating as an adjunct to the MOVE! Program: The B-ACT trial for veterans
Kathryn M. Godfrey, M.S., San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology
Jessica Gundy Cuneo, Ph.D., VA San Diego Healthcare System
Jennifer Salamat, B.A., VA San Diego Healthcare System
Autumn Backhaus, Ph.D., VA San Diego Healthcare System
Niloofar Afari, Ph.D., VA Center of Excellence for Stress and Mental Health & Dept. of Psychiatry, University of CA, San Diego

The B-ACT study was a randomized controlled trial of an ACT group intervention for binge and emotional eating as an adjunct to Veterans Health Administration’s standard behavioral weight loss intervention (MOVE!). Participants who completed the 8-week MOVE! program were recruited and randomized to receive four 2-hour weekly ACT or active control groups. 150 veterans were screened for the study, and 90 were randomized. 81 participants (90%) completed at least 3 group treatment sessions and follow up assessments post-treatment, at 3 months post-treatment, and at 6 months post-treatment. Results will be presented from outcomes including self-reported binge eating, psychological flexibility, quality of life, and measured BMI. Strengths and weaknesses of the current trial, lessons learned, and next steps for ACT for binge eating as an adjunct to standard weight control services in veteran and active duty populations will be discussed.

• Change in weight and drinking in ACT vs. CBT smoking cessation app users: Results from a pilot randomized trial
Emily Y. Zeng, B.S., Fred Hutchinson Cancer Research Center, Division of Public Health, Seattle, WA
Jaimee L. Heffner, Ph.D., Fred Hutchinson Cancer Research Center, Division of Public Health, Seattle, WA
Kristin E. Mull, M.S., Fred Hutchinson Cancer Research Center, Division of Public Health, Seattle, WA
Jonathan Bricker, Ph.D., Fred Hutchinson Cancer Research Center, Division of Public Health, & Dept. of Psychology, University of Washington

Anecdotal evidence from ACT studies suggests that participants generalize smoking cessation skills to other health domains. This study explores whether users of an ACT vs. CBT-based cessation app are more likely to show changes in weight and alcohol use. Using generalized linear models, we compared changes in weight, body mass index, number of typical drinks, and hazardous drinking at two-month follow-up between ACT (n=98) and CBT app users(n=98). Although differences were not statistically significant, ACT users reported weight loss (-1.4 vs 0.2; p=0.156) and decrease in BMI (-0.3 vs -0.1; p=0.144). CBT users had a greater reduction in number of typical drinks (-0.6 vs -0.3; p=0.461) and were less likely to be a hazardous drinker (13% vs 20%; p=0.188). Given the suggestive, but inconclusive evidence of differences between treatment groups on weight change and drinking, future studies should evaluate ACT’s potential as a multiple health behavior change intervention.

Educational Objectives:
1. Describe the results of two NIH funded trials testing ACT methods for weight loss, with particular focus on the strengths and weaknesses of each approach. 2. Describe the design and results from the B-ACT trial and describe how findings are being applied to future weight control research. 3. Explain the potential for ACT to concurrently address smoking and weight control and analyze the generalizability of ACT across health domains.

 

123. Awesome Papers 1
Symposium (4:30-5:45pm)
Components: Conceptual analysis, Literature review, Original data, Case presentation
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Behavioral medicine, Educational settings, Superv., Train., & Dissem., RFT, Other, Technology, Children, Dyslexia, Literacy Skills, Young Adults, ACT, Partial Hospitalization Program, Serious and persistent mental illness (SMI), health promotion, community-based participatory research
Target Audience: Beg., Interm., Adv.
Location: Cascade 1C

Chair: Candice Fieg, Epworth Clinic Camberwell, Melbourne, Australia
Discussant: Staci Martin, PhD, National Institutes of Health

Contextual behavioral science (CBS) approaches using Acceptance and Commitment Therapy (ACT) and Relational Frame Theory (RFT) have been employed across a large variety of problems with significant success. CBS approaches can be applied towards helping those with obsessive compulsive disorder (OCD), children with learning disorders, young adult patients with severe, comorbid, and diverse presentations of psychopathology, and people living with serious and persistent mental illness (SPMI). The first study explores the delivery of a 10-session “ACT for OCD group program” in a private not-for-profit hospital day program setting in Melbourne, Australia and will provide an overview of the program structure, and demonstrate the facilitation of experiential exercises in a group setting. The second study will present applications based on derived stimulus relations for children aged from 7 to 10 years old and diagnosed with dyslexia and dysgraphia. The third study will discuss a specialty young adult track developed from a general ACT-based program to meet the specific needs of those with severe, comorbid, and diverse presentations of psychopathology. The fourth study will present results of a pilot intervention grounded in ACT principles, delivered by peer support specialists in a community mental health setting, designed to help SPMI consumers initiate and sustain health-promoting behavior.

• Expanding our Therapeutic Tools for the OCD Toolbox: ACT for OCD Group Therapy
Candice Fieg, Epworth Clinic Camberwell, Melbourne, Australia

For some time now we have understood CBT/ERP as the first line of treatment for OCD. Increasing research is reflecting the clinical experience that treatment is not always straight forward, and many individuals with OCD either do not complete, or don't respond adequately to CBT/ERP. Emerging evidence is demonstrating that Acceptance and Commitment Therapy (ACT) is an effective approach to treating OCD and can help clients to live meaningful lives. This paper explores the delivery of a 10-session “ACT for OCD group program” in a private not-for-profit hospital day program setting in Melbourne, Australia. This paper will provide an overview of the current literature, the benefits that group therapy may offer to individuals and explore the feasibility of delivering “ACT for OCD” in a group format. The paper will provide an overview of the program structure, and demonstrate the facilitation of experiential exercises in a group setting. The paper will explore process issues and how to work with barriers that arise unique to working with a group of differing individuals at various stages in recovery.

• Can reading be an easy game?: Using RFT to improve literacy skills in children with learning disorders
Margherita Gurrieri, Psy.D., IESCUM, ACT-Italia (Italy)
Melissa Scagnelli, Psy.D., Ph.D., BCBA, IULM University, Milan (Italy)
Davide Carnevali, Psy.D., BCBA, IULM University, Milan (Italy)
Giovambattista Presti, MD, Ph.D., Università Kore, Enna (Italy)
Paolo Moderato, Ph.D., IULM University, Milan (Italy)

The prevalence of children diagnosed with learning disorders is rising year after year. A number of specific techniques have been developed by behavior analysts to teach or improve reading and writing abilities. Applications based on derived stimulus relations have been demonstrated effective in teaching reading, spelling and math skills to persons with different difficulties and learning histories, generating behaviors not explicitly taught. Ten children aged from 7 to 10 years old and diagnosed with dyslexia and dysgraphia have been exposed to a training based on a conditional discrimination procedure with arbitrary matching to sample. Data indicated that the intervention had positive outcomes in terms of accuracy from pre-intervention to follow up. Pre-post treatment and follow up scores in standardized tests for dyslexia will be discussed.

• Initial Results of a Specialty Young Adult Track within an ACT-based Partial Hospitalization Program
Brian Pilecki, Rhode Island Hospital; Alpert Medical School of Brown University
Theresa A. Morgan, Rhode Island Hospital; Alpert Medical School of Brown University
Stephanie Czech, Rhode Island Hospital
Catherine D'Avanzato, Rhode Island Hospital; Alpert Medical School of Brown University
Kristy Dalrymple, Rhode Island Hospital; Alpert Medical School of Brown University
Mark Zimmerman, Rhode Island Hospital; Alpert Medical School of Brown University

At an ACT-based partial hospitalization program, patients with severe, comorbid, and diverse presentations of psychopathology have been shown to have improved outcomes via reduces symptoms and improved functioning (D'Avanzato et al. 2013). A specialty young adult track (ages 18-26) was added to meet the specific needs of this vulnerable population. This presentation will discuss how the general ACT-based program was adapted to fit the needs of young adults. In addition, acceptability of this program will be discussed. Patients completed daily satisfaction surveys of the young adult groups and preliminary results (N = 466) suggest that on a likert-type scale from 0 to 6, young adult patients rate the groups as useful (5.0), are satisfied with the way the groups are structured (5.0), and rate the group leader as helpful (5.5). While data collection is ongoing, additional results of outcome measures on anxiety, depression, and functioning will also be reported.

• Health Self-Management Support using Acceptance and Commitment Therapy in a Community Mental Health Setting: An Intervention Delivered by Peer Support Specialists: Contextual Medicine SIG Sponsored
Adrienne Lapidos, Ph.D., University of Michigan
Mary Ruffolo, Ph.D., University of Michigan

Although not a federally designated health disparity population, people living with serious and persistent mental illness (SPMI) face some of the most profound health inequities in the nation, with life expectancies up to 25 years less than average, and elevated risk for preventable chronic conditions including diabetes and cardiovascular disease (Svendsen, 2006). There is strong need for physical health promotion within SPMI consumers’ chosen medical home, often their local Community Mental Health (CMH) agency. Peer support specialists are a rapidly growing sector of the American mental health workforce whose services can be defined as the social, emotional, and instrumental support that is provided by people who have a mental health diagnosis, for people sharing a similar mental health diagnosis. Acceptance and Commitment Therapy (ACT) has been found to improve the quality of life of people living with SPMI and in people living with medical conditions (e.g. Bach & Hayes, 2002; Dindo, 2015), and there is interest in expanding the reach of ACT beyond traditional sectors. The current paper presents results of a pilot intervention grounded in ACT principles, delivered by peer support specialists in a CMH setting, designed to help SPMI consumers initiate and sustain health-promoting behavior. The chief goal of the pilot was to determine if ACT shows promise as a feasible approach that can be added to the existing toolkit of peer-delivered practices that promote physical health. The paper will present the following (1) a brief introduction to the “scandal of premature mortality” (Thornicroft, 2011) facing the SPMI community; (2) a brief introduction to the benefits of “reverse integration,” or bringing physical health care to specialty mental health settings, (3) a detailed description of the process of training peer support specialists in ACT-consistent health promoting interventions, including use of community-based participatory research methodology, and (4) a summary of preliminary pilot data. The presentation will contain video clips of the 3 peer support specialists discussing what it was like for them to learn about ACT and to help create the ACT-consistent interventions within the communities they serve and to which they belong. This research was made possible by a grant from the Vivian A. and James L. Curtis Research and Training Center Pilot Grant Program.

Educational Objectives:
1. Explain an overview of the possible applications with children diagnosed with learning disorders. 2. Describe how ACT may complement the scope of practice of Peer Support Specialists. 3. Adapt and apply Acceptance and Commitment Therapy based interventions in a group setting for treatment of OCD.

 

124. How Does ACT Enhance Our Understanding of Exposure?
Symposium (4:30-5:45pm)
Components: Original data, Case presentation
Categories: Clinical Interventions and Interests, Exposure, Anxiety, OCD
Target Audience: Beg., Interm.
Location: Puget Sound

Chair: Eric B Lee, M.A., Utah State University
Discussant: John P Forsyth, Ph.D., University at Albany, SUNY

We all know that exposure is a critical component of anxiety and OCD work. Yet, there is still much room for improvement, as exposure processes remain unclear and many people do not benefit from or refuse exposure-based treatment. Modern approaches to exposure, such as ACT, might improve treatment outcomes by helping people better engage in exposure work. Additionally, gaining a greater understanding of processes underlying exposure could enhance therapeutic techniques, also leading to improved outcomes. The current symposium will present data on the beneficial effects of acceptance, mindfulness, and values on exposure work. Topics examined will include, “white-knuckling” (i.e., experiential avoidance) as a potential barrier to successful OCD treatment, the effect of incorporating ACT part way through traditional exposure work, and the impact of a values-based intervention on the influence of fear within exposure treatment.

• Does white-knuckling take the punch out of ERP?
Carlos E. Rivera, M.S., Suffolk University
Grace Gu, M.S., Suffolk University
Nathaniel Van Kirk, Ph.D., OCD Institute at McLean Hospital; Harvard Medical School
Lisa W Coyne, Ph.D., Suffolk University

Exposure and response prevention (ERP) is considered the gold standard behavioral intervention for obsessive-compulsive disorder (OCD). However, a number of possible barriers limit ERP’s efficacy. One potential barrier is white-knuckling, defined as a form of experiential avoidance characterized by cognitive strategies to avoid, suppress and/or distract from unpleasant experiences that emerge when a person engages in ERPs. We believe interventions that incorporate acceptance and mindfulness to traditional ERP may help diminish a person’s tendency to engage in avoidance during exposure, increasing contact with unpleasant events, therefore leading to more effective exposure intervention and outcomes. The aim of our study is to explore the relationship between mindfulness and acceptance within an ERP based treatment and how changes in experiential avoidance across treatment may impact outcome. We use data from patients with OCD and staff from an intensive residential OCD treatment facility.

• ACT & ERP for OCD: Tracking ACT Processes in a Single-Case Design Study
Brian Thompson, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center

In this single case design study conducted within a private practice setting, ACT-related processes were tracked to explore whether core ACT processes are uniquely impacted by ACT interventions (e.g., Twohig, Whittal, Cox, & Gunter, 2010). One adult participant who met OCD criteria completed daily ratings of OCD (i.e., minutes ritualizing) and ACT processes (i.e., willingness; defusion; adapted from Forman et al., 2012) throughout treatment. Treatment consisted of an 18-session ERP protocol based on Foa et al. (2012). At a predetermined point, ERP was suspended, and the participant received 4 sessions of ACT (e.g., Eifert & Forsyth, 2005). Following the ACT phase, ERP was resumed until completion. Visual analyses of the graphed time series data indicated shifts from change-based to acceptance-based processes across ACT and second ERP phases. ACT core process willingness increased during ACT and second ERP phases. ACT core process cognitive defusion appeared to be less impacted.

• Transforming Fear: The Impact of a Brief Values-Based Intervention on Avoidance Behavior in an Exposure Context
Timothy R. Ritzert, M.A., University at Albany, SUNY
Augustus Artschwager, University at Albany, SUNY
Christopher R. Berghoff, University of Mississippi Medical Center
John P. Forsyth, Ph.D., University at Albany, SUNY

This study evaluated a novel, ecologically-valid values intervention designed to increase approach toward a feared stimulus using operant principles. Spider fearful participants were randomized to a values (n = 24) or control (n = 24) condition and completed a spider behavioral approach task (BAT). Values participants were reinforced for each completed BAT step, in a manner that allowed them to live the value of helping people in need. Results showed that values participants completed relatively more steps on the BAT (t[27] = 3.98, p = .001, d = 1.46). Both conditions reported similar distress levels during the task. Notably, the relation between baseline spider fear and BAT steps completed was moderated by condition (p = .010). Spider fear predicted approach behavior to a markedly lower degree in the values condition (r = -.33) relative to the control condition (r = -.82), suggesting the values intervention reduced the degree to which fear influenced behavior.

Educational Objectives:
1. Demonstrate the role of mindfulness and acceptance in behavioral exposure for OCD. 2. Describe changes in ACT-related process in combined ERP and ACT treatment for OCD. 3. Explain how and why to use values in an exposure context.

 

Sunday, June 19

127. Ecological momentary assessments (EMA) to measure ACT processes and behavioral health across populations
Symposium (9:00-10:15am)
Components: Original data, Case presentation
Categories: Behavioral medicine, Clin. Interven. & Interests, Performance-enhancing interventions, Theory & Philo., contextual assessment, ACT, technology, mobile devices
Target Audience: Beg., Interm.
Location: Vashon 1

Chair: Javier Rizo, B.A., University of Washington, Psychiatry & Behavioral Sciences
Discussant: Michael Levin, Ph.D., Utah State University, Psychology

Ecological momentary assessment (EMA) is an essential tool for contextual behavioral scientists. By allowing a more precise measurement of the antecedents, and consequences of behavior it enables a functional analysis of behavior in context. The design of these tools offers revolutionary capabilities for contextual behavioral science to better describe, understand, predict and modify behaviors. In combining both assessment and intervention, these mobile technologies could lead to improvements in behavioral health across a variety of populations. Contextual behavioral models such as Acceptance and Commitment Therapy (ACT) provide a useful perspective of behavior change in designing EMAs and interpreting data collected from mobile devices and self-report. In these 4 talks we present the development, ideation, and conceptual issues related to measuring ACT processes for behavioral health outcomes across populations.

• Using mobile technology to examine contextual predictors of outcomes in individuals experiencing psychosis following a hospital discharge
Ethan Moitra, Ph.D., Brown University
Brandon A. Gaudiano, Ph.D., Brown University & Butler Hospital
Carter H. Davis, B.A., Butler Hospital
Michael F. Armey, Ph.D., Brown University & Butler Hospital

Schizophrenia and other manifestations of psychosis are a major cause of disability worldwide. Although various pharmacological and psychosocial interventions have been developed for treating patients with psychosis, relapse rates are high and long-term recovery remains elusive for many individuals. Thus, there is an urgent need to better understand the contextual factors that contribute to psychosis and its management so that they can be better targeted in future interventions. Ecological Momentary Assessment (EMA) is a dynamic procedure that permits the measurement of variables in natural settings in real-time through the use of brief assessments delivered via mobile electronic devices. We used EMA to examine a variety of contextual factors (e.g., social support, treatments, coping strategies) in relation to fluctuations in symptoms and functioning in 55 patients with psychosis. We will present data on real-time predictors of clinical outcomes and discuss how these factors could be addressed in a contextual behavioral framework.

• Using ecological momentary assessment to examine impact of self-regulation choice on affect
Angela Cathey, M.A., Wichita State University
Roger Vilardaga, Ph.D., University of Washington & Evidence-based Practice Institute
Jeff Swails, M.A., Wichita State University
Robert Zettle, Ph.D., Wichita State University

It is widely accepted that choice of affect regulation method may impact later functioning. Despite this, few studies have examined how these processes unfold in-the-moment. Examination of these processes via Ecological Momentary Assessment (EMA) allows for cross validation of self-report measures and insight into real-time change. We examined responses to self-report measures of affect (anxiety and dysphoria) and tendency towards various self-regulation choices and compared in-the-moment reports of anxiety, dysphoria, and self-regulation. We also examined time-varying and lagged associations between affect and self-regulation choices over time. Participants were 127 undergraduates at a Midwestern university who completed self-report measures and 21 days of EMA. We will present data comparing self-report and EMA data. Data on the associations between affect and emotion regulation choice over time will also be presented. Results will be discussed in relation to a contextual behavioral framework.

• Design and integration of an ecological momentary assessment and intervention of ACT for smoking cessation in those with serious mental illness
Javier Rizo, B.A., University of Washington, Psychiatry & Behavioral Sciences
Roger Vilardaga, Ph.D., University of Washington, Psychiatry & Behavioral Sciences
Julie Kientz, Ph.D., University of Washington, Human Centered Design & Engineering
Richard Ries, MD, University of Washington, Psychiatry & Behavioral Sciences

Mobile technology allows not only implementation of ecological momentary assessments (EMA) of ACT processes and outcomes, but also ACT ecological momentary interventions (EMIs). Integrating EMAs and EMIs can be burdensome for the end user, and poses a design challenge for the researcher. As mobile phones become more prevalent across populations, they provide ripe opportunity to develop tools for both EMAs and EMIs. Understanding the factors around smoking cessation is important for creating effective mobile interventions, especially for those with serious mental illness who smoke at rates much higher than the general population. In this talk we discuss the design and implementation of an EMA feature as part of an ACT smoking cessation app for people with psychiatric disorders tested in a series of 10 Single Case Design trials. We cover our EMA design, present background mobile analytics data, and offer recommendations and lessons learned from the implementation of our chosen design.

• Contextual behavioral assessment of psychological flexibility using wearable sensors
Jennifer Villatte, Ph.D., University of Washington, Psychiatry & Behavioral Sciences
Peter Clasen, Ph.D., University of Washington, Psychiatry & Behavioral Sciences
Javier Rizo, B.A., University of Washington, Psychiatry & Behavioral Sciences

Self-reports of psychological flexibility are linked to important clinical outcomes and predict individual responses to stressful life events and psychological treatment. However, few studies have identified valid and reliable behavioral indicators of psychological flexibility or their relation to clinically relevant outcomes in real time. The current study sought to identify markers of psychological flexibility that can be assessed in real-time via contextual behavioral sensors embedded in wearable devices. For 30 days, adults with modifiable health risks wore a wristband that captured continuous sensor data (e.g., optical heart rate, GPS, accelerometer, gyrometer, barometer, altimeter, skin temperature and galvanic skin response). We examined correlations between self-report measures of psychological flexibility and wearable sensor data and tested the validity of real-time psychological flexibility markers to predict health and quality of life. We will discuss results of this exploratory study in the context of developing contextual behavioral measures using novel methodologies and analytic strategies.

Educational Objectives:
1. Describe ecologically valid predictors of clinical outcomes in psychosis and interpret them from a contextual behavioral perspective. 2. Describe ecologically assessment of affect and affect regulation and interpret them from a contextual behavioral perspective 3. Describe the process of developing ecological momentary assessments to be utilized with mobile technology, and within a contextual behavioral perspective, create more effective interventions.

 

129. Sport and CBS
Symposium (9:00-10:15am)
Components: Original data
Categories: Educational settings, Prevention and Community-Based Interventions, Performance-enhancing interventions, Beh. med., Theory & Philo., Other, Sport, psychological flexibility, self-compassion, well-being, children
Target Audience: Beg., Interm.
Location: St. Helens

Chair: Stefan Holmström, Department of Psychology, Umeå University, Sweden
Discussant: xxx Silberstein, xxx

Athletes face a number of challenges in their lives, from overtraining, and maintaining a healthy diet, to dealing with pressure. When faced with obstacles, psychological flexibility may play a key role in helping athletes stay physically and mentally healthy. We examine the relationship between psychological flexibility, self-compassion, fear of failure and if these factors can predict psychological well-being in young elite athletes. We also present a two-part study that identified needs for, developed and implemented, and assessed an ACT-based healthy eating intervention for parents of youth athletes. Data at a two-month follow up will also be discussed. Finally, we will examine the relationship between ACT components – including mindfulness – and overtraining in athletes. These studies demonstrate the importance of psychological flexibility for the health of athletes. Implications for continuing to help athletes using CBS approaches will be discussed.

• Psychological flexibility, self-compassion, and well-being among youth elite athletes
Stefan Holmström, Department of Psychology, Umeå University, Sweden
John Jansson, Department of Psychology, Umeå University, Sweden

Elite youth athletes with dual careers are under pressure to thrive in sport as well academically. Mental factors are important for development in both the short and long perspective. Psychological flexibility and self-compassion has in earlier studies been highlighted as vital aspects for enhancing athletes’ performance and their well-being. The purpose of this study was to examine the relationship between psychological flexibility, self-compassion, fear of failure and if these factors can predict psychological well-being in young elite athletes. Participants are between 16 and 19 years old and compete on junior elite level in both team and individual sports, and were enrolled at a Swedish sport academy. The results shows that psychological flexibility and self-compassion can predict psychological well-being. This point out the necessary for athletes to develop both psychological flexibility and self-compassion to enhance psychological well-being.

• Facets of mindfulness as possibly preventing factors of overtraining in elite sports
Daniel Birrer, Swiss Federal Institute of Sport Magglingen
Gareth Morgan, Swiss Federal Institute of Sport Magglingen
Philipp Röthlin, Swiss Federal Institute of Sport Magglingen

In search of optimal training gain, athletes push their training load to the extreme resulting in many being overtrained (Peterson, 2005). Overtraining represents a severe problem for the affected athlete. To date personality traits haven’t been linked to the overtraining syndrome (OTS). The data presented stems from an online survey of 155 Swiss elite athletes from 28 different sports. Using the overtraining definition of the European College of Sports Science (Meeusen et al., 2006) rigorously, 29% of the athletes were classified as having overtrained at least once in their ongoing career. Data showed that not overtrained athletes are significantly higher in global trait mindfulness. However, not all ACT components were significantly related with OTS. Further, controlling for cognitive anxiety only affected the results in a few components. Teaching athletes mindfulness and psychological flexibility might be a way to prevent undesired states of overtraining in the long run.

• Health kick: Promoting healthy eating in youth sport using an ACT-based intervention
Cassandra Pentzien, Bowling Green State University
Dara R. Musher-Eizenman, Ph.D., Bowling Green State University

Prior research has called into question the health benefit of participating in youth athletics for children (Nelson et al., 2011). This two-part study identified needs for, developed and implemented, and assessed an ACT-based healthy eating intervention for parents of youth athletes ages 8-14. Participants of Study I (N=29) responded to twelve Ecological Momentary Assessment (EMA) prompts, and indicated that youth athletes consumed significantly more fast food on game days than practice days (t(21)=3.448, p=0.002) and on game days than non-sport days (t(24)=4.440, p<0.001). Based on these results, fast food consumption on game days was targeted most centrally during the Study II intervention. Participants of Study II (N=31) attended an individual 1-hour ACT-based healthy eating intervention, which included psychoeducation and experiential components addressing defusion, values, and committed action (Harris, 2009; Miller, C’de Baca, Matthews, & Wilbourne, 2001). Theory of Planned Behavior measures were given pre-workshop, immediately following the workshop, and at two month follow up. Participant report of behavioral intention and perceived behavioral control significantly increased from pre-workshop to immediate follow up (t(30)=4.055, p<0.001; t(30)=2.170, p=0.038), and this increase was maintained at two-month follow up (t(24)=3.288, p=0.003; up (t(24)=2.066, p=0.05). Subjective norms and attitudes were also impacted by the intervention. While no significant differences were found for consumption of fast food using EMA, consumption overall decreased somewhat from Study I to Study II (t(26)=1.593, p=0.123). The results of this study suggest that brief ACT-based intervention with parents may have a positive impact on the eating habits of youth athletes.

Educational Objectives:
1. Identify the relation between psychological flexibility, self-compassion with psychological well-being among youth elite athletes. 2. Describe the health risks and benefits of participating in youth athletics. 3. Explain how a pilot brief ACT-based intervention impacted Theory of Planned Behavior variables.

 

131. Training perspective taking in children with Autism, in the laboratory, and in the clinic
Symposium (9:00-10:15am)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, RFT, Perspective Taking
Target Audience: Interm., Adv.
Location: Cascade 1B

Chair: Josh Kaplan, Pacific University
Discussant: Carmen Luciano, University of Almeria

Flexible responding to the thoughts and feelings of the self and others is an integral part of healthy social and psychological functioning. Whereas perspective taking and empathy are frequently considered to reflect innate abilities (e.g., from mechanistic and organismic approaches), from behavior analytic and functional contextual approaches they alternatively can be considered to reflect learnable behavioral repertoires. To that end, we present three empirical papers reaching across different settings and levels of application and each informed by Relational Frame theory to guide the development of effective perspective taking training techniques. The first paper focuses on interpsychic (i.e., social) perspective-taking training techniques that improve interpersonal functioning in Autistic children, the second focuses on increasing the specificity of the RFT framework in influencing derived perspective taking (e.g., Theory of Mind) in verbally competent adults, and the third paper focuses on intrapsychic perspective taking (i.e., self-as-context) in clinical settings deploying ACT and Matrix interventions.

• Teaching Components of a Perspective-Taking Repertoire to Children with Autism Using an RFT-Based Protocol and Fluency-Based Instruction
Thomas G. Szabo, Ph.D., BCBA-D, Florida Institute of Technology
Kelli Smith, Florida Institute of Technology

Perspective-taking can be viewed as a composite of coordinated verbal repertoires that include emotion recognition, awareness of others’ informational states, as well as false belief and deception detection. RFT provides an account of perspective-taking as generalized operant behavior based on a history of reinforcement for relational responding in accordance with deictic frames of I-YOU, HERE-THERE, and NOW-THEN. Children with autism provide a unique window into the processes involved in developing a finely discriminated perspective-taking repertoire because they show notable weaknesses in this skill set compared to other areas of learning. Added to that, children with autism progress in this area slow enough for researchers to track the impact of small changes in instructional technology. We taught children with autism two perspective-taking composites - deictic framing and emotion recognition - with a package intervention that included direct instruction, fluency-based instruction, and multiple exemplar training. We assessed deictic framing and emotion recognition directly, and subsequently assessed independent initiations and responses to others’ bids for social engagement. All learners showed strong improvement in the component skills that were directly taught. Additional training was needed to increase social engagement with peers.

• Contextual Control of Derived Perspective Taking Using an Operant Relational Triangulation Perspective Taking Protocol
Paul Guinther, Ph.D., Portland Psychotherapy

Under the established Relational Frame Theory deictic paradigm for understanding perspective taking behavior (Barnes-Holmes, Barnes-Holmes, & Cullinan, 2001), the deictic pairings I-You, Here-There, and Now-Then are considered to be mutually-entailed relational frames on par with non-deictic relations such as More-Less. However, a pattern of function transformation consistent with these alleged relational pairings is underspecified by the deictic paradigm (e.g., a change in the function of a stimulus that is Here does not entail any particular transformations in the function of a stimulus that is There). Empirical support for the deictic paradigm is largely grounded in the Barnes-Holmes Perspective Taking Protocol (BH-PTP; McHugh, Barnes-Holmes, O’Hora, & Barnes-Holmes, 2004), a multiple choice questionnaire that is useful in some contexts but has limited utility in demonstrating and training perspective-dependent derived relations. To remedy some of these shortcomings, I have developed an alternative relational triangulation paradigm supported by empirical demonstrations of derived perspective taking with fully specified perspective-dependent function transformations using an operant match-to-sample Relational Triangulation Perspective Taking Protocol (RT-PTP).

• The ACT Matrix as an effective cue for deictic framing
Benjamin Schoendorff, M.A., MSc., Contextual Psychology Institute, Montreal, Quebec, Canada

The Matrix delivers ACT through multiple exemplars of using a graphic visual cue. With it, experiences and behavior are sorted along two perpendicular axes. The vertical axis invites discriminating between experience observable through the five senses (including overt behavior) and inner or mental experience (including covert behavior while the horizontal axis invites discriminating between behavior under the (largely aversive) control of unwanted inner experience and behavior under the appetitive control of verbally constructed reinforcers (values). Preliminary data with BPD suggests that the ACT Matrix may lead to significantly higher effect sizes than non-matrix ACT in important variables including psychological flexibility. Whereas psychological flexibility appears as a mediator of non-matrix ACT, it may not be a mediator of matrix ACT. We will discuss how perspective-taking as a putative mediator and how the matrix may provide a powerful cue to train deictic framing, as sorting experience and behavior in its 4 quadrants leads users to acquire a “You-There-Then” perspective on their “I-Here-Now” experience.

Educational Objectives:
1. Describe how to construct deictic framing instruction and assessment exercises using direct instruction and multiple exemplars in a fluency-based protocol. 2. Explain the shortcomings of the BH-PTP and established RFT deictic paradigm of perspective taking, and weigh the merits of the alternatively proposed RT-PTP and RFT triangulation paradigm of perspective taking. 3. Describe how the ACT matrix promotes deictic framing.

 

135. Behavioral Health Applications
Symposium (9:00-10:15am)
Components: Conceptual analysis, Original data, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Prevention & Comm.-Based, Beh. med., Oncological patients, Self-Other, Group Therapy, Chronic Pain, resilience training for adults
Target Audience: Beg., Interm., Adv.
Location: Puget Sound

Chair: Taryn L. Gammon, M.A., California School of Professional Psychology
Discussant: Megan Oser, Ph.D., Department of Psychiatry, Brigham and Women’s Hospital and Harvard Medical School

ACT and other third wave approaches are increasingly being applied in behavioral health settings. Oftentimes, these approaches are combined with other proven components from other packages to improve their effectiveness. Three conditions that commonly pose behavioral challenges to individuals diagnosed with them are breast cancer, chronic pain, and congenital heart disease (CHD). We present data from an Interpersonal ACT protocol intervention group for women with breast cancer. The protocol includes six consecutive weekly sessions and four monthly follow-up sessions on three main topics: the suffering linked to oncological disease, the side effects of therapy and the physical changes. We will also present a novel interdisciplinary program for chronic pain that integrates acceptance and self-compassion principles into a medical context. This program emphasizes building psychological and physiological resilience to manage chronic pain through self-compassion cultivation, physiological self-regulation and education, mindfulness and interoceptive training, core values clarification, and embodied mindful movement. In addition, we will report on the evaluation of a group ACT resilience training program that incorporates ACT processes to target empirically identified resilience protective factors for adults with CHD. Results from pre- and post-intervention and follow-up will be presented.

• An Intra-personal and Inter-personal level (Self-Other) Acceptance and Commitment Therapy (ACT) intervention group protocol for women with breast cancer: ACT for Health SIG Sponsored
Giuseppe Deledda, Psy.D., Service Clinical Psycology, “Sacro Cuore-Don Calabria” Hospital of Negrar, Verona, Italy
Sara Poli, Psy.D., Service Clinical Psycology, “Sacro Cuore-Don Calabria” Hospital of Negrar, Verona, Italy
Matteo Giansante, Service Clinical Psycology, “Sacro Cuore-Don Calabria” Hospital of Negrar, Verona, Italy

Aim: The aim of this paper is to present an Interpersonal ACT protocol intervention group for women with breast cancer. Method: The protocol includes six consecutive weekly sessions and four monthly follow-up sessions on three main topics: the suffering linked to oncological disease, the side effects of therapy and the physical changes. The focus of the intervention was the “Self-” and the “Self-Other” non-acceptance” and the impact of them on suffering and on the possibility to act consistently with own values (eg. act for health, act for a good relationship of love). Results and Conclusions: We observed an increase in the acceptance of Self as context, despite of the difficulty of the patients to face the encounter with own Self and the Other, which, within the group, can become the mirror of the Self. Finally patients' thoughts seem to move more freely, giving space to new and more functional repertoires.

• Integrating Self-Compassion into Interdisciplinary Chronic Pain Treatment
Taryn L. Gammon, M.A., California School of Professional Psychology

To address the need for treatment models for chronic pain that reach through disciplinary and orientation-specific barriers, a novel interdisciplinary program for chronic pain that integrates acceptance and self-compassion principles into a medical context will be presented. This program, Therapeutic Self-Care, emphasizes building psychological and physiological resilience to manage chronic pain through self-compassion cultivation, physiological self-regulation and education, mindfulness and interoceptive training, core values clarification, and embodied mindful movement. The intervention represents a practical integration of current research into the psychological benefits of self-compassion (e.g., Sirois, 2015); the effectiveness of mindfulness and acceptance-based interventions for chronic pain (e.g., Vowles, Sowden, & Ashworth, 2014); and the neurobiological correlates of pain, self-compassion, and mindfulness (e.g., Arch et al., 2014, Hallman et al., 2011; Zeidan, 2015). Research on the effectiveness of Therapeutic Self Care in a hospital setting demonstrates improvements in pain, depression, self-compassion, self-regulation, and opioid medication use among patients with chronic pain. A case example and practical applications of these skills for clinicians working with pain conditions will be discussed.

• ACT for Adult Congenital Heart Disease
Kenneth Pakenham, Ph.D., University of Queensland
Bronwyn Steele,

This presentation reports on the evaluation of a group ACT resilience training program called READY for adults with congenital heart disease (CHD). READY incorporates ACT processes to target empirically identified resilience protective factors (Burton et al, 2010). ACT processes, protective factors and the corresponding domains of human functioning are incorporated into a READY resilience framework. In view of specific CHD characteristics, a modified briefer version of the program was used (n = 17). A single intervention condition design with pre- and post-intervention and follow-up assessments was used. Preliminary analyses showed improvements in resilience F(1.34, 21.49) = 4.61, p = .034, ηp2 = .22, depression χ2 (2) = 10.08, p = .005, quality of life χ2 (2) = 7.70, p = .019, and values F(2, 32) = 3.71, p = .036, ηp2 = .19. Qualitative data from focus groups with three different stakeholders will be presented (n = 12 patients, n = 3 caregivers, n = 5 clinicians). Results of final analyses will be reported.

Educational Objectives:
1. Describe the rationale for incorporating self-compassion into mindfulness and acceptance-based interventions for chronic pain. 2. Utilize ACT processes to target resilience protective factors in the context of chronic illness. 3. Explain an ACT-based resilience training program for chronic illness.

 

141. ACT for Obesity and Weight-Related Stigma: Concept and Treatment
Symposium (10:30am-Noon)
Components: Original data
Categories: Clinical Interventions and Interests, Beh. med., Weight-Related, Health
Target Audience: Interm.
Location: Vashon 2

Chair: Sarah Potts, M.S., Utah State University
Discussant: Emily Sandoz, Ph.D., University of Louisiana Lafayette

Obesity and weight-related issues are significant public health problems in the United States affecting nearly 70% of American adults, estimating around $147 billion per year (Ogden, Carroll, Kit, & Flegal, 2014). Individuals who are obese are also often adversely impacted by the public attitude and stigma associated with being overweight (Lillis, Luoma, Levin, & Hayes, 2010). While the severity of this health problem has consistently increased and numerous treatments seek to target the problem of weight, there are few treatments that are successful in weight loss and maintenance. This suggests the importance for better understanding the relationship between weight stigma and behaviors and also for developing alternative, novel approaches to obesity and weight-related issues. Preliminary studies suggest ACT is promising as a novel and essential treatment target for overweight and obese individuals, as it highlights acceptance and willingness for experiencing psychological experiences while increasing values-consistent behavior. Three studies with original data investigating the role of weight stigma and eating concerns will be discussed.

• A randomized controlled trial for weight loss targeting individuals with high internal disinhibition: The Acceptance Based Behavioral Intervention (ABBI) trial
Jason Lillis, Ph.D., The Miriam Hospital; Brown Medical School
Heather Niemeier, Ph.D., University of Wisconsin
J. Graham Thomas, Ph.D., The Miriam Hospital; Brown Medical School
Jessica Unick, Ph.D., The Miriam Hospital; Brown Medical School
Kathryn M. Ross, Ph.D., The Miriam Hospital; Brown Medical School
Tricia Leahey, Ph.D., University of Connecticut
Katie Kendra, Ph.D., The Miriam Hospital; Brown Medical School
Leah Dorfman, Ph.D., The Miriam Hosptial

Behavioral weight control programs produce clinically meaningful weight losses; however, outcomes have high variability and maintenance is problematic. The current study, an NIH-funded RCT testing a novel approach, Acceptance-Based Behavioral Intervention (ABBI), which combines techniques from standard behavioral treatment (SBT) and Acceptance and Commitment Therapy (ACT) among individuals reporting high internal disinhibition who typically respond poorly to standard interventions. 162 overweight and obese adults (mean BMI 37.6) who reported high internal disinhibition as measured by the Internal Disinhibition subscale of the Eating Inventory were randomly assigned to treatment (ABBI/SBT). Mean weight loss at 24 months was -5.4kg for ABBI and -3.5kg for SBT. The ABBI group had a softer regain curve (4.9kg vs 7.5kg for SBT) from peak weight loss to the end of the study. Significant differences between groups were found on change in values-consistent behavior, but not weight-related experiential avoidance. Implications and future directions will be discussed.

• You’re fat!: Is psychological flexibility related to stigmatizing experiences and disordered eating for the obese?
Emily R. Squyres, M.S., Louisiana Tech University, University of Louisiana Lafayette
Emily K. Sandoz, Ph.D., University of Louisiana Lafayette
Katie Kendra, Ph.D., The Miriam Hospital; Brown Medical School
Leah Dorfman, Ph.D., The Miriam Hosptial

The public attitude towards obese individuals focuses more on negative stereotypes than underlying psychological components that lie at the heart of the struggle (Latner, O’Brien, Durso, Brinkman, & MacDonald, 2008). Many people who struggle with their weight are found to be very rigid in thought processes regarding food (Darby, Hay, Mond, Rodgers, & Owen, 2007). Perhaps it is not the content of food and body-related cognitions that is important, but the inflexibility with which they are held. The current study investigated the relationships among avoidant eating behavior, perceived stigmatization, self-stigmatization, and psychological flexibility in an obese population using Ecological Momentary assessment. Participants responded to four text messages a day for seven days, three of which were provided them with a link to the Periodic Assessment of Stigmatizing Experiences, and one text message providing a link to the Daily Eating Survey.

• Delivering acceptance and commitment therapy through guided self-help for weight self-stigma: Results from an open pilot trial
Michael E . Levin, Ph.D., Utah State University
Sarah Potts, Utah State University
Jack Haeger, Utah State University
Jason Lillis, Ph.D., The Miriam Hospital; Brown Medical School

Obesity is a prevalent and costly public health problem in the US; however, existing psychosocial interventions designed to promote weight loss are not sufficient, tending to only produce small weight loss outcomes with significant weight gain over time. Stigmatization of obese individuals is highly prevalent in our society, occurring across a range of life contexts, yet little research has sought to develop interventions in this area. Preliminary research suggests ACT is an efficacious intervention in targeting weight self-stigma in a general treatment-seeking obese sample. A guided self-help Acceptance and Commitment Therapy (ACT) treatment was used as a novel approach for individuals with weight concerns. Participants were assigned to phone coach and completed 7-weeks study by reading The Diet Trap and completing journaling and weekly quizzes. Results suggest significant sustained changes in weight-related stigma (3-month follow-up: F(9)=32.23, p<.01), among other variables. Clinical application and user-centered feedback will be discussed.

Educational Objectives:
1. Discuss role and significance of values consistent behavior within weight loss and weight-related interventions. 2. Explain role of psychological inflexibility and negative stereotypes as predictor of increased perceived self-stigma. 3. Analyze the relationship between experiences of stigmatizing events, disordered eating behaviors, and psychological flexibility for those struggling with obesity.

 

144. Awesome Papers 2
Symposium (10:30am-Noon)
Components: Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation
Categories: Performance-enhancing interventions, Clinical Interventions and Interests, Prevention & Comm.-Based, Edu. settings, Superv., Train., & Dissem., Theory & Philo., Functional contextual approaches in related disciplines, ACT Training Program on Acceptance of Autistic Children by Their Mothers, Low-intensity ACT interventions, OCD, Psychological flexibility, Outcome research
Target Audience: Beg., Interm., Adv.
Location: Cascade 1B

Chair: Felicity L Brown, PhD, Harvard University
Discussant: Douglas M. Long, Ph.D., Alpert Medical School of Brown University

As research on acceptance and commitment therapy (ACT) continues to accumulate, the need for studies on applications of ACT in more diverse settings and communities are becoming more apparent. Although there is some evidence for the applicability of ACT across cultures, more research is needed in this area. In addition, the role of psychological flexibility in therapeutic outcomes warrants further study. We present results from a study was conducted in Tehran, Iran, to evaluate the effectiveness of ACT on the acceptance of children with autism by their mothers. We will also present the development of an ACT-based guided self-help intervention for use in low-resource humanitarian settings, and describe the adaptation process, novel delivery method and results of a feasibility pilot with South Sudanese refugees living in northern Uganda. Pilot implementation results, challenges and lessons learned will be discussed. Last, data from a study involving therapists who were not generally ACT-congruent on whether psychological flexibility may be a central ingredient in change will be presented.

• The Effectiveness of Acceptance and Commitment Training Program on Acceptance of Autistic Children by Their Mothers
Ahmad Beh-Pajooh, Ph.D., Professor, University of Tehran, Iran
Sara Pazoki, M.A., Psychology University of Tehran, Iran

This study was conducted to evaluate the effectiveness of the acceptance and commitment training on the acceptance of autistic children by their mothers. The method of the study was quasi-experimental with pre-test, post-test, and follow-up design. The study population included the whole mothers whose autistic child was receiving training and rehabilitation services in Nedaye Asre Rehabilitation Center for Autistic Children, Tehran, Iran in academic year of 2015-16. Using convenience sampling, eleven mothers who had autistic child were selected as the sample group which received acceptance and commitment training in nine two-hour-sessions. As a research tool, the second edition of acceptance and action questionnaire was administered and analyzed based on data using t-test. Data analysis of the results revealed that there was a significant difference between the results of the pre-test, post-test and follow-up. The results confirmed that the acceptance and commitment training has been effective on mothers' accepting their autistic child, by increasing psychological flexibility and decreasing experiential avoidance.

• The Relationship between Psychological Flexibility and Treatment Outcomes
Melissa Daniel, Richmont Graduate University
Timothy Sisemore, Ph.D., Richmont Graduate University

This study explores changes in psychological flexibility as a result of psychotherapy, and ways that those changes may be related to the overall treatment outcome. The agent of change in psychotherapy has long been debated, but it has been commonly accepted that the therapeutic alliance is a central catalyst to change. Qualitative factors of the therapist such as warmth and acceptance have been previously explored (Wampold, 2001), but no consensus has been reached regarding the central mechanism of change within the relationship. The introduction of psychological flexibility as a therapeutic focus in ACT has raised the question of its role in the process of change. This study aims to understand whether psychological flexibility may be a central ingredient in change, or another measure of patient global distress. Data from a psychotherapy outcomes project were compiled which measured patients’ (n = 1664) global functioning, social functioning, global distress, and psychological flexibility (as measured by items from the AAQ-II) in various stages of treatment. The therapists were varied in theoretical approach, and not generally ACT-congruent therapists. Correlational analysis showed that changes in global functioning and changes in psychological flexibility were significant and strong predictors of change in symptoms (r =.73 for symptoms and .69 for functioning, exceeding predictions based on reliability., both at p < .0001). Factor analysis showed flexibility to load on a common factor of improvement, and the three items had a strong alpha of .78. Flexibility was second only to change in functioning in predicting symptom reduction, These findings support the hypothesis that increasing psychological flexibility may be a key factor in positive changes from psychotherapy, and may do so through impacting overall functioning and thus reducing symptoms. Implications for future developments in treatment and interventions from an ACT perspective are discussed.

• Development and Pilot of an ACT-Based Guided Self-Help Intervention for South Sudanese Refugees Living in Uganda
Felicity L. Brown, Ph.D., Harvard University
Wietse Tol, Ph.D., Johns Hopkins University
Kenneth Carswell, DClinPsy, World Health Organization
Mark van Ommeren, Ph.D., World Health Organization

This paper will present the development of an ACT-based guided self-help intervention for use in low-resource humanitarian settings, and describe the adaptation process, novel delivery method and results of a feasibility pilot with South Sudanese refugees living in northern Uganda. The findings of a comprehensive needs assessment indicated high levels of psychological distress and experiences of sexual and gender-based violence in this population, continued ethnic tensions, and “over-thinking”, with limited access to mental health and psychosocial services. The results of a systematic cultural and contextual adaptation process indicate support and excitement for the intervention, with changes made to ensure comprehensibility, relevance, and acceptability of the ACT intervention. Pilot implementation results, challenges and lessons learned will be discussed, along with the possible benefits of the delivery approach for generalizability of the intervention to different settings and dissemination in difficult environments.

Educational Objectives:
1. Utilize ACT for mothers who have autistic children in order to enhance the acceptance of their autistic children. 2. Describe the “active ingredient” in the therapeutic relationship from the perspective of ACT, as compared to traditional views of the therapeutic relationship and what makes therapy work. 3. Describe an adaptation process for taking interventions to new cultures and contexts, and current challenges and innovations in developing interventions that are adaptable and scalable.

 

146. Functional Analytic Psychotherapy interventions across populations: Mexico Chapter Sponsored
Symposium (10:30am-Noon)
Components: Original data
Categories: Clinical Interventions and Interests, Other, FAP
Target Audience: Interm.
Location: Puget Sound

Chair: Daniel Maitland, Ph.D., University of Washington
Discussant: Matthew Skinta, Ph.D., ABBP, Palo Alto University

Functional Analytic Psychotherapy (FAP) is a powerful intervention that has shown potential across presenting problems. FAP has also seen an increase in utilization with different demographic populations and for those seeking increase the quality of their relationships with other individuals. As the scope of the intervention increases, so does the definition of a successful intervention. This symposium provides three data-based examples of the scope of FAP as an intervention and techniques that can be used to capture variables that may be crucial in clinical outcomes. Specifically, we will be talking about FAP as an adjunct treatment for Borderline Personality Disorder, as an intervention for enhancing the relationship between two individuals, and as a general social functioning intervention. The populations utilized in these studies differed significantly showing the utility of FAP across both clinical and demographic populations. Presentations will detail both process and outcome variables that are central to FAP.

• FAP impact, and mechanisms of change, as an adjunct treatment for people diagnosed with BPD
Michel A. Reyes Ortega, Ph.D., Contextual Behavioral Science and Therapy Institute (Mexico City)
Nathalia Vargas Salinas, Ph.D., Contextual Behavioral Science and Therapy Institute (Mexico City)
Jonathan W. Kanter, Ph.D., University of Washington
Mavis Tsai, Ph.D., Private Practice

An RCT was conducted to test the impact of Functional Analytic Psychotherapy (FAP) on individuals diagnosed with Borderline Personality Disorder (BPD) who had finished treatment-as-usual at a public mental health institution in Mexico City. Participants received either 18 sessions (9 individual and 9 group) of FAP (n=22) or Social Skills Training (n=22). T-test analyses found statistically significant (p ≤ .05) and large (d ≥ .80) effects for FAP at post-test compared to pre-test in BPD symptom severity, intimacy, experience of self and emotion regulation according to self-administered questionnaires. Between-groups analyses found statistically significant and large effects in favor of FAP with the biggest differences observed with our measure of intimacy. Regression analyses found that experience of self mediated changes in emotion regulation (R2=.325), and emotion regulation mediated BPD symptom reduction (R2=.457) in the FAP group. These results suggest FAP’s possible utility as an adjunct treatment for BPD and experience of self as a possible FAP-specific mechanism of change.

• The in vivo process in FAP: The relationship to outcomes, adherence, and client experience
Lindsey E. Knott, M.A., Western Michigan University
Rachel A. Petts, M.A., Western Michigan University
Rebecca A. Rausch, Western Michigan University
Daniel W. M. Maitland, Ph.D., University of Washington
Scott T. Gaynor, Ph.D., Western Michigan University

In vivo (IV) work is a distinctive feature of FAP. IV work in FAP involves the therapist attempting to apply contingencies in session to decrease (i.e., gently punish or extinguish) problematic response classes and increase (i.e., evoke and reinforce) more adaptive response classes (i.e., a differential reinforcement procedure). A recently conducted randomized controlled trial found superior outcomes for FAP compared to watchful waiting (WW). In addition, session ratings of general adherence (a standard approach to assessing treatment fidelity in efficacy research) to the FAP rules suggested FAP sessions were unique. The present study attempts a more detailed analysis. Following Kanter et al. (2003), each turn of speech will be coded as IV (talk directed at the therapy process, therapy relationship, or in the moment interactions) or not. It is hypothesized that the IV rate will be higher in FAP than WW, providing another indicator of treatment fidelity. Also, examined will be the relationship between IV rates and coded adherence scores (to determine if the global adherence ratings offer a convenient proxy for such detailed coding), client session ratings (to determine if IV rate is linked to session evaluations), and treatment outcome (to see if IV rate is linked to change).

• The role of the vulnerability-responsiveness relation in individuals attempting to increase social intimacy
Daniel W. M. Maitland, Ph.D., University of Washington
Jonathan W. Kanter, University of Washington
Mavis Tsai, Private Practice

One of the defining characteristics of Functional Analytic Psychotherapy is that of a safe, intense, and authentic and powerful relationship between the therapist and client. One possible explanation for the development of this intense relationship is what researchers term the vulnerability-responsiveness relation. In the current study, an investigation of the application of the vulnerability-responsiveness relation will be explored in dyads who wish to become closer to one another. 32 dyads of individuals (friends, family members, romantic partners) wishing to feel more connected with one another were recruited and received a weekly training that had the dyads engage in the vulnerability-responsiveness relation. In pre, post, and follow-up assessments, the dyad’s responses were coded for the components of the vulnerability-responsiveness relation. The results show the promise of an observer based coding system for assessing interactions that include the vulnerability-responsiveness relation as well as how those codes correlate with measures of interpersonal styles.

Educational Objectives:
1. Discuss the specific benefits of incorporating Functional Analytic Psychotherapy (FAP) as an adjunct treatment for BPD diagnosed clients in contrast with traditionally used interventions. 2. Explain several approaches to determining treatment adherence to FAP principles when applied in efficacy studies and what the resulting data suggest. 3. Describe and utilize the process involved in building relationships as well as the clinical utility of this process as it relates to FAP.

ACBS World Conference 15 - Seville, Spain, 22-25 June, 2017

[828]

What is the World Conference? (Pincha aquí para que la página sea traducida al español [1069])

Register your interest in the conference here [1070] and we'll send you notifications when things like Call for Submissions, Registration, and the program are available.

The World Conference brings together clinicians and researchers to present cutting-edge research in ACT, RFT, and Contextual Behavioral Science, as well as experienced trainers to lead experiential workshops so that you can learn how to better serve your clients. Register now. [1071]

The World Conference is for psychologists, social workers, professional counselors, marriage and family therapists, psychiatrists, physicians, drug counselors, health researchers, language researchers, behavior analysts, students and more.... Anyone in a similarly related helping or research field is invited to attend.

Registration in the full conference is all-inclusive and includes lunch, coffee/tea breaks, open access to workshops, research symposia, posters, panel discussions, plenary sessions with CBS researchers and practitioners, and our IGNITE sessions.

  

Pre-Conference Intensive Workshops

First class intensive workshops [1072] held the 2 days prior to the World Conference get things started off right, 20-21 June, 2017.

Registration is now Open

Register now! [1073]  Online registration is available until 16 June.

Conference Highlights

  • Confirmed Speakers: Steven Hayes, Frans de Waal, Alicia Meuret, Carmen Luciano, Greg Madden, and D. J. Moran [1074]. 
  • A great venue, in gorgeous Seville, Spain, at the Melia Sevilla Hotel [1075], for networking & fostering local and international collaboration
  • Lunches and coffee/tea are included so that you have more time to network
  • Workshops, Workshops, Workshops. Half-day workshops are included (no extra charge), with your conference registration. These 30+ workshops are one-of-a-kind learning opportunities.

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[828]Call for Submissions for the ACBS World Conference 15

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Committed to Science

The 2017 annual conference theme – Committed to Science – invites collaborative efforts from the members of our contextual behavioral community to push the boundaries of our knowledge of basic principles of behavior while exploring the effectiveness of our applied implementations. As CBS scientists, we care about improving quality living for people while remaining staunchly dedicated to data-based evidence and our scientific values.

Poet Mary Oliver asked, “Can one be passionate about the just, the ideal, the sublime, and the holy, and yet commit to no labor in its cause?” She did not think so, and neither does the ACBS community! Our vision is to stay “dedicated to the alleviation of human suffering and the advancement of human well-being through research and practice grounded in contextual behavioral science.” We are committed to the meaningful labor as scientists for the cause of reducing suffering and improving purposeful, vital living for people.

Such a grand vision requires collaboration among scientists in order to develop a broader and more integrated view of how behavioral science can lead to meaningful achievements. Our ambition in Seville, Spain will be to demonstrate how CBS scientists can forge alliances and link our work to each other. CBS has always cared about translational research, and being Committed to Science during the 2017 conference will highlight the usefulness of bidirectional synergy between the “basic” and “applied” work. The culture at-large typically reinforces specialization in basic or applied work because it leads to better precision in work endeavors; however, coherence, depth, and scope are also crucial to a more robust, less fragmented science. ACBS understands this, and such integrative collaboration will be the theme of our conference.

RFT Track:
At this year’s conference, an RFT Track will be organized for submissions of RFT data, as well as conceptual and clinically-relevant submissions to address the needs of those interested in RFT across experience levels. Learn more about the RFT Track here [1076].

Poster and Chapter/SIG meeting deadlines: 15 March, 2017

(Oral submission deadline: 15 February, 2017)

If you have any problems submitting, please contact support@contextualscience.org

Estamos aceptando presentaciones para conferencias en Español aquí:

 envío de póster

 

Posters

Posters usually report empirical research and will be organized into one or more sessions, during which attendees will be invited to review the research presented and discuss findings with poster presenters. Presenters must be at their poster during their assigned time of the poster session and may choose to provide handouts. (Poster size: no larger than 36 inches tall by 48 inches wide, or A0 size (a vertical or horizontal poster is fine). Smaller is also permitted.)

Chapter/SIG/Committee Meeting 

This gives Chapters/SIGs/Committees (or forming chapters and sigs) the opportunity to reserve a space and time to get together and plan, meet, hang out, etc. This form allows you to request space before or during the conference day (early am, during the conference, during lunch, etc.) 

Plenary/ Invited Address (use only if instructed) 

 

IGNITE  - Closed

The Ignite presentation is a short, structured talk in which presenters present on ideas and issues they are most passionate about using a “deck” of 20 slides that auto-advance every 15 seconds (no exceptions). Exactly 5 minutes total. Topics may be empirical, conceptual, philosophical, historical, or methodological. Presentation should be well-practiced and high energy (perhaps even... fun!).
For more on Ignite presentations, see:

http://igniteshow.com/ [275]

http://www.speakerconfessions.com/2009/06/how-to-give-a-great-ignite-talk/ [276]

Panel Discussions  - Closed

Panel discussions consist of 3 to 5 speakers selected for some shared interest or expertise in an area. Panelists respond to one or more questions or issues, with time allotted for interaction among the speakers and with the audience. A panel discussion is organized by a chairperson who serves as the session’s moderator.

Symposia (chair, 3 papers and a discussant) - Closed

Organized by a chairperson who moderates the 75-90–minute session, symposia are a series of three 20–minute presentations focused on either empirical research or conceptual, philosophical, historical, or methodological issues. A discussant highlights and integrates the contributions of various speakers in the symposium and moderates questions from the audience. Chairpersons are encouraged to use symposia as an opportunity to integrate related work by: 1) bringing speakers of different affiliations together rather

than showcasing the work of a single group and 2) incorporating different kinds of talks (e.g., historical, conceptual and research-based) on the same topic into one symposium. Papers from submissions that are not accepted may be considered for a poster session. This year, we are prioritizing submissions that are research and data driven. In service of being more data aware, we encourage you to include research citations (data citations) with your proposal.

Paper (not part of a pre-arranged symposium) - Closed

Paper submissions are individual, oral presentations, usually concerned with conceptual, philosophical, historical, or methodological issues. A paper submission may report empirical research if it is too complex for effective presentation in a poster (e.g., an integrated series of experiments). Otherwise, most data-based and single-study paper submissions will be accepted as poster presentations. All paper presentations will be 15-20 minutes long. Accepted addresses will be organized into paper sessions of 75 or 90 minutes. Submissions not accepted will be considered for a poster session. We are prioritizing submissions that are research and data driven. In service of being more data aware, we encourage you to include research citations (data citations) with your proposal.

Workshop - Closed

Workshops are training sessions of 3 hours (or less) and usually focus on some combination of experiential and/or didactic exercises. Workshops should be regarded as opportunities to directly train specific skills rather than to present research findings, discuss conceptual, philosophical, or methodological issues, or share opinions. Submissions that are not clearly focused on training will be considered for other formats. In service of being more data aware, we encourage you to include research and data citations supporting your topic with your proposal, and to briefly present these (1-2 slides) during your workshop.

World Conference 15 Chapter/ SIG/ Committee Meeting

Chapter/SIG/Committee Meetings. Depending on the final schedule, chapter/sig/committee meetings may be scheduled early in the morning, during lunch, or during another time of day.  If you have a preference as to the time of day, which day, or the amount of time, please indicate it in the "Other Information" section, we'll do our best to accommodate you.

If you Login [984] to your ACBS account before submitting, you can edit your submissions until the deadline. (All mandatory fields must contain a keystroke to save/submit the form.)

Please gather the following information before attempting to submit.

  1. Title
  2. Abstract
  3. Meeting Facilitators, Affiliations, Emails, and Presenting this submission?
  4. Audio & Visual Needs
  5. Number of Seats Required
  6. Other information

(If you have any problems or questions about the form below, you may contact us at acbs@contextualscience.org)


Title of your Chapter/SIG meeting.

Please type or paste your meeting description and audience ("members only" "all are welcome" etc.).

Please try to limit your abstract to 150 words or less, if possible.

Enter the name of your first meeting facilitator. Ex. "Jane Smith, Ph.D." 

Enter the affiliation of your first facilitator. Ex. "University of Paris" or "GGNET" or "Private Practice"

If applicable.

Please select all of the Audio and Visual needs for your presentation. All presentation rooms come with a projector (beamer), with PC compatible cords.

(Note: If you use a MAC laptop, please bring an adapter for hooking it up to the projector (all projectors are PC compatible). Likewise, please bring any needed international plug adapters if applicable. Also bring your presentation (PC capable) on a memory stick, as a back up.)

Minimum number of seats you need in your meeting room, so as to accommodate expected attendance.

If you think the program committee needs additional information in order to schedule your meeting room, please enter it here.

Ex. "Please don't schedule at the same time as the Evolution Science SIG, because we have a lot of membership overlap."

Ex. "We'd prefer to meet at lunch on Thursday or Friday, but we can be flexible and meet in the early AM or lunch on any of the conference days if necessary."

World Conference 15 Panel Discussion Submissions

Panel discussions consist of 3 to 5 speakers selected for some shared interest or expertise in an area. Panelists respond to one or more questions or issues, with time allotted (generally 80 minutes) for interaction among the speakers and with the audience. A panel discussion is organized by a chairperson who serves as the session’s moderator.  In service of being more data aware, we encourage you to include research and data pertinent to your presentation (if applicable) with your proposal. 

If you Login [984] to your ACBS account before submitting, you can edit your submissions until the deadline. (All mandatory fields must contain a keystroke to save/submit the form.)

Please gather the following information before attempting to submit.

  1. Title
  2. Components
  3. Topic Areas (primary)
  4. Topic Areas (secondary)
  5. Topic sub-Category (Education, Depression, IRAP, etc.)
  6. Chapter/SIG sponsored [1077]?
  7. RFT Track Consideration
  8. Target Audience
  9. Abstract
  10. Panel Chair [1078], Affiliation, Email Address
  11. Panelists Names, Affiliations, and Email Addresses
  12. CVs for all presenters (to attach) (doc, pdf, etc.) (Why is this required? [1079])
  13. 3 Educational Objectives
  14. Audio & Visual Needs 
  15. Commercial Support Information & Disclosure
  16. Video/ Audio release permission from all authors (if video & audio taping is agreed to by your presenters)
  17. Other information

(If you have any problems or questions about the form below, you may contact us at acbs@contextualscience.org)


Title of your panel discussion.

Select all that apply.

Please select the primary Topic Area.

Please select the secondary Topic Area.

Please enter the sub-category for your submission. Ex. PTSD, Children, Buddhism, Depression, Mindfulness, IRAP, OCD, etc.

What is Chapter/SIG sponsorship? [1077]

Please click here [1076] for more information on the RFT track. 

Please select all that apply.

Please type or paste your submission abstract.

Please try to limit your abstract to 150 words or less, if possible.

Ex. "Jane Smith, Ph.D." (Can be one of the panelists.)

Enter the affiliation of your Chair. Ex. "University of Paris" or "GGNET"

Enter the name of your first panelist. Ex. "Jane Smith, Ph.D." 

Enter the affiliation of your first panelist. Ex. "University of Paris" or "GGNET" or "Private Practice"

Enter the name of your second panelist. Ex. "Jane Smith, Ph.D." or "Johan Bach, M. A." if applicable.

Enter the affiliation of your 2nd panelist. Ex. "University of Paris" or "GGNET"

Enter the name of your 3rd panelist. Ex. "Jane Smith, Ph.D." or "Johan Bach, M. A." if applicable.

Enter the affiliation of your 3rd panelist. Ex. "University of Paris" or "GGNET"

Additional Panelists

Additional panelists.

Enter the name of your 4th panelist. Ex. "Jane Smith, Ph.D." or "Johan Bach, M. A." if applicable.

Enter the affiliation of your 4th presenter. Ex. "University of Paris" or "GGNET"

Enter the affiliation of your 5th panelist. Ex. "University of Paris" or "GGNET"

Please attach the CV (Vitae, Resume, etc.) of the First Presenter. ***Required for all presenters.

Please attach the CV (Vitae, Resume, etc.) of the Second Presenter. ***Required for all presenters.

Please attach the CV (Vitae, Resume, etc.) of the Third Presenter. ***Required for all presenters.

Please attach the CV (Vitae, Resume, etc.) of the Fourth Presenter. ***Required for all presenters.

Please attach the CV (Vitae, Resume, etc.) of the Fifth Presenter. ***Required for all presenters.

Please list 3 Educational Objectives for your session.

Educational objectives, or educational outcomes, are statements that clearly describe what the learner will know or be able to do as a result of having attended an educational program or activity. Educational objectives must be observable and measurable. Educational objectives should (1) focus on the learner, and (2) contain action verbs that describe measurable behaviors. Verbs to consider when writing educational objectives:

  • list, describe, recite, write
  • compute, discuss, explain, predict
  • apply, demonstrate, prepare, use
  • analyze, design, select, utilize
  • compile, create, plan, revise
  • assess, compare, rate, critique

Examples of good Educational Objectives:

Implement traditional exposure-based interventions as adapted for an acceptance-based model.; Describe the role and significance of avoidance in the development and maintenance of psychopathology.; Conduct a full-scale values assessment with clients.

Examples of poor Educational Objectives:

Hear the latest research about ACT. (not learner-focused; not about measureable behaviors) ; See a role-play. (not learner-focused; not about measureable behaviors)

Please select all of the Audio and Visual needs for your presentation. All presentation rooms come with a projector (beamer), with PC compatible cords.

(Note: If you use a MAC laptop, please bring an adapter for hooking it up to the projector (all projectors are PC compatible). Likewise, please bring any needed international plug adapters if applicable. Also bring your presentation (PC capable) on a memory stick, as a back up.)

Your approval or denial of taping will in no way affect whether your submission is accepted for presentation at the ACBS World Conference.

If you think the reviewers need any additional information in order to accurately evaluate or schedule your presentation, please enter it here.

Ex. "I can not present on Saturday Morning, June 24, due to a known scheduling conflict."

Ex. "Here is the information for presenter #6, #7... etc. Name, Affiliation, Email, etc."

Ex. "This submission may look unconventional, but I have presented it 3 times before with good feedback.  You can ask Dr. XXX at xxx@gmail.com for a reference if necessary."

World Conference 15 Plenary/ Invited Address

Only use this form if directed to submit by ACBS or the Conference Program Committee. Plenaries are 75 minutes (actual presentation time about 60-70 minutes after announcements/introduction), and most Invited Addresses will be 75-90 minutes.

If you Login [984] to your ACBS account before submitting, you can edit your submissions until the deadline. (All mandatory fields must contain a keystroke to submit(save) the form and then you may edit your submission until the submission deadline.)

Please gather the following information before attempting to submit.

  1. Title
  2. Components
  3. Topic Areas (primary)
  4. Topic Areas (secondary)
  5. Topic sub-Category (Education, Depression, IRAP, etc.)
  6. Chapter/SIG sponsored?
  7. Target Audience
  8. Amount of Time Required
  9. Abstract
  10. Authors Names, Affiliations, Emails, Bios, and Photos
  11. CVs for all presenters (to attach) (doc, pdf, etc.)
  12. 3 Educational Objectives
  13. Audio & Visual Needs 
  14. Commercial Support Information & Disclosure
  15. Video/Audio release permission from all authors (if video & audio taping is agreed to by your presenters)
  16. Other information

(If you have any problems or questions about the form below, you may contact us at acbs@contextualscience.org)


Title of your plenary/invited talk.

Select all that apply.

Please select the primary Topic Area.

Please select the secondary Topic Area.

Please enter the sub-category for your submission. Ex. PTSD, Children, Buddhism, Depression, Mindfulness, IRAP, OCD, etc.

Please select all that apply.

Please select the approximate amount of time required for your submission.

Please type or paste your submission abstract.

Please try to limit your abstract to 150 words or less, if possible.

Enter the name of your first author. Ex. "Jane Smith, Ph.D." 

Enter the affiliation of your first author. Ex. "University of Paris" or "GGNET" or "Private Practice"

Enter the name of your second author. Ex. "Jane Smith, Ph.D." or "Johan Bach, M. A." if applicable.

Enter the affiliation of your 2nd author. Ex. "University of Paris" or "GGNET"

Please attach the CV (Vitae, Resume, etc.) of the First Presenter. ***Required for all presenters.

Please attach the CV (Vitae, Resume, etc.) of the Second Presenter. ***Required for all presenters.

Please list 3 Educational Objectives for your session.

Educational objectives, or educational outcomes, are statements that clearly describe what the learner will know or be able to do as a result of having attended an educational program or activity. Educational objectives must be observable and measurable. Educational objectives should (1) focus on the learner, and (2) contain action verbs that describe measurable behaviors. Verbs to consider when writing educational objectives:

  • list, describe, recite, write
  • compute, discuss, explain, predict
  • apply, demonstrate, prepare, use
  • analyze, design, select, utilize
  • compile, create, plan, revise
  • assess, compare, rate, critique

Examples of good Educational Objectives:

Implement traditional exposure-based interventions as adapted for an acceptance-based model.; Describe the role and significance of avoidance in the development and maintenance of psychopathology.; Conduct a full-scale values assessment with clients.

Examples of poor Educational Objectives:

Hear the latest research about ACT. (not learner-focused; not about measureable behaviors) ; See a role-play. (not learner-focused; not about measureable behaviors)

Please select all of the Audio and Visual needs for your presentation. All presentation rooms come with a projector (beamer), with PC compatible cords.

(Note: If you use a MAC laptop, please bring an adapter for hooking it up to the projector (all projectors are PC compatible). Likewise, please bring any needed international plug adapters if applicable. Also bring your presentation (PC capable) on a memory stick, as a back up.)

Your approval or denial of taping will in no way affect whether your submission is accepted for presentation at the ACBS World Conference.

If you think the reviewers need any additional information in order to accurately evaluate or schedule your presentation, please enter it here.

Ex. "I can not present on Saturday Morning, June 24, due to a known scheduling conflict."

Ex. "Here is the information for presenter/author #6, #7... etc. Name, Affiliation, Email, etc."

Ex. "This submission may look unconventional, but I have presented it 3 times before with good feedback.  You can ask Dr. XXX at xxx@gmail.com for a reference if necessary."

Pre-Conference Workshops for WC15

20-21 June, Seville, Spain

Unforgettable. Inspiring. Cutting-edge. Inviting. ACBS Pre-Conference Workshops are well-known as a source for world-class ACT and RFT trainings. Here is the heart of ACBS. Where therapists and researchers of all ages sharpen their skills, and push their limits. Where expert trainers from across the globe converge as a creative force aiming to shape and support all those in attendance. Where life-long friends reconnect, or meet for the first time.

What to Expect

The 2017 Pre-Conference Workshops offer exciting new opportunities that will engage therapists and researchers of any skill level. Highlights include:

Acceptance and Commitment Therapy (ACT): Participate in experiential and didactic workshops to learn this empirically supported therapy
Relational Frame Theory (RFT): Apply this modern perspective on cognition and language to your own research or practice
Contextual Behavioral Science (CBS): Explore the foundations of ACT and RFT to enrich your understanding
Compassion Focused Therapy (CFT): Engage compassionate emotions within your clients in order to target anxiety and mood disorders
Functional Analytic Psychotherapy (FAP): Learn to deepen and generalize your clinical skills

Combining therapy role-plays, experiential exercises, case presentations, data graphics, focused lectures, and small group discussions, you can expect high-quality training from ACBS Pre-Conference Workshops. Continuing Education Credits are available.

Be sure to review the list of workshops below [1072] to see your full list of options.

When, Where, and How Much?

These workshops will be held the two days immediately preceding the ACBS World Conference 15.

Tuesday, 20 June, 2017 - 9:30-17:45
Wednesday, 21 June, 2017 - 9:30-17:45

They will be held at the Melia Sevilla [1075] in Seville, Spain.

More general Registration information can be found here [1071].

Pre-Conference Workshop Registration Rates (20-21 June, 2017)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference 15. They will be 9:30-17:45 on each day.

The workshops [1080] run concurrently, so you may only register for one pre-conference workshop. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference). CE credits [1081] are available.

20-21 June EARLY REGISTRATION (ENDS April 7) REGULAR REGISTRATION (ENDS May 19) ONSITE REGISTRATION
Professional €299 ($319*) €329 ($352*) €379 ($406*)
Student €189 ($202*) €219 ($234*) €269 ($288*)
Professional, Non-Member €369 ($395*) €399 ($427*) €449 ($480*)
Student, Non-Member €219 ($234*) €239 ($256*) €289 ($309*)

Above prices include lunch each day, twice daily coffee/tea on site, and a general certificate of attendance.

[1071]

Additional information about registrations, refunds, etc., can be found here [1071].


Learn about the specific workshops here [1080].

Complete List of Pre-Conference Workshops - WC15 Seville

ACBS World Conference 15, Pre-Conference Workshops - Register now! [1073]

20-21 June, 2-day workshops:

En Español

  • ACT (Terapia Aceptación y Compromiso), una terapia contextual enlazada a la Teoría del Marco Relacional (RFT) [1084]

Carmen Luciano, Ph.D., Fran J. Ruiz, Ph.D.
(Clinica, Research; Beginner, Intermediate)

In English

  • The GO-RFT Workshop: Reticulating (From the Bottom Up) with ACT (CLOSED) [1085]

Dermot Barnes-Holmes, D.Phil., Yvonne Barnes-Holmes, Ph.D., Ciara McEnteggart, Ph.D.
(Clinical, Research; Beginner, Intermediate, Advanced)

  • Igniting change in your groups: The 8 PROSOCIAL principles in action [1086]

Beate Ebert, Clinical Psychologist, Paul Atkins, Ph.D., Thomas Szabo, Ph.D., Corinna Stewart, Jennifer Nardozzi, Psy.D., Ross White, Ph.D., Hannah Bockarie (Beginner, Intermediate, Advanced)

  • An introduction to compassion focused therapy (CFT) [1087]

Paul Gilbert, Ph.D., Dennis Tirch, Ph.D., Laura Silberstein, Psy.D.
(Beginner, Intermediate)

  • Developing Vitality: using the DNA-v model to help young people and the adults around them to co-develop well-being and excellence [1088]

Louise Hayes, Ph.D.
(Clinical; Intermediate)

  • Process-based ACT: An intermediate ACT II Workshop (CLOSED) [1089]

Steven C. Hayes, Ph.D.
(Clinical; Intermediate, Advanced)

  • Evoke, Reinforce, Repeat: Enhancing the Creativity and Sensitivity of Your ACT Work by Incorporating a Plain Language Behavioral Perspective  [1090]

Emily K. Sandoz, Ph.D., Matthew S. Boone, LCSW
(Clinical; Beginner, Intermediate, Advanced)

  • Brief Interventions for Radical Change: Basics of Focused Acceptance and Commitment Therapy (FACT) [1091]

Kirk Strosahl, Ph.D, Patricia Robinson, Ph.D., Thomas Gustavsson
(Beginner, Intermediate)

  • Functional Analytic Psychotherapy (FAP): Deepening and Generalizing Your Clinical Skills of Awareness, Courage and Therapeutic Love (CLOSED) [1092]

Mavis Tsai, Ph.D., Robert J. Kohlenberg, Ph.D.
(Clinical; Beginner, Intermediate, Advanced)

  • Doing Experiential Therapy (CLOSED) [1093]

Matthieu Villatte, Ph.D., Robyn Walser, Ph.D.
(Clinical; Intermediate, Advanced)

  • The Therapeutic Relationship in ACT: Cultivating Present and Powerful Client Connections in Acceptance and Commitment Therapy [1094]

Kelly G. Wilson, Ph.D.
(Clinical, Research; Beginner, Intermediate, Advanced)

ACT (Terapia Aceptación y Compromiso), una terapia contextual enlazada a la Teoría del Marco Relacional (RFT)- Luciano, Ruiz (Clínicos; Investigación; Principiantes, Nivel intermedio y avanzado)

ACT (Terapia Aceptación y Compromiso), una terapia contextual enlazada a la Teoría del Marco Relacional (RFT)

Workshop Leaders:

Carmen Luciano, Ph.D., University Almería and Madrid Institute Contextual Psychology, MICPSY
Fran J. Ruiz, Ph.D., Fundación Universitaria Konrad Lorenz, Bogota, Colombia
 
[1095]
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain

09:30-17:45 on Tuesday, 20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
 
Workshop Description:

En este workshop trabajaremos con ACT explícitamente conectada a la investigación en la Teoría del Marco Relacional, RFT, una teoría contextual del lenguaje. Presentaremos la aproximación contextual utilizando un árbol como metáfora de una visión integral de la conducta humana en la que la filosofía del Contextualismo Funcional representa la raíz que sostiene el tronco representado por la investigación en contingencias y comportamiento relacional (lenguaje), y las ramas representadas por diversas aplicaciones, en este caso, ACT como rama clínica. La sistemática y precisa interconexión entre las tres partes del árbol es la base sobre la cual Törneke, Luciano, Barnes-Holmes, y Bond (2015) definieron la (in)flexibilidad psicológica como (in)efectiva interacción con la propia conducta (pensamientos, emociones, recuerdos, acciones). A partir de ahí, la workshop circulará por las tres estrategias centrales que representan componentes de ACT para construir el repertorio de flexibilidad psicológica. Los participantes aprenderán cómo llevar a cabo el análisis funcional de patrones de inflexibilidad con la propia conducta y cómo construir el nuevo repertorio caracterizado por enmarcar “al vuelo” la propia conducta que nos visita (emociones, pensamientos..) y responder ante ella, enmarcándola en jerarquía con el deíctico Yo, bajo el prisma de las funciones con significado personal. Se trabajará con ejemplos de diversas problemáticas en niños y en adultos. 

About Carmen Luciano, Ph.D.:
Doctora en 1984 por Universidad Complutense de Madrid. Se ha dedicado a conectar investigación, docencia y aplicaciones. Su interés investigador se ha centrado en el análisis del lenguaje. En su largo recorrido fue determinante su estancia postdoctoral Fulbright en 1985, en Boston University y Cambridge Center for Behavioral Studies para investigar la novedad conductual siguiendo los últimos estudios de B.F. Skinner y la investigación sobre relaciones de equivalencia y conducta gobernada por reglas. De ahí derivó a la Teoría del Marco Relacional y a la Terapia de Aceptación y Compromiso. Su recorrido se orienta a generar experimentos de RFT para el análisis de las metáforas, el yo, la regulación de evitación experiencial, (in)flexibilidad psicológica, los valores y defusion y protocolos breves de ACT. Ha contribuido con numerosas publicaciones y tesis doctorales y ha recibido financiación de diferentes organismos. Dirige el grupo de investigación Análisis Experimental y Aplicado del Comportamiento y el Doctorado en Análisis Funcional en Universidad Almería, y el Máster en Terapias Contextuales en MICPSY.
 
About Fran J. Ruiz, Ph.D.: 
Realizó su tesis doctoral en 2009 en la Universidad de Almería sobre la conceptuación de la RFT en las analogías bajo la supervision de Carmen Luciano. Su principal foco de investigación se centra en potenciar la conexión entre RFT y ACT mediante el estudio de los procesos relacionales dirigidos a promover la flexibilidad psicológica en las técnicas de defusión y metáforas. Actualmente, está desarrollando y evaluando protocolos muy breves de ACT con problemáticas emocionales. Es director del programa de doctorado en la Fundación Universitaria Konrad Lorenz (Colombia).
 
Learning Objectives:
The attendee will be able to:
1. Describe the components involved in problematic experiential avoidance and explain the conditions under which it becomes problematic/destructive
2. Provide different examples of the mainstream psychopathology model that have a common problematic experiential avoidance patternl
3. Describe examples of psychological flexibility according to RFT definition
4. Compare the processes involved in inflexibility and flexibility responding to the own behavior.
5. Explain the ACT components according to the RFT definition of the processes involved in promoting psychological flexibility
6. Design ACT protocols based on RFT definition of psychological flexibility.
7. Prepare the application of questions, metaphors and experiential exercises connected to psychological flexibility.
8. Conduct questions to values assessment with clients.
9. Design metaphors adjusted to specific clients` problems.
10. Select experiential exercises for the client to differentiate himself from his self-content. 

 

Target Audience: Principiantes, Nivel intermedio y avanzado, Clínicos, Investigación

Components: Análisis conceptual, Datos originales, Ejercicios experienciales, Presentación didáctica, Presentación de caso, Role play (Juego de rol)
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea breaks on site.
 
CEs available [1096]: APA type
 

An introduction to compassion focused therapy (CFT)- Gilbert, Tirch, Silberstein (Clinical; Beginner, Intermediate, Advanced)

An introduction to compassion focused therapy (CFT)

Workshop Leaders:

Paul Gilbert, Ph.D., University of Derby
Dennis Tirch, Ph.D., The Center for Compassion Focused Therapy
Laura Silberstein, Psy.D., The Center for Compassion Focused Therapy

 
[1095]
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday,20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
Workshop Description:
Day 1
Part 1 of this workshop introduces participants to the origins and nature of the CFT model with a focus on:
1. the serious problems for humanity due to the nature of our evolved minds;
2. the importance of recognising our multiple motivational and emotional systems that can be in conflict with each other and are context sensitive;
3. the three systems of affect regulation, with a specific focus on creating a sense of safeness and how that links to attachment theory, our evolved nature and function of social relationships, and the relationship between sympathetic and parasympathetic autonomic nervous system.
Part 2 will introduce concepts of:
1. What Compassion is (and is not) from an evolutionary model;
2. how it relates to affiliative processing and can organise the mind in particular ways;
3. some of the practices that are used to cultivate compassion. These will include attention training, soothing rhythm breathing, safe placed imagery, compassionate self-cultivation, compassionate-self focusing and compassion image focusing;
4. how to use a compassionate-self focusing to address various emotional difficulties 5. Participants will be engaged in personal practice and trying out these practices.
 

Day 2
Part 1 will introduce concepts of:
1. gaining deeper insight into the multiple and conflicting nature of emotions
2. discussion of the classical conditioning model of the emotion and body memory
3. group exercise on multiple selves and using compassionate self as an integrating process
Part 2 will introduce concepts of:
1. introduction to working with self-criticism
2. functional analysis of self-criticism
3. using compassion itself to address self-criticism
 
About Paul Gilbert, Ph.D.:
Psychology at the University of Derby and Consultant Clinical Psychologist at the Derbyshire Health Care Foundation Trust. He has researched evolutionary approaches to psychopathology over 40 years with a special focus on shame and the treatment of shame based difficulties - for which compassion focused therapy was developed. He was made a Fellow of the British Psychological Society in 1993. In 2003 Paul was president of the BABCP and a member of the first British Governments’ NICE guidelines for depression. He has written/edited 20 books and over 200 papers, and spoken on TV and radio In 2006 he established the Compassionate Mind Foundation as a charity with the mission statement To promote wellbeing through the scientific understanding and application of compassion (www.compassionatemind.co.uk). He was awarded an OBE by the Queen in March 2011.
 
About Dennis Tirch, Ph.D.: 
Dr. Tirch is the Founder and Director of The Center for Compassion Focused Therapy in New York and President of The Compassionate Mind Foundation USA. Dr. Tirch is an author of 6 books, and numerous chapters and peer reviewed articles, including "The ACT Practitioner’s Guide to The Science of Compassion" and "Buddhist Psychology and CBT: A Clinician's Guide” with Dr. Laura Silberstein and colleagues. He has served on the faculty of Cornell Weill Medical College and Albert Einstein Medical School. Dr. Tirch regularly conducts Compassion Focused ACT (CFACT) and CFT trainings & workshops globally. He is a Diplomate, Fellow & Certified Consultant & Trainer for The Academy of Cognitive Therapy, Founding Fellow and the President of The NYC-CBT Association, & Founding President Emeritus of The New York City Chapter of ACBS. Dr. Tirch is an Associate Editor of The Journal of Contextual Behavioral Therapy.
 
About Laura Silberstein, Psy. D.:
Laura Silberstein, Psy.D. is the Associate Director of The Center for Compassion Focused Therapy in New York. Dr. Silberstein also serves as a Adjunct Assistant Professor and Consultant at Albert Einstein Medical College. She is the co-author of 3 books including Buddhist Psychology and Cognitive Behavioral Therapy, A Clinician’s Guide and The ACT Practitioner’s Guide to The Science of Compassion. Dr. Silberstein completed a 2 year externship at the American Institute for Cognitive Therapy, in Manhattan; a pre-doctoral internship at Wyoming State Hospital, and a two year Postdoctoral Fellowship in Cognitive Behavioral Therapy at the Cognitive Behavioral Institute of Albuquerque, New Mexico. Silberstein has advanced experience, and serves as a consultant and trainer in a range of 3rd Generation behavior therapies including CFT, ACT, and DBT.
 
Learning Objectives:
The attendee will be able to:
1. Describe the origins of CFT and how it was developed for people with high shame and self-criticism – and the different types of shame and self-criticism
2. Explain the process of compassion as flow: the compassion we feel for others; the compassion we are open to from others; and self-compassion;
3. Analyze how different practices focus on different elements of this “flow” and be able to recognise which practices go with which focus for compassion;
4. Demonstrate how to use imagery for compassion practice.
5. Help clients to better accept and effectively respond to anxiety and other difficult emotions; through the activation of their evolved capacity for mindful compassion.
6. Explain and apply the fundamentals of compassionate flexibility, including a contextual and evolutionary theory of emotion regulation, attachment, and cognition.
7. Integrate compassion focused methods into their existing psychotherapy practice
8. Practice compassion focused imagery methods and guided meditations 5) Develop and use of the concept of The Compassionate Self Imagery practice in the treatment of anxiety and depression
9. Adapt a compassion focused approach to evidence based techniques such as exposure and response prevention, defusion, and behavioral activation
10. Create and implement compassion focused interventions implementing self-as-process role plays and multiple chair work.
 

 

Target Audience: Clinical, Beginner, Intermediate, Advanced

Components: Experiential exercises, Didactic presentation, Case presentation
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

Brief Interventions for Radical Change: Basics of Focused Acceptance and Commitment Therapy (FACT)- Strosahl, Robinson, Gustavsson (Beginner, Intermediate)

Brief Interventions for Radical Change: Basics of Focused Acceptance and Commitment Therapy (FACT)

Workshop Leaders:

Kirk Strosahl, Ph.D., Mountainview Consulting Group
Patricia Robinson, Ph.D., Mountainview Consulting Group
Thomas Gustavsson, Private Clinical Practice
 
[1095]
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday, 20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
Workshop Description:

Clinicians in almost every practice setting are being encouraged to provide briefer and briefer clinical interventions, without sacrificing effectiveness. Because of its' underlying trans-diagnostic principles, ACT is ideal framework for promoting broad spectrum change in a limited number of sessions. This workshop will introduce participants to the principles and practice of Focused Acceptance and Commitment Therapy, or FACT. FACT has already been shown to be an very effective clinical approach in clinical trials conducted in both Europe and the United States. Participants will learn a variety of strategies for conducting brief yet comprehensive assessments, conceptualizing key change targets and then delivering effective brief interventions. The workshop will be heavily oriented toward teaching usable clinical skills. In keeping with this philosophy, we will us clinical demonstrations, dyadic and small group role playing and experiential exercises. The goal is to be able to apply FACT skills in clinical practice immediately after completing the workshop.

About Kirk Strosahl, Ph.D.:
Dr. Strosahl is a co-founder of Acceptance and Commitment Therapy and specializes in the application of ACT as a brief intervention. He has also been a pioneer in the movement to the redesign of the United States primary care system to include integrated behavioral health services. He has co-authored professional books on the brief applications of ACT, including Inside This Moment: Promoting Radical Change in Acceptance and Commitment Therapy (2015) and on suicide prevention. He has also helped disseminate self-help versions of ACT for the general public, including In This Moment: Five Steps to Transcending Stress Using Mindfulness and Neuroscience (2015) and The Mindfulness and Acceptance Workbook for Depression, 2nd Ed (expected Fall, 2016).
 
About Patricia Robinson, Ph.D.: 
Dr. Robinson is widely regarded as a master clinician specializing in brief applications of Acceptance and Commitment Therapy. She is an international ACT trainer and consults with primary care systems around the United States. Robinson specializes in helping systems build resiliency in providers, create strong collaborative teams, and address challenges such as chronic pain and opiate addiction. She is an author of numerous articles and book chapters and nine books, including Behavioral Consultation and Primary Care: A Guide to Integrating Services, 2nd Edition, 2015), Brief Interventions for Radical Change: Principles and Practice of Focused Acceptance and Commitment Therapy (2012), and Real Behavior Change in Primary Care: Improving Patient Outcomes and Increasing Job Satisfaction (2010).
 
About Thomas Gustavsson:
Thomas Gustavsson is a leading figure in the dissemination of Acceptance and Commitment Therapy throughout Scandanavia. He applies the principles of brief ACT in his clinical work with self-harming and suicidal women in a residential treatment program. He has also been a co-author on two of the main books describing the FACT model. He conducts FACT workshops and trainings throughout Sweden.
 
Learning Objectives:
The attendee will be able to:
1) Analyze research data pertaining to psychotherapy utilization profiles and client preferences in therapy
2) Describe the clinical evidence supporting the efficacy of brief interventions
3) Demonstrate the newest developments within the Psychological Flexibility model
4) Apply brief but comprehensive contextual interviewing and functional analysis strategies
5) Apply case conceptualization strategies using the three pillars approach to psychological flexibilkity
6) Apply the Four Square treatment target approach.
7) Discuss the role that present moment awareness interventions play in promoting radical change
8) Demonstrate how to encode client responses and adjust strategy within the clinical conversation
9) Describe the technical details for formulating brief interventions that maximize the client's chances of success
10) Describe how to deliver FACT in group and class formats

 

Target Audience: Beginner, Intermediate

Components: Literature review, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

Developing Vitality: using the DNA-v model to help young people and the adults around them to co-develop well-being and excellence- L. Hayes (Clinical; Intermediate)

Developing Vitality: using the DNA-v model to help young people and the adults around them to co-develop well-being and excellence

Workshop Leader:

Louise Hayes, Ph.D., The University of Melbourne
 
[1095]
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday, 20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
 
Workshop Description:

This workshop has two aims: (1) We will give participants experiences so they clearly understand the 3 processes and 2 perspectives that underpin the unique developmental model called DNA-v. (2) The workshop will build into a protocol that participants can take away and immediately use in their work with young people and the adults that surround them. Participants will get downloadable worksheets and audio. 

DNA-v is our distillation of cutting edge science and theory into simple processes that can help young people live well, but it isn’t just for young people, it is also for parents, teachers, mentors etc. This model uses research from evolutionary science, behavioural science, ACT, and positive psychology to create a new paradigm for promoting vital living. DNA-v is a wholly Contextual Behavioral Science model based on growth and development, and can be used in both educational and clinical settings.

DNA-V is designed to enrich people’s lives and fundamentally transform the way and they handle difficult thoughts, feelings, and situations.This simple model helps you to teach people to:

· Deal effectively with stress and negative feelings

· Develop more effective strategies for handling difficult situations

· Improve performance

· Develop functional self-concepts

· Develop self-compassion

· Build deeper, more satisfying relationships

· Engage in the six patterns of activity that build well-being and vitality.

DNA-V is based on the new book, the Thriving Adolescent, by Louise Hayes and Joseph Ciarrochi. Whilst the book is targeting adolescents, it presents a model that can be used to promote positive development at any age. 

About Louise Hayes, Ph.D.:
Louise is a leader in Acceptance and Commitment Therapy/Training (ACT) for young people and the co-author of the best selling book, Get Out of Your Mind and Into your Life for Teenagers: A Guide to Living an Extraordinary Life, and the newly released book, The Thriving Adolescent: Using Acceptance and Commitment Therapy and Positive Psychology to Help Teens Manage Emotions, Achieve Goals, and Build Connection
Louise uses ACT with young people in schools and clinical settings. She is a clinical psychologist, peer reviewed ACT trainer, an academic, author, speaker and active philanthropist.
 
Key aspects of Louise’s work:
 
Regular training and workshops nationally and internationally.
ACT peer reviewed trainer conducting professional development for teachers, psychologists, counsellors, and professionals who work with young people.
Author of the best selling book Get Out of Your Mind and Into your Life for Teenagers: A Guide to Living an Extraordinary Life.
Author of the new counselling manual, The Thriving Adolescent: Using Acceptance and Commitment Therapy and Positive Psychology to Help Teens Manage Emotions, Achieve Goals, and Build Connection
An academic and researcher at the Orygen Centre for Excellence in Youth Mental Health at The University of Melbourne
A fellow of the Association for Contextual Behavioural Science (ACBS)
Current president of the Australian and New ZealandAssociation for Contextual Behavioural Science (ACBS)
A clinical psychologist in private practice in Bacchus Marsh Victoria
Conducts philanthropic work, visiting Nepal regularly to support a public health mission in a remote village as well as training professionals in Nepal who are working with young people.
 

Learning Objectives:
The attendee will be able to:
1. Apply the processes of the DNA-v developmental model with young people
2. Apply DNA-v with young people
3. learn how the DNA-v model can also be used for co-development with adults
4. Apply co-development of DNA-v with adult carers
5. learn the theoretical underpinnings of DNA-v
6. Discuss how self-view influences our DNA and can be an important change agent
7. Discuss how social-view (our attachments and social relationships) can influence our D, N and A
8. Describe using DNA-v with a young client
9. Discuss set up and application with groups of young people
10. learn how to apply as a protocol for groups

 

Target Audience: Intermediate, Clinical

Components: Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

Doing Experiential Therapy- M.Villatte, Walser (Clinical; Intermediate, Advanced)

Doing Experiential Therapy

Workshop Leaders:
Matthieu Villatte, PhD., Evidence Based Practice Institute, Seattle
Robyn Walser, PhD., Veterans Affairs Palo Alto Health Care System
 
THIS WORKSHOP IS FULL
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday, 20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
Workshop Description:

While Acceptance and Commitment Therapy as well as other third wave therapy techniques have been widely disseminated over the past decade, their application within a truly experiential framework often remains a challenge for therapists. The desire for transparency, the need to make rapid progress, protocol driven EBP work, elevating technique over process, or simply the difficulty of transforming theoretical knowledge into concrete practice can lead therapists to be too directive and didactic, or conversely, abstract and confusing. The opportunity to develop the autonomy of clients in the sometimes subtle and pragmatic observation of their experience is thereby undermined. Experiential techniques lose their power of deep transformation; exchanges become less personal and meaningful; therapeutic work becomes less interesting and satisfying to the therapist and the therapeutic relationship is lost to application.

The goal of this training is to assist you developing or furthering your skill in experiential and process oriented practice. We will build on the principles of contextual behavioral science, which have been particularly well developed for clinical work in ACT, but are adaptable to all 3rd wave approaches (ex. Mindfulness-based therapies, dialectical behavior therapy, meta-cognitive therapy) and experiential therapies in general (e.g. psychodynamic, hypnosis, gestalt).

What will you learn in this course?

- Doing experiential work without exercises, in natural conversations with your clients.

- Grounding your clinical practice in a stance of curiosity, openness, and non-directiveness.

- Connecting to the therapeutic process rather than relying on techniques and metaphors to carry your sessions.

- Selecting, building, and delivering experiential exercises and metaphors that are linked to the client’s experience and housed in the therapeutic relationship.

Through practical exercises, videos, demonstrations, and role plays:

- You will learn to shape your clients’ ability to observe their own experiences, and to draw conclusions adapted to their personal life choices (e.g. how to promote autonomous observation rather than didactic psycho-education).

- You will develop the ability to adapt to any situation without departing from your experiential stance (e.g. how not to fall into excessive explanations or battles of arguments with dependent, rigid, overly compliant or stuck clients).

- You will learn to use process awareness and experiential exercises in a way that strengthens the therapeutic relationship (e.g. how to introduce and debrief exercises without altering natural exchanges between client and therapist).

About Matthieu Villatte, PhD.:

Matthieu Villatte, PhD is an author and clinical trainer living in Seattle, WA in the United States.

He obtained his doctoral degree in psychology in France, where he was trained as a clinical psychologist. He moved to the US in 2010 to complete a post-doctoral fellowship at the University of Nevada, Reno under the mentorship of Steven Hayes, PhD. He then worked as an assistant professor in clinical psychology at the University of Louisiana and at the Evidence-Based Practice Institute of Seattle for several years.

Matthieu Villatte is the author of numerous books and chapters on mindfulness, acceptance, experiential therapies, and contextual behavioral science, such as the first manual published in French on Acceptance and Commitment Therapy and his new book, Mastering the Clinical Conversation: Language as Intervention, co-authored by Jennifer Villatte and Steven Hayes.

He is also a peer-reviewed trainer in Acceptance and Commitment Therapy recognized by the Association for Contextual Behavioral Science (ACBS). He has facilitated over 90 clinical trainings in the US, Canada, Australia-New Zealand, South America, and Europe. Over the past few years, he has also run dozens of online trainings gathering participants from all continents.

About Robyn Walser, PhD.: 

Robyn D. Walser, PhD, is the assistant director at the National Center for PTSD at the Veterans Affairs Palo Alto Health Care System. She also works as a consultant, workshop presenter, and therapist in her private business, TLConsultation Services. She received her doctorate in clinical psychology from the University of Nevada, Reno. During her graduate studies, she developed expertise in traumatic stress, substance abuse, and acceptance and commitment therapy (ACT). She has been doing ACT workshop trainings, both nationally and internationally, since 1998, training in multiple formats and for multiple client problems

Learning Objectives:
The attendee will be able to:

1. Describe the components of the experiential therapeutic stance and process
2. Implement techniques connecting the therapeutic process to the client’s life
3. Describe the components of the experiential work on awareness
4. Implement process and techniques helping clients observe and describe psychological experiences
5. Implement process and techniques helping clients track functional relationships among experiences
6. Implement perspective taking techniques increasing the client’s awareness
7. Describe the main processes involved in metaphors and experiential exercises
8. Implement techniques to build experiential metaphors with the client
9. Implement techniques to deliver and debrief experiential exercises
10. Implement experiential techniques with resistant, excessively compliant, or emotionally dysregulated clients 

Target Audience: Intermediate, Advanced, Clinical

Components: Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

Evoke, Reinforce, Repeat: Enhancing the Creativity and Sensitivity of Your ACT Work by Incorporating a Plain Language Behavioral Perspective - Sandoz/Boone (Clinical;Beginner, Intermediate, Advanced)

Evoke, Reinforce, Repeat: Enhancing the Creativity and Sensitivity of Your ACT Work by Incorporating a Plain Language Behavioral Perspective

 
Workshop Leaders:
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette
Matthew S. Boone, LCSW, University of Arkansas at Little Rock School of Social Work
 
[1095]
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday,20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13

 
Workshop Description:

Acceptance and commitment therapy (ACT) is a behavior analytic approach. Or so it is said. Many ACT clinicians, however, find behavior analytic language dense and hard to follow. Thus, there assessments and interventions continue to be guided by less specific, so-called “mid-level terms,” such as acceptance, defusion, and values. This may unnecessarily limit their practice. We believe that employing basic principles of respondent conditioning, operant conditioning, and derived relational responding enhances the creativity and sensitivity of the ACT clinician. Though these principles can appear cold and overly technical at first glance, we believe they can actually bring clinicians closer to the practicing ACT in a way that is connected, compassionate, and closely attuned to the client’s experience. 

In this workshop, we will train participants to practice using a simple but technical behavioral framework for doing ACT. Participants will practice functional analyses of streams of therapist and client behavior and the application of those analyses in assessment, treatment planning, and moment-to-moment interaction. This workshop is designed primarily for anyone currently applying ACT in clinical settings and secondarily for behavior analysts looking to integrate ACT into their work. Folks applying ACT in other settings are welcome; however, most exercises will focus on the format of individual therapy. This is a highly experiential workshop. Participants should be prepared to practice and have that practice analyzed (though not evaluated, per se) by the group during the workshop. 

Our goal is that by the end of the workshop, participants will have had substantial practice incorporating behavioral principles into clinical work at all points of intervention, and will be able to clearly express how they might integrate this perspective. Whether facilitating a classic ACT exercise, working the ACT matrix, or simply slowing the client down to notice his or her responding in the moment, we hope participants will have sharper skills for relieving the suffering of the people who come to them for help.

Learn more about the workshop in the video below:

About Emily K. Sandoz, Ph.D.:

Dr. Emily K. Sandoz is the Emma Louise LeBlanc Burguieres/BORSF Endowed Professor of Social Sciences in the Psychology Department at the University of Louisiana at Lafayette. Emily is the Director of the Louisiana Contextual Science Research Group and an Associate Editor of the Journal of Contextual Behavioral Science. She has co-authored three books on acceptance and commitment therapy for struggles with eating and body image, along with chapters and journal articles on ACT, values, the therapeutic relationship, and psychological flexibility. Emily has led more than 40 professional training workshops around the world, and serves as a peer-reviewed ACT trainer. She also practices as a Clinical Psychologist in Lafayette, Louisiana, where she lives with her husband and three children.

About Matthew S. Boone, LCSW: 

Matthew S. Boone, LCSW, teaches acceptance and commitment therapy (ACT) at the School of Social Work at the University of Arkansas at Little Rock and serves as the Creative Director of Clinical Content at Lyra Health, a mental health startup in Burlingame, California. He is an Association of Contextual Behavioral Science (ACBS) peer-reviewed ACT trainer, a former consultant for the VA ACT training rollout, and an ACT Boot Camp discussion leader and skills builder. He is a founder of the ACBS Social Work ACT Special Interest Group, a member of the ACBS Training Committee, and a recipient of the Boston University School of Social Work Alumni Association award for outstanding contributions to the field of social work. He has written several articles and book chapters on ACT and psychological flexibility, and he is the editor of Mindfulness and Acceptance in Social Work (2014). He lives in Little Rock, Arkansas with his wife, Toni, and two extremely flexible cats, Bella and Elliott.

Testimonials:
I had one piece of feedback for Matt Boone and Emily Sandoz following their workshop at the 2016 World Conference in Seattle: More! Along with Kate Kellum and Jonathan Tarbox, they had provided a one-day event (titled: Evoke, Reinforce, Repeat: Enhancing the Creativity and Sensitivity of your ACT Work by Incorporating a Plain Language Behavioral Perspective) that was packed to the gills, and for good reason. Not only did they deliver on their promise to train participants how to use a behavioral framework for doing ACT (essential to competency with the therapy), but they managed to do so in a way that was accessible, practical, and entertaining. These folks are experts from the ground up, and have a rare ability to bridge basic science and clinical domains – and help others incorporate behavioral principles into their clinical work. I highly recommend this much-needed learning opportunity and am pleased to see it offered in a 2-day format.  
Darrah Westrup, Ph.D.
Chair, ACBS Training Committee
Private Practice, Durango, CO  
 
Evoke, Reinforce, Repeat: Enhancing the Creativity and Sensitivity of your ACT work by Incorporating a Plain Language Behavioral Perspective in Seattle 2016 was a standing room only workshop. Matt Boone brought his usual creative and down-to-earth ability to incorporate humor and metaphor to concepts that I had previously found complex and clunky. Matt's presentation was both fun AND funny. Matt, Emily Sandoz, Kate Kellum and Jonathan Tarbox were a CBS all star team. They role played touching and effective examples of how to notice and respond to behavior with both curiosity and compassion. The experiential exercises were an ACT version of playing musical scales for me, and I use them often to help myself and my supervisees practice seeing what's in the room rather than what our minds say is in the room.
John Armando, LCSW
Lyra Health
President, ACBS Social Work Special Interest Group
 
Evoke, Reinforce, Repeat: Enhancing the Creativity and Sensitivity of your ACT work by Incorporating a Plain Language Behavioral Perspective provided a wonderful opportunity for clinicians to expand their use of key behavioral concepts into the clinical environment using everyday language. Role plays were smartly designed to allow practitioners to engage in experiential learning of everyday behaviors and not just "clinical case examples" which really made identification of target behaviors, their antecedents and their consequences much more natural and fluid. Since attending the training, I have continued to use the idea of "wet [cat] food" (an example provided by Matt Boone during the workshop) when examining reinforcers of client behavior, as well as my own. I have really valued how much this workshop enhanced my own awareness of how my behavior is also being reinforced during clinical interactions. Additionally, the "wet food" example has been readily understood by clients and clinical supervisees with whom I have shared the example. I highly recommend this workshop to anyone seeking to incorporate behavioral concepts into their work in a manner that is easily digestible to client and clinician alike.
Alycia Barlow, Ph.D.
 
 
Learning Objectives:
The attendee will be able to:

1. Describe and distinguish respondent, operant, & relational learning processes
2. Identify respondent, operant & relational processes contributing to ongoing streams of therapist behavior
3. Identify respondent, operant & relational processes contributing to ongoing streams of client behavior
4. Articulate potential contextual approaches to assessment of respondent, operant & relational processes contributing to reported clinical problems
5. Practice assessment of respondent, operant & relational processes contributing to reported clinical problems
6. Articulate potential contextual approaches to improved treatment of reported clinical problems
7. Describe traditional ACT conceptualizations in terms of respondent, operant, & relational learning processes
8. Describe traditional ACT interventions in terms of respondent, operant, & relational learning processes
9. Practice contextual interventions that may lead to improved moment-to-moment interactions
10. Describe how they might incorporate behavioral principles into their own clinical work 

Target Audience: Beginner, Intermediate, Advanced, Clinical

Components: Conceptual analysis, Experiential exercises, Didactic presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

Functional Analytic Psychotherapy (FAP): Deepening and Generalizing Your Clinical Skills of Awareness, Courage and Therapeutic Love-Tsai,Kohlenberg (Clinical; Beginner, Intermediate, Advanced) CLOSED

Functional Analytic Psychotherapy (FAP): Deepening and Generalizing Your Clinical Skills of Awareness, Courage and Therapeutic Love

Workshop Leaders:
Mavis Tsai, Ph.D., University of Washington & Independent Practice
Robert J. Kohlenberg, Ph.D., ABPP, University of Washington
 
THIS WORKSHOP IS FULL
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday, 20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
 
Workshop Description:

Ancient Chinese philosopher Lao Tzu stated, “If you want to awaken all of humanity, then awaken all of yourself.” Whether you are new to FAP or are advanced, this workshop aims to take participants to the next level of awakening in areas of both darkness and light so that you can be your best selves in the therapy room and in your daily lives.

Using awareness, courage, and therapeutic love (behaviorally defined), FAP augments the impact of treatment by focusing on the therapeutic opportunities presented when clients' daily life problems occur in the therapy session, and by the therapist showing up as a whole person who is willing to be courageously vulnerable in the service of client growth. FAP both encourages and lends itself to integration with other treatment approaches.

The conceptual and experiential format of this workshop will help super-charge your next therapy session. Content will include videotaped therapy sessions, new experiential exercises, demonstrations and client handouts. By giving and receiving FAP-informed interactions, you will delve deeper into your abilities to increase the emotional depth and interpersonal focus of your treatment. Experientials will be book-ended with contextual behavioral rationales and why/how the exercises can be relevant to your clinical work.

The vision of this workshop is not only to enhance your competence in FAP, but to provide a safe place for you to attune to what is longing to be known, and a refuge for the unseen, unmet, and unheld to return home to your heart.    

About Mavis Tsai, Ph.D.:

Dr. Tsai, co-originator of FAP, is a clinical psychologist in independent practice, and also works at the University of Washington as a research scientist and as the director of the FAP Specialty Clinic within the Psychological Services and Training Center. She has co-authored five books and over 60 articles on FAP, is an ACBS Fellow, and received the Washington State Distinguished Psychologist Award in recognition of significant contributions to the field of Psychology. She is on the Fulbright Senior Specialists Roster, has presented “Master Clinician” sessions at the Association for Behavior and Cognitive Therapy, has led numerous workshops nationally and internationally, and trains clinicians all over the world in FAP via Skype

About Robert Kohlenberg, Ph.D., ABPP: 

Dr. Kohlenberg received his doctorate at UCLA and is a Professor of Psychology at the University of Washington where he served as the Director of Clinical training. He is certified by the American Board of Professional Psychology, received the Washington State Psychological Association’s Distinguished Psychologist Award, and is a Fellow of ACBS, Society for Exploration of Psychotherapy Integration, and American Academy of Clinical Psychology. He is the co-originator of Functional Analytic Psychotherapy (FAP), has attained research grants for FAP treatment development, has co-published many papers and six books, including "Functional Analytic Psychotherapy: A Guide for Creating Intense and Curative Therapeutic Relationships."

 
Learning Objectives:
The attendee will be able to:

1. Describe awareness, courage and therapeutic love in behavioral terms and practice these behaviors in the workshop.
2. Increase intensity, depth and connection in your therapeutic relationships.
3. Learn how to recognize and therapeutically respond most effectively to client in-session problematic behaviors (CRB1s) and how to most potently reinforce in-session target behaviors (CRB2s).
4. Practice ways of listening deeply that validate the hidden meanings of your clients' communications.
5. Identify and address what you avoid in the moment, and understand how this blocks your own and others’ growth.
6. Learn when commonly used interventions can be inadvertently counter-therapeutic.
7. Practice using all five FAP rules in order to facilitate generalization of client in-session gains.
8. Find the balance that works for you and others in terms of vulnerability versus safety.
9. See more clearly your behaviors that distance others and those that invite closeness.
10. Explore, express and receive the deeper recesses of your true self.

Target Audience: Beginner, Intermediate, Advanced, Clinical

Components: Conceptual analysis, Original data, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

Igniting change in your groups: The 8 PROSOCIAL principles in action-Ebert, et al. (Beginner, Intermediate, Advanced)

Igniting change in your groups: The 8 PROSOCIAL principles in action

Beate Ebert,Clinical Psychologist, Private Practice Aschaffenburg, Germany
Paul Atkins, Institute for Positive Psychology and Education, Australian Catholic University
Thomas Szabo, Florida Tech School of Behavior Analysis
Corinna Stewart, National University of Ireland, Galway
Jennifer Nardozzi, Private Practice
Ross White, Institute of Psychology, Health and Society, University of Liverpool
Hannah Bockarie, Country Director: "Commit and ACT Foundation"
 

[1095]
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday, 20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
 
Workshop Description:
This is an invitation: do you work in a group that on Monday morning you’d like to return to, ready to make a difference? Ready to engage team members in a way that excites everyone, activates engagement, builds inclusion, celebrates diversity, and rewards commitment?
 

PROSOCIAL is a practical process that draws upon ACT, CBS, and Evolutionary Science for building resourceful, compassionate behavior in groups. The procedure involves making eight functional agreements for working together. Practicing these eight skills and using ACT to promote psychological flexibility will accelerate social change in your group, help people use resources cooperatively, and lay the groundwork for larger scaled efforts at social change.

Our invitation is that you come to our workshop with a group in mind that you’d like to transform from passive recipients of the group leader’s agenda into active, engaged participants who steer the craft together. We’ll work with you to put in place a plan that warmly opens the door for you and your colleagues to show up, vulnerable, nervous, and perhaps even, frightened, but active. The prospect of taking action when stuff is in the way is the brilliant seed of ACT laid in fertile ground. The eight skills we teach in PROSOCIAL and the ACT Matrix, which we use to bring flexibility into the room, are the water and the sun that you’ll need to take root. Join us.

Our background:
To bring you this workshop, we draw upon our experiences of using PROSOCIAL in contexts ranging from tackling gender-based violence and the spread of disease in Sierra Leone to bringing together decision-makers in the Australian public service sector. Each of us has encountered challenging thoughts and feelings that arose when we sought to act boldly to bring about social change. Each of us has navigated the complexities of building cooperation within and between groups in tumultuous conflict. As you discuss your experiences, we’ll share ours. Our vision is that you will leave the workshop empowered to enact your dreams for social change. We’ll offer our final invitation in the deepest regard for your group’s unique situation: please, do not believe what we tell you. Go see for yourself. Try out a few of our procedures with your group. Let us know how it goes. We’ve been there. We’ll write you back.  

 

 
About Beate Ebert:

Beate Ebert is a clinical psychologist and behavioral psychotherapist, working in private practice in Aschaffenburg, Germany. She is a peer reviewed trainer in Acceptance and Commitment Therapy and she is providing trainings and lectures in Germany and internationally. She is a founding member and chairperson of the German ACBS Chapter, DGKV. In 2010, along with friends and colleagues, she founded commit and act, a non-profit organization to provide psychosocial support in Sierra Leone and other areas of conflict. The commit and act team has successfully used the PROSOCIAL approach for behavior change in the Ebola crisis and to reduce gender based violence in families in Sierra Leone. Beate also started to use PROSOCIAL for the integration of immigrants in Germany.

About Paul Atkins: 

Paul Atkins is a trainer, executive coach, therapist and researcher. He has over twenty years’ experience conducting corporate training and executive coaching to improve resilience and stress management, situational awareness, conflict management and teamwork. He is a member of the international design team implementing PROSOCIAL, an approach for enhancing leadership and teamwork in the face of adversity and conflict. He is Senior Research Fellow with the Institute for Positive Psychology and Education (ACU) facilitating and researching resilience training in a variety of contexts. He holds competitive grants investigating resilience in the NSW Police Force, the NSW school system and a large hospital network. His research is focused on the use of resilience training to reduce stress while enhancing relationships, wellbeing, perspective taking and cooperation. Paul has had extensive experience teaching leadership, organisational behaviour and psychology. He is on the editorial board for the Journal of Contextual Behavioral Science and has just completed a book for Cambridge University Press on the use of mindfulness training in organizations. He is President of the Australia and New Zealand Association for Contextual Behavioural Science – the peak body for Acceptance and Commitment Training.

About Corinna Stewart:

Corinna completed her undergraduate degree in Psychology at the National University of Ireland, Maynooth (NUI Maynooth). Corinna has worked as a research assistant on a number of projects in the area of mental health at NUI Maynooth, with the Irish Health Service (HSE), and at the Institute of Mental Health and Wellbeing, University of Glasgow.
She is currently undertaking a PhD at the NUI, Galway. Corinna is the leader of the „commit and act“ Research Team and active in the dissemination of our work to the scientific community and the public.

About Jennifer Nardozzi:

Jennifer is a clinical psychologist and a national speaker with a private practice in Miami, Florida. She is the former National Training Manager at The Renfrew Center, the first residential center in the US for treating those with eating disorders. She currently is in private practice and created The BE Program, an on-line intensive program to transform eating and body issues. She has presented at numerous national conferences and internationally in Jamaica, Sierra Leone, Russia, and Uganda.
Jennifer has led training workshops in Sierra Leone and uses her years of practise to coordinate the clinical supervision meetings for Sierra Leonean practitioners.

About Hannah Bockarie:

Mrs. Hannah Bockarie has a Bachelor of Science in Project management and Development studies from Wohprag Biblical University Nigeria, a teacher’s certificate from the Makeni Teachers College in Sierra Leone, and a certificate as a trainer in Social Mobilization from the UK AID Team. She is trained as a counsellor since 2004 and started working as a counsellor supervisor with Medicine’s San Fortier’s for five years with the therapeutic focus victims of armed conflict. She did multiple Trainings in Acceptance and Commitment Therapy (ACT), attended the Association for Contextual Behavioral Science (ACBS) World Congresses in Italy and United States of America, and she is co-leading and leading ACT workshops since 2011.
She facilitated the establishment of commit and act Center in Sierra Leone to support families and individual suffering from stress, anger and fear over the years, i have being en gaged in proving a temporal shelter for victims of gender base violence to access support services.. Hannah has been outstanding among Sierra Leone women to break the Ebola transmission by formation of psychosocial counseling groups. These groups of local teachers, social workers, etc., were incredibly courageous in going to quarantine homes to provide counseling sessions for people, and they did community sensitization sessions on Ebola control and prevention. Hannah also provided training for teachers using the ACT/PROSOCIAL approach, to educate community stake holders using this approach to cause reliable behavior change in their villages. This training reached out to about 67,000 community members in the hard to reach rural areas in 94 sections in Bo District, which was one of the first districts in the country declared Ebola free. She was recognized and certified as the most outstanding psychosocial organizational Director in the district by the Bo district Council and by the District Emergency Response Centre in Bo. Her work has motivated many individuals and organizations in the Sierra Leone and they are requesting for partnership.

About Ross White:

Ross holds a PhD from the Queen’s University Belfast (QUB), after which he undertook the Doctorate in Clinical Psychology training programme at the University of Glasgow. He is a Reader in Clinical Psychology at the Institute of Psychology, Health and Society, University of Liverpool, UK.

Ross has conducted research evaluating the acceptability and efficacy of psychological interventions for psychosis. He was the founding Director of the MSc Global Mental Health programme at the University of Glasgow. He is involved in active research collaborations in Uganda, Rwanda and Sierra Leone that aim to develop community-based forms of support for ameliorating distress.
Ross has facilitated "commit and act" workshops in Sierra Leone and contributes to the research team that is evaluating the ACT method within Sierra Leone.

About Tom Szabo:

Tom Szabo is an internationally recognized peer-reviewed ACT trainer and a board certified behavior analyst (BCBA-D). Tom is working to begin a men’s support program to help those who have committed acts of gender-based violence to reenter family partnerships with new relationship skills as well as new skills for managing their thoughts and emotions. Along with the c&a research team, Tom secured a grant to conduct research on using ACT to foster intra-familial relationship skills. He also works with the Social Enterprise team to help the Sierra Leonean center and shelter generate sustainability.

  

 
Learning Objectives:
The attendee will be able to:

1. Identify the conditions that evoke participant´s own despair and cynicism in the context of social change work.
2. Describe the PROSOCIAL model and its theoretical background in a way that it is easy to apply to your own groups and purposes, including a broad range of relationships like family, marginalized communities (e.g. homeless people or ethnic minority groups), groups of ACBS professionals, or citizens of a nation.
3. Practice and model being courageous in creating what is valuable to you and speaking up for yourself and the change you want to foster.
4. Practice willingness to listen to what you normally don´t want to hear - e.g. thoughts and feelings from others and from yourself - without following the urge to consent, disagree, add, discuss etc. Learn how to create a safe space where everybody can share authentically and be creative as an individual and as a group.
5. Practice taking the perspective of others: Especially increasing capacity and willingness to take perspectives of others with whom you disagree and feel disconnected.
6. Describe the conditions under which participants experience a gap in their connectedness to others, identify the function of keeping up the gap and find ways to close the gap.
7. Discuss the role of rule following in the maintenance of discrimination (e.g. gender differences, political views, religious beliefs), prejudice and stereotypes; and the ways in which diversity is a resource or catalyst for change.
8. Explore what it means to view leadership as a behavior and practice shared leadership as taking responsibility for change in a group.
9. Demonstrate the use of PROSOCIAL for social change on a large scale (e.g. anti-violence work in Sierra Leone and transforming the Australian Public Service).
10. Write a short PROSOCIAL framework for your own group, based on what you learned in the workshop. 

Target Audience: Beginner, Intermediate, Advanced

Components: Experiential exercises, Didactic presentation
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

Process-based ACT: An intermediation ACT II Workshop - S. Hayes (Clinical; Intermediate, Advanced) CLOSED

Process-based ACT: An intermediation ACT II Workshop

Workshop Leaders:
Steven C. Hayes, Ph.D., University of Nevada, Reno
 
THIS WORKSHOP IS FULL.
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday,20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
 
In the podcast below Dr. Hayes is interviewed by Dr. Richard Bennet. Listen to hear more about the journey of the ACBS World Conference, as well as more about Dr. Hayes’ pre-conference workshop.

 
Workshop Description:

Evidence-based practice is moving from the protocols for syndromes era to the use of evidence-based processes linked to evidence-based procedures that address problems and promote prosperity in people. ACT has always been a process-based therapy, but this workshop more fully explores the clinical flexibility that a process focus provides.

The workshop assumes that attendees are familiar with mid-level ACT terms -- in particular the six core psychological flexibility processes (acceptance, defusion, flexible attention to the now, perspective taking sense of self, values, and commitment). The minimum level of experience to benefit from the workshop is having applied the model clinically with a few clients, having read an ACT book, and having had at least a day long beginning ACT workshop. Therapist who have a background that is below that cut off are not intermediate, and in that case, please, please do not sign up for the workshop. On the other end of the spectrum, however, even very experience ACT therapists will find that much of the material is new, and that the exercises build and polish existing skills in a way that opens up new opportunities for applied ACT work in any setting: clinical, medical, organizational, and so on.

The workshop will focus on ACT micro-skills: reading, targeting, and moving psychological flexibility processes. The workshop will help you can see psychological flexibility processes in flight, and target these processes at will within the therapeutic relationship. The goal is to be able at any moment in any session to go in any flexibility direction you wish. This degree of flexibility and fluency changes ACT as an evidence-based therapy from a kind of march into a fluid psychotherapeutic dance that can fit the demands and time restrictions of your setting and client. A process-based approach is also highly useful for integrating ACT skills with virtually any other evidence-based process and procedure, and part of the workshop will work on such combinations.

The style of the workshop is very interactive. Just as you can't learn to dance solely through verbal instructions this skills-building intensive creates more fluid and flexible ACT abilities by creatively breaking ACT down into a manageable set of skills and fostering these microskills with practice and feedback. Instead of being primarily instructional, this workshop relies on seeing, doing, and getting feedback in round after round of targeted experiences. The exercises are analogous to playing scales for musicians: highly structured practice that establishes skills that are essential to creative work.

Developed over the last two years, I've received excellent reviews for ACT II and I am excited to be bringing the workshop to WorldCon. 

About Steven C. Hayes, Ph.D.:

Steven C. Hayes, Ph.D., is Nevada Foundation Professor in the Department of Psychology at the University of Nevada, Reno. He has served as president of multiple scientific and professional organizations, including the Association for Behavioral and Cognitive Therapies (ABCT) and the Association for Contextual Behavioral Science. His work has been recognized by the Award for Impact of Science on Application from the Society for the Advancement of Behavior Analysis and the Lifetime Achievement Award from the ABCT, among other awards. The author of 41 books and over 575 scientific articles, Dr. Hayes has focused on understanding human language and cognition and applying this understanding to the alleviation of human suffering and the promotion of human welfare.

Learning Objectives:
The attendee will be able to:

1: Describe the implications of the six flexibility processes for our understanding of the therapeutic relationship
2: Describe at least two ways each of reading defusion and acceptance processes as they show up in ACT work
3: Describe at least two ways each of reading flexible attention to the now and perspective taking processes as they show up in ACT work
4: Describe at least two ways each of reading values and committed action processes as they show up in ACT work
5: Show at least one generally useful method each of opening the door to acceptance or defusion issues ACT work
6: Show at least one generally useful method each of opening the door to present moment or perspective-taking issues ACT work
7: Show at least one generally useful method each of opening the door to values or committed action issues in ACT work
8: Show that you can respond to client statements from any flexibility process
9: Show that you can combine process-based ACT with evidence-based processes and procedures commonly used in your work
10: Show that you can do useful work while shifting flexibility targets on demand 

Target Audience: Intermediate, Advanced, Clinical

Components: Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play 
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

The GO-RFT Workshop: Reticulating (From the Bottom Up) with ACT-D. Barnes-Holmes, Y. Barnes-Holmes, McEnteggart (Clinical; Research; Beginner, Intermediate, Advanced)

The GO-RFT Workshop: Reticulating (From the Bottom Up) with ACT

Workshop Leaders:

Dermot Barnes-Holmes, D.Phil., Ghent University
Yvonne Barnes-Holmes, Ph.D., Ghent University
Ciara McEnteggart, Ph.D., Ghent University
 
THIS WORKSHOP IS FULL.
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain 
09:30-17:45 on Tuesday, 20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
Contact Hours/CE credits available: 13
 
In the podcast below Yvonne Barnes-Holmes is interviewed by Richard Bennett about her pre-conference workshop and how RFT will be represented at the ACBS World Conference.

Workshop Description:

The workshop will be the first to emerge from what is currently the largest single grant awarded for RFT-focused research. The title of the workshop reflects the location (Ghent University) and source of the funding (an Odysseus Type 1 award from the Flanders Research Foundation; FWO): the Ghent Odysseus RFT Workshop. The title also aims to capture the sense in which the workshop (and others that will follow) may be seen as a type of shared journey or odyssey as both workshop presenters and those who attend the workshops aim to build together an increasingly coherent set of verbal practices that serve to guide the behavior of basic and applied researchers and clinical practitioners toward the goals of prediction-and-influence with precision, scope, and depth.

The overarching aim of the workshop will be to build and strengthen the much needed links between basic experimental models of human psychological suffering and their treatment, on the one hand, and the theoretical and conceptual analyses that are emerging from mindfulness-based cognitive-behavior therapies, such as ACT, on the other hand.

The workshop will be divided into six parts. Part 1 will involve a brief introduction to key concepts in basic behavior analysis, which pre-date RFT, and how they may be used to understand human psychological suffering and its treatment. Some of the limitations of these concepts will also be reviewed. Part 2 will involve a brief introduction to RFT, focusing on its basic concepts and how it provides a bottom-up account of human language and cognition, with a particular focus on how it explains human psychological suffering. Part 3 will introduce recent conceptual and empirical advances in RFT, focusing on the development of the Implicit Relational Assessment Procedure (IRAP) and the Relational Elaboration and Coherence (REC) model, and how they have been employed in clinically relevant areas of research. Part 4 will examine “cutting-edge” developments in RFT, focusing on the Multi-Dimensional Multi-Level (MDML) framework for analyzing the dynamics of arbitrarily applicable relational responding (AARR) and the Differential AARR Effects (DAARRE) model, and how in combination they may be used to conceptualize and explain clinically relevant behaviors that are observed with the IRAP. Part 5 will review videos of in vivo therapy sessions in which the therapist engages in verbal functional analyses that involve “drilling down” into the relational networks that appear to be central to a client’s psychological suffering. Part 6 will use the therapy sessions presented in Part 5 to illustrate how RFT, and in particular the MDML framework and the DAARRE model, may be used to facilitate and support reticulation between basic and applied research and clinical practice.

About Dermot Barnes-Holmes, D.Phil.:

Dr. Dermot Barnes-Holmes graduated from the University of Ulster in 1985 with a B.Sc. in Psychology and in 1990 with a D.Phil. in behavior analysis. His first tenured position was in the Department of Applied Psychology at University College Cork, where he founded and led the Behavior Analysis and Cognitive Science unit. In 1999 he accepted the foundation professorship in psychology and head-of-department position at the National University of Ireland Maynooth. In 2015 he accepted a life-time senior professorship at Ghent University in Belgium. Dr. Barnes-Holmes is known internationally for the analysis of human language and cognition through the development of Relational Frame Theory with Steven C. Hayes, and its application in various psychological settings. He was the world's most prolific author in the experimental analysis of human behavior between the years 1980 and 1999. He was awarded the Don Hake Translational Research Award in 2012 by the American Psychological Association, is a past president and fellow of the Association for Contextual Behavioral Science, is a fellow of the Association for Behavior Analysis, International, is a recipient of the Quad-L Lecture Award from the University of New Mexico and most recently became an Odysseus laureate when he received an Odysseus Type 1 award from the Flemish Science Foundation in Belgium.

About Yvonne Barnes-Holmes, Ph.D.: 

Since October 2015, Dr. Yvonne Barnes-Holmes has been the Senior Research Fellow of an Odysseus I Award on “Toward a Relational Frame Theory Account of Human Psychopathology within a Functional-Cognitive Framework” and Associate Professor in Behavior Analysis, both at the Department of Experimental, Clinical and Health Psychology, Ghent University. She was formerly tenured faculty, including Head of Department, at the Department of Psychology, National University of Ireland Maynooth since 2003. She graduated from the latter in 2001 after completing an experimental Ph.D entitled 'Analysing relational frames: Studying language and cognition in young children'. Since 2001, she has been involved in attracting 4million+ euros in funding. She is supervising or has graduated 19 doctorates and 7 Masters. She has published 120+ articles and book chapters and given 400+ talks and workshops. She is a World Trainer in ACT. Her areas of research interest include: the development of language and cognition; functional analyses of psychological suffering, especially depression, PTSD and psychosis; behavioral and cognitive psychotherapies, especially acceptance and change therapies; and critical psychology/psychiatry

About Ciara McEnteggart, Ph.D.

Ciara McEnteggart graduated from National University of Ireland, Maynooth with her B.Sc. in 2009 and her Ph.D. in 2015, both under the supervision of Prof. Yvonne Barnes-Holmes. She is currently appointed as a postdoctoral researcher at the Department of Experimental-Clinical and Health Psychology at Ghent University since October 2015, under the FWO Odysseus grant lead by Prof. Dermot Barnes-Holmes. To date, Ciara has published 11 articles and 3 book chapters which centre around the conceptual development of Relational Frame Theory and the understanding of human psychological suffering and its alleviation. Ciara has also been involved in 30 conference papers and 5 workshops at both national and international conferences. Ciara’s research interests centre around the conceptual development of Relational Frame Theory (RFT; a basic account of human language and cognition), and how such developments can facilitate a deeper understanding of human psychological suffering and its alleviation. As part of the Odysseus project, the team are currently investigating various relational features of human behaviour and how they may function in psychological suffering (e.g. the impact of rules on behaviour, relational perspective-taking, distinctions between fear and avoidance), with the principal aim of creating a functional taxonomy of various patterns of suffering. In parallel, the team are also working on a number of clinical conceptual developments, for example, how RFT can both inform and enhance clinical work in areas such as assessment, interventions, and the therapeutic relationship. Ciara is also an ACT therapist under the supervision of Prof. Yvonne Barnes-Holmes, thus has a very interest in linking the basic science to clinical practice.

Learning Objectives:
The attendee will be able to:

1. List and describe key concepts in basic behavior analysis (pre-dating RFT).
2. Explain how key concepts in behavior analysis may be used to understand human psychological suffering and its treatment.
3. Summarize some limitations of these key concepts in terms of their clinical utility.
4. List and describe key concepts in RFT.
5. Explain how key concepts in RFT provide a bottom-up account of human language and cognition, and list examples of their relevance for psychological suffering.
6. Describe the IRAP as a measure of AARR, and explain how, when combined with the REC Model, it has been used to explain clinically-relevant phenomena.
7. Outline the MDML, and the DAARRE Model, and how they may shed new light on clinically-relevant phenomena.
8. Give examples of Verbal Functional Analysis, based on presented video material of therapy sessions.
9. Explain how Verbal Functional Analysis can be used to conduct case formulations and direct therapeutic intervention.
10. Explain how the MDML and the DAARRE Model may be used to support reticulation between basic and applied research, and clinical practice. 

Target Audience: Beginner, Intermediate, Advanced, Clinical, Research

Components: Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

The Therapeutic Relationship in ACT: Cultivating Present and Powerful Client Connections in Acceptance and Commitment Therapy- Wilson (Clinical; Research; Beginner, Intermediate, Advanced)

The Therapeutic Relationship in ACT: Cultivating Present and Powerful Client Connections in Acceptance and Commitment Therapy

Workshop Leaders:

Kelly G. Wilson, Ph.D., University of Mississippi

 
[1095]
 
Dates & Location of this 2-Day Workshop:
The Melia Sevilla Hotel, Sevilla, Spain
09:30-17:45 on Tuesday,20 June, 2017
09:30-17:45 on Wednesday, 21 June, 2017
 
Contact Hours/CE credits available: 13
Workshop Description:
In your profession, one of the most important skills you can master is the building of genuine, open, and meaningful relationships with your clients. They count on you to be there for them when, sometimes, no one else can be. The question is, are you up the the challenge of really being present with your clients? If you’re ready to deeply and experientially explore and master the therapeutic relationship in Acceptance and Commitment Therapy, this workshop is for you.
 
In 2008, ACT co-founder Kelly Wilson’s Mindfulness for Two quietly appeared as part of the growing Acceptance and Commitment Therapy (ACT) literature. Mindfulness for Two was, perhaps, an unfortunate title, since many thought from the title that it was a couples book. It is not a couples book.
 
In contrast to the 1999 Acceptance and Commitment Therapy and its evolved 2011 edition—surveys of the theory and practice of ACT—Mindfulness for Two is a personal and powerful guide to the therapeutic relationship in ACT. What can happen when you slow down, let go of your usual patterns of managing hard content, and shift your attention from fixing and consoling to listening and appreciating? What happens in that relationship when we offer the same quality of attention to the clinical conversation that we offer to our breath in a mindfulness meditation. Your client can be truly heard and, sometimes, hear themselves for the first time.
 
In the last eight years, the body of ACT literature has surged, but Mindfulness for Two remains the best and most detailed treatment of the therapeutic relationship in ACT. The book also includes one of the most effective and detailed case-conceptualization models developed for the work to date. Join us to explore the therapeutic relationship from an ACT perspective.
 
Discover how to really show up during even the most challenging sessions.
Learn the most common traps that separate you from your clients.
Find out how to effectively read your clients and guide change processes accordingly.
Learn one of the simplest and most effective case conceptualization models in ACT, now supported by elements of the ACT Matrix. 
 
About Kelly G. Wilson, Ph.D.:
Kelly G. Wilson PhD is Professor of Psychology at the University at Mississippi. He is Past President & Fellow of the Association for Contextual Behavioral Science. Kelly has devoted himself to the development & dissemination of ACT & its underlying theory and philosophy for the past 25 years, & has published many articles and chapters, as well as 10 books including the seminal text Acceptance and Commitment Therapy: The Process & Practice of Mindful Change, Mindfulness for Two: An ACT Approach to Mindfulness in Psychotherapy as well as several books aimed at the general public. He has central interests in the application of behavioral principles to understanding topics such as purpose, meaning & values, therapeutic relationship, & mindfulness. Kelly is the founder of Onelife Education and Training, LLC and has presented workshops and provided consultancy in 32 countries.
 
 
Learning Objectives:
The attendee will be able to:
1. Explain why careful consideration of the ubiquity of human suffering is an important preliminary step to the creation of a strong therapeutic relationship
2. Describe how you experience the human impulse to problem solve as a therapist and how your clients are likely to experience it in their lives and contrast this with an intention choice to notice and appreciate your client
3. Describe the distinction between behavior and context
4. Demonstrate a basic understanding of stimulus control as it applies to clinical practice, especially common patterns of stimulus control you’re likely to observe in sessions
5. For each of the six basic ACT processes, briefly describe a.) the basic shape of the process, b.) process in behavioral terms, and c.) the importance of the process as it reflects itself in your life and work as a clinician
6. Demonstrate ways to introduce mindful presence in the relationship you share with your client, especially focusing on pace, pitch, and tone in speech
7. Describe common patterns of avoidance you’re likely to observe in clients and common patterns of avoidance you’re likely to experience as a clinician
8. Explain how you can detect a “mind-y” conversation in your relationship with your clients 
9. Describe way to embrace both acceptance and change in the context of a session
10. Explain psychological flexibility and why it is the explicit goal of ACT
11. Demonstrate experiential case conceptualization as it grows out of the material presented in this workshop
 

Target Audience: Beginner, Intermediate, Advanced, Clinical, Research

Components: Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play
 
Package Includes: A general certificate of attendance, lunch, and twice daily coffee/tea break on site.
 
CEs available [1096]: APA type
 

Registration & Fees - WC15 & Pre-Conference Workshops

Online registration has now closed. 

If you still need to register, please complete the form here [1101] and bring it to the ACBS registration desk on Planta/Floor -1, at the Melia Sevilla. (17:00-18:00, 19 June; 8:00-9:30, 20 June; 18:00-20:00, 21 June; 8:00-9:30, 22 June)

 

World Conference 15 Registration Rates

22-25 June ONSITE REGISTRATION
Professional €579 ($648*)
Student €369 ($413*)
Professional, Non-Member €649 ($727*)
Student, Non-Member €399 ($447*)

Above prices include 3 lunches, twice daily coffee/tea breaks on site, and a general certificate of attendance.

*(US Dollar amount is provided for information only and may vary slightly based on current exchange rates.  Euro amount will not change. If your bank account or credit card is in Euros, and your bank charges a currency transaction fee to USD, you may see a slight variation in the amout charged, based on the day's exchange rate.)


Pre-Conference Workshop Registration Rates (20-21 June, 2017)

The workshops below will be held the 2-days immediately preceding the ACBS World Conference 15. They will be 9:30am-5:30pm on each day.

The workshops [1080] run concurrently, so you may only register for one pre-conference workshop. Also note that they require their own registration and fee (they are not included as part of the ACBS World Conference).

20-21 June ONSITE REGISTRATION
Professional €379 ($424*)
Student €269 ($301*)
Professional, Non-Member €449 ($503*)
Student, Non-Member €289 ($324*)

Above prices include 2 lunches, twice daily coffee/tea breaks on site, and a general certificate of attendance.

*(US Dollar amount is provided for information only and may vary slightly based on current exchange rates.  Euro amount will not change. If your bank account or credit card is in Euros, and your bank charges a currency transaction fee to USD, you may see a slight variation in the amount charged, based on the day's exchange rate.)

Register Now! [1102]


Please Note:

  • To qualify for the rates above, registration as well as payment must be received in Jenison, Michigan, USA by the dates listed.
  • Emerging Economy Professionals - reduced registration rates available - go here for more information [1024]
  • Additional fees are required for certificates that track the number of hours you attended (€10) and CE credits [1096] (€40). These fees cover all events from 20-25 June, 2017 and do not need to be paid twice for attending multiple events.
  • All rates in Euros. (US Dollar amounts provided above are for informational use only. The Euro amount will not change. The credit card processor however will be in US Dollars, so you may see the actual amount charged vary slightly based on that day's exchange rate.)
    Registration rates apply as you register. Subsequent memberships do not qualify those already registered for a refund of the difference between the member and non-member rates. Same is true for students, or other similar status and discounts, unless a full cancellation and refund are issued, and prevailing rates apply.
  • Lunches are provided 20-24 June if a corresponding registration is purchased, as well as coffee/tea during the breaks (approx. 12:30pm & 4:45pm).
  • We apologize that we may not be able to accommodate special meal requests (gluten free, vegan, etc.) for registrations received after 22 May.
  • Spain VAT registered. VAT invoice will follow upon request (staff@contextualscience.org).
  • To register via Mail or Fax, or pay via PayPal [847], please use the Printable Version. DOC [1103] or PDF. [1104] O la inscripción en Español. [1105]
  • Online registration is not available after 16 June, 2017. 
  • Faxed (1 (225) 302-8688) or mailed registrations must be received at P.O. Box 655, Jenison, MI, 49429, USA, by 31 May. (Note that prevailing rates will apply upon receipt.)
  • Student Registration/Membership is available to individuals who are enrolled in a program of study leading to a bachelor’s, master’s, or doctoral degree, are interns, or are postdoctoral candidates. Postdoctoral candidates qualify for Student Registration for up to 2 years, with proof of status from their employer. After this time, they need to register as a Professional. Note: Those registering for the conference as a student are ineligible to earn any kind of CE credits.
  • NEED HELP? If you're having trouble registering, please email Marcy at support@contextualscience.org

Refunds:
A €40 processing fee will be charged for World Conference & Pre-conference registration refunds up to 2 June, 2017. (Per refund transaction.)

We regret that after 2 June, 2017, refunds can not be made, however we will allow a substitute registrant. If you need a refund, please contact us [1106] via email. (Note: Shared registrations are not permissible... meaning that you can't attend one day and your colleague the next, etc.) 

Photograph/Video Release:
ACBS has official photographers/videographers for this meeting. Photographs/video taken at ACBS's Annual World Conference may be used in future marketing, publicity, promotions, advertising and training activities for ACBS. By registering for this meeting, you agree to allow ACBS to use the photographs/video—which may include you—in all media formats worldwide. If you do not want to be photographed or videotaped, please notify the individuals capturing the information.

Waiver of Liability:
Each individual attending ACBS's Annual World Conference assumes all risks associated with his/her attendance and participation in all on- and off-site activities that occur during this time. By registering for this meeting, you agree to indemnify and hold harmless ACBS and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to your attendance and participation at ACBS's Annual World Conference.

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Conference FAQ

General Information about the ACBS World Conference

Are the conference venue meeting rooms and bathrooms accessible?

Yes, the ACBS World Conference 15 in Seville, Spain, host hotel (Melia Sevilla) has an elevator for access to all meeting rooms.  Any rooms with steps also have ramps.

Bathrooms (toilets) are available on Planta -1 for wheelchair access. Also on Planta -1, ACBS is designating one set of bathrooms as "All Gender", for access for anyone of any gender.  Accessible and "All Gender" designated bathrooms will also be available at our offsite wine and tapas event.

How do I sign up for individual sessions/workshops during the conference?

Sessions during the ACBS World Conference are open to all paid conference attendees.

You don't have to sign up before hand.  You just go to the session/workshop you are interested in. 

ACBS attempts to put the most popular sessions into the largest rooms, but sometimes the room assignment is too small for the interest.  We apologize if a room is full before you arrive.

(Note: Pre-Conference Workshops do require pre-registration and a separate fee to attend.)

How much do workshops cost during the World Conference?

Workshops given during the World Conference are free of charge.

(Note: Pre-Conference Intensive workshops have a separate fee and registration.)

RFT Track

RFT Track:
At this year’s conference, an RFT Track will be organized for submissions of RFT data, as well as conceptual and clinically-relevant submissions to address the needs of those interested in RFT across experience levels.

General Description of the RFT Track:
The RFT Track is intended to create a unique RFT experience. It will bring a person newer to RFT, as well as a more experienced person, through a logical narrative based on invited and accepted content.

All RFT related content accepted to the conference will not be designated as part of the RFT Track. Indicating that you would like your submission considered for the RFT Track will not lessen your chances of acceptance to the general conference.

In the podcast below the RFT Track Chair, Yvonne Barnes-Homes, discusses the track and RFT at the ACBS World Conference. 

Detailed Description of how the RFT Track is Determined:

  1. A special committee reviews all submissions to the RFT Track. Submissions are blind to all except the RFT Track Chair who liaises continuously with the main conference Program Committee, usually on logistics.
  2. The main aim of the Track Committee is to give the Track a coherent and interesting structure that will best meet the needs and interests of the potential audiences, but this then inevitably involves imposing some form of structure on submissions. However, submissions, rather than invites, form the majority of what appears in the Track. The more submissions, the better.
  3. Two of the criteria primarily used to select or reject submissions are those used for the conference in general.
  4. Two additional criteria are also applied. 1. A scale (0-10) of relevance to the RFT Track is applied and everything below an annually determined base number was rejected. Submissions that appear to focus on RFT but which do not mention RFT or words to that effect in the abstract or title will not be considered in the RFT Track. Last year, these were automatically returned for review to the main conference submissions. So, a good rule of thumb is for authors to be very explicit that RFT is what they wish to focus on. 2. An assessment is made of whether a submission appears to be very similar to other submissions. In this case, all of those submissions are reviewed separately and those with higher rankings are selected over those with lower rankings. This type of filtering is necessary to avoid repetition in the Track, given that the Track is allocated only a certain amount of time and space in the overall conference programme. As an example, in one year, there were 11 similar submissions that intended to focus on the relationship between RFT and ACT in a workshop format, and we had to filter strenuously, and unfortunately in this way, in order to include this important topic but to avoid repetition.
  5. When submissions that are to be included are reviewed, the Track Committee look for possible clusters that will make the Track coherent. To help with this, authors whose submissions are accepted may be asked to consider altering a focus in places or to clarify whether they will present data.
  6. The Track Committee also consider the level of a submission in terms of whether it is better suited to an audience who are more or less familiar with RFT. This feature is also considered in the sequencing of the Track’s events. For example, in past years, more introductory content was placed earlier in the Track, with more complex content following later.
  7. To help with coherence, it is much better if authors submit single events (a talk, panel, workshop, etc. ) rather than clusters of events, such as symposia This allows the Track Committee more freedom in moving events around to facilitate clusters. To help with variety, authors are strongly encouraged to submit the full range of events, such as panels, etc. The RFT Track doesn’t just have to consist only of RFT data.
  8. Where there are gaps or where a specific event would seem beneficial, invited speakers will be asked to participate. If the level of submissions is high, there will be little of this necessary.
  9. Where a group of authors submit to the Track but are rejected, every effort is made in conjunction with the main Program Committee to try to ensure that each individual gets to participate in some other way in the conference. This is not always possible, but seems a fair way to recognize everyone’s efforts in submission and planning to come to the conference.
     

What does a Chairperson do?

The Chairperson for a PANEL should prepare to briefly introduce each Panelist. Keep it brief and relevant, so as not to take up lots of precious session time. Introduce all Panelists at the beginning of the session. Panels vary in their format, some have each panelist give 10 minute presentations followed by a discussion/debate by the panelists, some require the Chair to pose pre-arranged questions, some feed solely off of audience questions. The Chair is responsible for knowing or establishing the format and facilitating it (perhaps by asking the questions or calling on the audience members). If the panel gets off track (or off topic) it's the Chair's responsibility to bring them back to the topic, and make sure that the Educational Objectives listed in the Program are met/covered. Please keep in mind though that the Chair is not a Panelist (unless they are scheduled in both roles) and should make sure not to speak at length. If the Q&A is still going strong at the end of the scheduled time period, please thank the presenters, and announce that if the audience has any more questions, the presenters may be able to give them a few minutes in the hallway for remaining questions. This is necessary if another session is starting in 15 minutes (so that the next presenters can begin to prepare in the room) and so that those audience members that need to leave can do so (without disrupting the session) at the conclusion of the time period. It is the responsibility of the Chairperson to make sure that the session begins on time. Please make sure you have a watch.

Here's [1107] another cool article about Panel chairing for some other tips.

 

The Chairperson for a SYMPOSIUM should prepare to briefly introduce each speaker, immediately prior to his/her presentation (this can be as minimal as Name, Affiliation, Paper title; or a little more substantive if desired, but still brief.) It is also your responsibility to monitor the timing of each speaker.  (Each session may have slightly different timing... if the session is 75 minutes, with 3 papers, each paper would be 15-20 minutes, then 15 minutes of time for the Discussant, followed by Q&A. If the session is 90 minutes with 3 papers, each paper would get 20 minutes, 15 minutes for the Discussant, and the remainder for questions.) Briefly tell each speaker, prior to the session something like "I'll keep the time on my watch. Each speaker has 15 minutes. I'll raise my hand in the back of the room when you have 5 minutes, and I'll raise my hand and hold up 1 finger when you have 1 minute left." You may put notecards on the lectern with the amount of time left, if you prefer. If the presenter does not stop at the end of their time, please kindly interrupt them (verbally), and ask them to wrap up so that the next presenter may begin.  (The audience will thank you!) The Question & Answer period for all papers should occur at the end of the session (not after each presentation). Please just make sure that everyone gets a fair and equal amount of time. (If the first person has a short talk, the extra time may be divided among the remaining speakers.) It is the responsibility of the Chairperson to make sure that the session begins on time. Please make sure you have a watch.

 

What does a Discussant do?

A discussant is the final speaker in a SYMPOSIUM who highlights and integrates the contributions of various speakers in that symposium. That is, they use their expertise to provide a general commentary on individual papers within the session and explore how the papers (in relation to each other) help advance the topic. Discussants should plan to discuss the session for approximately 10 minutes, depending upon the time available, and then moderate questions from the audience. Discussants should directly request the papers (or at least the outlines) from the presenters before the conference, and prepare by reading related work prior to the conference.

What if I'm fasting for Ramadan while in Spain?

If you will be attending the ACBS World Conference in Spain in June, we were able to make a special accommodation for those observing the fasting of Ramadan.

If you are staying in the conference hotel: https://contextualscience.org/wc15_hotel

The Melia hotel has agreed to open the breakfast room 15 minutes early, at 6:45am, so that you may eat breakfast prior to sunrise. (Sunrise that week will be at approximately 7:03am.)

Also, if you are fasting that week, and would like to tell me (via email, by May 19), we can arrange a monetary credit at the hotel restaurant for you, as you will not be eating lunch during the conference day. If this is what you would prefer to do, please notify me, and tell me the name on your hotel room reservation so that I can apply the food credit. 

We are aware that for a variety of reasons, some Muslims may not be fasting during their time in Spain. If this is the situation for you, there is no need to contact me.

Thank you,

Emily Rodrigues

ACBS

acbs@contextualscience.org

Registration Scholarships and Discounts

[828]Discounts:

Emerging Economy Professionals - reduced registration rates available - go here for more information [845]

Scholarships:

Developing Nations World Conference Scholarships - Deadline is 20 January, 2017.

Diversity World Conference Scholarships - Deadline is 1 February, 2017.

Student World Conference Scholarships - Deadline is 15 February, 2017.

Michael J. Asher Student Dissertation Award - Deadline is 1 February, 2017.

ACBS Student Spotlight Program (includes student registration discount) [1108]- Deadlines 25 November, 2016 & 31 March, 2017.

YOU MUST BE LOGGED INTO YOUR ACBS MEMBER ACCOUNT TO ACCESS/SUBMIT MOST OF THE APPLICATIONS ABOVE.

Not sure if the Diversity or Developing Nations scholarship applies to you? Go here to learn more [1109].


We need your help!  If you're able, please consider donating to the funds here:

Developing Nations Fund [876]

Diversity Fund [877]

Every Dollar/Euro/Yen/Peso/Farthing helps!


For Professionals in countries with Emerging Economies, we offer special rates (identical to student registration [1110] rates) to attend the ACBS World Conference in Spain.

To see if you qualify, check the IMF list here. [1111]

ACBS Student World Conference Scholarship

The mission of the ACBS Student SIG is to work to support students of contextual behavioral science by advocating for their professional and personal development and facilitating their contribution to ACBS and the larger community. One step in moving towards this mission has been to create Student World Conference Scholarships that will help subsidize the costs of attending the annual ACBS World Conference. It is our hope that these scholarships will facilitate the attendance of more students to the conference and help foster their professional and personal development as a member of the ACBS community.

This year we will be giving out 5 scholarships, each for $200 US dollars which can be used off-set the cost of the ACBS World Conference registration fee. If a student is already being reimbursed for conference registration fees by their institution, then they are ineligible for this award.

Please note that you must be presenting a poster or a paper as part of a symposium or IGNITE presentation, and these submissions MUST be in by February 15, 2017.

Eligibility Criteria [1112]

Submission deadline: February 15, 2017  (Please note that no submissions will be allowed after the deadline, and incomplete submissions will be disqualified.)

(You will be notified of the result by March 21st.)

If you have any questions, please contact Houyuan Luo at houyuan@ualberta.ca.
 

Example: "University of Cologne, developmental psychology program"

PhD, PsyD, MA, etc.

Clinical, Applied Behavioral Analysis, Counseling, Neuropsychology, Neuroscience, Developmental, Cognitive, etc.

Please enter currency unit, example "200 Euros" or "300 USD" or "registration fee", etc.

ACBS WC15 Developing Nations Conference Scholarship application

The Association for Contextual Behavioral Science will be offering a limited number of travel and/or registration fee scholarships to support participation in the World Conference 15 in Seville, Spain, 22-25 June, 2017 (and/or pre-conference workshops 20-21 June, 2017).

To be eligible for these Developing Nations Conference Scholarships, applicants must complete the following application detailing their motivations to attend the conference, as well as a plan to share the knowledge and skills acquired with their home community. Applicants must also currently be residing in one of the nations classified as "developing" by the International Monetary Fund (April, 2015) [1113].

Priority will be given to applicants who demonstrate a clear need for training, limited access to training and development resources in their current contexts, and a strong commitment to foster the dissemination and implementation of CBS in their communities.

Scholarship recipients will be required to present a brief description of their current work at this year’s conference poster session (if not orally during the conference) and a written report of their dissemination activity (500 words minimum) within 6-7 months following the conference.

Is this scholarship appropriate for me [1109]?

Other scholarships [1114].

(Want to donate to the Fund making this possible? Please go here [876].)

Scholarship application deadline: 20 January, 2017
 

Student World Conference Scholarship - Eligibility Criteria

ACBS Student World Conference Scholarship
 
This year we will be giving out 5 scholarships, each for $200 US dollars which can be used off-set the cost of the ACBS World Conference registration fee. If a student is already being reimbursed for conference registration fees by their institution, then they are ineligible for this award.
 
Eligibility criteria:
Nominees must be
1) student members of ACBS in good standing (i.e., membership dues are up to date);
2) currently enrolled as a student in an undergraduate or graduate program;
3) presenting a poster or a paper as part of a symposium or IGNITE presentation. Please note that these submissions MUST be in by February 15, 2017.  (In the event that your oral/symposium presentation is not accepted, scholarship recipients will be guaranteed a poster acceptance on the same topic/research.)
 
We encourage applications from first time ACBS conference attendees, students from under-represented groups in ACBS (e.g. developing nations), and students who demonstrate financial need. We define “financial need” as including one or more of the following, but understand that there might be other examples:
 
  • Your school will not provide any reimbursement or funding for this trip. You are funding this trip 100% by yourself.
OR
  • You have recently gone through personal situations that have put a strain on you financially.
OR
  • You do not have student assistantships (i.e., paid Teaching Assistant or Research Assistant appointments). You are funding all of your studies with student loans and/or working other jobs outside of school.
OR
  • You live in a developing nation where financial resources are scarce.
 
Please submit your application [1115] here!

Submission Deadline: The deadline for submissions is February 15th by 11:59pm Eastern Daylight Time (EDT). No submissions will be allowed after the deadline. Incomplete submissions will be disqualified. Notifications of scholarship recipients will be made via email by March 21st.

Questions? Please contact Houyuan Luo at houyuan@ualberta.ca
 
Back to other Scholarships/Discounts [1114]

 

WC15 Developing Nations & Diversity Scholarships

This year, there are two similar, but distinct, scholarships to attend the ACBS World Conference in June, 2017. One is for individuals from a Developing Nation and one is for individuals of a diverse background (e.g., disenfranchised or minority) and with financial need.

One way to distinguish the ACBS Diversity Committee from the Developing Nations Fund is to say that:

  • The Diversity Committee (DC) works to address inequities WITHIN countries (for example by promoting inclusion of disenfranchised or minority groups to benefit their health and well-being) whereas
     
  • The Developing Nations Fund (DN) addresses inequalities and inequities BETWEEN countries (for example by serving to build capacity and infrastructure to promote health and well-being in developing nations).

For this year’s applications, the questions below will help applicants decide which scholarship to apply to.

  • Are you a member of a developing nation [1116]? If yes, you may click here to apply [1117].
  • Are you from a diverse background [1118]?  If yes, you may click here to apply [1119].
     

15 in 15 - ACBS WC15 Conference Podcast

We are very excited to announce that Richard Bennett [1120], who is an ACBS member and Peer-reviewed ACT trainer, will be hosting a podcast series entitled '15 in 15'.

In each 15 minute interview Dr. Bennett will talk with some of the most influential figures from ACBS, and key contributors to the ACBS World Conference 15 in Seville. Those Dr. Bennett will be sitting down with include leading Relational Frame Theory researcher, Yvonne Barnes-Holmes, ACBS President, D.J. Moran, and co-founder of Acceptance and Commitment Therapy, Steven Hayes.

This podcast is also available on iTunes [1121].


[828]Episode 1

In the inaugural episode of ’15 in 15’ Richard Bennett is joined by ACT co-founder Steve Hayes. In this interview, they discuss the journey of the ACBS conference, as well as Dr. Hayes’ pre-conference workshop [1122], Process-based ACT: An intermediation ACT II. 


Episode 2

In this episode Richard Bennett is joined by the RFT Track [1076] Chair, Yvonne Barnes-Holmes. They discuss how RFT will be represented at the ACBS World Conference, as well as her pre-conference workshop [1085], The GO-RFT Workshop: Reticulating (From the Bottom Up) with ACT-D.


Episode 3

In this episode Richard is joined by ACBS Invited Speaker [1074] Roger Vilardaga. They talk about his contribution to this conference, his background, research interests, and a few tips to get the most out of a trip to Spain.


Episode 4

In this episode Richard Bennett is joined by the current ACBS president, D.J. Moran. They discuss some of the inner workings of the organization and past conferences.


Episode 5

In this episode Richard talks with one of the ACBS World Conference 15 Program Chairs, Miguel Rodriguez-Valverde. In this interview Miguel gives insight on his background, being the program chair, and even offers some travel tips.


Episode 6

In episode 6 of "15 in 15" Richard is joined by Dennis Tirch. Listen as they discus CFT and the bridge between Compassion Focused Therapy and ACT.

Along with Paul Gilbert and Laura Silberstein, Dennis will be leading a 2-day Pre-Conference workshop in Seville entitled, "An introduction to compassion focused therapy (CFT)" [1087].


Episode 7

In the seventh episode, Richard is joined by Ingrid Ord for an attendee’s perspective of the ACBS World Conference. Listen as she discusses her long history of attending ACBS conferences and makes a few recommendations as to why you should attend.


Episode 8

Richard speaks with Beate Ebert, who will be co-presenting a PROSOCIAL Pre-Conference workshop. Listen as they discuss they discuss her workshop, "Igniting change in your groups: The 8 PROSOCIAL principles in action" [1123], and her work with Commit and ACT in Sierra Leone.


Episode 9

In this episode Richard if joined by FAP co-founders Mavis Tsai and Bob Kohlenberg. Together they will be presenting a two day pre-conference workshop in Seville entitled, "Functional Analytic Psychotherapy (FAP): Deepening and Generalizing Your Clinical Skills of Awareness, Courage and Therapeutic Love [1092]".

Continuing Education (CE) Credits

Possible credit hours: [828]

  • 2-day pre-conference workshops: 13 hours
  • ACBS World Conference 2017 (attending all CE events): Approx. 21- hours

 

Types of Credit Available:

  • CE credit is available for psychologists. (APA type)

The Association for Contextual Behavioral Science is approved by the American Psychological Association to sponsor continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for this program and its content. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

Information about the CE Process at the Event:

Please remember to scan in and out at the beginning and end of each session using our scanner system. If there is a problem and the scanners are not working, please make sure to sign in and out on the paper check-in sheet provided. We cannot give CE credit if you do not scan/sign in and out.

Please DO NOT SCAN in and out for coffee/tea breaks. CE credits are NOT available for IGNITE sessions or Chapter/SIG/Committee meetings or other lunch time sessions.

You will need to complete an evaluation for each session you attend, in order to earn CEs. The evaluations will all be done online. You can complete your evaluations at http://contextualscience.org/evals [1008]. These online evaluations must be completed by Wednesday, July 12, 2017. We will email you a printable copy of your certificate by August 15, 2017. This email will come to you from “ACBS”. If you do not receive it, please email support@contextualscience.org.

Certificate with Number of Hours Attended
As an alternative to a CE certificate, some credentialing agencies (please check with yours) may accept a certificate with the number of hours attended. This requires that an individual verifies their attendance by signing in and out of each session that they attend during the event. The cost for this type of certificate is €10.


Fees:

A €40 fee will be required to earn CEs.  If you attend either a pre-conference workshop(s), World Conference, or both, only €40 USD is due.  If you register for multiple events seperately, please only pay the fee one time. This fee is non-refundable (unless you cancel your registration in its entirety before the cancellation deadline). Attendance verification (sign in/out) and evaluations also may be required.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Rodrigues, 1-269-267-4249 or through the Contact Us [294] link on this website.

  • CEs are only available for events that qualify as workshops, symposia, invited lecture, panel discussion, or plenary sessions. Poster sessions, IGNITE sessions, sessions shorter than 1 hour, and some other specialty sessions do not qualify for Continuing Education.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

Commercial Support Disclosures:

The following sessions have indicated that there is commercial support for their presentation:

World Conference (22-25 June, 2017) Sessions: 55 & 124

General Schedule of Events - 20-25 June, 2017

[828]

Pre-Conference Workshops (2-days)

20 June, 2017 - 09:30-17:45

21 June, 2017 - 09:30-17:45

ACBS World Conference 14

21 June, 2017 - (approx.) 19:30 - 25 June, 2017 - 12:30


By day...

Note: The break and lunch times listed below are approximate.

Monday, 19 June, 2017

17:00-18:00

Registration (registration desk on Planta/Level -1)

Tuesday, 20 June, 2017

08:00-17:00

Registration (registration desk on Planta/Level -1)

09:30-17:45 (Breaks, 11:45-12:00; Lunch, 14:00-15:15; Break, 16:30-16:45)

Pre-Conference Workshops

Wednesday, 21 June, 2017

08:30-17:00

Registration (registration desk on Planta/Level -1)

09:30-17:45 (Breaks, 11:45-12:00; Lunch, 14:00-15:15; Break, 16:30-16:45)

Pre-Conference Workshops

18:00-18:45

Rookies Retreat: ACBS Conference Orientation (Student and First Time Attendee event) (room: Giralda VI-VII)

18:00-20:00

Registration (registration desk on the Planta/Level -1)

18:30-21:00

Opening Social, Chapter & SIG Event (Planta/Level -1 & -2) (A cash bar will be available. All family & friends are welcome at this event.)

18:30-19:30

Poster Session #1 (Planta/Level -1 & -2)

Thursday, 22 June, 2017

08:00-09:00

Yoga

08:00-17:00

Registration (registration desk on Planta -1)

08:15-09:15

Chapter/SIG/Committee Meetings

09:30-18:15 (Breaks, 12:30-12:45; Lunch, 14:00pm-15:15; Break, 16:45-17:00)

Conference Sessions

19:00-20:30

Wine and Tapas Event

Friday, 23 June, 2017

08:00-09:00

Yoga

08:30-17:00

Registration (registration desk on Planta -1)

08:15-09:15

Chapter/SIG/Committee Meetings

09:30-18:15 (Breaks, 12:30-12:45; Lunch, 14:00pm-15:15; Break, 16:45-17:00)

Conference Sessions

18:15-20:15

Poster Session #2 & #3 (Planta -2) (A cash bar and drink tickets will be available.)

Saturday, 24 June, 2017

08:00-09:00

Yoga

08:30-17:00

Registration (registration desk on Planta -1)

08:15-09:15

Chapter/SIG/Committee Meetings

09:30-18:15 (Breaks, 12:30-12:45; Lunch, 14:00pm-15:15; Break, 16:45-17:00)

Conference Sessions

20:30-22:30/45 (Follies begin at approx. 21:00)

Follies! [1124] in Giralda I-II (A cash bar will be available. All family & friends are welcome at this event.)

22:30/45pm-1:00am

Dance Party! [1124] (DJ & dance floor... what more do you need?) (Santa Cruz on Planta/Level -1)

Sunday, 25 June, 2017

09:00-12:30

Registration (registration desk on Planta/Level -1)

09:30-12:30 (Break, 11:00-11:15)

Conference Sessions

Information about the Follies

The Follies is a core feature of ACBS conferences. At the ACBS World Conference 15 it will take place on the Saturday night from around 21:00 – 23:00. Basically it’s a cabaret show, filled with funny songs, sketches, stand-up comedy routines, humorous PowerPoint presentations, pre-made videos, etc. And all of this funny and talented content is created by YOU: the conference delegates!

There will be a cash bar to facilitate you getting in touch with your values as a performer (yeah, right…), after the Follies there will be dancing.

There are very few rules regarding the content – Firstly it has to be short (around 3 minutes is perfect. Longer, and the shepherd’s crook will be sweeping you off the stage!) Secondly, any aspect of ACT, Mindfulness, Behaviourism, therapy, RFT, CBS or any of the people you know in the ACT / CBS Community is fair game to be (gently and kindly) mocked.

The Follies actually comes from an important tradition: in the past ‘The Truth’ was what an authority deemed to be true. Then science came along and people started to look to their direct observations to determine what was true. But of course, human beings being as we are and loving to categorise things in hierarchies, began to automatically create hierarchies of people who could directly observe what was true and hence we have scientific authorities. The purpose of the Follies is to ensure that no idea, and no person in this community who has an idea, is immune to question, playfulness, challenge.

So delegates: get your creative powers focused, anything you have seen in the ACT world that deserves to be made fun of is fair game. Produce your sketches, songs, PowerPoints, stand ups and either email sonjavbatten@gmail.com or daniel.moran@comcast.net  to ensure I have your name down for a place in the Follies or come and see me during the conference (Hurry you only have the first day to do it).

Our top tips are: if you have a funny song, produce a PowerPoint with the lyrics so people can see and sing along. If you are looking for a backing track to sing to, this is a good site: http://www.karaoke-version.com/ [1125]

As a taster, and to inspire you to action here are some superbly talented videos that have been shown at previous ACBS World Conferences, courtesy of Daniel Ek:

https://www.youtube.com/watch?v=afnJYSvkqSA&feature=youtu.be [1126]

Here is one from our very own Joe Oliver: CBS Wars

https://contextualconsulting.co.uk/insights/cbs-wars-acbs-conference-follies-2015 [1127]

And here is one from the Utah State and Nevada students from 2010:

https://www.youtube.com/watch?v=3cXb3rpU8M4 [1128]

 

The fun doesn't stop when the Follies end! 

Immediately following the Follies we invite you to join us for a dance with "DJ CFunc", a.k.a Eric Morris.  See you on the dance floor!

Hotel Information

[1129]Meliá Sevilla (conference venue and primary hotel) [1130]
Dr. Pedro de Castro, 1
Seville 41004
Spain

As of 28 May, this hotel is currently full 21-25 June, with space on 19, 20 June.  Please feel free to reach out to them directly, in case of cancellations.

(34)954421511
melia.sevilla@melia.com

Group block rate (valid 17-26 June, 2017):
Single Occupancy/ ocupación de uno - 110 € per night/ por noche (tax not included/ impuestos no incluidos)
Double Occupancy/ ocupación doble - 120 € per night/ por noche (tax not included/ impuestos no incluidos)

Rooms with 1 Double Bed or Twin Beds available.

Limited upgraded/view/premium/suites also available.

Rate includes breakfast buffet and high speed wifi internet.

[1129]

[1130]Check in 15:00 hours, check out 12:00 hours. 38 € + VAT will be applied per guest room, per night, for a third person sharing a double guest room. The first night's payment will be charged upon reservation. Reservation cancellations made fewer than 20 days prior to scheduled arrival will incur penalties (see schedule on Melia Reservation page).

If you have any questions, or special requests regarding your guest room, please contact Sonia at salones.melia.sevilla@melia.com

Rooms in our block at the Melia Sevilla (if rooms are still available) are only available for online reservations until 21 May, 2017. After this date the "prevailing" rate may apply, subject to room availability.

Interested in sharing a room? Click here [1131] to view our room share/ride share page.


Overflow Hotel

If the dates you need above are not available at the Melia Sevilla, we also have the following block available nearby (1 km away):

Hotel NH Collection Sevilla [1132]
Avda Diego Martinez Barrio, 8
41013 Seville - Spain

Single Occupancy/ ocupación de uno - 125 € per night/ por noche (tax included/ impuestos incluidos)
Double Occupancy/ ocupación doble - 135 € per night/ por noche (tax included/ impuestos incluidos)

Check in 15:00 hours, check out 12:00 hours. 

Rate includes breakfast.

If you have any questions, or special requests regarding your guest room, please contact Ana at a.rodriguez@nh-hotels.com

Reserve your room at the NH via this link [1133] or...

You can make a reservation by filling out this reservation form [1134] and mailing, emailing, or faxing this form to the hotel. Please be sure to identify yourself as attending the ACBS CONFERENCE when making your reservation.

Mail to: Hotel NH Collection Sevilla, Diego Martinez Barrios, 8
41013 Sevilla, Spain
Fax: 011 34 95 442 6450
Email: nhcollectionsevilla@nh-hotels.com
Phone: 011 34 95 454 8500, Use key word "ACBS" 

It is recommended that reservations be made by 5 May, 2017. Reservations made after 5 May, 2017 will be accommodated only if space is available. See reservation form for cancellation policy.

 

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Map of Conference Venue and Area

The conference hotel can be found at:

Meliá Sevilla
Dr. Pedro de Castro, 1
Seville 41004
Spain

Room Share / Ride Share

[828]Please use this page to find hotel roommates or rides for the ACBS World Conference 15 and/or pre-conference workshops.

Please be sure to post a "check-in" and "check-out" date in your posting and if you already have a room reserved or not (and where).

To post your need: click "add new comment" (which appears in blue below). It is recommended that you list your email address so that you may be contacted directly, but that is up to you.

To respond to a posting: click "reply" at the bottom of a post, and your reply will appear on this page (you may want to give your email address so that you may be contacted directly).

See the "Example Post" and "Example Reply" below to understand what this will look like.

When your need has been met, please go back to your comment (be sure you are logged in) and click "edit", and delete the content of your post. (admin is the only one who can delete the post entirely, but if you have deleted all of the content, I'll know to delete the post) Otherwise people will just keep contacting you....

Click "Contact Us [304]" above in the header of the site for feedback or assistance. (You only need a login to interact with this page, paid membership is not required to participate.)

Please note that it becomes the responsibility of each participant in the program to communicate with and to work out an agreement with a potential room sharer. ACBS's role is strictly limited to the maintenance of this website page who have signified interest in the program and will maintain the page but will not (a) screen participants, (b) make any determination as to the appropriateness of any resulting room share, or (c) represent that any room share which may follow use of the service will prove to be satisfactory to the participants.

Optional Tours and Spouse/Guest Information

[977]This year we're pleased to announce a few fantastic tour options for our attendees, as well as opportunities for guests/spouses/families.

Tours (for attendees and/or guests):

We have a day trip to beautiful Córdoba [1135]. (as of 08.06.2017 SOLD OUT)

A tour of the Seville Cathedral [1136]. (as of 08.06.2017 SOLD OUT)

And a tour of the Alcazar Royal Palace & St. Cruz Quarters [1137]. (as of 08.06.2017 SOLD OUT)

(All tours depart from the conference hotel/venue Melia Sevilla.)

Guest/Spouse evening opportunities:

In addition to the tours above, guests of ACBS World Conference attendees may attend:

21 June - Chapter/SIG opening social at the Melia Sevilla

22 June - Wine and Tapas Social (15.06.2017 SOLD OUT) [1138]

23 June - Poster session at the Melia Sevilla

24 June - Follies at the Melia Sevilla

Other Guest/Spouse opportunities:

The beautiful Melia Sevilla has an outdoor pool for the family and with the historic city center only a 15 minute walk away Seville itself has so much to offer [1139].

Child Care

The group Pinapark [1140] offers babysitting services. The rates for one child are:

16,00€ + 21% VAT per hour for Spanish speaking babysitter at the hotel

22,50€ + 21% VAT per hour for English speaking babysitter at the hotel

Rates valid for 2017, for one child at a time (for more children with the same babysitter, please inquire for rates…)

You can contact directly with pinapark@pinapark.com (to the attention of María). You arrange payment directly to Pinapark. (ACBS has not before worked directly with Pinapark, but they have been recommended by our DMC partner, CitiTravel [1141].)

Alcazar Royal Palace & St. Cruz Quarters Tour

Date:Saturday, 24 June 2017
Time: 09:45-12:45
Duration of tour: 3h 30m
Location: Seville historic centre
Price per person: 30 Euros (includes 21% VAT) (includes entry tickets for the Royal Palace and the Santa Cruz Quarters)

Description of activity:
The tour begins in front of the Melia Sevilla with an offical local English speaking guide and allows attendees to avoid waiting in all ticket lines (if tickets are still available... they can sell out). This walking tour takes place along two of the most important sites in Seville: the Royal Palace and the Santa Cruz Quarters. 

The Royal Palace of Seville, Alcazar, is one of the most visited monuments of Spain. The Alcazar was a luxurious and magnificent palace belonging to the Arabic Kings of Seville in Medieval times. It is considered the twin brother of the famous Alhambra palace of Granada. It is now the occasional residence of present kings whenever they stay in Seville.

Santa Cruz District is the name of the old Jewish sector of the city. It is located besides the Cathedral and Alcazar and it is now a quiet pedestrian area with plenty of narrow streets, flowers, chapels and taverns.

Guests should bring bottles of water, a hat, and wear sun cream.
 

SOLD OUT

Reservations not available after 7 June, 2017. Refunds are available until 7 June, 2017, for a $10 fee per ticket refunded. After 7 June, refunds are not available, but you may gift your ticket to someone else.

Córdoba Tour

Date: Friday, 23 June 2017 
Time: 09:30 to 17:30
Duration: 8h
Location: Córdoba is a 90m drive from Seville
Price per person: 64 Euros (includes 21% VAT) (includes transportation via motorcoach to/from Córdoba and entry tickes for the Synagogue and the Mosque/Cathedral)
 

Description of activity:

You will travel to the city of Córdoba, via motorcoach, with a local English speaking guide. This trip includes entrance into the Synagogue and the Mosque/Cathedral and allows attendees to avoid waiting in all ticket lines.

Córdoba is equally impressive today as it was in the past. Many don't know that in the 11th century, it was one of the most important capitals in Europe. People from many different cultural and religious backgrounds were living peacefully together. There were many important philosophers, scientists and artists who emerged from here. 

Learning about Córdoba's cultural background and visiting its great monuments, such as: the world famous Mezquita, the Moorish Mosque and museums, you will certainly find interesting aspects of each.  

Córdoba is a lively traditional Andalusian town with narrow streets of Moorish style houses, balconies and flowers everywhere, and Flamenco. This is certainly one of the most attractive destinations in southern Spain.

Once you arrive in Córdoba, you will visit one of the most well-known monuments in the city, the old Mosque. You will enjoy the beauty of the Mosque, with its artistic arches, columns, patios and treasures. This amazing building dates back to the early Medieval ages when Córdoba was the capital of the prosperous Moorish kingdom. At that time, Córdoba had one million inhabitants making it the most crowded city in the world. 

After, you will enter the Jewish quarters which is one of the most beautiful and popular parts of the town. Many centuries ago, Córdoba was a great example of how many different cultures could live peacefully together. At that time, Christians, Jews, and Moors were living together, sharing cultures and traditions. It was the most prosperous time in Córdoba history.

Schedule for Córdoba:

09:30 Meet & Greet with the guides in the lobby of the hotel Melia Sevilla
09:40 Coach transfer to Córdoba (optional comfort stop if necessary)
11:35 Estimated arrival in Córdoba (stop at the side of the Roman Bridge) / Walk to the Mosque
11:55 Guided tour of the Mosque/Cathedral
12:50 Guided tour of the Jewish quarter including the Synagogue
13:30 Lunch at leisure / Free time in the city center
15:30 Meet & Greet with your guides at the foot of the Mosque / Walking transfer back to the coaches
15:45 Coach transfer back to Seville
17:30 Estimated arrival in Seville / End of the tour 
 

Guests should bring bottles of water, a hat, money to purchase lunch, and wear sun cream.

SOLD OUT

Reservations not available after 7 June, 2017. 30 guests maximum. Refunds are available until 7 June, 2017, for a $10 fee per ticket refunded. After 7 June, refunds are not available, but you may gift your ticket to someone else.

Seville Cathedral & Panoramic Tour

churchDate: Thursday, 22 June 2017
Time: 10:00-13:00
Duration of tour: 3h
Location: Seville historic centre
Price per person: 38.50 Euros (includes 21% VAT) (Price includes entrance into the Cathedral of Seville and Giralda Tower)

Description of activity:

This tour will begin in front of the Melia Sevilla. (transportation by bus)

Your complete tour of the Cathedral and Giralda Tower will be guided by a private English speaking guide and allow you to avoid waiting in all ticket lines (if tickets are still available... they can sell out).

This tour will include a complete panoramic view tour of Seville, including: the Plaza de España, Golden Tower, Seville Bullring, Palace of San Telmo and Maria Luisa Park. 

The Cathedral of Seville is one of the most relevant historic buildings in Spain. It is the 3rd largest Christian temple in the world after St. Peter in the Vatican and St. Paul in London.

The building of this monument began as a large Muslim mosque during the 11th century. It was later partially destroyed by the Christian Reconquista of the city and turned into a gothic cathedral. However, it still kept parts of the beautiful Moorish architecture. 

Construction of the Cathedral took place over many centuries and today the Cathedral is a mix of Arabic, Gothic Renaissance, and Neo-Classic styles. 

Guests should bring bottles of water, a hat, and wear sun cream.

SOLD OUT

Reservations not available after 7 June, 2017. Refunds are available until 7 June, 2017, for a $10 fee per ticket refunded. After 7 June, refunds are not available, but you may gift your ticket to someone else.

Wine and Tapas Social - Restaurant La Raza

As a fun networking event, ACBS is organizing a wine and tapas event on 22 June, 2017 at the Restaurant La Raza

This event is complimentary for ACBS World Conference registrants, and included with your registration. Guest tickets may be purchased below.


What: Wine and Tapas Social

When: 22 June, 2017 - 19:00-21:00

Where: Restaurant La Raza  (Restaurant La Raza is only a 10 minute walk from the Melia Sevilla Hotel, and on the way to the historic city center.)

Cost: 24 Euros 

(Entry includes 2 glasses of wine (or beer or soft drink) and 2 tapas pieces, per person. Guests are welcome with a pre-purchased ticket.)


SOLD OUT

Guest ticket purchase is available online until June 14. Refunds are available until June 14, with a $10 refund fee, per ticket.

Program

[977]

Conference (22-25 June)

Final Program (5.88 MB) [1142]

Brief Schedule (235 KB) [1143]

Presentaciónes en Español [1144]

Complete list of Posters [1145] (with abstracts) that will be at the WC15.

Complete list of Symposia [1146] (with abstracts) that will be at the WC15.

Complete list of IGNITES [1147] (with abstracts) that will be at the WC15.

Check out the information about this year's RFT Track [1148] and how it works.

Please meeting your 2017 WC15 Conference Program Committee here [1149].

Plenary Sessions

  • Carmen Luciano, Ph.D.: The self and responding to the own’s behavior. Implications of coherence and hierarchical framing
  • Frans B.M. de Waal, Ph.D.: Prosocial Primates: Empathy in Animals and Humans
  • Gregory J. Madden, Ph.D.: Behavioral Economics of Impulsivity & Addictive Behavior
  • Alicia E. Meuret, Ph.D.: Don’t Take a Deep Breath: Debunking Therapeutic Myths by Understanding the Psychobiological Mechanisms of Fear Reduction
  • Steven C. Hayes, Ph.D.: Evolution on Purpose: Why the Ultimate Success of CBS is Tied to Applied Evolution Science
  • Daniel "D.J" Moran, Ph.D.: Mindful Diversity

Learn more about the Plenary presenters and other Invited Speakers here [1074].

Pre-Conference Workshops (20-21 June)

Complete information about our Pre-Conference workshops (June 20-21) can be found here [1072].

We've got fantastic workshops:
En Español

  • Carmen Luciano and Fran J. Ruiz [1150] on ACT (Terapia Aceptación y Compromiso), una terapia contextual enlazada a la Teoría del Marco Relacional (RFT)

In English

  • Dermot Barnes-Holmes, Yvonne Barnes-Holmes, and Ciara McEnteggart [1085] on The GO-RFT Workshop: Reticulating with ACT
  • Beate Ebert, Paul Atkins, Corinna Stewart, Jennifer Nardozzi,  Hannah Bockarie, Edmond Brandon, Ross White, Thomas Szabo, and Maria Kensche [1086] on Individual Transformation & Global Change: the 8 Prosocial Principles in Action
  • Paul Gilbert, Dennis Tirch, and Laura Silberstein [1087] on introduction to CFT
  • Louise Hayes and Joseph Ciarrochi [1088] on Developing Vitality: using the DNA-v model
  • Steven C. Hayes [1122] on Process-based ACT
  • Emily K. Sandoz and Matthew S. Boone [1090] on Enhancing the Creativity and Sensitivity of Your ACT Work
  • Kirk Strosahl, Patricia Robinson, and Thomas Gustavsson [1091] on Brief Interventions for Radical Change: Basics of FACT
  • Mavis Tsai and Robert J. Kohlenberg [1092]on Functional Analytic Psychotherapy (FAP)
  • Matthieu Villatte and Robyn Walser [1093] on Doing Experiential Therapy
  • Kelly Wilson [1094] on The Therapeutic Relationship in ACT

Registration

Please register [1073] at your convenience.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Invited Speakers for the World Conference 15

Dermot Barnes-Holmes, D.Phil.

Dr. Dermot Barnes-Holmes graduated from the University of Ulster in 1985 with a B.Sc. in Psychology and in 1990 with a D.Phil. in behavior analysis. His first tenured position was in the Department of Applied Psychology at University College Cork, where he founded and led the Behavior Analysis and Cognitive Science unit. In 1999 he accepted the foundation professorship in psychology and head-of-department position at the National University of Ireland Maynooth. In 2015 he accepted a life-time senior professorship at Ghent University in Belgium. Dr. Barnes-Holmes is known internationally for the analysis of human language and cognition through the development of Relational Frame Theory with Steven C. Hayes, and its application in various psychological settings. He was the world's most prolific author in the experimental analysis of human behavior between the years 1980 and 1999. He was awarded the Don Hake Translational Research Award in 2012 by the American Psychological Association, is a past president and fellow of the Association for Contextual Behavioral Science, is a fellow of the Association for Behavior Analysis, International, is a recipient of the Quad-L Lecture Award from the University of New Mexico and most recently became an Odysseus laureate when he received an Odysseus Type 1 award from the Flemish Science Foundation in Belgium.


Lisa W. Coyne, Ph.D.

Dr. Coyne is the Founder and Director of the McLean OCD Institute for Children and Adolescents at McLean Hospital, and is on the Faculty of Harvard Medical School. She is a Research Associate Professor in the Clinical Psychology Doctoral Program at Suffolk University in Boston, Massachusetts, and is on the Faculty of the Behavior Therapy Training Institute (BTTI) of the International OCD Foundation (IOCDF). She is also a licensed psychologist and an internationally recognized ACT trainer with extensive experience using ACT with young people with OCD and their families.


Paul Gilbert, Ph.D.

Psychology at the University of Derby and Consultant Clinical Psychologist at the Derbyshire Health Care Foundation Trust. He has researched evolutionary approaches to psychopathology over 40 years with a special focus on shame and the treatment of shame based difficulties - for which compassion focused therapy was developed. He was made a Fellow of the British Psychological Society in 1993. In 2003 Paul was president of the BABCP and a member of the first British Governments’ NICE guidelines for depression. He has written/edited 20 books and over 200 papers, and spoken on TV and radio In 2006 he established the Compassionate Mind Foundation as a charity with the mission statement To promote wellbeing through the scientific understanding and application of compassion (www.compassionatemind.co.uk). He was awarded an OBE by the Queen in March 2011.


Steven C. Hayes, Ph.D.

Steven C. Hayes, Ph.D., is Nevada Foundation Professor in the Department of Psychology at the University of Nevada, Reno. He has served as president of multiple scientific and professional organizations, including the Association for Behavioral and Cognitive Therapies (ABCT) and the Association for Contextual Behavioral Science. His work has been recognized by the Award for Impact of Science on Application from the Society for the Advancement of Behavior Analysis and the Lifetime Achievement Award from the ABCT, among other awards. The author of 41 books and over 575 scientific articles, Dr. Hayes has focused on understanding human language and cognition and applying this understanding to the alleviation of human suffering and the promotion of human welfare.


Maria Karekla, Ph.D.

Maria Karekla, Ph.D., licensed clinical psychologist and Assistant Professor, University of Cyprus is heading the “ACTHealthy: Anxiety disorders and Behavioral Medicine” laboratory. She received her doctorate degree in Clinical Psychology from the University at Albany, SUNY. She completed her residency at the University of Mississippi Medical Center and Veterans Administration Hospital. Currently holds the position of Assistant Professor of Clinical Psychology at the University of Cyprus and is the chair of the Clinical Psychology Doctorate committee. Her research focuses on areas of health promotion and the investigation of individual difference factors (especially experiential avoidance) as they relate to the development and maintenance of various behavioural difficulties (especially anxiety and health related problems). Additionally, she examines the treatment of these difficulties utilizing Acceptance and Commitment-based principles and innovative delivery methods (e.g. Internet delivered therapy, virtual reality). Her research received grants and awards by (among others) the European Council and Pompidou’s group, and the Association for the Advancement of Behavior Therapy. She is the chair of the Cyprus Bioethics Committee on Biomedical Research, a member of the Cyprus Psychologist Licensing Board, and a member of the European Federation of Psychology Associations’ Psychology and Health and e-health task forces. She is also presently serving as a member-at-large of the Association for Contextual Behavioral Science. A number of her research projects have received local (e.g., Cyprus Research Foundation grants), EU and other funding. 


Carmen Luciano, Ph.D.

She received her PhD. in the Complutense University of Madrid in 1984. She is Professor of Psychology in the University of Almeria since 1994 – and in the University of Granada from 1979 to 1993. Her research dedication began on the experimental analysis of language. Her Postdoc Fulbright research stay in Boston University and the Cambridge Center for Behavioral Studies, in1985-86, was centered in studying problem-solving behavior, following Skinner’s last studies. This was a critical point in her career as basic researcher. She was involved in the equivalence research, rule-governed behavior and, shortly after, in research of RFT and ACT. Her research lab has been -and is- conducting basic creative experimental-applied RFT designs for the analysis of analogies, coherence, deictic and hierarchical framing in the context of identifying core components of metaphors, false memories, experiential avoidance, values, defusion, self and responding to the own behavior, as well as designing brief ACT protocols and learning ACT protocols.

She has published pivotal papers and books, connecting basic-applied domains. She is Director of the Experimental and Applied Analysis of Behavior Research Group since 1986, where she has directed over thirty doctoral theses - some of her students are running their own labs nowadays. She is also Director of the Functional Analysis in Clinical Contexts Doctoral Program in the University of Almeria, and of the Master Program in Contextual Therapies in Madrid Institute of Contextual Psychology – MICPSY. Her research has been funded for years by international, national and regional public fundings, and she has collaborated with different research groups at a global level.


Gregory J. Madden, Ph.D.

Dr. Madden received his training from the University of North Texas, West Virginia University, and the University of Vermont. Dr. Madden’s research is focused on the behavioral economics of addiction and health decision-making. His early research documented extreme impulsivity in individuals addicted to illicit drugs and cigarettes. Later research revealed that impulsive decision-making predicted acquisition of cocaine self-administration in rats. His current research investigates methods for reducing impulsivity. Dr. Madden’s second, research line explores game-based behavioral-economic approaches to improving children’s health decision-making. These research lines have been supported by grants from the National Institute on Drug Abuse, the National Institute for Child Health and Development, and from the US Department of Agriculture. Dr. Madden frequently serves on NIH grant-review panels, he has published more than 90 papers in 30 different journals, and his peer-reviewed publications have been cited more than 5,500 times. From 2011 until 2015, he served as the Editor-in-Chief of the Journal of the Experimental Analysis of Behavior. He has edited two books including the two-volume APA Handbook of Behavior Analysis. He is currently co-writing an introductory Behavior Analysis textbook and, in his free time, he skis and hikes in the beautiful mountains of Northern Utah.


D.J. Moran, Ph.D.

As a Board Certified Behavior Analyst, he has conducted safety improvement initiatives in a variety of industries including pulp & paper and petroleum with organizations such as the Kuwait Oil Company, Tennessee Valley Authority, and Boise Paper. D.J. also engaged in leadership training in Sierra Leone, and in several U. S. companies. His specialties include applied behavioral analysis, organizational behavior management, government consulting, Acceptance and Commitment Therapy (ACT), leadership consulting, behavior-based safety (BBS), innovation training, sales coaching, and executive coaching.

An interest in obsessive-compulsive disorder led him to work with individuals dealing with compulsive behavior. He has appeared on or been a part of several television projects including Hoarding: Buried Alive (The Learning Channel), Confessions: Animal Hoarding (Animal Planet); and Fox News broadcasts.

D. J. coauthored ACT in Practice, a professional book focused on complex, applied behavior analysis and is the author of numerous papers on behavior change and evidence-based education. He has spent the last several years combining ACTraining with behavior-based safety and executive coaching for leadership. He earned his doctorate in Clinical/School Psychology from Hofstra University. 

Hear more about D.J. and ACBS in the interview below


Alicia E. Meuret, Ph.D.

Alicia E. Meuret, Ph.D. is the Director of the Anxiety and Depression Research Center (ARC) and an Associate Professor of Clinical Psychology at Southern Methodist University, in Texas, USA. Dr. Meuret received her Ph.D. in Clinical Psychology from the University of Hamburg based on her doctoral work conducted at the Department of Psychiatry and Behavioral Sciences at Stanford University. She completed postdoctoral fellowships at the Center for Anxiety and Related Disorders at Boston University and the Affective Neuroscience Laboratory in the Department of Psychology at Harvard University.

Her research program focuses on novel treatment approaches for anxiety and mood disorders, biomarkers in anxiety disorders and chronic disease (asthma), fear extinction mechanisms of exposure therapy, and mediators and moderators in individuals with affective dysregulations, including non-suicidal self-injury. Dr. Meuret is the founder of the Capnometry-Assisted Respiratory Training (CART), a FDA-approved biobehavioral intervention for normalizing hypocapnia.

 Dr. Meuret has published over 80 scientific publications, has received funding by federal grants for studying novel interventions for anxiety and asthma, and is currently the Principal Investigator on a NIH U-grant on developing a miniature asthma-trigger monitor. Dr. Meuret has served on a number of research panels, NIH review boards, and federal and scientific expert advisory boards. She is a past associated editor of Behavior Therapy, and past president of the International Society of the Advancement of Respiratory Psychophysiology. She has received awards by Anxiety and Depression Association of America, the Psychiatric Research Society, and the American Psychosomatic Society. Dr. Meuret is a board-certified clinical psychologist who maintains a small private practice.


Niklas Törneke, M.D.

Niklas Törneke is a Swedish psychiatrist and licensed psychotherapist. He is a recognized ACT trainer and originally trained in cognitive therapy he has been working with ACT since 1998. He has been involved in training ACT in many different contexts both in his home country and internationally for over 15 years. His specializes in applying a behavior analytic approach to clinical work and he is the co-author of "The ABCs of human behavior" and has also authored "Learning RFT. An introduction to relational frame theory and it's clinical application". His forthcoming book "Metaphor in practice" (already available in Swedish) will be released in August 2017.


Roger Vilardaga, Ph.D.

Roger Vilardaga is an Assistant Professor at the Center for Addiction Science and Technology at Duke University and Affiliate Professor at the Department of Human Centered Design and Engineering of the University of Washington. Roger is passionate about the potential of mobile technologies for the advancement of contextual behavioral science and the development of cost-effective and higher-reaching behavioral interventions. Roger studied psychology at the Universitat de Barcelona and in 2012 received his doctoral degree in Clinical Psychology from the University of Nevada, Reno under Steven C. Hayes' mentorship. He has published 42 papers addressing theoretical issues in CBS, the study of deictic relational responding in clinical populations, methodological innovation in CBS, and most recently translation of ACT interventions to digital media. From 2010 to 2015 he served as Associate Editor of the Journal of Contextual Behavioral Science. He has contributed to the study and development of several digital interventions, including Mindful Daily, SmartQuit, Tummy Trials, Eyes Free Yoga, Mindful Powers, and Pain Tracker Self Management. He created and designed Learn to Quit, the first NIH-funded mobile app to deliver smoking cessation treatment for individuals with serious mental illness. This app won the Gold W3 Award in 2016 by the Academy of Interactive and Visual Arts and the Silver Davey International Award in 2016 for best wellness and health app. His work has been featured in FastCompany, The Drum, Seattle K5 News and Psychiatric News. His lab has been funded by the National Institute on Drug Abuse, the University of Washington Innovation Award, Pfizer and Duke University.

Roger Vilardaga es Profesor Asistente en el CfAST (Center for Addiction Science and Technology) de la Universidad de Duke y Profesor Afiliado en el Departamento de Human Centered Design and Engineering de la Universidad de Washington. Roger tiene gran interés en el potencial de las tecnologías móviles para el avance de la ciencia conductual contextual y el desarrollo de tecnologías de bajo coste y gran alcance. Roger estudió psicología en la Universitat de Barcelona y en el año 2012 se graduó con un doctorado en Psicología Clínica por la University of Nevada, Reno bajo la supervisión de Steven C. Hayes. Ha publicado 42 trabajos cubriendo temas teóricos en CBS, el estudio de los marcos relacionales deícticos en poblaciones clínicas, innovación metodológica en CBS, y más recientemente la traducción de intervenciones ACT a formato digital. Desde el año 2010 hasta el 2015 sirvió como Editor Asociado para el Journal of Contextual Behavioral Science. Roger ha contribuido al estudio y desarrollo de varias intervenciones digitales: Mindful Daily, SmartQuit, Tummy Trials, Eyes Free Yoga, Mindful Powers, and Pain Tracker Self Management. También creó y diseñó Learn to Quit, la primera aplicación móvil financiada por el Instituto Nacional de Salud de los Estados Unidos (NIH) para tratar tabaquismo en individuos con trastornos mentales severos. Esta aplicación ganó el Premio Gold W3 otorgado por la Academia de las Artes Interactivas y Visuales y el Premio Internacional Silver Davey del 2016 en mejor aplicación para la salud y bienestar. Su trabajo se ha diseminado en diferentes medios de comunicación: FastCompany, The Drum, Seattle K5 News and Psychiatric News. Su laboratorio ha recibido financiación por parte del National Institute on Drug Abuse, la University of Washington Innovation Award, Pfizer y Duke University.

Hear Roger talk his contribution to this conference, his background, research interests, and a few tips to get the most out of a trip to Spain in the interview below. 


Frans B. M. de Waal, Ph. D.

I am a biologist specialized in primate social behavior. After initial studies on aggression, dominance, and conflict resolution, I branched out to more socially positive domains of behavior (e.g. cooperation) and the interface between the cognition of monkeys, apes, and humans. My expertise in primate behavior is widely recognized and rather close to human social psychology. It is directly relevant to the project on cooperation in the operating room as we have refined data collection techniques on spontaneously interacting primates for ages. Apart from the verbal behavior of humans, which is unique and poses its special challenges, the nonverbal interactions, both positive and negative, take on similar forms and can be systematically documented from minute to minute in the same way, and analyzed for similar patterns of affiliation, dominance, conflict resolution, and so on.
 

Program Committee

Here are the folks who are putting it all together and make WC15 a success:

[828]

Program Committee Chairs:

Miguel Rodríguez Valverde
Francisco Ruiz
Yvonne Barnes-Holmes: RFT Track

Program Committee Members:

Adrián Barbero-Rubio
Dermot Barnes-Holmes
Mike Bordieri 
Nuno Bravo Ferreira
Francisco Cabello Luque
Juan Carmelo Visdómine Lozano
Aisling Curtin
Frederick Dionne 
Chad Drake
Martin Finn
David Gillanders
Bárbara Gil-Luciano
Andrew Gloster
Colin Harte
Louise Hayes
Mónica Hernández-López  
Maria Karekla
Deirdre Kavanagh
Valerie Kiel
Naoko Kishita
Russell Kolts
Andreas Larsson
Aileen Leech
Jenna LeJeune 
Miguel Ángel López Medina
Daniel Maitland
Staci Martin
Chris McCurry 
Ciara McEnteggart
Louise McHugh
Amy Murrell
Manuela O’Connell
Paula Odriozola González
Sarah Potts
Josh Pritchard
Graciela Rovner
Regan Slater 
Juan Carlos Suárez Falcón
Thomas Szabo
Christiene Terry
Miles Thompson
Niklas Törneke
Gloria Torres Fernández
Sonsoles Valdivia Salas
Roger Vilardaga
Jenn Villatte
Matthieu Villatte

WC15 Ignite Detail

 

Thursday, 22 June
12:45-14:00
Location: Prado

Session (21)

• Living our Values and Embracing Our Vulnerabilities in Graduate School and Beyond
Clare Kennedy Purvis, Psy.D., Lantern

Attendees at this conference are deeply committed to ACT and work to embrace psychological flexibility in our personal and professional lives. But how do we as a field and a community support graduate-level trainees and early career professionals in this same endeavor? Trainees face constant evaluation, competition and pressure in their graduate programs. As training progresses and we enter post-doc and first jobs, the race to the top often intensifies. If our community strives to build a culture of openness, authenticity, and flexibility, what steps can we take to support training environments where graduate students feel empowered to embrace their vulnerabilities and choose values-based actions? This talk will explore personal experiences of trainees and early career professionals who showed up in their professional contexts "warts and all," and will offer calls to action for this community to contribute to cultivating ACT-consistent cultures in our own professional and training environments.

• Lovism: A CBS-Based Life-stance
Alan Pogrebinschi, MSc., Private practice

Today, intolerance, hate and extremism are dangerously on the rise, especially in western societies where many thought those were ailments of the past. It may seem we're living an epidemic of psychological inflexibility! If that is so, how can we use CBS to steer our world towards a healthier course? Psychotherapy arguably doesn’t have the required bandwidth and traditional prevention programs usually depend on the very governments that are now falling into the hands of extremists. A bottom-up approach is warranted. We introduce Lovism, a CBS-based life-stance. Our aim is to develop an evolving self-sustaining and self-replicating social technology that consistently increases levels of psychological flexibility of those touched by it.

• The Words Don't Work
Jim Lucas, Private Practice & University of Birmingham, UK

Many of the words used to explain human suffering don't work, because they often do more harm than good. A tightly held biological view creates a context that has significant negative effects for research, service delivery and personal well-being. The biological explanation has been shown to increase stigma and prejudice.
When words are used to label experiences as illnesses and disorders, they function to incite responses based on attempts to fix, correct or cure. But what if there is nothing to fix? A response in this context looks very different and may provide some more workable alternatives.
The speaker will describe his own mistakes in using acts that don't work. He'll speak of how the acts, even when well-intentioned, function to create discord rather than harmony. I hope to support people to act mindfully so that we can remain curious about others and be courageous with our selves.

• Bridging the Gap Between Us and Them: About Stigmatization in Mental Health Practice
K L Helmus, Psychologist

In this short presentation you will be introduced into the subject of stigmatization and how act based interventions can be helpful in the process towards openness and understanding in clinical practice. It will be based on a tedX talk was held by the presenter (https://www.youtube.com/watch?v=GSdf53uz5Hw in Dutch, with English subtitles). This fresh and hopefully inspiring IGNITE talk will be held in English.
The theoretical base:
Stigmatization can have negative consequences for people with mental disorders. Studies in mental health care settings indicate that professionals frequently display stigmatizing attitudes and behaviour towards clients. Continuum beliefs about mental disorders, i.e. the belief that mental health problems are continuous with normal mentation, are associated with less stigmatizing attitudes. This is opposed to the belief that there is a dichotomous distinction between ‘us’ the healthy and ‘them’ the ill group. Training professionals in continuum beliefs about mental disorders is expected to reduce stigmatizing attitudes. The aim of this study was to examine the effect of a contact intervention on stigmatizing attitudes and continuum beliefs of mental health professionals working with people with (severe) mental disorders.

• Reducing Patients' Self-Stigma Through Their Mental Health Care Professionals
Marilon Van Doorn, University of Utrecht

Where the mental health care is aiming to be a place aimed at improvement or recovery, a significant percentage of mental health care professionals are suggested to have stigmatizing attitudes towards patients. More than 20% of reported patients stigmatization experiences take place in contact with mental health care professionals. When an individual considers a stigma as just, it can be internalised, so called self-stigmatization. Several meta-analyses on the effectiveness of interventions for diminishing self-stigmatization in psychiatric patients have been published, however results vary.The meta-analyses also address the intriguing issue whether interventions addressing self-stigmatization is not a form of stigmatization itself; suggesting that deviation of patients could be implicitly emphasized. If this is indeed the case, finding an effective direct intervention to reduce self-stigmatization would be challenging. A alternative approach, via mental health care professionals might reduce that risk.
A logical next step in diminishing self-stigmatization, mental health care professionals in this study were offered a workshop based on Acceptance and Commitment Therapy aimed at changing the ‘us’ versus ‘them’ thinking of the participating participants and via that influencing self-stigmatization of their patients.
The central question of the study is whether self-stigmatization of patients will decline through their mental health care professionals. In this study it is expected that self-stigmatization of patients will be reduced when their mental health care professional has participated in an ACT-based workshop. To our knowledge, this study will be the first randomized control trial to address self-stigmatization through ACT.

• Your Therapist Doesn't Feels Like a Fraud? You Should Look for Another Professional!
Giovanni Pergher, MS, Faculdades Integradas de Taquara

This presentation is based on a chronicle written by the author based on his experiences as a clinician, supervisor and human being. As implicit in the title, I suggest that a good therapist will invariable feels like a fraud. More specifically, I propose that the two main characteristics of a good therapist are the ones that will make the professional feels like a hoax. The two characteristics are 1) having an open mind for new knowledge relevant for improving his practice and 2) the capacity to put himself in the client's shoes in a deep sense. This features bring a sense of being a fraud because 1) with an open mind you'll get in touch with new interesting ideas that may contradict your previous convictions about the "right" way to help your clients and 2) the only way to connect with the client's pain in a real deep sense is by feeling pain yourself, which will raise the question "How can I help this person since I feel the same pain"?

• Designing a Digital ACT-Based Intervention: Things I have learned 

Orestis Kasinopoulos, Ph.D student, University of Cyprus
Maria Karekla, Ph.D., University of Cyprus

A growing body of evidence demonstrates that clinic-based, face-to-face interventions can be effectively used to treat sufferers of mental health and chronic health conditions. The increasing demands for cost reduction for services in the healthcare system and obstacles regarding physical access to treatment highlight the need for innovative, cost-reducing, self-management interventions. Digital interventions might present with feasible means to overcome many barriers and improve health care for persons with mental or health problems in the convenience of their space and time. Digital interventions, however, come with a few challenges. Firstly, a significantly higher proportion of participants often fail to adhere to online interventions. Secondly, effective planning and designing of a digital intervention involves numerous pitfalls and strategies to overcome them - from learning to speak the programmer's language to becoming an expert in audiovisual editing. This presentation aims to prepare and inform researchers aiming to explore the world of digital interventions through a personal journey of experience.

• TangOrient: Mindfulness and Therapeutic Innovation
Haneen Tamari,B.A, Dip., M. Sc., University of Toronto & Ryerson University

Some years ago, the presenter moved to Toronto, Canada. As a new Canadian, she strived to heal and recover from past displacement and ached to feel rooted in an unfamiliar city and country. While feeling disoriented, she discovered Argentinean Tango. The act of learning tango required commitment and mindfulness. Years later, she discovered by happenstance how much more she enjoyed the same dance when the music was from cultures closer to those of her own origins; an unconventional substitute for widely known tango music. Together with learning about ACT, she chose to develop an idea called TangOrient, or the dance of contextual music and re-ORIENTation. Would-be dancers can learn the rules of traditional Argentinian Tango while abiding to music to which one's heart connects. Today, in a world of ever-increasing forced displacement, the presenter believes it's important to explore cultivating therapeutic innovation, locally and sustainably. While the presenter is not an ACT therapist, she is willing to dig deeper to understand cultural layers in her local community. The presenter's proposed TangOrient philosophy calls on ACT to involve community members to support sustainable healing in local communities by connecting sensitively and contextually with sociocultural peers. In other words, the presentation makes the case that ACT practitioners might use the metaphor of “tango dancing to the client’s own music” as a way to assist clients with finding inspiration close to their source of well being even as time-honoured dance steps are learned and a fledgling acceptance of displacement is gained.

• Building Community Through Mindfulness and Committed Action
Annette Dufresne, PhD, CPsych., Private Practice

In this presentation, I will share my own journey in putting my values into action by starting to build community with individuals interested in practicing mindfulness. The journey began with offering group mindfulness practice, and expanded to include sharing a potluck meal and experiencing elements of mindful eating. The community broadened through word of mouth. Committed action became part of the culture of the community through free-will donations, with funds donated to local charitable organizations selected by the group. How similar activities can be used to help rebalance the negativity we are exposed to at a societal level on a daily basis will be explored.

• Just My Imagination: My Journey from OCD Patient to Therapist
Michael Blumberg, MA, LCPC, Glenview Counseling Group

I began my journey into madness at age 11 and had fully arrived there by 21. My Obsessive Compulsive Disorder spun it's web of lies into every empty second of my consciousness. Whether it was scrupulosity, harm obsessions, symmetry, contamination or any other false framework, I was overtaken by it. And then, just as it became completely debilitating, I asked for help. That is when the next chapter of my life began; the chapter whereby I crawled out from under OCD's crushing weight, lifted it above my head, and cast it into oblivion.
Now, as a clinician specializing in the treatment of OCD, I help other cast off the yoke of OCD and live the lives they want to live.

• ACT in Sex-therapy
Charlotte Makboul, Private Practice

The ignite will describe how to work with sexual issues such as erectal disorder or sexual desire disorders in an ACT- and mindfulnessbased psychotherapy. How to find values to follow, thougts to defuse and how to learn to expand uncomfortable feelings during sex to make the body more cooperative and functional.

• Four Paths to Wholeness
Marianela Medrano, Palabra Counseling Center

The main focus of this presentation is to demonstrate the effectiveness of writing based on mindfulness, to create a cognitive / experiential bridge or nexus that can clarify the usefulness or uselessness of our thoughts, feelings and actions in terms of whether they lead us or not to live a full and consistent life with our values. This presentation emphasizes how the use of writing has helped me to facilitate psychological flexibility in order to reduce human suffering.These are the four paths with which I facilitate an approach to the six main processes of ACT (psychological flexibility): First Path: Inhabit the House of the Self (The Here and Now, Acceptance, Values); Second Path: Cultivate and Preserve Goodness to the Self (Self-Compassion); Third Path: Use discernment to understand our history (Self as context, De-fusing); Fourth Path: Practice transformative thinking and write! (Commitment).
 

Ignite presentation "Doesn't your therapist feel like a fraud? You should look for another professional!": Slides and video recording

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WC15 Posters

[828]Poster files will be added as we receive them. If you would like your poster file to be added to this list, please email it to Laura at acbsstaff@contextualscience.org [1152].

Location: Melia Sevilla, Planta/Floors -1 & -2

Wednesday, 21 June, 2017, 18:30-19:30 - Poster Session #1 

Friday, 23 June, 2017, 18:15-19:15 - Poster Session #2

Friday, 23 June, 2017, 19:15-20:15 - Poster Session #3

Image denotes ACBS Junior Investigator Poster Award Recipients

Wednesday, 21 June, 18:30-19:30 - Poster Session #1

1. CareACT: Internet-Based ACT for Enhancing the Psychological Wellbeing of Elderly Caregivers [1153]
Primary Topic: Clinical Interventions and Interests
Subtopic: Elderly caregivers

Päivi Lappalainen. Ph.D., University of Jyväskylä & Gerocenter Foundation, Finland
Inka Pakkala, Ph.D., Gerocenter Foundation
Riku Nikander, Ph.D., University of Jyväskylä & Gerocenter Foundation

Background: It’s well known that stress, psychological burden, low quality of life and depression are relatively common problems among caregivers. The proportion of elderly caregivers is rapidly increasing, which emphasizes the need for new support systems for caregivers. However, the rehabilitation programmes targeted for caregivers seem to be more effective to promote their physical health but they rarely have long-lasting effects on psychosocial wellbeing of caregivers. Internet-delivered psychological interventions are one possible approach in the field of caregivers’ future support system, offering benefits as they are more easily to achieve for caregivers who often are home-bound with their relatives. Aim of the study: This study will examine whether a guided Acceptance and Commitment Therapy -based online psychological intervention aiming at enhancing wellbeing would be an effective alternative for promoting caregivers quality of life and alleviating depressive symptoms and psychosocial burden. Method: The effects of an ACT-based online intervention on caregivers’ burden, depressive symptoms, anxiety, quality of life, psychological flexibility, personality and physical performance will be studied by quasi-experimental study design comparing three groups of caregivers. Group 1 will receive the 12-week guided ACT-based online intervention (n=50), group 2 receive the standardized rehabilitation programme in the rehabilitation center (n=50); group 3 receive support given by voluntary caregiver organizations (TAU) (n=50). The caregivers’ experiences of web-based intervention will also be measured using open questions. Data collection will be conducted at three time points; baseline, 3 months and 10 months. Results: The first wave of the intervention and data collection is underway. We will present the preliminary results for the first two measurement points (pre and 3-month), and discuss the caregivers’ experiences of the web-based intervention. Conclusions: A challenge in aging societies is to develop effective strategies to promote health and well-being among caregivers who are at increased risk for psychosocial stress, burden and depressive symptoms. Results of this intervention can have impact on society when new rehabilitation strategies will be planned and guidelines for caregivers will be written.

2. Physiological and Experiential Responding During Exposure for Panic Disorder [1154]
Primary Topic: Clinical Interventions and Interests
Subtopic: Panic Disorder, Agoraphobia, Exposure

Natalie Tunnell, Southern Methodist University
David Rosenfield, Ph.D., Southern Methodist University
Anke Seidel, Ph.D.
Alicia E. Meuret, Ph.D., Southern Methodist University

Background: The activation of physiological and experiential variables during feared situations has been theorized to play an important role in exposure therapy. Previous research examined if physiological and experiential dimensions are related, but it remains unclear how these two dimensions are related. The goal of this study was to examine the degree to which physiological responding during in-vivo exposure to feared situations mediated experiential responding, and vice versa. Furthermore, we investigated the extent to which prior coping skill training (cognitive appraisal versus respiration regulation) would moderate physiological and emotional responding differently. Method: Participants were 34 individuals meeting DSM-IV diagnostic criteria for panic disorder and agoraphobia. Participants received 3 weekly in-vivo exposure sessions and a 4th session at 2-month follow-up, yielding 122 total sessions for analysis. Cardio-respiratory physiology (heart rate, PCO2, respiration rate) and experiential symptoms (cardio-respiratory symptoms, cognitive symptoms, and anxiety) were assessed throughout exposure sessions, in addition to weekly assessments of panic symptomatology. Multidimensional, longitudinal moderated mediation analyses were employed to assess relatedness and direction of the psychophysiological fear indices. Results. The treatment resulted in significant improvements in panic symptom severity, panic cognition, and functioning. Quadratic trends in cardiac, but not respiratory, responding mediated reductions in the experiential symptoms, and vice versa. Overall reductions in panic symptoms (linear trends), however, were unrelated to changes in cardio-respiratory symptoms, cognitive symptoms, and anxiety during exposure. This mediation pattern was stable across sessions and independent of treatment condition. Discussion. Overall, the results suggest physiological and experiential pathways of change to interact, thus supporting the important role of the physiological dimension in exposure-based treatments of panic disorder.

3. Acting Flexible, Acting Resistant: The Upsides of an ACT Choice. A Randomized Comparison of Acceptance and Commitment Therapy Group Intervention and Cognitive Behavioral Therapy Group for the Treatment of Obese Patients
Primary Topic: Clinical Interventions and Interests
Subtopic: Obesity, Eating Disorder

Roberto Cattivelli, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Alessandro Musetti, Department of Literature, Arts, History and Society, University of Parma, Parma, Italy
Margherita Novelli, Istituto Auxologico Italiano IRCCS
Giorgia Varallo, Istituto Auxologico Italiano IRCCS
Chiara Spatola, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Emanuele Cappella, Department of Psychology, Catholic University of Milan, Milan, Italy
Gianluca Castelnuovo, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy

Background: Effective weight-management programs often include a combination of physical activity, diet, and psychological intervention. The effects of these programs are frequently not stable, and usually the maintenance of achieved weight-loss lasts only for a short period of time. The purpose of the present study is to compare an Acceptance and Commitment Therapy (ACT) group intervention and a Cognitive Behavioral Therapy (CBT) group in a sample of obese individuals with respect to mid-term outcome. Method: The comparison between ACT and CBT has been assessed in a two arm randomized clinical trial. Both CBT and ACT groups followed an in-hospital intensive four-week treatment for weight reduction that includes dietarian, metabolical, psychological and physical rehabilitation. Participants were assessed before (t0), after in-hospital rehabilitation program (t1) and after six-month (t2). The CORE-OM (Clinical Outcome Routine Evaluation – Outcome Measure) and the AAQ (Acceptance and Action Questionnaire II) were administered to evaluate respectively the psychological functioning and the psychological flexibility. As a measure of weight-loss the weight was recorded. Results and Discussion: The evidence supports the hypothesis that ACT group intervention promotes a mid-term improvement more effectively than CBT group, specifically for Binge Eating Disorder patients. A further comparison of ACT and CBT intervention is required.

4. Adolescents with Type 1 Diabetes: Usefulness of the ACT-Model [1155]
Primary Topic: Clinical Interventions and Interests
Subtopic: Diabetes, Adolescents

Iina Alho, M.A. (psych.), Central Finland Health Distrinct & University of Jyväskylä, department of psychology
Raimo Lappalainen, professor, University of Jyväskylä, department of psychology
Mirka Joro, B.A. (psych.), University of Jyväskylä, department of psychology
Laura Juntunen, B.A. (psych.), University of Jyväskylä, department of psychology
Emmiina Ristolainen, B.A. (psych.), University of Jyväskylä, department of psychology
Emma Räihä, University of Jyväskylä, department of psychology

Background: Diabetes can be very challenging disorder to manage and needs a great amount of self-care and daily management. This management tends to deteriorate during adolescence due to both physiological and psychological factors. Poor adjustment to diabetes in adolescents tends to persist to young adulthood. This study aims to study the use of acceptance and value based methods for increasing well-being, psychological flexibility and motivation for treatment. Method: We developed an ACT-based group intervention consisting of five sessions, and invited 12-16 years old diabetics at pediatric policlinic to join the groups. The participants are randomized either to ACT+Treatment-as-usual (ACT+TAU) or TAU-group only. The HbA1c-level is monitored for both groups as well as the psychological flexibility, diabetes related acceptance, depression and quality of life. We have run four intervention groups so far and will continue the data collection until the year 2018. Results: The results suggest that the pre-measurement levels of HbA1c correlate significantly with the levels of psychological flexibility (DAAS, r = -0.52, p = 0.002, n=33; CAMM, r = -0.37, p = 0.032, n = 33). Thus, the lower level of flexibility is associated with higher level of blood glucose. The initial findings based on the first groups suggest that the intervention has positive impact on psychological flexibility as well as on the general quality of life. Discussion: Our results indicate that higher level of psychological flexibility is associated with better control of diabetes. This may suggest that by increasing psychological flexibility we could possible have a positive impact on how well diabetes is controlled. On the other hand, our first observations show that we are able to increase psychological flexibility by using a short 5-session group-based ACT intervention. Based on the initial findings, the ACT-model seems to be suitable for adolescents with type 1 diabetes having difficulties to control their diabetes.

5. An Acceptance-Based Intervention for Children and Adolescents Experiencing Pain During Cancer Treatment: A Single Subject Study [1156]
Primary Topic: Clinical Interventions and Interests
Subtopic: Pain in children with cancer

Jenny Thorsell Cederberg, MS, Uppsala University
JoAnne Dahl, Ph.D., Uppsala University
Louise von Essen, Ph.D., Uppsala University
Gustaf Ljungman, Uppsala University

Background and Aim: Children and adolescents with cancer report pain as one of the most frequent and burdensome symptoms during the cancer trajectory. Pain is often associated with psychological distress, which, in turn, increases the pain experience. Psychological acceptance has been shown to improve psychosocial and physical functioning for adults and children with chronic pain. In experimentally induced pain, acceptance-based interventions have been shown to predict decreased pain intensity and experienced unpleasantness of pain and increased pain tolerance. The aim of the study was to preliminarily evaluate an acceptance-based intervention for children and adolescents experiencing pain during cancer treatment, in a single-subject design study. Methods: Children, aged 4-18 years, who were being treated at the Pediatric Oncology Ward at Uppsala University Children’s Hospital and who were reporting pain were offered participation in the study. The children rated pain intensity and experienced unpleasantness of pain at five baseline measurements and at post intervention. The intervention consisted of a 10-15 minutes long acceptance-based pain exposure exercise. Results: Five children/adolescents participated in the study. All participants carried out the exercise. Three of the participants reported decreased pain intensity and all five participants reported decreased unpleasantness of pain after the intervention. Conclusions: An acceptance-based intervention is feasible to implement for children and adolescents with cancer and may be a helpful addition to their coping repertoire when experiencing pain during cancer treatment. Given the design of the study the results are highly tentative and the intervention must be further evaluated.

6. Experiential Avoidance: Comparing Measures from AAQ-II, IRAP and Behavioral Task
Primary Topic: Clinical Interventions and Interests
Subtopic: IRAP

William F. Perez, Ph.D., Paradigma - Center of Behavioral Sciences and Technology
Roberta Kovac, M.A., Paradigma - Center of Behavioral Sciences and Technology; USP - University of Sao Paulo
Ila Linares, Paradigma - Center of Behavioral Sciences and Technology
Sarah Fernandes, Paradigma - Center of Behavioral Sciences and Technology
Gabriela dos Santos, Paradigma - Center of Behavioral Sciences and Technology
Cainã Gomes, Paradigma - Center of Behavioral Sciences and Technology

Experiential avoidance (EA) is supposed to underlie a variety of psychological problems. Studies have frequently used explicit measures, like questionnaires (e.g., AAQ-II), in order to infer the occurrence of EA in participant's daily life. The present study aimed at developing an additional measure of EA using the Implicit Relational Assessment Procedure (IRAP). Adults responded the AAQ-II and were exposed to an IRAP procedure. On IRAP trials, sentences related to "Acceptance" (e.g., It is OK to think, I allow myself to feel...) or "Avoidance" (e.g., I avoid feeling, I can't stand thinking of...) were presented as sample and sentences related to "Positive" (e.g., happy things, pleasant things...) or "Negative" (e.g., things that scares me, things that makes me anxious...) psychological contents were presented as target stimuli along with the words "True" or "False" as response options. After finishing the IRAP, participants were exposed to an avoidance task with aversive images. Results suggest that participants who emitted avoidance responses during the behavioral task responded faster to “True” on Avoid-Negative IRAP trials compared to participants who did not emit any response during the avoidance task. No differences were observed between groups concerning the AAQ-II score.

7. Psychological Flexibility, Health and Wellbeing
Primary Topic: Clinical Interventions and Interests
Subtopic: Mental Health and Psychological Inflexibility

Lidia Budziszewska, MS, Universidad Europea de Madrid, Spain
Pablo Ruisoto, Ph.D., Universidad Europea de Madrid & University of Salamanca
Alberto Bellido, Universidad Europea de Madrid, Spain

Background: A high level of psychological infexibility is often associated with poorer status of mental health and psychological well-being in the population. However, studies in the Latin American context are scarce and cross cultural validation of previous results is needed. The aim of this study is to analyze the relationship between the psychological infexibility and different indicators of health (physical and psychological) in a sample of university students in Ecuador. Method: Measures of psychological infexibility or experiential avoidance Acceptance and Action Questionnaire II (AAQ-II) (Bond et al., 2011) Life Engagement Test (LET) (Scheier et al., 2006). Measures the extent of valued based behaviour Measures of alcohol consumption: Alcohol Use Disorders Identi cation Test (AUDIT) (Babor et al. 2001). Life Satisfaction Question (LSQ) “Overall, how satisfued are you with your current life” Answers ranged from 0 (totally unsatisfied) to 10 (totally satisfied) (Dolan et al., 2011) Measures of anxiety and depression syntoms: Patient Health Questionnaire (PHQ) (Kroenke, 2009) Measures perception of unpredictability, uncontrollability and overload: Perceived Stress Scale (PSS) (Cohen et al.,1983) Measures subjective availability of mainly emotional support: UCLA Loneliness Scale Revised-Short (Hughes et al., 2004) Measures tendency to competitiveness, hostility, aggressiveness, and urgency. Type A Behavior Scale (Haynes, Baker, 1982) variables (Mann-Whitney U). The statistical significance was p <0.05. Results and discussion: 1. Psychological infexibility and engagement in valued oriented behaviour were associated with problematic alcohol consumption. 2. Psychological infexibility was the best predictor of alcohol consumption, while more engagement with value oriented behaviour was the best predictor of life satisfaction. 3. Psychological infexibility was also the best predictor of other health indicators such as anxiety, depression, stress and loneliness. 4. Females reported higher psychological infexibility than males, but we failed to find gender diferences in life engagement.

8. Effectiveness of Acceptance and Commitment Therapy on Shyness in Male Adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy, Shyness, Male adolescents

Prof. Asghar Aghaei, Isfahan(Khorasgan) branch, Islamic Azad University, Isfahan, Iran
Parvin Tavakoli, M. A., Isfahan(Khorasgan) branch, Islamic Azad University, Isfahan, Iran

The purpose of this study was to investigate the effectiveness of Acceptance and Commitment Therapy on shyness of male adolescents. It was a quasi-experimental research with pretest- post test design and tow months follow up with the experimental and control groups. The statistical population consisted of all male students in second and 3rd grade of high schools in Isfahan city. From this population, sample of 30 students were selected by convenience sampling method, and were randomly assigned to experimental and control groups (15 per group). Subjects in both groups assessed by Stanford Shyness Inventory (1977) at pretest, post test and follow-up. The intervention involved 8 sessions of acceptance and commitment therapy, each last for 1.5 hours, which were administered only to the experimental group. Data were analyzed trough analysis of variance with repeated measures. Results showed that there was no significant difference between the mean scores of experimental and control groups in shyness in post-test and follow up stage. The finding of this study showed that acceptance and commitment therapy was not an effective therapy on this variable.

10. A Systematic Review of Third Wave Online Interventions for Depression
Primary Topic: Clinical Interventions and Interests
Subtopic: Online interventions

Marco A. Sierra, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Cindy L. Flórez, Fundación Universitaria Konrad Lorenz

Online psychological intervention is an emerging field which primary objective is to deliver therapeutic assessment through information and communication technologies, being a legitimate therapeutic activity and a promising alternative to traditional psychotherapy. The third wave of behavioral and cognitive psychotherapies is a diverse group of empirically supported treatment approaches that comprehends acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 1999), functional analytic psychotherapy (FAP; Kohlenberg & Tsai, 1991), behavioral activation (BA; Martell, Addis, & Jacobson, 2001), dialectical behavioral therapy (DBT; Linehan, 1993), metacognitive therapy (MCT; Wells, 2009), mindfulness-based cognitive therapy (MBCT; Segal, Teasdale, & Williams, 2004), and rumination-focused cognitive-behavioral therapy (RF-CBT; Watkins, 2016). There is little research on the efficacy of online psychological interventions developed under this approaches. The present study pretends to analyze the efficacy of online psychological interventions conceived from any of the third wave approaches to psychotherapy and explicitly designed for the treatment of depression.

11. Are Pain Acceptance and Willingness Stable Constructs or Psychological States Influenced by Pain Intensity? [1157]
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic pain

Carlos Suso-Ribera, University Jaume I. Castellon (Spain)
Diana Castilla-López, University Jaume I. Castellon (Spain)
Irene Zaragozá-Álvarez, CiberFisiopatologia Obesidad y Nutrición (CB06/03 Instituto Salud Carlos III)
María Victoria Ribera-Canudas, Pain Unit. Vall d'Hebron Hospital
Cristina Botella, University Jaume I. Castellon (Spain)
Azucena García-Palacios, University Jaume I. Castellon (Spain)

Background: Pain acceptance and willingness are important predictors of functioning in pain settings. However, a controversy exists as to whether pain acceptance and willingness are psychological states influenced by pain intensity or stable constructs that can only be changed with psychological treatment. The aim of our study was to test whether pain acceptance and willingness change as pain intensity decreases or they remain stable even if pain is treated. Method: To achieve this goal we monitored 37 pain patients using an app called “Pain Monitor” developed by our team. Patients responded to a measure of pain intensity, acceptance, and willingness daily during 30 days. Results: We did not find changes in pain acceptance or willingness including patients who had a clinically significant reduction in pain (>30%). Discussion: Our results suggest that pain acceptance and willingness are enduring psychological characteristics that may require psychological treatment to be changed. Results support the need for a multidisciplinary treatment of chronic pain.

12. Effect of Brief ACT Protocol Focused on the Use of the Metaphorical Body Language
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT

Beatriz Harana Lahera, Ph.D. Student, Madrid Institute of Contextual Psychology (MICPSY)
Evangelina Ruiz García, MSc, Madrid Institute of Contextual Psychology (MICPSY)
Elena Belmonte Padilla, BS, Madrid Institute of Contextual Psychology (MICPSY)
Manuel Ariza Bernal, BS, Madrid Institute of Contextual Psychology (MICPSY)

The Acceptance and Commitment (ACT) therapeutic depends essentially on the use of metaphors.The main aim of this current study is the application of brief acceptance and commitment therapy (ACT) protocol focused on testing the effects of metaphors where bodily movement constitutes the source. A n=1 design is used with four adults with a compulsive – obsessive profile. The protocol was implemented successively across participants, and in turn, it was structured in three session based on the three key therapeutic strategies (Törneke, Luciano, Barnes-Holmes, & Bond, 2016): creative hopelessness, defusion, valued action. Different psychological flexibility and valued action measures will be used as pre-, in-trial and post-test. Results will be mainly discussed the need to conduct a clinical trial to compare the use of metaphorical body language in ACT with other types of therapy that specifically uses the body in the work for therapeutic change.

13. Effectiveness of Acceptance and Commitment Therapy as a Treatment for Veterans with Chronic Posttraumatic Stress Disorder
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD

Ellen J. Bluett, M.S., Utah State University
Brandon Yabko, Ph.D., Salt Lake City Veterans Affairs Medical Center
Michael Twohig, Utah State University

Background: Posttraumatic Stress Disorder (PTSD) is a common condition among military personal and veterans. Despite strong empirical support for first line treatments for PTSD, many individuals do not respond, demonstrate minimal gains post-treatment, and do not complete treatment (Garcia, Kelley, Rentz, & Lee, 2011; Steenkamp, Litz, Hoge, & Marmar, 2015). Some literature suggests, that avoidance may be the underlying factor contributing to treatment dropout and poor treatment gains (Walser & Westrup, 2007). Acceptance-based interventions target experiential avoidance and promote willingness to experience thoughts, feelings, and/or emotions, without changing their form, meaning, or frequency. One such therapy, Acceptance and commitment therapy (ACT) is an empirically supported cognitive behavioral intervention that aims to decrease experiential avoidance while increasing psychological flexibility. Research has shown ACT to be a promising intervention for the treatment of PTSD, however its effectiveness in veterans with chronic PTSD is limited. Taken together, the prevalence and chronicity of PTSD amongst military personal, along with the limitations of existing treatments, warrants the investigation of alternative treatment options for veterans with PTSD. Methods: Implementing an eight-week closed group design, this study examined the effectiveness of an ACT intervention for veterans with PTSD and subclinical PTSD who had previously completed a first line intervention for PTSD. Thirty-three veterans enrolled in the intervention, which focused on vitality (e.g., increasing valued living and decreasing experiential avoidance) rather than symptom reduction. A majority were male 87.9% (n = 29), White 84.8% (n = 28) with an average age of 49.6 (16.31). Results: Results found that 64.7% of veterans showed a favorable response to treatment as measured by a 5-point change in PTSD symptoms. One-way repeated measures ANOVAs (within-subject ANOVAs) were used to determine whether there was a statistically significant difference between pre-treatment, post-treatment, and follow-up on outcomes of interest. Results revealed a significant effect of time on PTSD symptoms, F(2, 64) = 3.40, p = .04, partial η2 = .096, with a small to moderate effect size, d = 0.31. Additional outcomes of interest including valued-living, depression, wellbeing, and moral injury by transgressions improved from pre-treatment to post-treatment. Of note, a majority of treatment gains were not maintained at follow-up. Discussion: Overall, results provide preliminary support for ACT as a second-line intervention for veterans with chronic PTSD. Findings from this study suggest that stepped-models of care for veterans with PTSD should be explored. Empirical and clinical implications are discussed along with the potential limitations and future directions of this study.

14. Effectiveness of Acceptance and Commitment Therapy on Resiliency and Codependency of Mothers of Addicts
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT, Resiliency, Codependency, mothers, addicts

Leili Nourian, Ph.D student, Isfahan(Khorasgan) branch, Islamic Azad University, Isfahan, Iran

The purpose of this research was to determine the effectiveness of acceptance and commitment therapy on resiliency and codependency of mothers of addicts. The research used semi-experimental method with pretest-post test design with a control group. For this purpose, 32 subjects were selected via convenience sampling among the mothers of addicts who referred to an addiction treatment center of Isfahan (Iran). They were randomly divided into two groups of experimental and control groups (n1=n2=16). Both groups completed Connor – Davidson Resiliency Scale (CD-RISC) and Halyock Codependency Index (HCI) before and after the training (10 sessions, 1.5 hours each). Results of covariance analysis showed a significant increase in resiliency and significant decrease in codependency at the post test (P<0.05). The finding of this study confirmed the efficacy of acceptance and commitment therapy on resiliency and codependency of mothers of addicts.

15. Effectiveness of ACT in a PTSD Specialty Partial Hospitalization Program
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD

Catherine D'Avanzato, Ph.D., Brown Medical School; Rhode Island Hospital
Darren Holowka, Ph.D., Brown Medical School; Rhode Island Hospital
Sarah McCutcheon, M.S., Rhode Island Hospital
Kirsten Langdon, Ph.D., Rhode Island Hospital
Brian Pilecki, Ph.D., Rhode Island Hospital
Mark Zimmerman, M.D., Brown Medical School; Rhode Island Hospital

There has been growing research on Acceptance and Commitment Therapy (ACT) for the treatment of Posttraumatic Stress Disorder (PTSD), however RCTs and other studies examining its efficacy have lagged behind the research on ACT for other presenting concerns. Research on the efficacy of ACT in higher level care settings, including partial and inpatient hospital programs, is particularly lacking. ACT’s transdiagnostic approach may offer several advantages over traditional cognitive and behavioral interventions in the treatment of individuals with PTSD and trauma-related concerns in higher level care settings, who often present with high rates of comorbidity, greater complexity, and difficulties with a broad range of emotions including not only fear and anxiety, but also guilt and shame (Orsillo & Batten, 2005). The aims of this study are to examine the effectiveness of an ACT-based specialty track within a routine partial hospitalization setting. Previously, we presented preliminary results demonstrating significant reductions in PTSD symptoms, as indicated by the PTSD Check List (b = 1.1, t(58) = -2.6, p = .013), as well as ACT processes (FFMQ Mindfulness, t=3.9, p<.01, AAQ-II Psychological Flexibility, t=2.8, p<.05) in a small subset of 100 participants. Outcome data collected daily and at pre- and post- treatment on a complete sample of over 1,000 individuals completing the trauma track will be presented. Results on symptom change, functioning and quality of life, as well as ACT processes and their relation to treatment outcomes, will be presented. Implications for the integration of ACT for PTSD in similar routine clinical settings will be discussed.

16. Effects of a 12-Month Compassion-Focused Intervention in a Commercial Weight Management Programme: Self-Reassurance and Self-Compassion as Processes of Change
Primary Topic: Clinical Interventions and Interests
Subtopic: Weight management interventions

Cristiana Duarte, MSc, Ph.D. Candidate, Cognitive and Behavioural Centre for Research and Intervention, University of Coimbra
Carol Stalker, Ph.D. Student, College of Life and Natural Sciences, University of Derby
Francisca Catarino, MSc., College of Life and Natural Sciences, University of Derby
Jaskaran Basran, College of Life and Natural Sciences, University of Derby
Paul Gilbert, Ph.D., College of Life and Natural Sciences, University of Derby
Graham Horgan, Ph.D., Biomathematics and Statistics Scotland, Rowett Institute of Nutrition and Health
Liam Morris, Slimming World
James R. Stubbs, Ph.D.

Background: This study tested whether adding Compassion Focused Therapy (CFT) online video exercises into a commercial weight-management programme (WMP) helped individuals control eating behaviour compared to the regular programme, and whether changes in binge eating symptomatology were mediated by increases in self-reassurance related to aspects of eating, body weight and shape and by increases in self-compassion. Method: This was a two-arm, non-randomised parallel design (i) control arm: multicomponent WMP (ii) intervention: the same multicomponent WMP with the addition of 2 days CFT training for weight management group leaders and 8 online video exercises. Participants joined the trial arm to which their group leader was allocated: intervention (n = 428) or control (n = 547). Results: In the intervention group, there were small, significant reductions in binge eating symptomatology, self-criticism, shame (at 3-12 months), and emotional distress (3-6 months); and increases in self-reassurance and self-compassion (3-12 months). At 3 months, effects of the intervention on binge eating symptoms were significantly mediated by increases in self-reassurance and self-compassion. Discussion: Combining online digital CFT exercises and weight management behavioural skills may improve psychological wellbeing and reduce binge eating symptomatology for some people.

17. Evaluating Longitudinal Changes in Undergraduates’ Suicidal Ideation and Alcohol Use with a Brief Personalized Feedback Intervention Integrating Dialectical Behavior Therapy and Motivational Interviewing
Primary Topic: Clinical Interventions and Interests
Subtopic: College students, DBT, suicide, alcohol use, brief interventions

Charlotte D. Brill, M.S., University of Washington, Department of Psychology
Ursula Whiteside, Ph.D., NowMattersNow.org
Megan M. Kennedy, M.A., LMHC, University of Washington, Division of Student Life, Health and Wellness

Background: Suicidality and maladaptive alcohol use are both highly common among undergraduate college students in the United States (e.g., Lamis et al., 2014, 2016; Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). These mental health issues frequently present comorbidly among undergraduates, such that, the more maladaptive undergraduates’ alcohol use, the greater their likelihood of experiencing suicidality (e.g., Gonzalez et al., 2009; Lamis et al., 2014, 2016; Schaffer et al., 2008). Efficacious brief interventions that target undergraduate students’ maladaptive alcohol use, such as the Brief Alcohol Screening and Intervention for College Students (BASICS) curriculum (Dimeff et al., 1999), exist; however, it is likely that such interventions do not fully address the needs of undergraduates who experience comorbid suicidality. In this study, we sought to address these unique needs with a modification of the existing BASICS program that incorporated content and principles of Dialectical Behavior Therapy (DBT), a third-wave behavior therapy that has been efficacious in treating suicidality and substance abuse (e.g., Linehan et al., 1999). Method: Participants were 35 undergraduate students (65.7% women) who reported heavy alcohol use and mood and/or anxiety symptoms. The intervention, DBT-BASICS, was delivered one-on-one in a 60-minute session. DBT-BASICS consisted in the traditional components of the BASICS intervention – feedback regarding drinking behavior, norms, consequences, and risk reduction tips, delivered in a Motivational Interviewing style – as well as feedback regarding depression and anxiety levels and related norms, identification and reinforcement of existing coping skills, and brief training in three skills from the skills group component of DBT. Prior to completing the intervention (i.e., baseline), participants completed measures on suicidal ideation, number of standard drinks consumed per week, past-month frequency of binge drinking episodes, and past-month alcohol-related problems. One- and three-months after completing DBT-BASICS, they completed the same self-report measures. Results: At both one- and three-months after completing DBT-BASICS, participants consumed fewer standard drinks per week, engaged in fewer episodes of binge drinking in the past month, and experienced fewer alcohol-related problems in the past month than they had at baseline. Baseline and one-month follow-up suicidal ideation severity did not differ; however, three-month follow up suicidal ideation severity trended towards significantly lower than baseline suicidal ideation. Discussion: Findings provide initial support for the efficacy of DBT-BASICS in reducing suicidal ideation as well as drinking problems among undergraduate students.

18. Evaluating the Effectiveness of One-Day Group Acceptance and Commitment Therapy Workshop for Non-Patient Irritable Bowel Syndrome: A Pilot Randomized Controlled Trial
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy, Irritable Bowel Syndrome, one-day intervention

Masataka Ito, M.A., Graduate school of psychology, Doshisha Unversity
Takashi Muto, Faculty of Psychology, Doshisha University

Back ground: Irritable Bowel Syndrome (IBS) is one of the most common functional disorders. Psychological treatment is effective for IBS patients. It is said that majority of IBS patients have gone through a period of non-patient IBS. However, Intervention for non-patients IBS have rarely been investigated. The current study examined the efficacy of one-day group ACT workshop for the non-patient IBS. Methods: 130 undergraduates who scored above the clinical cutoff in the Irritable bowel syndrome severity index recruited into this study as IBS non-patient. 25 non-patients who can participate one-day workshop were randomized to an intervention group or a waitlist group. Assessment were made at pre, post, 2 month, and 6 month. Intervention followed the protocol that is listed in ACBS web site as “ACT for Irritable Bowel Syndrome”. Results: Marginally significant difference in favor of ACT was seen in symptom severity and significant difference in a part of QOL at post assessment, but not in secondary and process measures at post assessment Discussion: The results showed one-day group ACT workshop improved IBS severity. This effect may not be caused by ACT, because proses measures did not show the significant change. Although there are some of limitations, one-day ACT workshop is promising approach for IBS non-patients.

19. Predictors of Adolescent Readmission after Psychiatric Hospitalization: An Assessment of the Impact of Psychiatric Follow-Up/Aftercare
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychiatric Hospitalization

Kendra J. Homan, Ph.D., Mayo Clinic, Rochester MN
Susan L. Crowley, Ph.D., Utah State University, Logan UT
Jarrod M. Leffler, Ph.D.

Adolescent psychiatric illness is associated with a range of negative sequelea including poor academic outcomes, substance abuse, suicidality, and adult psychiatric illness. Concerns related to the severity of impairment increases the need for intensive levels of mental health care. For adolescents in an acute psychiatric crisis, inpatient psychiatric hospitalization is often necessary and is associated with improvements on global assessment scales at one-year follow-up after discharge (Green et al., 2007). However, hospitalization is not without limitations including annual costs over $3.9 billion, high rates of rehospitalization (34%-38% in 1 year), restrictive environment, lack of family involvement, and decreased hospital bed availability (Blader, 2004; Fontanella, 2008; Geller & Biebel, 2006; Ringel & Sturm, 2001). Factors associated with hospital readmission remains poorly understood. Several studies have examined the impact that patient (e.g., gender, diagnoses, severity of symptoms, comorbidity), family (e.g., parental mental illness, parental involvement), and treatment (e.g., length of stay, prior hospitalizations) characteristics have on IPH recidivism with mixed results. However, the impact of psychiatric follow-up/aftercare on readmission has not been investigated. Given the high rates of adolescent inpatient psychiatric hospitalization in the general adolescent population (969 per 100,000), understanding factors that contribute to readmission has important implications for decreasing IPH recidivism. The purpose of this study was to examine the impact that psychiatric follow-up/aftercare factors have on readmission. A retrospective cohort review of all adolescent patients (ages 12-17.9) who were consecutively admitted for a psychiatric hospitalization at a Midwestern hospital between January 1, 2015 and March 15, 2015 was conducted. The cohort consisted of 36 patients (M age=14.79 years, SD=1.3; 69.4% female; 80.62% White). Psychiatric follow-up/aftercare appointments made during hospitalization (i.e., medication management, psychotherapy, intensive outpatient therapy, chemical dependency treatment), appointment attendance within the first month following discharge, and psychiatric readmission was abstracted from patients’ medical/psychiatric records. Readmission was defined as an inpatient hospitalization occurring within two years of the adolescent's index admission. Results indicated that 10 patients (27.8%) were rehospitalized within two years of index admission. There was no statistically significant association between readmission and medication management appointment attendance, χ(1) = 0.016, p=.900, individual psychotherapy attendance, χ(1) = 0.002, p=.964, or intensive outpatient therapy attendance, χ(1) = 0.985, p=.321. There was, however, a statistically significant association between readmission and chemical dependency treatment attendance, χ(1) = 5.002, p=.025. Results of this preliminary review suggest that in general psychiatric follow-up/aftercare was not associated with psychiatric readmission. Implications for discharge planning and psychiatric follow-up/aftercare are discussed. Results are discussed in terms of the broader literature on readmission concerning the ongoing challenges in the field to better understand this concept.

20. The Effect of ACT WS for Teachers and Staffs Working for Children Having Disabilities II [1158]
Primary Topic: Clinical Interventions and Interests
Subtopic: Parent, children, disabilities

Shinji Tani, Ritsumeikan University
Kotomi Kitamura

Background: Teachers and staffs that are working with children and their parents learn the skills of ACT, and teach them mindfulness skills and other relating skills to ACT. It could be useful. Furthermore, teachers and staffs often have some mental health issues. Therefore, it could be beneficial for them to learn ACT on both children and themselves. The purpose of this research is to investigate the effects of ACT WS on acquisition of knowledge and skills of ACT, and mental health of participants. Methods: 38 participants attended the workshop. Three participants did not agree with the attendance of this research. 35 participants were divided into two groups for the waiting-list design (not randomized). The participants of waiting group attended workshop one week after finishing workshop for the experimental group. The participants of both the experimental group (N=18) and the waiting group (N=17) answered the questionnaires four times (Time1, Time2, Time3, and Time4). Four questionnaires (AAQ-II, BDI-II, FFMQ, and CFQ) were used to assess the effectiveness of the workshop. The knowledge test was also used to evaluate the knowledge of ACT. Workshop was conducted in a group format. It lasted for about five hours in a day. The textbook and PP slide were used. The common exercises and metaphors from ACT were provided, and the participants shared their experiences with each other. Results: The data getting from 24 participants who answered all questionnaires were analyzed. ANOVA (time*group) revealed the score CFQ (fusion) and knowledge test showed the significant interaction (time*group). The time effect was significant in AAQ-II, FFMQ (Observing), and BDI-II. T-test was conducted by getting two group data together in order to assess the effect between before and after the workshop. The result showed that the score of FFMQ (observing), CFQ (fusion), and the knowledge test were significantly changed after the workshop. Conclusion: The effects of the workshop were confused, because the effect of time was large. Many participants showed better mental health conditions before the workshop. The effects of the workshop on mental health were smaller.

21. The ACTonHEART Study: Feasibility, Acceptability and Preliminary Efficacy of a Brief Intervention Based on Acceptance and Commitment Therapy in a Cardiac Rehabilitation Setting [1159]
Primary Topic: Clinical Interventions and Interests
Subtopic: Cardiovascular disease

Chiara A.M. Spatola, Ph.D., Catholic University of the Sacred Heart; Istituto Auxologico Italiano
Cattivelli Roberto, Ph.D.
Emanuele A.M. Cappella, Catholic University of Sacred Heart, Milan
Giada Rapelli, Istituto Auxologico Italiano, Milano
Gianluca Castelnuovo, Catholic University of Sacred Heart, Istituto Auxologico Italiano, Milano
Enrico Molinari, Catholic University of Sacred Heart, Istituto Auxologico Italiano, Milano

Background: Modifiable risk factors, including life-style habits and psychological variables, account for approximately 90% of the population risk for cardiac events. Acceptance and Commitment Therapy (ACT) has been successfully applied to promote healthy behaviors and psychological well-being in patients with a number of chronic physical conditions. The aim of the present study is to evaluate the feasibility and acceptability of a new acceptance-based program for the modification of cardiovascular risk factors and the improvement of psychological well-being, compared to usual secondary prevention care. Method: A total of 60 patients have been recruited from an outpatient cardiac rehabilitation unit and randomly assigned to receive usual care or usual care + a brief ACT-based intervention. An unbalanced randomization has been applied with a 2:1 ratio, resulting in 39 participants assigned to the ACT group and 21 to the control group. The ACT group was administered three group therapy sessions, integrating educational topics on heart-healthy behaviours with acceptance and mindfulness skills. Data has been collected at baseline and post-treatment, while follow-up assessments are not yet available. Outcome measures include biological and functional indicators of cardiovascular risk (LDL cholesterol levels, body mass index and exercise capability) and self-reported psychological well-being (Psychological Well-Being Index). Moreover, in order to evaluate acceptability rates and satisfaction about the program we analyzed patients’ feedbacks collected through qualitative interviews. Results: The qualitative analysis of patients’ transcripts revealed interest about the experiential approach of the intervention, in particular mindfulness modules and metaphors. However, some patients suggested the need of a more intensive program with additional sessions, so that to achieve a deeper understanding of ACT principles and maintain its effects. In this regard, the desire for a follow-up meeting after the rehabilitation period strongly emerged. As for the efficacy, preliminary results showed significant changes in depression and well-being scores, in the ACTonHEART participants but not in the control group. Furthermore, a significant improvement in exercise capability was detected in all participants, regardless of treatment condition. Finally, in a subsample of patients with LDL cholesterol values above 80 we found a significant change of this indicator only in the experimental arm. Discussion: The ACTonHEART program showed good feasibility and acceptability, as reflected both by patients’ interviews and low drop-out rates. The results provided first evidence of efficacy in modifying some relevant cardiovascular risk factors during the program. However the overall aim of the ACTonHEART project is to evaluate the long-term maintenance of the changes, which will be possible only after the 12-months follow-up. Finally, we will discuss the implications of both quantitative and qualitative data in order to optimize program contents and its implementation. Trial registration: clinicaltrials.gov/ (NCT01909102)

22. The Connection Between the Relationship-Focused Values and Cortisol in Women with Breast Cancer
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness

Soultana Mpoulkoura, San Jose State University
Kendra Fisher, San Jose State University
Jannet Lara, San Jose State University
Jennifer Gregg Ph.D., San Jose State University

Diagnosis with cancer brings significant challenges for survivors attempting to live full and meaningful lives. Studies have demonstrated that perceived social support may be related to both psychological variables and cortisol variability (Dukes Holland & Holahan, 2003; Turner-Cobb, Sephton, Koopman, Blake-Mortimer, Spiegel, 2000). This is important in that cortisol variability has been shown to be a predictor of long-term survival in breast cancer patients (Sephton, Sapolsky, Kraemer, & Spiegel, 2000). The present study sought to investigate how relationship-focused values impact psychological variables, quality-of-life, and cortisol variability in a group of early stage breast cancer patients (N = 41) exhibiting elevated levels of stress. Results indicate that marital status and relationship values serve as a significant predictor of diurnal cortisol. Results are discussed in terms of future research needed and possible applications of these findings.

23. The Effect of Universal Program Based on ACT for Adolescents Under Unusual Stress [1160]
Primary Topic: Clinical Interventions and Interests
Subtopic: Universal program, Adolescents, Self-esteem

Tomu Ohtsuki, Ph.D., Waseda University, Japan
Kenichiro Ishizu, Ph.D., University of Toyama, Japan
Yoshiyuki Shimoda, Ph.D., Saga University, Japan

Previous studies have provided evidence that experiential avoidance, which is a key concept in Acceptance & Commitment Therapy (ACT), is associated with mental health in adolescents, such as depression (Biglan et al., 2015; Paulus et al., 2016), well-being (Venta et al., 2012; Ciarrochi et al., 2011). But few studies have examined to evaluate the efficacy of ACT, especially universal intervention programs for adolescents. The present study explored the effect of the ACT based universal programs that aimed to enhance self-esteem and reduce depressive symptom for adolescents under unusual stress. Participants were 347 junior high school students preparing for a high school entrance exam. This study was conducted just a month before their exam. Participants were assigned to an ACT based intervention condition or a control condition in accordance with their school classes. Self-report measures which assess the tendency of experiential avoidance, depressive symptom, and self-esteem were collected at pre-intervention, post-intervention, and follow-up. The ACT based intervention which the authors developed was a class-wide universal program consisted 4 sessions (each 50 min) and focused a process of acceptance, value, and commitment. The results showed that ACT intervention prevented to increase experiential avoidance, enhanced self-esteem, and reduced depressive symptom, compared to the control group. Especially ACT intervention led to a significant increase in self-esteem regardless of the participant’s tendency of experiential avoidance at pre-intervention. These results provide evidence for the efficacy of ACT intervention program for adolescents. Additionally, present study shows the validity of ACT for the universal program aimed to enhance self-esteem in young generation.

24. Social Rank and Psychosis: Understanding Their Role in the Pathway to Depression [1161]
Primary Topic: Clinical Interventions and Interests
Subtopic: Self-compassion, depression and psychosis

Joana Gonçalves, University of Coimbra
Ricardo Viegas, University of Coimbra
Paula Castilho, Ph.D., University of Coimbra
Maria João Martins, University of Coimbra

Background: Previous studies have already shown how the experience of psychosis might be appraised as leading to greater personal loss and humiliation, which seems related with the emergence of comorbid depression. It has been also argued that depression might occur due to a compassionate deficit towards the self. Nevertheless, although the relationship between shame, self-compassion and depression have been empirically established, it remains unexploited in psychosis. This study aimed to explore the predictor role of shame and self-compassion in the experience of depressive symptoms in a sample of patients with psychosis. Method: Until now, 30 participants diagnosed with Psychotic Disorders completed self-report scales for the evaluation of external shame, self-compassion and depressive symptoms. Results: Preliminary results showed that higher levels of external shame and lower levels of self-compassion appear to be associated with depressive symptoms, and self-compassion emerges as explanatory factor of 40% of the variance of depression. Discussion: These results are in agreement with those reported by previous studies that analysed the role of self-compassion in depression and at the same time, seem to suggest that self-compassion might be an important target for interventions aiming to address depression during the course of psychotic disorders.

25. Stressors and Guilt in Dementia Caregivers: The Mediator Role of Cognitive Fusion
Primary Topic: Clinical Interventions and Interests
Subtopic: Caregivers, Guilt, Cognitive fusion

Laura Gallego-Alberto, M.A., Universidad Autónoma de Madrid
María Márquez-González, Ph.D., Universidad Autónoma de Madrid
Rosa Romero-Moreno, Ph.D., Universidad Rey Juan Carlos
Carlos Vara-García, M.A., Universidad Rey Juan Carlos
Isabel Cabrera, Ph.D., Universidad Autónoma de Madrid
Andrés Losada, Ph.D., Universidad Rey Juan Carlos
Jorge Aguilar-Álvarez, M.A., Universidad Autónoma de Madrid

Background: Caring for a relative with dementia has been associated with poor physical and psychological health. Although feelings of guilt are frequent among caregivers, the studies analyzing guilt in caregiving are limited. Behavioral and psychological symptoms of dementia in the care recipient (CR) may likely activate caregivers´ "negative" thoughts and feelings about him/her, and high levels of cognitive fusion may mediate the effects of these private experiences on emotional well-being, leading to guilt feelings. Objective: The goal of the present study is to analyze the mediator role of cognitive fusion in the relationship between the distress associated with disruptive behaviors of the CR and the caregivers´ guilt. Method: Participants are 173 dementia family caregivers. Face to face interviews were done assessing sociodemographic variables (e.g., gender, age), caregiver guilt, cognitive fusion and distress associated with behavioral and psychological symptoms in dementia (BPSD) of the CR. Hierarchical regression analyses were carried out to analyze the mediator effect of the cognitive fusion in the relation between distress associated with BPSD and caregivers ‘guilt, after controlling for the sociodemographic variables. Results: Significant and positive associations were found between distress associated with BPSD, cognitive fusion and guilt. We found a significant partial mediator effect of cognitive fusion in the relation between the distress associated with BPSD and caregivers’ guilt (β = 0.36, p <0.001.). Also, caregiver age showed a significant effect on guilt (β = -0.16, p <0.05.). Results of the Sobel test suggest that the association between distress associated with BPSD of the CR and guilt is significantly mediated by cognitive fusion (z’ = 3.21, p<0.001). Discussion: Our findings suggest that cognitive fusion is a relevant variable to understand the guilt experienced by caregivers. The results obtained suggested that defusion strategies may be of potential use in interventions aimed to decrease high levels of guilt in family caregivers.

26. Support Group for Parents of Children with Intellectual Disability [1162]
Primary Topic: Clinical Interventions and Interests
Subtopic: Parental skills empowerment

Dr. Lucia Marconi, Nation Health Service, Tuscany Northwest USL, Viareggio
Dr. Giovanna Canepa, Nation Health Service, Tuscany Northwest USL, Viareggio
Dr. Michele Carrozzini, Accademy of Cognitive and Behavioural Science, Parma

Background: The idea to start a support group for parents of children with intellectual disability grows up from the always more significant need for the families whose children have cognitive and behavioural problems. In the Territorial Service for Childhood and Adolescence Mental Heatlh ASL Nord-Ovest Toscana - Viareggio is always more common the request to take in charge children and adolescents with intellectual and learning diseases; usually these interventions last a lot, most of the time until the age of majority. Furthermore, jointly with the intellectual disability, we usually find some related problematic behaviour in the children, that questions the educational system of their parents. The behavioural problems of the child are basically correlated to worries, low self-esteem and fears of the parent about his or her role, and therefore to experienced stress feelings, external attribution of cause and low parental satisfaction (Hassall R., Rose J. & McDonald J., 2005). A lot of evidence-based reaserches demonstrated the principle “good parenting, good outcomes”: empowering the parenting skills we can obtain permanent improvements in learning, generally, in the growth processes and, generally speaking, in the welfare of the children (Cornish, 2008; Larivée et al., 2006; Nixon et al., 2005; Weiss et al., 2006). Method: The group was composed by 7 couples of parents with at least a child with intellectual disability (from 8 to 11 years old). We structured 8 meetings fortnightly, 90 minutes long, lead by the psychologist and the child psychiatrist of the Territorial Service. The main arguments choosen for the group were the following: • Positive qualities of the children • Parenting skills • Recovering activities • Support from the social network • Worries and fears of the parents Furthermore, in order to consider the specific needs of all the subjects and to customize the meetings, we built an ad hoc questionnaire that they filled in at the beginning of the first meeting. During the sessions we used specific material to work with parents of children 0-11 years old (Sostenere la genitorialità – strumenti per rinforzare le competenze educative, Lavigueur S., Coutu S. & Dubeau D., 2011). It is based on a great reaserch programme on parenting skills and on the activities that can empower them (Lavigueur S., Coutu S. & Dubeau D., 2001, pp. 171 – 220). Expected Results: First of all we expect an increase of the parenting skills, and in particular of the knowledge about the learning process and the right management of the behavioural problems. Furthermore, we expect an increase of the self-efficacy, through the comparison and the sharing of personal experiences, and a reduction of the perceived parental stress.

27. Support Group for the Italian Red Cross Rescuers [1163]
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD, Mindfulness

Dr. Lorenzo Pellegrini, Academy of Cognitive and Behavioral Science Parma

Background: The idea of creating a support group for rescuers stems from an increasing demand for interventions on personnel who directly intervened to provide assistance to the population stricken in a very short time by earthquake, heavy snow emergency and landslides. Interventions can not neglect the cultural framework in which rescuers operate. Prevention is based on key concepts such as "the rescuer", "the territory and its risks"; supporting means promoting a community culture of "coping" (adaptation, ability to cope with stress). A thorough knowledge of the territory and of its entire network of organization are essential elements in order to improve the "performance" in the emergency and to assess community needs. Operating in favor of the personnel in charge of emergencies means enhancing their skills and provide tools that safeguard a passively endured suffering because of psychological and unconscious emotional processes. It’s important to remember that the operating environment in which the rescuer operates is characterized by sudden changes and unpredictability, it evokes pain and risk and does not allow the rescuers an organic and adequate adaptation to cope with the emotional aspects related to the stress generated by the event. Natural disasters and emergencies destabilize the affected area and its inhabitants and undermine the community both from a geological and from a psychological point of view. Those operators who are called upon particularly to help the victims of unpredictable phenomena (earthquakes, floods, floodings, landslides, fires) require adequate preparation. It’s this knowledge that drives us to consider a culture attentive both to the rescuer and the needs of emergency victims, and to a better management of the sense of drama, inadequacy, vulnerability and helplessness that they both experience. Method: The group will be composed by 15 rescue workers. The course, led by a psychologist, will be delivered fortnightly, for a total of 8 meetings, each 90 minutes long. The main topics chosen for the group are as follows: - controlli s the problem not the solution - wilingness - creative impotence - acceptance - present moment In addition, in order to take into account the specific needs of all the participants and to customize the meetings, specifically designed questionnaires will be presented during the first meeting and the last one Expected Results: First of all, we expect an increase in the endurance of stress, an enhancement in coping strategies and resilience.

28. Turkish Version of Valued Living Questionnaire (VLQ): Preliminary Analysis of Reliability and Validity in Bipolar Disorder and Schizophrenia Sample [1164]
Primary Topic: Clinical Interventions and Interests
Subtopic: VLQ clinical sample

Hasan Turan Karatepe, Medeniyet University, School of Medicine, Department of Psychiatry, Istanbul, Turkey
M. Emrah Karadere, Hitit University, School of Medicine, Department of Psychiatry, Corum, Turkey
Kaasım Fatih Yavuz, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Bakırkoy, Istanbul, Turkey
Sevinc Ulusoy, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Bakırkoy, Istanbul, Turkey
Murat Aktepe, Arnavutkoy State Hospital, Istanbul, Turkey
Alparslan Cansız, Siverek State Hospital, Urfa, Turkey

Turkish Version of Valued Living Questionnaire (VLQ): Preliminary Analysis of Reliability and Validity in Bipolar Disorder and Schizophrenia Sample Objective: Valued living has been posited as a primary core process of Acceptance and Commitment Therapy (ACT) and has been theoretically associated with other core processes like mindfullness acceptance, and many important outcomes such as decreased psychological distress and improvements in quality of life. Valued Living Questionnaire (VLQ) is a self-evaluating scale that systematically assesses valued living, or the extent to which an individual contacts his or her chosen values in everyday life, from an ACT perspective. The aim of this study was to examine validity and reliability of the Turkish version of “Valued Living Questionnaire (VLQ) in clinical sample. Method: 101 participants who diagnosed Bipolar I Disorder and 110 participants who diagnosed schizophrenia being treated in the outpatient clinic of Bakirkoy Research and Training Hospital for Psychiatry and Neurology Hospital between the ages of eighteen to sixty five were included into the study. After taking informed consent; Sociodemographic Data Form, Turkish version of VLQ (TVLQ), Acceptance and Action Questionnaire-II (AAQ-II), Self as Context Scale (SACS), Cognitive Fusion Questionnaire (CFQ) and Freiburg Mindfulness Inventory (FMI) were administered to participants. Positive and Negative Syndrome Scale (PANSS) and Quality of Life Scale (QoLS) were applied to schizophrenia group by clinicians and Bipolar Disorder Functioning Questionnaire (BDFQ) were also administered to Bipolar Disorder group. For reliability analysis of TVLQ Cronbach’s alpha coefficient and item-dimension total score correlations were used. We also used principal component analysis for factor analysis and Pearson correlation analysis for convergent validity. Results: The mean age of participants was 39,46±8,76 years (age range: 21-64 years) and 50,7% (n=107) were female. With respect to reliability, good internal consistency was found with both the bipolar disorder and schizophrenia samples and across the VLQ Composite score, Importance and Consistency subscales (TVLQ-importance: Cronbach α= 0,807; TVLQ-consistency: Cronbach α= 0,916; TVLQ-composite: Cronbach α= 0,918). Also all items were positively correlated with each other. Principal factor analysis performed and it was detected that one dimension explained 57,98% of the total variance. Factor loading were changing between 0,64 and 0,84. Composite score was correlated with AAQ-II (r= -0,429; p<0,001), FMI (r= 0,529; p<0,001), CFQ (r= -0,373; p<0,001) and SACS (r= 0,591; p<0,001). Conclusion: The results of this study show that TVLQ is a reliable and valid scale for the assessment of valued living in clinical bipolar disorder and schizophrenia population.

29. The Impact of a RFT-based ACT Protocol on Impulsivity
Primary Topic: Clinical Interventions and Interests
Subtopic: Impulsivity

V. Alejandro Briones, Madrid Institute of Contextual Psychology (MICPSY)
Beatriz Sebastián, Madrid Institute of Contextual Psychology (MICPSY)
Matheus Bebber, Madrid Institute of Contextual Psychology (MICPSY)
Paula Cañeque, Madrid Institute of Contextual Psychology (MICPSY)

A RFT-based ACT protocol is presented, focused on the development of a repertoire of psychological flexibility for the management of impulsive behaviors in adults. The protocol application consists of 6 treatment sessions with a duration of 50 to 60 minutes, on a weekly basis, the last one being a follow-up session. The protocol focuses on three aspects (Törneke, Luciano, Barnes-Holmes, & Bond, 2016): (a) help the client discern the relationship between what he does and the problematic consequences of his behavior (functional analysis, creative hopelessness); (b) help the client discern his own thoughts, emotions and bodily sensations by establishing an observation distance as they emerge (defusion), and (c) help clarify and expand what is important in his life and what would be the steps in that direction (valued action). Results from pre-post-treatment measures are compared in the following questionnaires: AAQ-II (Acceptance and Action Questionnaire II, Ruiz et al., 2012); VQ (Valuing Questionnaire, Smout, Davies, Burns & Christie, 2014); CFQ (Cognitive Fusion Questionnaire, Gillanders et al., 2012); SCS (Self-control schedule, Rosenbaum, 1980) and EI (Impulsivity Scale, Plutchik & Van Praag, 1989). Daily frequency behavioral worksheets/self-reports of both impulsive behaviors and values-oriented behaviors are incorporated to the assessment, as well as a personal values measure, the Goals, Actions and Barriers Form (Hayes et al., 1999). Clinically relevant behaviors in session are analyzed and significant differences in the previous measures are discussed. * Study conducted as part of the Final Project of the Master in Contextual Therapies at the Madrid Institute of Contextual Psychology (MICPSY).

30. Acceptance and Commitment Therapy with Children: Evaluation of Two Interventions [1165]
Primary Topic: Clinical Interventions and Interests
Subtopic: Children

Fernanda Gongora Miguez, Federal University of Paraná
Ana Paula Viezzer Salvador, Federal University of Paraná

In the last few years, ACT became increasingly popular in the behavior-analytic clinic for the treatment of the adult population. Aiming to inquire its viability and effectiveness in the child population, this research sought to apply and evaluate two interventions based on the principles of ACT. Two children (Child A and Child B) with behavioral and anxiety problems, aged 10 and 7, along with their mothers took part in the study. This intervention consisted of 8 sessions lasting 50 to 60 minutes each. Child Acceptance and Mindfulness Measure (CAMM), Avoidance and Fusion Questionnaire for Youth (AFQ-Y) and the parent version of the Child Behavior Check List (CBCL) were the chosen instruments to evaluate the subjects pre and post intervention. The results showed post-intervention decrease in the behavioral problems targeted in both children, however, the anxiety symptoms of Child B remained stable. This study highlighted ACT as an effective model for the treatment of externalizing and internalizing problems during childhood.

31. Does Attending an Optional Meditation in an ACT-Based Acute Care Partial Hospitalization Program Improve Treatment Outcomes?
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness

Brian Pilecki, Rhode Island Hospital/Alpert Medical School of Brown University
Theresa A. Morgan, Rhode Island Hospital/Alpert Medical School of Brown University
Catherine D'Avanzato, Rhode Island Hospital/Alpert Medical School of Brown University
Darren Holowka, Rhode Island Hospital/Alpert Medical School of Brown University
Kirsten Langdon, Rhode Island Hospital/Alpert Medical School of Brown University
Kristy Dalrymple, Rhode Island Hospital/Alpert Medical School of Brown University
Mark Zimmerman, Rhode Island Hospital/Alpert Medical School of Brown University

An optional meditation group was offered to patients in an ACT-based partial hospitalization program. Measures demonstrating adequate acceptability and feasibility of this meditation group will be summarized, as well as basic demographic information about the types of patients that choose to attend such a group. Differences between attending and non-attending patients will show whether daily meditation has an incremental impact on mindfulness skills that relate to improved treatment outcomes. Preliminary results of 348 patients suggest that patients who chose to attend a meditation group did not have any significant incremental improvements in experiential avoidance as measured by the AAQ-II (Hayes et al., 2006) or in mindfulness as measured by the FFMQ (Baer et al., 2006). However, preliminary results suggest that patients did show a significant increase in the non-judgmental sub-scale of the FFMQ from intake (M = 3.02) to discharge (M = 3.20; F = 4.70, p < .05). This finding suggests that meditation training may be particularly useful in cultivating non-judgmental awareness, or the ability to take a perspective that is more objective and related to the ability to accept thoughts and emotions as they are. Additional results will demonstrate whether attending meditation groups lead to improved outcomes in depression and anxiety. Such results may support the role of brief mindfulness-based interventions in acute medical settings to increase mindfulness skills and perhaps improve treatment outcomes.

32. Effect of a Short Mindfulness Intervention on the Cognitive Interference Caused by Pain [1166]
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness

Louis-Nascan Gill, B.Sc., Université de Montréal
Vanessa Tabry, M.Sc., Concordia University
Kristina Martinu, Ph.D., CRIUGM
Adrianna Rodriguez-Ayotte, B.Sc., Université de Montréal
Natacha Vachon, B.Sc., Université de Montréal
Mathieu Roy, Ph.D., Concordia University
Pierre Rainville, Ph.D.

Pain spontaneously captures attention and disrupts ongoing cognitive processing, thereby potentially contributing to disability in various clinical conditions. Mindfulness and acceptation interventions have been suggested to improve the quality of life of chronic pain patients. This may partly reflect a decrease in the cognitive interference caused by pain (CICP). We assessed the effects of brief mindfulness and acceptation-based intervention on CICP using experimental methods in three groups of 15 healthy volunteers. Two interventions consisted of five 20 minutes/day intervention taking place in a quiet room with a facilitator. Participants of the first group practiced mindfulness exercises (Group 1: mindfulness meditation) and participants of the second group listened to, and discussed, text excerpts on mindfulness and acceptance (Group 2: discussion on mindfulness). The third group was not engaged in any intervention (Group 3: control). CICP was assessed before and after the intervention (Time), by measuring changes in working-memory performance (2-back task) induced by brief moderately painful stimulation applied on the forearm (vs non-painful control stimulation). CICP was confirmed by an decease in accuracy in the 2-back task during pain. The discussion group showed a significantly larger decrease in CICP following the intervention, compared to the others groups (3x2 ANOVA; F= 3,520, p = 0,039). This suggests that short interventions involving conceptual learning about mindfulness and acceptation might help reduce CICP while practical exercises of mindfulness meditation might be insufficient to produce such benefits.

33. Japanese Version of Child and Adolescent Mindfulness Measure: Development and Examination of its Reliability and Validity [1167]
Primary Topic: Clinical Interventions and Interests
Subtopic: Mindfulness, Children

Hiramatsu Yuka, M.A., Graduate school of science for human services, Ritsumeikan University
Tani Shinji, Ph.D., Ritsumeikan University

Background: Few Acceptance and Commitment Therapy (ACT) studies for children have been conducted in Japan. One reason for this is that the Avoidance and Fusion Questionnaire for Youth is the only measure that can be used for children in Japan. This study aimed to develop a Japanese version of the Child and Adolescent Mindfulness Measure (CAMM) and examine its reliability and validity. Method: Participants included 500 children (189 boys and 311 girls). The examination was conducted from the middle of September 2016 to the middle of October 2016. A reexamination was conducted one month later to examine test–retest reliability. We conducted an online survey of the participants both during the examination and reexamination. We obtained the original author’s permission to develop a Japanese version of CAMM and for its translation, which was done by two researchers, one university student (first presenter), and one expert familiar with ACT (second presenter). After item translation, back translation was entrusted to a contractor. We conducted the investigation with the corrected items. We used SPSS statistics for analysis. Result: The exploratory factor analysis indicated that the Japanese version of CAMM had a one-factor model. A sufficient factor loading amount of 50 or more was indicated for all items. A confirmatory factor analysis revealed high compatibility (GFI > .90, AGFI > .85, CFI > .90). Next, we examined its reliability and validity using alpha coefficient and test–retest reliability; it was confirmed that the scale has high reliability. Furthermore, the Japanese version was revealed to have the same degree of correlation as the original through a correlation coefficient with related scales of psychological inflexibility and thought suppression. Discussion: From the results, factor analysis confirmed a factor structure similar to the original scale. High internal consistency, test–retest reliability, and sufficient convergent validity were also confirmed. The results demonstrated that the scale had good reliability and validity. However, as the age of some participants were unknown in this study, it is necessary to consider it and reanalyze. Moreover, it is necessary to examine the reactivity of the scale using clinical experimentation in the future.

34. Best Practices and Guidelines for Utilizing Digital Interventions to Improve Engagement and Adherence in Chronic Illness Sufferers An evidence-based review prepared in association with the European Federation of Psychologists' Association, Psychology a
Primary Topic: Clinical Interventions and Interests
Subtopic: E-HEALTH

Penelope Constantinou, University of Cyprus
Orestis Kasinopoulos, Ph.D candidate, University of Cyprus
Maria Karekla, Ph.D., University of Cyprus

Chronic health conditions cause a considerable burden in quality of life, often leading to a physical, psychological and social dysfunctioning of the sufferers and their family. There is a growing need for self-management and flexible provision of psychological services in terms of location (from the clinic to the home), personalized/tailored, and reaching underserved populations. Digital interventions (an umbrella term including e-health, m-health, internet-based, etc.) present with the potential of providing a wide range of self-management solutions that can improve functioning among chronic illness sufferers. Despite the potential of digital interventions in service delivery, concerns remain especially regarding the engagement of users that lead to low adherence rates, high attrition, and non-optimal exposure to the content of the intervention. Explanations of engagement difficulties present as the main culprits, human - computer interaction and user characteristic factors. To date there have not been any clear and concise guidelines for improved utilization and engagement in digital interventions. This paper aims to provide a holistic overview of user engagement factors, and to propose research informed guidelines for engagement and adherence planning in digital intervention development. These guidelines will inform and promote effective planning for engagement when building digital interventions thus maximizing adherence and optimal exposure in the treatment of chronic conditions.

35. The Comparison of Effectiveness of Acceptance and Commitment Therapy on Prevention of Addiction Relapse in Opium and Methamphetamine Consumers
Primary Topic: Clinical Interventions and Interests
Subtopic: Acceptance and Commitment Therapy, Relapse prevention, Opium, Methamphetamine

Asghar Aghaei, Prof., Department of educational science and psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
Azam Saeedi Ghaleaghaei, Department of educational science and psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

Background: The purpose of this study was to compare the efficacy of acceptance and commitment therapy in prevention of addiction relapse in opium and methamphetamine consumers. Method: It was semi-experimental research and the study population consisted of all addicts who refereed to addiction treatment centers of Isfahan (Iran).From among 51 subject with diagnosis of opium and methamphetamine dependence(25 addicted to methamphetamine and 26 addicted to opiates)were selected by convenience sampling method and also were assigned into 4 groups randomly (a methamphetamine addicts experimental group: 12; a methamphetamine addicts control group: 13; an opiate addicts experimental group: 13; an opium addicts control group: 13).All participants were assessed by the AWARE Questionnaire(Advance Warningof Relapse). The experimental groups received 10 sessions of acceptance and commitment therapy but control groups did not receive any treatment. Results: The results of covariance analysis showed that there were no significant difference between opium and methamphetamine addicts in the extent of acceptance and commitment therapy based on prevention of relapse, But there were significant difference between methamphetamine addicts experimental group and methamphetamine addicts control group and also between opium addicts experimental group and opium addicts control group(P<0.01). Discussion: The general result was that though there was no significant difference in the impact of acceptance and commitment therapy on the prevention of relapse between methamphetamine and opiate addicts but it was effective on reducing the relapse rate in both groups.

36. ACTivate your service: Introducing an ACT model at the level of clinical intervention, training and supervision across the Adult Mental Health pathway of a rural county in the UK [1168]
Primary Topic: Clinical Interventions and Interests
Subtopic: Trans-diagnostic, service development

Rachel Black, CPsychol, 2getherNHSFT
Becky Greenhalgh, 2getherNHSFT
Philippa Capel, CPsychol, 2getherNHSFT
Andrew Turner, CPsychol, 2getherNHSFT

Background ACT is an approach which has been shown to be effective in many individual and group intervention studies. This collaborative and values based therapeutic framework is also highly relevant to service wide improvement. The 2gether trust in Herefordshire covers a geographically large area with a relatively small population and consequently low total number of staff. This context presents both challenges to service delivery and opportunities for innovative solutions. As a universal and trans-diagnostic model, ACT is ideal to address the a wide range of clinical presentations and staff support needs. This led to bold and joined up initiative to introduce ACT service wide. Method ACT groups in the acute and community services were piloted/developed for working aged adults in Herefordshire. Following positive outcomes, a service wide agenda was developed including: • An expanding therapy group programme. • A county wide training programme for staff. • Introducing ACT as an underpinning model in staff supervision. Measures To evaluate the effectiveness of the above, quantitative and qualitative measures were used: • AAQ2 • MAAS • “Three changes checklist” (TCC) • Bullseye valued living measure • Semi-structured interviews • Focus groups • Feedback forms Results Groups Improvements were observed across groups in the different services. T-tests (correlated) showed significant differences on pre and post quantitative scores for three of the four measures in the acute services group - AAQ2: t(25)=3.88, p<.001; MAAS: t(10)=2.91, p<.05; TCC: t(11)=2.26, p<.05; Bullseye: t(12) 1.91, p <.1 . Data from other groups to follow. The focus groups and semi-structured interviews showed how participants were using the learning and values in their lives. Discussion In Herefordshire, ACT as a core intervention, training schedule and supervision approach is now firmly embedded into the psychology service and forms a key part of the Working Age Adult Service operational policy. Although the function of the interventions was equivalent across all services, the form of the intervention appropriately varied by context. A number of additional benefits were observed and fed back by other staff members in the service, including: • Increased capacity to generalise learning across service areas. • Benefits of using a shared language with clients through transition and focus on values from the start of a newly forming relationship. • Multi-disciplinary staff feel better able to support continued engagement. • Further spread to other teams (Child and Adolescent services). • ACT informed policy changes.

37. Oncology Nurse Self-Care: A Literature Review of Interventions to Address Burnout and Compassion Fatigue
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Stress-management

William Kent, BSc, University of Chester
Nick Hulbert-Williams, Ph.D., University of Chester
Kevin Hochard, Ph.D., University of Chester
Ros Bramwell, Ph.D., University of Chester

Background: Oncology nurses are at high risk of stress, burnout and compassion fatigue: this has problematic consequences for absenteeism, staff turnover, and quality of patient care. Method: In this paper, we: (i) provide an overview of the literature concerning stress-management interventions for at-risk oncology nurses, and (ii) conceptually explore how ACT’s framework may be a suitable alternative. Results: Published data on stress-reduction interventions primarily use educational or psychotherapeutic frameworks. Overall, the efficacy of these interventions varies with regards to effect size and longevity. Papers reporting psychotherapeutic interventions often fail to report the underlying models and intervention components employed. Discussion: Given the overlap between the causes of stress-related problems in healthcare workers and therapeutic processes targeted in ACT, it is surprising that no studies have explored the efficacy of ACT in this population. To ensure that the intervention doesn’t add further burden, brief intervention formats are likely to be most acceptable and feasible.

38. Further Development and Psychometric Validation of a Novel Measure of Trait Mindful Eating
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Mindfulness

Lee Hulbert-Williams, University of Chester
Wendy Nicholls, University of Wolverhampton
Samantha Flynn, University of Chester
Nick Hulbert-Williams, University of Chester

Mindful eating has been promoted as a potential intervention for a range of weight- and eating-related issues. As the field moves from observational methods into full clinical trials, adequate process measures are needed if we are to be able to make claims about the specificity of such interventions. Our group had previously published the Mindful Eating Scale, a potentially useful measure, albeit with some shortcomings identified in the initial development work. In this follow-on study we recruited 236 participants to provide the data for a confirmatory factor analysis. Initial fit indices were less than ideal. We thus used the standard method to remove poorly performing items, shortening and strengthening the scale. Whilst fit indices were improved (e.g. RMSE improved from 0.079 to 0.055), further work may now be desirable to confirm the revised factor structure. We will present initial data on concurrent validity against body mass, weight fluctuation, and concern for dieting.

39. Dissemination of a Functional Analytic Psychotherapy (FAP)-Informed Intervention for Loneliness: Results from an Open Trial [1169]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Functional Analytic Psychotherapy

Joseuda B C Lopes, MSc, Novum Paradigma
Fabian O. Olaz, Psy.D., National University of Córdoba-Integral Center of Contextual Psychoterapies (CIPCO)
Mavis Tsai, Ph.D., Independent Practice and University of Washington
Robert J. Kohlenberg, Ph.D., ABPP, University of Washington

Background: A lack of social connection or loneliness, described by poet Emily Dickinson as “the horror not to be surveyed” is a quiet devastation, a major public health epidemic (New York Times, September 5, 2016) linked to physical and mental ill health. In fact, data from 140 studies show that loneliness increases the risk of death more than excessive drinking, exposure to chronic air pollution and obesity, and as much as excessive smoking (Holt-Lunstad et al., 2015). This project is an in-progress treatment development study assessing the impact of FAP’s Awareness, Courage and Love (ACL) model (Tsai et al., 2009) on increasing social connection and alleviating loneliness in individuals worldwide. The Live with ACL Meetups foster a safe and accepting space to be one's true self, and yet create deep connections by being understanding, bold, and kind. Method: Monthly online 90 minute experiential trainings led by the 3rd author of both professional and non-professional individuals (recruited mainly through the FAP Facebook group) who were interested in creating Live with Awareness, Courage and Love (ACL) Meetups through Meetup.com in their hometown began in October 2016. These leaders are provided with monthly protocols , and agreed that: 1) they are willing to be participant leaders, to lead vulnerability with ACL; 2) they are partnering in bringing ACL to a global audience, and their creative input and expertise are encouraged; 3) they can ask for donations of up to $10 USD per attendee, but no one will be turned away due to inability to pay; 4) they will lead meetups in their hometown once a month or as their schedule permits; and 5) the ultimate aim is for non-professionals to feel comfortable in leading ACL Meetups so that this format can be widely disseminated. Results: First, dissemination data will be reported. Currently, Live with ACL Meetups have 3170 members in 27 cities, 12 countries (Belgium, Germany, Germany, Poland, Spain, Switzerland; Argentina, Brazil, Colombia; Australia, Canada, United States) and 4 continents (North America, South America Europe and Australia). Second, feedback data from the attendees of these meetups regarding what they found helpful and what they would like to see changed, will be summarized. Discussion: This study implements an innovative approach to dissemination and implementation to address the inconsistent adoption of evidence-based treatments (Centers for Disease Control & Prevention, 2006). As discussed by Addis, Wade & Hatgis (1999), barriers to dissemination include treatments that require expensive and time-consuming instruction and supervision that are not readily accessible. Dissemination and Implementation in this study are facilitated by: 1) using protocols that require minimal training or professional background; 2) using a readily available venue during the development process itself (Meetup.com) for both recruiting participants and delivering the intervention; and 3) recruitment of interested Meetup participants, typically non-clinicians, to participate in leading these groups. These groups facilitate exploring what deeply matters, sharing with courage, and listening with compassion. Participants leave with tools to enhance other relationships, and to move towards what they value most in life.

40. The Relationship between Experiencing Parental Psychological Aggression and Anger Expression Styles
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Children, Parenting

Leyla Ergüder, M.S., University of North Texas
Zeynep Hatipoglu-Sümer, Ph.D., Middle East Technical University

Having been exposed to psychological aggression from parents, children learn by observing and may imitate their parents` way of anger expressions (Bandura 1971). Thus, children's anger expression styles are shaped by their early experiences. Differences between anger expression styles are significant when examining the association of anger to psychopathology because anger expression styles are related to both physical and mental health (Stewart, Levin-Silton, Sass, Heller,& Miller, 2008). Experiencing aggression from parents was positively related to children’s use of detrimental anger expression styles for both genders (Wolf & Foshee, 2003). The purpose of the study is to investigate the association between experiencing parental psychological aggression and anger expression styles among college students. The sample of the study comprised of 614 college students from a public university in Hatay, Turkey. Emotional Abuse and Neglect Subscale of Childhood Trauma Questionnaire (CTS), Anger Expression Style Subscale of State-Trait Anger-Anger Expression Styles Inventory (STAXI), and Personal Information Form were used to collect data. Correlation analysis (Pearson product-moment correlation test) was utilized to test the hypothesized relationship between variables. The findings of the study demonstrated that for men, there were significant positive correlations between experiencing parental psychological aggression and anger expression styles of anger out and anger in (r = .16,p< .05,r = .25, p<.01, respectively), but correlation between experiencing emotional abuse/neglect and anger control, one of the sub-construct of anger expression styles, was negative and not statistically significant (r = -.12, p>.05). For women, findings revealed that the relationship between experiencing psychological parental aggression and anger expression styles were statistically significant and positive for anger out and anger in (r = .19,p< .01,r = .22, p<.01, respectively), and negative and significant for anger control (r = -.15,p< .01). Furthermore, the lowest relationships among associations yielded in correlation analysis was between expressing anger inwards and controlling anger. Results of the study suggested that expressing anger inwards positively associated with parental emotional abuse and neglect victimization. Also, externalizing anger was significantly and positively related with experiencing parental psychological aggression. Additionally, controlling anger variable of the anger expression style negatively associated with experiencing parental psychological aggression for women. Findings of the study revealed that college students who experienced emotional abuse and neglect from their parents demonstrate less control over their anger compared to students who do not have parental psychological abuse history. Moreover, college students who experience psychological aggression from their parents in their childhood more likely to express their anger outwards.Therefore, the findings of the study demonstrated the importance of the relationship between experiencing parental psychological aggression and anger expression styles.The theoretical and practical implications and recommendations for future research were presented.

41. The Role of Fears to Receive Kindness and Compassion from Others in the Link Between Early Affiliative Memories and Depression Symptoms
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Depression

Ana Laura Mendes, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
Inês A. Trindade, CINEICC, University of Coimbra

In accordance with Gilbert and colleagues (2011), early adverse experiences characterized by feelings of shame, rejection and abuse may lead to the later experience of fearing to receive kindness and compassion and may be linked with several psychopathological conditions, such as depression. The current study tested a model which hypothesized that the fear of receiving compassion from others and social safeness and pleasure may act as mediators on the association between early positive affiliative memories and depressive symptomatology. The sample comprised 616 Portuguese women, aged between 18 and 65 years old, who completed validated self-report measures. The tested path model explained 41% of the variance of depressive symptomatology and showed excellent model fit indices. Results demonstrated that early memories of warmth and safeness with family figures presented a significant direct effect on depression symptoms and, in turn, an indirect effect through the mechanisms of fear of receiving compassion from others and social safeness and pleasure. Specifically, a lower report of early positive memories with family figures seems to explain higher levels of depressive symptomatology, via increased fear of receiving other’s compassion and kindness and decreased feelings of social safeness and connectedness. These findings seem to support the importance of developing in the community intervention programs which target maladaptive emotion strategies (e.g., being resistant to others’ kindness and compassion) and, in turn, promote mental health and well-being, especially in a context of early adverse experiences.

42. Using ACT with Adolescents Impacted by Cancer: The PEER Program [1170]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Adolescents and Young Adults, Cancer

Pandora Patterson, Ph.D., CanTeen Australia. The University of Sydney
Elizabeth Kelly-Dalgety, CanTeen Australia
Fiona McDonald, Ph.D., CanTeen Australia. The University of Sydney

Background: A personal or familial cancer diagnosis can have a substantial negative impact on an adolescent’s distress levels and cancer related unmet needs. In this study, we developed and piloted a manualised 4-day therapeutic program (Place of Enablement, Empowerment and Relationships; PEER) for adolescents (11-17 years) based on Acceptance and Commitment Therapy (ACT). ACT was chosen as a framework due to its focus on increasing psychological flexibility and the capacity to cope with difficult thoughts and feelings. Method: Program effectiveness was assessed across three time points using validated measures for psychological flexibility, coping, mindfulness, self-compassion, sense of belonging and quality of life. Results: 175 adolescents participated across 6 pilots (age M=14.56 years, SD=1.72; 45.7% male). Significant improvements were found for supportive relationships, sense of belonging, coping, mindfulness and quality of life. These were maintained at follow-up for active and emotional coping, and mindfulness. Improvements in supportive relationships, active coping, sense of belonging and mindfulness were all greater for those whose psychological flexibility had greatest increases. Overall satisfaction for sessions was high (M=7.7/10, SD=1.85). Discussion: The results presented here demonstrate the effectiveness of a program grounded in ACT in improving the quality of living of adolescents impacted by cancer.

43. A Brief Acceptance and Commitment Therapy (ACT)–Based Group Program for Unemployed Individuals with Mental Health Problems [1171]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Mental illness among unemployed people

Marie Christine Dekoj, Ph.D., Centre for Psychotherapy, Kitzberg Hospital, Bad Mergentheim
Lisa Gabriel, Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany
Tobias Staiger, Ph.D., Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany
Tamara Waldmann, Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany
Thorsten Brosch, Kolping-Werk Augsburg
Nicolas Rüsch, Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany

Background: People with mental illness often choose not to use mental health services and not to seek help with jobsearch and other psychosocial problems. This has harmful consequences for individuals, their families and society, such as poor clinical outcomes, continuing unemployment and productivity losses. In a Swedish study unemployed individuals with mental disorders who participated in ACT improved significantly on measures of depression, general health, and quality of life. Aim: To evaluate the acceptability, feasibility and efficacy of a brief ACT-based group program for unemployed individuals with mental health problems. Program participants should learn to behave flexibly in different situations and decide to live a value-based life. This is expected to reduce barriers to help-seeking among unemployed people with mental health problems. Methods: A pilot randomized controlled trial (RCT) with approximately 100 unemployed people with mental health problems planned. Interested individuals are screened via telephone. Inclusion criteria are being between 18 and 64 years of age, currently unemployed (persons receiving full disability pension are excluded) and psychological distress as indicated by a score ≥13 on Kessler’s K6 Psychological Distress Screening Scale. Participants are randomly allocated to the ACT intervention or a TAU control group. The ACT-based intervention consists of four sessions, covering the following topics: awareness, acceptance of unemployment and/or mental illness, values, disclosing mental health problems, and help-seeking. Assessments take part at baseline (t0), and 3 (t1) and 6 (t2) weeks after baseline. Results: Experiences with the acceptability and feasibility of the program and of conducting a Pilot-RCT in this population will be shared. Preliminary results of the intervention will be presented with respect to acceptance, value-based behaviours, help-seeking and motivation in terms of jobsearch and mental health service use. Discussion: The pilot-RCT will show whether a short ACT-based group program improves the motivation for mental health treatment and jobsearch among unemployed individuals with mental health problems by increasing value orientation and psychological flexibility.

44. From Feeling Inferior to Being Concerned About One’s Body Weight and Shape: The Weight of Body Image–Related Psychological Inflexibility [1172]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Body Image

Joana Marta-Simões, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
Inês A. Trindade, CINEICC, University of Coimbra

Psychological flexibility is described as an adaptive mechanism to deal with internal experiences. When associated with body image (i.e., the active contact with perceptions, thoughts, and feelings about one’s body image, without attempting to change or control them), it associates with lower body image dissatisfaction and disordered eating. On the contrary, body image difficulties and associated unhealthy eating behaviours have been linked to inflexibility toward distressing body image-related thoughts and feelings. Moreover, the perception that others evaluate one’s characteristics in a devaluing manner (external shame), and the tendency to feel inferior based on physical appearance, are both shown to associate with body image difficulties. The present study explored whether appearance-based social comparison with peers and shame would associate with higher body weight and shape concerns (main risk factors for eating disorders) via higher body image–related inflexibility. The study’s sample comprised 776 young adult Portuguese females. Results revealed that, although appearance-based comparisons with peers and shame directly associate with both weight and shape concerns, these relationships also seem to be significantly mediated by body image-related inflexibility. The path model accounted for 53% and 58% of the variances of body weight and shape concerns, respectively. Results seem to enhance that, in women, the attempt to alter the form, frequency, or intensity of private experiences, specifically those associated with one’s appearance, is often ineffective and costly. This study seems to support the pertinence of combining Compassion Focused Therapy and Acceptance and Commitment Therapy when treating and preventing disordered body image and eating.

Friday, 23 June, 18:15-19:15 - Poster Session #2

1. The Relationship Between Psychological Flexibility and Postpartum Depression: A Longitudinal Analysis with Mothers of Neonatal ICU Infants
Primary Topic: Behavioral medicine
Subtopic: Postpartum Depression

Yoly R. Villarreal, Ph.D., McGovern Medical School, University of Texas Health Science Center at Houston
Michelle R. Klawans, M.A., McGovern Medical School, University of Texas Health Science Center at Houston
Thomas F. Northrup, Ph.D., McGovern Medical School, University of Texas Health Science Center at Houston
Mackenzie L. Spellman, M.A., McGovern Medical School, University of Texas Health Science Center at Houston
Angela L. Stotts, Ph.D., McGovern Medical School, University of Texas Health Science Center at Houston

Background: Depression during the postpartum period affects 1 in 7 women and contributes toward adverse maternal and child health outcomes. This is especially true for mothers with infants admitted directly to the Neonatal Intensive Care Unit (NICU) who, in conjunction with typical depression risks must contend with exacerbated stressors associated with the NICU experience. Early detection and treatment of postpartum depression with NICU moms may help mitigate some of these risks, and psychological flexibility may be an especially important target for treatment. Avoidance and inflexibility around distressing private experiences may be related to the persistence of depression in the later postpartum period. We investigated the association between psychological flexibility shortly after delivery (baseline) and depression at 6 months postpartum in mothers whose infants were admitted to a NICU. Methods: As part of an ongoing NICU study targeting secondhand smoke (SHS) exposure, mothers of NICU infants (n=98) were administered the Center for Epidemiological Studies-Depression Scale (CES-D) and the Acceptance and Action Questionnaire II (AAQ-II) at baseline (range: 1 day – 2-weeks post-delivery); both measures were treated continuously. Additionally, the CES-D was re-administered approximately six months postpartum (follow-up). Multiple regression (PROC REG; SAS 9.4) was used to associate AAQ-II scores at delivery with CES-D scores at 6 months. Results: At baseline, 44% of NICU mothers had scores on the CES-D suggestive of clinical depression (i.e., >16). The mean CES-D score was 16.06 (SD=9.45) and scores ranged from 0 to 46. The mean score on the AAQ-II was 51.91 (SD=10.2) and scores ranged from 27 to 70. At follow-up, 21% of NICU mothers endorsed scores on the CES-D suggestive of clinical depression. Bivariate results showed greater psychological flexibility at baseline was related to lower depression at follow-up (β:-0.35, p < 0.001). Additionally, depression at baseline was related to depression at follow-up (β: 0.33, p < 0.001). Including baseline psychological flexibility and baseline depression in a multivariate regression, results indicated that psychological flexibility remained significantly predictive of depression at follow-up (β: -0.27, p = 0.0057) while depression at baseline did not (β: 0.189, p = 0.072). Depression at baseline explained 11% (R² = 0.11) of the variance of depression at follow-up, including psychological flexibility increased the overall model fit to 18% (R² = 0.18). Discussion: Psychological flexibility may play an important role in the mental health status of new mothers of NICU infants and may be even more significant than depression at delivery. Based on these findings, we are encouraged to assess psychological flexibility at delivery to identify mothers at risk for postpartum depression that extends beyond the perinatal period. Treatments, such as Acceptance and Commitment Therapy that target psychological flexibility may be efficacious at minimizing depression in the later postpartum period and improving maternal mental health outcomes, particularly for women who have medically at-risk children. Additional research is needed to further understand these relations among NICU mothers.

2. The Development of a Mindfulness Mobile App Targeting People Facing Infertility: The MindfulSpot [1173]
Primary Topic: Behavioral medicine
Subtopic: Mindfulness

Bárbara Monteiro, MSc, Instituto Superior Miguel Torga
Ana Galhardo Ph.D., Instituto Superior Miguel Torga; CINEICC_ faculta of Psychology and Educational Sciences of the University of Coimbra
Marina Cunha, Ph.D., Instituto Superior Miguel Torga; CINEICC_ faculta of Psychology and Educational Sciences of the University of Coimbra
Margarida Couto, Ph.D., Instituto Superior Miguel Torga
Frederico Fonseca, MSc, Instituto Superior Miguel Torga
Luis Abreu, Instituto Superior Miguel Torga

Background: Infertility is a medical and social condition presenting numerous challenges including psychological burden. Although most couples facing fertility issues and the demands of medical treatment are able to adjust, some of them may show psychological difficulties with clinical relevance such as depression and anxiety. Mindfulness approaches such as the Mindfulness Based Program for Infertility (MBPI) have been applied to people dealing with infertility showing promising results. Based on the MBPI a mindfulness app specifically designed for people facing infertility was developed – the MindfulSpot. Method: The MindfulSpot is a prototype mobile app that provides the chance of practicing mindfulness in a confortable and accessible way. This app covers informative audio and written texts. The audio contents correspond to mindfulness formal practice instructions and suggestions for informal practice, making possible its use throughout different moments of the day. Additionally to mindfulness instructions, users are invited to explore the informative menu that encompasses topics addressing emotional impact of infertility (e.g., common emotions, impact on the couple relationship, family, friends, etc.). Results: The efficacy of the MindfulSpot is still under analysis and results are expected to be available soon. Discussion: The MindfulSpot was designed as a tool for the promotion of mindfulness and acceptance skills. Accordingly, it is expected that it can help people to become more conscious of their experience dealing with it with openness and curiosity instead of trying to suppress, avoid or modify it and consequently decrease emotional distress. Moreover to its independent use it may also be used as a support tool of the MBPI.

3. Practices and Attitudes of Professionals Who Provide Psychological Treatments for People with Chronic Pain: A Comparison Across Approaches Within CBT
Primary Topic: Behavioral medicine
Subtopic: Chronic pain

Whitney Scott, King's College London
Francisco Montesinos Marin, Universidad Europea
Brandon Gaudiano, Alpert Medical School of Brown University
Lance M McCracken, King's College London

Background: Approaches broadly related to Cognitive Behavior Therapy (CBT) are dominant within current psychological treatments for chronic pain. This includes what might be called traditional CBT and newer generation CBT, including Acceptance and Commitment Therapy (ACT). Currently it is not known to what extent treatment providers working in the area of chronic pain might self-identify as adhering to one or the other of these orientations, and whether there are any further distinguishing features between these providers. The purpose of this study was to survey providers on these questions. Methods: During 2014 and 2015 participants were recruited from email lists for professionals with interest in psychology and chronic pain. Participants completed online questionnaires assessing basic demographic and educational information, therapeutic orientation, use of treatment methods, and processes of psychological flexibility. Results: Sixty-eight people (67.6% women) responded and provided data. The mean age was 45.2 years (sd = 11.1). Most were from the US (n = 28), followed by the UK (n = 17), Chile (n = 9), Portugal and Spain (each n = 4), or other (n = 6). Most were clinical psychologists (n = 48), health psychologists (n = 13), or other (n = 7). A total of 34 participants identified themselves as traditional cognitive behavior (TCB), 19 as “acceptance or mindfulness based,” (AMB) and 15 as some other orientation. The AMB providers reported greater use of “existential” or “humanistic” (p < .05) and “acceptance-based” approaches (p < .001), and there was a tendency for the AMB to use a wider range of these approaches, but there were no other group differences. In terms of specific methods, the TCB providers reported greater use of cognitive restructuring and relaxation compared to the ABM providers, but less use of exposure, mindfulness, cognitive defusion, values-clarification, metaphor and experiential exercises (all p < .001, except for the comparison of relaxation, p < .05). The two groups were not different in their intuitive versus experiential approaches to knowledge, or in their attitudes toward evidence-based practice. The two groups did not differ in their self-reported mindfulness or psychological flexibility. Discussion: The current data provide a preliminary probe of approaches and methods used and attitudes held by professionals from different orientations within CBT in chronic pain management. The data suggest that AMB providers currently represent a minority of providers, that their practices are consistent with the model they espouse, but that in many other ways they hold general attitudes consistent with the wider family of CBT.

4. Design of a Protocol for Addictions and Application of Contextual Therapy [1174]
Primary Topic: Behavioral medicine
Subtopic: Addiction

MªLuz Vallejo, Madrid Institute of Contextual Psychology (MICPSY)
Marina Díaz, Madrid Institute of Contextual Psychology (MICPSY)
Pablo Soto, Madrid Institute of Contextual Psychology (MICPSY)

There is a great amount of evidence which suggests that psychological inflexibility takes part in a variety of psychological difficulties, including problems with addiction to substances. The goal of the study was the design and application of an ACT protocol, making hierarchical and deictic frames explicit in three adults with addiction problems. The intervention protocol consisted of three individual sessions focused on (Törneke, Luciano, Barnes-Holmes, & Bond, 2016): (1) help the client connect with the consequences of the problematic behaviour, thus making him open to clinical change; (2) clarify areas of personal value; (3) and training the ability to differentiate himself from his private events (i.e. anxiety about substance consumption) and the promotion of actions that are consistent with what’s important for the clients. Measures were taken using psychological flexibility assessments before, during and post-treatment, and analysis of the clinical interactions in terms of the relational behaviour involved (Villatte, Villatte & Hayes, 2015). The final results showed a decrease on addictive behaviour.

5. Experiential Avoidance Longitudinally Impacts IBD Patients’ Physical Health: A Latent Growth Analysis [1175]
Primary Topic: Behavioral medicine
Subtopic: Inflammatory bowel disease; physical health

Inês A. Trindade, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
José Pinto-Gouveia, CINEICC, University of Coimbra

Background: The current study aims to explore experiential avoidance’s influence on subsequent levels of physical health in patients with inflammatory bowel disease (IBD), a chronic and relapsing condition, known to significantly impact patients’ quality of life. Methods: The sample includes 116 IBD patients that completed validated self-report measures on an online platform in three different moments during an 18-month period. Latent growth curve models (LGMs) were conducted using structural equation modelling to estimate the growth trajectory of physical health (measured by a subscale of WHOQOL-Bref) conditioned by experiential avoidance (AAQ-II). Results: The conditional LGM model showed an excellent fit (CFI=1.00; TLI=1.00; IFI=1.00; SRMR=0.01) and indicated that experiential avoidance presented a significant negative effect on basal physical health levels (β=-0.40, p<0.001), demonstrating that individual presenting higher levels of experiential avoidance show lower levels of physical health. Furthermore, experiential avoidance presented a significant effect on the growth rate of physical health (β=0.28, p=0.015), that is, in this sample, this maladaptive emotion regulation process predicted individual differences in the growth and evolution of physical health. Conclusions: These novel findings may indicate that experiential avoidance, by being associated with paradoxical consequences and further negative affect, may cause physiological alterations that may be detrimental to physical health. Furthermore, experiential avoidance may compromise the engagement in health promoting behaviours (such as taking the prescribed medications or going to medical appointments) that can in turn impact on patients’ physical health. The present study adds an important contribution to literature by implying that promoting acceptance abilities might improve IBD patients’ health.

6. Prevention and Treatment of Psychosomatic and Psychosocial Symptoms Among Unemployed Individuals at Times of Socioeconomic Crisis: A Pilot Study of an ACT-Based Group Intervention [1176]
Primary Topic: Clinical Interventions and Interests
Subtopic: Unemployment, stress, quality of life

Charikleia Karatza, M.Sc., Aristotle University of Thessaloniki
Maria Karekla, Ph.D., University of Cyprus
Pagona Roussi, Ph.D., Aristotle University of Thessaloniki

Background: Over the past five years Greece has faced a major socioeconomic and humanitarian crisis. The implementation of severe austerity policies, the massive lay-offs and the very limited opportunities for work have led to a dramatic increase in unemployment. A direct consequence of this is the deterioration of mental and physical health in Greece. Some of the most prominent effects of unemployment on mental health are depression, elevation of stress, despair and worry, social exclusion and stigma, family and marital conflicts, marital dissolution, low self-esteem, shame and feelings of unworthiness. ACT’s stand that human suffering is normal and expected could help overcome the stigma, the sense of shame and guilt associated with unemployment and poverty. Most importantly, values clarification and committed action could address time management issues and help the unemployed invest their energy on working in life areas important to them regardless of their present employment and financial situation. Method: The primary aim of this study was to develop a novel ACT-based protocol designed for the unemployed and to pilot-test it in a group setting in order to test its effectiveness. The intervention consisted of nine weekly sessions lasting two hours each, conducted in two groups (total N=9, all females, mean age= 46.5). Participants were assessed before and after the intervention using multiple instruments including General Health Questionnaire (GHQ–28), Depression, Anxiety and Stress Scale (DASS 21), Pearlin Mastery Scale and a number of process measures. Hypotheses were tested using paired-samples t-test in order to evaluate the impact of the intervention on the dependent measures. Results: Pre-post results from two pilot groups demonstrated statistically significant decreases in stress, anxiety, depression and social dysfunction (GHQ-28) as well as statistically significant increases in sense of mastery (Pearlin Mastery Scale) and willingness/engagement in meaningful life activities. Additionally, a statistically significant decrease in medication intake and need for medical help was observed. Discussion: These preliminary findings suggest that an ACT-based group intervention could offer valuable help for the formulation of a novel, flexible, cost-effective intervention program for the unemployed, aiming at preventing and treating psychosocial and psychosomatic problems.

7. Changes in General Distress During a Psychological Treatment: The Role of Psychological Flexibility
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychological flexibility

Nikolija Rakočević, M.A., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Dragan Žuljević, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Vesna Gavrilov - Jerković, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Ivan Jerković, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Milica Lazić, M.A., Department of Psychology, Faculty of Philosophy, University of Novi Sad

The change in psychological flexibility is considered a to be the key mechanism of change within the ACT theoretical framework. The aim of our study was to evaluate the potential of this construct in predicting the reduction of general distress during the ongoing psychotherapy treatment. Our initial study included 118 clients participating in free-of-charge psychological treatment in Psychological Counseling Center in Novi Sad. 74.8% of the participants were female and 25.2% male, ranging from 18 to 63 years of age (mode = 25). The treatment consisted of 10 sessions. It was conducted by 19 psychological counselors originating from REBT and Transactional analysis theoretical orientation. To assess the change of psychological flexibility and general distress, we administered Acceptance and Action Questionnaire II (AAQ-II; Bond et al, 2011) and Depression, Anxiety and Stress Scale 21(DASS-21; Lovibond & Lovibond, 1995) during the admission interview two weeks before the start of the treatment(n = 117), as well as before the first treatment session (n = 101), after the final treatment session (n = 47), and three months after the end of the treatment (n = 36). The results of regression analyses performed on the total sample suggest that the increase in psychological flexibility seem to be a marginally significant predictor of distress reduction before the treatment starts (ß = .23, p = .02) as well as after the end of the treatment (ß = .33, p = .05), but highly significant during the treatment (ß = .63, p <.01). Having in mind that the high dropout rate (69% of total sample), we repeated the analyses on the sample of clients which participated in all of the assessments. The results did not significantly differ from prior results suggesting the lack of predictive potential before (ß = .02, p = .87) and after treatment (ß = .33, p = .05), as well as excellent predictive potential during the treatment (ß = .67, p <.00). We can conclude that our results add up to the pool of empirical findings that emphasize the role of increase of psychological flexibility as a potential mechanism of psychological change. The theoretical and practical implications of the results will be discussed.

8. Development and Validation of an Implicit Measure of (Chronic) Pain-Related Fear, Avoidance and Acceptance in Adolescents [1177]
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Pain, Adolescents

Melanie Beeckman, MSc, Ghent University - Department of Experimental-Clinical and Health Psychology - Ghent Health Psychology Lab
Sean Hughes, Ph.D., Ghent University - Department of Experimental-Clinical and Health Psychology - Learning and Implicit Processes Lab
Liesbet Goubert, Ph.D., Ghent University - Department of Experimental-Clinical and Health Psychology - Ghent Health Psychology Lab

Background and Aims: Chronic pain is a common health problem among adolescents. Until recently research has mainly focused on those pain-related contexts and antecedents (e.g., fear or avoidance of pain) that give rise to and maintain maladaptive functioning (e.g., physical disability, social and emotional problems). Others have recently started to investigate so-called ‘resilience’ factors (e.g., pain acceptance ) that can lead to successful daily functioning (e.g., continued engagement in valued activities). Although promising, such work has almost exclusively relied on self-report procedures that tap into people’s deliberate ‘explicit’ thoughts, feelings, and actions. We argue that a more sophisticated understanding of pain-related functioning in adolescents requires that their automatic (pain-related) thoughts, feelings, and actions also be taken into account. We are currently developing a version of the Implicit Relational Assessment Procedure (IRAP) that can assess implicit (pain-related) fear, avoidance, and acceptance responses. This work examines the relationship between explicit and implicit cognition as well as their relationship to (dys)functioning in adolescents. Methods: Two IRAPs were administered to 25 healthy adolescents (11-17 years; recruited through schools) to measure their implicit responses to acute pain. Participants were asked to engage in a 1-minute cold pressor task (CPT) and a neutral water task (i.e. control condition) before completing willingness-fear and approach-avoidance IRAPs. They were then asked to complete a second CPT while performing a tone detection task. Participants also completed task-specific and general pain-related self-reports. Results: On average most (92%) adolescents were able to meet IRAP performance criteria. Participants showed no implicit willingness, fear, approach, or avoidance responses towards the acute pain task, although implicit responses were found towards the neutral task. Only implicit and explicit willingness responses towards the (painful) CPT were (positively) related to one another. Although explicit pain-related responses did relate to performance on the painful CPT and tone detection task, implicit responses did not. Conclusions: The IRAP can be used with adolescents in a pain-related context. In a forthcoming study, the IRAP will be adapted to measure implicit responses in adolescents with chronic pain. Again, relations with explicit cognition and performance on a daily (painful) behavioral task will be explored.

9. Dimensions of Posttraumatic Stress Symptomology and Suicidal Ideation: The Role of Cognitive Fusion
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD; Suicide

John J Donahue, Psy.D., University of Baltimore
Joshua Humphreys, University of Baltimore

Background and Introduction: Following exposure to a traumatic event, posttraumatic stress (PTS) symptomology may persist, including re-experiencing symptoms, avoidance symptoms, negative alterations in mood and cognition, and alterations in arousal and reactivity. PTS symptoms are associated with a range of negative functional outcomes, including an increased risk for suicidality (LeBouthillier, McMillian, Thibodeau, & Asmundson, 2015; Tarrier & Gregg, 2004). However, PTS symptomology is multidimensional in nature, and when examining the relationships between individual symptom dimensions and suicidality, the negative alterations in mood and cognition cluster of symptoms has exhibited a more consistent link (Legarreta et al., 2015). This cluster is characterized by negative beliefs about oneself and the world, distorted blame, and persistent negative emotional states, and its relationship with suicidality is in accordance with the hopelessness theory of suicide (Abramson et al., 2000). Within the psychological flexibility model of psychopathology however, the context of thinking is critical in the development and maintenance of suffering, more so than the content of thinking (Hayes et al., 2012). Cognitive fusion is a process by which individuals relate to thoughts as the literal truth, thoughts are strongly believed, and behavior is markedly influenced by these thinking (Hayes et al., 2012). Within a fused context, it would be expected that the negative alterations in mood and cognition cluster of PTS symptoms would be strongly related to suicidality, whereas this relationship would likely be attenuated under contexts of low fusion. Aim and Hypothesis: The primary aim of this study is to investigate the moderating effect of cognitive fusion on the association between the negative alterations in mood and cognition cluster of PTS symptoms and suicidal ideation. After controlling for the remaining dimensions of PTS symptomology, we hypothesized that negative alterations in mood and cognition would be strongly associated with suicidal ideation when cognitive fusion is high, and weakly associated with suicidal ideation when cognitive fusion is low. We expected this association to be specific to the negative alterations in mood and cognition cluster, as we did not expect cognitive fusion to moderate the relationship between the other three clusters of PTS symptomology and suicidal ideation. Method: One hundred fifty-six community participants (51% women; mean age = 35.01, SD = 10.00) were recruited online as part of a larger study and selected for inclusion based on self-reported prior trauma exposure on the Brief Trauma Questionnaire (BTQ; Schnurr, 1999). Participants were administered an assessment battery which included the PTSD Checklist for DSM-5 (PCL-5; Weathers, et al., 2013), the Cognitive Fusion Questionnaire (CFQ; Gillanders et al., 2014), and a two-item measure of suicidal ideation and intent (SI). Results: PROCESS, a non-parametric bootstrapping procedure was conducted to test the hypothesis that CFQ would moderate the association between the negative alterations in mood and cognition symptom cluster (PCL-Mood and Cognition) and SI, after controlling for the remaining PCL subscales. Supporting our hypothesis, the overall model explained significant variance in SI, R2 = .33, F(6, 149) = 12.41, p < .001, preliminary results revealed that PCL-Mood and Cognition (B = .46. p < .01) and CFQ (B = .13, p < .05) significantly and positively predicted SI, and the addition of the PCL-Mood and Cognition - CFQ interaction term explained additional variance in SI, ΔR2 = .03, p < .01. Evidence of moderation was only found for the PCL-Mood and Cognition subscale, as significant interactions between CFQ and the other PCL-5 subscales did not emerge in the prediction of SI. Discussion. Results provide preliminary support for the role of cognitive fusion in clarifying the associations between negative beliefs and emotions and suicidal ideation in a trauma-exposed sample. Discussion will focus on future directions and possible clinical implications.

10. Social Anxiety: The Role of Experiential Acceptance in Avoidance Behavior of Social Situations [1178]
Primary Topic: Clinical Interventions and Interests
Subtopic: Social anxiety, adolescents

Maria do Céu Salvador, University of Coimbra
Maria João Martins, University of Coimbra
Sandra Vieira, University of Coimbra

Background: Acceptance and mindfulness-based approaches have been studied in social anxiety in order to better understand the emergence and maintenance of social anxiety symptoms. Herbert & Cardaciotto (2005) proposed a theoretical model in which behavioral disruption occurs as a function of experiential control and acceptance. This study sought to explore the mediator role of self-focused attention and experiential acceptance in the relationship between physiological/cognitive activation and behavioral avoidance of social situations. Method: The sample comprised 399 Portuguese adolescents (61% females) with a mean age of 15.38 (SD = 1.14). Participants completed the brief form of the Social Phobia and Anxiety Inventory for Adolescents (SPAI-B), the Social Anxiety-Acceptance and Action Questionnaire for Adolescents (SA-AAQ-A), the Self-focused Attention for Adolescents (SFA-A) and the avoidance subscale of the Social Anxiety and Avoidance Scale for Adolescents (SAASA). Two serial multiple mediation models were performed (according to one of the two IVs: i) cognitive activation, ii) physiological activation) with SFA (M1) and SA-AAQ (M2) as mediators, and behavioral avoidance as the outcome. Results: Both mediation models were statistically significant, accounting for 34% and 24% of the variance in behavioral avoidance, respectively. Discussion: Experiential acceptance and self-focused attention have an important role in the prediction of avoidance behaviors. These results may inform clinical practice and future studies in the social anxiety field. Keywords: Social anxiety; Acceptance; Social avoidance; Mediation.

11. A Brief Protocol Based on Acceptance and Commitment Therapy (ACT) for Emotional Eaters
Primary Topic: Clinical Interventions and Interests
Subtopic: Emotional Eaters

Zaida Callejón Ruiz, Madrid Institute of Contextual Psychology (MICPSY)
Edurne Maiz Aldalur, Madrid Institute of Contextual Psychology (MICPSY)
Noelia Vergel Vaquero, Madrid Institute of Contextual Psychology (MICPSY)

Study objective: Analyze the effect of a brief protocol based on Acceptance and Commitment Therapy (ACT) on emotional eating and weight reduction in obese people. Emotional eating is defined as eating in response to emotional arousal states, such as anger, fear or anxiety. The emotional eaters attempt to reduce the emotional distress by eating food rich in fats and sugars that typically generate a sense of well-being. Methods: Participants were six overweight or obese adults (BMI between 27 and 35 kg/m2) who scored above the mean and a standard deviation in the emotional eating subscale of the Dutch Eating Behaviour Questionnaire (DEBQ). A brief ACT protocol was implemented over three weeks following three core strategies indicated in Torneke et al. (2016). A multiple baseline design across participants was used. Baselines were obtained during at least two weeks and then interventions were applied. Three measures were administered: Acceptance and Action Questionnaire for Weight-Related Difficulties (AAQ-W), DEBQ and weight during the 6-week follow-up. Therapist-Participant’s interactions were analyzed during treatment implementation and were analyzed in the context of participants` reports that showed a positive change. Results –and limitations- were discussed according to the relational framing involved in the protocol implemented.

11. A New Status of Psychological Flexibility: A Possible Universal Indicator of Treatment-Induced Change
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychological flexibility

Dragan Žuljević, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Nikolija Rakočević, M.A., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Vesna Gavrilov - Jerković, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Ivan Jerković, Ph.D., Department of Psychology, Faculty of Philosophy, University of Novi Sad
Milica Lazić, M.A., Department of Psychology, Faculty of Philosophy, University of Novi Sad

The treatment induced increase of psychological flexibility is considered to be a crucial mechanism of psychological change within the ACT theoretical framework. It implies a full contact with the present moment as a conscious human being, as well as changing or persisting in behavior in the service of chosen values based on what the situation affords. The aim of our research was to explore the potential change in psychological flexibility as a function of treatment as usual, without performing any of the specific procedures conceptualized within the ACT theoretical and practical framework. Our initial study included 118 clients participating in free-of-charge psychological treatment in Psychological Counseling Center in Novi Sad. 74.8% of the participants were female and 25.2% male, ranging from 18 to 63 years of age (mode = 25). The treatment consisted of 10 sessions. It was conducted by 19 psychological counselors originating from REBT and Transactional analysis theoretical orientation, without any experience or education in ACT. Psychological flexibility was operationalised by Acceptance and Action Questionnaire II (AAQ-II; Bond et al, 2011) which has been administered during the admission interview two weeks before the start of the treatment (n = 117), as well as before the first treatment session (n = 101), after the final treatment session (n = 47), and at three months follow-up (n = 36). The analyses did not detect any significant differences between two pretreatment flexibility scores on the total sample (t(99)=.80; p=.93; d=.01) as well as on the final sample (t(34)=-.90; p=.37; d=.08). The significant increase of flexibility was detected while comparing the levels of flexibility at the beginning and the end of the treatment both on the total (t(46)=3.04; p<01; d=.44) and on the final sample (t(35)=2.96; p<01; d=.51), an also while comparing the end of the treatment with the three months follow-up (t(35)=3.31; p<01; d=.15). The results indicate the significant growth of psychological flexibility as a function of the non-ACT psychological treatment. It could be concluded that the change in psychological flexibility can be considered as a promising metatheoretical phenomenon, whose role in reaching and maintaining a treatment induced psychological change is yet to be investigated and specified.

13. ACT-Based Group Intervention for Children with Social Difficulties
Primary Topic: Clinical Interventions and Interests
Subtopic: Children, bullying

Lee Sook Huey, Methodist College Kuala Lumpur

Acceptance and Commitment Therapy has been explored in recent years as psychological intervention for children and adolescence with emotional difficulties and pain conditions. Nonetheless, the literature on its usefulness for children with social difficulties are almost non-existent. This pilot study aims to investigate the effectiveness of school-based intervention that utilizes principles of psychological flexibility for students with social difficulties. Five students (age 10-11) who demonstrated bullying behaviors were recruited to participate in a 7 weeks ACT group program at school with parental consent. The group session include components of value clarification, mindfulness exercises, defusion exercises, noticing and responding to self-judgement or prejudiced thoughts, and perspective taking exercises. Metaphors such as passengers on the bus metaphor were used to communicate the concepts. Pre and post measures of Child and Adolescent Mindfulness Measure (CAMM) and Social Skills Questionnaire were administered. Children showed significant improvements in mindfulness skills and social functioning at the end of the 7 weeks group sessions. This pilot study gives preliminary evidence on ACT-based group program on children with social difficulties.

14. Does an ACT-Based Group Intervention for Chronic Pain Affect Sleep Disturbance and Depressive Symptoms?
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT, Chronic pain

Michaela Paraskeva-Siamata, M.Sc., University of Cyprus, Cyprus
Maria Karekla, Ph.D., University of Cyprus, Cyprus
Vasilis Vasiliou, Ph.D., University of Cyprus, Cyprus
Orestis Kasinopoulos, M.Sc., University of Cyprus, Cyprus
Maria Stavrinaki, M.Sc., University of Cyprus, Cyprus
Evaggelos Karademas, Ph.D., University of Crete, Greece
Yiolanda Christou, M.D., The Cyprus Institute of Neurology and Genetics, Cyprus
Savvas Papacostas, M.D., The Cyprus Institute of Neurology and Genetics, Cyprus

Background: Chronic pain is a long-term condition which is related to a number of negative consequences including depression, emotional difficulties (Von Korff et al., 2005) and sleep difficulties (Morin, Gibson, & Wade, 1998). Acceptance and Commitment Therapy (ACT) has been found to be effective for a number of psychological difficulties (Hayes et al., 2006), including chronic pain (McCracken et al., 2005). The present study aimed to examine the effectiveness of an 8-week group intervention based on ACT for chronic pain on sleep difficulties and depressive symptoms. Method: Twenty seven Greek and Greek-Cypriot chronic pain patients (74.1% women, age M=52.32) received the group intervention and completed a set of questionnaires including Athens Insomnia Scale (AIS) and Hospital Anxiety and Depression Scale (HADS) at pre-treatment, post-treatment and at 3-month follow-up. Results: Repeated measures ANOVA showed that there was a significant main effect of time on AIS scores (F(2,28)= 8.43, p<.05) and HADS scores (F(2,28)=5.43, p<.05). Specifically, sleep disturbance was significantly lower at post-treatment and at 3-month follow-up compared to pre-treatment while depressive symptoms were significantly lower at 3-month follow-up but not at post-treatment compared to pre-treatment. Moreover, it has been found that depressive symptoms before the intervention was an important predictor of sleep disturbance at 3-month follow-up (F(1,25)= 11.190, p<.05, R2=.309) but not at post-treatment. Discussion: Results show that ACT is an effective treatment for chronic pain helping individuals to cope with difficulties facing because of pain. Moreover, support is given to the idea that ACT effectiveness can immediately be seen after intervention in some aspects but not other and that psychological state before treatment can be a useful predictor for treatment effectiveness in the long-term.

15. Relations Between Each Factor of Self-Compassion and Social Anxiety Symptoms
Primary Topic: Clinical Interventions and Interests
Subtopic: Social anxiety,Self-compassion

Kazuya Inoue, Graduate School of Human Sciences, Waseda University
Kenji Sato, Faculty of Integrated Arts and Sciences, Tokushima University
Hiroaki Kumano, Faculty of Human Sciences, Waseda University

In recent years, studies on self-compassion and social anxiety have increased (e.g., Werner et al., 2012). However, there are insufficient detailed studies in Japan. Therefore, this study examined the relations between self-compassion and social anxiety tendency. Participants (136 undergraduates; 79 men, 57 women; mean age 18.52 ± 1.79 years) completed the Self-Compassion Scale (SCS), the Sort Fear of Negative Evaluation Scale (SFNE), the Social Phobia Scale (SPS), and the Acceptance and Action Questionnaire II (AAQ-II). Results of liner regression analysis revealed the total points of Self-compassion had a high impact on SFNE (β = −.51, p < .001)and SPS(β = −.55, p < .001). Moreover, the results of stepwise multiple regression analysis showed the effects of each factor of self-compassion on social anxiety symptoms. The results also showed the impact isolation, self-kindness, and over-identification had on SFNE. In addition, SPS was influenced by isolation, over-identification, and common humanity. Although self-compassion includes many factors, the factors that had an actual impact on social anxiety were isolation, self-kindness, over-identification, and common humanity in this study. In the future, more empirical research is necessary for the self-compassion.

16. Fast Improvement in a Short ACT Intervention Delivered by Novice Therapists
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression

Katariina Keinonen, Ph.D. Student, University of Jyväskylä
Heidi Kyllönen, University of Jyväskylä
Piia Astikainen, University of Jyväskylä
Raimo Lappalainen, University of Jyväskylä

Background: The poster aims to introduce key findings on fast improvement and its effect on treatment outcome in a six session ACT intervention delivered by novice therapists. Fast improvement was defined as reaching the status of recovered or improved in the RCI classification after two sessions. Method: Data from 56 clients diagnosed with depression were analyzed for differences in treatment outcome on measures of symptomatology and therapeutic processes. 23 % were classified as fast improvers. Results: Fast improvement on the BDI-II was associated with superior results both on the level of depressive symptomatology and psychological flexibility at posttreatment. There were no pretreatment differences in the pretreatment measures, but pretreatment diagnosis was associated with fast improvement. Discussion: Fast improvement can be useful as a long-term prognostic tool. Recognizing and predicting fast improvement could be useful in planning treatment on an individual level and on a community level.

17. Impact of a Mindfulness Intervention (MBSR) on Clinical Severity and Inflammatory Biomarkers in Patients with Fibromyalgia: A Preliminary Analysis of EUDAIMON Data [1179]
Primary Topic: Clinical Interventions and Interests
Subtopic: Fibromyalgia

Laura Andrés-Rodríguez, MSc, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.
Adrián Pérez-Aranda, MSc, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.
Xavier Borràs Hernandez, Faculty of Psychology, Universitat Autonoma de Barcelona, Barcelona, Spain
Albert Feliu-Soler, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.
Andrés Martín-Asuero, Ph.D., Instituto Esmindfulness
Juan Vicente Luciano, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.

Fibromyalgia (FMS) is a disabling syndrome characterized by chronic widespread musculoskeletal pain, increased pain sensitivity including allodynia and hyperalgesia, along with fatigue, sleep and mood disturbances, which has been related to a chronic sub-inflammation. Objectives: To explore the relationship between mindfulness, clinical symptomatology of FMS and inflammatory biomarkers, along with examine the impact of a MBSR intervention on the FMS symptoms and on post-treatment levels of pro- (IL-6, IL-8), anti-inflammatory cytokines (IL-10), and hs-CRP in serum. Methods: Nineteen patients with FMS were randomly allocated to TAU+MBSR or TAU conditions and the following measures were administrated at baseline and at post-intervention: FIQ-R (Revised Fibromyalgia Impact Questionnaire), HADS-A/D (Hospital Anxiety and Depression Scale-Anxiety/Depression), PSS-10 (Perceived Stress Scale-10), FFMQ (Five Facet Mindfulness Questionnaire). Blood samples were taken for evaluating levels of inflammatory biomarkers in serum. Results: Significant correlations between specific mindfulness skills and FMS symptomatology were found, as well as with IL-8 and hs-CRP. Remarkably, MBSR was able to significantly change most of the clinical variables (functional status, anxiety and depressive symptoms) although the serum levels of cytokines remained unchanged. Conclusions: MBSR reduces clinical severity of FMS, though a potential role of chronic sub-inflammation could not be clearly demonstrated.

18. Psychometric Properties of the Spanish Version of Cognitive Emotion Regulation Questionnaire (CERQ) in Patients with Fibromyalgia [1180]
Primary Topic: Clinical Interventions and Interests
Subtopic: Fibromyalgia

Adrián Pérez-Aranda, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Laura Andrés-Rodríguez, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Elvira Reche, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Albert Feliu-Soler, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Xavier Borràs, Stress and Health Research Group (GIES), Faculty of Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain
Juan V. Luciano, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain

The term emotional regulation comprises different strategies oriented to modify the occurrence, intensity or duration of an emotional state by altering some of the emotion’s antecedent factors or by modifying some aspect of the emotion itself. Difficulties in emotional regulation seem to be very relevant in clinical contexts and may play a critical role in chronic pain conditions such as fibromyalgia syndrome (FM). Garnefski, Kraaij and Spinhoven designed in 2001 the Cognitive Emotion Regulation Questionnaire (CERQ) in order to assess the conscious cognitive strategies for emotional regulation. In this study we analyzed the psychometric properties of the Spanish version of the CERQ in a sample of fibromyalgia patients (n= 231). All participants completed the CERQ altogether with the Fibromyalgia Impact Questionnaire (FIQR), the Center for Epidemiologic Studies Depression Scale (CESD), the State-Trait Anxiety Inventory (STAI-T) and the Pain Catastrophizing Scale (PCS) for the assessment of convergent validity. Confirmatory factor analysis yielded the same 9-factor structure reported by Garnefski and colleagues: Acceptance, Positive refocusing, Refocus on planning, Positive reappraisal, Putting into perspective, Self-blame, Rumination, Catastrophizing and Blaming others, grouped in two second-order factors (adaptive and maladaptive strategies) with all items showing significant factorial weights (from .51 to .93). Interestingly, in our sample, we found the Acceptance factor to be more related to the second-order factor of maladaptive strategies (.29) than to the adaptive ones (.14). We found a high internal consistency of the instrument (α= .84) and its subscales (α= .77 - .93). All CERQ’s adaptive strategies but Acceptance and Refocus on planning subscales showed negative significant correlations with clinical outcomes (r=−.55 to r=−.13). Positive significant correlations between maladaptive CERQ strategies and symptomatology were also reported (with ranging from r=.13 to .47). Our findings suggest that the Spanish version of the CERQ is a psychometrically sound self-report instrument to assess cognitive strategies for emotional regulation in patients with FM. The implications of these findings are discussed in relation to chronic pain and emotion regulation research.

19. Brief Protocol for the Development of Repertoires of Psychological Flexibility in Depression Patterns [1181]
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression

Jorge Alcalá Rivero, Madrid Institute of Contextual Psychology (MICPSY)
Joan Rullan Pou, Madrid Institute of Contextual Psychology (MICPSY)
Maria Jesús Rubio Martin, Madrid Institute of Contextual Psychology (MICPSY)
Alba María Navarro Mateu, Madrid Institute of Contextual Psychology (MICPSY)

The effectiveness of a brief intervention protocol developed on contextual and functional bases to promote psychological flexibility in depressive profiles is analyzed. The instruments and measures used are BDI for depressive symptomatology, AAQ-2 and CFQ for psychological inflexibility, and VQ for values-oriented actions. The protocol consists of a training in MET for the development of psychological flexibility, being structured in 3 sessions that correspond to the three central strategies of intervention indicated in Törneke, Luciano, Barnes-Holmes & Bond (2016). Thus, activities are developed so that the clients know how to discriminate relations between functional classes of their own behavior and their problematic consequences, so they can perform a training framed in hierarchy with the deictic “I” and develop an alternative behavioral repertoire in the direction of personal values. Results are discussed in terms of the frames involved in clinical interactions (Villatte, Villatte and Hayes, 2015) and the relevance of brief interventions.

20. Acceptance and Commitment Therapy (ACT) for Co-Occurring Posttraumatic Stress Disorder (PTSD) and Alcohol Use Disorders (AUD) in U.S. Military Veterans: Preliminary Treatment outcomes [1182]
Primary Topic: Clinical Interventions and Interests
Subtopic: PTSD, alcohol use disorders, military veterans

Eric Meyer, Ph.D., VA VISN 17 Center of Excellence for Research on Returning War Veterans
Barbara Hermann, Ph.D., Burlington, VT VA
Sonja Batten, Ph.D., Booz Allen Hamilton
Bryann DeBeer, Ph.D., VA VISN 17 Center of Excellence for Research on Returning War Veterans
Paula Schnurr, Ph.D., National Center for PTSD-Executive Division
Robyn Walser, Ph.D., National Center for PTSD-Dissemination and Training

Background: PTSD and AUD frequently co-occur. Treatment outcomes, including treatment retention, are sub-optimal. We present the preliminary outcomes from an uncontrolled pilot trial of ACT for co-occurring PTSD and AUD in veterans. This is the follow-up to a recently published manual development study (Hermann et al., 2016, Journal of Contextual Behavioral Science). Method: PTSD diagnoses were made using the Clinician Administered PTSD Scale for DSM-5 (CAPS-5) and AUD using the Structured Clinical Interview for DSM-5 (SCID). Amount and frequency of drinking were assessed using the Timeline Follow-back interview (TLFB). Functional disability and quality of life were assessed using the World Health Organization measures (WHODAS, WHOQOL). PTSD could be related to any type of trauma, though combat was the most common. Treatment consisted of 12 weekly individual psychotherapy sessions. Participants could receive concurrent pharmacotherapy, but not concurrent psychosocial treatment for PTSD or AUD. Between-session practice consisted of daily mindfulness practice, worksheets to highlight ACT core processes, and behavioral assignments. Goals related to reducing drinking were made collaboratively; abstinence was not a required goal. Results: 43 participants were assigned to treatment, of whom 29 completed ten or more sessions (67.4% intent-to-treat completion rate), 11 dropped out, and 3 never started treatment. Among treatment completers, pre-post treatment outcomes included significant reductions in PTSD symptom severity (p < .001; d = .79; large effect), number of drinking days (p < .001; d = .91; large effect), heavy drinking days (p < .001; d = .88; large effect), total drinks (p = .002; d = .65; medium effect), and depression symptoms (p = .02; d = .48; medium effect). Improvements in functional outcomes were observed in terms of improved quality of life (p = .001; d = -.54; medium effect) and reduced functional disability (p = .08; d = .35; small effect). These improvements were accompanied by reductions in experiential avoidance and psychological inflexibility (p = .03; d = .43; small effect). Discussion: Overall, these preliminary outcomes suggest that ACT may have promise as a treatment for people with co-occurring PTSD-AUD.

21. ACT Protocol in Anxiety Disorder/Panic Attack
Primary Topic: Clinical Interventions and Interests
Subtopic: Anxiety

Yolanda Bueno Aguado, Micpsy Madrid
Jennifer Escolano Martinez, micpsy madrid
Guillermo Matia, micpsy madrid
Sofia Rodriguez de la Plaza, micpsy madrid

Aceptance and commitment therapy (ACT) has proven effective generating psychological flexibility in clients with Anxiety Disorders. This work tries to add evidence from a brief protocol of three consecutive sessions based on act-rft movements. The treatment procedure was applied in patients with high physical symptoms such as palpitations, chest pressure, choking sensation, instability or lack of balance, dizziness, paresthesias of the arms and legs (cramping, feeling asleep member ...) Rapid breathing or hyperventilation, headaches and contractures. In addition, all of them present a significant reduction in the quality of life due to avoidance actions that prevent contact with sources of personal value. The sessions have a special focus on therapeutic alliance, functional analysis, the use of metaphors co-created with the patient, training in perspective and the clarification of valuable actions in the patient. More specifically, this protocol is structured following the strategies of functional analysis in the first session, defusion / distancing exercises of physical and bodily sensations, as well as the contents of thought, in the second session and, in the third, a suggested guide for the patient to focus on their values (Törneke, Luciano, Barnes-Holmes, & Bond, 2016). Measures include pre-post treatment questionnaires (AAQ II, CFQ) and analysis of clinical interactions in terms of the relational behavior involved (Villatte, Villatte and Hayes, 2015). "Estudio realizado en el contexto del Trabajo Fin de Máster en Terapias Contextuales en Madrid Institute of Contextual Psychology (MICPSY)."" Master's final proyect for the master of contextual psychology in Micpsy Madrid." Key words: ACT, RFT, protocol, anxiety, panic attacks, defusion, metaphors, values.

22. Adversity and Psychopathology: The Mediating Role of Experiential Avoidance
Primary Topic: Clinical Interventions and Interests
Subtopic: Schizophrenia, Depression

Leticia Martínez Prado, Universidad Complutense de Madrid
Almudena Trucharte Martínez, Universidad Camilo José Cela
Alba Contreras Cuevas, Universidad Complutense de Madrid
Regina Espinosa López, Universidad Camilo José Cela
Carmen Valiente Ots, Universidad Complutense de Madrid

Background: Childhood trauma has been related to many mental disorders and has been implicated in both the formation and maintenance of psychopathological symptoms. However, little is understood about the mechanism through which these traumatic experiences impact on psychopathology. Experiential avoidance (EA) is a regulatory strategy characterized by efforts to control or avoid unpleasant thoughts, feelings and bodily sensations. It´s been suggested that EA is an important transdiagnostic process in the development of mental disorders. We hypothesized that adversity plays a direct causal role in maintaining paranoia ideation and depressive symptoms in people with with severe mental disorders and that the effect of trauma would be mediated by EA. Method: All 111 participants were recruited from the Hospital Universitario Clínico San Carlos and completed a battery of self-report questionnaires including a measure of persecutory ideation (PQI; McKay et al., 2006), depression (BDI-II; Beck et al., 1988), EA (Acceptance and Action Questionnaire-II) and a trauma screening (THS; Carlson et al., 2011). Seventy five had a diagnosis of schizophrenia spectrum disorder and thirty-six had a diagnosis of depression disorder. Results: Regardless of the diagnostic status, our findings suggest a significant mediation effect of EA between childhood sexual abuse and depressive symptoms (Z = 2.61, p= 0.009) and a significant mediation effect of EA between accumulative adverse events and paranoia ideation (Z = 1.96, p= 0.02). Discussuion: This study provides evidence for the role of EA in the maintenance of depression and paranoid ideation, a role of central relevance, both to the design of psychological interventions and to the conceptualizations of mental disorders.

23. An Attempt to Measure Experiential Avoidance in Daily Life Using Ecological Momentary Assessment [1183]
Primary Topic: Clinical Interventions and Interests
Subtopic: Experiential avoidance

Taiki Shima, Graduate School Human Sciences, Waseda University
Hikari Honda, Graduate School Human Sciences, Waseda University
Hiroaki Kumano, Faculty of Human Sciences, Waseda University

Background: In most studies, experiential avoidance is measured using Likert-type scales such as the Acceptance and Action Questionnaire-II (Bond et al., 2011). Likert-type scales are useful for measuring experiential avoidance tendency but fail to accurately capture individual events, behaviors, or contexts. To obtain more detailed information regarding the measurement of experiential avoidance, new methods are required. Ecological momentary assessment (EMA; Stone & Shiffman, 1994) is a measurement method that involves repeated collection of daily life, real-time data in natural environments. Consequently, this method can avoid recall bias and collect data with high ecological validity. The current study examines whether EMA can be used to measure experiential avoidance in daily life. Method: Twenty-four students (female = 18, mean age = 19.88 ± 1.45) participated in this study. They completed a questionnaire (sent via e-mail) three times a day for 10 days. Additionally, the participants completed the questionnaire when unpleasant events occurred. This questionnaire comprised the following items: pre-behavior mood (1: unpleasant to 7: pleasant), behavior, content of thought, and post-behavior mood (1–7). Because experiential avoidance is considered to be maintained through negative reinforcement, the response which the participants' mood improved (pre-behavior mood < post-behavior mood) was seen as experiential avoidance. To specify experiential avoidance, the responses when they felt unpleasant (pre-behavior mood < 4 or when they had negative thoughts) were selected from the collected data. Subsequently, each participant’s experiential avoidance percentage (the response which their mood improved/the response when they felt unpleasant) was calculated. Although experiential avoidance may be effective in the short term, it is not beneficial in the long term (Hayes et al., 2012). Therefore, the long-term mood (the average of pre-behavior mood in all responses) of each participant was calculated. Further, Spearman’s rank correlation was calculated. Results: One participant who had only one response when she felt unpleasant was excluded. Therefore, the data collected from the remaining 23 students (female = 17, mean age = 19.87 ± 1.49) were analyzed. Among the 696 responses obtained, 238 were related to when the participants felt unpleasant, and 98 fulfilled the experiential avoidance criteria. This study's analysis showed weak negative correlation (ρ = −.394, 95% CI [−.669, .068], p = .097); however, this result was marginally significant. Discussion: Although the result was marginally significant, it was demonstrated, as hypothesized, that long-term mood may deteriorate if experiential avoidance is increased in daily life. Given the foregoing discussion, EMA may be used to measure experiential avoidance in daily life. However, the measuring procedure used in this study can be improved and refined to measure experiential avoidance based on contingency. This finding was obtained by continuing the research published at the 17th Asian Congress on Psychosomatic Medicine.

24. The Social Anxiety – Acceptance and Action Questionnaire for Adolescents (SA-AAQ-A): Study of the Psychometric Properties in a Portuguese Sample [1184]
Primary Topic: Clinical Interventions and Interests
Subtopic: Social Anxiety Disorder, Adolescents, Assessment

Sandra Vieira, University of Coimbra
Maria João Martins, University of Coimbra
Maria do Céu Salvador, University of Coimbra
Megan MacKenzie, Ryerson University
Nancy Kocovski, Wilfrid Laurier University

Background: Given the increasing research on acceptance-based interventions in youth, the development of instruments that target specific disorders and processes is necessary to ensure a reliable understanding of the mechanisms involved in the efficacy of such interventions. The present study aimed to translate, adapt, and analyze the psychometric properties of the Social Anxiety – Acceptance and Action Questionnaire (SA-AAQ; MacKenzie & Kocovski, 2010), an instrument designed to assess the acceptance of social anxiety symptoms, to a sample of Portuguese adolescents. Method: Factor structure, internal consistency, convergent and discriminant validity were examined in a sample of 599 Portuguese adolescents (60.8% females) aged between 14 and 18. Temporal reliability was assessed in a subsample of 145 participants. In addition to the SA-AAQ-A, participants completed the Child and Adolescent Mindfulness Measure, the Social Anxiety Scale for adolescents, the Multidimensional Anxiety Scale for Children and the Children's Depression Inventory. Results: Confirmatory factor analysis suggested a two-factor structure (Acceptance and Action). Good (.92) and acceptable (.77) internal consistency were found for the Acceptance and Action subscales, respectively. Paired t-test and Pearson correlation between scores with a 5-week interval indicated a good temporal stability for both the Acceptance and Action subscales. Good convergent validity and discriminant validity were also found, although less robust results were found for the Action subscale. Discussion: The SA-AAQ-A is a sound instrument for assessing acceptance of social anxiety for an adolescent population. Keywords: Social Anxiety Disorder, Acceptance, Action, Acceptance and Commitment Therapy (ACT)

25. A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Stigma in Adults [1185]
Primary Topic: Clinical Interventions and Interests
Subtopic: Body image disatisfaction

Catrin Griffiths, University of the West of England
Heidi Williamson, University of the West of England
Fabio Zucchelli, University of the West of England
Tim Moss, University of the West of England

Background: Body image dissatisfaction and perceived weight stigma are prevalent and associated with physical and psychological ill-health. Acceptance and Commitment Therapy (ACT) is increasingly being employed to target both, yet little is known regarding its effectiveness. Method: This review aimed to systematically identify ACT intervention studies for improving body image and weight stigma, evaluate their quality and comment on effectiveness. Results: After searching 12 databases, 4 studies were identified and reviewed. Studies used randomised controlled trial designs and evaluated online and face-to-face ACT interventions of varying durations and intensity. The small number of studies of varied methodological quality emphasised that ACT for body dissatisfaction and weight stigma is not yet established. However, findings support the facilitative role of psychological flexibility in reducing body dissatisfaction and indicate that brief online, as well as lengthy and face-to-face delivery may be useful. Discussion: ACT may be a promising approach for this population, worthy of further rigorous research.

26. Effectiveness of Acceptance-Based Self-Help for Individuals with Visible Difference and Social Anxiety: A Pilot Randomised Controlled Trial [1186]
Primary Topic: Clinical Interventions and Interests
Subtopic: Self-help, Visible Difference

Luke Powell, University of Sheffield
Andrew Thompson, DClinPsy, University of Sheffield

Background: Individuals with visible difference in appearance (such as burns, skin and hair conditions and craniofacial differences) commonly experience distress due to appearance-related concerns. For some individuals, appearance-related concerns can have profound psychological impact, including reductions in quality of life, self-confidence and an increase in social anxiety. Thompson (2009) reported 30% of individuals referred to secondary care due to a dermatological condition exhibit clinically significant levels of distress, demonstrating a need for accessible resources. Self-help materials may be an accessible method of support for individuals with visible difference who are distressed. Additionally, the ‘severity’ of the visible difference does not predict distress (Moss, 2005) and thus psychological intervention focuses on managing the impact of the condition, rather than trying to change the condition itself. This intervention strategy aligns well with Acceptance and Commitment Therapy (ACT). Recent findings have demonstrated ACT self-help has been beneficial for a variety of clinical populations, including those experiencing anxiety, depression, and chronic health conditions. This study aimed to develop and examine an acceptance-based self-help booklet for individuals with visible difference. Specifically, the booklet aimed to: 1) increase psychological flexibility, 2) reduce appearance-related anxiety and 3) improve quality of life. Method: A pilot randomised controlled trial was used. Participants were individuals who self-identified as having a visible difference. Recruitment occurred through relevant charities, who advertised via social media. Participants were randomised to either the four-week intervention or a waitlist. Data were collected at pre- and post-intervention. The self-help materials were developed by the lead researcher and there are three core modules: 1) awareness of our experience (including mindfulness and willingness), 2) changing the impact of our thoughts and 3) values, goals and barriers. Results: This study is on-going with recruitment set to commence in April or early-May. Preliminary findings may be available by late-June. Data will be analysed to ascertain differences between the two groups and differences between pre- and post-intervention. Discussion: The preliminary findings will be used to discuss implications for ACT both within a self-help context and for use with individuals with visible difference and appearance-related concerns.

27. The AAQ-II Translation to Georgian: A Preliminary Validation Study [1187]
Primary Topic: Clinical Interventions and Interests
Subtopic: Assessment

Nino Gogichadze, Ilia State University, GNNT
Teona Lodia, Ivane Javakhishvili Tbilisi State University, GNNT
Nata Meparishvili, Ilia State University, GNNT
Jodi Polaha, East Tennessee State University

Background: The Acceptance and Action Questionnaire-II (AAQ-II) was developed to measure the central tenets of Acceptance and Commitment Therapy (ACT) – psychological inflexibility, acceptance, and experiential avoidance (Bond et al., 2011). Consistent with the theoretical orientation, Bond et al. showed the AAQ-II reliably predicts a range of outcomes from mental health to work absenteeism. The AAQ-II has been translated and studied in at least 22 languages. The present study aims to identify psychometric functioning of the Georgian version. This study represents the first ACT-oriented empirical endeavor in the Republic of Georgia, a developing country. Methods: The AAQ-II was translated to Georgian using best practice procedures recommended in the literature (Borsa, Damasio, & Bandeira, 2012). Questionnaires were then distributed among the students and staff of Tbilisi Ilia State University in the Republic of Georgia using an online interface. A total of 352 participants completed the survey, with bachelors level students representing 79% of the sample and the remainder distributed among graduate students and administrative staff. Questionnaires included the AAQ-II and two standard measures already established in Georgia: the Worlds Health Organization’s WHO-5, a short self-report instrument which measures subjective psychological well-being dimension of overall perceived quality of life and the Satisfaction with Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985) is focused to asses global Life Satisfaction. Results: Analyses of the chronbach’s alpha for each measure showed acceptable internal validity; AAQ-II (α = .863); WHO-5 (α = .873); and SWLS (α = .959). Consistent with a growing body of literature across many countries and cultures, analyses revealed a negative correlation between psychological flexibility as measured by the AAQ-II and WHO-5 (r = -.336, p≤.001). No significant correlation was found between WHO-5 and SWLS, or AAQ-II and SWLS. Discussion: Results provide some support that the Georgian translation of the AAQ-II appears to be an appropriate and valid measure for assessing psychological flexibility. We plan to provide detailed information regarding specific item analysis and implications for future research. This preliminary study is the first to initiate the translation of essential ACT concepts to the Republic of Georgia and paves the way for future research and clinical endeavors, particularly the important connection between these researchers and others doing like-work in other countries.

28. Routine Outcomes in Psycho-oncology: Problems and Possibilities
Primary Topic: Clinical Interventions and Interests
Subtopic: Psycho-oncology, ACT, cancer

Sari Harenwall, DClinPsych, The Maggie Keswick Jencks Cancer Caring Centres Trust
Karen Verrill, The Maggie Keswick Jencks Cancer Caring Centres Trust
Lesley Howells, DClinPsy, The Maggie Keswick Jencks Cancer Caring Centres Trust
David Gillanders, DClinPsy, University of Edinburgh

Background: There is ongoing debate surrounding routine outcomes in clinical practice with many primary health care providers in the UK adopting a more uniform approach to routine outcome data collection, which is embedded in their daily practice. However, there is little consensus within psycho-oncology, with variation in the use of outcome measures and investment in the infrastructure to support data collection nationally and globally. This is a first attempt at demonstrating outcomes using ACT in a community cancer charity setting whilst developing a sustainable framework by collaborating with local Universities and offering undergraduate psychology students placements to support data entry. Therefore this service evaluation has two primary aims; 1) to explore clinical outcomes and the fidelity of ACT in community psycho-oncology and 2) to test the feasibility and utility of an innovative and cost effective approach to auditing. Method: Audit data (n=112-123) was collected as part of routine clinical practice in a third sector community cancer centre. Service users were affected by cancer either directly (personal diagnosis) or indirectly (partner/relative/bereaved). This was a naturalistic sample with some being in active treatment, and some being treated with curative or non-curative intent. The number of treatment sessions ranged from 2-26 with a mean of 5.49 and median of 4.00. Routine outcome data was measured by the Distress thermometer (DT), the Acceptance and Action Questionnaire-II (AAQ-II) and the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM). A smaller number of participants (n=74) completed written end-of-therapy feedback. Volunteer assistant psychologists were recruited from local psychology undergraduate courses annually. Volunteers were then trained in data entering and supervised by a clinical psychologist. Results: Paired sample t-test for the DT, CORE-OM and AAQ-II for pre and post treatment measures demonstrated significant results (p= 0.000) with large effect sizes (cohen’s d = 1.36-179). End of therapy feedback indicates that clients’ found therapy helpful and ACT principles were learnt. In particular, acceptance of thoughts and feelings were reported by a large proportion of clients’ to be helpful. Discussion: Data suggests that ACT can lead to significant improvement in psychological flexibility and well-being in people affected by cancer in routine practice. However, more rigorous data from multiple centres and therapists needs to be collected, not only to build on the growing evidence base for ACT in cancer populations but also for quality assurance purposes. Working closely with Universities’ with aspiring and enthusiastic psychologist is likely to be mutually beneficial. Implication for designing data collection and reporting systems will be discussed.

29. Effectiveness of a 10-Week Pilot Acceptance and Commitment Therapy Group for Social Anxiety Disorder: Results from an Acute Care General Hospital [1188]
Primary Topic: Clinical Interventions and Interests
Subtopic: Social Anxiety

Neil Levitsky, M.D., University of Toronto
Marlene Taube-Schiff, Ph.D., Ryerson University
Samantha Fashler, Ryerson University
Aiden Mehak, Ryerson University

Background: Acceptance and Commitment Therapy (ACT) has been shown in randomized controlled trials to be an effective treatment for Social Anxiety Disorder (SAD). To date, only one RCT has been done with ACT groups for social anxiety (Kocovski et al., 2013). This pilot study examined the feasibility and effectiveness of using this ACT protocol (Kocovski et al., 2013) in a naturalistic setting within an acute care general hospital. Methods: 13 adult out-patients diagnosed with SAD were enrolled in a 10 session, weekly ACT group at North York General Hospital in Toronto, Canada. The following rating scales were completed at the first and last sessions: Leibowitz Social Anxiety Scale (LSAS), Social Phobia Inventory (SPIN), Self-Compassion Scale (SCS), and the Post-event Processing Inventory (PEPI). Results: We found that total SPIN scores (n=11) were significantly reduced from week 1 (M = 39.5; SD = 10.9) to week 10 (M = 29.4; SD =10.3), p = 0.006. The total LSAS scores (n=8) were significantly reduced from week 1 (M = 65.4; SD = 27.1) to week 10 (M = 39.3; SD = 11.1), p = .015. LSAS subscales of social avoidance and performance avoidance significantly decreased while total avoidance, total fear, total fear of social, and total fear of avoidance did not significantly change. The total SCS scores (n = 11) significantly increased from week 1 (M = 2.4; SD = .7) to week 10 (M = 3.1; SD = .6), p = .005. All SCS subscales (except over-identification) significantly increased over the course of the group. The total PEPI scores (n = 11) were significantly reduced from week 1 (M = 46.5; SD = 9.5) to week 10 (M = 37.1; SD = 10.5), p = .003. All PEPI subscales significantly decreased. Discussion: This 10-week ACT group proved to be feasible with promising results. Consistent with our results, the aim of ACT is to increase value-based action, with the reduction of anxiety/fear not being a core treatment goal. Changes on the SCS scale highlight the impact of the mindfulness and self-compassion interventions. We believe our results suggest that this ACT protocol can be effective in a naturalistic setting but further research should replicate these findings within a larger sample size.

30. FACT*: Focused Acceptance and Commitment Therapy Enhanced by Functional Analytic Psychotherapy for the Treatment of Social Anxiety Disorder. Mixing Single Subjects Designs and Group Design to Test Efficacy and Efficiency of Direct Measures
Primary Topic: Clinical Interventions and Interests
Subtopic: FACT, FAP, ACT, Social Anxiety Disorder, SAD, Multiple Baseline

Roberto Cattivelli, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Nicola Maffini, Private Practice
Alessandro Musetti, Department of Literature, Arts, History and Society, University of Parma, Parma, Italy
Giorgia Varallo, Istituto Auxologico Italiano IRCCS
Chiara Spatola, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Emanuele Cappella, Department of Psychology, Catholic University of Milan, Milan, Italy
Gianluca Castelnuovo, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy

Background: Focused Acceptance and Commitment Theory focus on ways to improve behavioral flexibility for brief therapy and consulting settings and is considered cost-effective , high efficient treatments, with generally equal outcomes but better sustainability compared with more traditional Cognitive Behavioral Treatments, especially for brief hospitalizations or out-patients settings. Method: We tested the effectiveness/efficiency of a FACT intervention, a brief 6 hour protocol for outpatient diagnosed with Social Anxiety Disorder (SAD), to change SAD-related behaviors directly observed during sessions and collected in directed ways between sessions. Methods involved in this study are quite innovative, including direct collected data with technological devices as smartphone and activity trackers and including a point to point behavioral data collection. Psychometric measurements through Outcome Questionnaire 45.2 and AAQ-II are consistent with behavioral data. Results & Discussion: Findings of the study are promising, suggesting an increase of value-related behaviors and a reduction of avoidance responses.

31. Flex Game: The game of the Psychological Flexibility [1189]
Primary Topic: Clinical Interventions and Interests
Subtopic: Therapeutic Tool

Erica Oliveira Faria, Private Practice

Flex Game is a therapeutic tool that was designed based on the theoretical assumptions from Acceptance and Commitment Therapy. This game is composed of colored wooden blocks with symbolic representations of emotions. Stacked blocks form a tower, which represents life experiences. A six-sided dice, with different colors in eachside, represents uncontrollable internal or external events. When tossed, the color defines which block is to be removed from the tower, independently of the position it is in, and this piece may compose a new construction. For ACT, psychopathology is seen as psychological inflexibility that arises from attempts to control private events. Constructing psychological flexibility goes through awareness and acceptance of private experiences, and commitment to action based on personal values. The ACT therapist uses metaphors and experiential exercises for the client to contact its private experiences instead of avoiding them.

32. Beyond the use of protocols in the treatment of BPD in Colombia [1190]
Primary Topic: Clinical Interventions and Interests
Subtopic: Borderline Personality Disorder

Alexandra Avila Alzate, Centro de Terapias Contextuales, Bogotá-COL
Carolina Prieto, Centro de Terapias Contextuales, Bogotá-COL
Mónica Ramos, Centro de Terapias Contextuales, Bogotá-COL
Lucía Delgado, Centro de Terapias Contextuales, Bogotá-COL

Borderline Personality Disorder has been addressed specially by DBT in the last decades, however, in Colombia limited clinicians count with formal DBT training and experience. Few years ago, clinical programs started to include third wave approaches for complex clinical cases. Even so, only the basics were studied and CBT remains dominant in the clinical field. Having the chance to conform a DBT team, starting to use most part of the protocol suggestions brought us to conclude that CBT and DBT still could work together for treating BPD. The importance of managing both perspectives can support the specific requirements that each case requires, but we also found the need of disseminating contextual therapies in our country. We would like to share a life worth living experience and first clinical case in our Contextual Therapies Center located in Bogota, Colombia.

33. Psychometric properties of the Spanish version of the Valuing Questionnaire (VQ) in Spain.
Primary Topic: Clinical Interventions and Interests
Subtopic: Process measures of potential relevance to ACT

Paula Odriozola-González, Ph.D., Universidad de Valladolid y Universidad Europea del Atlántico
Francisco J. Ruiz, Ph.D., Fundación Universitaria Konrad Lorenz
Juan Carlos Suárez-Falcón, Universidad de Educación a Distancia
Mª Rosario Perucha Ramos, Práctica privada de psicología sanitaria

The Valuing Questionnaire (VQ) is a measure of valued living according to the definition of values of the acceptance and commitment therapy (ACT). It has a robust two-factor structure, comprising Progress and Obstruction. The VQ has shown good internal consistency and convergent and divergent validity. The current study analyzed the psychometric properties and factor structure of the Spanish version of the VQ in Spain. The VQ was administered to a total sample of 880 participants, including a general population sample and a clinical sample. The results were very similar to those obtained in the original VQ version. Internal consistency across the different samples was good. The two-factor model showed a good fit to the data.The mean Progress and Obstruction scores of the clinical sample were lower and higher, respectively, than the scores of the nonclinical sample. Correlations with other constructs were in the expected direction. In conclusion, the Spanish version of the VQ shows good psychometric properties in Spain.

34. To Evaluate the Psychometric Properties of the ISTACTS Rating Scale Among the Muslim Community
Dr. Tahereh Seghatoleslam, University of Malaya Centre of Addiction Sciences (UMCAS), Kuala Lumpur, Malaysia
Prof. Hussain Habil, Psychiatry Department at Mahsa University, Kuala Lumpur, Malaysia

Aim: To evaluate the psychometric properties of the rating scale. It was designed by basis of the Islamic Spiritual Therapy (IST) and Acceptance Commitment Therapy (ACT) Scale (ISTACTS) among the Muslim Community. Materials and Methods: in this cross sectional study 210 healthy volunteers that were selected randomly from Muslim Community at University Malaya, Malaysia. If they agreed to be participle in the study, the scale was distributed among them. They completed anonymous scale, about thirty minutes. Instruments: The scale was designed by two psychologists and two psychiatrists. The content was divided into ten parts. It includes: the six core of the ACT, and in addition four parts of the IST which are individual , social behaviour, Islamic rituals (such as five time prayers), and Islamic believes ( for instance: belief in one God). Results: This study is under process and the results are still being analysed. In the main article the results will be presented by researchers.

35. Acceptance and Commitment Therapy (ACT) for Adolescent Psychiatric and Substance Use Disorders: Results from Stage 1a Development [1191]
Primary Topic: Clinical Interventions and Interests
Subtopic: Substance Use Disorders/Adolescence

Julia Timmerman, LCSW, Denver Health and Hospital Authority
Christian Thurstone, M.D., Denver Health and Hospital Authority/University of Colorado

Background: There are few models for integrated treatment of adolescent psychiatric and substance use disorders. Many youth in substance treatment drop out and do not achieve abstinence. To address these limitations of adolescent substance treatment, this study begins to develop a novel treatment approach. Methods: Participants were 82 youth enrolled in a hospital-based clinic and three school-based clinics. Only youth who had been in treatment for at least 16 weeks were included. Participants also included the 8 therapists who administered the intervention. All youth were offered 12 weeks of manual-standardized, individual treatment consisting of: motivational interviewing, acceptance and commitment therapy, contingency management, family sessions and medication-assisted treatment. Sessions were audio-recorded monthly for fidelity monitoring. Outcome measures for the hospital-based clinic included the following: number of sessions attended, proportion of days used substances in the past 7 days (for those with non-zero baseline use, n=39), Outcome Rating Scale (ORS) (0=poor wellness, 40=optimal wellness), Session Rating Scale (SRS) (0=poor session, 40=optimal session), urine drug screens and qualitative feedback from therapists. Outcome measures for the school-based clinics included number of sessions attended, proportion of days used substances in the past 7 days (for those with non-zero baseline use, n=29), a measure of school engagement (0=minimal school engagement, 30=maximum school engagement), modified ORS (0=poor wellness, 10=optimum wellness), SRS, urine drug screens and qualitative feedback from therapists. Statistical analyses included descriptive statistics and pre-post comparison of continuous outcome measures using dependent t-tests or non-parametric equivalent. This study was approved by the Colorado Multiple Institutional Review Board. Results: Mean ORS scores increased from 22.5 to 29.3 (p<0.0001) and from 6.8 to 7.8 (p=0.050) in the hospital and school-based samples, respectively. The median proportion of days used decreased from 0.6 to 0 (p=0.0035) and from 0.4 to 0 (p=0.0004) in the hospital- and school-based samples, respectively. School engagement scores increased from 20.2 to 23.7 (p=0.011) in the school-based sample. The mean SRS score was 37.0 (SD=2.2) and 38.2 (SD=2.8) in the hospital- and school-based samples, respectively. All audio-recordings received passing scores. Therapists reported satisfaction with the intervention and recommended adaptations to the manual. Discussion: The results provide a novel, manual-standardized treatment for adolescent psychiatric and substance use disorders. This manual-standardized treatment should undergo Stage 1b testing to evaluate the feasibility of a larger, controlled trial and to estimate effect size.

36. Changing the Pattern of Subjective Well-Being in the Context of Psychological Treatment: The Role of Self-efficacy
Primary Topic: Clinical Interventions and Interests
Subtopic: Mechanism of change

Vesna Gavrilov-Jerkovic, Department of Psychology, University of Novi Sad, Serbia
Milica Lazic, Department of Psychology, University of Novi Sad, Serbia
Dragan Zuljevic, Department of Psychology, University of Novi Sad, Serbia
Nikolija Rakocevic, Department of Psychology, University of Novi Sad, Serbia
Ivan Jerkovic, Department of Psychology, University of Novi Sad, Serbia

Vast amount of research in psychotherapy established the efficacy of a range of psychological treatments. However, research also demonstrates that treatment varies widely in its effects, and it is estimated that 15% of patients get worse following treatment. Mechanisms of change may play an important role in the effects achieved by treatments, but we still have little knowledge of for whom and why psychotherapy works. According to social learning theory, changes in psychotherapy are mediated by strengthening expectations of personal efficacy. The aim of this study was to explore differences in self-efficacy during the treatment between persons whose subjective well-being improved at the end of therapy, and persons which well-being remained the same or worsened after psychotherapy. Longitudinal data were collected in four waves from 63 clients, who finished treatment (70% female, 18 to 63 years). Clients were participating in free-of-charge psychological treatment in Psychological Counseling Center. The treatment consisted of 10 sessions. It was conducted by 19 psychological counselors originating from REBT and Transactional analysis orientation. Participants completed the measure of self-efficacy (A Short Version of the Self-Efficacy Optimism Scale), life satisfaction (Satisfaction with Life Scale) and positive and negative affect (Positive and Negative Affect Schedule) during the admission interview two weeks before the start of the treatment, after third, sixth, and after the final treatment session. The results of latent profile analysis performed in each wave consistently indicated three classes: the high SWB, medium SWB and low SWB group of clients. 39 clients change their class to better one during psychotherapy (G1), while 24 clients retained class, or have worse class after treatment (G2). Results of latent growth modeling show that there is increase in self-efficacy in both groups (G1 and G2). The results of multivariate analysis of variance show that there was no difference in the level of self-efficacy between the two groups of clients before the treatment and after the first three sessions. However, the difference appears after the sixth and also after the last treatment session for the benefit of the clients of the first group indicating that the self-efficacy has a potential to be one of the mechanisms of therapeutic change, but only in the middle and the end phase of treatment. Practical and theoretical implications of the findings will be discussed.

37. Cognitive Fusion: Concept and Validation of the German Version of the Cognitive Fusion Questionnaire CFQ-D [1192]
Primary Topic: Clinical Interventions and Interests
Subtopic: Cognitive Fusion Questionnaire

Dr. Claudia China, Mühlenbergklinik Holsteinische Schweiz, Bad Malente-Gremsmühlen
Dr. Laura Birke Hansen, Mühlenbergklinik Holsteinische Schweiz, Bad Malente-Gremsmühlen
Dr. Dieter Benninghoven, Mühlenbergklinik Holsteinische Schweiz, Bad Malente-Gremsmühlen

Background: Within the ACT model of psychological flexibility, cognitive fusion (CF) refers to a person’s attitude towards their own thoughts and beliefs, more specifically, the extent to which they identify with their own thoughts and beliefs. This concept is of growing interest for those treating chronic conditions, e.g. pain. Recently developed measures of CF are available in English but so far, are lacking in German. Methods: This study aims to explore the reliability and validity of the German translation of the Cognitive Fusion Questionnaire CFQ by Gillanders et al. (2014) within a sample of chronic pain patients (n=200), currently inpatient at a rehabilitation clinic, and a non-clinical sample of university students (n=100). In addition, the patients complete a set of standard clinical measures as well as the German translation of the Psychological Inflexibility in Pain Scale (PIPS). Results: Using confirmatory factor analysis we establish the dimensionality of cognitive fusion as assed by the CFQ-D. Psychometric properties are provided including measures for reliability (i.e. internal consistency, retest-reliability), convergent validity and face validity. In addition, the contribution of CF to pain, level of functioning, life quality, depression and catastrophizing is tested by means of multiple regression analyses. Discussion: The findings will be discussed in terms of demonstrated usefulness.

38. Contributions of B.F. Skinner's writings to understand Functional Analytic Psychotherapy’s Middle-Level Terms
Primary Topic: Clinical Interventions and Interests
Subtopic: Functional Analytic Psychotherapy

Rodrigo Nunes Xavier, Universidade de São Paulo
Sonia Beatriz Meyer, Universidade de São Paulo

Functional Analytic Psychotherapy (FAP) is a treatment derived from a Skinnerian functional analysis of successful interventions for interpersonal problems. Its description changed from a purely behavioral language to the Contextual Behavioral Science's Middle-Level Terms (MLTs) for several reasons, as to wide spread FAP to non-behaviorists practitioners. Even acknowledging reasons like this one, an emerging problem is that therapists and researchers who adopt the behavior analytic approach have found difficulties to understand how the new MLTs can add any advantage to the original conceptualization of FAP. Therefore, it is also necessary to spread FAP's MLTs to behaviorists. What is presented is a narrative review of B.F. Skinner's main writings summarizing what he published about the terms awareness, courage, and love. It is hoped that this synthesis will provide a clearer understanding and a greater refinement about the FAP's target and its purpose.

39. Psychological and Cognitive Flexibility in Relationship to Age and Anxiety [1193]
Primary Topic: Functional contextual neuroscience and pharmacology
Subtopic: Psychological Flexibility, Cognitive Flexibility, Anxiety, Age, Executive functions, ACT.

Xavier Montaner Casino, Universitat Autònoma de Barcelona
Jeroni Muñoz Galindo, Hospital Ricard Fortuny
Mélodie Pulgarín Linero, Universitat Autònoma de Barcelona
Mercè Martínez Vallès, Hospital Ricard Fortuny

Background: Psychological Flexibility is linked to health and well-being and is an identified treatment outcome for therapies such as Acceptance and Commitment Therapy (ACT). In the other hand, Cognitive Flexibility is a neuropsychological construct, a component of executive function, that has a significant conceptual overlap with Psychological Flexibility. They both pretend to manifest the ability to change behavior in response to environmental change, and an impairment in both has shown an association with psychopathology. In this study, we meant to clarify the overlap between these two constructs and to discover its relationship with the state-anxiety and age in a normal sample. Method: Type of study: Descriptive Sample: 48 employees of the Ricard Fortuny Hospital (CSSV), with ages between 21 and 59 years old (=38,21; SD=12,7), 78,6% female and 21,4% male. Exclusion criteria: Acquired brain injury. Psychopharmacological treatment. Diagnosis in Axis I of the DSM-IV Measurement instruments: Subtest of the State-Trait Anxiety Inventory (STAI-R), Acceptance an Action Questionnaire-II (AAQ-II), Trail Making Test A and B (TMTA and TMTB) Statistical Analysis: SPSS Statistics 19.0 software Results: A significant relationship was found between age and Cognitive Flexibility (p<.001, r=520), but not between age and Psychological Flexibility (p=.698). On the other hand, significant relationship was found between anxiety-state levels and Psychological Flexibility (p<.001, r=817), while there was none between anxiety-state levels and Cognitive Flexibility (p=.221). Lastly, no relationship was found between Psychological Flexibility and Cognitive Flexibility (p=.948). Discussion: This study has identified that, although both Psychological and Cognitive Flexibility have definitional and conceptual overlap, only Psychological Flexibility shows a significant relationship with anxiety in a normal sample. On the other hand, we found the widely documented negative relationship between age and Cognitive Flexibility in our sample, while we found no relationship between age and Psychological Flexibility. Finally, our findings reaffirm the results of previous studies suggesting that there is no clear association between Cognitive Flexibility and Psychological Flexibility, and suggest that poor Cognitive Flexibility (common in older adults) may not be an impediment in the application of ACT in older people.

40. Revisión sistemática de la Terapia de Aceptación y Compromiso (ACT) en adolescentes
Áreas temáticas (principales): Fundamentos filosóficos y teóricos
Diana Riaño-Hernández, Pontificia Universidad Javeriana
Vanessa Riveros Fiallo, Pontificia Universidad Javeriana
Luis Manuel Silva, Pontificia Universidad Javeriana
Juan Eduardo Pulido, Pontificia Universidad Javeriana
Angélica Ramírez y Paula Villa, Pontificia Universidad Javeriana

La Terapia de Aceptación y Compromiso (ACT) se caracteriza por ser una terapia centrada en trabajar orientado a las personas a dirigirse hacia las cosas que son importantes para ellas y facilitar que se conecten con los valores personales, donde se identifican aquellas áreas de la vida que se deben fortalecer. Igualmente, es importante resaltar que la terapia se centra en mostrar el costo que la evitación experiencial ha tenido respecto a sus valores; es decir, que el cliente vea cuales son los valores que se han comprometido por la evitación de los eventos privados. Este estudio realiza una revisión sistemática de ACT en adolescentes, ya que cuando se realiza la búsqueda en Scopus en cuanto a la producción existente que evidencie la aplicación de ACT en adolescentes se encontró que desde el año 2007 viene incrementando el número de publicaciones con esas características, de esta manera en el 2007 se identifican cinco artículos publicados en Scopus y mientras que en el año 2014 se registraron 34 artículos. Para esta revisión se desarrolló un protocolo de búsqueda. Las bases consultadas fueron Scopus, Science Direct, Redalyc, Psynet, Web of Science, Dialnet, Scielo, ACBS. Los términos de búsqueda se usaron en español e inglés: (Intervención AND terapia de aceptación y compromiso AND "adolescen*) y (Terapia de aceptación y compromiso AND "adolescen*). Las búsquedas fueron realizadas de forma independiente por cuatro investigadores capacitados para realizar las búsquedas, una vez realizadas se triangularon los datos. Los resultados muestran que con esos términos de búsqueda en las bases de datos se encuentran 563 artículos, de esos 563 se seleccionaron los artículos que cumplían los criterios básicos por análisis de título y resumen, para luego realizar la lectura completa de los mismos y realizar la codificación. Los resultados de la codificación muestran el análisis respecto a las variables dependientes e independientes, tipos de estudio, diseños, características de las poblaciones con las cuales se están llevando a cabo intervenciones con adolescentes y componentes de ACT trabajados en las intervenciones y resultados reportados por la aplicación de la terapia. Se brinda con esta revisión sistemática información útil que permite a los investigadores tener una guía práctica en cuanto a cómo se está realizando intervención desde ACT con adolescentes con la finalidad de permitir tomar decisiones en cuanto a la terapia con adolescentes y la realización de futuras investigaciones.

41. Justificación y diseño de un estudio que compara una intervención basada en Terapia de Aceptación y Compromiso con una intervención basada en Mindfulness en enfermos oncológicos [1194]
Áreas temáticas (principales): Clinical Interventions and Interests
Sub-categoría temática: ACT, Mindfulness, oncology, cancer

Verónica Castrillo Sarmiento, clinical psychologist, Universidad de Salamanca
Cristina Caballo Escribano, Ph.D., Universidad de Salamanca
Manuel Ángel Franco Martín, Ph.D., Universidad de Salamanca
Andrea Taboada López, Complejo Asistencial de Zamora
Carmen Ortiz Fune, Complejo Asistencial de Zamora

El cáncer es una enfermedad que afecta el bienestar físico y psicosocial de los pacientes. La angustia surge en todas las fases de la enfermedad, desde el diagnóstico y tratamiento hasta la supervivencia. Los factores de riesgo modificables, incluidos los hábitos de vida y las variables psicológicas, han demostrado tener un papel importante en la influencia de la morbilidad y la mortalidad en los pacientes con enfermedades físicas. Las Terapias Contextuales como Aceptación y Compromiso (ACT) y Mindfulness, han demostrado resultados prometedores. ACT ha mostrado eficacia en la promoción de comportamientos saludables, y mejora del bienestar psicológico en condiciones crónicas de salud. Además los programas basados en la aceptación revelan una alta satisfacción con el tratamiento y mejora en la calidad de vida. Sin embargo, hasta la fecha ningún estudio ha evaluado la diferencia entre estos dos tipos de intervención en población oncológica. ACT pretende la aceptación de los síntomas al servicio de lo que es valioso para la persona, mientras que Mindfulness tiene como objetivo la aceptación del momento presente a través de prestar atención sin juzgar a lo que sucede en el aquí y ahora. Método: Aproximadamente 30 pacientes serán reclutados del servicio de oncología y serán asignados aleatoriamente a uno de los dos grupos de tratamiento, para recibir una intervención basada en ACT o en Mindfulness. Las intervenciones se llevarán a cabo en cinco sesiones de terapia grupal integrando temas educativos sobre comportamientos saludables. Los participantes serán evaluados al inicio, seis semanas después y en un seguimiento a los seis y doce meses. Se utilizará un diseño parcialmente anidado para equilibrar los efectos debido a la agrupación de participantes en pequeños grupos de terapia. Las medidas de resultado primarias incluirán calidad de vida y flexibilidad psicológica.

42. Efectividad tras 14 sesiones de tratamiento desde la perspectiva de ACT y FAP
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Tratamientos eficaces

Saray Cáliz Aguilera, Universidad Europea de Madrid
Lidia Budziszewska, Universidad Europea de Madrid

Background: Estudio de caso individual en el que se evaluó y trato durante 14 sesiones a una paciente desde la perspectiva de ACT y FAP. Métodos: Instrumentos: Se utilizaron para la evaluación 3 cuestionarios - SLC-90: Cuestionario para evaluar la presencia de síntomas psicológicos y psicopatológicos. - CFQ: cuestionario de 7 ítems para evaluar la fusión cognitiva. -AAQ-II: cuestionario de 7 ítems que mide la inflexibilidad psicológica y el grado de evitación experiencial El caso se llevo desde la perspectiva de ACT y FAP usando metaforas etc.... Resultados y Discussión: Tras revisar los resultados obtenidos tras las 14 sesiones y comparar las puntuaciones pre y post tratamiento, podemos observar una reducción significativa en los síntomas psicológicos que presenta la paciente así como de su grado de fusión cognitiva y de evitación experiencial. Además se ha producido un aumento de las CCR2 y CCR3, así como una disminución de las CCR1. El sujeto esta siendo capaz de identificar, distanciarse y tolerar los pensamientos, emociones, cogniciones y sensaciones que experimenta ante eventos difíciles, haciendo espacio a la aceptación de eventos privados dolorosos y reduciendo notablemente las conductas de rumia y evitación. Esto está propiciando un mayor acercamiento por parte de la paciente a todo aquello que es importante para ella, sus valores.

43. Malestar Emocional y Tipo de Cáncer en Pacientes con Enfermedad Oncológica Avanzada
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Cuidados Paliativos

Isabe Ramirez Gendrau, Residente de Psicología Clínica, Consorci Sanitari de Terrassa (Hospital de Terrassa, Barcelona).
Cristina Enero Gonzalez, Consorci Sanitari de Terrassa (Hospital de Terrassa, Barcelona).
Anna Garcia Caballero, Consorci Sanitari de Terrassa (Hospital de Terrassa, Barcelona).

INTRODUCCIÓN Y OBJETIVOS La literatura científica en Cuidados Paliativos (CP) señala que los pacientes con enfermedad oncológica avanzada están sometidos a elevados niveles de estrés durante el proceso de diagnóstico y tratamientos a los que están expuestos, repercutiendo de forma directa en su bienestar emocional. El objetivo de la presente investigación es analizar, en pacientes con enfermedad oncológica avanzada, el grado de malestar emocional (ME) que presentan y si existen diferencias según el tipo de cáncer diagnosticado. MÉTODO Muestra formada por 50 pacientes (54% mujeres, edad media: 68.24 años (SD 11.97), ingresados en unidades hospitalarias (CP y oncología) del Consorci Sanitari de Terrassa (CST, Barcelona) por enfermedad oncológica avanzada (52% Otros; 18% Colorrectal; 16% Mama; 8% Pulmón; 3% Gástrico). Todos los pacientes mantenían seguimiento con la unidad de CP durante el ingreso. Para cada paciente se registraron datos sociodemográficos, biomédicos y psicológicos. El nivel de malestar emocional se valoró mediante el cuestionario de Detección de Malestar Emocional (DME).Se aplicaron las pruebas Chi cuadrado y ANOVA entre variables para el análisis de los datos, los cuales se llevaron a cabo con el programa estadístico IBM SPSS Statistics Versión 21. RESULTADO A partir del análisis estadístico, los resultados mostraron relación significativa entre el tipo de cáncer padecido y el grado de ME (p 0.037, p< 0.05) siendo mayor en el cáncer de pulmón (x = 16.25 (5.476)) y menor en el colorrectal (x= 9.67 (3.571)). En todos los subtipos de càncer estudiados, la puntuación media de ME se sitúa por encima de punto de corte del instrumento utilizado (x= 11.18 (4.317)). Los resultados no mostraron diferencias significativas en relación al subtipo de cáncer padecido y el tipo de preocupación predominante que presentaban. CONCLUSIONES Los resultados hallados confirman la presencia de elevado ME en pacientes diagnosticados de enfermedad oncológica avanzada. Además los datos sugieren que existen diferencias en el nivel de ME experimentado entre los pacientes según el tipo de enfermedad oncológica, siendo el cáncer de pulmón el que mayor ME acarrea en la muestra estudiada. Los resultados del estudio suman evidencia en la necesidad de detectar el ME de forma precoz en pacientes oncológicos dada la elevada presencia de estresores a los que están sometidos. Además sugieren la importancia de una intervención precoz multidisciplinar e idiosincrásica según el tipo de cáncer padecido para mejorar la calidad de vida de estos pacientes.

44. Tratamiento Cognitivo-Conductual Grupal Breve en Trastornos Adaptativos
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Trastorno adaptativo

Marina Torrens-Lluch, Servicio de Salud Mental. Consorci Sanitari de Terrassa (Barcelona)
Anna Soler i Roca, Servicio de Salud Mental. Consorci Sanitari de Terrassa (Barcelona)

Objetivo: Los trastornos adaptativos se definen como una respuesta emocional -con aparición de síntomas emocionales o comportamentales- ante un estresor identificable, conllevando un malestar o deterioro clínicamente significativo. Si bien constituyen entre un 10 – 30% de los pacientes que son visitados en los centros de Salud Mental, todavía no hay consenso en relación al abordaje terapéutico óptimo y existe poca literatura acerca de la eficacia del tratamiento. El objetivo del presente estudio es analizar la efectividad del tratamiento cognitivo – conductual grupal para los trastornos adaptativos, incluyendo los subtipos con sintomatología depresiva, ansiosa y mixta. Método: La muestra se compone de 98 pacientes (34 hombres y 64 mujeres) atendidos en el Centro de Salud Mental del CST, todos ellos cumplían criterios para el diagnostico de Trastorno Adaptativo, según el DSM IV – TR. El rango de edad comprende de los 19 a los 78 años con una media de 45 años. A nivel sociodemográfico, un 12,5% está soltero, un 62,5% casado y un 25% divorciado/separado. Se han llevado a cabo diversos grupos de carácter breve (6 sesiones de una hora de duración con una periodicidad semanal) donde se realiza una intervención psicoeductiva y de aprendizaje de técnicas cognitivo – conductuales para al manejo de los síntomas y el afrontamiento al estrés. Se realizó una evaluación pre y post tratamiento: se administraron el Inventario de Depresión de Beck (BDI), el Inventario de Ansiedad Estado – Rasgo (STAI) y la Escala de Autoestima de Rosenberg (RSE). Los datos han sido analizados mediante el SPSS versión 22 (IBM). Resultados: En primer lugar se analizaron las puntuaciones tanto de depresión como de ansiedad y autoestima de la evaluación previa al tratamiento en relación al sexo, la edad, el estado civil y el nivel educativo, no obteniendo diferencias significativas entre los subgrupos. En la evaluación post tratamiento se evidencia una reducción significativa de las puntuaciones en ansiedad rasgo (p<.004), ansiedad estado (p<.006) y depresión (p<.003). Sin embargo, las diferencias en la puntuación de autoestima pre y post tratamiento no fueron significativas (p.119). Además, se observa una mayor reducción específica de la sintomatología ansiosa -menor puntuación STAI- en aquellos pacientes con un nivel de estudios bajo y en cambio una mayor reducción específica de la sintomatología depresiva –menor puntuación BDI- en aquellos pacientes con un mayor nivel educativo. Conclusiones: En conclusión, una intervención grupal breve basada en la terapia cognitivo – conductual permite alcanzar cambios en el trastorno adaptativo, evidenciándose una mejoría significativa de los síntomas y por tanto demostrando la efectividad del tratamiento.

45. Desenganchados de la vida: Flexibilidad psicológica en pacientes en tratamiento con metadona [1195]
Primary Topic: Intervenciones y aspectos clínicos
Sub-categoría temática: Abuso de sustancias

Andrea Taboada López, Complejo Asistencial de Zamora
María del Carmen Ortiz Fune, Complejo Asistencial de Zamora.
Verónica Castrillo Sarmiento, Asociación Contra el Cáncer. Zamora
Mónica Santos Rivas, PsicAct
Laura Turiel Flórez

Introducción: Los programas de mantenimiento con metadona han mostrado ser un tratamiento eficaz reducir el consumo de drogas. Sin embargo, las diferencias inter e intraindividuales dificultan entender las variables implicadas en la eficacia de este tipo de intervención. Su conceptualización como tratamiento de reducción de daño en lugar de mejora de la calidad de vida, los riesgos asociados a la dosis y la comorbilidad presente en este grupo, hacen necesario seguir desarrollando modelos comprehensivos de conceptualización e intervención. El gran desarrollo teórico y práctico de la Terapia de Aceptación y Compromiso y sus bases filosóficas, ha dado lugar a un gran número de estudios que avalan su eficacia en pacientes dependientes de múltiples sustancias. Entre estos avances destaca la definición de “flexibilidad psicológica” como “una clase funcional, una operante, que consiste en responder a la propia conducta en un marco de jerarquía con la perspectiva deíctica-YO”. En este trabajo, recogemos la idea teóricamente bien desarrollada de que la falta de un patrón comportamental flexible basa el abuso de sustancias, y con ello, del no abandono del uso de metadona durante largos períodos. Pretendemos estudiar la flexibilidad psicológica en un grupo de pacientes en tratamiento con metadona, relacionándolo con la presencia de otras dificultades. Métodos: La muestra estuvo compuesta de 13 pacientes en tratamiento con metadona. Se aplicó un protocolo de evaluación compuesto por una medida de psicopatología general (SCL-90-R), un screening de trastornos de la personalidad (IPDE) y dos medidas de flexibilidad psicológica, una relacionada con el constructo general (AAQ-II) y otra específicamente referida al ámbito del consumo de sustancias (AAQ-SA). Resultados: Se encuentra un elevado nivel de psicopatología general, siendo la media de este grupo el percentil 85,54. Es elevada la presencia de Trastornos de Personalidad, siendo los más frecuentes el límite, el obsesivo-compulsivo y el evitativo. La inflexibilidad psicológica es alta en el AAQ-II (X= 34,45) y AAQ-SA (x=68,54). La relación entre malestar psicopatológico general y flexibilidad es más estrecha con los datos obtenidos en el segundo, dibujando un perfil casi idéntico. Discusión: Nuestros resultados son congruentes con lo reflejado en la literatura. En primer lugar, encontramos una alta comorbilidad relacionada con altos niveles de inflexibilidad psicológica. También en cuanto a la idoneidad de utilizar instrumentos que evalúen este constructo en el grupo de consumidores de sustancias específicamente, ya que AAQ-II y AAQ-SA parecen mostrar información relacionada, aunque no solapada. La conceptualización de los problemas de abuso de drogas como un patrón de regulación conductual inflexible, permite entenderlo en base a la actuación directamente controlada por las funciones que se desprenden de los eventos privados presentes en cada momento, dando lugar a acciones fusionadas que generan una vida “desenganchada” de las cosas que tienen significado para la persona. Ello permitirá diseñar tratamientos más integrados, basados en el lenguaje y la cognición y alejados de la topografía de la conducta. Esto dará lugar a intervenciones que logren para nuestros pacientes una mejor calidad de vida, de forma más duradera.

46. Aplicación de ACT a Grupo de Pacientes de ESM [1196]
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Psicoterapia grupal de Act en adultos Salud Mental

Rosa Elena Mateo Álvarez, Psicóloga Clínica Hospital de Burgos
Verónica Castrillo Sarmiento, Psicóloga Clínica Asociación Española Contra el Cáncer
Laura Álvarez Cadenas, PIR Hospital Universitario de Burgos
Diana Cobo Alonso, PIR Hospital Universitario de Burgos
Iván Torres Viejo, PIR Hospital Universitario de Burgos

Objetivo: Análisis de los resultados obtenidos en la aplicación de un programa grupal de ACT para pacientes del Equipo de Salud Mental. Material Y Método: Estudio cuasiexperimental con diseño intragrupo pretest-postest sin grupo control. Los cuestionarios: MAAS (Mindfulness Attention Awareness Scale, adapt. Luciano y Ruiz 2007), AAQ-II (Preliminary psychometric properties of the Acceptance and Action Questionnaire-II, adapt. Luciano y Ruiz, 2007), WBSI (White Bear Supression Inventory (Wegner, D. M., y Zanakos, S. 1994) y Escala de Autocompasión SCS de García-Campayo. Participaron 13 pacientes atendidos en consulta de Psicología Clínica y/o Psiquiatría del ESM con diversos diagnósticos. El protocolo se realiza durante 12 semanas en sesiones de 90 minutos de duración. Primeramente se contextualiza la terapia, se hace Análisis funcional, se genera desesperanza creativa, se emplearon técnicas de defusión para hacer emerger funciones, se generan claves de jerarquía-deícticas, contacto con el momento presente, diferenciación del yo, clarificación de valores y compromiso de acción. Se incluye cultivo de la autocompasión. Resultados: Los pacientes van tomando perspectiva, aprendiendo a contactar con lo que piensan, sienten y hacen en el momento presente, a diferenciar entre el yo contenido y el yo contexto, a generar distancia del contenido y abrir espacio a la aceptación. Se potencia la flexibilidad psicológica y van clarificando valores y dirigiendo su conducta hacia lo que de verdad les importa. Los resultados en las medidas cuantitativas - postest no pueden incluirse en este resumen dado que el programa se encuentra aún en curso. Conclusiones: La aplicación de la Terapia de Aceptación y Compromiso a grupos de pacientes de Salud Mental supone una intervención terapéutica novedosa, flexible, que se adapta a las necesidades del paciente y grupo de pacientes, modelo de salud y no de enfermedad, que altera los contextos verbales que tienen atrapado al paciente y que apuesta porque aprenda a elegir la dirección de su vida para que ésta sea más amplia y llena de significado. Cultivando la autocompasión se refuerza al paciente para que sea consciente de su propio sufrimiento y se responda a sí mismo con bondad y comprensión. No obstante, hacer hincapié en la necesidad de seguir trabajando e investigando sobre la efectividad y eficacia de ACT.

47. Morir antes de tiempo: Terapia de Aceptación y Compromiso en Cuidados Paliativos [1197]
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Cuidados Paliativos

Andrea Taboada López, Complejo Hospitalario de Zamora
Verónica Castrillo Sarmiento, Asociación Contra en Cáncer. Zamora.
María del Carmen Ortiz Fune, Complejo Hospitalario de Zamora
Mónica Santos Rivas, PsicAct

Introducción: Los cuidados paliativos se conciben como “el enfoque que mejora la calidad de vida de pacientes y familias que se enfrentan a problemas asociados con enfermedades que amenazan la vida, a través de la prevención y alivio del sufrimiento, por medio de la identificación temprana e impecable evaluación y tratamiento del dolor y de otros problemas físicos, psicológicos y espirituales”. Es frecuente que aparezcan eventos privados indeseados en los afectados. Si esto da lugar a un patrón rígido de funcionamiento basado en la evitación, nos encontramos el Trastorno de Evitación Experiencial (TEE), con resultados negativos en la vida de las personas. Aquí presentamos los resultados obtenidos de un protocolo de intervención funcional-contextual, para conocer la eficacia de la Terapia de Aceptación y Compromiso en el abandono de la evitación y la generación de repertorios más flexibles de conducta. Teniendo en cuenta que el psicólogo también puede verse envuelto en conductas de evitación experiencial que pueden interferir en su labor profesional, se analiza la presencia de barreras y la actuación del profesional en relación a las mismas, así como su relación con los resultados finales del tratamiento. Se estudiarán también las dificultades encontradas en la aplicación de este protocolo y se harán sugerencias para solventarlas de cara a futuros trabajos. Métodos: se aplicó el protocolo a una muestra de 7 pacientes atendidos por un Equipo de Cuidados Paliativos Domiciliario. Los criterios de inclusión fueron ser paciente de dicho recurso o cuidador principal del mismo, y mostrar un patrón de evitación que causase interferencia en la vida cotidiana. Se utilizaron instrumentos de autoinforme para evaluar el grado de bienestar del paciente durante cada semana de intervención, su implicación en actividades valiosas y la satisfacción del paciente y familia con el tratamiento. Las barreras del terapeuta fueron recogidas por el mismo en relación a cada intervención, y clasificadas en función de su intensidad y grado de fusión. Resultados: Se encuentra una media de 3,85 puntos de bienestar psicológico antes de la primera sesión, que se eleva hasta un 6,14 tras la intervención. La satisfacción de paciente y familia fue elevada en todos los casos (X=9, X=9,57). Las barreras del terapeuta fueron medias (42,85% de los casos) o altas (57,14%). Se planificó la sesión en un 71,42% de los casos. El grado de fusión fue bajo en el 80% de los casos, siendo mayor cuando la sesión no fue planificada. De igual modo, la planificación precedió a mayores aumentos en el bienestar informado por el paciente (aumenta de media 2,4 puntos). Se encuentra relación inversa entre el grado de fusión con las barreras y el bienestar del paciente (a menor fusión, mayor diferencia entre el bienestar autoinformado antes y tras la intervención). Discusión: La aplicación de intervenciones psicológicas protocolizadas en cuidados paliativos es compleja. También lo es la investigación de resultados de las mismas. Por ello, las limitaciones metodológicas de este trabajo solo permiten extraer hipotésis a confirmar en posteriores investigaciones. En cuanto a los resultados obtenidos vemos que han sido positivos, y que tanto pacientes como familiares se muestran satisfechos. Por tanto, ACT supone un enfoque útil y aceptable en el campo de los cuidados paliativos. En segundo lugar, destacar que es fundamental el trabajo personal continuado del terapeuta, de forma que este logre aumentar su flexibilidad psicológica, para optimizar los resultados de sus intervenciones. Para ello, parece útil la planificación de las sesiones.

48. Impactos de la Terapia de Aceptación y Compromiso en la calidad de vida de personas con estrés postraumático y depresión.
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Estrés postraumático, trastorno depresivo mayor, calidad de vida

Angelica Nathalia Vargas Salinas, Contextual Behavioral Science and Therapy Institute
Michel André Reyes Ortega, Contextual Behavioral Science and Therapy Institute

El estrés postraumático (TEPT) es el único trastorno psiquiátrico al que se le atribuye una causa concreta de la sintomatología (exposición a un evento traumático), que limita y afecta la calidad de vida de las personas. Los tratamientos con mayor evidencia para trabajar con este problema, no contemplan las comorbilidades y están orientados a la disminución de síntomas y no a la calidad de vida. En este estudio de tipo pretest - postest con dos seguimientos, a los 3 y 6 meses, participaron dos grupos de personas diagnosticadas con TEPT crónico y trastorno depresivo mayor, un grupo participó de ACT (n=11) y el otro de Terapia de Exposición Prolongada (TE) (n=11), ambas intervenciones constaron de 12 sesiones en formato grupal. Se midieron los impactos en sintomatología depresiva, estrés postraumático y calidad de vida, ambos tratamientos muestran disminución de síntomas en TEPT (p ≤ 0.002) y en depresión (p ≤ 0.000), peros solo ACT mantiene los cambios a lo largo de seis meses, mientras que en la calidad de vida ACT muestra impactos significativos en preocupaciones, desempeño físico, aislamiento, percepción corporal, funciones cognitivas, actitud ante el tratamiento, tiempo libre, vida cotidiana y redes sociales (p ≤ 0.05) y solo TE muestra cambios en el aislamiento, tiempo libre, vida cotidiana y familia (p ≤ 0.05) y solo se mantienen en el primer mes.

49. Protocolo breve basado en la Terapia de Aceptación y Compromiso: a propósito de un caso de Trastorno Adaptativo [1198]
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Protocolo de intervención en atención ambulatoria

Mª del Carmen Ortiz Fune, Psicóloga Residente en el Complejo Asistencial de Zamora
Manuel Mateos García, Psicólogo General Sanitario en Centro de Asesoramiento Sevilla
Andrea Taboada López, Psicóloga Residente en Complejo Asistencial de Zamora
Verónica Castrillo Sarmiento, Psicóloga Clínica en Asociación Española Contra el Cáncer

En algunos contextos clínicos, como es la atención a pacientes en el sistema público de salud, se hace imprescindible aplicar las terapias de una forma breve y eficiente, tratando de obtener los mejores resultados empleando menos tiempo. En este contexto, la mayor parte de las demandas atendidas se refieren a problemas adaptativos con síntomas de ansiedad y/o depresión, en cambio a menudo nos encontramos que tras la aplicación de tratamientos habituales (Terapia Cognitivo Conductual y psicofármacos) un elevado porcentaje de pacientes acaban siendo crónicos, consumiendo muchos recursos. Se diseñó, con el objetivo de mejorar el servicio de salud mental ambulatoria, un programa de intervención breve basado en la Terapia de Aceptación y Compromiso. El programa se compone de cuatro sesiones que recogen todos los elementos de la terapia (desesperanza creativa, defusión y clarificación de valores) así como la posibilidad de ser ampliado en el seguimiento para adaptarlo a casos particulares, tratando siempre de no superar las 8 sesiones. En el presente trabajo, se presentan los resultados obtenidos tras la aplicación del protocolo a una paciente de 29 años con Trastorno Adaptativo Mixto (sintomatología ansiosa y depresiva). Al inicio de la intervención la paciente presentaba puntuaciones elevadas en el Inventario de Depresión de Beck y el Inventario de Ansiedad de Beck, así como niveles elevados de Evitación Experiencial reflejados por el AAQ-II. El protocolo de intervención se aplicó en un centro de salud público de la provincia de Zamora, por una terapeuta que se encontraba en formación en Terapias Contextuales. Las sesiones tuvieron una duración de entre 45 y 60 minutos, y se desarrolló a lo largo de siete sesiones durante tres meses, se consideró oportuno ampliar tres sesiones de seguimiento dadas las características de la paciente (el motivo principal de asistir a consulta había sido su embarazo y dio a luz durante el tratamiento). Las sesiones de seguimiento consistían principalmente en reformulación del análisis funcional y algunos ejercicios puntuales de defusión y trabajo con valores. La evolución de la paciente se midió con un registro de malestar y acciones valiosas adaptado para el caso. Tras la intervención, se apreciaron cambios significativos en el patrón de comportamiento de la paciente, que presentaba una conducta dirigida a valores y mayor flexibilidad y apertura ante la presencia de malestar. Por todo ello, consideramos que la inclusión de este tipo de protocolos de intervención en Atención Primaria podría mejorar considerablemente el Sistema Público de Salud.

50. Dejar de fumar con ACT
Áreas temáticas (principales): Prevención e intervenciones comunitarias
Sub-categoría temática: Terapia de Grupo, Metáforas, Tabaquismo, Adicciones

Verónica Castrillo Sarmiento, Universidad de Salamanca
Andrea Taboada López, Complejo Asistencial de Zamora
Carmen Ortiz Fune
Rosa Mateo Álvarez, Hospital Universitario de Burgos
Mónica Santos Rivas
Iván Torres Viejo

Actualmente existe evidencia que muestra la eficacia de la Terapia de Aceptación y Compromiso (ACT) en la alteración de los comportamientos adictivos, y en el mantenimiento de la abstinencia a largo plazo. ACT ha mostrado ser eficaz en el desarrollo de una vida consistente con los valores personales cuyo coste principal supone afrontar el malestar que se deriva de la abstinencia. Se exponen los elementos terapéuticos utilizados en un programa de tratamiento grupal, se analiza su utilidad, y se evalúa el nivel de compromiso y malestar durante el proceso. Además se presentan los resultados de abstinencia en el seguimiento. La muestra estuvo compuesta por 30 adultos, con una duración promedio de más de 20 años de consumo. Se analizan los resultados pre y postratamiento, análisis durante el proceso terapéutico así como seguimiento a los 3 y 6 meses. Los principales resultados indican una abstinencia a los 6 meses mayor del 60%. Por todo ello, parece que se consiguen tasas de éxito terapéutico prometedoras. Distintas revisiones indican una eficacia general promedio de 20 – 45% de éxito. Quizás ACT consiga mayores tasas de éxito a largo plazo porque las personas con historia de consumo de tabaco, suelen tener experiencia en hacer compromisos y romperlos, por lo que temen comprometerse. Desde ACT se trabaja el compromiso en cada sesión, no como un resultado, sino que se trata de un compromiso con una dirección valiosa. Por lo que, el compromiso de dejar de fumar no significa que no pueda haber una recaída. En definitiva, este compromiso significa que la persona está dispuesta a dejar de consumir tabaco porque esa elección está en consonancia con sus valores y ese compromiso incluye la responsabilidad de elegir retomar el rumbo cuantas veces sean necesarias.

51. Shame, Guilt and Substance Use Coping: The Mediating Role of Self-Compassion [1199]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Self-Compassion

Christina Chwyl, Portland Psychotherapy
Jason B. Luoma, Portland Psychotherapy

Background: Shame and guilt have distinct relationships with alcohol consumption and alcohol-related problems. While shame-proneness typically predicts more drinking and drinking-related problems, guilt-proneness typically predicts less drinking and fewer drinking-related problems. Although shame- and guilt- proneness may prove relatively resistant to intervention, other, more modifiable variables may mediate the relationship between these emotions and drinking motives. Objectives: Investigate whether two potentially modifiable variables may mediate the relationship between shame and negative drinking outcomes: self-compassion and the motivation to drink to cope with anxiety (a variable highly related to experiential avoidance and linked to problematic substance use). Method: One hundred and seven community-dwelling, non-abstaining adults completed self-report measures of shame, guilt, drinking motives, and drinking-related problems. Results: Shame-proneness, but not guilt-proneness, predicted people’s motivation to drink to cope with anxiety. Importantly, meditational models showed that self-compassion mediated the relationship between shame-proneness and drinking to cope with anxiety. Path analysis showed that shame-proneness led to drinking to cope through decreases in self-compassion, which, in turn, led people to experience fewer interpersonal alcohol-related problems. Discussion: Together, our results underline the distinct consequences of shame- and guilt-proneness, and reveal that self-compassion may play an important role in drinking motives and ensuing alcohol-related problems amongst shame-prone people. Future longitudinal and experimental studies may clarify the temporal and causal relationships amongst these variables.

52. Brief Evidence-Based ACT-Enhanced Parenting Intervention to Promote Young Adolescents’ School Engagement [1200]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Group based interventions

Larry Dumka, Ph.D., Sandford School of Social and Family Dynamics, Arizona State University, USA

This poster presents ways ACT was integrated in a universal group-based parenting intervention already been shown to be effective (the Bridges to High School program; http://psycnet.apa.org/journals/ccp/80/1/1/). This skills-focused intervention aims to prevent school disengagement and behavioral health problems in middle school age adolescents (11-13 years old) by increasing parents’ capacity to monitor adolescents, enact effective limits, and stay connected. ACT enhancements were integrated to increase parents’ psychological flexibility to optimize skill learning and committed action. These enhancements are described including activities to clarify parenting values, brief mindfulness exercises to increase parents’ present moment attention when communicating with adolescents, and strategies to promote defusion to reduce parent-adolescent conflict. Lessons from implementing the intervention are shared.

53. How Do Compassionate and Acceptance Strategies Explain Feelings of Social Safeness and Depression Symptoms?
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Depression

Cláudia Ferreira, CINEICC, University of Coimbra
Ana Laura Mendes, CINEICC, University of Coimbra
Andreia Máximo, University of Coimbra
Maria João Dias, University of Coimbra
Inês A. Trindade, CINEICC, University of Coimbra

The ability to present a kind and compassionate attitude towards the self has been consistently linked to psychological well-being and lower levels of depressive symptoms. On the other hand, individuals who present a critical and judgmental self-relationship tend to become more vulnerable to the development of several psychopathological conditions. The current study explored experiential avoidance and feelings of social safeness and connectedness as mediators between self-compassion and self-judgment and depression symptoms. Participants in this study were 413 individuals of both sexes (126 males and 287 females), aged between 18 and 60 years old, who completed validated self-report measures. Path analysis explained 35% and 35% of the variances of social safeness and pleasure and depressive symptomatology, respectively, and demonstrated excellent model fit indices. Results revealed that experiential avoidance mediated the impact of self-compassion and self-judgment in feelings of social safeness and pleasure and depression symptoms. Particularly, a compassionate self-to-self relationship seem to be associated with lower depression symptoms through a lower tendency to avoid or control unwanted inner events and more feelings of safeness and connectedness. On the other hand, harsh critical attitudes towards the self were linked to the adoption of maladaptive emotion regulation processes (such as experiential avoidance) and to lower feelings of safeness and connectedness within social relationships and, in turn, to higher levels of depression symptoms. These findings offer significant clinical and research implications, emphasizing the role of emotion regulation processes in the promotion of psychosocial well-being and mental health, and supporting the relevance of combining Acceptance and Commitment Therapy (ACT) and compassion-based interventions.

54. Physiological and Psychological Barriers to Progressing Along the Stages to Quit Smoking Among People with Schizophrenia [1201]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Smoking cessation

Yim-wah Mak, RN, RM, Ph.D., School of Nursing, The Hong Kong Polytechnic University
Winnie WY Lau, BA, School of Nursing, The Hong Kong Polytechnic University
Alice Yuen Loke, Ph.D., School of Nursing, The Hong Kong Polytechnic University

Background: Studies are lacking on the barriers that influence the stages of readiness to quit smoking among people with schizophrenia. Objective: To identify the physiological and psychological contributors to progressing along the stages of change in smoking behavior among people with schizophrenia. Method: From 47 community-based mental health care settings in Hong Kong, we recruited 219 participants who were current smokers and who had been diagnosed with schizophrenia. Results: Participants at the precontemplation stage showed significantly less perceived support from family and friends, lower self-perceived importance of quitting and confidence in being able to quit, but better mental health related-quality of life. Higher self-perceived importance of quitting and confidence in being able to quit were important psychological predictors to a later stage of readiness to quit smoking. Conclusions: The result indicated the impact of the patients’ self-perceived confidence and self-perceived importance of smoking cessation on their progress along the stages of readiness to quit smoking. Strategies designed to increase these psychological factors, such as health education and modeling effects, may contribute to increasing their motivation to quit.

55. Can Psychological Flexibility Model Predict Prosocial Behavior in Anti-Social Personality?
Primary Topic: Prevention and Community-Based Interventions
Oktay Şahin, MD, Ergani State Hospital, Diyarbakir, Turkey
K. Fatih Yavuz, Bakırköy Mental Health and Neurological Diseases Hospital, Istanbul, Turkey
Ahmet Nalbant, MD, Bakırköy Mental Health and Neurological Diseases Hospital, Istanbul, Turkey

The aim of this study is to determine how psychological inflexibility model predicts social functioning and clinical severity in people with ASPD. Current study includes 220 individuals with ASPD. Socio-demographic data form, Interpersonal Reactivity Index (IRI), Perspective Taking sub-scale (PT), Acceptance and Action Questionnaire-II (AAQ-II), Self as Context Scale (SCS), Cognitive Fusion Questionnaire (CFQ), Social Functioning Scale (SFS) were applied. According to results, total scores of Social Activities(SA) sub-scale were predicted by SCS and CFQ. Social Engagement (SE) sub-scale was predicted by SCS and AAQ-II. Interpersonal Communication (IC) sub-scale was found to be predicted by CFQ and SCS. Total scores for SCID-II ASPD were predicted by AAQ-II. Our study points out the results that self as context, cognitive fusion and experiential avoidance attitudes also predict both social functioning and the severity of APD in individuals with APD.

56. Work-Related Stress, Psychological Flexibility and Organizational Wellfare in a Sicilian Hospital [1202]
Primary Topic: Organizational behavior management
Subtopic: Work-related stress, organizational welfare

Giovambattista Presti, University of Enna "Kore"
Valeria Squatrito, University of Enna "Kore"
Francesca Mongelli, University of Enna "Kore"
Melina Di Blasi, University of Enna "Kore"
Enrica Basile, University of Enna "Kore"
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)
Tiziana Ramaci, University of Enna "Kore"

Health workers are, by definition, in contact with patients living emotionally complex situations, which can threaten their psychological well-being and capacity to work effectively. Under these conditions a key role is played by the way they relate to their own internal events (thoughts, emotions, feelings, memories, etc.). We aimed to evaluate the relationship between stressful working environment and individual and contextual factors and organizational context. One third of the staff in service at a Sicilian Hospital were in. Measures were: Mayer D’Amato Questionnaire (M_DOQ10), Occupational Stress Indicator (OSI), Mindfulness Attention Awareness Scale (MAAS), Acceptance and Action Questionnaire – II (AAQ-II), Valued Living Questionnaire (VLQ). A total of 411 questionnaires were collected. Data show that Sicilian health workers have low levels of psychological flexibility (AAQ-II average = 48.88, d.s. = 8.61) and have good levels of awareness (MAAS average = 4.59, d.s. = 0.93). OSI scores show that causes of problems are attributed to organization rather than individual (external locus of control); the main sources of pressure are attributed to the managerial role and the climate. Workers have a good way to deal with stress.

57. Study Protocol for the Development and Testing of a Questionnaire to Measure Mindfulness, Acceptance and Commitment [1203]
Primary Topic: Other
Subtopic: Questionnaire

Nina Schulze, Dipl.-Psych., Neuropsychiatric Center Hamburg-Altona, Germany
Silja C. Reuter, Neuropsychiatric Center Hamburg-Altona, Germany
Peter Tonn, M.D., Neuropsychiatric Center Hamburg-Altona, Germany

Background: The objective of this study is to create and evaluate a questionnaire that measures the levels of mindfulness, acceptance and commitment in the general population. Methods: Based on our daily clinical experience, we created an item pool with 90 items which measure the scales mindfulness, acceptance, and commitment. This item collection was presented to a group of experts, which reduced the number of items to 60 items. The next step will be to present the questionnaire to a sample of n = 1000 participants, recruited from the general population in Germany. After completing the data collection, the questionnaire will be checked for its quality by calculation (item difficulty etc.). The final version of the questionnaire should contain less than 30 items. In a second study, the questionnaire will be correlated with related questionnaires (construct validity). Discussion: There are only a few questionnaires to measure mindfulness, acceptance, and commitment in German-speaking countries. We want to create a valid measuring instrument to fill this gap. Currently we have finished the first step of a three-step-process.

58. The Impact of Experience on Implicit Attitudes Towards Children with Language Disorders and Autism
Primary Topic: Relational Frame Theory
Subtopic: IRAP

Francisco Cabello, Ph.D., Universidad de Murcia (Spain)
Silvia Abellan, Universidad de Murcia (Spain)
Ana Vanesa Valero, Universidad de La Rioja (Spain)

Research has shown that healthcare and education professionals hold negative attitudes about children with disabilities, which can impact their work (Pruett & Chan, 2006; Wright, 1988). In this poster we use the IRAP procedure in two separate studies to examine implicit attitudes towards children with language disorders and autism, and to analyze the impact of clinical experience on these attitudes. In Study 1, participants were 34 speech-therapy students that were about to have their first clinical practice, so that the IRAP was administered before and after this practice. In Study 2, participants were 37 teachers in two mainstream schools; 17 had experience with children with autism, and 16 did not. Results from both studies show (1) that having actual experience with disabled children produced a change in implicit attitudes; (2) that attitudes towards children with language disorders or autism were not affected; and (3) that attitudes towards normal children became more positive. In other words, experience with disabled children produced a more positive view of normal children in both speech-therapy students and teachers, rather than a decrease in negative attitudes. These findings are discussed in the context of the impact that implicit attitudes can have in the professional work of healthcare and education professionals.

59. Learning Model of Metaphorical Reasoning for Children with Autism Spectrum Disorders [1204]
Primary Topic: Relational Frame Theory
Subtopic: Autism

Fen-Fen Wang, University of Chinese Academy of Sciences
Zhuo-Hong Zhu, Institute of Psychology,Chinese Academy of Sciences

A considerable amount of research has indicated that children with autism spectrum disorders (ASD) have difficulty with figurative language, specifically with metaphorical language. As a common language phenomenon and competence, metaphor is a restriction to the language development and interpersonal communication of children with ASD. However, few studies have attempted to teach children with ASD to understand metaphor. Relational framing theory (RFT) came up with a behavioral approach to the topic of metaphorical language and it treats relating, per se as learned behavior. The current study attempted to construct and evaluate the learning model of metaphorical reasoning for children with ASD in China by means of multiple exemplar training for teaching them to establish the relational frames among subjects in a metaphor. Research also explored children’s behavior changes during the training. Participants included four children, ages 12-16. Results suggest that the learning model is effective for teaching children with ASD to learn metaphorical reasoning. The data for all four children with diagnosis of autism revealed their success in post-training phase and probe session, for accuracy data in all sessions reached above 80%. Two of them even got 100% in five or six sessions. Furthermore, generalization to untrained metaphors was found and one of them even demonstrate the generalization to create their own metaphors.

61. CBS Consistent Definitions of Relational Coherence, Incoherence and Ambiguity
Primary Topic: Relational Frame Theory
Subtopic: Relational Coherence

Sam Ashcroft, The University of Chester
Lee Hulbert-Williams, The University of Chester
Kevin Hochard, The University of Chester
Nick Hulbert-Williams, The University of Chester

Coherence is fundamental to many theories in psychology. For example, coherence is implicated in the development of a sense of meaning, it is at the core of Cognitive Dissonance Theory, it explains basic findings such as the Stroop effect, and it is part of the Multi-Dimensional Multi-Level framework that currently steers much of RFT research. Despite this central importance, coherence has not been defined satisfactorily within CBS. The lack of a precise definition of coherence may be holding back research in CBS. Even within CBS, scholars use the term coherence in multiple ways, which means that research contributions, rather than being cumulative, threaten to become divergent and imprecise. We present CBS consistent definitions of coherence, incoherence and ambiguity that will enable discussion and investigation of these concepts with precision, scope and depth. Our intention is that these definitions will simultaneously steer and invigorate a cumulative body of research on coherence.

62. Citation Analysis of Relational Frame Theory: 2009-2016 [1205]
Primary Topic: Relational Frame Theory
Subtopic: Relational Frame Theory

Martin O'Connor, MSc, University College Dublin
Lynn Farrell, University College Dublin
Anita Munnelly, University College Dublin
Louise McHugh, University College Dublin

Relational Frame Theory (RFT) is a contemporary account of language and cognition rooted in behavior analysis. This paper presents a citation analysis of the RFT literature that follows on from that conducted by Dymond, May, Munnelly and Hoon (2010) who examined the evidence base for and impact of RFT between 1991 and 2008. The current analysis focused on empirical and non-empirical studies citing RFT-related search terms and their publishing outlets in the period from 2009 to 2016. A particular emphasis was placed on Empirical RFT articles, which were organized by frames targeted, country of origin and participant demographics. The analysis revealed 522 papers that met inclusion criteria. Of these 289 were Empirical and 233 were Non-Empirical. The Empirical category included 160 Empirical RFT and 129 Empirical Other. The Non-Empirical category included 110 Review and 123 Conceptual. This analysis provides further evidence of substantial growth in RFT research.

63. Consolidating ACT Training in Uganda [1206]
Primary Topic: Supervision, Training and Dissemination
Subtopic: Mindfulness

Racheal D. Nuwagaba-K

The presentation will be about the Consolidation of ACT training in Uganda. ACT training started in 2014 and since then a number of students and mental health practitioners have had an opportunity to get trained. This has been based at Makerere University and Butabika hospital. ACT has been embraced by many practitioners because concepts like psychological flexibility and mindfulness are fresh to the world of mental health and answer questions not covered by therapies like Cognitive Behavioral therapy. The aim of training is to have ACT adopted by therapists in treating patients and also engaging it in the under and post graduate curriculum. In this effort, a number of training have been organised by Dr. Rosco Kassujja and the Special Interest Group (SIG) with support of the ACBS community. As a result of the training, the feedback from attendees is positive and ACT seems highly applicable in the local settings they work. Going forward, the SIG will work to follow up trainees so as to ensure effectiveness through supervision of both SIG members and therapists. More organizations are to be trained so as to increase the number of people using ACT. The SIG is putting up an organizing committee for better formalization of ACT plans in Uganda. Hence growth of ACT work in Uganda.

64. Polish Adaptation of the Valuing Questionnaire (VQ) and the Committed Action Questionnaire (CAQ)
Primary Topic: Theoretical and philosophical foundations
Subtopic: Values, Commited Action

Magdalena Hyla, University of Silesia in Katowice
Lidia Baran, University of Silesia in Katowice
Bartosz Kleszcz, Private Practice

The main aim of the poster is to present the Polish version of Valuing Questionnaire (VQ) and Committed Action Questionnaire (CAQ). In successive studies we established psychometric properties of given questionnaires. In study one (N=325) we conducted factor analysis to confirm factor structure of questionnaires. We also tested reliabilty of questionnaires and their theoretical validity (relations with psychological flexibility, wellbeing and depression). In study two (N=177) we confirmed factor structure of questionnaires after changes post study one and also tested stability at an interval of two weeks. In study three (N=70) we tested reliability and validity of the final scale (relationship with psychological flexibility, global motivation, midfullness, boredom proneness). The main objectivity of the presentation is to share the specific data along with discussing steps of the studies and comparing the results with other cultural adaptations of VQ and CAQ.

65. Interface between Acceptance and Commitment Therapy and Strategic Therapy [1207]
Primary Topic: Theoretical and philosophical foundations
Subtopic: Theoretical reflection

Carina Magalhães, Master Research Fellow, School of Psycology, University of Minho
Joana Silva, Post-doc fellow, School of Psycology, University of Minho
Miguel M. Gonçalves, Ph.D. Professor, School of Psycology, University of Minho

This poster aims to analyse and compare the main aspects of Acceptance and Commitment Therapy and Strategic Therapy, including treatment components and processes. ACT is based on the premise that psychological problems result and are perpetuated by clients’ attempts to avoid or attenuate unpleasant emotions, which frequently prevents their movement toward valued goals. Thus clinical work is centred on promoting psychological flexibility. On the other hand, Strategic Therapy assumes that problems are produced and maintained by rigid and repetitive behavioural sequences that may limit clients’ movement toward adaptation and change. These dysfunctional patterns that result from the repetition of the same strategies constitute the main target of therapeutic work, through the deliberate intervention on the clients’ ongoing system, emerging in therapeutic interaction. By exploring the commonalities between ACT and ST intervention strategies we find that they both imply a functional approach, focusing on what is occurring rather than why is occurring. Moreover, both models have a conceptual framing that privileges the contextual change in order to stop clients’ usual pattern of functioning namely by blocking the features that are part of the problem.

66. Moving Beyond Traditional Latent Variable Models: Exploring the Concept of Psychological Flexibility and Experiential Avoidance Through a Dynamical Network
Primary Topic: Theoretical and philosophical foundations
Subtopic: Measurement

Sofie Vindevogel, Ph.D., University College Ghent
Maarten De Schryver, Ghent University
Yvonne Barnes-Holmes, Ghent University
Ciara McEnteggart, Ghent

Traditional latent variable models, such as a reflective or formative model, are characterized by simplicity, linearity, monocausality and dualism (e.g., Borsboom et al., 2003). They exclude the possibility of causal and self-amplifying loops and trajectories whereby observable variables play a role in the etiology of other variables. Moreover, these arborescent models only allow us to study unitary and not multipath relations between construct and variables, limiting the understanding of multidirectional progress and how variables may be connected through multiple, causal relations. We argue that the study of psychological flexibility (PF) as measured by the AAQ should be built upon a multifactorial framework and that relations among these multiple factors, and the dynamics they invoke, should be the primary unit of analysis. We therefore present a network approach to PF as an alternative, comprehensive model to further both the substantive theorizing and empirical investigation of PF itself.

67. Mapping Acceptance and Commitment Therapy’s (ACT) Middle-Level Terms: A Structured Conceptualization
Primary Topic: Theoretical and philosophical foundations
Subtopic: Middle-level terms

Maarten De Schryver, Ghent University
Prof. Dr. Dermot Barnes-Holmes, Ghent

The development of acceptance and commitment therapy (ACT), and “third-wave” therapies generally, has involved the introduction of, an increasing reliance upon, the use of middle-level terms (e.g., defusion, acceptance, willingness, values-based action, self-as-context). Such terms have been deemed useful in terms of facilitating communication among both researchers and clinicians, while recognizing that such terms lack the relative precision of technical terms associated with traditional behavior analysis and relational frame theory. There has been some debate around the benefits, but also the potential disadvantages and risks, involved in the use of middle-level terms. Rather than simply continue with this largely abstract discussion, it may be useful to consider adopting another strategy. One such strategy would be to develop a conceptual framework that allows researchers and practitioners to visualize how each middle level term or construct relates statistically to the specific behaviors that they are meant to capture. The current poster will present the method of “concept mapping” as one way in which to achieve this objective. Engaging in such an exercise may help to better understand how middle level terms are related to each other and could help to reduce unnecessary overlap and redundancy.

68. Behavior (in Its Own Right) as the Subject Matter of a Behavioral Contextual Approach: the Case of Attitudes and Social Cognition
Primary Topic: Theoretical and philosophical foundations
Subtopic: Attitudes and Social Cognition

Henrique Mesquita Pompermaier, MS., Universidade Federal de São Carlos
João Henrique de Almeida, Ph.D., Universidade Federal de São Carlos

A non-mediational comprehension of psychological phenomena is one of the greatest principles underpinned by a behavioral perspective in Psychology. In this sense, different authors have argued on the necessity of considering behavior in its own right as the subject matter of a psychological science. Radical Behaviorism can be considered the most prominent approach in this sense. However, a theoretical analysis of Skinner’s work shows that the indication of behavior as the subject matter of a behavioral science is not completely achieved. Based on this analysis, we discuss the possibilities of completion of this behavioral perspective in Contextual Behavioral Science. To illustrate the difficulties and potentialities of a contextual comprehension, we consider theoretical and empirical works on attitudes and social cognition develop at Contextual Behavioral Science literature.

Friday, 23 June, 19:15-20:15 - Poster Session #3

2. Risk and Protective Factors for Internalization Following Bullying Victimization in Middle Schoolers
Primary Topic: Clinical Interventions and Interests
Subtopic: Children, Bullying, PTSD, Depression, Risk and Protective Factors

Chelsea VanderWoude, M.A., Southern Illinois University
Mary Louise Cashel, Ph.D., Southern Illinois University

Background: Research has consistently shown that bullying victimization creates lasting and compounding effects. Bullying increases a student’s likelihood to experience a range of emotional and behavioral disorders, such as anxiety, depression, and Oppositional Defiant Disorder (ODD). A recent study by Boyes and colleagues (2014) reported that scores of victimization were predictive of internalizing behaviors, measured by symptoms depression, anxiety, and posttraumatic stress disorder symptoms, at a one-year follow-up. These results indicate that there is a significant relation between victimization and disorders but few studies have examined the development of such difficulties. The current study seeks to evaluate risk and protective factors related to the development of depression and symptoms of PTSD in the context of bullying victimization. Method: This study collected data from 64 students from two separate rural middle schools. Each student completed a packet of measures assessing each of the relevant constructs. Bullying victimization was assessed with the The Bully Survey – Student Version (BYS-S; Swearer & Carey, 2003). Symptoms of depression and posttraumatic stress were assessed using Center of Epidemiological Studies Depression Scale Revised (CES-DR; Eaton, Muntaner, Smith, Tien, & Ybarra, 2004) and the University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index (UCLA PTSD-RI; Steinberg, Brymer, Decker, & Pynoos, 2004). Thought suppression and social support was assessed using the the White Bear Thought Suppression Inventory (WBSI; Wegner & Zanakos, 1994) and the Child and Adolescent Social Support Scale (CASSS; Malecki & Elliott, 1999). Results: A correlational analysis was conducted between the BYS-S, CES-DR, UCLA PTSD-RI, WBSI, and the CASSS. Results indicated a significant relation between the BYS-S and symptoms of depression (r = .703) and posttraumatic stress disorder (r = .688). Results showed a significant relation between symptoms of depression and thought suppression (r = .711) and social support (r = -.343). Similarly, results also demonstrated a significant correlation between symptoms of PTSD and thought suppression (r = .603) and social support (r = -.316). Gender differences were evaluated using an independent samples t-test. The results indicated that there were no gender differences for symptoms of posttraumatic stress and depression. However, there were significant results for thought suppression based on gender. Female students obtained higher scores for thought suppression than male students (t = 1.83, p < .001, d = .81). Discussion: These results provide further support to the literature by indicating that bullying victimization is related to symptoms of internalization. Moreover, these results also suggest that thought suppression and social support may serve as risk and protective factors for the development of symptoms of depression and posttraumatic stress following bullying victimization. This study provides preliminary evidence to suggest that thought suppression is influenced by a student’s gender. The relation between gender, symptomology, and thought suppression will be discussed as well as clinical implications.

3. Self-Compassion and Fears of Compassion: A Comparative Study in Clinical Samples with Personality Disorders, Psychosis, and Eating Disorders and a Non-Clinical Sample [1208]
Primary Topic: Clinical Interventions and Interests
Subtopic: Compassion

Paula Castilho, University of Coimbra
Maria João Martins, University of Coimbra
Raquel Guiomar, University of Coimbra
Diana Carvalho, University of Coimbra
Joana Gonçalves, University of Coimbra
Marta Simão, University of Coimbra

Background: Self-compassion has been described as having a protective role in various forms of psychopathology. Therefore, compassion-based interventions have been emerging with promising results particularly among samples with diagnosis associated with self-criticism and shame issues. Nevertheless, authors have stressed the possibility of fears of affiliative emotions (e.g. compassion) emerging in people with highly activated threat-defense system. This study sought to compare the levels of self-compassion and fears of compassion (FOC) a) between clinical and non-clinical samples; and b) among three different clinical samples with diagnosis associated with difficulties in emotional regulation (personality disorders-PD, psychosis-PSY and eating disorders-ED). Method: A clinical sample of people with PD (n=53; 67.9% female; 33.47 years old), psychotic-spectrum disorder (n=50; 62% male; 32.48 years old) and ED (n=32; 100% female; 29.75 years old) was collected as well as a non-clinical sample (n=50; 74%; 37.94 years old). The participants filled in the FOC scales and self-compassion scale. Non-parametric mean comparisons and post-hoc analysis were performed. Results: The combined clinical sample had significantly higher levels of FOC and lower levels of self-compassion than the non-clinical sample. In FOC a tendency for differences between the clinical and non-clinical groups was found but not between the clinical groups. A similar pattern was found for common humanity. ED and PSY had higher levels of self-criticism, isolation and over-identification than PD. ED and PD had significantly lower levels of mindfulness and self-kindness than PSY. Discussion: Although the three diagnostic groups represented in the present study might benefit from compassion-based interventions our results preliminarily show that tailoring those interventions for specific populations may bring advantages. Other clinical and research implications are discussed. Keywords: Fears of compassion; Self-compassion; Fears of compassion; Personality disorders; Psychosis; Eating disorders

4. Can We Improve Self-Compassion with a Brief Perspective-Taking Intervention?
Primary Topic: Clinical Interventions and Interests
Subtopic: Self-compassion

Lee Hulbert-Williams, Ph.D., University of Chester
Rosina Pendrous, University of Chester

Self-compassion has been linked to general psychological well-being in observational studies. Self-compassion is conceptualised as self-kindness, mindfulness plus a sense of common-humanity, yet little research has been done on any single component. We hypothesised that common-humanity, being able to see suffering as shared, requires perspective-taking. Adopting a Relational Frame Theory analysis of perspective-taking, we devised a brief computerised intervention where participants were asked to identify with another person, or with themselves at another time, having the same self-referential negative thoughts (SRNT) reported by the participant. Undergraduate students (N=35) completed both trait and state self-compassion scales before being randomised to the experimental intervention or control. Participants provided a negative self-referential thought and rated it on state distress, willingness and believability. The perspective-taking intervention asked participants to describe what they would say to comfort someone when imagining, 1) someone close to them, 2) a young child, and 3) themselves as a young child, in each case this person was experiencing something akin to the SRNT provided. Those who completed a brief perspective-taking intervention (N=18) had significantly increased levels of state self-compassion (p=0.009, partial eta-squared= 0.19) and significant reductions in distress (p<0.001, partial eta-squared= 0.34) immediately after, compared to those who completed a memory task (N=17). Interventions based on an RFT analysis of perspective-taking may be useful to increase state self-compassion and reduce distress towards a negative self-referential thought. Whether longer interventions can generalise this behaviour to the status of ‘trait’ remains to be seen.

5. Two Focus Groups Comprised of Veteran Service Users and ACT Trained Practitioners Working Together to Adapt an ACT Group Protocol Specifically for Veterans
Primary Topic: Clinical Interventions and Interests
Subtopic: Veteran, co-production, group

Jennifer Ring, Veterans' First Point Lanarkshire, NHS Lanarkshire
Charlie Allanson-Oddy, Veterans' First Point Lothian, NHS Lothian
Nicola Cogan, Veterans' First Point Lanarkshire, NHS Lanarkshire

Background: Whilst generic mental health services in the UK are available to veterans, there are now specialist services for ex-forces and their families. This study sought to co-produce and adapt a generic ACT group protocol (Tansey & MacLeod, 2016) for veterans with mental health needs accessing a veteran specialist service. Method: Focus groups were conducted based across two specialist service site locations and comprised of veteran service-users and ACT-trained practitioners. Participants in the focus groups were asked to review and evaluate written, verbal, and activity-based material within the ACT group protocol. They were also asked to problem-solve and develop adaptations where necessary. The aim was to ascertain veteran's perceived sense of relevance, credibility and accessibility of the group protocol for them; whilst maintaining fidelity with the ACT model. Focus groups were audio recorded and transcribed in full verbatim and qualitative data was analysed using a thematic approach. Results: Thematic outcomes relating to the unique needs and experiences of veterans enabled meaningful and credible adaptations to be made to the ACT group protocol. Discussion: In co-producing and adapting the ACT group protocol to address the specific mental health needs of veterans accessing a veteran specialist service, it is envisaged that co-facilitation of the group with ACT-trained practitioners and veteran peer support workers will further enhance the relevance, credibility and accessibility of the group for veteran service users.

6. Application of Acceptance and Commitment Therapy in a Lobectomized Patient: Case Report [1209]
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT, Traumatic Brain Injury, Neuropsychology, Anxiety

Xavier Montaner Casino, Universitat Autònoma de Barcelona
Mélodie Pulgarín, Universitat Autònoma de Barcelona

Introduction: There is a growing body of evidence around the idea that Acceptance and Commitment Therapy might facilitate adaptation and acceptance of changed functioning and life circumstances following a severe Traumatic Brain Injury. That is the case of people who suffer from pharmacoresistant epilepsy. In this cases, the only therapeutic alternative is surgical resection of the cerebral tissue in which the epileptic focus is found. In the following poster we present a case report of a right temporal lobectomy to which ACT was applied during the neurorehabilitation process. Method: Case Information: A 41 year old woman who underwent surgery due to pharmacoresistant epilepsy. Two years after the right temporal lobe resection , she attended a neuropsychological rehabilitation service due to problems of visual memory, attention concentration, clinical anxiety, and experiential avoidance linked to social situations. Pre and post measures: Complete neuropsychological examination, State and Trait Anxiety Inventory (STAI-T), Acceptance and Action Questionnaire II (AAQ-II), and Fear of negative Evaluation Scale (FNE). Intervention: We did an ACT based intervention during 2 months, 2 sessions per week. The clinical focus was on cognitive impairment acceptance, and we used verbal strategies and external aids in the form of notes to compensate the memory impairment. Results: The response to treatment at two months resulted in a significant improvement of clinical anxiety (STAI-T pre = 42; post = 22 ) and a decrease in social avoidance behaviors (FNE pre = 26; post = 19), which resulted in a better acceptance of cognitive impairment in front of people (AAQ-II pre = 39; post = 17 ). Conclusions: Our case report suggests that Acceptance-Based Therapies may be a prerequisite to cognitive rehabilitation interventions, as they allow patients to accept their deficits and emotions instead of avoid them. This kind of gain can be translated in lower anxiety, that could improve the process of neuropsychological rehabilitation.

7. Testing the Efficacy of a Low Intensity Internet Therapy for Chronic Illness (@LIIT-CI): The Specific Contributes of Mindfulness and Explicit Compassion Practices
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Ilness

Inês A. Trindade, CINEICC, University of Coimbra
Sérgio Carvalho, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
Paula Castilho, CINEICC, University of Coimbra
David Gillanders, The University of Edinburgh
José Pinto-Gouveia, CINEICC, University of Coimbra

Background: There has been an increasing demand for e-health interventions, namely those specifically targeted for chronic health conditions due to the link between chronic illness and decreased quality of life and mental health. The current study thus aims to develop and test the efficacy of an online low-intensity intervention for chronic illness (@LIIT.CI) in a sample of Portuguese college students (aged between 18 and 35) living with a chronic illness. More specifically, the study aims to test the hypothesis that adding a compassion-focused component in a mindfulness intervention significantly improves results in several outcome and process measures. Method: Participants will be selected according to a cut-off value of 5 in a 5-items measure of illness impact. Exclusion criteria (the presence of severe psychopathology) will be assessed by a clinical psychologist using SCID-I and SCID-II. Participants will be randomly assigned into three conditions: 1) a Mindfulness condition (a 2-hour psychoeducation workshop + 4 week mindfulness intervention - Mindful breathing, Body scan, Mindfulness of sounds, Mindfulness of thoughts; 2) @LIIT-CI: a Mindfulness + Compassion condition (a 2-hour psychoeducation workshop + a 4 week mindfulness intervention + compassion-focused intervention - Soothing Rhythm Breathing and Loving Kindness; 3) a control condition (2-hour support group meeting + a 4 week online forum discussion between patients). Results: We expect that the illness impact on quality of life will be lower in participants who had a 4-week mindfulness intervention, as well as lower levels of depression and anxiety symptoms, when compared to the control condition. Additionally, we expect that participants in the @LIIT-CI condition (with an additional 2-week compassion component) will present better results when compared with both the 4-week mindfulness intervention and control condition. Conclusions: We expect that our results will corroborate the hypothesis that adding an explicit compassion-focused component to a mindfulness programme boosts the efficacy of the intervention.

8. The Take ACTION Program: Acceptability of a Behavioural Activation and ACT-Based Group Intervention for Participants Dealing with Chronic Illness
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Illness

Catherine Ethier, Psy.D. ( c ), Université du Québec à Trois-Rivières
Marie-Claude Blais, Ph.D., Université du Québec à Trois-Rivières
Pierre Gagnon, M.D., Université Laval
Maïra Filteau, Psy.D. (c), Université du Québec à Trois-Rivières
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières

Take ACTION is a manualized intervention based on Behavioral Activation and Acceptance and Commitment Therapy. This program involves five weekly group sessions (and two additional booster sessions at 1-3 months) delivered by two therapists. It has been implemented among participants dealing with chronic illness such as fibromyalgia, back pain, diabetes, multiple sclerosis or a physical disability. Take ACTION aims to help participants reengage in their life by performing committed actions (values-based) while fostering acceptance of painful experiences (emotions, thoughts, and sensations). It targets the negative avoidance cycle that is likely to develop when people experience distressful emotions in the context of stress, life changes and losses, as their coping resources may be overloaded. We piloted the Take ACTION program among 16 participants at the psychology clinic of the Université du Québec à Trois-Rivières over two groups. Preliminary findings on program's acceptability show no attrition throughout the program. 93,75% of participants missed out on only 2 sessions or less, 60% of whom attended every session. While participants seem to be globally satisfied with treatment, data on treatment’s acceptability (satisfaction, treatment modalities and structure, perception of the therapists and exercises and documentation) are still being collected and will be analysed for this poster. These pilot data support Take ACTION as an acceptable brief group-based approach for helping participants dealing with chronic illness.

9. Exploring the Predictive Effects of Social Support and Experiential Avoidance on Psychological Health in Breast Cancer Patients: A Longitudinal Analysis
Primary Topic: Clinical Interventions and Interests
Subtopic: Cancer

Inês A. Trindade, CINEICC, University of Coimbra
Cláudia Ferreira, CINEICC, University of Coimbra
José Pinto-Gouveia, CINEICC, University of Coimbra

Background: Social support has been considered an important factor in physical and mental functioning, especially during stressful situations such as living with an oncologic condition. This study aims to analyse the effects of social support and experiential avoidance, a key maladaptive emotion regulation process to the Acceptance and Commitment Therapy model, in a sample of breast cancer patients. Methods: Twenty-five females diagnosed with breast cancer, with ages between 41 and 85 years, completed validated self-report measures (MSPSS, AAQ-II and WHOQOL-Bref) in two different times, spaced 8 weeks apart. All patients were under Radiotherapy treatment during the study’s recruitment. A hierarchical regression analysis was performed to explore the predictive effects of social support and experiential avoidance on psychological health. Results: Results demonstrated that social support significantly predicted psychological health in the first step of the analysis, with an effect of 0.58 (p = 0.007), explaining 34% of the variance of this outcome. Nevertheless, when experiential avoidance was added to the analysis in the second step, social support became a non-significant predictor (p = 0.114) and experiential avoidance presented a significant effect of -0.74 (p < 0.001) on psychological health. In the final step of the regression analysis experiential avoidance thus became the only significant predictor of the model, which explained 76% of patients’ psychological health. Conclusions: These findings go in line with previous research demonstrating the relevant, determining and detrimental impact of experiential avoidance on mental health. Future research should explore the possible moderator effect of experiential avoidance on the relationship between social support and psychological health with larger oncologic samples.

10. Fears of Compassion in Psychosis: Preliminary Results on Reliability, Validity and Dimensional Structure of the Fears of Compassion Scales [1210]
Primary Topic: Clinical Interventions and Interests
Subtopic: Psychosis

Maria João Martins, University of Coimbra
Paula Castilho, University of Coimbra
Joana Gonçalves, University of Coimbra
Diana Carvalho, University of Coimbra
Célia Barreto Carvalho, University of Azores
Ana Telma Pereira, University of Coimbra
António Macedo, University of Coimbra

Background: Fears of compassion (FOC) include experiencing defensive emotions and reactions when receiving or giving compassion: to and from others and self-compassion. The FOC scales were developed to measure the fears of compassion in these compassion flows. This study sought to preliminary study the reliability and validity of the FOC scales in a sample of patients with a diagnosis of psychosis, as well as to preliminarily explore their dimensional structure. Method: The sample of participants with a diagnosis of a psychotic disorder (n=99) was mostly male (76.8%) with a mean age of 33.65 (SD = 8.93) and 10.87 years of education (SD = 3.45). The participants filled in the FOC scales and a subsample filled the self-compassion scale (n=50). Reliability and validity analysis were performed in SPSS software and CFA and EFA with MPLUS software. Results: Adequate internal consistency was found for the three scales (alpha=.84, .90 and .92, respectively) and significant negative associations were found with self-compassion components. The FOC for others unifactorial solution was the only that had adequate fit to the data (RMSEA=0.06, CFI=0.94; TLI=0.92; SRMR=0.07). Exploratory factor analysis on the FOC from others yield an alternative two-factor structure (‘self’ and ‘other’ oriented) with adequate fit (RMSEA=0.07, CFI=0.95; TLI=0.92; SRMR=0.05). CFA on the FOC for self had unacceptable fit. EFA indicated that the unifactorial structure might be the better factor solution although we did not find acceptable fit indices. Discussion: The FOC scales seem to have adequate reliability in psychosis population. The negative associations with self-compassion are indicative of validity although further study is needed. Although the dimensional structure study is still preliminary, it can provide orientation for future research on FOC scales with people with psychotic disorders. Keywords: Fears of compassion; Psychosis; Factor analysis; Reliability; Validity

11. Functioning Better if not Feeling Better: An ACT Intervention for Patients with Early-Onset Dementia
Primary Topic: Clinical Interventions and Interests
Subtopic: Dementia, health

Andrew Carr, Ph.D., VA Greater Los Angeles, UCLA
Mario Mendez, M.D., Ph.D., VA Greater Los Angeles, UCLA

In the United States (US), the CDC (2014) estimates that over 20 million individuals each year have a form of acquired brain injury (e.g. cerebrovascular accident, traumatic brain injury) and over eight million individuals have a dementia syndrome. People affected not only represent a major health issue, but also represent a significant financial burden with charges for hospital visits estimated at around four billion dollars per year in the US, which expected to increase with continued proliferation of cerebrovascular risk factors and aging population (Cooper et al., 2004; Wimo, Winblad, & Jönsson, 2010). These neurodegenerative conditions impact the psychological, social, and occupational functioning of these individuals. Early-onset dementia, dementia occurring prior to age 60, represent a burden to their families as often these individuals are caught between caregiving for aging parents and children (Werner, Stein-Shvachman, & Korczyn, 2009). Furthermore, the behavioral features of these syndromes cause significant distress for both patients and their caregivers(Mendez & Shapira, 2011). Given these patients, also tend to have less insight about their socioemotional state, they struggle to respond to interventions (Carr, S. Samimi, Paholpak, Jimenez, & Mendez, 2016). No intervention to date has been shown to mitigate neurodegeneration completely; additionally, there is a paucity of behavioral interventions studied in this population. The current study examined 30 people with early-onset dementia (10 with early-onset Alzheimer’s disease, 10 with frontotemporal dementia, and 10 with acquired brain injuries of mixed etiology). Participants were selected from consultation services at Huntington Memorial Hospital. This project was under the auspices of the IRB board of the University of California, Los Angeles. Each participant underwent a neuropsychological and neurological evaluation. Pre-intervention and post-intervention, patients and their caregivers completed inventories including: the Beck Anxiety Inventory (BAI; Beck & Steer, 1990) , the Geriatric Depression Scale (GDS; Parmelee & Katz, 1990), the Neuropsychiatric Inventory, (NPI; Cumming et al., 1994), and the Socioemotional Dysfunction Scale (SDS; Barsuglia et al., 2014). Participants were randomly assigned to an ACT-based intervention group or to a supportive counseling control group, such that five participants from each diagnosis were either the intervention or control group. The course of the treatments lasted for two months. Each participant completed three 15-minute sessions per week, of which one occurred in person while the other two visits involved telehealth visits in either voice and video formats. Statistics and graphs were computed using SPSS version 21 software. The intervention and control groups did not differ significantly by age, demographic factor, cognitive status, or neuropsychiatric variable. Comparing treatment groups by anxiety between time points, no significant interaction occurred, p = .125. When measuring across treatment and control groups, there was a slight, but significant reduction in self-reported anxiety over time, ( = .65, F(1, 30) = 7.65, p = .015.) However, there were no differences in self-reported anxiety occurred over time when comparing intervention group to treatment group, p = .35. For self-rated depression (GDS), no interaction or time differences occurred for the groups, p = .59 - .69. However, comparing the treatment groups post-hoc at post-intervention, the ACT group reported more depressive symptoms than the control group, p = .023. However, a different pattern emerged for caregiver ratings of the participant functioning. On caregiver ratings of patient neuropsychiatric function, there was a significant treatment group by time interaction, ( = .66, F(1, 14) p = .018). Specifically, the intervention group was rated to have fewer neuropsychiatric symptoms across time-points across intervention while the control group remained relatively stable. Similarly, when caregivers rated the socioemotional dysfunctional symptoms of the participants, the ACT group reduced problematic socioemotional behaviors compared overtime while the control group remained stable, ( = .71, F(1, 14) = 5.68, p = .032. In conclusion, this study examined an ACT-based intervention in an early onset dementia sample. Whereas early-onset dementia patients, who tend to have less emotional insight, reported no major differences in the mood functioning; from the caregivers’ perspective, there was marked decrease of behavioral disturbances. Although many of them did not “feel better” they may be functioning better overall.

12. Gender Differences in Response to Daily Peer Hassles Among Adolescents: The role of Experiential Avoidance
Primary Topic: Clinical Interventions and Interests
Subtopic: Children/Adolescence

Ana Xavier, University of Coimbra, Portugal
Marina Cunha, Instituto Superior Miguel Torga, Coimbra, Portugal
José Pinto-Gouveia, University of Coimbra, Portugal

Background: Literature reports gender differences in emotion regulation processes throughout developmental phases. Adolescence is a developmental period with increased risk for psychopathology, where emotion dysregulation may play an important role. The current study aims to test the mediating role of rumination, experiential avoidance, dissociation and depressive symptoms in the association between daily peer hassles and non-suicidal self-injury among adolescents. Additionally, this study explored gender differences in these associations. Method: The sample consisted of 776 adolescents, of them 369 are males (47.6%) and 407 are females (52.4%), with ages between 12 and 18 years old from middle and high schools in Portugal. Participants completed self-report questionnaires to measure variables under study. Results: The effect of daily peer hassles on non-suicidal self-injury is mediated by brooding, experiential avoidance, dissociation and depressive symptoms. Male adolescents are more likely to engage in brooding and experiential avoidance in response to daily peer hassles, whereas female adolescents are more likely to engage in non-suicidal self-injury in response to internal distress. Discussion: The adaptive regulation of emotions is critical for psychological well-being, especially in adolescence. The development of adaptive emotion regulation processes, such as acceptance and mindfulness skills, may help adolescents to cope with daily hassles and internal distress.

13. Group Treatment for OCD: Preliminary Evaluation of Treatment Effectiveness and Client Perceptions of Change
Primary Topic: Clinical Interventions and Interests
Subtopic: OCD

Annette Dufresne, Ph.D., University of Windsor
Chantal Boucher, M.A., University of Windsor
Tsubasa Sawashima, M.A., University of Windsor
Simritpal Malhi, M.A., University of

There is growing data on the effectiveness of ACT for Obsessive Compulsive Disorder (e.g., Twohig et al., 2010). There is also evidence supporting the effectiveness of group CBT⁄ERP treatment for OCD (Jonsson & Hougaard, 2009). We examined the effectiveness of a 6-week ACT-based outpatient group treatment program for individuals with OCD symptoms. Additionally, we sought to better understand the process of change from the client’s perspective. Pre- and post-treatment data were gathered from 7 clients participating in the group. Results indicated that 86% of clients showed a decrease in Total OCI (Foa et al., 1998) distress scores from pre- to post-treatment, and for 57% of clients the decrease was sufficient to be a reliable change. Maintenance of gains will be examined at a 3-month follow-up at a group booster session. Clients also completed a modified Helpful and Hindering Aspects of Therapy form (Llewelyn, 1988) after each group session to obtain information on their perceptions of change. Themes that emerged in a qualitative analysis of client feedback data included: acceptance/safety (e.g., feeling acceptance, get to talk openly), sense of community/feeling understood (e.g., feel others understand, feeling part of a community), new realizations (e.g., made me more aware of my issues with avoidance), changing relationship to thoughts/feelings (e.g., my thoughts separate from me, necessity of allowing myself to feel anxious), focus toward values (e.g., realizing what is important), and willingness (e.g., helped me feel more willing to put the practices into effect). The results indicate that ACT-based group treatment is a promising treatment for OCD. Group cohesion and support that are uniquely available in group treatment are suspected to be an important mechanism of change that should be further investigated.

14. Group-Based Acceptance and Commitment Therapy Preceded by an Experimental Attentional Bias Modification Procedure for Residual Symptoms of Depression [1211]
Primary Topic: Clinical Interventions and Interests
Subtopic: Depression

Tom Ostergaard, University of Oslo
Tobias Lundgren, Ph.D., Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institute, Stockholm, Sweden
Robert Zettle, professor, Wichita State University
Rune Jonassen, Ph.D., Clinical Neuroscience Research Group, Department of Psychology, Oslo, Norway
Catherine Harmer, professor, Psychopharmacology and Emotional Research Lab (PERL), University Department of Psychiatry, Oxford, UK
Vegard Haaland, Ph.D., Clinical Neuroscience Research Group, Department of Psychology, Oslo, Norway
Nils Inge Landrø, Clinical Neuroscience Research Group, Department of Psychology, Oslo, Norway

Background: This project studies the effect of group based Acceptance and Commitment Therapy (ACT) and Attention Bias Modification (ABM) in secondary prevention of major depression (MDD). ACT is a modern behaviour therapy combining acceptance and mindfulness processes with commitment and behaviour change processes. ACT has shown a treatment effect for MDD and promising results in secondary prevention for other patient groups. The experimental cognitive bias modification (ABM) procedure has been shown to reduce surrogate markers of depression vulnerability in patients in remission from depression. The aim of the current project is to explore if ABM enhances ACT treatment. The study will assess whether ACT in combination with ABM is better than ACT alone in reducing residual symptoms. Thus it combines ideas and science from the field of behavioural psychology and neuropsychology. As such, the approach represents an exciting opportunity for secondary prevention using acceptable, non-drug interventions. Method: The present study has an experimental as well as a quasiexperimental design. Former depressed participants (N=200) will be randomized to ABM or a control-condition without bias modification. All participants recruited at one of the sites (Sørlandet Hospital) will after the ABM/Control-intervention receive an 8-week group based ACT-intervention, no intervention will be given at other sites. The dependent variables are cognitive, neurobiological and emotional markers of vulnerability as well as frequency of major depressive episodes over a 12-month follow up. Results: The study is still ongoing. Approximately 150 persons will have completed the first part of the study (ABM and ACT) by june 2017, and we will be able to present preliminary results at the acbs world conference. Discussion: Treatments in depression are mostly offered in one format, and are seldom combined. If formats are combined they are often closely interrelated theoretically and philosophically. It could be argued that ACT and ABM differ from each other when it comes to theoretical and philosophical paradigms. Paradoxically this may also be why ACT and ABM may work well together. The two treatments target the same mechanism but on different levels cognitively, theoretically and philosophically. The hypothesis is that the two treatments complement each other, and that ABM treatment augments ACT treatment. A positive attentional bias established through ABM is expected to make the subjects more available for the psychological interventions of ACT. ABM could be thought to involve “lower order” cognitive processes, which is implicit attention without apparent language or cultural-based processes involved. ACT, on the other hand, involves “higher-order” cognitive processes where explicit attention is made to language and cultural practices.

15. How Bullying May Influence the Development of Disordered Eating Symptoms in Adolescence: The Mediator Role of Body Image Shame
Primary Topic: Clinical Interventions and Interests
Subtopic: Disordered eating; Adolescence

Cristiana Duarte, Msc., Ph.D. Candidate, Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, UC
José Pinto-Gouveia, M.D., Ph.D., Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, UC
James Stubbs, Ph.D., Appetite Control and Energy Balance Research Group, School of Psychology, University of Leeds

Cross-sectional studies suggest that body image shame mediates de association between bullying experiences and eating psychopathology in adolescent girls. The current study examined these associations through a prospective design that involved three waves of data collection in a nonclinical sample of adolescent girls assessed over three years. The mediator effect of body image shame on the association between bullying experiences with peers and eating psychopathology was examined through a path analysis. Results revealed that body image shame significantly mediated the relationship between bullying and disordered eating symptomatology. Data suggests that the extent to which experiences of victimization with peers may influence the development of disordered eating symptoms is influenced by how these experiences may become internalized as shame focused on physical appearance. Bullying prevention programmes that target shame and promote compassion and acceptance could decrease adolescents' risk of developing body image issues and disordered eating.

16. Hyperactivity and Emotions Research action with a group of children in a Childhood Adolescent Mental Health Service
Primary Topic: Clinical Interventions and Interests
Subtopic: Children, Mindfulness

Beatrice Milianti, neuropsychiatrist, UFSMIA Lucca
Anna Belmonte, neuropsychiatrist, Ufsmia Lucca
Gini Francesca, psychologist
Annamaria Marongiu, psycotherapist, ufsmia Lucca

The Action Research has been founded as a necessity of the Childhood and Adolescent Mental Health Territorial Service (UFSMIA USL North West Tuscany - Lucca Italy) to meet the growing demand for assessment and support with respect to attention difficulties, ostility and conduct disorder for students from the Primary and Secondary School. It is estimated that in Italy 4% of children fall within the diagnostic criteria with male/female ratio 2:1 (APA 2013). The diagnostic criteria of ICD-10 identifies a more homogeneous sample of children with severe disorder but underestimate the presence of children with significant attention difficulties and hyperactivity which should be properly taken into account. In a 2006 study Lahley et al. have indeed found that only 26% of subjects diagnosed with ADHD according to DSM-IV also met the ICD-10 criteria. The most evident manifestations are hyperactivity, impulsivity and acting out with little capacity to emotional modulation and attention impairment for long times. Before coming to a clear diagnosis, leveraging our experience we have structured a work in phases aimed at supporting a preventive function. The working hypothesis starts from the detection of a low tolerance to frustration on the part of the patient sample combined with hypersensitivity to the analog aspects of the Communication. The work uses an approach aimed at strengthening emotional intelligence which allows a grasp inner emotional signals and ability to communicate them to others. The intervetion want to develope emphatic capacity towards other people translating signals emotional that they can be mimicked in the emotional brain.The exercises activate the prefrontal areas and associative areas involving the circuit between the visual cortex, amygdala and connected areas covered by the neuromotor and visceral system. The working group is composed of 7 children between 7 and 10 years old come to the service for the challenges identified in the school and also in the family. Research Action has been divided into phases. An initial evaluation phase with standardized instrument and projective tests for incoming and outgoing children. A subsequent stage of the intervention divided into: -psychoeducational work with children in small groups every two weeks for 9 sessions lasting 75 minutes - Testing for parents (CBCL) and teachers (cbcl) with subsequent psychoeducational moments The Instruments: The inbound children were tested to check IQ (WISC IV), attentional skills (BIA), tolerance to frustration through a projective test (Rosenzweig), a survey of personality with the use of test C.A.T. The same tests will be repeated in output and after the psychoeducational group work unless the cognitive tests. The structure of the work in small groups is: - Initial phase of socialization through presentation games - Central working phase of individual emotions that would bring the self-narration and experience of mirroring and empathic listening among children - Experience of mindfullness (act for kids) - Final phase with closing feedback and greetings Expected Results: Increased awareness of them-Self and their bodily space through experiential work, improved ability to self-regulation of enactments with greater awareness of emotional experiences, better capability of empathy and development of appropriate social interactions among peers and with adults . As regards of adults better management skills with strategies tailored to meet the needs of children. This work is to be considered a pilot project that will see the continuation of the work of fortnightly meetings for the small group. In perspective it is being evaluated starting a Parent Traning job in small group for parents.

17. Loss of Self as a Cancer Caregiver: Learning from RFT and ACT to Develop More Effective Psychological Interventions to Improve Wellbeing [1212]
Primary Topic: Clinical Interventions and Interests
Subtopic: Adult Cancer Caregivers, Self-concept, psychological wellbeing

Jayne Joy, University of Chester
Professor Nick Hulbert-Williams, University of Chester
Dr. Lee Hulbert-Williams, University of Chester
Dr. Brooke Swash, University of Chester

Background: Psychological sequela and vulnerability to increased mortality can manifest when caring for someone with cancer at the end of life. Immersion into an informal caregiving role can be overwhelming and challenging. This may lead a person to experience personal identity loss, or ‘loss of self’ ‑ a concept known to predict poor psychological well-being. Method: A systematic search and narrative review of current literature was performed as a starting point for a developing programme of work. Results: Our review of existing literature highlighted multiple psychosocial interventions that have been tested to improve psychological well-being for cancer caregivers. Nineteen systematic reviews, appraising these different approaches, were sourced from examination of computerised databases and hand searches. Evaluation found the impact of interventions on psychological outcomes to be inconsistent and overall efficacy questionable. To date, no study has tested the usefulness of Acceptance and Commitment Therapy (ACT) in this specific population. Discussion: The development of effective interventions for cancer caregivers is vital. Interventions that target loss of self seem especially suitable. Given the emphasis on concepts of self within the ACT model, this therapeutic approach holds promise. An emerging body of work exploring ACT processes from a Relational Frame Theory (RFT) perspective attempts to offer deeper insight and development of optimally specific intervention components. Extension of this research by studying loss of self for caregivers seems a logical next step. Robust measures and development studies of intervention components for ‘self’ are currently scarce. Therefore, our objectives are to (i) develop a psychometrically sound and clinical useful measure of self-concept, and (ii) to draw on latest RFT science to develop and test specific components for those in this population who are struggling with loss of self.

18. MAC-CBT Group Therapy for Adult Attention Deficit Hyperactivity Disorder [1213]
Primary Topic: Clinical Interventions and Interests
Subtopic: Adult ADHD, acceptance, activity, mindfulness, MAC-CBT

Isabelle Kuchler, M.Sc, Neuropsychiatric Center Hamburg Germany
Dr. Peter Tonn, Neuropsychiatric Center Hamburg Germany

Background: Attention deficit hyperactivity disorder (ADHD) symptoms are often assumed to decease in adolescence, however in up to 60% of children, ADHD persist to adulthood. The prevalence estimates for adult ADHD over ten countries in America, Europe and the middle east is assumed to be averaged 3.4%. In many cases adult ADHD leads to mental distress and decrease in quality of life like difficulties finding a job to be successful with, a higher risk to be dismissed from their jobs, difficulties in relationships and more break-ups. Currently pharmacological therapy is the number-one choice ADHD treatment. Despite its evidenced effects of pharmacological interventions there are side effects, contraindications and non-responders which send some patients disliking the use of medication and asking for alternative treatments. In previous studies mindfulness-based interventions already have shown similar effects in neural regions as pharmacological treatment and positive changes in ADHD symptoms, quality of life, awareness and concentration. The following study wants to improve mindfulness-based treatment approaches in ADHD with a new therapy concept. Methods/Design: Mindfulness, acceptance, commitment and cognitive behavioral group therapy (MAC-CBT) combines 3rd wave therapies with focus on mindfulness meditation, acceptance of unchangeability, commitment to new goals with elements of cognitive behavioral therapy. The design of this study is a single-center, parallel-group, randomized superiority trial. MAC-CBT is a newly designed mindfulness-based treatment with CBT-elements for adults with ADHD. Included patients will be allocated randomly to MAC-CBT or to progressive muscle relaxation training (PMR by Jacobson). Data about ADHD symptoms, quality of life, awareness and concentration will be collected on the base of various questionnaires. Participants will be assessed two times before treatment to determine natural course of adult ADHD and two times after treatment to evaluate short and long term effects. Discussion: This trial will offer new knowledge about the effects of third wave therapies on ADHD. Furthermore the following study is one of few studies that will compare ADHD treatment to relaxation training instead of comparison to waiting list. The aim of the following study is to verify previous outcomes of mindfulness-based treatments on ADHD and to evaluate superiority of mindfulness towards relaxation programs.

19. Measuring Psychological Flexibility in Chronic and Acute Pain [1214]
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic Pain

Chiara Vona, Kore University, Enna (Italy)
Valeria Squatrito, Kore University, Enna (Italy)
Giovambattista Presti, Kore University, Enna (Italy)
Paolo Moderato, IULM University, Milan (Italy)

A battle which has no solution is usually undertaken by those who experience chronic in the desperate attempt to reduce or eliminate it. Changes in patient’s lifestyle can give a temporary relief, but in the long term drain his life and lead to a worsening of the general physical and psychological conditions. Psychological flexibility is defined as the ability to act effectively in the light of personal values, even in the presence of thoughts, emotions and body sensations interfering with one’s life. Several studies have related it to the bettering in functioning and quality of life of patients with chronic pain. To test the relation between pain, quality of life and psychological flexibility, two groups of hospitalized patients suffering from either acute (n=75) or chronic (n=100) pain were assessed by the following measures: Acceptance and Action Questionnaire-II (AAQ-II), the Chronic Pain Acceptance Questionnaire-Revised (CPAQ-R), the Valued Living Questionnaire (VLQ), the Hospital Anxiety and Scale (HADS), the Survey on the State of Health (SF-36), the Illness Perception Questionnaire (IPQ), the McGill Pain Questionnaire (MPQ), and the Visual Analogue Scale (VAS) to measure pain intensity at the time of the interview, in the last 24hrs and in the last week. A group of 123 students served as a healthy control group. Measures aimed to investigate the possible relation between psychological flexibility and levels of anxiety and depression, cognitive representations of illness, psychological impact of the disease, intensity of perceived pain. Results shows that there is no statistical difference in the two patients group and in the control group in the level of depression and anxiety symptoms as measured by HADS (total HADS score is 21,30 (3,45) for chronic pain group, 21,16 (3,05) for acute pain group and 22,44 (2,83) for control group). No statistical difference were detected in the CPAQ scores between the two experimental groups, while AAQ-II differed between chronic and acute pain (t (59) = 2.59, p = .012) and also between control group and chronic patients ( t (83) = 3.44, p = .001). A correlation between psychological flexibility (AAQ-II and CPAQ) and health status (SF-36) was found in the two pain groups.

20. Nonverbal Events in Psychotherapy and Impact on Outcome: A Literature Review
Primary Topic: Clinical Interventions and Interests
Subtopic: Nonverbal communication, Emotions

Tien Kuei, MSc, University of Glasgow

This poster presents a literature review of studies on Nonverbal events in psychotherapy and relation to clinical or process outcomes. 22 studies were isolated in the review. Design and methodology issues of measuring nonverbal behaviors will be illustrated, as well as results that impact on outcome which can inform clinical practice.

21. Outcomes of a Brief ACT Intervention Among University Students with Borderline Personality Disorder Symptoms [1215]
Primary Topic: Clinical Interventions and Interests
Subtopic: Borderline Personality Disorder

Martine Coulombe, M.Sc., Ph.D.(c), Université du Québec à Trois-Rivières
Chantal Thibodeau, M.Sc., Centre d'aide aux étudiants, Université Laval
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières

Background: Borderline personality disorder (BPD) affects 1-2% of the general population, mostly women (75%) and half of cases begin between age of 18 and 25. Approximately 75% of these people will engage in self-harm behaviors, 50% will make suicidal attempts and 5% of them will ultimately die from suicide (CSMC, 2015). BPD is characterized by instability in relationships, identity and affects (APA, 2013). Research on ACT and BPD is relatively new but recent studies linked ACT processes, like experiential avoidance and lack of psychological flexibility, to the emotional dysregulation inherent to BPD. (Buckholdt et al., 2015, Gratz et al., 2012; Hill et al., 2012). Method: This pre-experimental design research evaluates the effectiveness of a brief ACT intervention among 82 university students (Mean age = 25) with BPD or traits (92% women) on ACT processes like experiential avoidance (AAQ2), cognitive fusion (CFQ28, MBSI) and mindfulness (MAAS), and different aspects of functioning related to BPD like impulsivity (BIS-10), problem-solving (QAP) and beliefs (PBQ). Data were collected from 2013 and 2016 at Laval University, Quebec City. Results: Repeated measured analysis yielded significant results across all variables. Effects sizes ranged from small to moderate. Discussion: Despite some limitations mostly due to the pre-experimental design, the results demonstrate the importance to pursue further study on ACT with BPD. Findings are discussed in terms of future developments.

22. Psychometric Properties of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y) in Colombia
Primary Topic: Clinical Interventions and Interests
Subtopic: Assessment

Daniela Salazar-Torres, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Cindy L. Flórez, Fundación Universitaria Konrad Lorenz

The aim of this study is to describe and analyze the content validity and psychometric properties of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y; Greco, Lambert, & Baer, 2008) in children between 9-13 years old in Colombia. The AFQ-Y was administered to approximately 800 students from third to eighth grade who attended private and public schools in the Cundinamarca Department of Colombia. The results showed that the AFQ-Y had a good internal consistency, with Cronbach’s alpha of .89. The instrument showed a two-factor solution: experiential avoidance and cognitive fusion. The AFQ-Y showed theoretically coherent correlations with other constructs such as emotional symptoms, pathological worry, negative repetitive thinking, and generalized pliance. In conclusion, the AFQ-Y shows good psychometric properties in Colombia.

23. Psychometric Properties of the Generalized Pliance Questionnaire: Children in Colombia
Primary Topic: Clinical Interventions and Interests
Subtopic: Asesssment

Daniela Salazar-Torres, Fundación Universitaria Konrad Lorenz
Cindy L. Flórez, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz

The GPQ is a measure of generalized pliance for adults that has shown excellent psychometric properties and a one-factor solution. In this study, we aim to analyze a modified version of the GPQ for children that is called the Generalized Pliance Questionnaire for Children (GPQ-C) in Colombian. Approximately 800 children between 9 and 13 years old responded to the GPQ-C and other measures questionnaire. The children attended private and public schools in the Cundinamarca Department of Colombia. The results showed that the CPQ-C had a good internal consistency, with Cronbach’s alpha of .86 and a one-factor structure. The CPQ-C showed theoretically coherent correlations with other constructs such as emotional symptoms, pathological worry, negative repetitive thinking, and cognitive fusion. In conclusion, the CPQ-C shows good psychometric properties in Colombia.

24. The Effectiveness of Acceptance and Commitment Therapy (ACT) in Improving Stress and Wellbeing for Employees in a Hospital Setting [1216]
Primary Topic: Clinical Interventions and Interests
Subtopic: Stress and General Wellbeing

Josh Hope-Bell, UWE Bristol
Dr. Olivia Donnelly, North Bristol Trust NHS
Dr. Nic Hooper, UWE Bristol
Fabio Zuchelli, UWE Bristol
Lois Coy

Stress and poor general wellbeing in the workplace is an issue affecting many in the UK. The healthcare sector is particularly prone to high levels of stress and low levels of wellbeing among its employees because of the “high pressure” nature of the work, staff cuts and staff shortages. Consequently, various interventions have been developed to help healthcare staff better manage stress. One such intervention, which has been heavily evaluated in the workplace context but not so much with hospital staff, is Acceptance and Commitment Therapy (ACT). This talk will describe a piece of recently conducted research that aimed to evaluate the effectiveness of the 2+1 ACT model. Results, which indicated positive outcomes, will be discussed in terms of how to improve research of this kind in future studies.

25. The Effectiveness of an Art-Based ACT Group Therapy Program with Young Adolescents
Primary Topic: Clinical Interventions and Interests
Subtopic: Early Adolescence

Aja Meyer, Ph.D., Johns Hopkins All Children's Hospital
Heather Agazzi, Ph.D., ABPP, University of South Florida

Background: Acceptance and Commitment Therapy (ACT) has become more widely used with children and adolescents in recent years. Unfortunately, the research on ACT has not kept pace with its popularity in practice and therefore, few empirical studies on the efficacy of this intervention for youth exist. Of the available literature, research findings indicate that ACT can be beneficial for adolescents with OCD (Armstrong, 2013; Yardley, 2012), depression (Hayes, Boyd, & Swell, 2011), anorexia (Heffner et al., 2002), externalizing behavior (Bencuya, 2013), chronic pain (Gauntlett-Gilbert et al., 2013; Ghomian and Shairi, 2014), and PTSD (Woidneck et al., 2014). Many studies have resulted in positive outcomes, such as increased acceptance and defusion (Swain, Hancock, Dixon, Koo, & Bowman, 2013) and decreased depressive symptoms (Livheim, Hayes, Ghaderi et al., 2015). While studies indicated that ACT results in improvements in symptomatology and quality of life outcomes, very few studies have included measures to specifically assess changes in the core components of ACT including cognitive defusion, values and committed action. Clinicians have discussed the need for adaptations to ACT to meet the biopsychosocial developmental needs of children and adolescents. Some recommended adaptations include: increased behavioral activation, age-appropriate examples, personalized goals, and the inclusion of peers. Additionally, there is a dearth of evidence for ACT among children under 12 years of age and in ACT treatment delivered in group formats. As such, we seek to extend the emerging evidence for ACT with young adolescents aged 10-12 years in a group setting. Method: Five to seven young adolescents, ages 10-12 years, with diagnoses of an anxiety disorder will participate in an 8-week group therapy program entitled Acceptance and Commitment Therapy: Experiential Adolescent Group Program (Louise Hayes and Julie Rowse, 2008). The program aims to utilize experiential art media, such as paint and clay, to help facilitate understanding of ACT concepts. Through artwork, it is hoped that adolescents are better able to explore their own experiences without getting caught up in language processes. Confirmatory research will be used to test the hypotheses surrounding expected improvements in awareness and acceptance of internal processes (assessed with the Child Acceptance and Mindfulness Measure [CAMM]) as well as improvements in psychological flexibility, decreases in cognitive fusion and experiential avoidance (as measured by the Avoidance and Fusion Questionnaire for Youth [AFQ-Y8]), and decreases in anxiety symptoms (assessed with the Multidimensional Anxiety Scale for Children, 2nd edition [MASC 2]). All measures will be administered pre- and post- treatment. Results: Potential Results. Over the course of the study, it is expected that young adolescents who participate in the ACT group therapy program will self-report increases in self-awareness, and acceptance without judgment (as measured by the CAMM). We also expect to observe decreases in cognitive fusion and experiential avoidance with an increase in psychological flexibility (as measured by the AFQ-Y8) and decreases in anxiety symptoms (as measured by the MASC 2). Discussion: In summary, we hypothesize that the ACT group therapy program is likely to be an effective, time-limited group treatment for young adolescents that will increase psychological flexibility, improve mindfulness skills, and decrease cognitive fusion and experiential avoidance.

26. The Effects of an ACT Group Therapy Program for Adolescents in an Outpatient Psychiatry Setting
Primary Topic: Clinical Interventions and Interests
Subtopic: ACT wtih teens

Pascale St-Amand, Ph.D., CISSS Chaudière-Appalaches
Isabelle Rose, Ph.D., CISSS Chaudière-Appalaches
Maude Lafond, Université du Québec à Trois-Rivières
Joel Gagnon, Ph.D. (c), Université du Québec à Trois-Rivières
Frederick Dionne, Ph.D., Université du Québec à Trois-Rivières

Background: The demand for services in child and adolescent psychiatry are growing. In this context, it is important to develop and evaluate brief, effective, and well-adapted interventions for adolescents. To date, cognitive and behavioral therapy (CBT) remains the most empirically supported form of psychotherapy for teenagers. However, one in four teenagers would not respond to this type of intervention (Bluett et al., 2014). In recent years, Acceptance and Commitment Therapy (ACT) has attracted the attention of researchers and clinicians in the field (Ciarrochi, Hayes, & Baily, 2012; Turrell & Bell, 2016). To our knowledge, there are more than 15 clinical studies on ACT with adolescents. Despite encouraging results on psychological flexibility processes and symptoms (e.g. anxiety and depression), further studies are needed to better understand the impact of these interventions in clinical settings (Swain, Hancock, Dixonn, & Bowman, 2015). Method: The purpose of this pre-experimental study is to evaluate the effects of a six-session intervention program based on the self-help Get out of your mind and into your life for teens (Ciarrochi et al., 2012). The sample is comprised of 24 teenagers between the ages of 14 and 17 years (71% girls) who attended an outpatient child psychiatry clinic in Quebec (Canada). Results: Mean comparisons analyses revealed that, in line with our hypothesis, the intervention was associated with a reduction in anxiety and depressive symptoms, as well as improvements in psychological flexibility processes. Discussion: Findings are discussed in terms of future developments to enhance the quality and the efficacy of the intervention.

27. Effectiveness of an Interdisciplinary (ACT + PT) Outpatient Program on Functional Capacity for People with Chronic Low Back Pain
Primary Topic: Clinical Interventions and Interests
Subtopic: Chronic back pain

Heather Poupore-King, Ph.D., Stanford Pain Management Center
Corinne Cooley, DPT, OCS, Stanford Pain Management Center

Background: Self-efficacy, distress, and fear are primary mediators of disability for people suffering with chronic low back pain (CLBP) (Lee, 2015). Chronic low back pain is a high health care cost, leading cause of disability and interferes with patient’s quality of life, as well as a reason to seek medical/health care treatment. Though evidence shows intensive interdisplinary care (5x/week) that includes Acceptance and Commitment Therapy (ACT) can improve chronic pain acceptance in patients with chronic pain, reduce depressive symptoms, reduce pain -related anxiety, and physical disability at both at 3 months post treatment and up to 3 years (Vowel, 2011) there is less research that demonstrated effects in an outpatient, less intensive interdisciplinary intervention. In various health care systems, intensive inpatient interdisciplinary interventions are not available to a patient with chronic low back pain despite the patients continued report of high levels of disability and high use of medical treatment costs. This study includes an outpatient interdisciplinary approach with pain psychology intervention (ACT) and physical therapy interventions (PNE, therapeutic exercise, group exercise) delivered for 4 hours each session 2x/week for 6 weeks for a total of 48 hours of interdisciplinary treatment aimed at reducing distress and pain-related fear of movement, reducing disability and improving participation in patient-chosen valued activities. Methods: Our pilot program included 6 participants, with chronic low back pain with a mean age of ___ and average time of back pain as ___ years. Intervention included: 2 hours of pain psychology, 2 hours of physical therapy for each session, 2 sessions for 6 weeks, for a total of 48 hours of intervention at an outpatient -based pain management center. The pain psychology interventions included 1 hour of ACT, 30 minutes of meditation techniques/ mindfulness, and 30 minutes of values based goal setting. The physical therapist had attended 2 ACT workshops and discussed with the pain psychologist content for each session, and how to incorporate recently learned concepts in the gym / exercise portions of the intervention. Results: The Roland Morris Disability Questionnaire (RMDQ) initial (pre intervention) mean score was 14.5 and reduced to 5.8 post intervention and greater than the MCID of 7 for the RMDQ, or from 60% disabled to 24% disabled, which is clinically significant. The Chronic pain acceptance score (CPAQ) initial mean score was 50. 8 and increased to 73.3, which are similar changes seen in the intensive inpatient study (Vowels, 2011). Discussion: A 6 week outpatient interdisciplinary program (ACT +PT) reduces disability and improve chronic pain acceptance at pre-and post-intervention in patients with chronic low back pain.

28. Turkish Version of Valued Living Questionnaire (VLQ): Preliminary Analysis of Reliability and Validity in Non-Clinical Sample [1217]
Primary Topic: Clinical Interventions and Interests
Subtopic: VLQ nonclinical sample

M. Emrah Karadere, Hitit University, School of Medicine, Department of Psychiatry, Corum, Turkey
Hasan Turan Karatepe, Medeniyet University, School of Medicine, Department of Psychiatry, Istanbul, Turkey
Kaasım Fatih Yavuz, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Bakırkoy, Istanbul, Turkey
Sevinc Ulusoy, Bakirkoy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, Bakırkoy, Istanbul, Turkey
Alparslan Cansız, Siverek State Hospital, Urfa, Turkey
Murat Aktepe, Arnavutkoy State Hospital, Istanbul, Turkey

Turkish Version of Valued Living Questionnaire (VLQ): Preliminary Analysis of Reliability and Validity in Non-clinical Sample Background: Valued Living Questionnaire (VLQ) is a self-evaluating scale that has been developed to measure the extent to which an individual contacts his/her chosen values, an important construct in Acceptance and Commitment Therapy. The aim of this study was to examine validity and reliability of the Turkish version of “Valued Living Questionnaire (VLQ). Method: The sample consisted of 210 healthy volunteers including hospital employees and their relatives who had no psychiatric complaints between the ages of eighteen to sixty five. After translation, back-translation and pilot assessment of Turkish version of VLQ (TVLQ) completed; socio-demographic data form, Acceptance and Action Questionnaire-II (AAQ-II) and TVLQ were administered to participants. For reliability analysis of TVLQ Cronbach’s alpha coefficient and item-dimension total score correlations were used. We also used principal component analysis for factor analysis and Pearson correlation analysis for convergent validity. Results: The mean age of participants was 35,93±10,77 years (age range: 18-65 years) and 60.5% (n=127) were female. Statistically significant results supported TVLQ’s reliability. Inter-item consistency was adequate for both ‘importance’, ‘consistency’ and composite subscales (TVLQ-importance: Cronbach α= 0,793; TVLQ-consistency: Cronbach α= 0,883; TVLQ-composite: Cronbach α= 0,879). Also all items were positively correlated with each other. Principal factor analysis performed and it was detected that one dimension explained 48,87% of the total variance. Factor loading were changing between 0,58 and 0,83. Composite score were negatively correlated with AAQ-II (r= -0,195; p<0,01). Conclusion: The results of this study show that TVLQ is a reliable and valid scale for the assessment of valued living in non-clinical population.

29. Embodying the Compassionate Self: How Does Practice Quality Impact the Effectiveness of a Compassion Training Program?
Primary Topic: Clinical Interventions and Interests
Subtopic: Compassion

Marcela Matos, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Cristiana Duarte, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Joana Duarte, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
José Pinto-Gouveia, Ph.D., M.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Paul Gilbert, Ph.D., OBE, Centre for Compassion Research and Training, University of Derby, College of Health and Social Care Research Centre, Derby

Research has demonstrated that compassion mind training (CMT) is effective on the promotion of well-being, however the impact of the quality of the practice remains to be explored. A recent study of the effect of a two-week compassionate mind training intervention on well-being, also investigated participants’ qualitative and subjective experiences of the practices. This paper will explore how participants who completed a brief CMT program (n=77) experienced the compassion practices, and the impact of the quality of these experiences on the effectiveness of the intervention and the development of the compassionate self. Results reveal that it is not so much the frequency of the practice, but the usefulness of the concept of compassion and the embodiment of the compassionate self in everyday life and moments of difficulty that are associated with increases in compassion for the self, for others and from others, reassured self, positive affect and compassionate goals, and decreases in self-criticism, fears of compassion and stress.

30. The Psychological and Physiological Impact of a Brief Compassion Training Intervention: An Exploration of Processes of Change in Positive Affect
Primary Topic: Clinical Interventions and Interests
Subtopic: Compassion

Marcela Matos, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Joana Duarte, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Cristiana Duarte, Ph.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
José Pinto-Gouveia, Ph.D., M.D., University of Coimbra - CINEICC (Cognitive and Behavioural Centre for Research and Intervention), Portugal
Nicola Petrocchi, Ph.D., John Cabot University, Rome, Italy
Paul Gilbert, Ph.D., OBE, Centre for Compassion Research and Training, University of Derby, College of Health and Social Care Research Centre, Derby

This study explores the impact of a two-week Compassionate Mind Training (CMT) intervention on emotional, self-evaluative and psychopathology measures and on heart-rate variability (HRV), and explores processes of change in positive affect. Participants (general population and college students) were randomly assigned to one of two conditions: CMT (n=56) and Wait-List Control (n=37). At post-intervention the experimental group significantly increased compassion for the self and openness to the compassion from others, safe and relaxed positive affect, and HRV; and showed reductions in shame, self-criticism and fears of compassion. Mediation analyses revealed that changes in positive affect (safe and relaxed) were mediated by increases in compassion for the self and openness to the compassion from others, and by decreases in fears of compassion. Improvements in HRV mediated the impact of the CMT intervention on relaxed affect.

31. But What Exactly Are Values? A brief discussion about the concept and utility of values in the clinical setting [1218]
Primary Topic: Clinical Interventions and Interests
Subtopic: Values

Aline Simões, Universidade Federal da Bahia
Tiago Ferreira, Ph.D., Universidade Federal da Bahia
Bruno Oliveira, Private Practise
Amanda Raña, Universidade de São Paulo

The context of psychotherapy involves ethical, theoretical and technical matters regarding practical limits and possibilities. Two of such relate to the definition of goals to clinical practice and therapist’s limitations when formulating and executing such objectives. Given the central role that the concept of “values” seem to have in these matters in current behavioral therapeutic models, this paper intends to analyze and discuss perspectives regarding this concept as brought by authors such as Skinner, Leigland, Plumb, Wilson and Harris in order to propose a definition, using low-level terms, that can generate basic and applied research without losing its relevance to the clinical setting. We propose that values are stable and diverse qualities of behavior that have acquired reinforcing function by being described by the individual or his community. Further utility of such a definition involves its precision and focus on aspects that are under direct influence of the patient.

32. Testing a Brief ACT-Based Intervention for Potent Suicide Risk-Factors: A Lab-Based Analogue Study
Primary Topic: Clinical Interventions and Interests
Subtopic: Burdensomeness, Suicide, Brief intervention

Kevin Hochard, Ph.D., University of Chester
Sam Ashcroft, BSc, University of Chester
Lee Hulbert-Williams, Ph.D., University of Chester

The Integrated Motivational Volitional (IMV) model of suicidal behaviour (O’Connor, 2011) outlines several predictive factors for suicide. Social support and belongingness are protective factors, while defeat and entrapment exacerbate suicidality. Accordingly, these factors are key intervention targets. Murrell et al. (2014) suggest Acceptance and Commitment Therapy may be beneficial for suicide prevention and Collins et al. (2016) provide supporting evidence for the mitigating effect of mindfulness on low belonging. This experimental analogue study compares brief manualized ACT-consistent, CBT-consistent, or placebo interventions. Following the intervention, participants were exposed to Cyberball, an online game designed to induce feelings of social ostracism. Physiological and psychometric measures of stress were obtained, in addition to behavioural measures of willingness to re-engage with the aversive task. We discuss the implication of these results on future ACT-based suicide prevention interventions.

33. Acceptance and Commitment Therapy for Weight Control
Primary Topic: Clinical Interventions and Interests
Subtopic: Obesity, weight control

Maria Christina Geraldini Ferreira, Ph.D.Candidate, Pontificia Universidade Catolica de Goias
Sonia Maria Mello Neves, Ph.D., Pontificia Universidade Catolica de Goias

Research conducted to verify the efficacy of Acceptance and Commitment Therapy (ACT) for eating-related problems, such as high concern about weight, body image dissatisfaction, obesity, subclinical eating pathology and eating disorders, has shown promising results. We selected six studies that applied ACT to people with higher than normal Body Mass Index (MBI) to identify their procedures, measures, obtained results and follow-up. These studies used in their interventions a protocol based on the book by Hayes, Strosahl and Wilson (1999). The six studies used scales and questionnaires as a measure for efficacy of results and process of change; four of which used the Acceptance and Action Questionnaire for Weight (AAQ-W); one used the Body Image-Acceptance and Action Questionnaire (BI-AAQ); three used MBI; two used the Self-Monitoring of problematic eating; one used the Self-Monitoring of hunger and satiety; and five conducted three-month follow-up. Evidence from all the studies supported ACT as an effective instrument for change.

34. Psychological Flexibility Affecting Psychological Well-Being: A Study on Italian Youths
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescents, psychological flexibility, measures

Emanuele Rossi, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

This poster presents an exploratory study on Italian adolescents concerning the existence of a direct correlation between psychological inflexibility and psychological distress and, as a consequence, the existence of a direct correlation between psychological flexibility and psychological well-being. The outcomes presented here emerge from two wide validation studies on a total sample of 1315 Italian adolescents. About 17 measures assessed psychological flexibility and inflexibility (with a particular focus on mindfulness facets, such as acceptance, presence, awareness), psychological distress (anxiety, depression, somatization, dissociation, perceived stress), psychological well-being and quality of life. The scores obtained were submitted to a correlation analysis in order to explore the relationship existing between the ACT core processes and psychological well-being. The implications of the study reveal themselves to be crucial to both researchers and clinicians.

35. A Research Update on Italian Clinical Instruments Usable for Measuring Psychological Flexibility and Inflexibility During the Adolescence
Primary Topic: Clinical Interventions and Interests
Subtopic: Adolescents, psychological flexibility, measures

Emanuele Rossi, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Erika Melchiorri, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)
Alessia Panzera, Psy.D., Associazione Psicologia Cognitiva (APC) - SPC - Associazione Italiana Scienze Comportamentali e Cognitive (AISCC)

This poster illustrates in short the last research update on three clinical instruments available in Italy in order to measure psychological flexibility and inflexibility in the developmental age. The key focus of this poster is on three self-report instruments: (1) Child and Adolescents Mindfulness Measure (CAMM), measuring mindfulness and acceptance; (2) Avoidance and Fusion Questionnaire for Youth (AFQ-Y), assessing fusion and experiential avoidance resuming the theoretical foundations of Acceptance and Commitment Therapy; (3) Mindful Attention Awareness Scale for Adolescents (MAAS-A), measuring mindfulness as a "receptive state of attention and awareness of the present experience". Using these tools in clinical practice has led to very promising implications. However, it is necessary to deepen the study of psychological flexibility on Italian children and adolescents broadening the range of the evaluation tools.

36. “Unfolding the Values of Work” A Qualitative Study on How Therapists in an Occupational Rehabilitation Program Based on Acceptance and Commitment Therapy (ACT) Experience That They Attend to Their Participants´ Return-To-Work Process [1219]
Primary Topic: Clinical Interventions and Interests
Subtopic: Return-to-work rehabilitation

Nina Elisabeth Klevanger, M.A., Ph.D. candidate, NTNU - Norwegian University of Science and Technology, Trondheim, Norway
Marius Steiro Fimland, Ph.D., Researcher, NTNU - Norwegian University of Science and Technology, Trondheim, Norway & Hysnes Rehabilitation Center, St. Olav’s U. Hospital
Professor Roar Johnsen, NTNU - Norwegian University of Science and Technology, Trondheim, Norway
Marit By Rise, NTNU - Norwegian University of Science and Technology, Trondheim, Norway

Objectives: Musculoskeletal pain, common mental disorders and other unspecific disorders are responsible for a large part of the sick-leave in the western world, and comorbidity is very common. We are therefore currently investigating a generic group-based occupational rehabilitation program which included patients with these disorders in the same therapy group. The program was multidisciplinary, consisting of physical training, work-related problem solving and psychological therapy. The prevailing therapy approach was Acceptance and Commitment Therapy (ACT), a third wave behavioural and cognitive therapy intended to increase psychological flexibility by using acceptance and mindfulness processes, and commitment and behaviour change processes. Few studies have examined ACT when used in rehabilitation intended to support return-to-work, and no studies have so far investigated therapists’ experience with providing occupational rehabilitation programs based on ACT. The aim of this study was therefore to explore how therapists experience that they attend to their participants´ return-to-work process in an occupational rehabilitation program based on Acceptance and Commitment Therapy (ACT). Methods: This was a qualitative interview study supported by participant observation. The therapists were interviewed regarding their experiences of working with occupational rehabilitation based on ACT, and how they attended to the return-to-work process of their participants. In addition, the rehabilitation program was investigated through participant observation, focusing on how supporting return-to-work was attended to during the program. The interviews were analysed according to Interpretive Phenomenological Analysis (IPA), and informed by the analysis of field notes from the participant observation. Results: The results of this study show that the therapists had a twofold goal for the rehabilitation program; to help participants build a meaningful life, and engage in sustainable work participation. We identified five processes of change that the therapists used in order to help participants to move towards these goals; 1) enabling the participants´ ownership to their rehabilitation process, 2) identifying the complex causes of sick leave, 3) changing how the participant related to own and others´ expectations, 4) unfolding the personal values of work, and 5) exploring the scope of the participants´ agency. The therapists described that the changes they sought to facilitate were long-term processes that exceeded the timeframe of the rehabilitation program, and that they could only help instigate them and enable the participants to uphold them long-term. Conclusion: The results from this study implicate that therapists experience that it is feasible to use ACT as an approach in return-to-work rehabilitation, but that the approach presents restrictions on how the topic of return-to-work may be attended to throughout the program.

37. Eye Tracking Patterns of an Autistic Child Before and After a Multiple-Exemplar Training to Follow the Direction of the Adult Gaze [1220]
Primary Topic: Educational settings
Subtopic: Autism

Carolina Coury Silveira, MS, Universidade Federal de São Carlos (UFSCar)
João Henrique de Almeida, Ph.D., Universidade Federal de São Carlos (UFSCar)
Andréia Schmidt, Universidade de São Paulo (USP)
Sérgio Fukusima, Universidade de São Paulo (USP)
Camila Domeniconi, Universidade Federal de São Carlos (UFSCar)

The use of eyetracker to identify unusual looking tracking patterns in individuals with autism has traditionally been used for diagnostic purposes. Research employing the eyetracker to investigate changes in this pattern throughout a learning process has not yet been documented. The objective of the present study was to examine changes in the gaze orientation of an autistic child (Max) during a joint attention teaching, in which the participant should follow the gaze of a sample (profile face aimed at an object at your left or right). For this, Max should point or name to which comparison (of animal, fruit or vehicle) the sample was looking after given the instruction "what is he seeing? ". A multiple-exemplar training with differential reinforcement was performed, gradually increasing the number of comparisons around the face that was positioned in the center of the computer screen. Max presented 0% of correct answers at the baseline and after completing the MET (14 sessions), responded 87.5% correct in the post-test. The results of the eye-tracking equipment indicated differences in the number of records for each of the stimuli in the post-test compared to the pre-test. The Mann Whitney test indicated statistically significant decreases in the mean records of gaze for the comparison stimuli that appeared above the model (p <0.05) and for the sample (p <0.01). In addition, it indicated a statistically significant increase in the mean records for the correct comparison stimuli (p <0.05). The tendency to decrease the ocular fixations to the distractor stimuli and the sample were contingent on the increase of the observations to the correct comparison stimuli. It was possible to verify the change in the stimulus control of the participant´s gaze following, after changes in the contingencies of reinforcement of the joint attention. Even more important, the results highlight the importance of S + for establishing an adequate gaze tracking pattern. Keywords: eye-tracking; autism; Joint attention; multiple exemplar training.

38. RFT Based Educational Interventions in the Context of the Italian National Health System
Primary Topic: Educational settings
Subtopic: Language and Learning Disorders

Melissa Scagnelli, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)
Concetta Messsina, University Kore of Enna
Martina Leuzzi, University Kore of Enna
Francesca Brasca, Fondazione IRCCS Cà Granda – Ospedale Maggiore Policlinico
Antonella Costantino, Fondazione IRCCS Cà Granda – Ospedale Maggiore Policlinico
Giovambattista Presti, University Kore of Enna
Paolo Moderato, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano, Libera Università di Lingue e Comunicazione IULM

This work is based on a collaboration between IESCUM and UONPIA Foundation IRCCS Cà Granda Hospital - Ospedale Maggiore Policlinico, over 4 months focused on brief interventions in 11 children, aged between 3 and 11 years, with language and learning disorders (mostly dyslexia).Training based on Relational Frame Theory aimed to teach categorization and reading-writing skills (for schoolage children).Training is based on frame of coordination.Children were taught two relationships, AB and BC respectively, and tested a series of derived relational responses choosing C in the presence of A and viceversa. In the reading protocol by sillabic words in upper-case letters formed stimuli in class A, picture of those words were stimuli class B, and words in lower-case letter were class C stimuli. In the categorization training a vocal stimulus “Give me X” was the class A stimuli, where X is the name of the category, and class B and C stimuli were formed by three different instances each of the X category. Derived relations tested responses to “Tell me the names of all the X you know” and “Y is an…”, where Y is the name of a member of the category X. Over a limited number (7) of training sessions RFT based training was effective in promoting the extension of lexical repertoire, the development of categorization in language impaired kids, and amelioration of reading skills in dyslexic kids. Standardized testing demonstrated beneficial effects in language skills beyond the category offered. In dyslexic children improvements in speed and accuracy scores emerged.

39. Can a Specialist Physical Education Program, Incorporating Mindfulness Based Activities, Have a Positive Impact on Children’s Body Acceptance? Findings from the Australian Lifestyle of our Kids (LOOK) Longitudinal Study
Primary Topic: Educational settings
Subtopic: Mindfulness, body acceptance

Lisa Olive, Ph.D., Deakin University
Rohan Telford, University of Canberra

Background: In clinical and research contexts, mindfulness as a specific type of meditation practice has been described as a “non-elaborative, non-judgemental awareness” of present-moment experience. Preliminary research in young adults has shown that mindfulness is associated with acceptance of one’s body and identity, however, less research has examined these relationships in younger populations. This study investigates the effects of specialist-lead physical education (S-PE) program, which incorporates mindfulness based activities, on children’s body acceptance during the course of primary (elementary) school. Method: Data from the Lifestyle of our Kids (LOOK) longitudinal study involving 736 initially grade 2 children (370 boys M age = 8.18; 366 girls M age = 8.13) from 29 primary schools were analysed. Schools were randomly allocated to intervention (13 schools) or control groups (16 schools). Intervention groups received 90 min/week of S-PE from visiting specialists as part of, and not in addition to the recommended 150 min/week of PE set out by the Australian Government. On average, 20-to-25% of class time was allocated to mindfulness based activities. Control groups received all of their 150 min/week of PE from classroom teachers, with no specific mindfulness content. Approximately 86% of the children had one or both parents of Caucasian descent, 8% of Asian descent, 3% Australian Aboriginal or Torres Strait Islander or 1% Polynesian, and we had no data on 2% of the families. Participants completed assessments of Appearance Beliefs in Children Scale (ABC-S), a measure of body acceptance and satisfaction, in grade 2 prior to the commencement of the intervention and again in grade 3 after receiving approximately one year of the intervention. Measures of percent body fat (DEXA), puberty (Tanner scale) and physical activity (pedometers) were also assessed as potential confounds. Results: Children receiving S-PE reported greater improvements in overall body acceptance (p = 0.042) and on the appearance satisfaction subscale (p = 0.028) compared to children of the control group. There was some evidence of similar trends toward improvements in self-perceptions acceptance subscale (p = 0.050) and perceptions by others subscale (p = 0.087) and less evidence for acceptance of physical attributes subscale (p = 0.116). Discussion: Physical education (PE) programs utilising specialist PE teachers, which incorporate mindfulness based activities, may improve body acceptance and satisfaction among children beyond that which is achieved through ‘usual practice’ PE delivered by classroom teachers. The improvements reported here stemmed from the existing time allocated to PE in schools. No additional time was added for PE meaning there was no disruption to the existing school curriculum. Our findings provide support for the use of mindfulness practices in PE as a means for improving body acceptance in children, which can reach almost all children.

40. The Portuguese Version of the Teacher Acceptance and Action Questionnaire: Preliminary Data [1221]
Primary Topic: Educational settings
Subtopic: Assessment

Ana Galhardo, Ph.D., Instituto Superior Miguel Torga; CINEICC-Faculty of Psychology and Educational Sciences of the University of Coimbra
Bruna Cravalho, Intituto Superior Miguel Torga
Marina Cunha, Ph.D., Instituto Superior Miguel Torga; CINEICC-Faculty of Psychology and Educational Sciences of the University of Coimbra

Background: Experiential avoidance (EA) can be defined as a process that occurs when people are unwilling to remain in contact with particular private experiences (e.g., bodily sensations, emotions, thoughts) and it has been pointed as being related to psychopathological symptoms. The development of self-report instruments for the assessment of EA has deserved the attention of researchers and specific versions of the Acceptance and Action Questionnaire (AAQ-II) are now available targeting different populations. The Teacher Acceptance and Action Questionnaire (TAAQ) is one of these specific instruments. The current study sought out to explore the factor structure and psychometric properties of the Portuguese version of the TAAQ. Method: A total of 255 teachers (213 women and 42 men) took part in the study. An email containing the aims and inclusion criteria as well as a link to an online platform was sent to several teachers associations. Informed consent was mandatory and participants completed a set of self-report measures including a sociodemographic and professional questionnaire, the Teacher Acceptance and Action Questionnaire, the Depression, Anxiety and Stress Scales, and the Five Facet Mindfulness Questionnaire. Results: Principal component analysis extracted a single component explaining 56.93% of the variance. Component loadings ranged from .-43 to .86; communalities ranged from .19 to .74. The Cronbach’s alpha estimate of internal consistency was .87, the item-total correlations ranged from -.25 to .87. Correlations with the other measures were as expected, suggesting its convergent and discriminant validity. Discussion: The Portuguese version of the TAAQ demonstrated a single component structure easy to interpret, high internal consistency, convergent and discriminant validity. The TAAQ appears to be a reliable and valid measure of EA in teachers. This can be an easy to use self-report instrument for the assessment of EA considering that teachers are a professional group particularly exposed to psychological problems (e.g., depression, burnout, substance use).

41. About the Development of ACT-Program for Implementing ACT on the Web [1222]
Primary Topic: Evolution
Subtopic: Vocational Rehabilitation

Fumiki Haneda, Vocational Counselor, Startline Co.Ltd

On the Startline Co., Ltd., we are consulting on employment of persons with disabilities and managing satellite offices with support for persons with disabilities. At our company, ACT is carried out in the initial training for disabled people who are working in satellite office and trained for improvement of employability to persons with disabilities using employment transition support agencies. There are also many people who have mentally handicapped persons and people with developmental disabilities who are enrolled in the satellite office, incorporating ACT exercises into their daily occupational life and practicing it. On the other hand, in the practice of ACT, it is important to know how to feed back on awareness and doubt of each person, at what timing and how to combine various exercises, There is need for consideration on effective practice methods. Also, considering that not only our company but also the place of practice with various rehabilitation will expand, we will provide stable exercise and contents, support practical daily exercise, collect behavioral information in everyday situations and management efficiency improvement will be a major issue. Features of this software developed this time are as follows. ● You can practice ACT exercises on the Web using PCs, smartphones, tablet terminals, etc. ● You can record and reference your own practice results, and you can send it to a supporter by e-mail etc. ● You can periodically record behavioral data such as actions committed to value. ● You can add new exercises at any time. ● You can register exercises on the Web, such as using sentences, sounds, and videos. ● Supporters adjust the exercises that individual users can implement according to individual needs, and the functions of management, such as providing it from time to time, are also substantial. In this presentation I would like to introduce these features, examples of utilization, possibility of future application.

42. Effects of a Mindfulness-Based Stress Reduction-Sport Performance Program (MBSR-SP) in Athletes Self-Compassion and Flow
Primary Topic: Performance-enhancing interventions
Subtopic: Mindfulness-based intervention on sports

Bruno Carraça, FMH-University of Lisbon
Sidonio Serpa, FMH-University of Lisbon
Joan Palmi, INEFC-Lleida University
Catia Magalhães, Polytechnic Institute- ESEV

Background: The field of sports psychology is now utilizing mindfulness, compassion, and acceptance-based strategies because it appears to support the development of a broad range of essential capacities including regulation of attention, motivation, arousal, cognitive functions related to perception and motor control, self-compassion, recovery, social connectedness, and leadership (Moore, 2009; Aherne et al., 2011; Birrer et al., 2013; Mosewich, Crocker, Kowalski, & Delongis, 2013; Deci & Ryan, 2000; Monshat et al., 2013). Objectives: The aim of these two studies was to evaluate the effectiveness of the Sport Performance- Mindfulness Based Stress Reduction Program (MBSR-SP) program, an 8-week MBSR-SP designed to train elite athletes to be more self-compassionate, awareness and improve dispositional flow. Methods: elite soccer players (n= 28) were assigned to an eight-week mindfulness intervention (MBSR, Kabat-Zinn, 2003), or a wait-list control condition (n=29). The participants completed pre-post test measures of mindfulness, flow, self-compassion, experiential avoidance, psychopathology symptoms, and sport-related rumination attributions. The instruments used are well-know and reliability and were conducted analyses of covariance. Results: Analyses showed significant positive effects on the mindfulness intervention group compared with the waitlist control group, namely intervention participants reported significantly larger increases in self-compassion (f= 6.122; p= .0017), mindfulness (f=12.811; p= .001), and flow (f= 7.765; p= .007). Discussion: Results suggest that the MBSR-SP program appears to be effective at facilitating dispositional flow, as well at enhancing self-compassion, mindfulness on elite soccer athletes. Keywords: self-compassion; mindfulness; flow; elite athletes

43. Training program based on ACT & Mindfulness to improve well-being and performance in kickboxing fighters [1223]
Primary Topic: Performance-enhancing interventions
Subtopic: ACT-Mindfulness and sport performance

Adrián Muñoz, University of Malaga
J.J Macías, University of Malaga
Frank Bond, Goldsmiths, University of London

One of the purposes and challenges of science is to improve the quality of life of people. For years, strategies have been implemented in other fields, such as sports, with promising results.The aim of the present study was to examine the effectiveness of a training program based on Acceptance and Commitment Therapy (ACT) and Mindfulness, to improve well-being and performance in kick-boxing fighters. The sample consisted of 10 participants, randomly assigned in two conditions: control (n=5) and experimental (n=5). Competitive anxiety levels were assessed using the Competitive Anxiety Scale (SAS-2); The degree of acceptance through the Acceptance and Action Questionnaire (AAQ-II); Mindfulness through the Mindful Attention Awareness (MAAS) scale, before and after training. The analysis of the data showed an improvement in all the variables analyzed in the experimental group, compared to the control group, being statistically significant for: acceptance (p = .026) and mindfulness (p = .049); but no statistically significant for SAS-2. In conclusion, we consider the benefits of applying an intervention based on ACT and Mindfulness to enhance sports performance.

44. CheerApp: Mobile Application Based on ACT
Primary Topic: Performance-enhancing interventions
Subtopic: Technology, mobile ACT

Giovambattista Presti, University of Enna"Kore"
Valentina Costanza, University of Enna"Kore"
Alberto Catania, University of Enna"Kore"
Davide Cutaia, University of Enna"Kore"
Melina Di Blasi, University of Enna"Kore"
Francesca Mongelli, University of Enna"Kore"
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)

With the advent of smartphones and wereable devices many health applications have been created for the psychological and physical well-being; they are able to follow individual at any time and often the opportunity of extending the area of action of a psychotherapist outside the traditional therapeutic setting. About 30% of applications provides a sort of knowledge about the disorders and many of them are self-help type. "CheerApp" is an application for mobile devices, which has been prototyped, based on the Acceptance and the Commitment Therapy. The App has two interfaces: one for the psychotherapist in which patients are recordered, assign exercises and assessment scales, notify text messages; the other app is for patients to allow them to perform ACT-Based exercises assigned by the therapist. 'CheerApp', was born from the union of the two terms "to cheer up" and "App" which stands for "application.". The app aims to provide new ways to manage ACT therapy compared to more traditional therapeutic setting. Thanks to the simple and intuitive interface it makes the therapeutic exercises possible, improving the consistency to ACT daily treatment. Future research will show if effective in various psychopathological conditions.

45. Assessment of Cognitive Fusion among Portuguese Samples: Psychometric Properties and Factor Structure of the Cognitive Fusion Questionnaire [1224]
Primary Topic: Performance-enhancing interventions
Subtopic: Assessment measure of cognitive fusion

José Pinto-Gouveia, M.D., Ph.D., CINEICC, University of Coimbra, Portugal
Alexandra Dinis, Ph.D., CINEICC, University of Coimbra, Portugal
Sónia Gregório, Ph.D., CINEICC, University of Coimbra, Portugal
Ana Pinto, MSc., CINEICC, University of Coimbra, Portugal
Cristiana Duarte, MSc., Ph.D. Candidate, CINEICC, University of Coimbra Portugal

Background: Acceptance and Commitment Therapy (ACT) conceptualizes human suffering as a result of psychological inflexibility. Within ACT's model of psychopathology cognitive fusion, broadly defined as the entanglement with thoughts, is a key psychological process. Attending to the importance of measuring fundamental psychological processes within clinical and research settings, and given the need of adapting existent measures for non-English speakers, this cross-sectional study addresses three aims: (1) to explore the underlying factor structure of the Portuguese Cognitive Fusion Questionnaire (CFQ); (2) to test the measurement invariance of its latent structure across three different Portuguese samples; and (3) to evaluate the psychometric characteristics of this particular measure of cognitive fusion. Method: A total of 800 subjects from the Portuguese general population completed the CFQ and a subsample of 408 participants completed additional measures of mindfulness, metacognitions, decentering, psychopathological symptoms, and life satisfaction. Statistical analysis included Confirmatory Factor Analysis (CFA), Multigroup Confirmatory Factor Analysis (MCFA), and tests of reliability and convergent validities. Results: The CFAs conducted separately for the three samples supported the hypothesized unidimensional factor structure for the Portuguese CFQ, with all models tested showing an adequate model fit. The Multigroup CFA confirmed the invariance of the measurement model across the three samples, giving additional evidence for the existence of a general factor of cognitive fusion underlying the scale. Additionally, CFQ showed a good internal consistency among the samples under study (Cronbach’s Alpha coefficients >.70). At last, results from product-moment Pearson correlations between cognitive fusion and other variables (mindfulness, decentering, metacognitions, psychopathological symptoms and life satisfaction) attested for the convergent validity of CFQ. Discussion: This study corroborates prior research and supports the validity and reliability of CFQ as a suitable measure to assess cognitive fusion. Results are also favorable to the use of the Portuguese version of CFQ for research purposes. Future research should focus on the psychometric exploration of this measure within clinical groups.

46. The Development of a Mobile Health Care Application for Spinal Cord Injury Patients Using Acceptance and Commitment Therapy (ACT) [1225]
Primary Topic: Performance-enhancing interventions
Subtopic: Spinal Cord Injury

Julion Marrinan, M.A., William James College

Background: In 2015, the National Spinal Cord Injury Statistical Center stated that “the number of people in the U.S. who are alive [in 2014] who have a spinal cord injury (SCI) has been estimated to be approximately 276,000 persons.” However, this does not account for the lack of literature and research surrounding psychological interventions for those living with spinal cord injuries. Spinal cord injuries can be debilitating; those affected may find normal tasks of daily living to be challenging. The intersection of health care and mobile technology has recently found itself to be in high demand. An electronic mobile application that delivers mental health interventions through mobile devices such as cell phones and tablets may benefit the spinal cord injury population in a new way. Given the prevalence of those affected by injuries to the spine in the United States, it would be meaningful to examine the various ways in which the field of psychology might begin to address this population’s mental health concerns. Not only would it be important to develop psychological interventions for SCI patients living in the United States; it would be meaningful to expand this initiative worldwide. One can imagine how transportation and access to outpatient mental health care can be challenging for individuals who are either wheel chair bound or bed ridden as a result of an SCI. Seeing how many SCI patients struggle with mobility issues, a mobile application that delivers an evidence based psychological treatment may be better suited for reaching the population than solely utilizing office visits alone. Method: The purpose of this project is to develop a mobile healthcare application for the SCI population that utilizes an evidence based psychological intervention- specifically, acceptance and commitment therapy (ACT). This section will highlight the procedures for developing the application. The development of the proposed application is informed by the Mobile Application Rating Scale (MARS) - these include ratings of engagement, functionality, aesthetics, information quality, and subjective quality (Stoyanov et al., 2015). In addition to these criteria, the expert review process, revision of an existing prototype, and the procedures for finalizing the prototype will all be discussed. Procedures for Development: The researcher will create interactive worksheets for each core process of ACT with the guidance of existing ACT and CBT treatment manuals/resources. The worksheets will be tailored specifically to meet the physical and psychological needs of SCI patients. The author will then present the drafted content to a software engineer for development. Additionally, the professional input of five expert reviewers will be sought in order to hone the application and produce a version that is ready for circulation. This feedback will inform the researcher, doctoral committee, and software engineer in drafting the final version of the software. The application’s content will be based on the recommendations set by the MARS; engagement, functionality, aesthetics, information quality, and subjective quality. Engagement: To ensure that the user will find use of the application compelling, the following will be required for inclusion of any content or design feature: a. Does the application possess entertaining elements? b. Can it address individual psychological concerns? c. Will the user be engaged by the content? d. Can the content be customized to meet the needs of SCI patients? e. Does it directly address the specific issues of the SCI population? Functionality: It is imperative for the proposed application to function and deliver the core content with minimal interference or obstacles. The following will be required for inclusion of any content or design feature: a. Application will perform as designed with no systematic or software errors. b. Application will require minimal effort from the user to navigate content effectively. c. Interface design will clearly indicate the features of application for the user to navigate. Aesthetics: An argument can be made for the importance of a mobile application’s visual appeal and draw to the consumer/user. Although the researcher generally agrees with this viewpoint, the content, information, and delivered interventions certainly surpass this concern. The following will be required for inclusion of any content or design feature: a. Is the application aesthetically pleasing? b. Does the layout of the application cater to the physical limitations of SCI patients? c. Is the content and layout of the application visual appealing? d. Do graphics and visual learning aids capture the attention of users? Information Quality: The content will be drawn from the literature review of this study as well as treatment manuals and other mhealth apps in the area of intervention using an ACT or CBT approach. The following will be required for inclusion of any content or design feature: a. Does the information address the core processes of ACT? b. Does the information apply to the purpose of the application? c. Information is neither excessive nor deficient b. Has research demonstrated the effectiveness of this information? c. Is the content appropriate for interactive therapeutic exercises? d. Can the information/exercise be delivered on a mobile device? Subjective Quality: Using the MARS guidelines, an effort will be made to create an application that leaves users satisfied and captivated by its usage. The researcher will develop the mobile application while remaining cognizant of the following criteria: a. Is the application worthy of recommending to others? b. Is the application stimulating enough to prompt repeated use? c. Would a consumer pay for such an application? If so, how much? d. What is the overall star rating of the application? Expert Review of Prototype: The completed prototype will be reviewed by five professionals hailing from the fields of psychology, health care and software engineering. A broad range of viewpoints based on varied experiences associated with healthcare applications was sought in order to identify issues in content and design. The criteria for the selection of these experts are as follows: Expert One- Licensed clinical psychologist with prior experience in the development of software applications. Experts Two and Three- Neuroexercise specialists with bachelor degrees in exercise science who possess at least two years of work experience as neuroexercise specialists at a rehabilitation facility. Expert Four- Clinical psychologist employed by the Department of Veteran Affairs and currently practicing on a rehabilitation unit at a VA hospital. Expert Five – Software engineer currently employed as an application developer Each will be solicited by the researcher via phone or email. Each will be provided with a summary of the study and expectations for their participation. Those agreeing to participate will read and sign an informed consent addressing their rights and responsibilities as research participants. Each reviewer will be asked to provide feedback in each of the MARS categories: engagement, functionality, aesthetics, information quality, subjective quality. Additionally, reviewers will be prompted to comment on the application’s efforts to safeguard the protected health information of potential users. Revision of Prototype: Gained feedback data will be discussed with the researcher’s doctoral committee and a consensus decision will be made regarding modifications to the application. Elected modifications will be incorporated into the final coding of the application which will then be ready for clinical testing. Results: It was determined that a mobile health care application for spinal cord injury patients was able to be constructed in accordance with the MARS system. The researcher was able to create interactive worksheets for all of the core processes of ACT. The core processes of ACT and psychological flexibility were defined as terms in a separate area of the application for users to access as a glossary. In addition to these features, a news feed containing the latest science and medical news pertaining to SCI was created. The application also possesses the capability for users to communicate with their outpatient mental health provider; however, a user must request access from their provider prior to using this particular feature. This allows providers to determine whether a given patient is appropriate to correspond with them through the application’s messaging system. Discussion: The researcher recommends testing the application with the spinal cord injury population in clinical settings such as hospitals, rehabilitation centers, and neuroexercise gymnasiums in order to obtain data regarding the application’s therapeutic effects. Additionally, the researcher believes that multiple treatment modules must be created prior to launching the full version of the application, as a single course of treatment would expire rather quickly and may leave users un-stimulated and dissatisfied with application’s ability to assist them in achieving treatment goals.Therefore, it would be meaningful for the researcher to market the application as a “fee for content” application. This business practice is similar to the tactics that are employed by popular mobile game and self-help application developers. This would allow the researcher to be reimbursed for creating additional treatment modules as opposed to consumers purchasing the application once.

47. Body Image-Related Psychological Inflexibility: A Moderator of the Impact of Body Image Discrepancy in Weight Concern and Control Behaviours [1226]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Body Image

Cláudia Ferreira, CINEICC, University of Coimbra
Joana Marta-Simões, CINEICC, University of Coimbra
Inês A. Trindade, CINEICC, University of Coimbra

Body image-related psychological inflexibility defines as the incapability of fully contacting feelings, thoughts, and beliefs about one’s body appearance in the present moment, which motivates the engagement in maladaptive strategies to alter their form, frequency and intensity. As a non-adaptive strategy, body image-related psychological inflexibility often results in the overvaluation of such feelings and thoughts, and may lead to unhealthy body-controlling strategies (e.g., dieting). The present study aimed at analyzing the moderator role of body image-related psychological inflexibility in the association of the perception of discrepancy between one’s actual and idealized body appearance with body weight concerns and with the intention of engaging in dieting behaviours. Participants in this study were 782 Portuguese young female adults. Results revealed that body image-related psychological inflexibility appeared as a moderator of both the relationships of body appearance-related perceived discrepancy with weight concerns and with dietary intentions. Specifically, for the same levels of body appearance-related discrepancy, women who were more inflexible towards body image-related internal events revealed higher concerns about their weight and more marked intentions to engage in dieting practices. Overall, the present analyses seem to suggest that body image-related psychological inflexibility exacerbates the impact of perceiving a discrepancy between one’s actual and desired body image in the intensity of weight concerns and in the intention to engage in a diet. These results underline the pertinence of targeting body image inflexibility in intervention programs for the promotion of a balanced and healthy relationship with body image in females.

48. Building Pro-Social Communities in Sierra Leone
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Pro-Social, Global Mental Health

Edmond Brandon, commit & act
Tien Kuei, commit & act

commit and act centre in Sierra Leone practices Prosocial and ACT in our meetings, trainings and workshops to change behavior. We have helped people to create rich, full and meaningful lives, whilst accepting that life inevitably brings pain. we use ACT mindfulness exercises to help handle painful thoughts and feelings, and the matrix teaches communities to take valued directions towards the goals that really matter. In the recent fight against Ebola, we trained teachers that have gone into the communities to help to break the chain of transmission of Ebola in the Bo district with cultural-specific behavioral changes. The Poster presents case examples from Gender-based violence, ACT training for health workers and the various pro-social groups run by the centre.

49. Acceptance and Commitment Training for Employees’ Wellbeing: Results From a Randomized Controlled Trial [1227]
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Well-being at work, ACT intervention, burnout, work-related stress

Laurence De Mondehare, Université du Québec à Montréal
Simon Grégoire, Université du Québec à Montréal
Laurence Morin, Université du Québec à Montréal
Cloé Fortin, Université du Québec à Montréal
Lysa-Marie Hontoy, Université de Montréal

Background: The healthcare sector is a stressful work environment where more professionals suffer from mental health problems (Michie et Williams, 2003; Walsh et Walsh, 2001). The prevalence of depression among nurses is 9% while it varies between 4 and 7% within the general population (Shields et Wilkins, 2006). In 2005, nearly one-fifth of nurses reported that their mental health condition had impaired their ability to perform their job normally (Shields et Wilkins, 2006). These problems have individual and organizational consequences. In addition to decreasing the quality of life of professionals and the quality of care provided, they contribute to increase absenteeism, turnover rate, workplace accidents and medical errors (“Association paritaire pour la santé et la sécurité du travail du secteur affaires sociales”, 2009). Recently, interventions have been offered within workplaces to help employees develop different abilities related to mindfulness. These interventions include Acceptance and Commitment Therapy (ACT) (Hayes, Strosahl, & Wilson, 2012), which aims increase wellbeing by helping people develop their psychological flexibility, namely the ability to be in contact with the present moment and to engage in actions consistent with their personal values rather than automatic and maladaptive actions. Studies on ACT interventions offered at work show that they seem to help reduce symptoms of stress, anxiety, depression and burnout and improve satisfaction and psychological flexibility (ex.: Flaxman, Bond et Livheim, 2013). However, very few studies have been conducted with healthcare professionals. Moreover, the contribution of the different ACT processes is still unknown. The objective of this project is to evaluate the effectiveness of an ACT-based intervention designed to help healthcare professionals cope with work-related stress and better understand the impact of the different ACT processes. Twenty-three healthcare professionals from two different public organizations in Canada participated in this project. The intervention consists of four 2-hour workshops and was based on six core components: acceptance, defusion, contact with the present moment, values, committed actions and self-as-context. Method: A randomized controlled trial was used to assess changes in psychological wellbeing, psychological distress, and psychological flexibility over the course of the intervention. Data were collected with self-report questionnaires among 23 employees both before and after the intervention. Results: Analysis of variance showed that compared to a wait-list control group, employees who took part in the workshops reported more psychological wellbeing and less distress. They also reported greater psychological flexibility: they were more mindful, engaged in valued actions and less prone to fuse with their difficult thoughts. Zero-order correlations based on gain scores suggested that changes in psychological wellbeing and distress were associated with changes in psychological flexibility. A qualitative evaluation of the employee’s experience was also done through focus groups at the end of the intervention. Employees explained that they had found many ways to integrate what they had learned during the workshops into their everyday life, at home and at work. They also mentioned that it was beneficial to have the opportunity to take a pause at work to take care of their wellbeing, clarify their values and take concrete actions to live a more engaged and meaningful life. They said that the interventions had helped them connect more easily to present moment experiences which allowed them to be more focused and present with the people they interact with. Discussion: This study contributes to the field of organizational psychology and behavioral-contextual science by introducing a novel ACT-based group intervention specifically designed for healthcare professionals and assessing its impact on psychological flexibility and wellbeing.

50. The Effect of Psychological Flexibility on Implicit and Explicit Stigma Toward Mental Illness
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Stigma

Natsumi Tsuda, Graduate school of Doshisha University
Takashi Muto, Ph.D., Doshisha University

Background: The purpose of this study is to figure out the difference of stigma toward mental illness between high and low psychological flexibility groups. Method: Psychological flexibility was measured by the Japanese Version of the Acceptance and Action Questionnaire-II (AAQ-II), 7-item version. Eighteen undergraduate students in the High AAQ-II score group and nine in the Low AAQ-II score group were included in this study. Implicit stigma toward mental illness was measured with the Implicit Association test (IAT). Explicit stigma was measured with the Japanese version of the Link stigma questionnaire. Procedure: Participants came to the experimental room and answered the IAT and the Link stigma questionnaire. The order of measures was counterbalanced. Results: (1) There was no significant difference of stigma between High and Low AAQ-II groups (IAT: t(25) = −0.178, n.s., Link stigma questionnaire: t(25) = −0.378, n.s.). (2) There was no relation between IAT and Link stigma questionnaire scores (r = .11, n.s.) Discussion: In this research, there was no difference of stigma toward mental illness between high and low psychological flexibility groups. There were some needs to compare the change of implicit stigma between pre- and post-intervention.

51. Effectiveness of Psychoeducation Applications Using Acceptance and Commitment Therapy on Reducing Test Anxiety in High School Students
Primary Topic: Prevention and Community-Based Interventions
Subtopic: Test Anxiety

Engin Büyüköksüz Ph.D. Student, Okan University
Raşit Avcı, Muğla Sıtkı Koçman University

The purpose of this experimental study is to observe the effectiveness of Psychoeducation Applications using Acceptance and Commitment Therapy on reducing test anxiety in high school students. From İstanbul-Maltepe Uğur Temel High School, with 7 students in Experimental Group (6 Female, 1 Male), and 10 students in Control Group (4 Female, 6 Male), a total of 17 students with high scores on exam stress inventory has participated in the research. The scale includes 20 statements, and has two sub-dimensions; delusion and perception. In this study, Experimental and Control Group’s pretest and posttest randomized experimental design has been used. Group applications using Acceptance and Commitment Therapy has been applied to the Experimental Group once a week, for 75 minutes for the duration of 6 weeks. The scale has been applied twice, once before the sessions and once at the last session. Analysis of covariance has been used to analyze the data. According to the data analysis, the interference in the experimental group has been successful in reducing the exam anxiety of the participants (F=6,967, p<.05). The end results of the research have proved that the acceptance and commitment therapy is effective in reducing the test anxiety.

52. RFT Training to Teach Complex Skills: A Direction to IIIrd aba Generation Training
Primary Topic: Relational Frame Theory
Subtopic: Autism

Giovambattista Presti, Department of Human and Social Science, Kore University
Maria Josè Sireci, Department of Human and Social Science, Kore University
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)

Relational Frame Theory (RFT) is a powerful account of human language and cognition, developed in the past decade on the basis of research from Hayes and Barnes-Holmens. According to RFT, such complex human behaviors can be conceptualized as a through an examination of derived relational responding, the ability of respond to relations between stimuli (Hayes, Barnes-Holmes e Roche, 2001). In recent years research has implemented more and more RFT based training to teach language and other abilities to children with autism in order to make learning faster and more efficient and increase novel behavior. From an RFT’s perspective language is a complex behavior that can be explained like the ability to respond to derived relations: humans can respond appropriately to the relationship between stimuli in the absence of a history of learning. Is the frame that elicit a variety of studies applied to study and implement advanced skills in language, cognition and academic tasks. From this point of research we had build different training, designed for children with autism and other developmental disabilities, based on RFT and addressed to build complex abilities like reading, writing and counting. We present some different training RFT based and new datas from children with different type of disabilities, from learning impairement to epylepsia.

53. Face-Off: Does Religious Context Alter the Way We “Read” Faces? [1228]
Primary Topic: Relational Frame Theory
Subtopic: Implicit Relational Association Procedure (IRAP)

Valeria Squatrito, University of Enna "Kore"
Giovambattista Presti, University of Enna "Kore"
Annalisa Oppo, Sigmund Freud University (SFU)
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)

Prejudice (as a verbal operant class) is the result of processes of derivation and transformation of stimulus function. Using the Implicit Association Test (IAT) various studies have demonstrated that people with western race and white skin show a relatively strong racial stereotype (Dasgupta, McGhee and Greenwald, 2000; Greenwald et al., 2002; Monteith, Voils and Ashburn-Nardo, 2001; Livingston, 2002; Ottaway, Hayden and Oakes, 2001). The present study aims to empirically test the validity of an implicit model of analysis of facial recognition of positive and negative emotions (specifically joy and fear) in the context of the symbols of the Christian and Islamic religion using Implicit Relational Association Procedure (IRAP). Specifically, our hypothesis was that religious symbols could alter the derivation of joy or fear. The subjects participated in the study are homogeneous with respect to socio-demographic characteristics. Assessed with self-report questionnaries empathy, values, authoritarianism, the degree of bias for inequality between social groups. In our population study subjects indipendently relate joy and fear to religious symbols Higher levels of fusions (CFQ; r=.536; p=.015), lower levels of psychological flexibility (AAQ-II, r=-.473; p=.035) and higher levels in right-wing authoritharism (RWA; r=.562; p=.045) were related to high speed in relating “joy to cross”. The subjects were more quick to associate the expression of joy to the Christian symbol than the expressions of joy and fear with the Islamic symbol; they also associated faster the expression of fear with the Christian symbol than this expression with the Islamic ones. Data show that the model seems fitted to explore how emotions are related to religious symbols.

54. Implicitly Measuring the Context of Healthy Food Choices
Primary Topic: Relational Frame Theory
Subtopic: Functional Nutrition, Implicit Relational Assessment Procedure (IRAP)

Andrea Modica, University of Enna “Kore”
Valeria Squatrito, University of Enna “Kore”
Annalisa Oppo, Sigmund Freud University (SFU)
Giovambattista Presti, University of Enna “Kore”
Paolo Moderato, Istituto Europeo per lo Studio del Comportamento Umano (IESCUM)

Decision making can be conceptualized as responding to stimuli based on the relationship between elements which have been learned by the individual; choice can be a consequence of the short and immediate relational responses of the individual, or of more elaborated and extended relational responses. Modern Nutrition Science has gone beyond the classical concepts of nutrient deficiency and basic nutrition adequacy, focusing on the concept of “positive” or “optimal” nutrition. Research is now focused on the identification of those biologically active food components which are able to reduce the risk of contracting diseases and possibly capable of optimizing physical and mental health. The aim of this pilot study was to analyze the relationships between implicit and explicit behavior in relation to food choice. Fifty subjects, mostly students from Kore University of Enna, underwent the Implicit Relational Assessment Procedure task. The subjects were put in front of a combination of stimuli relating to the potential purchase of affordable food or functional food. They were requested to choose a functional food in the context of price or food quality. Research show that both criteria were equal evaluated by subjects, however food quality appeared to be the primary criterion of choice compared to food price.

55. Examining Differences in Gender-STEM Bias Between STEM and Non-STEM Students
Primary Topic: Relational Frame Theory
Subtopic: IRAP

Lynn Farrell, University College Dublin
Louise McHugh, University College Dublin

Background: Only 28% of science researchers worldwide are women. Research has identified implicit gender-bias as a major barrier to women’s progression in Science, Technology, Engineering and Maths (STEM). Therefore, in order to understand this bias fully we must examine it implicitly as well as explicitly. Much of the research in this area has relied upon self-report measures or relative measures of implicit bias such as the Implicit Association Test (IAT). Previous IAT research suggests that individuals studying/working in STEM fields exhibit different levels of implicit male-STEM bias than those in non-STEM fields. The Implicit Relational Assessment Procedure (IRAP) utilised in this study allowed a non-relative examination of gender-STEM bias among STEM and non-STEM students to probe this difference further. Method: STEM and non-STEM male and female university students (N = 61) completed an IAT, an IRAP and a rating scale measuring gender-STEM bias. Results: The IRAP revealed a more complex picture of gender-STEM bias. All groups demonstrated a significant implicit pro-male-STEM bias however there was also evidence directionally of a pro-female-STEM bias. This pro-female-STEM bias only reached significance among female STEM students. Correlations were observed between the explicit and implicit measures, particularly the IRAP. Discussion: This study allowed a deeper examination of gender-STEM bias among STEM and non-STEM students. The presence of a pro-female-STEM bias (though weak for most groups) has implications for the development of interventions. If this relational response can be made more normative it may influence attitudes and behaviour towards women in STEM.

56. Examining the Malleability of Gender-STEM Bias Among Adults
Primary Topic: Relational Frame Theory
Subtopic: IRAP

Lynn Farrell, University College Dublin
Louise McHugh, University College Dublin

Background: Women constitute <25% of STEM workforce in Ireland (Accenture, 2014), while worldwide only 28% of science researchers are women (UNESCO, 2015). Gender equality would enhance economic growth and opportunities for women (Global Gender Gap Report, 2015; Gatta & Trigg, 2001). The greatest barrier for women in STEM is systematic gender-bias that is often implicit (National Academy of Sciences, 2006). Implicit bias lacks the awareness, intention or control of explicit responses (Hughes, Barnes-Holmes & Vahey, 2012) and can predict behaviour better than explicit attitudes, particularly with socially sensitive domains. Thus it is important to understand the nature of this bias and intervene against it. The aim is to reduce gender-STEM bias by strengthening the relationship between women and STEM. Method: Participants are assigned to one of four intervention conditions: (i) perspective-taking of a female scientist, (ii) exposure to counter-stereotypical exemplars, (iii) psychoeducation regarding implicit gender-STEM bias or (iv) control group. Gender-STEM bias is then assessed implicitly using the Implicit Relational Assessment Procedure (IRAP) and explicitly using rating scales. Participants return one day later and their bias is assessed implicitly and explicitly again without re-exposure to their specific intervention condition. Results: Statistical analysis will determine (i) If gender-STEM bias is influenced by a relevant bias intervention? (ii) If this reduction lasts for 24hours? (iii) Which intervention is the most effective at influencing gender-STEM bias? Discussion: Results will be discussed in relation to the greater detail offered by the IRAP when examining bias malleability and future applications of successful gender-STEM bias interventions. By determining an effective intervention that influences gender-STEM bias we will be able to implement it with key groups, (e.g. academic faculty), who may influence the academic and career choices of individuals interested in STEM.

57. ¿Se Puede Predecir el Abandono en un Tratamiento Grupal de Mindfulness? [1229]
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Mindfulness

Laura Camacho Guerrero, Ph.D., Hospital la Plana (Vila-Real, Castelló)
Cristina Colomina Llobell, Hospital la Plana (Vila-Real, Castelló)
Selene Martínez Lluesma, Hospital la Plana (Vila-Real, Castelló)
Carlos David Collado Navarro, Hospital la Plana (Vila-Real, Castelló)
Ingrid Nebot García, Hospital la Plana (Vila-Real, Castelló)

Entre los problemas que presentan las terapias grupales se encuentra la tasa de abandonos (entre 25 y 60%). Este trabajo analiza las características sociodemográficas y clínicas de pacientes de la Unidad de Salud Mental de Carinyena (Vila-Real) que abandonaron un grupo de intervención basada en Mindfulness en comparación con los que acabaron el tratamiento. La muestra está compuesta por 58 pacientes: 82,8% fueron mujeres, de entre 30 y 50 años. La tasa de abandonos fue de 53,4%. El protocolo de evaluación incluyó: Cuestionario de Calidad de Vida, Cuestionario de Autoeficacia, STAI-E/R, BDI-II, Escala de Inadaptación y MAAS. Los análisis de comparación de medias no evidenciaron diferencias significativas en ninguna de las variables sociodemográficas y clínicas entre aquellos pacientes que abandonaron el grupo y los que permanecieron en él. Sería interesante analizar cualitativamente los motivos que llevaron al abandono, dado que las variables cuantitativas exploradas no ayudaron a predecir la adherencia.

58. Efectividad del Tratamiento Grupal Basado en Mindfulness en un Contexto de Sanidad Pública [1230]
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Mindfulness, Sanidad pública

Ingrid Nebot García, Hospital la Plana (Vila-Real, Castelló)
Selene Martínez Lluesma, Hospital la Plana (Vila-Real, Castelló)
Laura Camacho Guerrero, Ph.D., Hospital la Plana (Vila-Real, Castelló)
Cristina Colomina Llobell, Hospital la Plana (Vila-Real, Castelló)
Carlos David Collado Navarro, Hospital la Plana (Vila-Real, Castelló)
Yolanda Vilar Mollar, Hospital la Plana (Vila-Real, Castelló)

Algunos de los beneficios de las intervenciones grupales basadas en Mindfulness son el aumento en la calidad de vida y la mejora en autoeficacia y en actitud de conciencia plena. Este trabajo examina si se replican estas mejoras en una muestra de 58 pacientes con síntomas ansioso-depresivos de la Unidad de Salud Mental de Carinyena (Vila-Real, Castellón), que participaron en una intervención grupal basada en Mindfulness (6-12 pacientes, ocho sesiones semanales, dos horas de duración). Se realizó una evaluación basal y otra al finalizar la intervención, incluyendo diferentes variables sociodemográficas y clínicas. Los resultados mostraron un aumento estadísticamente significativo en calidad de vida, autoeficacia y actitud de conciencia plena. Los resultados aportan nueva evidencia a favor del tratamiento grupal basado en Mindfulness. El formato grupal hace que esta terapia sea coste-efectiva y pueda implementarse de forma fácil en contextos de sanidad pública.

59. Efecto del Entrenamiento Mindfulness Self-Compassion sobre Bienestar Psicológico y Autocompasión en Profesionales de la Salud Durante Su Formación
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Entrenamiento en Autocompasion

Jose Ramón Yela Bernabé, Ph.D., Universidad Pontificia de Salamanca
Maria Angeles Gómez Martínez, Ph.D., Universidad Pontificia de Salamanca
Antonio Crego Diaz. Ph.D., Universidad a Distancia de Madrid
Laura Jiménez Gómez, Asociación Española contra el Cáncer
Elena Sánchez Zaballos, Universidad Pontificia de Salamanca

De acuerdo al modelo de Neff (2003), la autocompasión está constituida por tres componentes: ser bondadoso en lugar de crítico con uno mismo (amabilidad hacia uno mismo), percibir nuestras propias experiencias no como algo aislado, sino como parte de lo que le sucede a todos los seres humanos (humanidad compartida), y ser conscientes de nuestras propias experiencias sin juzgarlas, en lugar de sobreidentificarnos con ellas (mindfulness). Los psicólogos podrían beneficiarse de intervenciones que incrementaran su nivel de autocompasión, lo cual podría fortalecer sus relaciones con los clientes, reducir la fatiga y el burnout derivados de empatizar constantemente con ellos e incrementar su bienestar. Algunos trabajos han revisado la eficacia de intervenciones basadas en el empleo de mindfulness y meditación de trato amable hacia uno mismo (loving kindness) sobre el desarrollo de la autocompasión. A pesar de las limitaciones metodológicas, los estudios ofrecen cierto apoyo a la hipótesis de que las intervenciones basadas en mindfulness pueden incrementar la autocompasión en profesionales de la salud. En lo relativo a la meditación de trato amable hacia uno mismo, hay resultados alentadores en muestras no clínicas de que este tipo de entrenamiento puede incrementar la autocompasión y la compasión hacia el sufrimiento de los otros (Boellinghaus, Jones y Hutton, 2013; 2014). Tanto la auto-compasión como compasión con el sufrimiento de los demás son cualidades importantes en los terapeutas. Estas variables están relacionadas con características de calidez y empatía en la relación terapéutica; además cultivar la autocompasión podría proteger a los profesionales de la salud contra el riesgo de burnout derivado del continuo desgaste de empatizar constantemente (Klimecki y Singer, 2011). De este modo, podría ser útil entrenar a los clínicos en desarrollar autocompasión, dado que podría desempeñar un papel importante a la hora de mantener su propia salud mental (Kuyken y cols., 2010; Ringenbach, 2009) . Germer y Neff (2013) propusieron un programa estructurado de entrenamiento en autocompasión mindful -Mindfulness Self-compassion (MSC)-, que se desarrolla a lo largo de 8 semanas. Tiene un formato grupal, y se ha mostrado útil para generar mejorías significativas en estado de ánimo (ansiedad y depresión), autocompasión, atención plena o mindfulness y calidad de vida en muestras no clínicas. También en la disminución de psicopatología asociada (Jiménez, Yela y Riesco, 2016). Nuestro estudio piloto emplea este programa de entrenamiento MSC con una muestra de estudiantes de Posgrado en Psicología General Sanitaria (N=11), con una edad media de 27,18 años (Sd=7,54). Se evaluó el efecto de este entrenamiento en autocompasión a través de la Self-Compassion Scale (SCS),ansiedad (STAI), depresión (BDI), Bienestar Psicológico (PWBS) y Satisfacción con la Vida (SWLS). Se llevaron a cabo evaluaciones pre-post, y dado el tamaño reducido de la muestra, empleamos la prueba no paramétrica de Wilcoxon para llevara a cabo las comparaciones. Resultados: se apreciaron cambios significativos en las puntuaciones globales en autocompasión (SCS) de la muestra (z = -2,673; p=.008) como consecuencia del entrenamiento, y en concreto en el componente de Amabilidad hacia uno mismo (z = - 2,199; p=.028) y Humanidad compartida (z= -1,793; p=.073), aunque no en el componente Mindfulness de la autocompasión.También se apreciaron cambios significativos en la puntuación total de la Escala de Bienestar Psicológico (PWBS) (z= -2,047; p=.041), y más en concreto en las Escalas de Autonomía (z=-2,728; p=.006), Dominio del entorno (z= -2,680; p=.007) y Autoaceptación (z=-1,896; p=.048). No se apreciaron cambios significativos en las escalas de Crecimiento personal, Relaciones positivas y Propósito en la vida.Tampoco se apreciaron cambios significativos en la escala de Satisfacción con la vida (SWLS). Dado que se trata de una muestra no clínica, tal y como sucedió cabía esperar que no se apreciaran cambios en las escalas de Ansiedad (STAI) y Depresión (BDI). Se discuten los resultados valorando la utilidad de el entrenamiento MSC en los futuros profesionales de la salud en el ámbito de la intervención psicológica, a la hora de dotarles de estrategias personales de manejo de las dificultades que puedan aparecer en el contexto de su trabajo cotidiano, así como de mejora en su bienestar psicológico.

60. Protocolo de tratamiento psicológico del duelo basado en un modelo integrador en madres que viven un nuevo embarazo tras una pérdida perinatal
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Modelo psicológico integrador

Anna Torà Ardèvol, Hospital Universitari Mútua de Terrassa
Clara Mercadé Carranza, Hospital Universitari Mútua de Terrassa
Itxaso Figueras Urenga, Hospital Universitari Mútua de Terrassa

Introducción: La pérdida de un hijo al inicio de la vida constituye uno de los estresores emocionales más intensos que puede experimentar una mujer (Mota et al., 2011). Las parejas se sienten solas e incomprendidas en su dolor. La poca validación que socialmente se da a las pérdidas perinatales reprime muchos duelos, los acorta innecesariamente y muchas mujeres que se permiten vivirlo son culpabilizadas y se autoculpabilizan por ello (Claramunt, 2009). Los mensajes del entorno a menudo invitan a sustituir la pérdida del hijo muerto con el nacimiento de un siguiente hijo y en el caso del nuevo embarazo, los padres pueden experimentar sentimientos de ambivalencia entre la alegría por un nuevo embarazo y la tristeza/dolor por la muerte del hijo que estaban esperando (Claramunt, 2009). Esta autora describe cambios en la vivencia del siguiente embarazo entre los que destacan el miedo, la hipervigilancia y las conductas de evitación. En el CSMA Rambla (HUMT) se ofrece atención psicológica a las parejas que han sufrido este tipo de pérdidas. Método: El método ha consistido en una revisión sistemática de la bibilografía disponible sobre la intervención psicológica en el duelo y en la adaptación de dicha literatura a las características particulares de las madres que viven un nuevo embarazo durante el proceso de duelo por una pérdida perinatal. Procedimiento: La intervención específica en el proceso de duelo de madres que viven nuevos embarazos tras una pérdida perinatal se basa en el modelo de Worden (2002). Aborda las siguientes tareas psicológicas: 1) Aceptación de la realidad de la pérdida; 2) Trabajo en la gestión de las emociones y el dolor; 3) Adaptación al medio después de la pérdida y 4) Recolocación emocional y orientación a la vida. Conclusiones: El impacto de una pérdida perinatal y su repercusión en el siguiente embarazo eviencian la necesidad una intervención psicológica que visibilice y valide las necesidades específicas de estas madres.

61. Interferencia de las barreras del terapeuta en ACT: un caso de rumia obsesiva [1231]
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Barreras del terapeuta

Mª del Carmen Ortiz Fuen, Psicóloga Residente en el Complejo Asistencial de Zamora
Manuel Mateos García, Psicólogo General Sanitario en Centro de Asesoramiento Sevilla
Andrea Taboada López, Psicóloga Residente en Complejo Asistencial de Zamora
Verónica Castrillo Sarmiento, Psicóloga Clínica en Asociación Española Contra el Cáncer

El presente trabajo ofrece una reflexión sobre cómo las barreras del terapeuta pueden perturbar el proceso de intervención. Cuando se está aplicando la Terapia de Aceptación y Compromiso y/o la Terapia Analítico Funcional, es importante analizar la influencia de las barreras del terapeuta, especialmente cuando la intervención se está llevando a cabo por un terapeuta con poca experiencia y que se encuentra en formación. Esta reflexión se presenta en el contexto de un caso de rumia obsesiva, en tratamiento desde hace 12 años en un servicio público de salud mental. A lo largo de este periodo, se le habían aplicado múltiples diagnósticos, tales como Trastorno de Ansiedad Generalizada, Trastorno Mixto de la Personalidad, Trastorno Paranoide de la Personalidad y Trastorno límite entre otros, así como varias intervenciones (Terapia Cognitivo Conductual y psicofármacos). Durante estos 12 años, la paciente había presentado diversos ciclos de seguimiento y abandono del tratamiento, tanto psicológico como psiquiátrico, en el ámbito público y privado. Es en 2016, momento en que la paciente vuelve a consulta tras un largo periodo sin intervención, cuando se inicia la terapia basada en ACT. En el momento en el que se inicia el tratamiento la paciente presenta constantes rumiaciónes con respecto a numerosos ámbitos de su vida, incapacidad para tomar decisiones, fluctuaciones en el estado del ánimo, dificultades en las relaciones sociales, había abandonado múltiples actividades, se encontraba de baja laboral y mostraba incapacidad para discriminar numerosos aspectos de su comportamiento así como para identificar sus valores. La intervención, de 12 sesiones de duración, se compuso del análisis funcional de las conductas de evitación, identificación de CCRs en sesión, desesperanza creativa, defusión y trabajo centrado en clarificar valores. En este caso concreto, las barreras del terapeuta le llevaron a emitir conductas que entorpecieron el proceso terapéutico, tales como dejarse llevar por la rumia y ceder ante las demandas de la paciente. Estas conductas del terapeuta entorpecieron considerablemente el proceso de intervención, alargándolo y haciéndolo menos efectivo. Por todo ello consideramos que tener en cuenta dichas barreras y contar con supervisores es fundamental para este tipo de intervenciones, especialmente cuando se cuenta con poca experiencia.

62. Intervención grupal basada en Mindfulness: resultados en ansiedad y depresión [1232]
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática: Mindfulness, Sanidad pública

Carlos David Collado Navarro, Hospital la Plana (Vila-Real, Castelló)
Laura Camacho Guerrero, Ph.D., Hospital la Plana (Vila-Real, Castelló)
Cristina Colomina Llobell, Hospital la Plana (Vila-Real, Castelló)
Ingrid Nebot García, Hospital la Plana (Vila-Real, Castelló)
Selene Martínez Lluesma, Hospital la Plana (Vila-Real, Castelló)
Lorena Rodríguez Díaz, Hospital la Plana (Vila-Real, Castelló)

Cada vez existe más evidencia sobre los beneficios para la salud física y psicológica del tratamiento grupal basado Mindfulness. El presente trabajo tiene como objetivo explorar su eficacia en un contexto de salud pública, lo que apoyaría su inclusión en el actual sistema público de salud mental español. La muestra estuvo compuesta por 58 pacientes (82,8% mujeres, edad media 39,16 años; DT = 11,52) con sintomatología ansioso-depresiva que asistían a una Unidad de Salud Mental. Los grupos (de 6-12 personas) recibieron 8 sesiones semanales de dos horas de duración, dirigidas por dos terapeutas. Los análisis indicaron un descenso significativo en todas las variables de estudio (ansiedad, depresión e inadaptación) tras el tratamiento, con tamaños del efecto entre medios y altos. Así, los resultados van en la línea de trabajos anteriores y apoyan la implantación del tratamiento grupal basado en Mindfulness en el sistema público de salud mental español.

63. Datos preliminares de un protocolo para manejo de evitación experiencial en adolescentes
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática:

Diana Riaño-Hernández, Pontificia Universidad Javeriana
Paula Alexandra Atehortúa Rivera, Pontificia Universidad Javeriana
Vanessa Riveros Fiallo, Pontificia Universidad Javeriana
Luis Manuel Silva, Pontificia Universidad Javeriana

En el último reporte de salud mental de la Organización mundial de la salud se informa que los adolescentes en Colombia presentan dificultades asociadas a ansiedad, fobia social, depresión o comportamientos disruptivos en el contexto social, académico y familiar. Desde la Terapia de Aceptación y Compromiso (ACT) dichos comportamientos se abordan como Trastorno de Evitación Experiencial (TEE). El TEE se caracteriza porque las personas no están dispuestas a entrar en contacto con sus Pensamientos Privados Problemáticos (PPP), por lo que desarrollan patrones de evitación, que a corto plazo son funcionales, pero a largo plazo generan mayores problemas ya que afectan diferentes áreas del individuo, alejándolas de las cosas que son importantes para ellas. El propósito de este estudio fue evaluar la efectividad de un protocolo centrado en desesperanza creativa, defusión y valores para reducir los pensamientos repetitivos negativos, los patrones de evitación, las conductas agresivas y aumentar la flexibilidad psicológica y acciones valiosas. Los participantes fueron tres adolescentes de 13 y 17 años, estrato 3, residentes en la ciudad de Bogotá, escolarizados, que evidencian trastorno de evitación experiencial y un grado de afectación media en al menos dos áreas de funcionamiento y los padres de los adolescentes quienes evidenciaban niveles bajos de ansiedad. Se planteó un diseño intra-sujeto con medidas repetidas, donde se estableció una línea de base en las medidas repetidas durante tres semanas, tanto para padres como para los adolescentes. Posteriormente se realizó la intervención con una duración de cuatro sesiones para los adolescentes y tres sesiones para los padres. Se continuó con un período de seguimiento. Las medidas recolectadas fueron: depresión, ansiedad y estrés (DASS-C); preocupación (PSWQ-C); pensamiento negativo repetitivo (PTQ-C); pliance generalizado (CPG); agresividad (AQ-PA); depresión (IDEREN); ansiedad (IDAREN); aceptación (CAMM); flexibilidad psicológica (AFQ-Y). Los datos preliminares muestran que el protocolo de intervención puede ayudar a reducir los pensamientos repetitivos negativos tanto para padres como adolescentes, los patrones de evitación y las conductas agresivas. Se concluye que el protocolo puede funcionar para reducir síntomas problemáticos de los adolescentes y ayudar a disminuir ansiedad en padres, además de conectar a las adolescentes y padres con sus valores en relación al proyecto de vida que están construyendo. Sin embargo, para futuros estudios se debe tener en cuenta con mayor precisión la labor de los padres dentro del proceso terapéutico pues se reconoció que la interacción familiar puede limitar el efecto de la intervención.

64. Datos preliminares sobre el efecto de un protocolo breve en ACT para disminuir estrategias de experiencial
Áreas temáticas (principales): Intervenciones y aspectos clínicos
Sub-categoría temática:

Diana Riaño-Hernández, Pontificia Universidad Javeriana
Paula Alexandra Atehortúa, Pontificia Universidad Javeriana
Vanessa Riveros Fiallo, Pontificia Universidad Javeriana
Luis Manuel Silva, Pontificia Universidad Javeriana

El Trastorno de Evitación Experiencial (TEE) se caracteriza porque las personas generan diferentes repertorios de evitación para no entrar en contacto con eventos privados que les resultan aversivos. Esto puede llevar a que se pierda de vista lo que es valioso para el individuo e impedir que se desarrollen acciones valiosas. Se identifica que estas personas han invertido la mayoría de su tiempo en preocuparse y realizar diferentes acciones que les permitan eliminar el malestar, lo cual a corto plazo les ha resultado efectivo, pero a largo plazo el resultado es que poco a poco van abandonando las cosas que son importante para ellos. El objetivo de este estudio consistió en evaluar la efectividad de un protocolo de cuatro sesiones, fundamentado en la terapia de aceptación y compromiso (ACT), sobre la presencia de pensamientos recurrentes que servían como estrategia de evitación. Los participantes fueron dos adultos, quienes presentaban pensamientos repetitivos como una estrategia de evitación experiencial y exhibían síntomas de malestar emocional. Se planteó un diseño intra-sujeto con medidas repetidas, donde se estableció una línea de base en las medidas repetidas durante tres semanas. Posteriormente se realizó la intervención con una duración de cuatro sesiones y se continuó con un período de seguimiento. Las medidas recolectadas fueron: pensamientos repetitivos (PSWQ, RRS-SF, ATQ-F y ATQ-B), evitación experiencial (AAQ-II), fusión cognitiva (CFQ) y síntomas de malestar emocional (DASS-21 y GHQ-12), junto con actuación en dirección a los valores (VQ). Tras la aplicación del protocolo se presentó reducción en el TEE y aumento en la medida de actuación en dirección a los valores (VQ). Se concluyó que el protocolo de cuatro sesiones parece ser efectivo para desmontar el ciclo de evitación experiencial y aumentar las acciones valiosas. Lo anterior pudo haber ocurrido dado que la terapia de aceptación y compromiso se centra en clarificar los valores para elegir la dirección de la vida, recurrir a otra forma de actuación frente a los eventos privados como alternativa al intento de control para reducir el malestar que generan, potencializar la flexibilidad psicológica para elegir cómo responder frente a éstos y al sufrimiento, y alterar los contextos verbales que mantienen la evitación experiencial. Aun así, dado el tamaño de la muestra, se reconoce la limitación del estudio para establecer generalizaciones.

65. Una experiencia de Supervisión por Pares y Grupo de Estudio [1233]
Áreas temáticas (principales): Supervisión, formación y difusión
Sub-categoría temática: Entrenamiento en habilidades terapeuticas

Maria José Lami, Ph. D., Instituto de Psicoterapia Conductual Contextual (IPsiCCo)

Se comparte una experiencia de una combinación entre el Modelo de Supervisión por Pares de Portland (Thompson, Louma, Terry, Lejeune, Guinter y Robb, 2015) y un Grupo de Estudio en Santiago del Estero, Argentina. En esta provincia argentina residen 631 psicólogos (Colegio Oficial de Psicólogos de Santiago del Estero, 2017) sobre una totalidad de aproximadamente un millón de; y una Universidad Católica que ofrece formación en Licenciatura en Psicología; la principal orientación teórica de los profesionales es psicoanalítica o psicodinámica. A finales del año 2015 comenzamos la experiencia de reunirnos una vez por semana durante 1 hora y media de duración, con el objetivo de leer y aprender sobre Terapia de Aceptación y Compromiso. La bibliografía utilizada fue: 1- Wilson, K. y Luciano, C. (2002) Terapia de Aceptación y Compromiso (ACT) Un Tratamiento Conductual Orientado a Los Valores. Madrid: Pirámide. 2- Hayes, S., Strosahl, W., Wilson, K. (2014) Terapia de Aceptación y Compromiso. Proceso y práctica del cambio consciente (Mindfulness). Madrid: DESCLEE DE BROUWER. Esta actividad se mantiene hasta la fecha. A principios del año 2017 se sumó a esta actividad un espacio de Supervisión por Pares desde el modelo de Portland conservando la estructura, formato, roles y valores de este Modelo, sumándose a éstos los valores propios de los integrantes posterior a un trabajo de clarificación de los mismos (¿Cuáles son los valores que nos guían como terapeutas ACT?). El grupo estuvo constituido en un principio (el grupo es abierto) por 5 psicoterapeutas con diversas formaciones de base, pero que asistieron durante todo el año 2016 al grupo de estudio. Con diversos años de experiencia clínica (de 2 a 15 años), diversas edades (de 26 a 40 años), diversos ámbitos de trabajo entre otras diferencias. En cada encuentro del grupo de estudio se comienza con un ejercicio de Mindfulness de 5 a 10 minutos guiados, en su mayoría, por la coordinadora general, sin embargo esta función es también rotativa a voluntarios. Y luego se continúa con la lectura de manera ordenada y secuencial dando logar a debate abierto, dudas y consultas donde todos opinan. El modelo de Supervisión de Portland se mantiene en su totalidad como lo presentan los autores. Se presentarán los resultados de dicha experiencia en la voz de las participantes luego de su asistencia durante 4 meses (es decir 4 sesiones de Supervisión y 15 encuentros de Grupo de Estudio) y la repercusión percibida en su práctica clínica. Así como datos relativos a la adherencia, puntualidad, expresiones espóntaneas y observaciones durante las supervisiones. Conservando la confidencialidad de los datos y el consentimiento informado de las participantes.

66. El Contexto Social en una Prueba Grupal IRAP sobre Estereotipos de Género: Influencia del Carácter Mixto o Separado por sexos del Grupo de Aplicación / Social context in a collective IRAP application about gender stereotypes: mixed vs single gender groups [1234] [1234]
Áreas temáticas (principales): Teoría de los Marcos Relacionales
Sub-categoría temática: IRAP

Jose Errasti, Ph.D., Universidad de Oviedo
Hugo Martínez Martínez, Universidad de Oviedo
Carmen Rodríguez Muñiz, Universidad de Oviedo
Jennifer Márquez García, Universidad de Oviedo
Alejandro Maldonado Lucena, Universidad de Oviedo
Álvaro Menéndez, Universidad de Oviedo

Introducción: El IRAP (Implicit Relational Assessment Procedure) es un procedimiento desarrollado por Barnes-Holmes para la evaluación de creencias, actitudes y otros elementos cognitivos implícitos, vinculado a la Psicología Contextual y a la Teoría del Marco Relacional. Habitualmente se han estudiado variables que afectan al rendimiento en el IRAP relacionadas con los estímulos presentados, pero pocas veces se ha estudiado la influencia de aspectos de la propia situación social de aplicación de la prueba. Así mismo, es habitual que la prueba se aplique individualmente para evitar que su complejidad dé lugar a altas tasas de abandono. Método: Esta investigación se centra en varias aplicaciones grupales del IRAP (N total=75) sobre los estereotipos de género. Se han distinguido dos condiciones: en la primera, la prueba se aplica en grupos mixtos compuestos por 5 mujeres y 5 hombres; en la segunda, la prueba se aplica en grupos separados por sexos, bien 10 mujeres o bien 10 hombres. Resultados: Un 70,7% (53 de 75) de los participantes superaron los bloques de ensayo y llegaron a los bloques de test. Las puntuaciones D en todos los tipos de ensayos tanto para hombres como para mujeres mostraron diferencias estadísticamente significativas respecto de 0. En las cuatro condiciones experimentales, tanto los hombres como las mujeres mostraron mayor sesgo de género en los grupos separados por sexo que en los grupos mixtos. Esta diferencia alcanzó significación estadística en el caso de las mujeres contestando a ensayos consistentes acerca de los hombres. Conclusiones: La aplicación colectiva del IRAP es una alternativa interesante a la aplicación individual habitual. El contexto social en el cual se aplica el IRAP influye sobre la ejecución de los participantes. Los estereotipos de género están presentes tanto en hombres como en mujeres. Estos estereotipos son mayores cuando las personas se encuentran en grupos de su mismo sexo y menores cuando se encuentran en grupos mixtos.

67. Efecto de la Variación en la Cantidad de Modalidades sobre la Adquisición y Transferencia de Discriminaciones Conticionales
Áreas temáticas (principales): Teoría de los Marcos Relacionales
Sub-categoría temática: Discriminaciones condicionales

Luis Alberto Quiroga-Baquero, Fundación Universitaria Konrad Lorenz
Carlos Wilcen Villamil-Barriga, Universidad de Guadalajara
Harold Esteban Mendoza-Duran, FUNDACIÓN UNIVERSITARIA KONRAD-LORENZ
Christian Parra-Olarte, Universidad del Rosario

En el campo de análisis del control abstracto de estímulo, se ha propuesto que el ajuste del comportamiento a las denominadas contingencias de abstracción, supone el responder a propiedades modales variantes de los estímulos presentes (propiedades dimensionales) en términos de propiedades modales constantes que son relacionales (propiedades instruccionales). Dado esto, se propuso evaluar el efecto de la variación en la cantidad de modalidades concurrentes en los estímulos de segundo orden, muestra y comparaciones en una tarea de igualación de la muestra de segundo orden sobre el establecimiento de control abstracto de estímulo. En un primer experimento, se varió el número de propiedades dimensionales: los estímulos de segundo orden indicaban las relaciones de identidad o diferencia ensayo a ensayo bajo dos modalidades: forma y color y se varió el número de modalidades de los estímulos muestra y comparaciones en las fases de entrenamiento o en las fases de prueba de transferencia dando lugar a cuatro grupos experimentales. Con el objetivo de evaluar el efecto en la variación concurrente entre propiedades dimensionales e instruccionales, en un segundo experimento se presentó la misma variación en las modalidades de los estímulos muestra y comparaciones, pero adicionalmente los estímulos de segundo orden indicaban la relación y modalidades pertinentes. Los resultados muestran una relación lineal entre el número de modalidades y el porcentaje de aciertos en fases de transferencia, mientras que no se observan efectos en las fases de entrenamiento. Asimismo, la variación concurrente en el número de modalidades en todos los segmentos de estímulo, auspicia mejores desempeños en fases de entrenamiento y transferencia. Estos hallazgos se discuten en términos de las conceptualizaciones acerca del control abstracto de estímulo y de la formación conceptos.

68. Atribución mediante marcos relacionales y efecto en la autoestima
Áreas temáticas (principales): Teoría de los Marcos Relacionales
Sub-categoría temática: IRAP

Manuel Murillo de las Heras, Universidad de Almería
Xana Grech Pesquera, Universidad de Almería
Carmen Luciano Soriano, Universidad Almería y Madrid Institute Contextual Psychology -MICPSY.
Zaida Callejón, Universidad de Almería
Jorge Ruiz, Universidad de Almería
Bárbara Gil-Luciano, Universidad de Almería

The contextual analysis of self-components is relevant to analyze their verbal nature but also their role in controlling own behavior. The aim of this study is to analyze the effect of amplifying self-components on self-steem reports by using explicit participants` reports and by using an IRAP preparation that might be explicit the implicit beliefs. Thirty participants responded to maisntrain self-steem questionaire and reported the positive personal characteristics. Then, they were ramdomly distributed in two conditions. The experimental participants received a relational training to enhance the positive personal charateristics (a cue was related to positive arbitrary stimuli and positive personal characteristics while other cue was related to opposite characterisitcs). Then, they responded to the self-steem questionnaire. Finally, and IRAP was implented to respond to real-self (the one connected to one` experiences) and to the ideal-self. Self-steems reports and the differences between the experimental and control participants on the IRAP are discussed.

69. La pérdida perinatal como factor de riesgo para el desarrollo de Trastornos de Ansiedad y del Estado de Ánimo en el siguiente embarazo
Áreas temáticas (principales): Prevención e intervenciones comunitarias
Sub-categoría temática: Trastornos de Ansiedad y Trastornos del Estado de Ánimo

Clara Mercadé Carranza, PIR, Hospital Universitari Mútua de Terrassa
Anna Torà Ardèvol, Hospital Universitari Mútua de Terrassa
I. Figueras Uranga, Hospital Universitari Mútua de Terrassa

Introducción: Una pérdida perinatal supone un impacto traumático en diferentes áreas de la vida de la madre que la sufre y tiene una repercusión en su proyecto de futuro. El siguiente embarazo tras esta pérdida supone un complejo proceso psicológico caracterizado por miedo, ansiedad e hipersensibilidad, percepción permanente de peligro y aparición de conductas de evitación y seguridad. Este proceso puede derivar en trastornos psiquiátricos en las madres, principalmente del estado de ánimo y de ansiedad. El presente estudio evalúa los cambios emocionales, cognitivos y conductuales que experimentan las madres en este siguiente embarazo durante la etapa perinatal. Método: El método utilizado ha consistido en una entrevista semi-estructurada a cuatro madres que han sufrido una pérdida perinatal previa al nuevo embarazo. Resultados: Los resultados reflejan cambios afectivos como la presencia de miedo a que se repita el mismo desenlace que en el embarazo anterior, el sentimiento de apego, tristeza y pérdida por el hijo fallecido, la percepción de invalidación por parte del entorno y el estado de alerta permanente. En relación a los cambios cognitivos, destacan las anticipaciones catastrofistas, los recuerdos relacionados con el bebé anterior y los pensamientos de comparación de los dos procesos. Finalmente, en el plano conductual, aparecen evitaciones de la expresión emocional y de situaciones relacionadas con la pérdida, así como conductas de comprobación y seguridad dirigidas a la búsqueda de control y a la sobreprotección del bebé en gestación. Palabras clave: pérdida perinatal, nuevo embarazo, duelo, salud mental perinatal. Conclusiones: La experiencia de la pérdida perinatal influye de forma significativa en la vivencia del siguiente embarazo. Los resultados obtenidos subrayan la importancia de atender estas características específicas de estos procesos y la conveniencia de un apoyo psicológico durante este periodo.

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WC15 Symposium Detail

Thursday, 22 June
Friday, 23 June
Saturday, 24 June
Sunday, 25 June

Thursday, 22 June

11. Translational Research on Clinically Relevant Processes: Psychological Inflexibility, Hierarchical and Conditional Framing, Growth Mindset, and Self-Compassion
Symposium (11:00-12:30)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Behavioral medicine, Pattern of Psychological Inflexibility, Self-esteem, Growth mindset
Target Audience: Beg., Interm., Adv.
Location: Buhaira

This symposium presents a diversity of approaches to studying clinically relevant processes, ranging from analogue laboratory research to large-scale cross-sectional survey. The first paper in the symposium presents an analogue experimental study exploring the conditions that enhance avoidance behavior to the point of turning it into psychological inflexibility. The second study investigates whether different ways of framing task performance, either hierarchically (e.g., focusing on what you are doing is part of the task) or conditionally (e.g., focus on getting a good score), affects task persistence (motivation to persist in task), task performance, and self-efficacy and willingness to engage in the task. The third study presents a large-scale survey examining whether growth mindset can decouple the links between low self-esteem and outcomes such as poor academic achievement and low wellbeing. The fourth and last paper in the symposium presents research that has used the IRAP to explore the construct of self-compassion from the point of view of implicit verbal relations. Results show discrepancies between explicit and implicit measures of self-compassion. These different ways to assess self-compassion seem to capture different features of the construct itself.

• Conditions that Enhance Avoiding as Psychological Inflexibility
Adrián Barbero-Rubio, Ph.D., University of Almeria, Madrid Institute of Contextual Psychology
Carmen Luciano, University of Almeria

This study aimed to explore the conditions under which PI is enhanced through an experimental analogue of the elements involved in rigid dominance of avoidance psychological reactions. Firstly, 51 participants were randomly assigned to five experimental conditions to perform two experimental tasks. The tasks were designed to capture rigid psychological reactions. Secondly, four inflexibility protocols were designed with four different components of the learning process that might be involved in the natural developing a pattern of psychological inflexibility. The four inflexibility protocols and a control protocol were implemented to participants respectively in the five conditions. Finally, all participants repeated the experimental tasks. Results indicated significant lower performance in all the four conditions receiving the inflexibility protocol when compared to control participants. Results are discussed on the processes that enhance and disrupt the pattern of clinical inflexibility.

• Investigating the effect of Conditional vs Hierarchical Framing on Motivation
Varsha Eswara-Murthy, University College Dublin
Matthieu Villatte, Evidence-Based Practice Institute of Seattle
Louie McHugh, University College Dublin

Focusing on process not just outcome is often cited as an important part of living a meaningful life from a CBS point of view. The current study aimed to investigate whether task instructions that differed based on focusing on the process of completing a task, the outcome of completing a task, or both changed participants task performance and motivation. To that end, hierarchical (e.g., focusing on what you are doing is part of the task), conditional (e.g., focus on getting a good score) and a mixed condition (e.g., focus on engaging in the task and getting a good score) task instructions were compared. Participants completed an anagram task, followed by the presentation of scripts relating to the three separate framing conditions. Participants were subsequently exposed to a task persistence measure (i.e.,PASAT-C). Pre and post persistence task measures evaluating mood, self-efficacy and experiences of task participation were completed. A final anagram task was completed to evaluate the effect of framing condition on task performance and transfer of framing conditions across different tasks. Hierarchical and mixed groups outperformed the conditional group on measures of task performance and persistence. This effect was transferred to performance on the anagram task. Significantly increased self-efficacy, comfortableness and willingness was observed for both the hierarchical and mixed conditions over the conditional group with the hierarchical group outperforming the mixed group. This study highlights the potential differing effects framing tasks conditionally, hierarchically or both hierarchically and conditionally can have on motivation and task performance.

• The benefits of believing you can change: Growth mindset weakens the links between self-esteem and negative outcomes.
James Conigrave, Institute for Positive Psychology and Education
Professor Joseph Ciarrochi, Institute for Positive Psychology and Education
Assoc. Prof. Baljinder Sahdra, Institute for Positive Psychology and Education

Intervention-related research has suggested that there are two ways to combat the negative consequences of low self-esteem: improving the level of self-esteem, or decoupling or reducing the link between low self-esteem and negative outcomes. Prior evidence suggests that growth mindsets tend to prevent low-self-esteem from occurring in response to failure. However, little research has examined whether growth mindset can decouple the links between low self-esteem and outcomes such as poor academic achievement and low wellbeing. We sought to examine this possibility in female high school students (N = 489) and in a large sample of American adults (N = 7884). Moderation analyses in both samples showing that the links between low self-esteem and negative outcomes (wellbeing and achievement) were weaker for those with higher levels of growth mindset. People with low self-esteem may be especially likely to benefit from interventions boosting growth mindset.

• Using the IRAP to explore self-compassion and self-judgment
Andrea Compiani, Università IULM, Milano, Italy
Paolo Moderato, Università IULM, Milano, Italy
Giovambattista Presti, Kore University, Enna, Italy
Annalisa Oppo, Freud Universirty, Italy

Using the IRAP to explore self-compassion and self-judgment

12. Same Technology, Different Delivery: Varieties of Formats of ACT Interventions for Chronic Health Problems
Symposium (11:00-12:30)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Behavioral medicine, ACT Delivery in Chronic Ill Health
Target Audience: Beg.
Location: San Bernardo

David Gillanders, University of Edinburgh
Ray Owen, Herefordshire NHS

One of the remarkable features of ACT is that the exact same technology can be used with relatively little adaptation across a very wide variety of problem areas. This has pragmatic benefits for clinicians (who don’t need to learn multiple protocols, specific to each problem area) and has benefits for the progress of clinical science as data can accumulate faster across a breadth of areas. A further remarkable feature is the flexibility with which the same technologies can be delivered. This has benefits to organisations in terms of using ACT technology across a variety of service delivery models. In this symposium, presentations from three different groups, with three different health problems, using both high and low intensity intervention formats will be presented. This symposium will show delegates the flexibility of ACT technology in addressing diverse health complaints and its adaptability to a range of service contexts.

• Low intensity psychological intervention for Irritable Bowel Syndrome
David Gillanders, University of Edinburgh
Nuno Ferreira, University of Edinburgh
Eugenia Angioni, University of Edinburgh
Maria Eugenicos, University of Edinburgh
Sergio Carvalho, University of Coimbra

IBS is a functional GI disorder characterised by bowel pain, diarrhoea and constipation. People with IBS also often fear having bowel accidents, and experience shame and embarrassment. People with IBS often use strategies to control or avoid these experiences, which have the unintended consequence of putting life on hold, at great cost to living. Anxiety, depression and reduced quality of life are common consequences. In this study, a sample of 45 people diagnosed with treatment resistant IBS were given an ACT based self-help book and audio CD, “Better Living with IBS”. They completed standardised measures prior to receiving the book, approximately two months and six months later. Results showed that participants improved significantly in terms of IBS acceptance, IBS related anxiety, and IBS symptom severity, but did not improve in relation to avoidance or quality of life Results are discussed in relation to social processes of exposure and commitment.

• ACT for obesity: Clinical techniques and research outcomes
Dayna Lee-Baggley, Ph.D., Nova Scotia Health Authority

Obesity has been called a global epidemic that threatens the health of individuals and the healthcare systems of nations (WHO, 2000). While there is evidence for the effectiveness of weight loss programs in the short-term, long-term, sustainable changes in obesity remain elusive. The authors will present techniques, clinical examples, and research data from their ACT-based, 52-week, multidisciplinary group intervention for obesity. The authors will review the ways in which ACT principles and techniques can be used in the management of health behaviours for people living with obesity. In addition, the authors will discuss the ways in which ACT may be better able to address the long-term management of obesity. Finally, preliminary data from the program will be presented.

• A Randomized Controlled Trial of a Guided Self-Help Bibliotherapy Among Community Adults Suffering from Chronic pain
Frederick Dionne, Ph.D., Université du Québec in Trois-Rivières
Josée Veillette, Université du Québec in Trois-Rivières
Marie-Claude Blais, Ph.D., psychologue, Université du Québec in Trois-Rivières

In Canada, one in five people suffers from chronic pain, triggering annual costs of nearly 60 billion dollars. While Acceptance and Commitment Therapy (ACT) has proven to be effective in reducing disability and suffering among chronic pain patients, unfortunately, very few people have access to these treatments. Self-help guided interventions can improve access to treatment, but further studies are necessary to evaluate their efficacy. This randomized controlled trial evaluated the efficacy of a 8-week ACT guided self-help bibliotherapy, with minimum therapeutic contact, among community adults suffering from chronic pain. 130 participants were randomly assigned to an ACT intervention or waiting list condition. Results from a two-way ANOVA show a reduction in pain-related disability, depressive symptoms and psychological inflexibility in favor of the ACT group (interaction effects were found between group and time for all variables). Benefits sustained at 3-month follow-up. Results are discussed in terms of future research.

13. Be More Contextual, Behavioral, and Scientific in Your Practice: Using Single-Case Designs (SCDs)
Symposium (11:00-12:30)
Components: Conceptual analysis, Original data, Case presentation
Categories: Evolution, Professional Development, Single-Case Designs (SCDs)
Target Audience: Beg.
Location: Lebrija

Niklas Törneke, MD, Private Practice
Carmen Luciano, Ph. D., University of Almeria

Using single case designs (SCDs) methodology in inherently suitable in philosophy of our Contextual Behavioral Science (CBS). However, we cannot see many SCDs-based researches and practices in our World Conference and Journal of Contextual Behavioral Science. It’s true that randomized controlled trials might be critically important, the “gold standard”, in the Empirically Supported Treatment (EST) or Evidence-based Practice in psychology (EBPP) era, but it is one of many standards in our CBS enterprise. Moreover, we also attach great importance to generating practice-based evidence, not only evidence-based practice, in order to build a progressive science. The purpose of this symposium is to promote using SCDs methodology through reconsidering some gaps between research and practice, and showing some technical, practical and analytic innovations in this methodology.

• Bridging the gap between research and practice using single case designs.
Michael Twohig, Ph. D., Utah State University

Conducing research in an applied setting or job is difficult. Single subject designs (SSD) are great ways to test predictions and participate in research when larger studies are not feasible. For example, someone who naturally has a waitlist may conduct a nonconcurrent multiple baseline design while testing a treatment. ABAB designs are useful in settings such as schools or residential settings. This presentation will cover the ways in which a person who works in an applied setting may participate in research using SSD. In addition to guidance on design selection and practical suggestions for completing the study, some guidance on publication of SSDs will be offered. Ethical considerations of collecting data in a clinic setting will also be discussed.

• How to implement “treatment-evaluation” through using single-case designs (SCDs): Some new technical and practical innovations.
Takashi Muto, Ph. D., Doshisha University

Hayes, Barlow and Nelson-Gray (1999) described the differing features between treatment-evaluation and treatment-research. Treatment-evaluation are designed and executed according to therapeutic criteria, giving priority to the resolution of client problems and the satisfaction of client needs over identifying control variables. The purpose of this paper is to present some new technical and practical innovations in implementing “treatment-evaluation” through using SCDs, for example, Muto (2012) and Muto & Mitamura (2015). These innovations are as follows; a) measuring the therapy processes with high-technological but low-cost devices, for example, a small-and-easy-operating activity meter, GPS logger, and action-camera, and b) making graph of client’s data, in particular, making new cumulative graph.

• Non-parametric approaches to planning and analyzing single case design data.
Roger Vilardaga, Ph. D., roger.vilardaga.duke.edu.

Single Case Design analysis has traditionally relied on visual interpretation of changes in trend and level of repeated observations over time across phases. This is a powerful approach to data interpretation, but it has limitations. For example, it doesn't inform us about how likely it is that we would have found the same result by chance. Randomization tests were conceived by Donald Fisher, the father of statistics, in the mid 1930's, but they were so computationally challenging that he invented parametric statistics, a shortcut to statistical inference. With current computational capabilities, we have now the opportunity to stiffen single case design data interpretation by combining both visual and statistical tools. This talk will briefly describe the rationale and practical use of these novel statistical techniques from a contextual behavioral perspective.

14. Examining the Role of Psychological Flexibility Within Distinct Lesbian, Gay, Bisexual, Transgender, Queer and Intersex (LGBTQI) Populations
Symposium (11:00-12:30)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Other, LGBTQI populations, Diversity, Coping, Mental and behavioural health
Target Audience: Beg., Interm.
Location: Utera

Jo Lloyd, Ph.D., Goldsmiths, University of London
Laura Silberstein, Psy.D., The Center for CFT

Research indicates that LGBTQ people experience minority stressors, in addition to the general life stressors experienced by everyone, which are salient to their mental health and wellbeing (Meyer, 2003; Testa et al, 2015). Whilst minority stressors have their origins in oppressive social and cultural structures, they are believed to take root in LGBTQ people via psychological processes. Specifically, there are subjective/proximal stressors (e.g., internalised transphobia) which are thought to result from the internalisation of negative social attitudes (Meyer, 2003). There are also objective/distal stressors (e.g., homophobic discrimination) which are thought to gain psychological importance when they manifest in the immediate context of people’s thoughts, feelings and actions (Meyer, 2003). Since psychological processes appear to underpin the experience of minority stressors, we suggest that the way in which people respond to their internal psychological events may be central to how they cope with such stressors. To this end, this symposium examines the role of psychological flexibility within three distinct LGBTQ populations: A heterogeneous sample of LGBTQ people, transgender and gender nonconforming (TGNC) people and LGBTQ employees. The latter paper also extends to an analysis of how the concept of psychological flexibility can be used to design teams and organisations in which LGBTQ employees can thrive.

• The Protective Role of Psychological Flexibility in the Relationship between Minority Stressors and Mental Health in Transgender and Gender Nonconforming (TGNC) People in England
Jo Lloyd, Ph.D., Goldsmiths, University of London

In this study we examined the protective role of psychological flexibility in the relationship between three widely examined minority stressors experienced by transgender and gender nonconforming (TGNC) people (i.e., transphobic discrimination, identity nondisclosure and internalised transphobia) and the mental health outcomes of anxiety and depression. We examined our hypotheses in a cross-sectional sample of 921 TGNC people in England (This is T1 data from a two-wave longitudinal panel study; T2 data is due to be collected in August 2017). Analyses revealed that TGNC people with higher levels of psychological flexibility had lower levels of anxiety and depression compared to those with lower levels of psychological flexibility. Furthermore, psychological flexibility showed a buffering/protective effect; specifically, harmful relationships between minority stressors and mental health outcomes were weaker for TGNC people with higher levels of psychological flexibility. Theoretical and practical implications for psychological flexibility theory and minority stress research are discussed.

• Stigma in context: Psychological distress and coping style of gender and sexual minorities.
Lauren Griffin, University of Louisiana at Lafayette
Rebecca Copell, MSc., University of Louisiana at Lafayette
Emily Sandoz, Ph.D, University of Louisiana at Lafayette

People within the LGBTQ community are at increased risk of psychological distress, mental health symptomatology, and risk-taking behaviors (Kirsch, Conley & Riley 2015). Some have suggested that LGBTQ individuals do statistically show worse mental health because of a lack of social resources, alienation, discrimination, victimization, and abuse (Kirsch et al. 2015). Past studies do not offer insight into what differentiates well functioning individuals from distressed ones (Herek & Garnets, 2007). Some seem to experience both psychological well-being and distress simultaneously. It may be that these minorities had to adapt to environmental difficulties related to orientation while also developing resilience in the face of life stressors (Kirsch et al., 2015). The purpose of this study is to determine whether or not (1) LGBTQ people experience psychological distress from enacted stigma, and (2) if they do experience distress, types of coping styles utilized to mitigate distress will be explored.

• Helping Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) Employees Live Vital and Effective Lives: From Psychological Flexibility to Organisational Flexibility
Jo Lloyd, Goldsmiths, University of London

In this conceptual paper, we examine how psychological flexibility may help LGBTQ employees live vital and effective lives, even when they are experiencing difficult and/or challenging circumstances. Firstly, we inspect the manifestation of minority stressors in the workplace and the difficulties they may cause for LGBTQ employees. Secondly, we examine how individual-level training interventions that seek to enhance people’s psychological flexibility may be used to facilitate better mental health and performance in LGBTQ employees. Finally, we explore whether the concept of psychological flexibility can be used to design teams and organisations that are both mindful and committed to pursuing their values, such as supporting and developing the talents of their LGBTQ employees. To do so we draw upon the organisational flexibility model developed by Bond (2015) and use specific examples of how its key characteristics can be applied to create working environments in which LGBTQ employees can flourish whilst the organisation prospers.

19. Interfacing Conceptual and Experimental Analyses
Symposium (12:45-14:00)
Components: Conceptual analysis, Original data,
Categories: Relational Frame Theory, Clinical Interventions and Interests, Theoretical and philosophical foundations, Experimental Psychopathology, Anxiety, IRAP, Analogy, Coherence
Target Audience: Beg., Interm., Adv.
Location: Giralda V

Miguel Rodríguez-Valverde, Ph.D., University of Jaén, Spain

This tightly-packed 4-paper symposium examines the reticulation between RFT concepts and their experimental manipulation. Paper 1 summarizes multiple experiments in which the existing Relational Elaboration and Coherence (REC) model appears to fall short in explaining various IRAP performances. As an alternative, the authors propose the Differential-Arbitrarily-Applicable-Relational-Responding-Effects (DAARRE) model as a more dynamical conceptualization of the relational performances observed in the IRAP. Paper 2 seeks to enhance simple and complex repertoires of analogical reasoning as derived relational responding in undergraduates. The results show that the relational training protocol enhances both the fluency and the flexibility of participants’ ability to solve analogies. Paper 3 presents experimental manipulations of the nature and functions of relational coherence, by systematically comparing relationally coherent or incoherent networks of stimuli. In the Consistent Context, feedback was contingent on responding in accordance with the trained relations, while this did not apply in the Inconsistent Context (IC). The results suggest that coherence in and of itself may function as a powerful reinforcer. Paper 4 tackles the difficulties in experimentally manipulating the transfer of physiological fear. In an MTS study of equivalence relations, electric shock was differentially conditioned and eye blink was the main dependent variable. The paper explores the possible implications of the findings for our understanding of fear generalization as derived relational responding.

• The IRAP Has a Mid-Life Crisis: A Younger (and More Complex) Model is Needed
Martin Finn, Ghent University
Dermot Barnes-Holmes, Ghent University

The program of research reported in the current paper began with an attempt to replicate the instructional effects reported by Finn et al. (2016) when participants are exposed to relatively simple IRAPs. The initial attempt failed to replicate the original findings and produced results that were difficult to explain based on the Relational Elaboration and Coherence (REC) model. Across 5 experiments a number of key issues were explored in a largely inductive manner: (i) the role of pre-experimental history in completing latency-based measures; (ii) the impact of employing a “talk-aloud” procedure during the IRAP; (iii) the impact of different types of stimuli within the IRAP; and (iv) the extent to which structured post-IRAP self-reports predict REC model consistent effects. The results of these studies gave rise to a Differential-Arbitrarily-Applicable-Relational-Responding-Effects (DAARRE) model, which emphasizes the highly dynamic nature of the relational responding produced on even relatively simple IRAPs.

• Impact of a experimental protocol in fluency and flexibility of analogical reasoning
Asunta Utande, University of Almería
Carmen Luciano, University of Almería
Zaida Callejón, University of Almería

Analogical behavior is a key element in intelligence as good remains established in mainstream psychology. However, the processes involved in the analogy have recently begun to be isolated in an experimental way upon the basis on the Relational Frame Theory. Experimental studies have begun to go into the are of relating networks. However the processes involved are still needed to be isolated. In addition, the huge picture involves in this domains requieres experimental and applied studies going hand by hand to progress. The present study goes in this direction and tries to evaluate the impact of a protocol built of abstract and words analogies. 47 university students participants. Standard and non-standard analogical measures were taken before and after applying the protocol to 26 out of the 47 participants. In addition to pre-post measures, specific variables were measured during the implementation of the protocol. The results show an increase in fluency and flexibility of analogical reasoning in those participants who received the experimental protocol.

• The reinforcing function of Coherence
Zaida Callejón Ruiz, University of Almería
Carmen Luciano, University of Almería

The current study aimed to explore the reinforcing function of coherence. Twelve students participated in the following sequence: Firstly, conditional discrimination training was implemented for the formation of three 5-member (A to F) equivalence classes. In a second phase, they were exposed to a 54-trial block of mutual and combinatorial trials for stimuli A to D with the purpose of altering the previous network coherence. This was done by providing different feedback according to two contexts: Consistent Context (CC) in which the feedback was given contingent to participants’ responses in accordance with the relations trained. Inconsistent Context (IC) in which the feedback was randomly assigned but always joined with points. Test accuracy and latency as well as the level discomfort were recorded while testing on each context. Finally, in a third phase, participants were exposed to a test of derived relations with F stimuli while making choices of context preferences. Results showed that most of participants chose the consistent context and when having to choose between incoherent trials, response latency and discomfort increased. Findings suggest that coherence appears to function as a powerful reinforcer. Implications for further research and applied areas are discussed.

• An experimental analysis of the transfer of conditioned fear using blink-startle modulation as a measure.
Miguel Ángel López-Medina, M.Sc., University of Jaén, Spain
Miguel Rodríguez-Valverde, Ph.D., University of Jaén, Spain
Mónica Hernández-López, Ph.D., University of Jaén, Spain

From a contextual behavioral perspective, research on the transfer/transformation (also called symbolic generalization) of fear is key to understanding the genesis and maintenance of anxiety and its disorders. Although the basic working model (that conditioned physiological fear reactions may transfer amongst physically dissimilar but symbolically related, e.g., equivalent, stimuli) is taken for granted, the truth is that there is very limited empirical evidence proving this phenomenon under controlled laboratory conditions, and it has relied on skin conductance responses as the physiological measure of fear. Previous research from our lab failed to find transfer-of-fear effects with blink startle (a more adequate measure of fear conditioning, according to current psychophysiology standards). The present study attempts to overcome some methodological limitations of our previous research. Participants in this study underwent a matching-to-sample procedure for the formation of two equivalence classes. Then, one element from each class was used in a differential aversive conditioning procedure (CS+: B1; CS-: B2) with electric shock as the UCS. Eye-blink startle (measured as EMG activity of the orbicularis oculi muscle after a burst of white noise) was the main dependent variable. Results are discussed in terms of their applied implications and relevance.

24. ACT Interventions for Health Problems
Symposium (12:45-14:00)
Components: Conceptual analysis, Literature review, Original data, Experiential exercises, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Behavioral medicine, Chronic Disease, Behavior Change, RFT, Cancer, Parents with children with chronic illness, Clinical Health Psychology, Neuropsychiatry, Neuropsychology
Target Audience: Beg., Interm.
Location: Buhaira

There is increasing evidence that acceptance and mindfulness-based treatments are useful in the areas of health psychology and behavioral medicine. Acceptance, mindfulness, and values have proven effective in improving the management of health and chronic illness. This symposium presents four papers that attest to the potential of acceptance-based interventions in a diversity of health problems. The first paper will present an overview of the literature relating ACT and chronic disease and will show the use of applied ways to use ACT interventions to change health behaviors through an RFT framework. The second paper presents a data-driven approach to intervention development. The aim of this study is to analyze the association of ACT components with patient-reported outcomes in order to develop a more patient-led, and clinically and cost-effective intervention for stressful psychological transitions after primary cancer treatment. The third study presents the results of a randomized controlled trial of a 4-session group-based ACT intervention for parents of children with asthma. The results of this study show that ACT is potentially more efficacious than an educational talk in helping parents to adjust in caring for their children with asthma. The last paper will present a detailed case series of routinely collected data from an UK National Health Service clinic offering ACT for functional neurological disorders (FND) like conversion disorder and other somatic symptom disorders. This novel and promising approach to the treatment of these disorders that are at the intersection of mental and physical health will be illustrated in a detailed case study.

• Health Behavior Change: How to use RFT principles and ACT interventions to change habits
Dayna Lee-Baggley, Ph.D., Nova Scotia Health Authority
Ray Owen, D. Clin Psychol, Wye Valley NHS Trust, Hereford, UK
Jason Lillis, Ph.D., Brown University

The purpose of this submission is to provide an overview of the literature relating ACT and chronic disease and to demonstrate the use of ACT techniques through an RFT framework. We will provide concrete, applied ways to use ACT interventions to change health behaviors (e.g., smoking, exercise, diet, medication use) as they relate to chronic conditions (e.g., chronic pain, obesity, diabetes). The theoretical and clinical applications will be framed through RFT. That is, participants will gain a better understanding of RFT principles and how to apply them to behaviour change. Health behaviors can be understood through relational frame networks, pliance, rule following and coherence. Participants will learn how to apply various relational frames (e.g., coordination, hierarchical) to “rules” that clients may present with in order to foster change. Participants will also learn how to use augmenting, tracking, functional coherence, and changing frames to create transformation of function to assist clients in behavior change.

• Psychological transition after primary cancer treatment: Component mapping using an Acceptance and Commitment Therapy (ACT) Framework for effective intervention development
Nick Hulbert-Williams, PhD, University of Chester
Brooke Swash, PhD, University of Chester
Pandora Patterson, PhD, CanTeen Australia and University of Sydney
Fiona McDonald, CanTeen Australia & University of Sydney
David Gillanders, DClinPsy, University of Edinburgh
Melissa Pilkington, MSc, University of Chester & Edge Hill University

Transitions between diagnosis, treatment and survivorship are psychologically stressful for cancer patients. As a values-based intervention, emphasising return to functional living, ACT may improve wellbeing in this population. This study investigates associations between ACT components and patient-reported outcomes in a cohort of cancer patients. Participants are being recruited in the UK, Canada and Australia using social media and through national cancer charities. Self-report questionnaires are completed at baseline, and three-monthly time intervals for two years thereafter. Questionnaires assess components of the ACT framework, fear of cancer recurrence, depression, anxiety, stress and quality of life. Recruitment is underway (n=47 to date). Baseline data analysis will be presented: these analyses yield novel data on comparative associations between ACT process measures and psychological outcomes. Using a ground-up, data-driven approach, we aim to use this study to develop more patient-led, and clinically and cost-effective interventions.

• The Efficacy of a Group-Based Acceptance and Commitment Therapy on the Psychological Flexibility and the Psychological Adjustment of Parents of Children with Asthma: A Randomized Controlled Trial
Yuen Yu CHONG, Ph.D student, School of Nursing, The Hong Kong Polytechnic University, Hong Kong
Yim Wah MAK, Ph.D, School of Nursing, The Hong Kong Polytechnic University, Hong Kong
Alice Yuen LOKE, Ph.D, School of Nursing, The Hong Kong Polytechnic University, Hong Kong

Enhancing the psychological flexibility (PF) of parents through Acceptance and Commitment Therapy (ACT) may help them to deal with their own psychological needs while managing the asthmatic condition of their children. A randomized controlled trial was employed to examine the efficacy of 4 weekly sessions of a group-based ACT intervention (ACT) in comparison with an asthma educational talk (Control), on the PF and the psychological adjustment of parents in raising their children with asthma. Assessments were conducted using the parental report before, immediately after and at 6 months after the intervention. One hundred and sixty-eight parents of children aged 3-12 years with asthma were consecutively recruited in a public hospital in Hong Kong. The results from generalized estimating equations showed that there were significant time-by-group interactions in the PF (p <.001) and in all the subscales assessing the psychological adjustment (ps ranged from <.001 to .026). The parents in the ACT group had a significant improvement in the PF when compared with those in the Control group at 6-month follow-up (d = 0.82). The study demonstrated that ACT is potentially more efficacious than an educational talk in helping parents to adjust in caring for their children with asthma.

• Using ACT to improve outcomes in functional neurological disorders (“conversion disorder”): A detailed case series.
Christopher D. Graham, University of Leeds

Functional Neurological Disorders (FND) include diagnoses such as non-epileptic attacks and functional movement disorders (limb weakness, paralysis etc). Aetiology and prognosis are unclear; yet, these conditions are presumed to have psychosocial causes. There are no treatments with high-quality empirical support. ACT has good face validity as at treatment approach, and has demonstrated efficacy in similar contexts. We present a case series of routinely collected data from an UK National Health Service clinic offering ACT for FND. Nine participants were included. Treatment comprised face-to-face tailored ACT, aiming to improve meaningful functioning. Participants attended six to 11 hour-long sessions. Outcomes (functioning [WSAS]; mood [CORE-10)) and psychological flexibility (AAQ-II) were recorded before each session. We will present data on session-to-session, and pre- to post- intervention (reliable change and clinically significant change), changes in variables. The treatment approach will be illustrated in one detailed case study. This is the first step in understanding whether ACT might prove useful in FND care.

25. Working with Values and Values-Consistent Behavior
Symposium (12:45-14:00)
Components: Conceptual analysis, Original data, Experiential exercises, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Educational settings, Supervision, Training and Dissemination, Functional contextual neuroscience and pharmacology, Relational Frame Theory, Other, Psychological Flexibility in Students, PTSD, Substance use disorders, Military veterans, Values, Committed action, Intellectual Disabilities, Autism, Teenagers
Target Audience: Beg., Interm., Adv.
Location: San Bernardo

Values are a key component of the psychological flexibility (PF) model, and values clarification and work in promoting engagement with valued actions are fundamental elements of ACT. Engagement in valued daily life actions is what makes life meaningful, according to the ACT model. The four papers in this symposium present a diversity of ways of working with values and values-consistent behavior. The first paper presents research that tested the effect of an online gamified app-platform designed to enhance psychological flexibility in order to achieve valued goals. College students were randomly assigned to one of two conditions: a gamified ACT intervention or an active control condition (traditional online games such as tetris, pinball, etc.). The main results show that the gamified ACT intervention enhanced PF, reduced procrastination behaviors, increased the accomplishment of valued goals, and increased academic performance. The app-platform seems to be an easy and efficacious way to enhance PF in order to increase goal valued performance and academic achievement in college students. The second paper in this symposium examines the connection between values and behavioral assignments in therapy. Using case examples drawn from a treatment outcome study of ACT for co-morbid PTSD and alcohol use disorders in US veterans, the presentation will focus on how to collaboratively develop values-consistent behavioral assignments in therapy, a challenge for novice ACT therapists that requires a deep understanding of the connection between values and commited action. The third paper will present an adaptation of the procedure (Hayes and Carrochi, 2015) to conduct a Values Conversation as a part of Preference Assessment of verbally competent people with intellectual disabilities. This procedure systematically uses the value altering effects of verbal stimuli to establish a verbal context to help the individual with intellectual disability engage in behavior consistent with long-term reinforcers, quality of life and personal values. The fourth and last paper in this symposium will discuss original data from a study with a community sample aimed at assessing psychometric properties of measures of values and values-consistent behaviour with adolescent population.

• Increasing psychological flexibility, goal valued performance and academic achievement in university students through a gamified online platform
Sara de Rivas, Universidad Autónoma de Madrid
Oscar Lecuona, Universidad Autónoma de Madrid
Luz Vilte, Universidad Autónoma de Madrid
Jennifer Moreno, Universidad Autónoma de Madrid
Raquel Rodríguez-Carvajal, Universidad Autónoma de Madrid

Current society presents a landscape of increasing demands where intellectual talent as well as concrete knowledge and education are important for academic and work success. However, there are other individual aspects less considered that are of key importance, and not explicitly included neither in the academic curricula nor in organizations formative courses and so on. These aspects regard self-regulation process in a broad sense of the term. That is, not only these aspects involve the way people relate to external events implicated in their academic or job goals (as for example scheduling, planning, etc.), but how people relate to their own internal events or experiences such as feelings of fear, laziness, unwanted thoughts of failure, goal clarity and so on. There are many applications created to help users planning and organizing their time and their external context to achieve their valued goals. However there are few apps designed to deal with the internal events such as emotions, thoughts and feelings that are involved in those moments when you are actually trying to achieve a valued goal. Even less applications in this area (if any) had scientifically tested their efficacy to do what they claim. In the present research we tested the effect of an online app-platform designed precisely to enhance psychological flexibility in order to achieve valued goals. Considering acceptance and commitment therapy, as well as gamification principles, different audio-visual and interactive elements were created and integrated to conform the platform. To test the effects of the platform 178 university students were randomly assigned to one of the conditions: platform condition (gamified act intervention) or active control condition (traditional online games such as tetris, pinball, etc.). In the platform condition, participants completed thirteen platform missions until reaching the end of the platform during a four weeks period. Mission duration was estimated in approximately 10-15 minutes. They were encouraged to complete only one mission per day, but they could use the platform (or the control) any time they wanted. All participants filled in questionnaires right before they started the study, one month after it, and at the end of the academic semester to fill in their academic achievement. Main results showed positive differences for psychological flexibility in time within the platform condition (Pillai’s trace F (1, 155) = 43.147, p <.001, partial η2 = .22), but not for the control condition (ns), and we found differences between platform and control conditions (Pillai’s trace time x condition: F (1, 155) = 17.439, p <.001, partial η2 =.10). In addition participants in platform condition reported that they had reduced their procrastination behaviors in a very significant way, as we found highly significant differences in time within the platform condition (Pillai’s trace F (1, 155) = 64.044, p <.001, partial η2 = .29), but not for the control condition, and differences between platform and control conditions (Pillai’s trace time x condition: F (1, 155) = 18.094, p <.001, partial η2 =.10). We also found differences regarding the degree participants felt they had accomplished their main valued goal (F (2, 157) = 4.381, p = .014), as well as regarding the degree they stayed on track to their personal value regarding that goal (F (1, 157) = 10.842, p = .001). Even more, we found statistical differences in academic performance, concretely in the number of curses they actually got tested, participants in the platform condition got tested in more courses than participants in the control condition (F (1, 174) = 9.062, p = .003, partial η2 = .05), and they passed the curses with more excellent grades we found statistical differences between conditions (F (1, 174) = 4.794, p = .030, partial η2 = .03), participants in the platform condition got more excellent grades than participants in the control condition. Finally, a SEM approach with multi-group analysis was conducted in an attempt to create an explanatory model of the intervention process. In such model, changes in psychological flexibility across time powerfully predicted changes in most of the variables therefore playing a central explanatory role. The platform seems to be an easy and efficacious way to enhance psychological flexibility in order to increase goal valued performance and academic achievement in university students.

• Putting values into action: Examining the connection between values and behavioral assignments from a study of ACT for co-occurring posttraumatic stress disorder and alcohol use disorders
Eric Meyer, PhD, VA VISN 17 Center of Excellence for Research on Returning War Veterans
Robyn Walser, PhD, National Center for PTSD-Dissemination and Training Division

Increased engagement in valued action is the desired behavioral outcome in ACT. Guiding clients in developing values-consistent behavioral assignments requires rich understanding of the connections between values and committed action. Our experience suggests that developing values-consistent behavioral assignments is challenging for many novice ACT therapists. This presentation will use case examples drawn from a treatment outcome study of ACT for co-occurring posttraumatic stress disorder (PTSD) and alcohol use disorders (AUD) in U.S. military veterans. Data will be comprised of actual behavioral assignments developed during treatment and the values that clients identified as being connected with these assignments. Themes and life domains within which these assignments take place will be examined. Teaching will focus on how to collaboratively develop values-consistent behavioral assignments. Case illustrations will focus on how these assignments build sequentially over the course of treatment, supporting clients in developing progressively larger patterns of valued living.

• Altering the value of reinforcers: Values Conversations for Intellectual Disabilities
Giovanni Miselli, PhD BCBA, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR) Italy
Roberto Cavagnola, Psy D., Fondazione Istituto Ospedaliero di Sospiro Onlus (CR)
Mauro Leoni, PhD, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR), University of Pavia
Serafino Corti, PhD, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR), Università Cattolica Brescia Italy
Francesco Fioriti Ed.D, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR)
Giuseppe Chiodelli, MD; Laura Galli, MD; Michela Uberti, MD, Giovanni Michelini, PhD., Fondazione Istituto Ospedaliero di Sospiro Onlus (CR)

The motivational function exerted by verbal antecedents has been extensively approached from a theoretical perspective and within the direct conditioning paradigm (Valdivia, Luciano, Molina, 2006). Also the research concerning the alteration of the motivational function via verbal means are now increasing due to the impact of RFT. Following the work on Values (Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. E., 2010) we will present an adaptation of the procedure (Hayes and Carrochi, 2015) to conduct a Value Conversation as a part of Preference Assessment of verbally competent people with Intellectual Disabilities. The value altering effect of verbal stimuli will be systematically used to establish a verbal context to help the individual with Intellectual Disability engage in behavior consistent with long term Reinforcers, quality of Life and Personal Values. The procedure, video and result from the application of the Value Conversation will be presented.

• Values, values-consistent behaviour and wellbeing in adolescents
Davina Chauhan, NHS Lothian
Nuno Ferreira, University of Edinburgh
Paul M Morris, University of Edinburgh

This paper presentation will discuss original data from a community adolescent sample. The aims of the study were to assess a limited set of psychometric properties of measures of values and values-consistent behaviour with an adolescent population; (ii) to assess which values are endorsed by adolescents; and (iii) to explore whether values-consistent behaviour accounts for some of the variation in wellbeing scores beyond known correlates.

26. Reclaiming Health and Wellbeing for Populations Affected by War, Gender-Based Violence, and Other Adversity: CBS Strategies from Small to Large Scale
Symposium (12:45-14:00)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Supervision, Training and Dissemination, Functional contextual approaches in related disciplines, Relational Frame Theory, Humanitarian Emergencies, Implementation Science, Gender-based violence
Target Audience: Beg.
Location: Lebrija

Thomas Szabo, Florida Institute of Technology, Commit and ACT
Ross White, University of Liverpool

Armed conflicts have contributed to an estimated 65.3 million forcibly displaced people globally. Furthermore, many individuals live in contexts of ongoing adversity, poverty, and high rates of gender-based violence. These conditions have devastating and long-lasting impacts on health and wellbeing. Yet many individuals in these settings lack access to evidence-based care. It is essential that global efforts focus on rolling out effective interventions that can reach vast numbers of individuals, families, and communities. In such settings we need to develop innovative methods for implementation, training, and supervision, since there are often limited resources available. In this symposium, we will present recent developments from four organizations working to address these issues – Commit & Act, World Health Organization, Peter C Alderman Foundation, and War Child Holland. The interventions and implementation models discussed here range from small to large scale, from individual behavior to health-system building, and have both research and service focuses.

• Scalable psychological interventions in communities affected by conflict and other adversity: Case studies from the WHO Mental Health and Psychosocial Support in Emergencies programme
Felicity L. Brown, War Child Holland
Kenneth Carswell, World Health Organization
Mark van Ommeren, World Health Organization
Wietse A. Tol, Johns Hopkins Bloomberg School of Public Health, Peter C Alderman Foundation
Atif Rahman, University of Liverpool, Human Development Research Foundation
Jura Augustinavicius, Johns Hopkins Bloomberg School of Public Health
Marx Leku, Peter C Alderman Foundation

At a global scale, the number of individuals living with prolonged, disabling emotional distress is staggering, and this is even more the case in communities affected by humanitarian crises. In these settings there is a vast gap between psychological support required, and the available resources. In response, the WHO Mental Health and Psychosocial Support in Emergencies programme is focusing on systematically developing, culturally-adapting, and evaluating low-intensity psychological interventions that can be delivered by non-specialists and require few resources to reach larger numbers of individuals. As our first case study, we will report on the development, early piloting, and results of a pilot randomized controlled trial of an ACT-based guided self-help intervention conducted with the Peter C Alderman Foundation in northern Uganda with South Sudanese refugees. As our second case study we will report on a pilot randomized controlled trial of a transdiagnostic intervention incorporating problem-solving and behavioural techniques in Pakistan.

• A multi-level care-system for children affected by war: Feasibility data from War Child Holland’s work in Lebanon and Gaza
Kenneth E Miller, War Child Holland
Elise Griede, War Child Holland
Heba Ghalayini, War Child Holland OPT
Ali Jawad, War Child Holland Lebanon
Kate Roberts, War Child Holland OPT
May Aoun, War Child Holland Lebanon
Marx Leku, Peter C Alderman Foundation

Millions of children live in nations affected by war. Children exposed to war are vulnerable to increased rates internalizing and externalizing difficulties. There are a small but growing number of intervention studies conducted in an effort to improve child psychosocial outcomes after war. However, tremendous gaps exist in the ability to provide effective care that targets known risk factors at different ecological levels after war, including family environments, child protection risks, and poor quality education. We will present the vision and research and development agenda of War Child Holland to develop a multi-level care system, incorporating evidence-based interventions, alongside methods to improve access, acceptability, and quality. We will present feasibility data from Gaza and Lebanon for a parent-focused intervention that directly teaches parenting and mindfulness skills, with the aim of increasing parent psychological flexibility and overall wellbeing, and reducing reactive and harsh parenting. Future evaluation plans will be discussed.

• Microaggression, Intimate Partner Gender-Based Violence, and Behavioral Flexibility Training in Sierra Leonean Couples
Thomas G. Szabo, Florida Institute of Technology
Hannah Bockarie, Commit & Act, Sierra Leone
Jonathan Tarbox, University of Southern California
Ross White, University of Liverpool, UK
Corinna Stewart, National University of Ireland, Galway

Gender-based violence and microaggression are rarely studied by behavior analysts but likely entail a complex repertoire of physical, verbal and arbitrarily applied relational responding. Microaggression is particularly important to the reduction of gender-based violence because it often goes unnoticed and therefore unaddressed, but it predicts other more serious forms of aggression. Like most other operant behavior, it is reinforced without explicit awareness of its occurrence by the speaker or the listener. We conducted a multiple probe study across married couples in which microaggression and overtly aggressive behavior were recorded during and between sessions of a month-long, four-session behavioral flexibility training that was modeled on Acceptance and Commitment Therapy. The study was conducted in a small west African nation where gender-based violence is reported to be at pandemic levels. Microaggression, aggression, and collateral behavior (heavy drinking, drug use, and betrayal) decreased, whereas replacement behaviors increased. Implications and future research are discussed.

27. Avances en la Investigación con el IRAP: Aspectos de Relevancia Clínica y Metodológica
Symposium (12:45-14:00)
Components: Datos originales
Categories: Teoría de los Marcos Relacionales, Intervenciones y aspectos clínicos, Contextos educativos/escolares, , Otros, IRAP
Target Audience: Beg., Interm., Adv.
Location: Utera

Mónica Hernández-López, Ph.D., Universidad de Jaén
Giovambattista Presti, M.D., Kore University, Enna

El IRAP se ha convertido en un procedimiento popular dentro de la ciencia conductual contextual para la evaluación de repertorios verbales de carácter implícito. La investigación más reciente aborda dos cuestiones fundamentales. Por un lado la relevancia clínica de dichos repertorios y por otro las características metodológicas de la propia tarea. Este simposio incluye trabajos que abordan ambos aspectos. El primero de ellos es uno de las pocos trabajos que han utilizado el IRAP con población infantil y adolescente y está centrado en el estudio de respuestas relacionales implicadas en la evitación y aceptación de las propias emociones. El segundo aborda las creencias disfuncionales implícitas en cuidadores de personas mayores con demencia. El último trabajo se centra del estudio de los efectos de la inhibición de respuesta en la ejecución en el IRAP.

Evaluación de creencias disfuncionales implícitas en cuidadores informales de personas mayores con demencia a través de una tarea IRAP, La relación entre las creencias disfuncionales evaluadas de forma explícita (autoinformes) y el malestar emocional de los cuidadores no es consistente a través de los estudios. Este trabajo presenta una tarea computerizada basada en el Procedimiento de Ev
maria.marquez@uam.es, Sí

Andres Losada, PhD., Universidad Rey Juan Carlos
Un análisis de los efectos de la inhibición de respuesta sobre la ejecución en el IRAP, Una cuestión importante es en qué medida la ejecución en el IRAP se ve afectada por variables personales ajenas a la propia tarea. Una investigación previa de nuestro laboratorio exploró los posibles efectos que la inhibición de respuesta (medida a través)

34. New Data on Core RFT Concepts: Rules, Coherence, and Level of Derivation
Symposium (15:15-16:45)
Components: Conceptual analysis, Literature review, Original data
Categories: Relational Frame Theory, Theoretical and philosophical foundations, Rule Governed Behavior, Coherence, Derivation, Relational Responding
Target Audience: Interm., Adv.
Location: Prado

Ian Hussey, PhD, Ghent University
Ian Stewart, PhD, National University of Ireland, Galway

Relational Frame Theory aspires to provide a general framework for the prediction-and-influence of language and complex human behaviour in both laboratory and applied contexts. This symposium presents data from three lines of research on core RFT ideas. The first paper provides a conceptual outlines of relational coherence as an organizing and presents novel empirical data on affective and behavioural responses to coherent and incoherent networks. The second paper describes the RFT account of implicit attitudes. Data from three pre registered studies are presented which manipulate level of derivation and observes changes in effects on Implicit Association Test (IAT), providing initial but strong support for the influence of opportunities to derive on the strength of relational responding. The third paper describes Rule Governed Behaviour and presents novel data on derived insensitivity to changes in contingencies. Future directions for each line of work and implications for the study of the relational behaviours that constitute language will be discussed.

• Relational Coherence and Ambiguity: Behavioural and Affective Responses within a Novel Training Paradigm
Sam Ashcroft, University of Chester
Lee Hulbert-Williams, PhD, University of Chester
Kevin Hochard, PhD, University of Chester
Nick Hulbert-Williams, PhD, University of Chester

Relational coherence being a generalized operant is a fundamental assumption of Relational Frame Theory (RFT). Relational coherence is said to have reinforcing properties (Hayes, Barnes-Holmes & Roche, 2001). In other words, it is a driving and organising force within language and symbolic learning processes. In light of this importance, relational coherence plays a key role in the ‘multidimensional multilevel framework’, which currently steers many aspects of RFT research. Despite this centrality, behavioural responses to coherence have seldom been tested within CBS (Bordieri et al., 2016). We assessed and compared behavioural and affective responses to relational coherence and ambiguity using a novel training paradigm with 85 participants. Contrasting with Match-to-Sample, this paradigm trains unidirectional relationships using trial and error learning. We present results that answer and ask numerous questions regarding relational coherence. For instance, the impact of ambiguity and coherence on affective responses and response latencies.

• Testing the RFT account of implicit attitudes: Manipulating level of derivation of relational responding
Ian Hussey, PhD, Ghent University
Sean Hughes, PhD, Ghent University
Jan De Houwer, PhD, Ghent University

In the last decade, RFT researchers have taken an interest in the use of implicit measures such as the IRAP and IAT, and have provided a conceptual account of such behaviours (Hughes et al., 2012). However, little empirical work has tested this account to date. This paper examines one factor proposed to influence relational responding: the level of derivation of relational responding. Concepts will be outlined and data from three studies presented. These manipulate the level of derivation of relational responses and observe the impact on speed of relational responding. Studies employed open science principles, including pre-registration of hypotheses and making all materials and data available, therefore adding to the weight of evidence and providing large datasets for others. Results have direct relevant to an RFT account of the effects observed on implicit measures.

• Rule-Based Insensitivity Propagation through Equivalence
James Greville, PhD, Aberystwyth University
Jean-Louis Monestès, PhD, University of Grenoble Alpes
Nic Hooper, PhD, University of the West of England

Research on rule-governed behavior (RGB) suggests that rules can result in insensitivity to changes in environmental contingencies. Here, we assessed whether insensitivity to contingencies may propagate to novel stimuli via derived relational responding. Firstly, participants completed a task where they could score points by following simple rules (reinforcement schedules) in the presence of specific stimuli. Following equivalence training, participants exhibited rule-following in the presence of stimuli with no direct prior association with that rule, demonstrating derived generalization of RGB. Participants who were explicitly given this rule took longer to adapt their behavior to the new schedule thus demonstrating derived insensitivity to contingencies. These findings contribute to our understanding of perseverative behavior and psychological flexibility.

35. Using Technology to Better Assess and Enhance Psychological Flexibility Among College and University Students
Symposium (15:15-16:45)
Components: Original data
Categories: Educational settings, Clinical Interventions and Interests, College/University
Target Audience: Beg., Interm., Adv.
Location: Nervión Arenal I

Frederick Dionne, Ph.D. and Simon Grégoire, Ph.D., Université du Québec à Trois-Rivières
Jacqueline Pistorello, University of Nevada, Reno

Many college and university students struggle with mental health problems that undermine both their quality of life and academic success. Recently, different mindfulness and acceptance-based interventions have been implemented throughout college and university campus to promote mental health among post-secondary students (Pistorello, 2013). Although encouraging, these interventions currently face two major challenges: 1) how can they be offered so they are easily accessible and cost-effective and 2) how can they be assessed with ecological validity? The symposium explores new ways of promoting and assessing psychological flexibility among students suffering from either stress, distress or procrastination using new technologies. Haeger and colleagues present the results from a Web-based online ACT therapy intervention (LifeToolbox) for distressed college students. Dionne and colleagues present a Web-based ACT program to reduce procrastination among university students. Grégoire and colleagues use a single-subject time-series design and the ecological momentary assessment method to examine day-to-day fluctuations in stress and psychological flexibility among students enrolled in a ACT intervention. These studies are discussed by Jacqueline Pistorello, Ph.D., and they will be space for questions from the audience.

• Initial findings from a randomized dismantling trial of the LifeToolbox website: A transdiagnostic online acceptance and commitment therapy intervention for distressed college students
Jack Haeger, M.S., Utah State University, Logan, Utah
Jennifer Krafft, B.A., Utah State University, Logan, Utah
Michael Levin, Ph.D., Utah State University, Logan, Utah

Mental health issues are common in U.S. college populations, impacting roughly 50% of students per year (Blanco et al., 2008). College counseling centers struggle to fully address this issue given funding and staffing limitations. Online self-help interventions offer a promising, cost-effective method for providing services to distressed college students, including those who may not otherwise seek help due to perceived stigma and logistical concerns. This study evaluated a web-based, transdiagnostic ACT intervention (LifeToolbox). By implementing a randomized dismantling trial, this study compared the efficacy of distressed students randomized to the following conditions: ACT-full (program including all ACT processes), ACT-mindful (limited to mindfulness components), ACT-Values (limited to values components), or waitlist. Key findings will be presented regarding the efficacy of comprehensive vs. targeted web-based interventions and their impact on specific processes of change, the effects of prompting methodology (email vs. phone coaching) on adherence and outcomes, and potential mediators and moderators of treatment outcomes.

• A Web-Based ACT Program to Reduce Procrastination Among University Students : The Results From a Pilot Study
Frederick Dionne, Ph.D., Université du Québec à Trois-Rivières
Guillaume Raymond, Ph.D. (c), Université du Québec à Trois-Rivières
Joel Gagnon, Ph.D (c), Université du Québec à Trois-Rivières
Simon Grégoire, Ph.D., Université du Québec à Montréal

Procrastination is typically defined as an irrational tendency to delay the beginning and/or end of an academic task. Almost 50% of students procrastinate consistently and problematically which leads to lower grade point average, longer task completion time, course withdrawals, stress and increased health risks. Effective interventions to help students overcome procrastination are still lacking. Studies on ACT and procrastination have shown empirical support from a theoretical and clinical standpoint. The purpose of this paper is twofold. Firstly, to present the content of an eight-week Web-based ACT program to reduce academic procrastination. Secondly, to summary preliminary results on its feasibility and efficacy. The sample is comprised of 35 university students (78% female) studying at Université du Québec à Trois-Rivières (UQTR) in Canada. Results showed that the program reduced self-reported procrastination with a small effect size. Overall, analyses showed that participants were satisfied with the program. Implications and future developments are discussed.

• Ecological Momentary Assessment of Stress and Psychological Flexibility Among College and University Students Taking Part in an ACT intervention
Simon Grégoire, Ph.D., Université du Québec à Montréal
Lise Lachance, Ph.D., Université du Québec à Montréal
Christophe Chénier, Université du Québec à Montréal

The aim of this intensive longitudinal study was to assess the sequence of daily changes taking place within College and University students who took part in an ACT intervention (http://www.korsa.uqam.ca/en/). Using a single-subject time-series design, we examined the within-person day-to-day fluctuations in stress and psychological flexibility and looked at the temporal associations between these variables over the course of the intervention. Students (N=30) were recruited in six Colleges and six Universities in Canada during fall 2016. They were asked to use a smartphone application five times per week during the intervention (five weeks) to report their momentary level of stress and psychological flexibility using a six items questionnaire. Results showed that about 43% of participants reported a decrease in their level of stress and an increase in their level of psychological flexibility throughout the intervention. About 30% of them reported that these variables neither increased nor decreased.

38. ACT Processes in the Workplace and in Organizational Settings
Symposium (15:15-16:45)
Components: Literature review, Original data,
Categories: Prevention and Community-Based Interventions, Organizational behavior management, Burnout, Forensic, Leadership, Sustainability, Work-related stress, Forensic, Intellectual Disabilities, Staff Burnout
Target Audience: Beg., Interm., Adv.
Location: Buhaira

This symposium focuses on the role of psychological flexibility and other ACT-relevant processes in employee wellbeing and employee performance in different work settings. The first and last papers explore the role of psychological flexibility in predicting employee well-being and its influence in burnout and job demands and satisfaction for employees working in highly demanding secure mental health settings. The second paper presents an RFT-based analysis of how to improve the effectiveness of leader communication in enhancing employee performance as related to individual employee values aligned with corporate social responsibility. The third paper in the symposium presents a data-driven intervention development study aimed at identifying the ACT components/processes that correlate better with work-related wellbeing in a population under high risk of work-related stress (oncology nurses), so as to tailor a specific ACT intervention targeted to this population. All in all, these four papers provide a broad overview of the application and great potential impact of ACT in the workplace and organizational settings.

• Working in a demanding environment: employee wellbeing in secure forensic settings
Nuno Ferreira, PhD, University of Edinburgh
Amelia Cooper, DClin, University of Edinburgh, The State Hospital

Introduction: Care professionals suffering with poor wellbeing is a phenomenon that has been found to have a damaging effect upon individual employees, service users and organisations. Employees working in forensic settings are believed to be at increased risk of poor wellbeing due to the unique demands of their working environment, including exposure to violence and aggression. Aims: To examine the ability of demands related to violence and aggression, and resources of two types (cognitive and contextual behavioural) to predict the wellbeing of employees in a high secure forensic mental health (FMH) hospital. Method: 142 employees at a high secure FMH hospital completed self-report questionnaires which examined their wellbeing (Burnout, psychological distress, turnover intention), perceptions of the prevalence of aggression, beliefs about safety, attitudes towards aggression, and psychological flexibility. Results: The results suggested that exposure to violence and aggression was not a good predictor of wellbeing. However, the beliefs staff held about safety and staff’s level of psychological flexibility were predictive of wellbeing (all outcomes excet turnover intention). Conclusions:Job demands related to staff’s cognitive appraisal of safety, and the contextual behavioural resource, psychological flexibility, were predictive of staff wellbeing. Further research using contextual behavioural interventions within forensic settings is recommended in order to develop the limited research on forensic professionals’ workplace wellbeing.

• Leader Communication and Employee Values: The Motivative Augmental in Leader Communication on Employee Performance of Environmentally Relevant Behaviors
Julia H. Fiebig, PhD, BCBA-D, Ball State University & ABA Global Initiatives

The importance of effective leadership practices in context of anthropogenic climate change is well established by policy negotiators and there has been an increasing trend of organizations creating leadership roles to address environmental issues (Karlsson et al., 2011). Organizational change efforts focused on corporate social responsibility (CSR) initiatives often generate significant costs for organizations without contributing to desired results, and messages from leaders to stakeholders in organizations do not frequently align with performance related to those messages (Peloza et al., 2012). There has been limited research that systematically addresses how leader communication influences employee performance related to CSR goals (Brammer, Millington, & Rayton, 2007). Relational frame theory, a behavior analytic account of language, allows for analysis of verbal stimuli as motivating operations in context of leader antecedent communication to employee behavior. This study examined the relationship between a leader�s verbal behavior and employee performance as related to individual employee values. In an analysis of employee reported values as related to human-caused climate change and effects of leader email communication on energy consumption based on those individual values, results provided compelling information about the potential utility of tailoring leader communication to employee values and provided findings that informed future research directions.

• The relationship between Acceptance and Commitment Therapy (ACT) processes and work-related wellbeing in UK nurses: an intervention development study.
William Kent, University of Chester
Dr Kevin Hochard, University of Chester
Professor Nick Hulbert-Williams, University of Chester

Oncology nurses are at especially high risk of work-related stress. This study aims to explore which components of the ACT intervention framework may be especially pertinent correlates of work-related wellbeing in this population to inform the development of an ACT-based intervention. Nurses from various specialties (including oncology) are being recruited from four NHS sites in England, UK. Data will be collected using an online self-report survey assessing ACT components, and stress, burnout, and compassion fatigue/satisfaction. Recruitment for this study launched in February and is expected to take 2-3 months (target sample size based on power calculation: n=103). Statistical analyses will provide empirical evidence for the applicability of ACT for this population in the context of managing stress, burnout and compassion fatigue. Using a data-driven approach to intervention development, this study will identify components especially important in an effective, population-targeted ACT intervention for oncology nurses.

• Burnout and Job Satisfaction in Secure Mental Health Settings; exploring the effects of Social Support, Psychological Mindedness and Psychological Flexibility
Nuno Ferreira, PhD, University of Edinburgh
Joanna Chabinska, University of Edinburgh, NHS Tayside

BACKGROUND: For staff working in Secure Mental Health Services, there is limited research on the indirect effects of internal processes (psychological flexibility, psychological mindedness) and external resources (social support) on the demands, burnout and satisfaction with work. OBJECTIVE: This study aimed to explore any direct relationships of subjectively perceived understanding, predictability, control (job demands) with burnout and job satisfaction, and in-direct effects of social support, psychological mindedness and psychological inflexibility on these relationships. METHODS: A cross-sectional design with quantitative measures was used Data gathered from 141 nursing staff working in secure mental health services (forensic - 58.65%; intellectual disability - 41.35%) was analysed using t-tests, bi-variate correlations, hierarchical regressions and a series of mediation, moderation and moderated-mediation analyses. RESULTS: Perceived understanding, predictability and control were relevant to job satisfaction but not all the burnout dimensions. Psychological inflexibility was a mediator and social support- an independent predictor in these relationships. Psychological mindedness was shown to be a relevant variables to the dimension of personal accomplishment. CONCLUSION: Job demands are likely to follow individualised pathways through which they contribute to job satisfaction and burnout. Social support and psychological flexibility are of significant value and must not be understated.

39. Perspective Taking and the Self: Measurement and Application
Symposium (15:15-16:45)
Components: Original data
Categories: Clinical Interventions and Interests, Relational Frame Theory, Perspective Taking and the Self
Target Audience: Beg.
Location: San Bernardo

Lin Yu, Kings College London
Priscilla Almada, University of Wollongong

The current symposium comprises three papers the unifying concern of which is selfing and perspective taking from a Contextual Behavioural Science (CBS) point of view. Paper 1 looks at the development of a measure of selfing that differentiates two distinct patterns of selfing behavior (i.e., self as distinction and self as observer). The second paper reports on a qualitative analysis of self-discriminations in adolescent responses to questions about their own and others perspectives. The final paper in the symposium looks at whether Antipsychotics impact on perspective taking (i.e., deictic relational responding) in patients with schizophrenia. Taken together the symposium offers new insights into a CBS account of selfing and perspective taking.

• The Self Experiences Questionnaire (SEQ): Preliminary analyses for a measure of self in people with chronic pain
Lin Yu, King’s College London
Sam Norton, King’s College London
Lance McCracken, King's College London

The purpose of the study was to develop a measure based on the three-facet conceptualization of self rooted in the Psychological Flexibility model. Participants included 528 adults referrals who completed twenty-nine items intended as the basis for a measure called the Self Experiences Questionnaire (SEQ). Factor analyses were conducted to reduce the item pool and explore underlying dimensions. Following item and scale analyses fifteen items were selected forming a preliminary two-dimensional scale (Self as distinction, Self as observer), overall α=.90. Adequate construct validity for the total score was supported through correlations with pain acceptance, r=.34, decentering, r=.66, and committed action, r=.36, all p<.001, as well as correlations with measures of patient functioning, after controlling for pain and process from the PF model, including: depression, β=−.15, p<.01, work and social adjustment, β=−.10, p<.05, and pain interference, β=−.11, p<.05. A preliminary measure of contextual self with adequate reliability and validity emerged here.

• Measuring occurrences of Self and Other in relation to mental health in adolescent speech
Orla Moran, University College Dublin
Priscilla Almada, University of Wollongong
Louise McHugh, University College Dublin

The importance of a healthy sense of self for adolescent mental health is well documented. According to CBS, there are three distinct self-discriminations, as well as three corresponding senses of other. Recent evidence suggests that these discriminations in naturally occurring speech are predictive of lower distress, as well as increased well-being, and psychological flexibility. This present study investigates these self discriminations in an adolescent sample, using a mixed methods design with opened-ended questions and quantitative measures of mental health, well-being, and experiential avoidance (N= 97; M= 15.66; SD = .518; 28 male). Participants were asked to respond to eight opened-ended questions regarding experiences involving a number of specified emotions. Participant responses were coded for occurrences of the three senses of self, and other as conceptualized by CBS using the coding frame developed by Atkins and Styles (2015). Study findings are discussed in relation to the benefits of using a behavioral measure of self-relating in adolescents.

• Do Antipsychotics Have Any Effect on Perspective Taking in Schizophrenia?
Ahmet Nalbant, Bakirkoy Research and Training Hospital for Mental Health and Neurological Diseases, Istanbul

Schizophrenia is a complex disorder with multidimensional symptom clusters that include positive, negative, affective, cognitive and sensory-motor symptoms. Beyond these symptom clusters, there are widely reported areas of disrupted functioning and among them; low social functioning is one of the most disabling. Other than well-defined symptom clusters, it seems social functioning in schizophrenia is partly due to low perspective taking performance between self and others. This study examines whether different antipsychotics have any effect on perspective taking (i.e., deictic relational framing) in people with schizophrenia and to investigate its processes along with psychotic symptoms from acute state to remission. Understanding the processes of the change between deictic framing and the symptomatology of schizophrenia might lead us developing better interventional models to improve social functioning in schizophrenia.

40. Análisis de los procesos terapéuticos y aplicaciones de la Terapia de Aceptación y Compromiso
Symposium (15:15-16:45)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Performance-enhancing interventions, Supervision, Training and Dissemination, Grief, Postvention, Suicide, ACT, Autoestigma Trastorno Mental Grave, Depression, Relación Terapéutica
Target Audience: Beg., Interm., Adv.
Location: Lebrija

El análisis de los procesos terapéuticos es un área de investigación de fundamental importancia para el avance de las terapias contextuales como la Terapia de Aceptación y Compromiso (ACT) y la Psicoterapia Analítico Funcional (FAP). El avance en este análisis puede permitir, entre otras cosas, avanzar en el diseño de aplicaciones novedosas de estas terapias. En este symposium se presentan cuatro trabajos que abordan ambas perspectivas. El primer trabajo está dedicado al análisis de los procesos comunes en las terapias contextuales y su efecto en el éxito de la intervención. El segundo estudio analizar los procesos verbales que acaecen en FAP. La tercera presentación explora la aplicación de ACT para los casos de duelo complicado debido a suicido. Finalmente, compara la aplicación de ACT versus terapia cognitivo conductual en la disminución del autoestigma de pacientes con trastorno mental grave.

• terapia de aceptación y compromiso para duelo complicado por suicidio
Jose I. Cruz Gaitán, Universidad de Guadalajara
Ivonne Corona Chavez, Universidad de Guadalajara

Este paper tiene el objetivo de servir como guía para los clínicos que desean trabajar con clientes que presenten problemas en el manejo del duelo por suicidio, siendo útil tanto de forma preventiva para disminuir el riesgo de presencia de un duelo complicado, así como para la intervención si ya está presente el duelo complicado en el cliente. La primera parte incluye su fundamentación teórica, explicando las características teóricas, etiológicas y sintomáticas del duelo, la segunda parte incluye la descripción, sesión por sesión, de las actividades que se realizarán en cada una de ellas para finalmente mostrar los hallazgos encontrados en la clínica de duelo por suicidio de la Universidad de Guadalajara en México.

• “Comparación del efecto de ACT versus terapia cognitivo-conductual en el afrontamiento del autoestigma en personas con Trastorno Mental Grave”
José Luís Arroyo Cifuentes, Línea de Rehabilitación Psicosocial Hospitalarias. Instituto ACT
Marisa Páez Blarrina, Instituto ACT

Cada vez existe más evidencia sobre el efecto negativo que el estigma social tiene sobre el funcionamiento psicosocial y calidad de vida de personas diagnosticadas de Trastorno Mental Grave (TMG). Por ello es preciso desarrollar estrategias de intervención eficaces. El presente estudio es un ensayo controlado aleatorio multicéntrico que tiene como objetivo obtener evidencia sobre la comparación entre los efectos de una intervención cognitivo-conductual y otra intervención ACT para abordar problemas relacionados con el autoestigma en una muestra de personas atendidas en dispositivos comunitarios. Se describirá la metodología empleada y el protocolo de intervención utilizado. Se analizarán resultados comparando el efecto que tienen las dos intervenciones en variables clínicas, autoestigma, funcionamiento e integración social, calidad de vida y adherencia al tratamiento. Finalmente se discutirán estos resultados, así como la importancia que estas intervenciones pueden tener a la hora de promover la calidad de vida y recuperación de personas con TMG.

• Análisis del proceso terapéutico en las Terapias Contextuales
Francisca López Ríos, Universidad de Almería
José Manuel García Montes, Universidad de Almería

Desde las terapias contextuales, en especial, ACT y FAP, se proponen procesos psicológica implicados en el desarrollo y mantenimiento de patrones de comportamiento problemáticos. Dichos procesos se han descrito en el hexaflex. En el presente estudio se registra sistemáticamente el comportamiento de terapeutas en 10 casos atendidos en la Unidad de Atención Psicológica de la Universidad de Almería. Las variables registradas se incluyen en una escala de 10 elementos terapéuticos tales como: validación de la experiencia, reconocimiento de la singularidad del paciente, escucha activa, técnica específica aplicada,... Al tiempo se registra el comportameinto del paciente: indicadores de fusión cognitiva, apatía o comportamiento no orientado, indicadores de apertura y disposición, indicadores de comporamiento comprometido. Los resultados permiten mostrar si elementos genéricos del comportamiento terapéutico debilitan la defusión cognitiva y potencian el comportamiento orientado a valores.

• Análisis de los procesos verbales en la relación terapéutica. Presentación de metodología y de caso tratado con terapias contextuales.
José Manuel Sánchez Olid, Universidad de Málaga
Luis Valero Aguayo, Universidad de Málaga

La evidencia muestra que la psicoterapia es eficaz, y que varios modelos que usan metodología diferente son igual de eficaces (Wampold, 1997).Estos factores comunes que parecen mostrarse en todas las terapias, independientemente del modelo y de la técnica empleada, son: apoyo, aprendizaje y acción según Grencavage (1990) y apoyo, persuasión y efecto placebo según Natan (2000). Aquí arrojaron luz Kohlenberg y Tsai (1991) con la presentación de la Psicoterapia Analítico Funcional y el concepto de Conducta Clínicamente Relevante (CCR): todo aquel comportamiento que ocurre en sesión y está relacionado con el problema que trae al paciente en consulta; establecen tres tipos: CCR1 representa el comportamiento del paciente en sesión que resulta problemático y por tanto se supone que debe desaparecer si la terapia avanza, CCR2 representa el comportamiento del paciente en sesión que resulta deseable y esperamos que aumente conforme avanza la sesión, y por último CCR3 que representa toda aquella interpretación que el paciente hace sobre su comportamiento y le resulta útil y funcional como regla a seguir para su propio avance. Los autores de PAF muestran que, en una buena relación terapéutica, el profesional es capaz de observar las CCR y comportarse en sesión de manera contingente a los resultados que se quieren conseguir. Estos antecedentes nos llevan al estudio de la relación entre Conducta Clínicamente Relevante, reglas verbales y contingencias realizadas por el terapeuta, y funcionalidad del comportamiento de ambos participantes en la terapia. Se relaciona con el resultado mismo de la terapia (éxito terapéutico en el caso de que así sea). Las conclusiones muestran el proceso de moldeamiento verbal y su relación con el éxito terapeutico. Se presenta la aplicación de la metodología de estudio en un caso clínico llevado a cabo.

41. Understanding Processes of Change Responsible for Successful Outcomes in Brief ACT Interventions
Symposium (15:15-16:45)
Components: Original data
Categories: Clinical Interventions and Interests, Supervision, Training and Dissemination, Mediational Analyses
Target Audience: Interm.
Location: Utera

Raimo Lappalainen, Ph.D., University of Jyväskylä, Finland
Arto Hiltunen, Ph.D., University of Karlstad, Sweden

Psychological flexibility has shown to be associated with psychological wellbeing. Also, the change in psychological flexibility during the intervention is connected to changes in psychological wellbeing. From the clinical point of view it would be important to know more closely the specific skills associated with psychological flexibility that lead to successful outcomes in psychological interventions. One way to increase our knowledge of the key processes of change is meditational analysis. The aim of the symposium is give a short introduction to the main idea in a meditational analysis, and present data from three interventions based on an ACT model that have applied meditational analyses. The first study will describe the role of psychological flexibility in weight management. The second study will show data from a web-based ACT intervention for sleeping difficulties and the third study will present observations from a web-based intervention for increasing wellbeing of university students.

• From aims to actions – The role of psychological flexibility in eating regulation
Essi Sairanen, Ph.D., University of Karlstad, Sweden

Acceptance and Commitment Therapy offers new solutions for the long-term weight management. This paper investigates the psychological mechanisms through which ACT is supposed to lead to adaptive eating regulation, that is, eating regulation based on personal values and weight-related psychological flexibility. Participants (N = 148) were adults with overweight who participated in an ACT-intervention (group or mobile). ACT aims to strengthen the connection between values and behavior, and identifies psychological inflexibility as a key barrier to engaging in values-consistent behaviour. Thus, it was hypothesized that psychological flexibility is a process that mediates the effect of value-based reasons (also called autonomous motivation vs. controlled motivation or tracking vs. pliance) on eating regulation and weight management. The present results indicated that improving participants’ autonomous motivation (tracking) and weight-related psychological flexibility can support weight management and encourage eating for physical reasons guided by hunger and satiety cues, and decrease using food as a reward or to emotionally comfort oneself. Weight-related psychological flexibility mediated the relationship between changes in autonomous motivation and eating behaviors as well as weight.

• Suppression of thoughts as a mediator of change in sleeping difficulties: Results from a non-guided online ACT-based program for adults
Raimo Lappalainen, Ph.D., University of Jyväskylä, Finland
Päivi Lappalainen, Ph.D., University of Jyväskylä, Finland

The purpose of this study was to examine the impact of web-based Acceptance and Commitment Therapy (ACT) program for sleeping difficulties among middle aged participants (n = 82). Participants filling the inclusions criteria (defined by Insomnia Severity Index, ISI), were randomized either to an iACT –group (n=42) or to a waiting list –control group (n=40). The iACT group received an ACT-based web-intervention that they were instructed to use over a period of 6-weeks. During this period they were sent reminders to use the program, but no personal support was offered. According to the Basic Nordic Sleep Questionnaire (BNSQ), the iACT had a significant impact on the frequency of sleeping difficulties and to the quality of sleep. However, the between group difference to the no-treatment control group was small (d=0.32). The iACT had also a significant impact on suppression of unpleasant thoughts as measured by White Bear Suppression Inventory (WBSI). The meditational analysis indicated that the changes in suppression of unpleasant thoughts (WBSI) mediated the chances in sleeping difficulties (BNSQ) during the intervention. This study suggests that suppression of unpleasant thoughts might be one of the variables that could be observed more closely when treating sleeping difficulties and insomnia, at least in ACT interventions applying web-based programs.

• Mindfulness skills as mediators of change in wellbeing and psychological symptoms? Results from a guided, online ACT-based program for university students.
Panajiota Räsänen, MSc., University of Jyväskylä, Finland
Raimo Lappalainen, Ph.D., University of Jyväskylä, Finland

A web-based, coach-guided ACT intervention, aiming at enhancing the wellbeing of university students while also focusing on transdiagnostic processes that might both prevent and alleviate a wide range of mental health issues has been previously found to be an effective alternative in reaching the needs of the university population (Räsänen et. al, 2016). The present study explored the possible mediators of change accounting for outcomes in that previously reported randomized trial. Our primary goal was to examine whether changes in mindfulness skills would mediate changes in psychological wellbeing, perceived stress and symptoms of depression in the participants (N = 68; 85% female; 19-32 years old). Results showed that non-reactivity was the primary mediator that partly explained changes in all outcome measures. This study is a first step toward understanding the potential mechanisms of change taking place in online, guided ACT-based programs. The implications and limitations of the findings are discussed.

42. Using Different Methods to Study Clinical Applications I
Symposium (15:15-16:45)
Components: Literature review, Original data
Categories: Relational Frame Theory, Clinical Interventions and Interests, Educational settings, Causal Efficacy, Inattention, Impulsivity,Children and Adolescent, IRAP, Psychological Inflexibility
Target Audience: Beg., Interm., Adv.
Location: Estepa

Benjamin M. Ramos, M.Sc., University of Edinburgh

This tightly-packed 4-paper symposium is the first of two to explore and discuss different methodologies for studying clinical applications of RFT, covering ADHD, psychological flexibility in children and adolescents, psychological inflexibility in police conflict, and Alzheimer’s Disease. Paper 1 conceptualizes the positive illusory bias in terms of derived causal efficacy and explores this behavior in the context of a series of Go/NoGo tasks. The results highlight the experimental and applied benefits of operationalizing this established effect in this functional-analytic way, and may speak directly to our understanding of impulsive behavior. Paper 2 uses the IRAP to explore psychological flexibility in children and adolescents, and its potential as an assessment tool. The results highlight the potential value of the procedure in this regard, as well as detecting inflexibility in adolescence that does not appear present in middle childhood. Paper 3 also examines psychological flexibility using the IRAP, but does so in the context of police conflict. Not only does the IRAP capture strong relations between inflexible reactions and feelings, but also produces interesting differential trial-type effects. There were also correlations among these effects and other standardized measures of flexibility. Paper 4 returns to trusted and traditional methods for exploring the impact of exemplar training of coordination, distinction, and comparison relations on participants diagnosed with Alzheimer’s Disease. The aim of this extended study, that includes a follow-up, is to determine the potential benefits on cognitive and executive functioning. The results point to the possibility of decelerating cognitive decline with relational training, with effects retained at follow-up.

• Feels Good to Be Among the Worst: A RFT Account of the Positive Illusory Bias
Benjamin M. Ramos, M.Sc., University of Edinburgh
Emily K. Sandoz, Ph.D., University of Louisiana at Lafayette
Caleb S. Fogle, University of Louisiana at Lafayette

Despite a history of academic and social failures, many individuals with ADHD maintain a self-protective bias in which they maintain high self-evaluations of causal efficacy termed the positive illusory bias (PIB; Owens et al., 2007). While in the normal population positive self-evaluations are not only the norm but also adaptive, the benefits are only maintained if the difference between the self-evaluation of performance and actual performance are slight. This may contribute to greater levels of inattention, impulsivity, and resulting dysfunction, as self-evaluation is rule-governed rather than a result of self-awareness. This study aimed to model the positive illusory bias using the principles of derived relational responding. Participants completed a series of Go/NoGo tasks with contextual cues that had derived causal efficacy functions through their relations with discriminative stimuli for high or low rates of responding. Simultaneously participants rated their experience of causal efficacy with each contextual cue before, during, and after each of the Go/NoGo tasks. The impact of derived causal efficacy was then examined in terms of errors of omission (inattention) and errors of commission (impulsivity) and compared to self-reported ratings of causal efficacy. We will then discuss this study as a potential Relational Frame Theory model of the PIB.

• The IRAP as an implicit measure of Psychological Flexibility in children and adolescents.
Gloria Torres-Fernández, M.Sc., University of Jaén, Spain
Mónica Hernández-López, Ph.D., University of Jaén, Spain
Miguel Rodríguez-Valverde, Ph.D., University of Jaén, Spain

Recent research has explored the use of the IRAP for the assessment of aspects related to Psychological Flexibility (PF) (Drake et al., 2016; Hooper et al., 2010; Kishita, et al., 2014). However, to date no published study has attempted to use the IRAP to explore PF in children or adolescents. The purpose of this study is to explore the applicability of the IRAP as a complementary tool for the assessment of PF during late childhood and adolescence. Our study is a cross-sectional study comparing one group of 5th grade primary school students (10-11 years old), one group of 1st grade secondary school students (12-13 years old) and one group of 3rd grade secondary school students (14-15 years old) amounting a total of 139 participants. Preliminary findings appear to show a small implicit inflexibility bias in secondary school participants, but not in primary school ones. These findings point to the IRAP as a potentially useful tool to investigate the development of psychological flexibility.

• The IRAP to measure Psychological Inflexibility in Police Conflicting Situations
Evangelina Ruiz García,
Carmen Luciano, University of Almería
Adrián Barbero-Rubio, Ph.D., University of Almeria, Madrid Institute of Contextual Psychology

The current study aimed to assess psychological inflexibility (PI) in police conflicting situations using the Implicit Relational Assessment Procedure (IRAP). Local policemen (N = 16) from a City Council in Spain completed several questionnaires (AAQ-II, CFQ and VQ) and a self-report measure of PI adjusted to police contexts. Then, participants were asked to complete an IRAP designed to measure PI feelings-reactions in conflict situations. Results showed that the IRAP captured strong relations between inflexible reactions to feelings in the whole sample: time-reactions were different when responding: (a) affirmatively to relations between inflexible reactions to feelings and negatively to relations between flexible reactions to feelings (consistent block) than when responding (b) affirmatively to relations between flexible reactions to feelings and negatively to relations between inflexible reactions to feelings (inconsistent block). Correlations among IRAP effect and other Psychological (In)Flexibility measures are discussed. These findings show that the IRAP can be a preliminary tool to measure PI.

• RFT based intervention for cognitive decline in Alzheimer’s patients: 3 month follow-up results of a clinical trial
Giovambattista Presti, Department of Human and Social Sciences, Kore University Enna Italy
Salvatore Torregrossa, Alzheimer and Dementia Unit – Neurodegenerative Disorders O.U.,A.S.P. 2 Caltanissetta Italy
Edoardo Cumbo, Alzheimer and Dementia Unit – Neurodegenerative Disorders O.U.,A.S.P. 2 Caltanissetta Italy
Bryan Roche, Maynooth University

Twenty-seven patients (15 (55,5%) female and 12 (44,5%) male) with a diagnosis of mild-to-moderate Alzheimer’s disease (AD) were enrolled in a prospective, randomized, 3 month, parallel-group trial to evaluate the efficacy of a computer assisted multiple-exemplar relational training (RFT), as add-on non-pharmacological therapy to cholinesterase inhibitors (ChEIs). Participants were exposed to SMART (Strengthening Mental Abilities with Relational Training) a multiple exemplar training in the relational frames of SAME, OPPOSITE, MORE THAN, and LESS THAN. Cognitive and executive functions were assessed at baseline, and at the end of training (3 months) and after 3 month follow-up (FU) using respectively MODA (Milan Overall Dementia Assessment), Coloured Progressive (CPM) and attentive matrices. Patients treated with RFT as add-on intervention (n=14) scored significantly better (p>0.05 vs baseline; p>0.05 vs ChEIs) on MODA, CPM and attentive matrices. Results were maintained at FU. Overall these data seem to suggest that an RFT-based training may slow down cognitive decline and improve general cognitive functioning in AD subjects treated with ChEI

Friday, 23 June

57. Experimental Analysis of Brief Defusion and Self-as-Context Interventions
Symposium (11:00-12:30)
Components: Original data
Categories: Clinical Interventions and Interests, Performance-enhancing interventions, Relational Frame Theory, Mindfulness, Perspective Taking, Defusion, Self-as-context
Target Audience: Beg., Interm.
Location: Buhaira

Martin O'Connor, MSc., Ph.D Candidate, University College Dublin
Nic Hooper, Ph.D, University of West England

The unifying concern of this symposium is the effectiveness of defusion, self-based and perspective taking interventions in coping with internal experiences. Particularly looking at their effect on the renewal of fear, negative and angry thoughts, as well as comparing their efficacy to common alternative interventions; exposure, focused breathing and restructuring exercises. The first study explores how self-based mindfulness techniques can specifically enhance therapeutic outcomes, by comparing a ‘self-as-context’ intervention to a focused breathing intervention. Findings highlight the efficacy of self-based mindfulness interventions as a superior strategy for managing negative self-referential thought over interventions that utilise present moment awareness alone. The second study compared the effectiveness of brief cognitive defusion and perspective taking interventions with a CBT based cognitive restructuring task for coping with angry thoughts and elevated state anger. Findings indicate that both cognitive restructuring and defusion are effective brief anger reduction techniques. The third study explores the use of perspective taking techniques to alter the contextual renewal of fear. It is proposed that self-as-context interventions may provide an experiential extinction context which is less subject to variability and can extend the generalisation of learning beyond the effects of just exposure.

• Comparing Self-as-Context and Focused Breathing Techniques for Coping with Negative Self-Referential Thoughts
Varsha Eswara Murthy, MPsychSc., Ph.D Candidate, University College Dublin
Louise McHugh, Ph.D, University College Dublin

The current study aimed to compare whether the effects of a self-as-context intervention differed from those of a focused breathing intervention for coping with a negative self-referential thought. Participants were asked to identify a personally relevant negative thought and given either a self-as-context, focused breathing or no-instruction control strategy to manage the negative thought over a five-day period. The self-as-context intervention involved the completion of the ‘observer you’ exercise daily, as well as utilising hierarchical metaphors as a coping strategy. The focused breathing group completed a focused breathing exercise daily and were given brief focused breathing exercises as a coping strategy. Findings indicate that the self-as-context intervention lowered believability, increased comfort, increased willingness and decreased negativity associated with the target thought significantly more than the focused breathing or control strategy. The focused breathing strategy also made significant gains in the same direction, however the control group did not. Frequency of target thought occurrence was reduced for both the self-as-context and focused breathing intervention and increased for the control group. Findings provide evidence for the efficacy of self-as-context interventions for managing negative self-referential thoughts.

• A Comparison of Brief Cognitive Intervention Methods for Anger Reduction
Tracey McDonagh, MPsychSc., Ph.D Candidate, University of Southern Denmark
Louise McHugh, University College Dublin

This exploratory study aimed to assess the potential effectiveness of three brief cognitive techniques when managing angry thoughts (i.e., defusion, restructuring and perspective taking). While cognitive restructuring is a common technique used in anger treatment, recent research has shown promising results in the effectiveness of using cognitive defusion with negative thoughts (Larsson et al., 2015). We hypothesised that this may generalise to negative thoughts generated by affective processes. Preliminary findings (N=55) suggest trait anger, state anger, ‘anger expression in’ and ‘anger expression out’, were predicted by effortful control. Self-compassion approached significance as a predictor of state anger. Interestingly, psychological flexibility was highly predictive of ‘anger expression in’. The findings also suggest that cognitive defusion and cognitive restructuring appeared to be effective brief anger reduction techniques. Perspective taking approached significance but appeared to be less effective; this may require further investigation.

• 'Self-as-context' perspective-taking and the contextual renewal of fear
Donal Campbell, University College Dublin
Marc Bennett, Ph.D, Trinity College Dublin
Louise McHugh, University College Dublin

Exposure therapy is considered an effective means of treating anxiety disorders and phobias, but its successful application is sometimes compromised by a mechanism of patient relapse called contextual renewal (CR). Research has indicated that the efficacy of exposure therapy is predicated upon the extinction of fear associated with a conditioned stimulus (CS). It is understood that extinction does not replace the fear association but rather represents new learning, and that the context in which the CS is subsequently encountered can determine which association is recalled. Thus a patient who encounters the problematic CS outside of the extinction context may experience a renewal of fear. While various methods of mitigating this effect have been investigated, findings are frequently inconsistent or clinically impractical. It is for this reason that the present research proposes a novel approach to preventing CR using the concept of the ‘self as context’. This perspective-taking manipulation may provide an experiential extinction context which is less subject to variability and can extend the generalisation of learning.

58. WorkACTive: ACTing on Sickness Absence and Return to Work
Symposium (11:00-12:30)
Components: Original data
Categories: Clinical Interventions and Interests, Performance-enhancing interventions, Behavioral medicine, Sick-leave, Return to work, Musculoskeletal disorders, Common Mental Disorder
Target Audience: Beg., Interm., Adv.
Location: San Bernardo

Jenny Thorsell Cederberg, Uppsala University

In 2004 JoAnn Dahl published a pilot study indicating that a brief ACT intervention reduced sick-leave and utilization of medical treatment resources in a Swedish sample. This study sparked several randomised clinical trials in both Norway and Sweden utilizing ACT in different return to work interventions for individuals on sick leave due to musculoskeletal- and common mental disorders. In the Nordic countries, there are unique opportunities to measure sickness absence and return to work due to the national registries and the public insurance systems where all legal residents are registered. This symposium presents results from three separate randomised clinical trials reporting on return to work and effects on sick-leave using registry data in Norway and Sweden as outcome measures. Welcome!

• Effects of multicomponent occupational rehabilitation on sickness absence and health outcomes: results of a randomized clinical trial.
Lene Aasdahl, Norwegian University of Science and Technology, Trondheim, Norway
Marius Fimland, Norwegian University of Science and Technology and Trondheim University Hospital, Norway

Aim: To evaluate effects of a multicomponent inpatient occupational rehabilitation program compared to a less comprehensive outpatient program for individuals on sick leave with musculoskeletal complaints or mental health disorders. Methods: In this randomized clinical trial a 4+4 days inpatient program offering Acceptance and Commitment Therapy (ACT), physical training and work related problem solving, was compared to an outpatient program offering six weekly group based ACT sessions. Results: 168 individuals were randomized to the inpatient program (n=92) or the outpatient program (n=76). The programs did not statistically differ in median number sickness absence days at 6 and 12 months follow-up or time to sustainable RTW (HR 0.74, 95% CI 0.48-1.32, p=0.165). Except slightly less pain reduction after the inpatient program, the health outcomes neither differed statistically significant. Conclusions: A 4+4 days multicomponent inpatient rehabilitation program was not superior to a less comprehensive outpatient program in improving RTW or health outcomes.

• Inpatient occupational rehabilitation based on Acceptance and Commitment Therapy (ACT) vs standalone outpatient ACT for patients sick listed with musculoskeletal or common mental disorders: A randomized clinical trial reporting on return to work, self-rep
Sigmund Ø. Gismervik, Norwegian University of Science and Technology, Trondheim, Norway
Marius Fimland, Norwegian University of Science and Technology and Trondheim University Hospital, Norway

Aim: To compare work and health related outcomes of two different ACT based interventions for patients on sick leave. Methods: Patients were randomised between a 3½ week inpatient rehabilitation program consisting of ACT sessions, physical exercise and work-related problem solving (n=86) or outpatient ACT with weekly 2½ hour group sessions over 6 weeks plus three individual sessions (n=80). Results: The hazard ratio for return to work was 1.9 (95% CI 1.2- 3.0) in favour of inpatient rehabilitation, and the median number of sickness days at 12 months was 85 (IQR 33-149) and 117 (IQR 59-189), respectively (p=0.034). Except for average pain (a minor reduction in favour of standalone ACT) there were no differences in self-reported anxiety, depression or health related quality of life. Conclusion: Inpatient rehabilitation was superior to standalone ACT in returning to work and reducing sick leave. Health outcomes were similar. Cost effectiveness needs to be assessed.

• Efficacy and cost-effectiveness of Acceptance and Commitment Therapy and Workplace Dialogue Intervention for workers on sickness absence.
Anna Finnes, Karolinska Institutet, Stockholm, Sweden
JoAnne Dahl, Uppsala University, Sweden

Aim: The aim of this trial was to determine the efficacy and cost-utility of Acceptance and Commitment Therapy (ACT) and the Workplace Dialogue Intervention (WDI), as stand-alone interventions and combined. Methods: We designed a randomized controlled trial with four treatment groups: ACT, WDI, ACT+WDI, and Treatment as Usual. Participants were in working age (n=352, 78.4% females) and on sickness absence from work due to depression, anxiety or stress. A cost-utility analysis was conducted alongside the RCT. Results: There were no differences between groups over time for sickness absence. For health outcomes, ACT and ACT+WDI were superior in comparison to TAU at post-measurement but not during the follow-up period. ACT was a cost-effective treatment alternative from a health-care perspective. Conclusions: Neither ACT, WDI or ACT+WDI were superior to TAU on improving RTW or for health outcomes during follow-up. ACT may be a cost-effective treatment alternative for common mental disorders.

59. Compassion at the Core: Providing Care for Sexual Minorities, Muslim Immigrants, and Families of Children with Autism
Symposium (11:00-12:30)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation, Case presentation
Categories: Prevention and Community-Based Interventions, Clinical Interventions and Interests, LGBT, GSM, Muslim Immigrants, Autism, Compassion, Mindfulness
Target Audience: Beg., Interm.
Location: Lebrija

Kayla Sargent, M.A., Children's Healthcare of Atlanta
Kayla Sargent, M.A., Children's Healthcare of Atlanta

Whereas the embracement of diversity is a shared value among many of us, relatively little attention is directed to how the intersections of multiple sociocultural identities (e.g., gender, race, sexual orientation, etc.) and their social consequences unfold within the self as well as in relationships with others. The purpose of the present symposia is to shed light on the intersections of human identities and to promote humanization in broad contexts, from neurocognitive illnesses in medical settings to adjustment and acculturation in community settings. The symposia is both didactic and empirical; it starts with a brief introduction on intersectionality, including how it unfolds in our daily lives and for unique populations of interest: sexual and gender minority clients, Muslim immigrants, and families of children with Autism Spectrum Disorder. Experiences of these patients will be discussed from a perspective of various meaningful identities. The presenters aim to enhance perspective taking, increase awareness, and harvest inclusiveness by illuminating the ways in which all people hold various and multiple identities, how to cope with and integrate those identities in our lives and communities in accordance with our values, highlighting the impact that these experiences and cultural blueprints have in our lives. Subsequently, we present a CBS approach to working with three communities, using theory and applied science that can be broadly applied to working with broad groups of people.

• A compassion-based approach to working with sexual minority clients and their intersecting identities
Kayla N. Sargent, M.A., Children's Healthcare of Atlanta

The present talk will focus on providing compassion-based approaches to case conceptualization within a CBS framework. Whereas the field of behavioral health care has begun to pay greater attention to the impact of a minority status on health, behavioral health professionals may not adequately approach subgroups of minorities and their health, particularly multiple-minority individuals, such as ethnic minorities within the LGBT community. Multiple-minority status is found to be linked to greater emotional distress and hardship (Berdahl & Moore, 2006; Pak, Dion, & Dion, 1991), but professionals tend to focus exclusively on a single aspect of a person’s identity, such as gender, and its impact on the person’s health, while overlooking intersecting identities. One way to contribute to this field is to offer a potential working model that allows professionals to understand and promote the behavioral health of multiple-minority individuals. We think an acceptance- and compassion-based approach serves as such a model.

• Compassionate Alliance: Working with Muslim Immigrants through a Compassionate lens
Khashayar Farhadi Langroudi, Psy.D., Kaiser Permanente

Human beings have migrated since their early appearance in Africa. The origin of work migration is rooted in the Latin word migrātus (past participle of migrāre), which means to move from place to place, change position or abode. In today's world, more than 175 million people live outside of their country of birth (Stilwell, et al., 2003). Due to the recent world events, many Muslim immigrants have found their new home in the Western world such as Europe and the U.S. The purpose of this presentation is to employ the CBS approach to shed a pragmatic light on common challenges that the migrant might face. The presenters will provide some recommendations on how to navigate Muslim clients’ migration-related challenges in psychotherapy and foster a place for resilience and growth.

• Mindfulness and Compassion Training for Parents and Therapists of Children with Autism
Samuel Fernandez-Carriba, Ph.D., Emory University

CBCT is a mindfulness and compassion meditation protocol developed at Emory University. Recent research on the impact of six to eight weeks of CBCT practice on undergraduate students without prior experience in meditation shows reduced immune inflammatory and emotional distress responses to psychosocial stressors as well as enhancement of empathic accuracy when assigning emotions to other people’s faces with changes in the neurobiology supporting it. In addition, CBCT has shown benefits with typical children, at-risk adolescents in foster care, breast cancer survivors, medical students, veterans and prison inmates. We offer evidence from several pilot studies conducted with families and therapists of children with Autism Spectrum Disorder (ASD) at the Marcus Autism Center. Like traditional mindfulness programs, CBCT fosters self-regulation by bringing attention to the present moment experience. The compassion aspect of CBCT helps promotes “others-regulation” by helping practitioners develop affection for, positive connection with, and acceptance and understanding of others. Promising results from a series of quasi-experimental studies (without a control group) with parents of children with ASD suggest CBCT has the potential to help families accept their experience and become more aware of and utilize better the available social support. Preliminary findings on 9 caregivers included a significant decrease in perceived severity of the child’s symptoms (ABC) and in parent stress (PSI) as well as significant increase in acceptance (AAQ) and parenting sense of competence (PSOC). Mixed models were utilized to evaluate pre-post changes in scores at the 0.05 significance level. In addition, as CBCT promotes awareness of self and others and skills to relate to others, it has the potential to become an effective training on cultural/relational competence for providers. Data obtained from 22 therapists in another experimental study (with a control group) showed a significant decrease in stress (PSS) and increase in acceptance (AAQ) and cultural competence (CCC) for those who attended the CBCT program. Paired t-tests compared pre-post changes in experimental and control groups at the 0.05 significance level.

61. ACT in the Oncology Setting: Better Understanding How ACT Can be Used to Improve the Wellbeing of those Affected by Cancer
Symposium (11:00-12:30)
Components: Conceptual analysis, Original data
Categories: Behavioral medicine, Clinical Interventions and Interests, Cancer
Target Audience: Interm.
Location: Estepa

Lee Hulbert-Williams, PhD, University of Chester
David Gillanders, DClinPsy, University of Edinburgh

Psychological distress is common in those affected by cancer and is associated with poor quality of life, and possibly even premature mortality (Batty et al, 2017). Family members are not exempt from the adverse impact of cancer on psychological wellbeing: adolescent and young adult offspring of cancer patients are often overlooked (Patterson et al, 2013). Current evidence for the psychological intervention benefits for those affected by cancer is inconsistent and often time-limiting. ACT is more conceptually suitable to the nature of cancer-related distress (Hulbert-Williams et al 2016), and is gaining traction as pilot studies are published. This symposium presents data from three studies which inform how ACT can be integrated into cancer care. We explore the moderating role of psychological flexibility between unmet psychosocial and supportive care needs and distress; a group-based intervention for offspring of cancer patients; and, an ACT-enhanced communication skills training programme for oncology healthcare professionals.

• Psychological flexibility as a moderator of unmet psychosocial needs and psychological wellbeing in haematological cancer survivors.
Brooke Swash, PhD, University of Chester
Nick Hulbert-Williams, PhD, University of Chester
Ros Bramwell, PhD, University of Chester

Haematological cancers are noteworthy for high levels of associated psychological distress. The relationship between unmet psychosocial needs and patient-reported outcome is recognised, but process variables affecting this relationship are not well understood. We investigated the moderating effects of psychological flexibility in 91 haematological cancer survivors (53% female, mean age=62yrs). Participants completed questionnaires assessing unmet needs, anxiety, depression, quality of life, and psychological flexibility. Results indicate high prevalence of unmet needs, psychological distress, and poor quality of life in all sub-types of disease group. Significant correlations were found between all variables (r=2.98-8.20; all p<.05). Psychological flexibility significantly moderated the relationship between four unmet need domains with anxiety and quality of life (all p<.02), but not depression: need-outcome correlations were significant only where psychological flexibility was higher. Further research is needed to explore the nature of this moderation relationship further, and to develop interventions that target flexibility to improve psychological wellbeing in cancer survivors.

• TRUCE: The development and evaluation of an Acceptance and Commitment Therapy program for young people who have a parent with cancer.
Pandora Patterson, PhD, CanTeen Australia & University of Sydney
Fiona McDonald, PhD, CanTeen Australia & University of Sydney
Jospeh Ciarrochi, PhD, Australia Catholic University
Louise Hayes, The University of Melbourne
Danielle Tracey, Western Sydney University

Young people who have a parent with cancer experience significant unmet needs and elevated distress, however support to this vulnerable group is significantly lacking. An ACT-based manualised 7-session group program called Truce was developed for adolescents and young adults impacted by parental cancer. ACT was considered to be appropriate given its focus on helping create a full and meaningful life while accepting the pain that life invariably brings. Truce is currently being evaluated at 3-time-points (pre-, post-, 2-month follow-up questionnaires). Program fidelity and satisfaction is also assessed. Results indicate very high satisfaction (mean session interest=8.7/10) and there are promising preliminary outcome results focusing on core ACT processes such as psychological flexibility and mindfulness which are maintained at follow-up. Truce is showing promise as an intervention that is acceptable and effective for AYAs impacted by parental cancer, providing clinicians with a much needed program to assist these young people.

• ACT-enhanced communication skills training: development and evaluation of a training programme to improve psychosocial care in the cancer setting
Nick Hulbert-Williams, PhD, University of Chester
Lee Hulbert-Williams, PhD, University of Chester

Psychological suffering is ubiquitous with cancer and yet psychological support is often difficult to access. Healthcare workers in this setting are often driven—despite high stress and compassion fatigue—by work-related personal meaning. Medical training often instills a drive to ‘fix’ patients’ psychological suffering; we aimed to change the nature of clinical communication towards an ACT-consistent approach. Part self-development, our brief experiential communications skills workshop is underlined by applied RFT and ACT. Across three settings (two UK-based; one in Australia) including health service and charity sectors, we have trained over 150 people to date. Evaluation data is positive and shows a promising intention to use the skills learnt: 78% of participants from one of our recent trainings agreed that it had clear relevance to their work and 46% had already implemented the skills by follow-up. This training programme could bring benefit for both staff and patient wellbeing in the cancer setting.

68. Can ACT Help People with a Visible Difference?
Symposium (12:45-14:00)
Components: Original data, Didactic presentation, Case presentation,
Categories: Clinical Interventions and Interests, Other, Visible Difference
Target Audience: Beg., Interm., Adv.
Location: Buhaira

Dr. Nic Hooper, University of the West of England (UWE), UK.
Dr. Ray Owen, Consultant Clinical Psychologist, Wye Valley NHS Trust, UK.

As people with disfigurement often report psychological issues and as current interventions report little success with this population, some have suggested that the development of novel evidence-based interventions is essential. ACT is one such intervention, however, it has received very little empirical attention in this domain. In this symposium, three presenters on the cutting edge of the research area, will argue that ACT is well placed to help those with a visible difference. Joanna Dudek, who will present cross-sectional questionnaire data, will provide a rationale for using ACT with this population. Staci Martin will present what an ACT intervention might look like with the help of case examples. And Fabio Zuchelli will present a qualitative analysis that gives an insight into patients experience of ACT. Finally, Ray Owen will use his expertise to offer thoughts on ways to move the work forward in this area.

• Psychological flexibility and appearance-related distress in women with lipedema
Joanna E. Dudek, SWPS University of Social Sciences and Humanities
Wojciech Bialaszek, Ph.D., SWPS University of Social Sciences and Humanities
Pawel Ostaszewski, Ph.D., SWPS University of Social Sciences and Humanities

Visible differences can have a significant impact on the quality of life and wellbeing of individuals subject to stigmatization and self-stigmatization. However, psychological flexibility may prove to be an ability, which can be trained and developed, that promotes better adjustment to unpleasant external and internal experiences related to visible changes in the appearance. We conducted a cross-sectional study of 328 women with lipedema, a relatively common but still insufficiently known condition that can lead to disfigurement through uncontrollable accumulation of adipose tissue in the extremities. Women with greater psychological flexibility showed lower appearance-related distress. In the talk we discuss potential benefits of ACT-based interventions for people who are struggling with visible differences, entailed by our results.

• How to Use ACT when treating someone suffering as a result of a visible difference
Staci Martin, PhD, Clinical Consultant: Department of Psychology, George Washington University, Washington, DC.

Individuals with medical conditions sometimes have diseases or treatments that radically impact their appearance, such as disfiguring tumors, hair loss from chemotherapy, or swelling/weight gain from steroids. These physical aspects of disease can negatively impact quality of life (Wolkenstein et al., 2001). Mental health professionals can employ ACT techniques to target the anxiety, depression, and low self-esteem that often accompany these visible signs of illness. In this presentation, we will explore how medical patients with visible differences can practice acceptance of their condition hand in hand with self-compassion related to their anxious thoughts and self-criticism. Examples of how patients can use defusion to target thoughts about how people “should” react to their appearance will be presented. Finally, connecting with values is of pivotal importance, such as in the case of a person going through a treatment with appearance-altering side effects.

• The perspective of adults with psychosocial difficulties arising from a visible difference: Findings from a qualitative interview study.
Fabio Zucchelli, University of the West of England (UWE), UK.
Dr Olivia Donnelly, North Bristol NHS Trust
Dr Elisabeth Baker, Royal Free Hospital
Dr Nic Hooper Ph.D, University of the West of England (UWE), UK.
Dr Heidi Williamson Ph.D, University of the West of England (UWE), UK.

The aim of this presentation is to summarise qualitative interview findings from adults with a visible difference and related psychosocial difficulties, who have received individual Acceptance and Commitment Therapy. Visible difference refers to any congenital or acquired condition that creates an altered appearance. Some of those affected experience challenges such as social anxiety and body dissatisfaction (Norman & Moss, 2015). Evidence for ACT’s efficacy for both issues is burgeoning (e.g. Craske et al., 2014; Pearson et al., 2012). Psychologists at two specialist UK-based NHS psychological services for this client group primarily deliver ACT, based on a process-driven guide protocol. Researchers from the Centre for Appearance Research, UWE Bristol, are in the process of interviewing up to eight patients post-intervention from these sites to gain insights into their experience of ACT, with a view to identifying key components, exercises and other lessons for content development and also to inform a feasibility trial.

69. Cognitive Fusion in the Laboratory
Symposium (12:45-14:00)
Components: Original data
Categories: Clinical Interventions and Interests, Cognitive Fusion, Measurement, Virtual Reality, IRAP
Target Audience: Beg., Interm., Adv.
Location: San Bernardo

Helen Bolderston, Bournemouth University
Andrew Gloster, University of Basel

Cognitive fusion is a key process in the Psychological Flexibility Model of psychopathology. As such, it is important to investigate the role of fusion, under controlled laboratory conditions, as well as in the clinic. Greater variety in the methodologies used in such research will increase confidence in the conclusions drawn about fusion and defusion. This symposium therefore brings together three papers, each using innovative methods in laboratory-based studies, to investigate fusion and increase defusion. Helen Bolderston will introduce the State Cognitive Fusion Questionnaire, a self-report measure which may have particular utility in laboratory-based studies involving brief defusion interventions. Arianna Prudenzi will then present the findings of two studies testing the impact of a virtual reality task on defusion, in relation to negative self-referential thoughts. In the final paper, David Gillanders will discuss an IRAP study that examined relationships between cognitive fusion, implicit and explicit measures of worry, anxiety, mindfulness, engaged living and experiential avoidance. Andrew Gloster will then discuss the papers and their implications.

• The initial development of a state version of the Cognitive Fusion Questionnaire
Helen Bolderston, Bournemouth University
Georgia Turner, Bournemouth University
Holly Taylor, King's College, London
David T. Gillanders, University of Edinburgh
Alister Coleman, Bournemouth University

Cognitive fusion is hypothesised to play a significant role in the development and maintenance of mental health problems. The development of a psychometrically sound measure, the Cognitive Fusion Questionnaire (CFQ; Gillanders et al., 2014) has successfully facilitated research examining the role of fusion. However, the CFQ operationalises fusion as being trait-like. It is therefore possible it might not be sufficiently sensitive over short periods of time to detect change following the kinds of brief defusion interventions used in analogue studies. A state version of the CFQ has therefore been developed. This paper presents this new, state version of the CFQ, along with preliminary data indicating it is a reliable, valid measure of cognitive fusion. Data on its sensitivity to change compared to that of the original CFQ, will also be presented. Future research required to further validate the state CFQ will be discussed.

• Studying Cognitive defusion Through Virtual Reality: Two Exploratory Studies In The Management Of Negative Thoughts
Arianna Prudenzi, School of Psychology, University College Dublin
Louise McHugh, School of Psychology, University College Dublin
Brandan Rooney, School of Psychology, University College Dublin
Nanni Presti, Department of Human and Social Sciences, Kore University, Enna, Italy
Marco Lombardo, Behaviour Labs, Catania, Italy
Daniele Lombardo, Behaviour Labs, Catania, Italy

Virtual reality (VR) is of increasing interest to applied psychologists due to its potential for exposure learning. The current study comprises two experiments that aimed to examine the effect of a VR task on participants’ relationship with negative self referential thoughts (e.g., 'I am not good enough'). To that end, participants were instructed to select a thought that they were 'fused with' and to interact with this thought in a VR environment. In Study 1, 30 participants (age range: 18-65) across three groups (Cognitive Defusion, Distraction & Control) were tested pre and post VR task on trait fusion and their overall relationship with the negative thought. In Study 2, a further control group of VR only and a state measure of fusion were introduced. Overall the results indicate that VR, not only facilitates the management of negative thoughts, but that it generalises to a reduction in both trait (Study 1) and state (Study 2) fusion levels. The findings are discussed in terms of the utility of VR in applied settings.

• Implicit beliefs about worry, cognitive fusion and their relationships with anxiety and other aspects of psychological flexibility
David T. Gillanders, University of Edinburgh
Julie Dwyer, University of Edinburgh

Objective: Relationships between cognitive fusion, implicit and explicit measures of worry, mindfulness, engaged living, experiential avoidance and anxiety were explored. Method: 113 adults completed clinical interview, standardized questionnaires of the above constructs, and an IRAP operationalizing the functions of worry. Results: Cognitive fusion was associated with implicit relations about worry as both harmful and helpful. Fusion was also strongly associated with reduced valued living, reduced life fulfillment, and reduced mindfulness. Fusion was also associated with higher experiential avoidance, and psychological inflexibility. Fusion was not associated with an explicit measure of worrying, though surprisingly explicit worry was also not associated with anxiety. By contrast, implicit measures of worry and cognitive fusion were both associated with anxiety. Conclusions: Data provide further support for cognitive fusion as a process associated with undesirable outcomes. The pattern of associations is supportive of contextual behavioural theory at both the mid-level constructs and implicit relations.

71. Components that Maximize the Metaphor Effect I: Hierarchy, Perspective Taking, Relational Elaboration and Physicalization
Symposium (12:45-14:00)
Components: Conceptual analysis, Original data
Categories: Relational Frame Theory, Clinical Interventions and Interests, Metaphors
Target Audience: Beg., Interm., Adv.
Location: Utera

Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Carmen Luciano, Universidad de Almería

Acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 1999) is a contextual model of psychological intervention that aims to promote psychological flexibility. To accomplish this aim, metaphors are profusely used in ACT. One of the areas of human cognition most studied by relational frame theory (RFT; Hayes, Barnes-Holmes, & Roche, 2001) is analogical reasoning. The link between ACT and RFT is becoming closer as a theoretical and empirical line of research is emerging that analyzes the components of metaphors that maximize the promotion of psychological flexibility (e.g., Foody et al., 2014; Ruiz & Luciano, 2015; Sierra, Ruiz, Flórez, Riaño-Hernández, & Luciano, 2016; Villatte, Villatte, & Hayes, 2015; Törneke, 2017). This symposium presents three empirical studies that extends previous research in this regard by analyzing the effect of hierarchical relations, cues to prompt perspective taking, the presentation of the metaphor in first or third person, and the metaphor physicalization.

• The effect of hierarchical and perspective taking cues in metaphor effect
Andrés Peña-Vargas, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Eduar Ramírez, Fundación Universitaria Konrad Lorenz
Paola Bernal, Fundación Universitaria Konrad Lorenz
Nikol Pardo, Fundación Universitaria Konrad Lorenz
Alejandra Orozco, Fundación Universitaria Konrad Lorenz
Bárara Gil-Luciano, Madrid Institute of Contextual Psychology

The role of hierarchical framing has been found to be especially relevant in promoting psychological flexibility in typical defusion exercises (e.g., Foody et al., 2014; Luciano et al., 2011; Gil-Luciano et al., 2017). However, the effect of including hierarchical relations between the person and her private events in metaphors has not been demonstrated. Additionally, the effect of cues that prompt temporal perspective taking has not been analyzed. Accordingly, this study analyzed the effect of both variables by conducting a factorial 2x2 design. Eighty participants provided informed consent and were exposed to the cold-pressor task (CPT). After that, participants were randomly allocated to one of the four experimental conditions and listened to an audio that presented a metaphor in which the independent variables were manipulated. Lastly, participants were exposed again to the CPT. Results are discussed in terms of the interactive effect of both independent variables.

• The role of deictic framing and relational elaboration in metaphor effect
Eduar Ramírez, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Paola Bernal, Fundación Universitaria Konrad Lorenz
Andrés Peña-Vargas, Fundación Universitaria Konrad Lorenz
María B. García-Martín, Fundación Universitaria Konrad Lorenz
Bárara Gil-Luciano, Madrid Institute of Contextual Psychology

This experiment analyzes the effect of two independent variables in the metaphor effect: (a) presenting the metaphor by asking the individual to imagine herself as the protagonist of the story or by imagine that the protagonist is a third person, and (b) the inclusion of relational cues that prompt for the relational elaboration of the rules that might be derived according to the metaphor content. Eighty undergraduates participated in this 2x2 factorial design. After signing the informed consent, participants were exposed to the cold-pressor task (CPT). Then, participants were randomly assigned to one of the four experimental condition and listened to an audio that presented a metaphor in which the independent variables were manipulated. Subsequently, participants were exposed to the CPT again. Lastly, participants responded to tests of empathy and imagination. Results are discussed in terms of the participant’s tolerance to the CPT and the variables that moderate the effect of the independent variables.

• The effect of physicalizing metaphors in promoting behavioral change
Paola Bernal, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Andrés Peña-Vargas, Fundación Universitaria Konrad Lorenz
Eduar Ramírez, Fundación Universitaria Konrad Lorenz
Daniela Salazar, Fundación Universitaria Konrad Lorenz

One guideline that is often provided in ACT books and workshops is that to physicalize metaphors can improve their effect. This study aims to analyze this point by conducting an experimental analogue. Sixty participants were randomly assigned to the two experimental conditions: Physicalization vs. No Physicalization. After signing the informed consent, participants responded to several self-report measuring experiential avoidance and the tendency to engage in ruminative thinking. Subsequently, participants were exposed to a 3-minute rumination induction task and a working memory test. Participants then received one of two protocols that consisted of one metaphor that aimed to promote defusion from ruminative thinking. The only difference between conditions was that in one condition the metaphor was physicalized while in the other not. Lastly, participants were exposed again to the rumination induction task and the working memory test.

82. Advances in the Application of Acceptance and Commitment Therapy in Autism
Symposium (15:15-16:45)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Relational Frame Theory, Autism, ACT
Target Audience: Beg., Interm., Adv.
Location: Buhaira

Thomas G. Szabo, Florida Institute of Technology
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz

The application of acceptance and commitment therapy (ACT) in autism is increasing during the last years. ACT has been shown to be useful in the counseling of parents of children with autism, but there is less evidence of the applicability of ACT in the treatment of children with autism. This symposium presents cutting-edge research in this topic using single-case experimental designs. The first paper presents the effect of a brief ACT-based intervention to change the pattern of behavior displayed by children with autism when playing games. The second paper describes the effect of a two-day ACT training with parents of children with autism. The training was directed to disrupt parents’ session avoidance. Lastly, the third paper shows the effect of ACT training as an approach to parents’ private events. Specifically, the study describes an intervention focused on values-directed behaviors in parents of children with autism.

• Benefits of Acceptance and Commitment Training for children with autism
Thomas G. Szabo, Florida Institute of Technology
Madison Wood, Florida Institute of Technology
Gina Hansen, Florida Institute of Technology
Jessica Bentley, Florida Institute of Technology

Children with autism often display inflexible behavior when playing games. This behavior is often negatively reinforced in that it results in decreased time spent in aversive social settings. To the child, short term benefits of this avoidance are coupled with log term problems, such as removal from social milieus and constrained repertoires under tight aversive control. In the current study, we asked to what extent will inflexible behavior decrease and manding-for-rule-changes increase after a two-hour training in behavioral flexibility (ACT) conducted in a home setting with a function-based treatment and specific, measurable replacement behaviors. Results and implications for future research are discussed.

• Acceptance and Commitment Training for parents of children with autism
Thomas G. Szabo, Florida Institute of Technology
Jana Gleason, Florida Institute of Technology
Asia Murdy, Florida Institute of Technology
Deena Garman, Florida Institute of Technology
Cassie Rushford, Florida Institute of Technology
David Scribner, Florida Institute of Technology

Parents want ABA treatment to improve their children's lives, but parent session avoidance is negatively reinforced. This is a significant challenge for behavior therapists, because the window in which verbal skills can be taught to a child with autism closes by the time the child is twelve years old. Additionally, behavior analysts do not have access to reinforcers for parent engagement in ABA work outside of session and limited access to reinforcers for their participation during sessions. Negative reinforcement traps are coupled with positive reinforcement traps and these are overlaid with rule insensitivity that further cements parent avoidance of the private events that accompany their participation in ABA work. In this study, we evaluated a method of addressing both indirect-acting (verbal) and direct-acting contingencies in a two-day Acceptance and Commitment Training. Results and implications for future research are discussed.

• Acceptance and Commitment Training for parents of children with autism
Evelyn Gould, FirstSteps for Kids, Inc.

Behavioral parent training is a critical component of effective treatment for children with autism, however, engaging parents effectively can be extremely challenging. Despite evidence that private events can strongly influence parent behavior and training outcomes, the topic has received minimal attention in the behavioral literature thus far. Acceptance and Commitment Training (ACT) is a contemporary behavioral approach to increasing adaptive, flexible repertoires of behavior, by reducing control by problematic rule-deriving and rule-following. This study is one of the first to examine the effects of ACT on values-directed behavior in parents of children with ASD. A nonconcurrent multiple baseline across participants indicated that ACT resulted in increased parent engagement in values-directed behavior. Gains were maintained post-training, with training effects most prominent at follow-up, more than 6 months post-training. Exploratory data suggested that ACT may also have resulted in substantial decreases in parental experiential avoidance and notable increases in self-compassion

83. Addressing Mental Health Stigma
Symposium (15:15-16:45)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Prevention and Community-Based Interventions, Educational settings, Stigma
Target Audience: Beg., Interm., Adv.
Location: San Bernardo

Kenneth Fung, University of Toronto
Josephine Pui-Hing Wong, Ryerson University

Mental health stigma remains one of the major barriers towards people seeking timely assessment or receiving appropriate care. Further, psychosocial and cultural factors interact, intersect, and exacerbate stigma. In this symposium, we will explore mental health stigma in several diverse populations, including undergraduate university students in North Texas US, East Asian women in Montreal Canada, and Asian men in Toronto Canada. Psychosocial interventions will be discussed, including the use of ACT in particular to address stigma.

• Preventing progress: Barriers to seeking psychological treatment
Teresa Hulsey, B.A., University of North Texas
Danielle N. Moyer, MS, University of North Texas
Amy R. Murrell, PhD, University of North Texas

Although most college campuses provide affordable mental health resources for students (Reetz, Krylowicz, & Mistler, 2014), many emerging adults in need of help appear not to utilize these services (American College Health Association, 2014). Therefore, a better understanding of the underlying processes that prevent college students from seeking psychological treatment is needed. This paper examines barriers to seeking mental health treatment in an undergraduate population. Participants (n = 965) completed online measures of self-stigma and perceived public stigma of seeking treatment, intentions to seek treatment, attitudes and beliefs toward seeking treatment, experiential avoidance, and psychological distress. Data is being analyzed now. A binomial logistic regression will be used to identify significant barriers to seeking treatment. The role of each barrier to seeking treatment in the context of a college campus will be discussed.

• Improving attitudes toward mental illness among East Asian women: A mixed-methods study
Sumin Na, Department of Educational and Counselling Psychology, McGill University
Momoka Watanabe, Department of Psychology, Concordia University
Andrew G. Ryder, Department of Psychology, Concordia University
Kenneth Fung, Department of Psychiatry, University of Toronto
Josephine Wong, Daphne Cockwell School of Nursing, Ryerson University
Laurence J. Kirmayer, Division of Social & Transcultural Psychiatry, McGill University

The present study examined the effectiveness of acceptance and commitment therapy (ACT) and mental health literacy (MHL) group interventions among East Asian Canadian women. East Asian Canadian women (N = 91) were randomly assigned to ACT, MHL or a no intervention control. The authors assessed for stigma toward mental illness and attitudes toward help-seeking pre-intervention, post-intervention and at 3-month follow-up. Participants also took part in focus groups following the interventions for a more nuanced understanding of potential effects of the interventions. The quantitative results indicated that ACT and MHL reduced mental illness stigma and improved attitudes toward help-seeking compared to the control group, and some of the effects were retained at 3-months. Qualitative findings captured the process mechanisms of change and differences between the two interventions that could not be captured through the quantitative measures. The authors discuss implications for mental health promotion initiatives in diverse communities and program evaluation.

• Use of ACT in Reducing Stigma and Training Mental Health Ambassadors Among Asian Men – The Toronto Site Results
Kenneth Fung, MD FRCPC MSc, University of Toronto
Rick Sin, MSW, PhD (ABD), Ryerson University
Amy Bender, RN, PhD, University of Toronto
Yogendra Shakya, PhD, Access Alliance
Sepali Guruge, RN, PhD, Ryerson University
Souraya Sidani, RN, PhD, Ryerson University
Naila Butt, MD, MPH, Amplify Change
Josephine Pui-Hing Wong, RN PhD, Ryerson University

Strength In Unity is a multi-site community-based research that engages Asian Canadian men to examine the effectiveness of Acceptance and Commitment Therapy (ACT) and Contact-Based Empowerment Education (CEE) in reducing mental health stigma and mobilizing participants as Mental Health Ambassadors. Asian men, aged 17 and older, community leaders (CL) and those living with or affected by mental illness (LWA) are randomized to receive ACT, CEE, both, or psychoeducation. Scales are administered pre-, immediate-post, 3-month, and 6-month post-intervention. Over 500 Asian men completed the intervention in Toronto. ACT and the combo groups had increased psychological flexibility. All groups had decreased stigma in the Authoritarianism Subscale, with the CEE group having reductions in other subscales. Internalized stigma was reduced in the Combo group. Over 2500 activity logs captured health promotion activities. Focus groups elucidated the psychosocial and cultural factors affecting the mental health of Asian men.

84. Psychological Flexibility Model in Severe Psychological Problems
Symposium (15:15-16:45)
Components: Literature review, Original data, Didactic presentation
Categories: Functional contextual approaches in related disciplines, Other, Psychological Flexibility Model in Chronic Severe Psychological Problems
Target Audience: Beg., Interm., Adv.
Location: Lebrija

Dr Eric Morris, La Trobe University Psychology Clinic,Melbourne, Australia
Joe Oliver, University College London

Investigations about psychological flexibility (PF) in severe psychological problems (like schizophrenia and bipolar disorder) remains as an empty field at contextual behavior science arena. What about the PF level in people who diagnosed bipolar disorder and schizophrenia? Which processes of PF differs at people who suffers from these severe psychological problems when compare with control group? Which processes of PF are more relevant with the functionality of patients? How about perception of situation in bipolar disorder group when experiencing stressful life events? Does the usage of avoidance strategies vary from people that diagnosed bipolar disorder from control group? These three study try to serves a humble contribution to all these questions.

• Investigation of psychological flexibility model in patients with schizophrenia
Alparslan Cansiz, MD, Siverek State Hospital, Sanliurfa, Turkey
K. Fatih Yavuz, MD, Istanbul Bakirkoy Research and Training Hospital for Psychiatry and Neurology,Istanbul, Turkey
Ahmet Nalbant,MD, Istanbul Bakirkoy Research and Training Hospital for Psychiatry and Neurology,Istanbul, Turkey
Merve Terzioğlu,MD, Istanbul Bakirkoy Research and Training Hospital for Psychiatry and Neurology,Istanbul, Turkey

Current research aims to provide a contribution to psychological flexibility model’s view to schizophrenia. The study, included 110 patients who had been diagnosed with schizophrenia and 110 healthy volunteers. Participants in both groups filled Sociodemographic Data Form (SDF), Cognitive Fusion Questionnaire (CFQ), Valued Living Questionnaire (VLQ), Self-as-Context Scale (SACS), Freiburg Mindfulness Inventory (FMI) and Acceptance and Action Questionnaire-II (AAQ-II), in addition, to schizophrenia group, Positive and Negative Syndrome Scale (PANSS) and Quality of Life Scale (QoLS) were applied by clinicians. In the schizophrenia group scores of AAQ-II and CFQ were higher; and SACS, FMI and VLQ were found lower. Furthermore, the PANSS positive subscale, SACS and AAQ-II scores on the schizophrenia group; PANNS negative subscale, SACS, VLQ, FMI and AAQ-II scores were found associated. The scores of the functionality of the patients are determined to be associated with SACS and VLQ points. Our findings are indicating that schizophrenia patients were more inflexible than psychologically healthy individuals.

• Response Styles And Avoidance Strategies In Manic Episode and Remission Period of Bipolar Disorder
Sevinc Ulusoy,MD, Istanbul Bakirkoy Research and Training Hospital for Psychiatry and Neurology,Istanbul, Turkey
Okan Ufuk İpek, MD, Igdir State Hospital, Igdir, Turkey
K. Fatih Yavuz, MD, Istanbul Bakirkoy Research and Training Hospital for Psychiatry and Neurology,Istanbul, Turkey

This study aims to investigate relations between stress, cognitive and emotional maladaptive processes in bipolar disorder from the psychological flexibility model perspective. The study consists of 74 participants who diagnosed Bipolar I Disorder (BD 1)-Manic Episode, 67 participants in remission period and 70 healthy controls. Sociodemographic Data Form, Leahy Emotional Schema Questionnaire (LESQ), Ruminative Thinking Style Questionnaire (RTSQ), Penn State Worry Questionnaire (PSWQ), Stress Appraisal Measure Dispositional (SAM-DF) and State Form (SAM-SF) and Acceptance and Action Questionnaire II(AAQ-II) were applied to both of the groups. Participants with BD 1, both of the remission and manic episode group, have higher scores in ‘treat’ and ‘uncontrolled’ subscales of SAM- DF/SAM-SF. ‘Lower ruminative response style and higher worry was found in manic episode group than healthy controls . Also BD 1 group has higher scores at AAQ- II than the control group. Our results indicate that BD 1 patients have lower psychological flexibility and use more avoidance strategies in the presence of difficult thoughts and emotions than psychologically healthy individuals.

• PSYCHOLOGICAL FLEXIBILITY IN BIPOLAR DISORDER
Hasan T. Karatepe, Asst.Prof., Medeniyet University, Psychiatry Department, İstanbul, Turkey
Murat Aktepe, MD, Arnavutköy State Hospital, İstanbul, Turkey
K. Fatih Yavuz, MD, Istanbul Bakirkoy Research and Training Hospital for Psychiatry and Neurology,Istanbul, Turkey

The goal of this study is to invertigate all processes of psychological flexibility in individuals with bipolar disorder. Our hypothesis is the level of psychological flexibility is less in people who diagnosed bipolar disorder than control groups. 101 euthymic participants of bipolar I disorder being treated in outpatient clinic and 100 volunteers who had no psychiatric complaints between age of 18-65 were included into the study. Cognitive Fusion Questionnaire (CFQ), Values Living Questionnaire (VLQ), Self-as-Context Scale (SACS), Freiburg Mindfulness Inventory (FMI) and Acceptance and Action Questionnaire (AAQ-2) were applied to both of the groups. It has been detected that bipolar disorder group has higher scores at AAQ-2 and CFQ with lower scores at SACS, FMI and VLQ-part II than the control group. VLQ-part I didn't show significant statistical difference between two groups. Data obtained from our research indicates that individuals with bipolar disorder are psychologically more inflexible than control group.

85. Recent Innovations in Applying Acceptance and Commitment Therapy and the Psychological Flexibility Model to Chronic Pain
Symposium (15:15-16:45)
Components: Original data,
Categories: Clinical Interventions and Interests, Behavioral medicine, ACT, Chronic Pain, Psychological Flexibility, Online Treatments, Self-as-Context, Assessment
Target Audience: Beg.
Location: Utera

Lance M. McCracken, Ph.D., King's College London
Lance M. McCracken, Ph.D., King's College London

Acceptance and Commitment Therapy (ACT) is considered an empirically supported treatment with “strong research support” for chronic pain, and there is growing evidence that improvements in facets of psychological flexibility account for improvements in chronic pain outcomes. At the same time, more research is needed to understand how to maximize the effectiveness of ACT for chronic pain, with a particular focus on mechanisms underlying treatment. To this end, the development and refinement of assessment measures of psychological flexibility is an important line of investigation. Research and treatment development is also needed to increase the accessibility of ACT for people with chronic pain. This symposium will present recent innovations in the application of ACT and the psychological flexibility model for chronic pain. In particular, the symposium will focus on recent validation studies of novel assessment measures of psychological flexibility, and data linking changes on these new measures to improved chronic pain outcomes. The symposium will also provide data supporting a novel low-intensity treatment delivery approach for increasing the accessibility of ACT for chronic pain.

• Validation of an efficient 3-item measure to assess “open, aware, and engaged” in people with chronic pain
Whitney Scott, Ph.D., King's College London
Lance M. McCracken, Ph.D., King's College London

The originally proposed six facets of the psychological flexibility model have more recently been described in terms of behaviour that is “open, aware, and engaged”. This condensed three-part process has the advantage of being easy to communicate to patients and potentially efficient to track in the course of treatment delivery. Therefore, we sought to validate a brief, three item assessment measure with one item each reflecting qualities of open, aware, and engaged behaviour. This three item measure was completed by 250 patients with chronic pain receiving ACT-based treatment provided by a multidisciplinary group of clinicians. This measure was completed before and after treatment, along with full-length process measures of acceptance, cognitive defusion, and committed action, and outcome measures of pain-related disability and depression symptoms. This presentation will discuss data regarding the reliability, validity, and predictive utility of the three item “open, aware, and engaged” measure with respect to the full-length process measures.

• Change in “Self-as-Context” (“Perspective-taking”) Occurs in Acceptance and Commitment Therapy for People with Chronic Pain and is Associated with Improved Functioning
Lin Yu, King’s College London
Dr. Sam Norton, King's College London
Prof. Lance M. McCracken, King's College London

Research on the psychological flexibility (PF) model in the context of chronic pain has largely neglected the process of self-as-context, until recently. This study investigates whether ACT is associated with an effect on self-as-context (SAC) and whether this effect is linked to treatment outcomes in people with chronic pain. Participants included 412 adult patients with chronic pain. Participants completed measures of treatment processes (SAC, pain acceptance) and outcomes (pain-related interference, work and social adjustment, depression) before treatment, post-treatment, and at nine-month follow-up. Results from paired sample t-tests suggested participants significantly improved on all process and outcome variables at post-treatment (d=.38 to .98) and nine-month follow-up (d=.24 to .75). 42.0% to 67.5% participants showed meaningful improvements on each outcome at post-treatment and follow-up. Regression analyses with residualized change scores from process and outcome variables, and bivariate growth curve modeling suggested that change in SAC was associated with change in outcomes (β=-.21 to -.31; r=-.16 to -.46). Results support a role for change in SAC in treatment as the PF model suggests.

• ACT Psychological Flexibility Processes and Traditional CBT Variables Involved in a Mixed Self-Help/Online Treatment for Chronic Pain
Marie-Eve Martel, M.A., Psy.D.(c), Université du Québec à Trois-Rivières
Whitney Scott, Ph.D., King's College London
Frédérick Dionne, Ph.D., Université du Québec à Trois-Rivières
Josée Veillette, Psy.D.(c), Université du Québec à Trois-Rivières
Joseph Chilcot, Ph.D., King's College London
Lance M. McCracken, Ph.D., King's College London

Acceptance and Commitment Therapy (ACT; Hayes et al., 2012) is considered an empirically supported treatment with “strong research support” for chronic pain (APA, 2013), but accessibility of this type of treatment remains an important challenge. Therefore, self-help books or internet-delivered versions of ACT for chronic pain are promising because they offer a potentially cost-effective treatment option that requires little support from a therapist, and can be widely accessible. This presentation will discuss data from a randomized control trial using a mixed self-help/online treatment for chronic pain compared to a waitlist control. The study was conducted in Quebec (Canada) and the sample consists of 130 French-speaking individuals recruited from the community with various types of chronic pain. The treatment was given over a period of eight weeks and included minimal therapist contact. In addition to measures of distress and disability, psychological flexibility processes and traditional CBT variables such as pain self-efficacy and kinesiophobia were assessed at pre-treatment and post-treatment for both groups, and at a twelve-week follow-up for the group receiving the treatment. Treatment outcome data will be presented, along with the results of mediation analyses to determine the relative contribution of changes in psychological flexibility and traditional CBT processes to changes in treatment outcomes.

86. ACT and Mindfulness-Based Interventions for Youth
Symposium (15:15-16:45)
Components: Original data, Experiential exercises, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Performance-enhancing interventions, Educational settings, Relational Frame Theory, Other, Children, Adolescents, OCD, RFT, Educational settings
Target Audience: Beg., Interm.
Location: Estepa

Lisa W. Coyne, Ph.D., McLean Hospital/ Harvard Medical School
Louise Hayes, Ph.D., University of Melbourne

Acceptance and Commitment Therapy (ACT) and mindfulness-based approaches with adults have received great research and clinical interest in recent years. Evidence suggesting that these approaches are effective in promoting psychological health and well-being has been expanding. As such, these approaches have started to be applied for children and youth with beneficial results, however this research is still in an embryonic state. This symposium will explore the adaptation and application of ACT and mindfulness-based interventions and processes in children and adolescents in different settings. Topics examined will include the use of ACT, mindfulness, and values to enhance exposures for adolescents with OCD, helping young children to tact their private experiences, and the use of a two-session ACT workshop for cultivating emotional health in elementary school children.

• A Case Study Exploring ACT and Mindfulness Interventions for a 16-Year Old Latino Male with Severe OCD
Carlos E. Rivera, M.S., Suffolk University; Child & Adolescent OCD Institute at McLean Hospital/ Harvard Medical School
Maria G. Fraire, Ph.D., McLean Hospital/ Harvard Medical School
Lisa W. Coyne, Ph.D., Child & Adolescent OCD Institute at McLean Hospital/ Harvard Medical School

While exposure and response prevention (ERP) is considered the gold standard behavioral intervention for obsessive-compulsive disorder (OCD), a number barriers limit ERP’s efficacy including drop-out rates of 25% (Abramowitz et al., 2009) and treatment refusal. Existing research on acceptance and commitment therapy (ACT) and other acceptance- and mindfulness-based interventions for OCD suggests these interventions are effective in treatment progress and outcome, and may facilitate ERP. The aim of the present case study is to explore an adolescent’s experience with severe OCD while receiving acceptance- and mindfulness-based treatment at an inpatient residential unit for youth with OCD. We will discuss how mindfulness, acceptance, and values could facilitate the use of ERP, the youth’s personal direct report of his experiences with acceptance and mindfulness, previous interventions, symptom remission, and treatment maintenance plan.

• Teaching Children and Adolescents to Tact and Discriminate with ACT for Better Emotion Regulation and Valued Behaviour
Timothy Gordon, MSW, RSW, The Zen Social Worker, Independent Practice

ACT has been demonstrated to work in clinical settings with children (Swain, Hancock, Dixon, Bowman, 2015) and adolescents (Hayes & Sewell, 2011) however little has been demonstrated in ACT’s clinical literature to assist young client populations with deficits in their ability to tact to private experiences, specifically to identify painful private stimulus events such as thoughts, feelings, sensations, and memories. The current case study presents original data and case examples of young client populations practicing an adaptation of McHugh, Bobarnac, Reed’s (2011) teaching situation-based emotions to improve their ability to tact to painful private experiences. Discussion will include producing improvements for working with difficult emotions in clinical settings with young populations, examples of techniques and specifics methods will be demonstrated, methodological caveats, and further research implications for research will also be discussed.

• ACTmind: A mindfulness and Acceptance and Commitment Therapy program for cultivating emotional health in elementary school children
Maria Karekla, Ph.D., University of Cyprus
Anthoula Papageorgiou, B.A., University of Cyprus

The purpose of the present study was to examine the feasibility, acceptability and preliminary effectiveness of a mindfulness and ACT two-session workshop for cultivating emotional health in elementary school children. Sessions comprised of teaching mindfulness and present moment awareness skills, acceptance of all internal experiences, and how to act based on what is important for them even in the presence of fearful thoughts and emotions via the use of experiential exercises and metaphors. Results suggest that the program is feasible and well accepted by elementary school children. Students’ avoidance and unwillingness to experience scary and worrisome thoughts decreased from pre to post during session one and overall from session one to two, suggesting that learning occurred and students started to become more open to experiencing negative thoughts. It was also indicated that students found the program to be very helpful and that they would participate in such a program again in the future.

Saturday, 24 June

97. Self-Compassion and Compassion in Clinical Intervention: Testing New Models, Processes, and Methods
Symposium (11:00-12:30)
Components: Original data
Categories: Clinical Interventions and Interests, Other, Compassion
Target Audience: Beg., Interm.
Location: Nervión Arenal I

Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center
Paul Gilbert, Ph.D., University of Derby

This symposium brings together three data-based presentation relating to data on compassion and self-compassion in clinical contexts. The first paper presents data from two studies examining the relationships between self-compassion and psychological flexibility measures, with an aim to clarify the conceptualization of and operationalization of these related constructs. The second paper presents data from two studies involving a very brief intervention involving participants practicing the Compassionate Self meditation, using an online audio guided exercise. The first study examines the effect of cognitive restructuring as opposed to Compassionate Self imagery in affecting dehumanized perceptions and avoidance of images of homelessness under experimental conditions. The second study examines the effect of a brief Compassionate Self intervention on body shame and anxiety among a sample of undergraduate students. The third paper presents pilot data on a novel group intervention for highly self-critical and shame prone people that focuses on using perspective taking interventions to help participants develop greater self-compassion and a sense of belongingness.

• A closer look at The Compassionate Self imagery meditation: initial research validating the utility of a foundational CFT component
Dennis Tirch, Ph.D., The Center for Compassion Focused Therapy

Every mental health intervention and contemplative tradition that targets the training of mindful compassion uses imagery exercises to evoke an experience of our compassionate minds. CFT, The Mindful Self Compassion Program, and Compassion Focused ACT all deploy functionally similar meditations and imaginal exercises as a part of their interventions. Foundational to CFT, The Compassionate Self Imagery meditation is a brief and frequently used practice that guides a person through a process of experiencing themselves as a compassionate being. Previous outcome research has demonstrated the effectiveness of interventions using this imagery practice. This presentation looks at two studies involving a very brief intervention involving participants practicing the Compassionate Self meditation, using an online audio guided exercise. The first study examines the effect of cognitive restructuring as opposed to Compassionate Self imagery in affecting dehumanized perceptions and avoidance of images of homelessness under experimental conditions. The second study examines the effect of a brief Compassionate Self intervention on body shame and anxiety among a sample of undergraduate students. These studies will be compared to an earlier study using a very similar intervention to address body shaming in a clinical population. Potential applications of this imagery practice, including clinical implications, possible counter-indications, and limitations will be discussed.

• Psychological flexibility and self-compassion: two processes or two conceptualizations?
Stanislaw Malicki, Akershus University Hospital

There is robust evidence of the impact of both self-compassion and experiential avoidance on mental health. Research has also shown strong correlation between measures of both transdiagnostic processes. However, the question of how they are interrelated needs further investigation, as it may bear significant clinical implications. Both constructs were proposed and operationalized within various scientific traditions and paradigms. Thus, instead of translating one in terms of another, the paper approaches the question of their interrelationship by presenting a set of correlational data and statistical analyses linking them to variables that may be used in building cross-theoretical models. The first, completed study, investigates interrelations between self-compassion, experiential avoidance, adult attachment and early childhood experiences. The second, still running study investigates the link between self-compassion, different measures of experiential avoidance, self-criticism, social safeness and measures of anxiety and depression. As the second study is to be completed by the end of 2017, the paper presents partial data.

• Big Heart, Open Wide: Overview and Pilot Data on a Novel Group Therapy for People who are Highly Self-Critical and Shame Prone
Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center
Jenna LeJeune, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center
Melissa Platt, Ph.D., Private Practice

Self-criticism and shame are transdiagnostic factors that contribute to a variety of psychological problems. As an extremely social species, humans function best when having they have a sense of belonging. Shame threatens this sense of belonging, especially when chronic and repeated. Thus, the central target of the 9-session group treatment is decreasing the sense of isolation and other-ness associated with chronic shame and self-criticism. The intervention is guided primarily by insights from affective science and contextual behavioral science, particularly work on flexible perspective taking. We will provide an overview of the treatment approach and present pilot data from pre-treatment, post-treatment, and one-month follow up for the initial cohort of participants (n=8). Initial data show comparable effect sizes to other treatments targeting this population and preliminary support for the idea that belongingness and a sense of “common humanity” are important mechanisms of action.

100. Understanding the Effects of Psychological Flexibility and Improving ACT Specific Skills Using Smartphone Technologies
Symposium (11:00-12:30)
Components: Original data
Categories: Clinical Interventions and Interests, Clinical Interventions and Interests, Performance-enhancing interventions, Depression, Social Phobia, Smartphones, Ecological Momentary Assessment, Coaching, Patients, College Students, RCT
Target Audience: Beg., Interm.
Location: Buhaira

Charles Benoy, MSc, Psychiatric Hospital of the University of Basel, Switzerland
Andrew T. Gloster, Prof. Dr., University of Basel, Department of Psychology, Division of Clinical Psychology and Intervention Science, Basel, Switzerland

Smartphone technologies represent an essential part of our daily life and their importance is increasing each year. By 2020 the number of smartphone users worldwide is predicted to have roughly doubled compared to 2014 . Smartphones allow new ways of analyzing psychological processes, including ACT specific aspects. In this symposium, three papers will be presented that use smartphones in clinical and analogue research. The first two focus on how Ecological Momentary Assessment (EMA) can be implemented in a clinical sample. The first paper thus examines the association between different types of social interactions and psychological flexibility, while the second paper explores how memory of events is associated with psychological flexibility. The third paper focuses on how skills can be delivered via smartphone, and provides input on future app development and face-to-face therapy by examining which ACT skills are most effective in-the-moment based on individual and contextual variables.

• “I’d like to see you – except when I don’t”: Types of Social Interaction and Psychological Flexibility – Preliminary Results
Jeanette Villanueva, MSc, University of Basel, Department of Psychology, Division of Clinical Psychology and Intervention Science, Basel, Switzerland
Andrea H. Meyer, PhD, Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland
Thorsten Mikoteit, Dr. med., University of Basel, Psychiatric Hospital, Centre for Affective, Stress and Sleep Disorders, Basel, Switzerland
Jürgen Hoyer, Prof. Dr., Technische Universität Dresden, Institute of Clinical Psychology and Psychotherapy, Dresden, Germany
Martin Hatzinger, Prof. Dr. med., Psychiatric Services Solothurn and University of Basel, Switzerland
Roselind Lieb, Prof. Dr., University of Basel, Department of Psychology, Division of Clinical Psychology and Epidemiology, Basel, Switzerland
Andrew T. Gloster, Prof. Dr., University of Basel, Department of Psychology, Division of Clinical Psychology and Intervention Science, Basel, Switzerland

Social interactions (SIs) are an integral part of human beings. Nevertheless, for some people, SIs cause discomfort and fear. As a result, some people avoid interactions or choose interactions perceived as less threatening (for example, those that do not involve face-to-face interactions). In this study participants’ choice of interaction type (face-to-face, phone, Internet/chat or other) and whether psychological flexibility (PF) facilitates such choices, is examined. This study investigated 284 individuals (Major Depressive Disorder, Social Phobia, Controls) via smartphones in an Ecological Momentary Assessment (EMA) for one week. We captured 5616 social interactions in participants’ naturally selected environments. Preliminary results indicate that the probability of choosing face-to-face and phone interactions differ with the level of PF. Given that PF is relatively low in many forms of psychopathology, models will further examine differences across groups with a diagnosis of Major Depression Disorder or Social Anxiety Disorder, in comparison to healthy controls.

• Remember, remember: Evaluating the Memory-Experience Gap for Psychological Flexibility using Ecological Momentary Assessment — Preliminary Results
Marcia T. B. Rinner, MSc, University of Basel, Department of Psychology, Division of Clinical Psychology and Intervention Science, Basel, Switzerland
Andrea H. Meyer, PhD, Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland
Thorsten Mikoteit, Dr. med., University of Basel, Psychiatric Hospital, Centre for Affective, Stress and Sleep Disorders, Basel, Switzerland
Jürgen Hoyer, Prof. Dr., Technische Universität Dresden, Institute of Clinical Psychology and Psychotherapy, Dresden, Germany
Martin Hatzinger, Prof. Dr. med., Psychiatric Services Solothurn and University of Basel, Switzerland
Roselind Lieb, Prof. Dr., Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland
Andrew T. Gloster, Prof. Dr., University of Basel, Department of Psychology, Division of Clinical Psychology and Intervention Science, Basel, Switzerland

People have difficulty accurately recalling their experiences – a phenomenon referred to as the Memory-Experience Gap (MeG). Nevertheless, clinical assessments overwhelmingly rely on retrospective recall. The aim of this paper is to investigate the effect of psychological flexibility (PF) on the MeG. Ecological Momentary Assessment (EMA) collects data in participants’ own chosen environment close to the time of experiences of interest. Thus, EMA as administered by smartphones, is considered the method of choice to examine the MeG. Data stem from 118 patients with Major Depression, 47 patients with Social Phobia and 119 healthy controls. We compared >10,000 EMA assessments to retrospectively recalled PF levels from the previous week. Preliminary results showed that participants inaccurately recall their level of PF. These data contribute to the understanding of the relation between PF and the MeG, and underline the importance of the MeG to understand research using retrospective recall of PF.

• Evaluating methods for teaching psychological skills through smartphones: A randomized control trial of the revised ACT Daily mobile app
Jack Haeger, M.S., Utah State University, Logan, Utah
Michael Levin, Ph.D., Utah State University, Logan, Utah
Benjamin Pierce, M.S., Utah State University, Logan, Utah

Mobile apps are a promising technology for improving mental health services. These programs are readily available throughout the day, provide a convenient system to monitor and prompt skill use, and can tailor skills based on clients’ responses. ACT Daily integrates these strengths with an ecological momentary intervention approach that prompts users to check-in with distress levels and ACT processes, followed by a recommended ACT skill tailored to check-in data. Pilot studies displayed improvements on depression/anxiety symptoms, ACT processes, and effective skill use in-the-moment. This study extends this research with a RCT design, applying an updated version of ACT Daily within an undergraduate sample across three conditions: assessment-only, random-skills, and tailored-skills. Results will be presented regarding app efficacy, methodology, and conditions leading to effective use of specific skills. Findings may inform app development and face-to-face therapy by examining which ACT skills are most effective in-the-moment based on individual and contextual variables.

102. Developing and Adapting ACT for Group Work: Lessons from the Inpatient Ward, and the Community
Symposium (11:00-12:30)
Components: Original data, Experiential exercises, Didactic presentation
Categories: Clinical Interventions and Interests, Other, Psychosis, Extreme states, Inpatient, Community Mental Health, Compassion, University Clinic
Target Audience: Beg., Interm., Adv.
Location: Lebrija

Angus Maxwell, Waitemata District Health Board, Auckland New Zealand
Eric Morris, La Trobe University

Group ACT provides opportunities to learn from others’ experiences, act out metaphors and exercises, and provide a small community context for developing psychological flexibility. In this symposium teams from three countries will present on their development and implementation of ACT groups for inpatient and community mental health settings. Participants in these groups have had experience of psychosis and/or extreme psychological distress. The symposium will offer an opportunity to understand the nature of working with this population, the challenges of setting up such groups and the differing formats they can take. The presenters will cover structure, content and outcomes from their groups. Initial outcome data, qualitative feedback and experiences from individual cases will be described.

• ACT in acute settings: using multidisciplinary Group work
Joris Corthouts, Psychiatric Hospital Sint Hiëronymus, Sint Niklaas, Belgium

In 2010 PC St Hiëronymus chose to implement ACT (together with recovery) as the main therapeutic approach for working with psychosis at an in-patient ward. Next to individual work, open and closed group-sessions are delivered by a multidisciplinary team. Different group-formats of delivering ACT have been developed since the start. This part of the symposium will focus on the methodology that was used for integrating ACT in a multidisciplinary team and how the group-formats got their current practice. As an example there will be summary of a client’s progress highlighting the different aspects of treatment.

• The Recovery ACT: evaluation of a group program for people with psychosis in the community
Eric Morris, La Trobe University, Melbourne, Australia
Jesse Gates, NorthWest Mental Health, Melbourne Australia
Jacinta Clemente, NorthWest Mental Health, Melbourne Australia
Eliot Goldstone, NorthWest Mental Health, Melbourne Australia
Alana Cross, NorthWest Mental Health, Melbourne Australia
John Farhall, NorthWest Mental Health, Melbourne Australia

The Recovery ACT is an 8-session group program for people with psychosis adapted from the UK to an Australia outpatient community team context. The group focuses on developing key ACT processes of mindfulness, willingness and valued action through the use of experiential exercises, with ‘Passengers on the Bus’ used as a central metaphor. We have completed three rounds of groups across three community teams, with 5 to 12 participants in each group. We evaluated the feasibility, acceptability and core ACT processes using a pre-post mixed methods group design. Questionnaires included a qualitative examination of participant’s experience, and quantitative measures of acceptance/action, values, cognitive fusion, mindfulness, recovery, and clinical and symptom changes. Participants reported the groups have been helpful at normalising experiences, developing valued action and increasing understanding of individual experience. Initial data indicates participants experienced positive changes in values/action, clinical outcomes and process of recovery.

• ACT for recovery – An Acceptance and Commitment Therapy Group for community mental health clients
Angus Maxwell, Waitemata District Health Board, Auckland, New Zealand
Nic Hughes, Waitemata District Health Board, Auckland, New Zealand
Claire Turner, University of Auckland

Development of an open two hour Acceptance and Commitment Therapy Group in a community mental health setting. The 12 week group is divided into three, four week modules. Each module has a different focus; the first being a general ACT model, the second with a focus on psychotic phenomena experiences, and the third integrating self-compassion . The group is both experiential and didactic in nature. There are up to twelve participants and three facilitators; one of whom is an experienced based expert and graduate of earlier groups, adding an important element of service user perspective and bringing validity to the process. The group utilises pre and post measures including the CORE-34, the CORE-10, the AAQ-II and the FSCRS. Qualitative feedback is also collected from group participants and from clinicians whose clients access the group.

103. Using the IRAP to Explore Emotions and Deictics
Symposium (11:00-12:30)
Components: Didactic presentation
Categories: Relational Frame Theory, Clinical Interventions and Interests, Theoretical and philosophical foundations, Relational Frame Theory, Other, IRAP, Perspective-taking, Emotions
Target Audience: Beg., Interm., Adv.
Location: Utera

Louise McHugh, University College Dublin

This tightly-packed 4-paper symposium explores various ways in which the IRAP can be used to study emotions (Papers 1 and 2) and self (Papers 3 and 4). Paper 1 uses the IRAP to explore the transformation of emotional functions, following a multiple exemplar training procedure, and highlights concordance of effects on the two procedures. Paper 2 is also concerned with studying emotions using the IRAP. A large sample of participants are presented with an IRAP involving male and female faces with 6 standard emotions. Comparing the IRAP with the explicit measure highlights a lower emotional threshold and no differences between males and females. Paper 3 is among the first to use the IRAP to study the self as deictic relational responding, and is particularly novel in incorporating all three types of deictic relations. The results highlight the IRAP’s ability to target these relations successfully, and concord with existing distinctions in terms of levels of relational complexity. Paper 4 again tests the utility of the IRAP as a measure of interpersonal deictic relations and attempts to replicate the only published study in this area. In a novel development, Paper 4 separates I and YOU into two IRAPs, presented in a natural language format. The differential performances in the two IRAPs supports the view that participants respond differently to I than YOU.

• An RFT analysis of deictic relational responding using the Implicit Relational Assessment Procedure (IRAP)
Deirdre Kavanagh, Ghent University
Yvonne Barnes-Holmes, Ghent University
Dermot Barnes-Holmes, Ghent University
Ciara McEnteggart, Ghent University

Perspective-taking appears to be a key process in the development of “self”. Under the rubric of Relational Frame Theory (RFT), researchers have investigated the role of deictic relational responding in the analysis of self in relation to others, place, and time, primarily through the use of an extended developmental protocol (Barnes-Holmes, 2001). In a move towards extending methodologies for studying deictic relational responding, Study 1 here employed the Implicit Relational Assessment Procedure (IRAP) to measure deictic flexibility regarding I versus OTHER. In short, participants were required to coordinate their own physical characteristics with I (i.e., I-I), and the physical characteristics of others with OTHER (Other-Other). The results showed strong, significant effects on both the I-I and Other-other trial-types, suggesting inflexible deictic relational responding. However, responding on the other trial-types (I-Other and Other-I) showed some flexibility in responding. Nonetheless, it could be argued that these IRAP trial-types did not require participants to actually take the perspective of another. In Study 2, we presented two Natural Language IRAPs (one that was I-focused and one that was Others-focused) that required participants to respond to both positive and negative statements about themselves and others. Initial data from this study suggests that this methodology is moving us a step closer toward the development of an IRAP that requires an individual to respond on the basis of the perspective of another. Hence, we are beginning to move towards a more precise analysis of the role of deictic relational responding in perspective-taking.

• Perspective-Taking through the IRAP.
Juan C. López, Ph.D., Universidad de Almería
Adrián Barbero-Rubio, Universidad de Almería & MICPSY
Carmen Luciano, Universidad de Almería & MICPSY
Zaida Callejón, Universidad de Almería

The current study aimed to advance into the analysis of relational flexibility through an innovative IRAP application to measure perspective-taking (PT) framing. For this, undergraduate students (N = 50) completed several explicit measures such as a self-reported questionnaire (IRI) and a behavioural task (DRT), which were included to explore the validity of the IRAP to measure the relational framing involved in PT. Subsequently, the participants were asked to complete a PT-IRAP, which included not only interpersonal deictic (I-You) or spatial (here-there) as previously done (Barbero et al., 2015) but temporal (then-now) framings. The findings showed that the DIRAP trial-types were a precise indicator of relational flexibility in PT. In addition, the analysis pointed out to the differential relational complexity per type of deictic involved: interpersonal, spatial or temporal; being the latter those in which higher latency were obtained. These data are in line with previous attempting to create a PT-IRAP and might be a cutting point moving forward a more precise analysis of perspective-taking.

• Woman and man face to face: implicit recognition of varying threshold of facial emotions
Annalisa Oppo, SFU, Milano (ITALY)
Valeria Squatrito, Kore, Enna (ITALY)
Enrica Basile, Kore, Enna (ITALY)
Giovambattista Presti, Kore, Enna (ITALY)

In a social context, having a successful social interaction may be due to recognition of a particular stimulus as an “emotional stimuli” and, maybe, emotional facial expressions are the most salient stimuli. Literature mainly focused on recognition of facial expressions used only intense exemplars and the role of soft expression remain unclear at the explicit level and mainly unstudied at the implicit level. The aim of this study was to assess an “emotional threshold” both at explicit and implicit level, using implicit relational assessment procedure (IRAP) for the latter one. One hundred and thirty six participants were enrolled in this study, and 104 (76.5%) participants achieved established criteria for accuracy. Assessment included explicit measures that evaluated self-compassion skills and depressive symptoms. A standardized set of graded, from full expression to neutral, emotional faces adapted by Gao & Maurer, D. (2009) were used. Specifically, photographs of one female model and one male model showing intense facial expressions of the six basic emotions (happiness, sadness, fear, anger, disgust, and surprise) and photographs of one female model and one male model showing graded facial expression (25%). Results showed that the “emotional threshold” is higher at the explicit level than at the implicit level (IRAP d-score for 25% trial type= 0.27; p<.001). Furthermore the threshold is similar for man and women and it is unrelated to the model (male or female).

• Transformation of emotional functions in comparison relations evaluated by Likert scales and IRAP.
João Henrique de Almeida, Universidade Federal de São Carlos
William Ferreira Perez, Paradigma centro de ciências do comportamento
Júlio César de Rose, Universidade Federal de São Carlos

Transformation of emotional functions have been considered, by some researchers, difficult to be observed in abstract stimuli with no topographical characteristic that facilitate this process (e.g. it was observed for head silhouettes but not for meaningless words or pictures). The present experiment employed a complex multiple exemplar training containing a variety of comparison relations among stimuli (non-arbitrary: size and amount; and arbitrary: numbers and words) for teaching undergraduates two contextual cues of comparison. Later, eleven undergraduates were trained to establish comparison relations between meaningless stimuli (grey spheres with nonsense words labels). One of this spheres were paired to faces expressing happiness. The transformation of functions to derived stimuli was evaluated by explicit (Likert) and implicit measures (IRAP). Nine of the eleven participants transformed the emotional function and responded in the Likert scales consistently with the relational training. A T-test show that D-IRAP scores had statistically significant negative effects for sphere A (“smallest”) related to “more happy” and for statistically significant effect for sphere D (“biggest”) related to “more happy”, both consistent with the training realized. These results permit to infer that many difficulties reported in the literature could be due the characteristics of the multiple exemplar training realized. A multiple exemplar training that presents a huge variety of stimuli with different properties may enable the adequate transformation of functions.

104. The Measure(s) of Our Commitment to Science: A Review of How Contextual Scientists Measure Behavior
Symposium (11:00-12:30)
Components: Conceptual analysis, Literature review, Original data
Categories: Theoretical and philosophical foundations, Performance-enhancing interventions, Measurement
Target Audience: Beg., Interm., Adv.
Location: Estepa

Kendra Newsome, Fit Learning
Ian Stewart, National University of Ireland Galway

Both the basic and applied wings of contextual behavior science share an interest in the prediction and influence of human behavior as it occurs in the natural environment. They also share a strong conceptual adherence to the tenants of natural science, with carefully vetted investigative and explanatory constructs. A review of the Journal of Contextual Behavior Science, however, reveals a division between how the basic and applied domains measure behavior, as well as the conspicuous shortage of analyses of ‘free-operant’ behavior. In this symposium we will review the tenants of a natural science and discuss their implications for how we ought to measure free-operant behavior. Additionally, we will demonstrate how adherence to natural science measures can provide a common analytic lens across both basic and applied domains. A common way of measuring our subject matter affords a more coherent and comprehensive science of behavior, better able to achieve our shared analytic goals.

• The “Stuff” of Science: What being committed to science means for science itself.
Timothy C. Fuller, University of Nevada, Reno
Donny Newsome, Fit Learning
Kendra Newsome, Fit Learning

A commitment to science requires that we declare what science we want to be committed to. Science, as an enterprise, sets out to provide a context from which its workers can produce statements about what is observed. Contextual behavior science (CBS) has done a laudable job outlining the values its workers need to bring to their scientific work, but what about science itself? If we want to commit to a thing called science, it is useful then to consider several basic tenets of science and thereby establish a foundation from which we can evaluate the behaviors of CBS workers. This presentation sets out to review what we think the basic tenets of a natural science are, where they have come from, and the implications these tenets have on the analytic activities of CBS scientists.

• A commitment to science means zero percent correct.
Donny Newsome, Fit Learning
Kendra Newsome, Fit Learning
Timothy C. Fuller, University of Nevada, Reno

The focus of this presentation will be a review of measurement practices in the Journal of Contextual Behavior Science as they pertain to both free and discrete operant paradigms. In the context of that analysis, we will discuss the merits of various measurement tactics relative to the standards of a thoroughgoing natural science of behavior. Specifically, we will orient to the problems with non-dimensional measures of behavior (percent correct) and self-report (surveys, questionnaires) and advocate for an increasing focus on free-operant behavior and the natural dimensions thereof (count, rate, latency, duration, magnitude, etc.).

• How contextual behavior science ‘measures up’ to the natural sciences.
Kendra Newsome, Fit Learning
Donny Newsome, Fit Learning
Timothy C. Fuller, University of Nevada, Reno

The solving of applied problems does not require new measures. Skinner put forth the use of rate of response as his biggest contribution to behavior science. This orientation to measuring our subject matter yielded a science of behavior aligned with other natural sciences. The closer our measures are to our subject matter of interest, the better we are positioned for discoveries that can readily traverse the basic and applied domains. This presentation will discuss the continuity afforded when natural sciences employ the approach to measurement across all areas of scientific activity. This alignment, present in other natural sciences, allows for basic research to directly inform applied research and for applied research to directly inform clinical practice.

111. New Directions in Learning Research
Symposium (12:45-14:00)
Components: Conceptual analysis, Literature review, Original data
Categories: Theoretical and philosophical foundations, Performance-enhancing interventions, Theoretical and philosophical foundations, Relational Frame Theory, Learning
Target Audience: Interm.
Location: Nervión Arenal I

Jan De Houwer, Ghent University
Jan De Houwer, jan.dehouwer@ugent.be

Learning research focusses on ways in which organisms adapt to their environment during their lifetime. It thus provides a cornerstone for any science of behavior, including contextual behavioral science. Moreover, Relational Frame Theory (RFT) not only has its origins in learning research but also has important implications for learning research. In this symposium, we explore new directions in learning research that were inspired by RFT. Hayes reminds us that RFT provides a radical new perspective on traditional forms of learning such as operant conditioning and provides new evidence from applied work that supports this view. In line with RFT's emphasis on relational processes, Hussey and Stewart present new evidence on relational learning, more specifically behavior change that results from relations between relations. During the discussion, De Houwer analyzes the conceptual implications of this work, including the way it relates to learning research in general.

• Is Derived Relational Responding Learned?
Steven C. Hayes, University of Nevada
Mark Dixon, PEAK
Jordan Belisle
Anne Blevins

The core conception of Relational Frame Theory is that derived relational responding is itself learned, and that once learned it in turn alters much more ancient learning processes. This talk will outline available evidence on these points, and will present new data using the PEAK curriculum showing that direct training of traditional verbal operants (PEAK-DT) and their generalization (PEAK-G) does not increase derived relational responding, but that application of the PEAK module for equivalence (PEAK-E), does do so. These results provide additional support for view that derived relational responding is acquired as an operant.The implications of this idea for behavioral and cognitive accounts of language and cognition will be briefly explored.

• The Implicit Association Test as an analogical learning task
Ian Hussey, Ghent University
Jan De Houwer, Ghent University

The Implicit Association Test (IAT) is a popular tool for measuring attitudes. We suggest that performing an IAT could, however, also change attitudes via analogical learning. For instance, when performing an IAT in which participants categorize (previously unknown) Chinese characters, flowers, positive words, and negative words, participants could infer that Chinese characters relate to flowers as negative words relate to positive words. This analogy would imply that Chinese characters are opposite to flowers in terms of valence and thus that they are negative. Results confirmed that learning via analogy can take place when performing an IAT. We discuss the implications of our findings for research on analogy and research on the IAT as a measure of attitudes.

• Empirical advances in studying relational networks
Shane McLoughlin, University of Chichester
Ian Stewart, National University of Ireland Galway

The relating of relations is a key feature of the development of complex relational networks. Despite this, thus far there has been little empirical study of this phenomenon, outside of analogy. The latter, which involves coordination of relational networks, is indeed an important example of the relating of relations but there are other examples that can also be involved in complex relational framing. Experiment 1 extended previous research by exploring non-coordinate relating of relations in adult participants. First, Crel functions of YES, NO, SAME, DIFFERENT, and OPPOSITE were established in arbitrary stimuli using a multi-stage Relational Evaluation Procedure (REP). Then participants were tested for the evaluation of various forms of relating of relations including deriving coordination, distinction and opposition relations between relations. Three out of four participants showed predicted patterns of behavior. In Experiment 2, these same three participants showed transformation of contextual control functions via the relation of relational networks. Implications and future research directions are discussed.

112. Experimental and Clinical Analyses of Rumination and Repetitive Negative Thinking
Symposium (12:45-14:00)
Components: Conceptual analysis, Original data
Categories: Relational Frame Theory, Clinical Interventions and Interests, ACT, Emotional disorders
Target Audience: Beg., Interm., Adv.
Location: Buhaira

Ángel Alonso, Madrid Institute of Contextual Psychology
Carmen Luciano, Universidad de Almería

The current symposium presents RFT and ACT research on rumination and repetitive negative thinking (RNT). The first study investigates mood-congruent memory as one of the relational processes involved in rumination. The study aimed to explore the extent in which negative-mood induction produces mood-congruent bias for stimuli with aversive rather than appetitive functions during a free recall task. The second study analyzed the relations between thoughts that trigger rumination by conducting an analog study involving rumination induction procedures. Furthermore, the study also analyzed the effect of defusion protocols involving different degrees of hierarchical framing in the context of rumination. Lastly, the third study presents a summary of three clinical studies with brief and preliminary RNT-focused ACT protocols applied to emotional disorders. In conclusion, this symposium is a good representation of the reticular model of scientific research supported by contextual behavioral science.

• A Relational Frame Theory Account of Mood-Congruent Memory
L. Jorge Ruiz-Sánchez, Universidad de Almería
Carmen Luciano, Universidad de Almería

Mood-Congruent Memory refers to when people’s memories match how they feel, such that when they are in a negative mood, they have more unpleasant than pleasant memories. We aimed to explore the extent in which negative-mood induction produces mood-congruent bias for stimuli with aversive rather than appetitive functions during a free recall task. Three 6-member equivalence classes were established under contextual control using pseudo-words. A1 and B1 were trained to participate in an equivalence class with C1, D1, E1 and F1 (Class 1) in one context (Context 1), and with C2, D2, E2 and F2 (Class 2) in another context (Context 2). A third class (A3-F3) was established in both contexts. B1 and C1 were conditioned negatively using shocks in Context 1 while B1 and C2 were positively conditioned using earning points in Context 2. Finally, participants were asked to recall the pseudo-words related to B1 in a new context (Context 3) after the implementation of neutral and negative-mood induction protocols.

• The hierarchical organization of triggers for rumination
Bárbara Gil-Luciano, Madrid Institute of Contextual Psychology
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz

Problematic rumination and worry are common denominators to many psychological disorders. These strategies are based on going around private events that seem to be organized at different levels as might be a hierarchical organization. The present study is exploring this with two ruminative induction protocols and its impact of ulterior intervention protocols. Forty participants were recruited in a Spanish University and randomly distributed in two conditions. All them went to phase 1: pre-test measures (questionnaires and in-live task). All them were evaluated in regard to discomfort and strength of own thoughts and emotions. Then, in phase 2, part of the participants went to one of two ruminative induction protocols. In phase 3, post-test measures were taken. Phase 4 consisted in all of them receiving a protocol in order to establish a hierarchical relation with their own's emotions and thoughts. Finally, all them went to phase 5 for additional post-test II measures. Results are discussed in terms of the relations involved in trigger for worry and rumination and the effect of the protocols to disrupt them.

• Effect of RNT-focused ACT protocols for emotional disorders.
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Cindy L. Flórez, Fundación Universitaria Konrad Lorenz
María B. García-Martín, Fundación Universitaria Konrad Lorenz
Diana García-Beltrán, Fundación Universitaria Konrad Lorenz
Andrea Monroy-Cifuentes, Fundación Universitaria Konrad Lorenz
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz
Marco A. Sierra, Fundación Universitaria Konrad Lorenz

This paper summarizes the results obtained in several studies that tested the effect of brief protocols of ACT focused on reducing repetitive negative thinking (RNT) in the form of worry and rumination. All studies were preliminary and used single-case experimental designs. In the first study, the effect of a 2-session RNT-focused ACT protocol was implemented in 10 participants with moderate to severe emotional symptoms. In the second study, a 3-session protocol was applied with 6 individuals showing comorbid and severe levels of depression and generalized anxiety disorder (GAD). Lastly, in the third study, the same 3-session protocol was applied to 3 individuals showing GAD with the main domain of worry being the couple relationship. The results of the three studies showed very large effect sizes in symptoms reduction, measures of RNT, and ACT processes, with all participants showing clinically significant changes.

113. A New Measure of Psychological Flexibility Based (more) on RFT
Symposium (12:45-14:00)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Theoretical and philosophical foundations, Psychometrics, Measuring Psychological Flexibility
Target Audience: Interm.
Location: San Bernardo

Frank W. Bond, Ph.D, Goldsmiths, University of London
Dermot Barnes-Holmes, Ph.D., Ghent University

ACT and RFT theories are complex webs of ideas and constructs that researchers and clinicians constantly explore, and these efforts reveal new insights that, together with basic research, suggest new ways of understanding and measuring processes such as psychological flexibility (PF). This symposium discusses both the theoretical (Torneke et al., 2016) and empirical (Luciano et al., 2009) work that has led to the development and then testing of a new measure of PF, the Psychological Flexibility Indicator (PFI). In addition, research into this new measure reveals not only its psychometric properties, but it also critically suggests core issues concerning how we understand psychological flexibility, how we can enhance it clinically, and how we can begin to develop methodologies to better understand this construct.

• Why do we need a new measure of psychological flexibility?
Yvonne Barnes-Holmes, Ph.D., Ghent University

Early in the development of relational framing, relations of coordination are established between “I”, “me”, my own name, my own thoughts, feelings and my own behaviour. Similarly, relations of distinction are established between “I” and “you”, “others”, "other names"; temporal relations are also established between "now" and "then". Furthermore, research has shown that a hierarchical relation with my own behaviour is likely to be relatively effective and beneficial (e.g., Luciano et al., 2009). Such theory and recent research has led to a new exploration of RFT concepts, such as perspective taking and hierarchical framing (Torneke et al., 2016), to see how they can inform our understanding and measurement of psychological flexibility. This paper discusses these empirically based theoretical advances to show how they can inform clinical practice and how such advances may provide an opportunity for us not only to better understand and improve psychological flexibility but to measure it.

• Psychometric properties of the Psychological Flexibility Indicator (PFI)
Frank W. Bond, Ph.D, Goldsmiths, University of London
Joda Lloyd, Ph.D., Goldsmiths, University of London

This paper discusses why theoretical and empirical advances, in conjunction with limitations of the AAQ-II, warranted a new measure of psychological flexibility. It presents studies that tested the the initial item pool of this new measure of psychological flexibility, the Psychological Flexibility Indicator (PFI) (Bond, Lloyd, Barnes-Holmes, Torneke, Luciano, Barnes-Holmes, Guenole, in prep), its item reduction procedures, and its eventual factor structure that reveals insights into both to RFT and ACT theory and practice. Data from at least four studies will identify the measure's psychometric properties, including its factor structure, reliabilities, concurrent and predictive validates, and its performance in relation to the AAQ-II. Discussion will focus on psychometric, clinical and theoretical implications of these findings for both RFT and ACT.

• Measuring psychological flexibility is needed but how? Implications for basic and clinician domains
Carmen Luciano, Ph.D., University of Almeria

As discussed in this symposium, measuring psychological flexibility is a complex process that requires extensive knowledge of the theory underlying its definition. As has been noted in other papers, perspective and hierarchical framing are at the core according the experimental data (e.g., Luciano et al., 2011, Gil-Luciano et al., 2016; López, 2016), however, the way to measure those processes is not an easy endeavour, and further research is still needed to understand them more. Based on experimental research, this paper discusses different methodologies to measure it and its difficulties.

115. Acceptance, Mindfulness and Compassion-Based Interventions for Problem Eating Behaviors
Symposium (12:45-14:00)
Components: Literature review, Original data
Categories: Clinical Interventions and Interests, Functional contextual approaches in related disciplines, Binge Eating Disorder, Overweight and Obesity, ACT, Mindfulness
Target Audience: Beg., Interm., Adv.
Location: Utera

Increasing evidence points to the relevant potential impact of acceptance, mindfulness, and compassion-based interventions on health problems related to eating behaviors. This symposium presents four papers that focus on the application of such interventions to problems ranging from binge eating to obesity and overweightness. The first paper presents data on the efficacy of a low intensity pilot intervention for binge eating disorder aimed at promoting the development of compassion, mindfulness and psychological flexibility, with results showing a significant decrease in binge eating symptomatology and increases in body image-related psychological flexibility. The second paper presents follow-up results (up to 6 months) of an acceptance, mindfulness and compassion-based group intervention (Kg-Free) for obese and overweight women without binge eating disorder. Results show reductions in weight self-stigma, unhealthy eating patterns, and an improvement in quality-of-life. The third paper presents an innovative integration of ACT and wearable technologies (activity tracker and mHealth tools) for the development of an effective intervention in fostering healthy lifestyles for obese individuals. Finally, the fourth paper presents a review of the literature on the application of broadly defined mindfulness procedures (comprising MBSR, ACT, meditation, and mindful eating) as an agent for change in eating behaviors (weight reduction and prevention and treatment of eating disorders).

• The efficacy of a low intensity compassion, mindfulness and acceptance-based intervention for binge eating
Cristiana Duarte, Msc, Ph.D. Candidate, Cognitive and Behavioural Centre for Research and Intervention (CINEICC), Faculty of Psychology and Educational Sciences, UC
José Pinto-Gouveia, MD, Ph.D., Cognitive and Behavioural Centre for Research and Intervention (CINEICC), Faculty of Psychology and Educational Sciences, UC
James Stubbs, Ph.D., Appetite Control and Energy Balance Research Group, School of Psychology, University of Leeds

Evidence shows that shame, self-criticism and psychological inflexibility play a significant role in the development and maintenance of Binge Eating Disorder (BED). Interventions that target these processes and promote the development of compassion, mindfulness and psychological flexibility may be particularly suitable to treat this clinical condition. A recent pilot study tested the efficacy of a low intensity 4-week compassion, mindfulness and acceptance-based intervention – CARE (Compassionate Attention and Regulation of Eating Behaviour) – in women from the general community diagnosed with BED. Results revealed significant reductions in binge eating symptomatology, body shape and weight overvaluation, self-criticism and indicators of psychopathology; there were significant increases in body image-related psychological flexibility and in the ability to engage in compassionate actions. Most effects were stable at 1-month follow-up. Results suggest that innovative interventions focused on developing mindfulness, compassion and acceptance competencies may have beneficial impacts in eating behaviour and psychological adjustment in individuals with BED.

• Follow-up results from an acceptance, mindfulness and compassion-based group intervention (Kg-Free): Exploring who benefited the most from the intervention?
Lara Palmeira, CINEICC, Cognitive and Behavioral Research Centre, University of Coimbra
Marina Cunha, CINEICC, Cognitive and Behavioral Research Centre, University of Coimbra; Miguel Torga Superior Institute (ISMT), Coimbra, Portu
José Pinto-Gouveia, CINEICC, Cognitive and Behavioral Research Centre, University of Coimbra

Kg-Free is a 12-session group intervention that includes mindfulness, ACT and (self)compassion components for women with overweight and obesity without binge eating disorder. Results from the randomized controlled trial revealed that the intervention was effective in reducing weight self-stigma, unhealthy eating patterns and improving quality-of-life. This study aims to explore changes in outcomes at 3 and 6-months follow-up and to examine whether changes in main outcomes at follow-up were significantly different depending on baseline differences. Overall, 53 women with a mean of 42.55 years old (SD=9.05) and a mean BMI (Kg/h2) of 34.09 (SD= 5.30) participated. Results suggest significant improvements from baseline to 3-and 6-months follow-up in all outcomes. We also explored if changes in weight self-stigma, unhealthy eating behaviors, and quality-of-life at follow-up were significantly different depending on participants’ baseline levels of self-criticism and external shame. Clinical implications will be discussed.

• ACTonHEALTH study: promoting Psychological Flexibility with Activity Tracker and mHealth tools to foster healthy lifestyles for Obese Individuals
Giorgia Adelaide Varallo Del Signore, Istituto Auxologico Italiano - Clinical Psychological Lab
Roberto Cattivelli, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Margherita Novelli, Istituto Auxologico Italiano IRCCS
Alessandro Musetti, Department of Literature, Arts, History and Society, University of Parma, Parma, Italy
Chiara Spatola, Istituto Auxologico Italiano IRCCS, Department of Psychology, Catholic University of Milan, Milan, Italy
Emanuele Cappella, Department of Psychology, Catholic University of Milan, Milan, Italy

Obesity and overweight are growing steadily and becoming a global epidemic. Recent researches report a 64% of the adult population as overweight. The social and economical impact is increasing and the most of the rehabilitation programs, while effective in the short term, do not produce long lasting results. From a behavioral perspective an explanatory model can describe the phenomena with the lack of sources of reinforcement related to healthy habits in the daily-life context. The goal of this work, combining Acceptance and Commitment Therapy and Wearable Technology, is to develop an effective intervention, efficient and sustainable, which continues after ending of structured rehabilitation programs, providing adequate contingencies of reinforcement in the natural environment, integrating systematic measurements, continuous feedbacks and individualized, values-based objectives. Related goal-setting show a shift from results linked with weight loss towards action connected with healthy life-style.

• Mindfulness, Acceptance and Commitment Therapy, and Nutrition
Vivian Costa Resende Cunha, MSc, Pontifícia Universidade de Goiás, Brasil
Sônia Maria Mello Neves, PhD, Pontifícia Universidade Católica de Goiás, Brasil

The concept of mindfulness originates from oriental meditation practices and, since the early 90s, this practice has been used in psychology by contextualist behavior therapies and other public health disciplines. Using the PubMed database, 60 papers were found in the last 8 years that addressed mindfulness techniques for weight loss, for prevention and treatment of diseases or eating disorders, and as an agent for change in eating behaviors. Papers that related mindfulness for weight control had an n of 22, of which 4 used Acceptance and Commitment Therapy (ACT), 5 used meditation practices as a protocol, 8 used mindful eating practices, 2 used the Mindfulness Based Stress Reduction (MSBR) protocol, and 3 were systematic reviews and meta-analyses on mindfulness and weight loss. The mindfulness techniques has mostly been used by Nutrition professionals as an end in itself and not as part of psychotherapeutic treatment.

122. A Functional Direction: Understanding the Symptoms of Psychosis Using Relational Frame Theory
Symposium (15:15-16:45)
Components: Conceptual analysis, Original data, Didactic presentation, Case presentation
Categories: Relational Frame Theory, Clinical Interventions and Interests, , Theoretical and philosophical foundations, Functional contextual approaches in related disciplines, Psychosis
Target Audience: Interm.
Location: Prado

Corinna Stewart, School of Psychology, National University of Ireland, Galway
Dr. Eric Morris, La Trobe Psychology Clinic, School of Psychology and Public Health, La Trobe University, Melbourne, Australia

While the positive symptoms of psychosis have long garnered attention in clinical, cognitive, and neuropsychology, these phenomena have yet to be systematically explored within CBS. Recently however, there has been a “call to arms” for systematic, inductive and empirically informed functional analyses of delusions (Stewart, Stewart, & Hughes, 2016), dissociation and auditory hallucinations (McEnteggart et al., 2016). This symposium comprises researchers and clinicians working together to bring an Relational Frame Theory (RFT) approach to understanding, researching and supporting individuals with unusual experiences and psychosis. Drawing upon recent developments in “clinical RFT”, we present an overview of how persecutory delusions may be conceptualized in RFT terms and present data from preliminary research investigating threat anticipation and avoidance generalization. We then demonstrate how RFT can be used to inform case conceptualization and therapeutic intervention via a case study on persecutory delusions. Finally, we reflect on promising research directions, challenges, and the clinical implications of adopting an RFT approach to delusions and psychosis more generally. It will be argued that a contextual approach to understanding the experiences of psychosis has the potential to identify environmental influences that may lead to better-informed psychological interventions to help those distressed and disabled by these experiences.

• An RFT approach to the study of persecutory delusions
Corinna Stewart, School of Psychology, National University of Ireland, Galway
Dr. Sean Hughes, Department of Experimental Clinical and Health Psychology, Ghent University, Belgium
Dr. Ian Stewart, School of Psychology, National University of Ireland, Galway

Persecutory delusions are the most prevalent sub-type of delusional beliefs and are associated with a range of clinical phenomenon, including poor social functioning, anxiety, and depression. There has been a dearth of research investigating persecutory delusions from the functional-analytic perspective. This paper provides a starting point for functionally-oriented researchers and clinicians interested in this phenomenon. Drawing on RFT research, we provide a substantially bottom-up, functional interpretation of persecutory delusions. Specifically, we define delusional beliefs as behaviors (i.e., derived relational responding; DRR) and attempt to identify the learning histories and environmental factors supporting this behavior. DRR may be responsible for formation and generalization of fear, threat-beliefs, avoidance, and other psychological properties characteristic of persecutory delusions, especially for stimuli and events never previously contacted. Data is presented investigating generalization of threat anticipation and avoidance functions to stimuli not directly paired with interpersonal threat. Educational objective: To conceptualize persecutory delusions from an RFT perspective.

• A functional analytic perspective on paranoia: A case study
Dr. Joe Oliver, University College London & Camden and Islington NHS Foundation Trust
Dr. Yvonne Barnes-Holmes, Department of Experimental Clinical and Health Psychology, Ghent University, Belgium

There is an increasing interest among members of the CBS community in how therapies, especially Acceptance and Commitment Therapy (ACT), can be more directly informed by RFT. The current paper presents an on-going case summary in which ‘verbal functional analysis’ and the ‘drill-down’ featured strongly in case formulation and clinical focus. The case involved an adult woman with paranoia, who had been diagnosed with psychosis, and had an extended history of familial and other abuse. The paper highlights the importance of the deictic relations and how disturbances in the development of these relations may contribute to experiences of paranoia. This complex case illustrates the broad utility, and functional-analytic focus, of using conceptual developments in RFT to guide clinical work. Educational objective: To understand how RFT can be used to provide a functional analytic account of paranoia.

• Using ‘verbal functional analysis’ and the ‘drill down’ in complex clinical cases
Dr. Yvonne Barnes-Holmes, Department of Experimental Clinical and Health Psychology, Ghent University, Belgium
Dr. Ciara McEnteggart, Department of Experimental Clinical and Health Psychology, Ghent University, Belgium
Dr. Joe Oliver, University College London & Camden and Islington NHS Foundation Trust

The current paper is part of an ongoing effort to better connect or stretch RFT to the complexities of clinical phenomena. Drawing upon the case study presented in Paper 2, the current paper illustrates the way in which verbal functional analysis and the drill-down featured strongly in the case formulation and clinical focus. First, verbal functional analysis is an approach to identifying and targeting the relational networks that seem to be clinically relevant, to create broad and flexible repertoires of relational responding. Second, the drill-down aims to provide a bottom-up approach to the relational processes (with specific focus on the deictic relations) of the therapeutic alliance. The paper attempts to illustrate how therapeutic work can remain closely connected to basic theory and argues that it will be important in future work to further expand these connections with ongoing developments in RFT. Educational objective: The paper aims to illustrate how therapeutic work can remain closely connected to the basic concepts of RFT.

123. Shifting the Focus from Feeling Good to Doing Well: Empirical Studies on Valued Aspirations and Behaviors, and Their Implications for Clinical Practice
Symposium (15:15-16:45)
Components: Conceptual analysis, Literature review, Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Theoretical and philosophical foundations, Functional contextual approaches in related disciplines, Measurement
Target Audience: Beg., Interm.
Location: Nervión Arenal I

Professor Joseph Ciarrochi, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Dr. Baljinder Sahdra, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia

Acceptance and Commitment Therapy (ACT) focuses on altering the environment to activate value consistent behavior rather than altering internal mental states. In support of this conceptual and clinical orientation towards valued action, this symposium includes three presentations providing evidence for the importance of values and behavior in promoting positive functioning. Using diverse samples and methodologies, we will demonstrate that the intention to behave in line with one's values, as well as the behaviors themselves, reduce suffering and promote well-being. What you want to do, what you say you do, and what you actually do, all play a role in enhancing well-being. Furthermore, it is crucial to know the function of valued behaviors, not just those behaviors in isolation. The symposium will reinforce key principles of ACT through a holistic lens and empirically demonstrate that the contextual and functional details are key in identifying and encouraging valued action.

• Expanding the circle of aspirations: Intrinsic value patterns relate to positive functioning when they centre on community giving
Emma Bradshaw, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Dr. Baljinder Sahdra, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Professor Joseph Ciarrochi, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Dr. Philip Parker, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Tamás Martos, Department of Personality, Clinical and Health Psychology, University of Szeged, Szeged, Hungary
Professor Richard Ryan, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia

Aspirations can be extrinsic (wealth, fame and attractiveness) or intrinsic (personal growth, relationships, community giving and health). It is often assumed that intrinsic is “good” and extrinsic is “bad” for well-being. However, typically observed small correlations between intrinsic and extrinsic values suggest that they are not universally divergent and may even be convergent in some people. Bifactor structural equation modelling and latent profile analysis of two independent samples from Australia (N=1632) and Hungary (N=3370) yielded three replicable latent profiles: Disengaged from relationships and health (P1); Aspiring for interpersonal relationship and health (P2); and aspiring for community relationship and giving (P3). P1 reported the lowest levels of positive functioning and P3 the highest, even after controlling for the individual aspirations. These results suggest that extrinsic aspirations may not be inherently negative if the aspiration profile favors intrinsic values, and that community involvement is important for well-being.

• The Six Ways to Well-Being (6WWeb): A new measure of behaviors that reduce mental ill-health and promote well-being
Geetanjali Basarkod, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Professor Joseph Ciarrochi, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Dr. Baljinder Sahdra, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia

CBS-based interventions limit direct attempts to change emotional states like anxiety, and focus on activating value-consistent behaviors. However, most CBS outcome studies focus on emotional states. The Six Ways to Well-being (6WWeB) measures behaviors that are theorized to promote well-being: connecting with others, challenging oneself, giving, engaging in physical activity, embracing the moment, and caring for oneself. The measure also assesses motivation for each behavior (autonomous versus controlled). American (N = 1800) and Australian (N = 1563) participants completed the 6WWeb and related measures. Structural equation models including factors of autonomy and pressure in general and specific to each of the six domains fit the data well. The 6WWeb predicted substantial variance in mental–ill health and well-being, and related in theoretically expected ways to personality. The 6WWeb may be a useful outcome measure that orients clients towards activating value-consistent behavior rather than reducing symptoms.

• Increasing valued behaviors precedes reduction in suffering
Professor Andrew Gloster, University of Basel, Department of Psychology, Division of Clinical Psychology and Intervention Science, Basel, Switzerland
Dr. Jens Klotsche, German Rheumatism Research Centre Berlin, Leibniz Institute, Epidemiology Unit, Berlin, Germany
Professor Joseph Ciarrochi, Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia
Prof. Georg Eifert, Chapman University, Orange, CA, USA
Dr. Rainer Sonntag, Private Practice, Olpe, Germany
Prof. Hans-Ulrich Wittchen, Technische Universität Dresden, Department of Psychology, Institute for Clinical Psychology and Psychotherapy, Dresden, Germany
Prof. Jürgen Hoyer, Technische Universität Dresden, Department of Psychology, Institute for Clinical Psychology and Psychotherapy, Dresden, Germany

Psychological flexibility theory suggests three key processes of change: increases in value-directed behaviors, reduction in struggle with symptoms, and reduction in suffering. We hypothesized that ACT would 1) increase valued behaviors and 2) exact change such that increases in valued action and decreases in struggle would precede change in suffering. Data were derived from a randomized clinical trial testing ACT for treatment-resistant patients with primary panic disorder (n= 41). Valued behavior, struggle, and suffering were assessed at each of eight sessions. Valued actions increased during therapy such that the discrepancy between what one said is important and what they actually did decreased. Struggle with symptoms and suffering also changed throughout therapy. Levels of valued behaviors influenced subsequent suffering, but the other two variables did not influence subsequent levels of valued action. These finding supports a central tenet of ACT that increased (re-)engagement in valued behaviors precedes reductions in suffering.

126. Development and Validation of Measures of Processes of Contextual Therapies
Symposium (15:15-16:45)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Theoretical and philosophical foundations, Adolescents, ACT Assessment, Measurement, Emotion Regulation
Target Audience: Beg., Interm., Adv.
Location: Buhaira

The development of psychometrically sound scales that measure the most relevant processes of contextual therapies is an important endeavor. A good number of scales have been designed in the last years; however, more research is still needed on adapting these scale to different languages and to design new and enhanced scales. This symposium presents advancements in this direction. The first presentation will present psychometric data of the Italian adaptation of the Child and Adolescent Mindfulness Measure (CAMM) and the Avoidance and Fusion Questionnaire for Youth (AFQ-Y). The second presentation will present data that supports the use of a new scale, the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT). Lastly, the third paper will present a new scale that measures regulation difficulties associated with emotional overcontrol.

• Mindfulness Skills, Psychological Flexibility and Internalizing problems in adolescents: ACT-oriented measures for clinical assessment
Marta Schweiger, IULM University, Milan - Italy
Arianna Ristallo, IESCUM, Italy
Annalisa Oppo, Sigmund Freud University , Milan - Italy
Francesca Pergolizzi, IESCUM, Italy
Nanni Presti, Kore University, Enna - Italy
Paolo Moderato, IULM University, Milan - Italy

Providing psychometrically sound instruments is necessary in order to guide treatment decisions consistent with ACT processes. There are only few ACT-oriented self-reports tailored on young people: Child and Adolescent Mindfulness Measure (CAMM) and Avoidance and Fusion Questionnaire for Youth (AFQ-Y). Italian version of those measures (I-CAMM and I-AFQ-Y) had been validated and they showed good psychometric properties. 1336 participants, aged between 11 and 18, were enrolled in twelve schools all over Italy. The first aim of the study is to identify cut-offs that optimize sensitivity and specificity of I-CAMM an I-AFQ-Y in order to detect adolescents with internalizing problems assessed by Youth Self-Report (YSR): cut-offs are 24 for the I-CAMM and 11 for the I-AFQ-Y. Furthermore using a Classification Tree Analysis (CTA), groups of adolescents with specific characteristics are identified: in anxious-depressed adolescents, Withdrawn/Depressed symptoms are associated with low mindfulness skills, while Somatic/Complaints symptoms are associated with psychological inflexibility. Finally, correlation of ACT questionnaire with anxiety and depression measures (RCMAS-2 and CDI) are presented. The detection of homogeneous groups with specific behavioral patterns can help clinicians in decision making process about treatment. The potential uses of the I-CAMM and I-AFQ-Y in research and clinical practice are discussed.

• Development and continuing validation of the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT)
David L. Dawson, DClinPsy, University of Lincoln
Nima Golijani-Moghaddam, University of Lincoln

Extant ACT process measures are typically circumscribed in their focus and have been subject to critique in terms of validity and conflation with distress measurement. In this presentation, we describe the development and ongoing validation of a new general measure of ACT processes (the CompACT). In phase one, ACT experts rated the face and content validity of 106 items using a Delphi consensus methodology, producing an initial 37-item measure. In phase two, a general population sample (N=377) completed this measure; exploratory factor analysis suggested a theoretically-coherent three-factor structure for a 23-item version of the CompACT. Work from these phases was recently published in JCBS. During this presentation, phase-three results (confirmatory factor analysis and assessment of test-retest reliability, using an independent sample [N~440]) will be reported for the first time. Results from previous phases indicate that the CompACT holds promise as a valid measure of general ACT processes.

• A transdiagnostic approach to emotion regulation: The development and validation of two scales of emotion regulation
Lauren Borges, Ph.D., Rocky Mountain Mental Illness Research, Education, and Clinical Center
Amy Naugle, Ph.D., Western Michigan University

Recent research suggests the transdiagnostic role of emotion regulation in the development and maintenance of psychopathology. Extant scales of emotion regulation, however, do not capture the transdiagnostic scope of this construct. These measures neglect the emotion regulation difficulties associated with emotion overcontrol. To address these gaps in the literature, a scale of emotion undercontrol and a scale of emotion overcontrol were developed from 305 undergraduates who completed preexisting measures of emotion regulation and personality. The emotion regulation strategies most predictive of personality disorders and traits associated with emotion overcontrol (e.g., Obsessive Compulsive Personality Disorder; propriety) and emotion undercontrol (e.g., Borderline Personality Disorder; disinhibition) formed item pools for exploratory factory analyses. Resulting from these analyses, two scales were formed which shared dimensions of emotional avoidance, emotion identification, emotional control, and emotional interference. The undercontrol scale included three unique factors of emotional tolerance, emotional reactivity, and emotional expressivity whereas emotional judgment and emotional reappraisal represented two unique facets to emotional overcontrol. These scales were found to be reliable and valid in the current sample. Implications for assessing emotion regulation and future directions for research are discussed.

• The Development of the Flexibility of Responses to Self-Critical Thoughts Scale (FoReST)
Ross White Ph.D, DClinPsy, University of Liverpool
Peter Larkin, NHS Greater Glasgow and Clyde
Annette Lloyd, NHS Greater Glasgow and Clyde

Background: This paper reports on the development of ‘The Flexibility of Responses to Self-Critical Thoughts Scale’ (FoReST); a measure specifically designed to assess psychological flexibility in relation to self-critical thoughts. Method: In Study 1, a convenience sample of 253 adults was recruited to investigate the factor structure and construct validity of the FoReST in a non-clinical sample. In Study 2, a total of 132 individuals attending Primary Care and Community Mental Health Teams in two health trusts in the UK participated in an investigation of the factor structure, construct validity and internal consistency in a clinical sample. Results: In both studies a two-factor (unworkable action and avoidance) structure for the FoReST was identified. The measure demonstrated good internal consistency, concurrent validity and predictive validity in both studies. Conclusions: The FoReST appears to be a valid assessment measure for administering to individuals with and without mental health difficulties. This measure could have important application for evaluating third wave therapies such as Acceptance and Commitment Therapy (ACT) and Compassion Focused therapy (CFT).

127. Research on the Negative Effects of Experiential Avoidance
Symposium (15:15-16:45)
Components: Original data
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Behavioral medicine, Theoretical and philosophical foundations, Experiential avoidance, Aggression, Borderline Personality Disorder, Military Sexual Trauma, Smoking cessation
Target Audience: Interm.
Location: San Bernardo

The analysis of the negative effects of experiential avoidance in mental health and quality of life variables has been one the most productive areas of research within the Contextual Behavioral Science. However, experiential avoidance is so pervasive that many relations with other processes and outcomes remain uninvestigated. This symposium will present research that advances in this direction. The first presentation will show the attentional correlates of experiential avoidance in dementia caregivers. The second paper examines the role of experiential avoidance in the relationship between Borderline Personality features and aggression. The third presentation will discuss psychological flexibility in reference to professional mental health staff, personally and professionally. Overall, these presentations show the pervasive and counterproductive nature of experiential avoidance.

• Attentional correlates of Experiential avoidance in dementia caregivers
Isabel Cabrera, Ph.D, Universidad Autónoma de Madrid
María Márquez-González, Ph.D, Universidad Autónoma de Madrid
Andrés Losada, Universidad Rey Juan Carlos de Madrid
Carlos Vara, Universidad Autónoma de Madrid
Laura Gallego-Alberto, Universidad Autónoma de Madrid

Cabrera, I., Márquez-González, M., Losada, A., Vara, C., & Gallego-Alberto, L. Background: Experiential avoidance in caregiving (EAC) has been related to dementia family caregivers´ distress. This study aims to explore EAC-related attentional biases. Method: Ninety-one caregivers completed: a) a dot-probe task with emotional pictures varying in content and time of exposure; and b) the Experiential Avoidance in Caregiving Questionnaire. Results: A mixed design ANOVA was carried out with one between-subjects factor (EAC: high, low) and three within-subjects factors (picture valence: distressing, positive; picture content: general, caregiving-related; and time: 100 and 500 ms). A significant four-way interaction was found. High-EAC participants showed avoidant attentional biases or not attention to emotional pictures. Low-EAC participants showed an attentional bias for positive general information and an avoidant bias for distressing general information, and the opposite pattern for caregiving-related stimuli. Conclusion: High EAC levels were associated with general avoidant attentional biases, whereas low EAC levels were related to a more selective and adaptive attentional pattern.

• A Prospective Examination of Processes Influencing the Relationship between Borderline Personality Features and Aggression: Experiential Avoidance and Anger Rumination as Mediators
John J. Donahue, Psy.D., University of Baltimore
Rebecca Thompson, Ph.D., University of Baltimore

Borderline Personality Disorder (BPD) features have been associated with increased aggression toward others. Under the Emotional Cascade Model (ECM; Selby & Joiner, 2009), rumination is proposed to intensify negative emotionality and attention toward emotional stimuli, resulting in behavioral dysregulation such as aggression. While not explicitly included within the ECM, experiential avoidance (EA) is a process that is considered to play a key role in BPD (Iverson et al., 2012), is a proxy risk factor for rumination (Spinhoven et al., 2016), and is associated with aggression (Reddy et al., 2011). The present study therefore seeks to longitudinally examine the role of EA and anger rumination in explaining the relationship between BPD features and aggression in a community sample of participants high in emotion dysregulation. One hundred and seven participants (51% women, mean age = 30.94, SD = 7.33) were recruited to participate in a six-month prospective study with three assessment points. Data collection is ongoing and the second assessment point has recently completed. Preliminary results support a serial mediation model with a significant indirect effect of time 1 BPD features on time 2 aggression through EA and anger rumination. Specifically, a bias-corrected bootstrap confidence interval for the indirect effect (B = .07) based on 5,000 bootstrap samples did not include zero (.01, .20). The final presentation will report analyses based on all three time points and discussion will emphasize the interplay between EA and rumination on aggression among those with BPD features.

• Psychological flexibility: an investigation in mental health staff at the individual, leadership, and team level, and its impact on service user outcomes
Danielle Lamb, University College London
Professor Sonia Johnson, University College London

This research investigates one of the key elements of Acceptance and Commitment Therapy (ACT), psychological flexibility. This paper reports the findings of a longitudinal study with NHS staff (n=445) working in Crisis Resolution Teams (24/7 mental health teams in the UK providing care at home to those in mental health crisis, with the aim of avoiding hospital admission). Psychological flexibility has been investigated at three levels: 1) the individual level, where results support previous research, that higher levels of psychological flexibility predict better wellbeing outcomes (measured via burnout, work engagement, and general psychological health); 2) the leadership level, where results indicate some support for the hypothesis that higher manager psychological flexibility is associated with better wellbeing outcomes in their staff; and 3) the team level, where data will be presented on whether higher team-level psychological flexibility is associated with better service user outcomes. This research aims to provide both guidance to service planners and managers, and a conceptual account of complex psychological constructs and their impact in an occupational context.

• Could experiential avoidance mediate the relationship between stress and tobacco smoking?
Vasiliki Christodoulou, Mental Health Services, Cyprus
Maria Karekla, University of Cyprus
Georgia Frangou, University of Cyprus

Notable scholarly attention has been given to the existence of a significant association between stress and tobacco smoking. However, few studies have investigated the mechanisms underpinning this relation. The present study aims to reinforce current evidence indicating that experiential avoidance may be a viable underlying mechanism underpinning the relation between stress and smoking, as well as being a predictor of low motivation to quit and poor quit outcomes. Participants will complete demographics and smoking history questionnaires, a motivation to quit assessment, a Carbon Monoxide measurement, a Fagerström Test for Nicotine Dependence (FTND), a stress scale and an Avoidance and Inflexibility Scale (AIS). We predict that experiential avoidance will act as a mediating mechanism between stress and level of nicotine dependence. In addition, it is expected that a higher level of experiential avoidance will be predictive of lower motivation to quit smoking as well as of a history of failed quit attempts. The role of experiential avoidance as a mechanism affecting smoking behavior may be an important variable in terms of designing more effective smoking cessation programs.

128. Applying and Adapting ACT with Adults with Intellectual Disabilities
Symposium (15:15-16:45)
Components: Original data, Didactic presentation, Case presentation
Categories: Clinical Interventions and Interests, Professional Development, Intellectual Disabilities
Target Audience: Beg.
Location: Lebrija

Nick Gore, DClinPsy, Tizard Centre, University of Kent
Nick Gore, DClinPsy, Tizard Centre, University of Kent

This symposium presents some recent work applying ACT with an intellectual disabilities population, a population that traditionally requires careful adaptation to talking therapies. The first paper defines this client group and covers some of the lessons learned when working with ACT; including the need to consider deficits in relational framing ability when trying to work with thoughts and feelings, and the need to develop an appropriately accessible measure of psychological flexibility. The second paper presents the work of a mindfulness group delivered to people with intellectual disability and features videotaped testimony of the participants’ reactions. The final paper reports on a six-session ACT group intervention for adults with intellectual disabilities. It presents data showing symptom reduction despite its brief duration, and even though symptom reduction was not pursued. Adaptations made and lessons learned will be discussed throughout the symposium.

• Working with ACT with people with intellectual disabilities - Lessons learned and areas for development.
Mark Oliver, DClinPsy, Northumberland, Tyne and Wear NHS Foundation Trust

There is every reason to expect that the same verbal processes that contribute to psychological distress in the typically developing population also apply to people with intellectual disability (PWID). Unfortunately, the cognitive and developmental deficits presented by this population present a challenge to many ACT interventions, particularly those that use verbally sophisticated metaphors, orienting to metacognitions, and the targeting of deictic frames. In addition, the freedom to engage in value-guided activities is frequently constrained by the lived experience of being supported by paid and unpaid carers. The challenge for clinicians is to identify ways of adapting ACT to meet the needs of PWID while remaining true to the processes considered to be responsible for therapeutic change. This paper outlines examples of lessons learned through adapting ACT for an ID population, highlighting a number of directions where more clinical development is needed to mediate the cognitive limitations of this client group.

• Using ACT to enhance a mindfulness based intervention for adults with intellectual disabilities
Steve Noone, Ph.D, Northumberland, Tyne and Wear NHS Foundation Trust

Given the vulnerability of people with intellectual disabilities, it is important to help promote resilience to anxiety and depression. Mindfulness Based Interventions, delivered in groups, have a strong evidence base. Some studies have shown that these approaches can be adapted for this population. It remains unclear how best to do this. This paper describes adaptations that include using core ACT principles and collaborating with a self-advocacy group to promote practice and values clarification

• The Resilience Group: An Acceptance and Commitment Therapy based Group for People with Intellectual Disabilities
Matthew Selman, DClinPsy, Northumberland, Tyne and Wear NHS Foundation Trust
Kay Rooney, Northumberland, Tyne and Wear NHS Foundation Trust
Kelly Cocallis, Tees, Esk and Wear Valley NHS Foundation Trust
Mark Oliver, DClinPsy

This presentation reports on the use of an ACT group intervention for people with mild intellectual disabilities who were experiencing mild/moderate levels of psychological distress (anxiety and depression). This is the first reported use of a group ACT intervention for this client population. Two groups were run parallel to each other over six sessions – each session focussing on an element of the Hexaflex. Pre and post measures of psychological distress were administered along with measures of values. A focus group was held to gain the participants experience and ideas for improvement. Feedback was positive about the group experience and engaging in values. While not the aim, significant symptom reduction was experienced across both groups. Participants described wanting more sessions. Discussion around adaptations and the need for a measure of psychological flexibility are included. Difficulties in conveying some of the concepts used within ACT for this client group are also noted.

129. Gender and Acceptance-Based Treatment Approaches in Punishing Contexts
Symposium (15:15-16:45)
Components: Conceptual analysis, Literature review, Original data
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Gender Differences, Treatment Outcomes, Acceptance-Based Treatments, Aggression
Target Audience: Beg., Interm., Adv.
Location: Utera

Robyn L. Gobin, Ph.D., University of Illinois at Urbana Champaign
Thomas Szabo, Ph.D., Florida Institute of Technology

Gender influences how people understand themselves and their risk for certain experiences (e.g., aggression in intimate relationships). Iverson et al., (2013) found gender differences in risk for several forms of interpersonal aggression. The negative consequences of physical and nonphysical forms of aggression have been documented (Arriaga & Schkeryantz, 2015; Iverson et al., 2013), yet little research has examined the impact of gender and contextual factors on one’s experience of aggression and treatment outcomes. Acceptance-based treatment approaches differ from traditional therapies in their focus on functional processes that maintain ineffective behaviors rather than symptom characteristics (McClean & Follette, 2016). Featuring conceptual and research-based talks, the proposed symposium will explore associations between gender and aggression and gender differences in response to acceptance-based treatment approaches. Context will be emphasized with specific attention to the contexts of the military, chronic pain, and intimate partner violence. Future research directions and clinical implications will be discussed.

• Gender Differences in Response to Acceptance and Commitment Therapy among U.S. military veterans
Robyn L. Gobin, Ph.D., University of Illinois at Urbana Champaign
Ariel J. Lang, Ph.D., MPH, VA San Diego Healthcare System, Center of Excellence for Stress and Mental Health
Shahrokh Golshan, Ph.D., VA San Diego Healthcare System
Carolyn Allard, Ph.D., VA San Diego Healthcare System, Center of Excellence for Stress and Mental Health
Jessica Bomyea, Ph.D., VA San Diego Healthcare System, Center of Excellence for Stress and Mental Health
Paula P. Schnurr, Ph.D., National Center for PTSD, White River Junction
Jennifer L. Strauss, Ph.D., Duke University Medical Center; Department of Veterans Affairs, Washington, DC

Little is known about the impact of gender on treatment response. The majority of our knowledge base regarding treatment response among veterans comes from predominantly male samples. However, the extant literature suggests that women and men use different coping strategies, which may impact how effective specific treatments are across genders. The purpose of this investigation was to examine gender differences in response to Acceptance and Commitment Therapy (ACT), an empirically-supported transdiagnostic psychotherapy. A secondary data analysis of a multi-site randomized controlled trial of ACT as compared to a psychotherapy control, Present Centered Therapy (PCT), was used. One hundred sixty Veterans (32 women and 128 men) of OEF/OIF/OND participated. In the larger trial, no significant differences were found between treatment conditions in reducing the primary outcome, general distress, or most secondary outcomes (Lang et al., 2016). In this study of gender differences, women who received ACT reported greater reductions in PTSD and anxiety symptoms relative to those who received PCT, p<.01. There were no differences between ACT and PCT among men. These preliminary results suggest that ACT may be a promising treatment for psychologically-distressed women veterans. Clinical implications with be discussed.

• Women and Intimate Partner Violence: A Contextual Behavioural Science Perspective
Lene Forrester, Ph.D., BMI Healthcare
Jennifer L. Strauss, Ph.D., Duke University Medical Center; Department of Veterans Affairs, Washington, DC

Intimate Partner Violence (IPV) is recognised as a significant societal problem, in terms of its high frequency and the detrimental impact upon the predominantly female survivors (World Health Organisation 2012). Despite this knowledge, there is a relative paucity in the Contextual Behavioural Science (CBS) literature attempting to: (1) enhance our understanding of the complex gender and cultural dynamics underlying IPV, and (2) develop evidence-based interventions aimed at empowering women to leave these destructive relationships (Larson 2011). This paper will present a comprehensive review of the literature on this topic within the perspective of Relational Frame Theory (RFT). The impact of current and historical context will be addressed, and the relevance of gender as a factor in the aetiology, maintenance and impact of IPV will be emphasized. A targeted Acceptance and Commitment Therapy (ACT) intervention for women subjected to IPV contacting Women’s Aid, currently under development, will be presented for discussion.

• Punishing responses from significant others - important to address in acceptance-based pain management programs?
Marie Blom, M.S., Pain and Rehabilitation Centre, and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
Björn Gerdle, PhD, Pain and Rehabilitation Centre, and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden

Social context is widely known to influence the experience of longstanding pain (Edwards et al, 2016). Diary studies have shown pain ratings to increase after being criticized by a significant other (Burns et al, 2013). The aim of this ongoing project, is to apply a contextual behavioral perspective in studying the effects of self-reported punishing responses from significant others on pain expressions (e.g., anger, irritation). Respondents (n~300) participated in an 8-10 week acceptance-based multiprofessional pain management program (PMP) for longstanding pain at a Swedish outpatient pain clinic, between January 2014 and September 2016. Relationship issues are addressed only to some degree in the PMP. The main aim of this study is to investigate whether an increased focus on such issues would be likely to benefit patients. Results will be presented on Multidimensional Pain Inventory (MPI-S), pain characteristics, Chronic Pain Acceptance Questionnaire (CPAQ), Hospital Anxiety and Depression Scale (HADS) and Life Satisfaction questionnaire (LiSat-11); before, after and at 1-year follow up after the PMP. Possibilities and difficulties of involving significant others in pain rehabilitation will be discussed.

130. Analyses of Deictic Relations
Symposium (15:15-16:45)
Components: Original data
Categories: Relational Frame Theory, Clinical Interventions and Interests, New Evidence in Hierarchical Framing- RFT, RFT, Performance
Target Audience: Beg., Interm., Adv.
Location: Estepa

Deirdre Kavanagh, Ghent University
Dermot Barnes-Holmes, Ghent University

This second symposium that focuses on experimental analyses of the deitic relations highlights the view that this is critically important verbal behavior, with developmental and clinical significance. Paper 1 explores the relationship between what is traditionally defined as empathy and deictic relational responding. The study explores the use of a relational empathy training protocol delivered to 8 typically-developing children, as measured against standardized assessments of emotional responding and perspective-taking. The findings show positive benefits associated with the training protocol in terms of perspective-taking and related behaviors. In the study decsribed in Paper 2, undergraduates are introduced to a stress induction procedure that, accompanied by various analog interventions that manipulate deictic relational responding (Deictic; Deictic+Hierarchical1; Deictic+Hierarchical1+Augmental; and Deictic+Hierarchical1+Augmental+Hierarchical2). The results show the superiority of the latter two interventions that each contain an augmental function. This study and its outcomes shed further light on the potential processes involved when deictic relations are manipulated for clinical purposes. In another study of hierarchical relations, Paper 3 explores the transformation of functions in accordance with these relations. In two contrasting conditions, contextual cues for hierarchy are manipulated and the results highlight the importance of previous learning in this regard.

• Establishing empathy: An exploratory study
Beatriz Harana, Ph.D. Student, University of Almeria
Carmen Luciano, Ph.D., University of Almeria
Adrián Barbero-Rubio, Ph.D., University of Almeria

Empathy has been addressed mainly from a cognitive standpoint but the numerous efforts still have not isolated the conditions under which it is produced. There is some agreement that empathy involves perspective taking and, accordingly, it might be studied as relational behavior (Relational Frame Theory (RFT). The main aim of this study is to develop a training protocol to establish empathy and evaluate its influence in traditional measures of emotions and perspective taking. A n=1 design is used with eight typical developing children and the protocol was implemented successively across participants. Results show an increase in the degree the child used perspective taking and behaved accordingly.

• An experimental analysis of the components involved in framing the own behaviour.
Juan C. López, Ph.D., Universidad de Almería
Carmen Luciano, Ph.D., Universidad de Almería & MICPSY

The current study aimed to thoroughly investigate the transformation of function involved in interacting with the own behaviour, typically known as defusion interactions. Deictic and hierarchical framing with augmental function have previously been identified in such interactions however the present paper is a somehow molecular analysis of the elements involved in such framings. 52 undergraduated completed two high-demand tasks at pre-test (PASAT-C and IRAP-Stroop). Next, they were randomly distributed and received one of four experimental protocols: Deictic Framing (D), whose interactions were built of only deictic framings on the ongoing discomfort and thoughts; D+Hierarchical framing (D+H), whose interactions were built adding to D the hierarchical function; D+H+Augmental (D+H+A) which explicitly added the augmental function; and the final condition which added the hierarchical discrimination of the whole ongoing process (D+H+A+H). They completed the two high-demand tasks as did as pre-test. Data showed the superiority of the D+H+A and D+H+A+H (those which included the explicit augmental function). These findings are discussed to make more explicit the processes or transformation involved in promoting effecive behaviors when discomfort is experimentally induced.

• One more step in analyzing hierarchical framing
Lidia Budziszewska, MS, Universidad Europea de Madrid, Spain
Carmen Luciano, University of Almeria,Spain
Enrique Gil, University of Almeria,Spain
Zaida Callejón, University of Almeria, Spain

The published evidence concerning transformation of functions in accordance with the relational frame of hierarchy is still very scarce; Gil, Luciano, Ruiz and Valdivia (2011) Gil, Luciano, Ruiz, Valdivia (2014) and Slattery & Stewart (2014).The aim of this study is to advance in such a track to provide more precise learning procedures. Participants were given two types of experimental histories prior to testing transformation of function according to hierarchical framing. The two conditions differed in the way the relational hierarchical cues were trained. In one case, participants received instructions to improve learning. In the other conditions, they did not. Participants followed several steps to learn to respond to arbitrary stimuli as coordination and relational hierarchical cues. Results show that participants reorganized stimuli according the previous learning especially when they received some specific instructions. Further research is discussed.

Sunday, 25 June

140. Investigación en Ciencia Conductual Contextual: Aportaciones Básicas y Aplicadas
Symposium (9:30-11:00)
Components: Datos originales
Categories: Intervenciones para mejorar el rendimiento
Target Audience: Beg., Interm., Adv.
Location: Buhaira

Este simposio presenta cuatro trabajos de diferentes procedencias que son una buena muestra del amplio abanico de posibilidades de investigación que permite abordar una perspectiva basada en la ciencia conductual contextual (contextual behavioral science: CBS), desde los aspectos más básicos al ámbito aplicado. El primer estudio se centra en la evaluación y el entrenamiento de la toma de perspectiva en niños desde la perspectiva de la RFT, esto es, como un tipo de comportamiento relacional deíctico. Este trabajo presenta una serie de modificaciones respecto a protocolos ya existentes de entrenamiento en marcos deícticos que parecen favorecer el desarrollo de este tipo de desempeño. El segundo trabajo presenta los resultados de un tratamiento ACT grupal para promover la adhesión al tratamiento antirretroviral (TAR) en pacientes infectados con VIH. La adhesión estricta al TAR es fundamental para que este tratamiento médico sea efectivo, y la intervención basada en ACT se muestra eficaz en la mejora de dicha adhesión. El tercer y cuarto trabajos que se incluyen en este simposio son estudios que han empleado el procedimiento de evaluación relacional implícita (IRAP) para explorar dos ámbitos de interés social. El tercer trabajo se centra en el análisis de las actitudes implícitas y explícitas hacia los alumnos con necesidades educativas especiales por parte de especialistas y profesores. El último trabajo presentado utiliza el IRAP para explorar las actitudes hacias las identidades catalana y española por parte de participantes catalanes y de otras partes de España. Ambos estudios muestran la utilidad del IRAP para detectar discrepancias entre actitudes implícitas y explícitas en sus respectivos ámbitos.

• Evaluación y entrenamiento de toma de perspectiva en niños: Reflexiones a partir de tres trabajos experimentales.
Luis Alberto Quiroga-Baquero, Fundación Universitaria Konrad Lorenz
María Isabel Rendón-Arango, Universidad Santo Tomás
Daniel Camilo Salas-Cuervo, Fundación Universitaria Konrad-Lorenz

Desde una perspectiva contextual-funcional, la Teoría de los Marcos Relacionales ha abordado teórica y empíricamente los fenómenos psicológicos relacionados con la toma de perspectiva, asumiéndolos como un tipo de responder relacional deíctico. La investigación empírica se ha centrado principalmente en el diseño de protocolos de evaluación y entrenamiento de marcos deícticos, así como en la replicación sistemática con el fin de aumentar su aplicabilidad y validez. El objetivo de esta serie experimental, fue implementar tres modificaciones a los protocolos formulados por McHugh, Barnes-Holmes y Barnes-Holmes (2004) y Davlin, Rehfeldt y Lovett (2011): (a) Entrenamiento previo en marcos de condicionalidad; (b) entrenamiento y evaluación de marcos deícticos en situaciones de interacción y manipulación directa; y (c) reducción de ensayos por fase e implementación de un diseño de líneas de base y pruebas múltiples a través de participantes y condiciones. Los resultados muestran que: (a) un entrenamiento previo en marcos de condicionalidad, promueve ejecuciones efectivas en las fases de evaluación y entrenamiento; (b) la evaluación y entrenamiento de relaciones deícticas en situaciones de interacción y manipulación directa de objetos favorece el desempeño en todas las fases del protocolo, en comparación con la utilización de situaciones hipotéticas; y (c) el uso de diseños de líneas de base y pruebas múltiples, permite identificar de forma más detallada los cambios en el responder relacional y promueve porcentajes de aciertos altos en cada fase. Estos hallazgos se discuten en términos de las dinámicas conductuales implicadas en el responder relacional deíctico, los supuestos de la investigación traslacional y los criterios de aplicabilidad, validez y eficiencia en la utilización de este tipo de protocolos.

• Efectos de la Terapia de Aceptación y Compromiso en la Adherencia al Tratamiento de Pacientes VIH de Bucaramanga
Cristian Leonardo Santamaria Galeano, Candidato a Magister, Universidad Pontificia Bolivariana, Seccional Bucaramanga
Ana Fernanda Uribe Rodriguez, Universidad Pontificia Bolivariana, Seccional Bucaramanga

El VIH es considerado una enfermedad crónica que implica mínimo un 95% de adherencia para garantizar el control viral y fortalecimiento inmunológico. Sólo una tercera parte de quienes acceden al tratamiento antirretroviral se adhieren a éste. Se aplicaron 8 sesiones de intervención a grupal a 17 pacientes VIH otros 28 fueron control, entre 18 y 50 años, en una institución de salud especializada en VIH. Se tomaron mediciones post-intervención y seguimiento con el cuestionario de adherencia al tratamiento (CAT-VIH), la escala de ansiedad y depresión (HAD) y el cuestionario de aceptación y acción (AAQ). Se encontraron diferencias estadísticamente significativas entre grupos en la medición del CAT-VIH en la post-intervención (p=.000) y el seguimiento p=.000. Al realizar el análisis de correlación, esta es negativa entre el CAT-VIH y el AAQ en la post-intervención (r=-.4) y el seguimiento (r=-.593). Se encontró correlación negativa entre la sintomatología depresiva y la adherencia al TAR en la post intervención (r=-.403); en el seguimiento se evidencia relación negativa entre la adherencia con la ansiedad (r=-.486) y la depresión (r=.510). Y correlación positiva entre el AAQ y la ansiedad (r=.542) y depresión (r=.372) en el seguimiento. Se evidencia la efectividad de un protocolo ACT en la adherencia al TAR. La relación inversamente proporcional entre las puntuaciones del AAQ y el CAT-VIH, ponen de manifiesto que a mayo evitación experiencial, los pacientes son menos adherentes al TAR.

• Usando el Procedimiento de Evaluación Relacional Implícita (IRAP) para Evaluar la Actitud del Profesorado hacia los Alumnos con Necesidades Educativas Especiales
Aurembiaix Llobera Cascalló, M. Sc., Universidad de Almería
Eduardo Miguel Blasco Delgado, Universidad de Almería

El presente estudio examina las actitudes implícitas y explícitas hacia el alumnado con Necesidades Educativas Especiales (NEE) en profesores de infantil-primaria (N= 11) y en profesores especializados en NEE (N= 12). Las actitudes implícitas se evaluaron a través de un Procedimiento de Evaluación Relacional Implícita (IRAP), mientras que las explícitas lo fueron a través de un cuestionario análogo al IRAP y el MBI-ED. Los resultados muestran diferencias entre las medidas implícitas y explícitas en ambos grupos. Así mismo, a nivel implícito, se ha encontrado un sesgo positivo hacia el alumnado con NEE en el grupo de especialistas y un sesgo negativo hacia el alumnado con NEE en el grupo de profesorado.

• Usando el Procedimiento de Evaluación Relacional Implícita (IRAP) para Evaluar las Actitudes hacia las Identidades Catalana y Española
Eduardo Miguel Blasco Delgado, M. Sc., Universidad Almería
Aurembiaix Llobera Cascalló, Universidad Almería

Un estudio basado en el Procedimiento de Evaluación Relacional Implícita (IRAP) fue diseñado para examinar las actitudes implícitas hacia la identidad catalana y hacia la identidad española en un grupo de catalanes (n = 17) y un grupo de personas del resto de España (n =16). Los participantes también completaron una medida explícita con ítems análogos al IRAP y el Cuestionario de Deseabilidad Social de Marlowe-Crowne. Los resultados muestran que ambos grupos presentan un sesgo más favorable hacia su grupo que hacia el otro grupo. También que el grupo Cataluña ha evaluado de forma menos favorable a los españoles que éstos a los catalanes. Finalmente, se ha confirmado que los participantes que han puntuado alto en la Escala Deseabilidad Social de Marlowe-Crowne, muestran discrepancias importantes entre lo contestado en el cuestionario explícito y el IRAP.

141. Assessing and Training Relational Framing in Children and Adults
Symposium (9:30-11:00)
Components: Original data
Categories: Relational Frame Theory, Educational settings, Children
Target Audience: Interm.
Location: San Bernardo

Ian Stewart, National University of Ireland Galway
Carmen Luciano, University of Almeria Spain

Relational frame theory (RFT) affords new insight into human language and cognition as arbitrarily applicable relational responding or relational framing. One key insight of RFT that derives directly from its operant roots is that relational framing can be targeted for training. This insight has most obvious application in the educational domain and this symposium presents a number of empirical studies centred on this theme and in particular on relational framing assessment and training with children. The first talk presents data showing the training of containment and hierarchical relational framing, the second provides data showing the training of same-difference relations, while the third discusses development of a tool for assessing operant fluency in relational framing in both children and adults and discusses measurement and training of relational operant behaviour in children and adults in light of their data.

• Facilitating Containment and Hierarchical Relational Responding Repertoires in Young Children
Teresa Mulhern, National University of Ireland Galway
Ian Stewart, National University of Ireland Galway

Relational Frame Theory (RFT) sees containment (A is in B; B contains A) and hierarchical (A is a type of B; B is a class containing A) relational responding as core repertoires for categorization. The current studies aimed to systematically train these repertoires including component skills of mutual and combinatorial entailment and transformation of function in young typically developing children. Study 1 focused on training arbitrary containment relational responding in three 5-year-olds using a combined multiple baseline (across both components and participants) design while Study 2 employed a combined multiple baseline design to facilitate arbitrary hierarchical relational responding in three 6-year-olds. In both cases, results showed the effectiveness of training for increasing responding in accordance with arbitrary containment and generalization was also observed. Results, including impact of training on standardized outcomes measures of intelligence broadly as well as categorization skill specifically, are discussed.

• Training children with autism in patterns of derived same and different relations
Siri Ming, National University of Ireland Galway
Ian Stewart, National University of Ireland Galway

The ability to identify similarities and differences between stimuli or concepts is a key skill in terms of development and academic success. In this study, two children with autism were trained to derive arbitrary relations of same/different using an iPad-based teaching protocol involving animals and their preferred foods. At baseline, neither child could derive arbitrary same/different relations either within the iPad game or based on a short text-based story. Following multiple exemplar training, both children could derive the relations with novel stimulus sets in both contexts. Implications for further research on same/different relations, curriculum development, and relevance for reading comprehension are discussed.

• Testing the predictive validity of an online relational responding fluency assessment
Shane McLoughlin, University of Chichester, UK
Sam Ashcroft, University of Chester, UK
Ian Tyndall, University of Chichester, UK
Antonina Pereira, University of Chichester, UK

This study aimed to develop an online tool for measurement of relational operant fluency. We administered a novel 72-trial derived relational responding (DRR) assessment to 50 people online (ages 8-59). This measured DRR accuracy and response latency for SAME / OPPOSITE and MORE / LESS relations at four levels of difficulty. From these accuracy / latency data, a fluency outcome variable was computed for each of four levels of both types of DRR. We then used correlation / regression analyses to investigate the relationship between relational operant behaviour (accuracy, latency, fluency) and several other outcome variables: (i) AAQ-2 performance, (ii) a novel response latency based measure of psychological flexibility, (iii) well-being (WHO Well-Being Index), (iv) self-efficacy in learning (e.g., Myself as a Learner Scale), (vi) attention and memory (immediate and delayed). Implications for measurement and training of relational framing in children and adults are discussed.

142. Using Different Methods to Study Clinical Applications II
Symposium (9:30-11:00)
Components: Didactic presentation
Categories: Relational Frame Theory, Clinical Interventions and Interests, Theoretical and philosophical foundations, Fear and Avoidance, Rule-governed Behavior
Target Audience: Beg., Interm., Adv.
Location: Lebrija

Dermot Barnes-Holmes, Ghent University

The current symposium is the second to explore and discuss different methodologies for studying clinical applications of RFT, covering fear of public speaking, spider phobia, and rule persistence. Paper 1 systematically compares analog interventions based on hierarchical-self and distinction-self in the context of public speaking as distress tolerance measured via self-report, skin conductance, and heart rate. The results show superiority of the hierarchical-self intervention and discusses the implications of this effect for clinical practice. Paper 2 compares two verbal rehearsal tasks (fear reduction vs. fear acceptance) on a spider-Fear IRAP and a spider-Avoid IRAP, as well as on a behavioral approach task with a live spider. Both IRAPs predict actual approach, with some evidence of differential moderating effects of the verbal rehearsal task similar to defusion. Paper 3 contains two studies that explore rule persistence in terms of levels of derivation (e.g., direct or derived rule) using an MTS task. The results show greater rule persistence with direct than derived rules, but only with extensive rule practice.

• Spider Fear and Avoidance: An Exploratory Study of the Impact of Two Verbal Rehearsal Tasks on a Behavior-Behavior Relation and its Implications for an Experimental Analysis of Defusion.
Aileen Leech, Ghent University
Dermot Barnes-Holmes, Ghent University

The current research sought to replicate and extend the findings reported by Leech, Barnes-Holmes, and Madden (2016) by examining the impact of a brief ‘verbal rehearsal’ task on performance on two Implicit Relational Assessment Procedures (IRAPs), actual approach behavior towards a live spider (a Behavioral Approach Task, BAT), and the relationship between the IRAPs and the BAT. The research comprised two verbal rehearsal conditions, one that focused on fear-acceptance, the other on fear-reduction, as ways of coping with fear. One IRAP targeted fear (Fear-IRAP), while the other targeted avoidance (Avoidance-IRAP). The Fear of Spider Questionnaire (FSQ) was also employed. The IRAP data broadly supported the previous findings where the Fear- and Avoidance- IRAPs predicted approach behaviors. There were no significant differences between the two verbal rehearsal conditions. However, correlations between performances on the IRAPs and the BAT were concentrated almost exclusively in the fear-reduction condition, rather than the fear-acceptance condition. This pattern suggests that the verbal rehearsal task impacted upon a behavior-behavior relation that may be relevant to the concept of defusion, as employed in the ACT literature.

• Persistent rule-following in the face of reversed reinforcement contingencies: Exploring the dynamics of levels of derivation, relational coherence, and relational flexibility
The importance of the effects of rules and instructions is well-established in the psychological literature. For Relational Frame Theory (RFT), analyses of levels of derivation may be critical to an understanding of rules. However, basic experimental research in this regard is extremely limited. Study1 comprised two experiments, in which participants received either a direct rule or a derived rule (i.e., involving a novel derived relational response). The results showed that the direct rule resulted in more persistent rule-following in the face of competing contingencies than the derived rule, but only when the opportunity to follow the reinforced rule beforehand was relatively protracted. This performance also showed significant correlations with stress. Study 2 explored different levels of derivation on rule-following, and preliminary findings already suggest differential patterns of rule-persistence. Overall, the findings have conceptual implications for an RFT-based account of rule-following., Ghent University
Yvonne Barnes-Holmes, Ghent University
Dermot Barnes-Holmes, Ghent University
Ciara McEnteggart, Ghent University

• An RFT analysis of self-based interventions for public speaking
Ana Belén Gallego Alonso, University of Jyväskylä. Finland
Raimo Lappalainen, University of Jyväskylä. Finland
Matthieu Villatte, Evidence-Based Practice Institute of Seattle

Research in the area of Relational Frame Theory has suggested the importance of emphasising the hierarchical dimension of self and not just the distinction between one's self and one's experiences in self as context exercises. The present study aimed to analyze the comparative effect of two self-based interventions (“Hierarchical Self” and “Distinction Self”). Using a between-subjects design, the participants were randomly assigned to one of the three groups: Group 1 (Hierarchical Self), Group 2 (Distinction Self), Group 3 (Control group). The primary outcome dependent variable was distress tolerance that was measured by the engagement in the behavioral task (i.e., giving a speech in front of a camera). An additional dependent variable was discomfort measured by self-reported questionnaires and physiological measures (skin conductance and heart beat). The independent variable was the intervention to which participants were assigned after the pre-experimental task. The findings indicated that participants´ assessments of their perceived speech performance, and also distress towards giving a speech were reduced in the Hierarchical Self condition compared to the Distinction Self condition. The implications of the findings for clinical practice are discussed.

143. Components that Maximize the Metaphor Effect II: Multiple Exemplars, Common Physical Properties and Nonarbitrary Causal Relations
Symposium (9:30-11:00)
Components: Conceptual analysis, Original data
Categories: Relational Frame Theory, Clinical Interventions and Interests, Metaphor
Target Audience: Beg., Interm., Adv.
Location: Utera

Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Carmen Luciano, Universidad de Almería

Acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 1999) is a contextual model of psychological intervention that aims to promote psychological flexibility. To accomplish this aim, metaphors are profusely used in ACT. One of the areas of human cognition most studied by relational frame theory (RFT; Hayes, Barnes-Holmes, & Roche, 2001) is analogical reasoning. The link between ACT and RFT is becoming closer as a theoretical and empirical line of research is emerging that analyzes the components of metaphors that maximize the promotion of psychological flexibility. This symposium presents three empirical studies that extends previous research in this regard by analyzing the effect of common physical properties in the context of multiple examples of metaphors, the role of salience and hierarchical relations in the transformation of functions that occurs in metaphors, and the role of causal and hierarchical relations in metaphor effect.

• The effect of common physical properties and multiple exemplars in metaphor effect
José Simón, Fundación Universitaria Konrad Lorenz
Bibiana Criollo, Fundación Universitaria Konrad Lorenz
María B. García-Martín, Fundación Universitaria Konrad Lorenz
Francisco J. Ruiz, Fundación Universitaria Konrad Lorenz
Marco A. Sierra, Fundación Universitaria Konrad Lorenz
Diana Riaño-Hernández, Fundación Universitaria Konrad Lorenz

This experimental analogue study aimed to analyze the effect of two variables in the metaphor effect on promoting psychological flexibility according to RFT: (a) the presence of common physical properties between the individual’s experience and the metaphor, and (b) the proposal of one or multiple examples of similar metaphors. A 2x2 factorial design was implemented. Eighty participants first responded to measures of experiential avoidance. Subsequently, they were exposed to a cold-pressor task at pretest. Afterwards, participants were randomly assigned to four experimental protocols consisting of: (a) a metaphor with common physical properties, (b) a metaphor without common physical properties, (c) three metaphors with common physical properties, and (d) three metaphors without common physical properties. Then, participants were re-exposed to the cold-pressor task (posttest). The results showed the presence of common physical properties increased the effect independently of the number of metaphors proposed.

• Analyzing the salience component in metaphors and hierarchical framing
Carmen Luciano, Universidad de Almería
Adrián Barbero-Rubio, Madrid Institute of Contextual Psychology
Bárbara Gil-Luciano, Madrid Institute of Contextual Psychology
Ángel Alonso, Madrid Institute of Contextual Psychology
Zaida Callejón, Universidad de Almería
L. Jorge Ruiz-Sánchez, Universidad de Almería

Metaphor is a special type of analogical behavior that has been –and still is- difficult to analyze experimentally. Most of the conceptual analysis coincides in the more salient component in the source than in the target to explain how it works. According to RFT, metaphor is a type of relating networks, however experimental analyses are still undone in regard to the conditions under which metaphors work. The present study is one step forward in exploring such specific component on the basis of manipulating the non-arbitrary functions. Thirty participants were divided in four conditions that differ in the type of training series to establish different networks. Then, participants were tested for relating networks. Results were discussed taking into account the characteristics of each protocol.

• Analyzing causality in clinical metaphors and hierarchical framing.
Bárbara Gil-Luciano, Madrid Institute of Contextual Psychology
Ángel Alonso, Madrid Institute of Contextual Psychology
Adrián Barbero-Rubio, Madrid Institute of Contextual Psychology
Carmen Luciano, Universidad de Almería
Zaida Callejón, Universidad de Almería

The present study is focused on the relational analysis of the client`s interactions with his own behaviors on the basis of the analysis done by Törneke et al. (2016). The aim is to isolate the effect of the metaphors components that are used for establishing the client’s discrimination of his behavior and the natural consequences achieved in the short and long terms. Forty participants ran the experiment following several phases. Firstly, they were involved in tasks where discomfort and negative thoughts emerged. Then, a metaphor was incorporated with four different components that were differentiated per condition. Finally, they went into the experimental tasks. Results are discussed in terms of the transformation of functions involved in the different conditions.

144. Current Research on Effects of Psychological Flexibility
Symposium (9:30-11:00)
Components: Conceptual analysis, Original data
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Professional Development, Occupational Psychology, Disordered Eating, Paediatrics, Diabetes, Psychological Flexibility
Target Audience: Beg., Interm., Adv.
Location: Estepa

Psychological (in)flexibility is the key concept of Acceptance and Commitment Therapy (ACT). The analysis of the role of psychological flexibility in a variety of mental health and quality of life outcomes has been a traditional research area for Contextual Behavioral Science. This symposium presents four papers that advance in this direction. The first paper will analyze the relationship between psychological flexibility and service user outcomes in mental health staff. The second paper will present a tripartite influence of psychological inflexibility in disordered eating in women. The third presentation will show a study in which the predictive ability of psychological flexibility, mindfulness and parenting in health outcomes in adolescents with diabetes was analyzed. Lastly, the fourth presentation will analyze the relationship between psychological flexibility and subjective wellbeing in people attending mental health services. Taken together, these papers will show the relevance of investigating the relationship of psychological flexibility with mental health and quality of life outcomes.

• Experiential Avoidance is Associated with Military Sexual Trauma Non-disclosure in Female Service Members/Veterans
Rebecca K. Blais, PhD, Utah State University
Emily Brignone, ABD, Utah State University
Michael E. Levin, PhD, Utah State University

Roughly 25% of female Veterans (FVs) do not disclose military sexual trauma (MST). Non-disclosure prevents the provision of mental health services that can reduce the sequelae of MST. Experiential avoidance, or actions that avoid reliving painful, traumatic memories, may be an important barrier to disclosure. This study sought to identify reasons for MST non-disclosure in 111 FVs. FVs provided reasons for non-disclosure using free text responses, which were analyzed using editing analysis style. Experiential avoidance was identified as a barrier to disclosure in 20% (n=22) of the sample. Sample responses included: “I didn’t want to relive it,” “brings up too many bad memories,” and “I just…wanted to forget and move on…” Other barriers included stigma (35%,n=39) and discomfort with screening setting (24%,n=27). Data collection is in progress to determine the association of experiential avoidance and MST non-disclosure in male veterans. ACT could help reduce experiential avoidance related to MST non-disclosure.

• The role of psychological inflexibility in the tripartite influence model for women: A single body image inflexibility pathway to disordered eating behaviours.
Catrin Griffiths, Doctorate in Health Psychology, University of the West of England, Bristol, UK
Tim Moss, PhD, University of the West of England, Bristol, UK
Nichola Rumsey, PhD, University of the West of England, Bristol, UK
Heidi Williamson, Doctorate in Health Psychology, University of the West of England, Bristol, UK
TracyTylka, Ohio State University

Sixty percent of women regularly engage in disordered eating, which is associated with the development of diagnosable eating disorders and obesity. In the current study latent structural equation modelling (SEM) tested an adapted version of the Tripartite Influence Model of body image and disordered eating with the inclusion of body image inflexibility, among 378 adult women. Body image inflexibility represented a single pathway which fully mediated the relationship between women’s body image and their engagement in disordered eating. Body image inflexibility also fully mediated the relationships between internalisation of the thin ideal and disordered eating, and between pressure from friends and disordered eating. Perceived pressure to be thin from friends, partners, family and the media also had distinct relationships within the model. The results highlight the importance of including body image inflexibility as a mediating variable in theoretical models of disordered eating and as a construct treatment interventions can target.

• An exploration of the role of psychological flexibility, mindfulness and parenting in predicting health outcomes in adolescents with type 1 diabetes
Lorraine Lockhart, DClin, University of Edinburgh, NHS Forth Valley
Nuno Ferreira, PhD, University of Edinburgh

Purpose: The current study was designed as an initial exploration of the associations between psychological flexibility and mindfulness, parenting behaviours and diabetes-related outcomes, specifically quality of life and treatment adherence. Methodology: A cross-sectional quantitative design was used. Forty five dyads of adolescents (aged 12-18) diagnosed with Type I diabetes and their parents responded to a survey comprised of the following measures - Adolescents: AAQ-Y , CAMM, DAAS, PBI , DQoLY , Self-Care inventory ; Parents: FFMQ , AAQ-II. Results: Higher levels of mindfulness and Psychological Flexibility in young people were associated with better self-care behaviours (r=.49; r=.54) and Quality of Life (r=.62; r=.42). Parental variables were not related to any of the outcomes. Higher levels of Psychological Flexibility in parents were associated with better self-care behaviours (r=.43) and QoL (r=.33), whilst parental mindfulness was only associated with better QoL (r=.35). Preliminary regression models seems to suggest that Adolescent diabetes acceptance and parental psychological flexibility are significant predictors of self-care whilst Adolescent mindfulness and type of Insulin administration are significant predictors of QoL. Conclusions: Psychological flexibility and mindfulness are useful constructs for understanding health outcomes in adolescents with type 1 diabetes suggesting acceptance and commitment and mindfulness-based therapies may be beneficial for improving outcomes in this population.

• Subjective Wellbeing and Psychological Flexibility in People Attending Mental Health Services
Ross White Ph.D, DClinPsy, University of Liverpool
Judith McCluskey, NHS Greater Glasgow and Clyde

Background: Subjective wellbeing has been recognised as an important outcome for those experiencing mental health difficulties. This study investigated associations between psychological flexibility and subjective wellbeing in people attending mental health services in the UK. Method: A total of 132 individuals attending mental health services in the UK participated in this study. Participants completed a battery of assessments including the Mental Health Continuum-Short Form (MHC-SF), Hospital Anxiety and Depression Scale (HADS), and Acceptance and Action Questionnaire (AAQ-II). A cross-sectional design was used. Results: Participants were divided into three groups according to their levels of subjective wellbeing assessed by the MHC-SF: "Languishing” (n=61), "Flourishing" (n=13) and "Moderately Mentally Healthy" (n=58). A statistically significant difference was found in the AAQ-II scores between the 3 groups (F (2, 129) = 28.80, p < .0001, η2=0.56) and this difference remained significant when depression (F (2, 128) = 4.26, p < .05) and anxiety (F (2, 128) = 14.45, p < .0001) scores were controlled for. Conclusion: The findings highlight the potentially important contribution that Acceptance and Commitment Therapy interventions may offer for improving levels of subjective wellbeing in people experiencing mental health difficulties.

152. Psychological Flexibility and Acceptance and Mindfulness-Based Treatments for Chronic Health Conditions
Symposium (11:15-12:30)
Components: Original data
Categories: Clinical Interventions and Interests, Behavioral medicine, ACT, Mindfulness, HIV, Health Psychology, Parents and Children with Chronic Illness
Target Audience: Beg., Interm., Adv.
Location: Buhaira

There is increasing evidence that psychological flexibility (PF) is a key variable in the adaptive adjustment to chronic health conditions. Also, acceptance and mindfulness-based treatments aimed at increasing PF have proven useful in improving the management of health and chronic illness. The present symposium includes four papers that address different aspects of the relationship between PF and health management in chronic disease. The first paper will present data on the efficacy and cost-effectiveness of a group-based ACT treatment for fibromyalgia from a randomized controlled trial conducted in Spain (EFFIGACT study). The group-ACT (GACT) treatment was more clinically effective than recommended pharmacological treatment (pregabalin + duloxetine) and a wait-list condition, with clinical improvements maintained at 6 months with medium effect sizes in most measures. Also, GACT was related to significantly less direct costs over the 6 months study period compared to both control arms. The second paper will present an analysis of the long-term outcomes of the Mindfulness Based Program for Infertility (MBPI) for a sample of 55 infertile women. Results show that in the seven-year period after treatment, there were sustained improvements in emotion regulation and psychopathological symptoms for participants in the program. The third paper in the symposium will present a randomized controlled trial conducted in Spain of a brief ACT intervention for newly diagnosed HIV patients. HIV diagnosis entails social stigma, fear of rejection, and chronicity, and is associated to impaired quality of life. The analysis will focus on identifying what patients may benefit most from the intervention and to which extent ACT could play a preventive role in comprehensive care for HIV patients. The last paper in this symposium explores the relationships between PF, asthma knowledge, and asthma management self-efficacy in parents of children with asthma and their children’s asthma morbidity. Parents of children aged 3-12 years with asthma completed a cross-sectional survey assessing their PF, asthma knowledge, asthma management self-efficacy, their children’s asthma symptoms and their use of inhaled bronchodilators. Results show that parental PF is positively associated to asthma knowledge, asthma management self-efficacy, and less asthma morbidity in children.

• Effectiveness and cost-utility of Group Acceptance and Commitment Therapy for Fibromyalgia versus recommended drugs: Results from a 6-month randomised controlled trial conducted in Spain (EFFIGACT study)
Albert Feliu-Soler, Ph.D, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Francesco D’Amico, Ph.D, Personal Social Services Research Unit, London School of Economics and Political Science, London
Adrián Pérez-Aranda, MSc, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Laura Andrés-Rodríguez, MSc, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Javier García-Campayo, Ph.D, Miguel Servet University Hospital, University of Zaragoza, Spain
Juan V. Luciano, Ph.D, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain

In the last decade, there has been burgeoning interest in the effectiveness of third-generation psychological therapies for managing fibromyalgia (FM) symptoms and there is also a need for studies evaluating the cost-effectiveness of pharmacological and non-pharmacological interventions in FM. The present work examined the clinical effectiveness and cost-utility of a group-based form of acceptance and commitment therapy (GACT) compared to recommended pharmacological treatment (RPT) or waiting list (WL). A total of 156 patients with FM were enrolled at primary health care centers in Zaragoza (Spain) and were randomly assigned to a group-based form of ACT (GACT; N=51), recommended pharmacological treatment (RPT = pregabalin + duloxetine; N=52), or wait list (WL; N=53). The primary clinical end point was functional status (measured with the Fibromyalgia Impact Questionnaire) and the secondary clinical end points included pain catastrophizing, pain acceptance, pain, anxiety, depression, and health-related quality of life. All clinical measures were assessed at baseline, after treatment and at 6-month follow-up. Health economic outcomes included health-related quality of life and healthcare use at baseline and at 6-month follow-up using the EuroQol (EQ-5D-3L) and the Client Service Receipt Inventory (CSRI), respectively. The differences between groups regarding clinical data were calculated by linear mixed-effects (intention-to-treat approach). Cost-utility analyses included Quality-Adjusted Life Years (QALYs), direct and indirect cost differences, and incremental costeffectiveness ratios (ICERs). Patients allocated to GACT showed superior improvement regarding functional impairment (d= 1.43), pain catastrophising (d= 0.69), pain (d= 0.47), anxiety (d= 0.39), depression (d= 0.37), pain acceptance (d= 1.01) and health-related quality of life (d= 0.66) compared to both RPT and WL immediately after treatment. Clinical improvements were maintained at 6 months with medium effect sizes in most cases. GACT was related to significantly less direct costs over the 6 months study period compared to both control arms (GACT €824.2 ± 1,062.7 vs. RPT €1,730.7 ± 1,656.8 vs WL €2,462.7 ± 2,822.0). Lower direct costs for GACT in comparison to RPT were due to lower costs from primary care visits and FM-related medications. The ICERs were dominant in the completers' analysis and remained robust in the sensitivity analyses. In conclusion, ACT appears to be an effective and cost-effective treatment in comparison to RPT in patients with FM.

• The Mindfulness Based Program for Infertility (MBPI): A seven-year follow-up study
Ana Galhardo, Ph.D., Instituto Superior Miguel Torga: CINEICC-Faculty of Psychology and Educational Sciences of the University of Coimbra
Marina Cunha, Ph.D., Instituto Superior Miguel Torga: CINEICC-Faculty of Psychology and Educational Sciences of the University of Coimbra
José Pinto-Gouveia, M.D., Ph.D., CINEICC-Faculty of Psychology and Educational Sciences of the University of Coimbra

This study examines whether there are long-term effects of the MBPI encompassing four moments: pre-MBPI (T1), post-MBPI (T2), six-months follow-up (T3) and seven-year follow-up (T4). Fifty-five women completed the MBPI and questionnaires assessing depressive and anxiety symptoms, experiential avoidance and mindfulness at T1, T2 and T3. Seven years later, participants completed the self-report measures online [response rate 73% (n = 40)]. Repeated measures ANOVAs showed significant direct effects of time with medium effect sizes in mindfulness (F = 7.16; p < .001; Ƞ2p = .24), experiential avoidance (F = 10.75; p < .001; Ƞ2p = .22), depressive symptoms (F = 11.68; p < .001; Ƞ2p = .23), and anxiety symptoms (F = 7.31; p < .001; Ƞ2p = .16). In the seven-year period there were sustained improvements in emotion regulation and psychopathological symptoms. Although further research is needed to replicate these findings, the MBPI gains seem to persist over time.

• Can ACT help patients to cope with HIV diagnosis? A randomized controlled trial in newly diagnosed HIV patients
Francisco Montesinos, Ph.D., European University of Madrid
Federico Pulido, Ph.D., Hospital Universitario 12 de Octubre, Madrid
Federico Pulido, Hospital Universitario 12 de Octubre, Madrid
M.Asunción Hernando, European University of Madrid
M.Asunción Hernando, European University of Madrid
Marisa Páez, Instituto ACT, Madrid
Alicia González , Hospital Universitario La Paz, Madrid
Ignacio Perez-Valero, Hospital Universitario La Paz, Madrid

Learning to live with uncertainty and risk of social rejection is not easy. Despite the medical advances, even today HIV diagnosis involves chronicity and stigma. This context can imply a noteworthy emotional impact and significant decrease in quality of life. 54 newly diagnosed HIV patients were recruited in two hospitals in Madrid and randomly assigned to control or ACT condition. The aim of our study was to determine the efficacy of an ACT-based abridged intervention. A protocol was designed and applied through 3 intensive individual sessions. Measures related with quality of life, anxiety, depression, psychological flexibility, cognitive fusion, CD4 and viral load levels at pre-intervention and 3, 6 and 12 months later were collected. Preliminary analysis comparing pre and post treatment measures will be presented. Analysis will be aimed at identifying which patients may benefit most from the intervention and what extent ACT could play a preventive role in in comprehensive care for HIV patients.

• The Relationships Between Psychological Flexibility, Asthma Knowledge, and Asthma Management Self-Efficacy Among Parents of Children with Asthma and Their Children’s Asthma Morbidity
Yuen Yu CHONG, PhD student, School of Nursing, The Hong Kong Polytechnic University, Hong Kong
Yim Wah MAK, Ph.D, School of Nursing, The Hong Kong Polytechnic University, Hong Kong
Alice Yuen LOKE, Ph.D., School of Nursing, The Hong Kong Polytechnic University, Hong Kong

Psychological flexibility (PF) refers to an individual’s capacity to draw on personal experiences to either persist in or change their behaviors for the purpose of valued living. Parental PF may have dual effects on parents in choosing appropriate strategies to manage childhood health problems and on their children’s health outcomes. This study was to examine the role of parental PF in the parental learning about childhood asthma management (such as parental knowledge and self-efficacy) and the asthma morbidity of their children (such as asthma symptoms or the use of symptom-relieving medications). Three hundred and twenty-four parents of children aged 3-12 years with asthma completed a cross-sectional survey assessing their PF, asthma knowledge, asthma management self-efficacy, their children’s asthma symptoms and their use of inhaled bronchodilators. The results from the structural equation modeling showed that more PF in parents was significantly associated with better asthma knowledge and asthma management self-efficacy. Furthermore, the parents’ PF was the only latent construct that was significantly associated with their children’s asthma morbidity (β = .34, p = .001). Fostering the PF of parents in the childhood asthma care might reduce their children’s asthma symptoms.

153. Exploring RFT Implications for Education
Symposium (11:15-12:30)
Components: Original data
Categories: Relational Frame Theory, Clinical Interventions and Interests, Educational settings, Children, Education
Target Audience: Beg., Interm., Adv.
Location: San Bernardo

Yvonne Barnes-Holmes, Ghent University
Dr. Ciara McEnteggart, Department of Experimental Clinical and Health Psychology, Ghent University, Belgium

ACBS has focused much of its energy and interest on clinical understanding, assessment, and application. While this is an important area of ongoing development for our community, educational focus significantly lags behind and yet remains an important area for futher exploration and expansion in a CBS field. This symposium on education contains two papers, thus leaves room for further discussion of why this area of our field stuggles to draw the enthisuaism of researchers and practitioners, relative to clinical interests. Paper 1 has two aims. 1. It contains data pertaining to a protocol of training repertoires of derived relational responding. 2. It explores the challenges commonly encountered in doing this type od developmental/educational research. Paper 2 is part of the same RFT-based educational research program underway in Poland. This paper focuses particularly on prerequisities to repertoires of, and competencies in, deictic relational responding. Consistent with previous research, the work also explores the potential relationship between deictic competence and traditional theory of mind tasks.

• Exploring challenges in the assessment of relational responding in typically-developing children.
Krystyna Pomorska, MSc, University of Social Sciences and Humanities, Warsaw
Yvonne Barnes-Holmes Ph.D., University of Gent
prof. Paweł Ostaszewski, University of Social Sciences and Humanities, Warsaw

In spite of the substantive body of research on RFT, work on its potential application to education and remedial education lag behind other areas. Assessing relational repertoires in children is far from easy, given that these repertoires form the basis of language itself. Existing protocols for testing and training derivation are usually adopted from experimental protocols and seem odd and boring when presented even to typically-developing children. For children, referred to as atypical, it is often difficult to even determine what they are being asked, hence making it more difficult for assessors to determine whether the target skills are partially present. Finding the balance between presenting the task clearly (often requiring non-arbitrary examples), and at the same time assessing arbitrary applicable relational responding (AARR) is critical to the integration of RFT concepts into remedial education. The purpose of this presentation is to highlight obstacles we have recently observed in testing frames of coordination, distinction, comparison, opposition as well as deictic frames in typically-developing children aged 6-8 (N=30).

• Do we know everything about Theory of Mind? What a functional analysis of language brings to our understanding of perspective-taking skills in typical and atypical development.
Krystyna Pomorska, MSc, University of Social Sciences and Humanities, Warsaw
Yvonne Barnes-Holmes, Ph.D., University of Gent
prof. Paweł Ostaszewski, University of Social Sciences and Humanities, Warsaw

In mainstream psychology, perspective-taking skills have primarily been studied under the rubric of the Theory of Mind. While widely accepted, many questions remain to be answered by this approach and its potential application to remedial education. In contrast, behavioral researchers, working under the rubric of Relational Frame Theory, have defined perspective-taking in terms of repertoires of deictic relational responding. There is already a substantive body of evidence in support of this definition, as well as a number of studies to support its educational applicability. The purpose of this presentation is to illustrate the potential overlap and differences between deictic relational responding and theory of mind abilities (first- and second-order beliefs) at different stages of development (sample has N = 30) and different levels of verbal behavior. The data highlights the effectiveness of an intervention, based on training deictic relational responding, on theory of mind skills in typically-developing children and children with autism.

• Emergence of untrained verbal proficiency following an RFT based training on categories
Giovambattista Presti, Facoltà di Scienze dell’Uomo e della Società, Università “Kore” di Enna, Italy
Melissa Scagnelli, Istituto G. Fabris, Università IULM, Milano, Italy
Melissa Zecchin, Istituto scientifico “Eugenio Medea” Bosisio Parini, Lecco, Italy
Catia Rigoletto, Istituto scientifico “Eugenio Medea” Bosisio Parini, Lecco, Italy
Massimo Molteni, Istituto scientifico “Eugenio Medea” Bosisio Parini, Lecco, Italy
Paolo Moderato, Istituto G. Fabris, Università IULM, Milano, Italy

Much of our understanding of human cognition depends on our understanding of categorization. Behavior analysts have investigated taxonomical categorization for years without the need for relying on concepts as mental representations of categories. A categorical concept could be defined as a class stimuli (objects, actions, etc.) that control similar responses. Most of these concepts are acquired through formal or informal education, when the same response (e.g., saying ‘‘bird’’) is reinforced in the presence of several different stimuli (e.g., birds), but not in the presence of other animals or objects.Researchers in the field of Relational Frame Theory, a theory of language and human cognition have elaborate effective procedures to train categorization, however little is known on the more general effects of these training on special populations and on language skills in general. The aim of this study was to evaluate the efficacy of an RFT based procedure in teaching categories to children diagnosed with language disorders and its more general impact on language skills as measured with standardized testing. Twenty-two 3 to 7 years old children with a diagnosis of language disorder (F 80.1) according to ICD 10 criteria were first trained to respond to a “give me…” question (AB) and then to match groups of items (BC) and then tested in the derived relations over twelve categories. At the end of the testing phase an additional test was performed: Responding to “The X is a…?” and “Tell me the Y you know”, where X is an item in a category and Y are the categories. Data show a highly statistically significant increase not only with respect to the derived relational behaviors and in items spontaneously listed but also on standardized scoring with TVL (Test for assessment of the language) at baseline, after treatment and follow up in the following areas: Words comprehension (Wilcoxon test=2.748, p=0.006), Sentences comprehension (Wilcoxon test=3.080, p=0.002), Echoic of sentences (Wilcoxon test=3.348 p<0.001)labeling (Wilcoxon test=3,398, p<0.001).Preliminary data of a training based on a frane of coordination suggest that effects on language can go beyond the trained stimuli and categories.

154. Implementation and Empirical Support for Acceptance and Commitment-Therapy in Psychiatric Inpatient Settings
Symposium (11:15-12:30)
Components: Original data, Didactic presentation
Categories: Clinical Interventions and Interests, Clinical Interventions and Interests, Other, Clinical Psychiatric Inpatient Setting
Target Audience: Beg., Interm., Adv.
Location: Lebrija

Marcia Rinner, M.Sc., University of Basel, Switzerland
Andrew T. Gloster, Prof. Dr., University of Basel, Switzerland

To date, applications and research of ACT have concentrated predominantly on outpatient settings. However, ACT is increasingly applied in other clinical domains, such as inpatient settings. This symposium aims to present three different implementations of ACT in inpatient settings and the empirical testing of these settings via effectiveness studies.

• Influencing Factors of ACT compared to CBT in a naturalistic inpatient setting.
Mareike Pleger, M.Sc., Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany
Prof. Albert Diefenbacher, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany
Dr. Christoph Schade, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany
Andrew T Gloster, Prof. Dr., Univeristät Basel, Switzerland
Prof. Thomas Fydrich, Humboldt-University, Berlin, Germany

The first talk presents data drawn from a quasi-randomized clinical trial, which conducts the effectiveness of ACT compared to CBT within a naturalistic setting. Results of our preliminary study indicate ACT and CBT to be equally effective treatments. In this symposium pilot results of our current study will be presented, which focuses on specific patient dispositions that might predict differing positive therapeutic outcomes according to each treatment approach. 170 transdiagnostic inpatients of a German psychiatric department were assigned to either ACT or CBT condition and assessed with respect to different symptom measures as well as ACT-specific outcomes.

• Implementing multi-professional ACT-treatment in a day-care setting
Inga-Marlen Pontow, M.Sc., Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany
Ronald Burian, Dr. med., Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany
Prof. Albert Diefenbacher, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany

The second talk will present the implementation of Acceptance and Committment Therapy (ACT) in a psychosomatic day-care clinic. It will emphasize the opportunities of working with ACT in a multi-professional team especially with patients that suffer not only from mental (such as somatization or other affective disorders) but comorbid from medical disorders (such as diabetes or coronary heart diseases). First pilot data will be presented that are based on pre to post-treatment assessments. Preliminary analyses indicate that patients benefit in terms of psychological flexibility and also in terms of symptom reduction even though this is not the core target of ACT.

• ACT –based inpatient setting for chronic and treatment resistant mental diseases
Charles Benoy, M.Sc., Psychiatric Hospital of the University of Basel, Switzerland
Isabell Schumann, lic. phil., Psychiatric Hospital of the University of Basel, Switzerland
Katrin Pinhard, med. pract., Psychiatric Hospital of the University of Basel, Switzerland
Veronika Kuhweide, Psychiatric Hospital of the University of Basel, Switzerland
Marc Walter, Prof. Dr. med., Psychiatric Hospital of the University of Basel, Switzerland
Andrew T. Gloster, Prof. Dr., Universität Basel, Switzerland

The third study presents pilot-data from a prospective effectiveness study analyzing an ACT-based inpatient setting for chronic and treatment resistant mental disorders. The analysis is based on a trans-diagnostic sample of N=79 patients and includes pre to post- treatment assessment battery and weekly process measures form three sources: patients, therapists, and nurses. Preliminary analyses show a moderate to large effect size in primary outcomes. Analyses will be presented that document change across numerous ACT and competing constructs as well as examining weekly-process patterns of change.

155. Contextual Behavioral Science Applications in Autism and Intellectual Disabilities
Symposium (11:15-12:30)
Components: Conceptual analysis, Literature review, Original data, Didactic Presentation,
Categories: Clinical Interventions and Interests, Behavioral medicine, Intellectual Disabilities, Autism
Target Audience: Interm., Adv.
Location: Utera

The most popular area of Applied Behavior Analysis is the intervention in autism and intellectual disabilities. As originated in Behavior Analysis, Contextual Behavioral Science (CBS) can contribute to improve these applications by providing a functional analysis of language and cognition. This symposium presents important advances in this direction. The first presentation will show the application of RFT-based training in a Child Psychiatry Unit conducted in Italy. The second presentation will address the possibilities of the Relational Evaluation Procedure (REP) for assessing and training children with autism. The third paper will show how to conduct a functional analysis and case conceptualization for people with intellectual disabilities. Lastly, the fourth paper will present the application of the Implicit Relational Assessment Procedure (IRAP) for measuring the effect of public messaging on attitudes towards autism. Overall, these presentations show the breadth of CBS applications to this applied area.

• Educational application of RFT based training in a Child Psychiatry Unit in the National Health System in Italy: A pilot study
Giovambattista Presti, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano Università Kore
Antonella Costantino, Fondazione IRCCS Cà Granda – Ospedale Maggiore Policlinico
Melissa Scagnelli, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano
Francesca Brasca, Fondazione IRCCS Cà Granda – Ospedale Maggiore Policlinico
Davide Carnevali, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano
Martina Leuzzi, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano
Concetta Messina, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano
Paolo Moderato, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano Libera Università di Lingue e Comunicazione IULM

A joint pilot project between IESCUM and UONPIA of Fondazione IRCCS Cà Granda – Ospedale Maggiore Policlinico addressed clinically relevant repertoires of 11 children with a diagnosis of Language Disorder and Dyslexia ranging from 3 to 11 years old. Research involved the application of clinical procedures based on Relational Frame Theory (RFT) to address language and reading issues. Categorization and reading are considered fundamental skills to promote development of thought, action and speech and to allow better adaptation to the natural and social environment. Trainings based on its principles showed efficacy in promoting the development of complex skills. Data show that procedures based on the frame of coordination promoted the emergence of skills beyond the specific responses taught in the categorization and reading trainings. There was a highly statistically significant increase, between baseline and end of intervention, in both trained and untrained behaviors. Significant differences in standardized test performance for language and reading were also found.

• Assessing and training children with autism spectrum disorder using the Relational Evaluation Procedure (REP)
Orla Corbett, National University of Ireland Galway
Jennifer Hayes, National University of Ireland Galway
Ian Stewart, National University of Ireland Galway
John McElwee, Private Practitioner
Concetta Messina, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano
Paolo Moderato, IESCUM, Istituto Europeo per lo Studio del Comportamento Umano Libera Università di Lingue e Comunicazione IULM

The relational evaluation procedure (REP) is seen by proponents of relational frame theory (RFT) as a useful means by which to assess and train relational responding. Most REP work so far has been conducted with typically developing adults; however, given the importance of relational responding as a repertoire and of the potential utility of the REP for assessing and training this repertoire, researchers need to investigate its use with other populations including children with autism and other developmental delay. The current study presents relevant data. Nine children were initially assessed using a simple REP-based multi-level protocol (the NSD-REP) and on a measure of linguistic ability (Pre-school Language Scale, 4th Edition; PLS4). Three children found to pass Level 1 (same and different relations) but not Level 2 (affirmation and disconfirmation of same and different relations) were subsequently given a training intervention in the latter using a multiple baseline design. These findings supplement previous data suggesting the utility of the REP for training relational responding in children with autism.

• From ABA to ACT: functional analysis and case conceptualization for people with intellectual disabilities and psychopathology
Giovanni Miselli, PhD BCBA, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR) Italy
Roberto Cavagnola, Psy D., Fondazione Istituto Ospedaliero di Sospiro Onlus (CR)
Mauro Leoni, PhD, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR), University of Pavia
Serafino Corti, PhD, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR), Università Cattolica Brescia Italy
Francesco Fioriti Ed.D, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR)
Giuseppe Chiodelli, MD; Laura Galli, MD; Michela Uberti, MD, Fondazione Istituto Ospedaliero di Sospiro Onlus (CR)
Giovanni Michelini, PhD., Fondazione Istituto Ospedaliero di Sospiro Onlus (CR)

People diagnosed with intellectual disabilities and neurodevelopment disorders have a greater risk to develop a psychiatric disorder, despite this knowledge these conditions often and undiagnosed and untreated. The purpose of this talk is present a review on evidence -based intervention concerning the reduction of psychopatology and improvement of quality of life in people with intellectual disabilities and present procedure for functional analysis and case conceptualization field tested in a Department for Disabilities in Northern Italy. Theoretical models and literature are reviewed form ABA, Cognitive Behavior Therapy and Third Generation Cognitive Behavioral Therapies, with a specific focus on contextual behavioral science and ACT. Model and procedure for functional analysis and case conceptualization for this complex population will be presented theoretically and illustrated through single case intervention.

• Using the IRAP to investigate the effect of public messaging on attitudes towards autism
Diana Bast, PhD, National University of Ireland Galway
Christina Lyons, National University of Ireland Galway
Ian Stewart, PhD, National University of Ireland Galway

Although public awareness of autism has improved in recent times, there are still misunderstandings or judgmental attitudes based on misinformed stereotypes. This study investigated the effects on implicit (IRAP-based) and explicit (IRAP-analogue) attitudes of different types of messaging on autism. Undergraduates were randomly assigned such that Group 1 was shown a relatively negative video showing behavioral problems in autism, while Group 2 was shown an ostensibly positive video delivered by a successful adult diagnosed as autistic as a child. Analysis showed no between group difference on the explicit measure but a significant difference between the groups on the IRAP such that G2 (positive) showed significantly higher levels of anti-Autism/pro-Normal bias than G1 (negative) both within (d=.76, p<.001) and across IRAP (d=2.6, p=.0098) trial types. These apparently counter-intuitive data will be discussed in terms of subtleties of anti-prejudice messaging as well as issues of malleability and implicit-explicit divergence.

156. Contextual Behavioral Science and Mental Health
Symposium (11:15-12:30)
Components: Conceptual analysis, Literature review, Original data,
Categories: Clinical Interventions and Interests, Prevention and Community-Based Interventions, Crisis Intervention, Global Mental Health, Third Wave Cognitive Behavioural Therapies, Psychosis
Target Audience: Beg., Interm., Adv.
Location: Estepa

Contextual Behavioral Science (CBS) is providing a wide range of applications to enhance mental health in a variety of contexts. This symposium will present some reflections and applications of CBS in this area. The first presentation will review the evidence supporting brief applications of Acceptance and Commitment Therapy (ACT) and highlight the relevance of research in this area, which could lead to effective and low-cost applications of ACT in several socially-relevant domains. The second paper will reflect on the contribution that CBS can make to global mental health due to the cross-cultural utility of ACT and its focus on enhancing wellbeing instead of focusing on reducing symptoms. The third paper will present a systematic review of the cost-effectiveness of third wave therapies in the treatment of patients with physical or mental conditions. Lastly, the fourth paper will present the data from a multiple baseline design that analyze the effect of a 10-session individual protocol of a combination of ACT and behavioral activation with patients with psychosis.

• ACT in crisis intervention. A critical review.
Lidia Budziszewska, Universidad Europea de Madrid, Spain
Pablo Ruisoto, Universidad Europea de Madrid & University of Salamanca

In recent decades, the number of lab-controlled studies in ACT have multiplied supporting the validity of the core therapeutic processes of ACT (A-Tjak, Davis, Morina, Powers, Smits, & Emmelkamp, 2015), but more naturalistic approaches such as brief interventions in crisis remains a challenge, although successful experiences keep building up (Stroshal, Robinson, Gustavsson, 2012). For example, brief interventions working with former child soldiers, street children and victims of violence (Dahl, 2011, 2012). Two main reasons justify this study: first, dose/effect studies have found that most change in therapy happens before session (Strosahl, 2010); second, some context, such as currents interventions with refugees. The aim of this paper is twofold: 1) to critically review studies focused on brief interventions for high distress situations outlining key principles of brief ACT intervention in crisis, and 2) to review the available data about its efficacy and effectiveness. Key concepts, such as suffering and change, and the relevance of developing value-based brief interventions in multicultural contexts with limited funds, instead of expensive pathology centered long-term therapy will be further discussed underlying differences with biomedical model (DSM) approach. Hopefully, this study will foster new efforts to increase public investment to address crisis.

• The Contribution that Contextual Behavioural Science can make to Global Mental Health
Ross White, University of Liverpool

Global Mental Health initiatives aim to address inequities in mental health provision across the world, and place particular emphasis on building mental health service capacity in low- and middle-income countries (LMIC) where over 80% of the global population is living. Consistent with this approach, concerted efforts are being made to globally disseminate psychological therapies. These efforts will need to negotiate the tensions that exist between making therapies sufficiently scalable, whilst retaining features of the psychotherapy that maximize both the acceptability and efficacy of the intervention. This paper reflects on the important contribution that Contextual Behavioral Science (CBS) can make to Global Mental Health (GMH). This includes consideration of the cross-cultural utility and validity of Acceptance and Commitment Therapy (ACT), and the way in which CBS approaches can help ensure that GMH initiatives do not narrowly focusing on symptoms of mental disorders rather than enhancing wellbeing. Knowledge from ACT and Functional Analytical Psychotherapy can help build sophistication in efforts to develop and deliver programmatic/’therapist-free’ forms of psychotherapy that will need to retain sensitivity to even subtle forms of emotional expression from clients. In addition, the PROSOCIAL approach provides opportunities for groups of people to cooperate effectively to achieve shared aspirations and build ‘communities of support’ that can serve to optimize peoples’ mental health and wellbeing. Examples of CBS-related work being undertaken in LMIC will be used to illustrate these possibilities.

• Cost-effectiveness of 'Third Wave' Cognitive and Behavioral Therapies: A Systematic Review and Quality Assessment of Economic Evaluations Alongside Randomized Controlled Trials
Juan V. Luciano, Ph.D, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Albert Feliu-Soler, Ph.D, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Laura Andrés-Rodriguez, MSc, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Adrián Pérez-Aranda, MSc, Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
Francesco D’Amico, Ph.D, Personal Social Services Research Unit, London School of Economics and Political Science, London,
Lance M. McCracken, Ph.D, Institute of Psychiatry, Psychology & Neuroscience, King’s College London

The term “third wave” cognitive behavioural therapy (CBT) encompasses new forms of CBT that both extend and innovate within CBT. Most third-wave therapies have been subject to RCTs focused on clinical effectiveness, however the number and quality of economic evaluations alongside these RCTs has been unknown and may be few. Evidence about the cost-effectiveness of these therapies may help support decisions on efficient allocation of resources in health policies. The main aim of this study was to systematically review the cost-effectiveness of third wave therapies in the treatment of patients with physical or mental conditions. We conducted a systematic literature search in PubMed, PsycINFO, EMBASE, and CINALH to identify economic evaluations of third wave therapies. Quality and Risk of Bias (RoB) assessment of economic evaluations was also made using the Drummond 35-item checklist and the Cochrane Collaboration’s Risk of bias assessment tool, respectively. Ten RCTs were included in this systematic review. Mindfulness-Based Cognitive Therapy (MBCT), Mindfulness-Based Stress Reduction (MBSR), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and extended Behaviour Activation (eBA) showed acceptable cost-effectiveness and cost-utility ratios. No study employed a time horizon of more than 3 years. Quality and RoB assessments highlight some limitations that temper the findings. There is some economic evidence that MBCT, MBSR, ACT, DBT, and eBA are cost-effective from a societal or a third-party payer perspective. For many third wave interventions, no single economic evaluation alongside RCTs was identified. More economic evaluations with high methodological quality are needed.

• Psychological treatment for inpatients with psychosis
Cornelia Larsson, licensed psychologist adn psychotherapist, doctoral student, Centre for psychiatry research, Stockholm County Council & Dep.of Clinical Neuroscience Karolinska institutet, Stockholm, Sweden
Thomas Parling, PhD, Centre for psychiatry research, Stockholm County Council & Dep.of Clinical Neuroscience Karolinska institutet, Stockholm, Sweden
Tobias Lundgren, PhD, Centre for psychiatry research, Stockholm County Council & Dep.of Clinical Neuroscience Karolinska institutet, Stockholm, Sweden
Helena Fatouros-Bergman, PhD, Centre for psychiatry research, Stockholm County Council & Dep.of Clinical Neuroscience Karolinska institutet, Stockholm, Sweden

National guidelines in Sweden recommend individual cognitive behavior therapy as a prioritized intervetnion for those suffering from schizophrenia. However, a majority of inpatient wards lack psychological / psychotherapeutic competence to deliver these interventions. Recent studies have shown that acceptance based therapies are acceptable for patients with psychosis (Cramer et al., 2016), reduce positive symptoms (Shawyer et al., 2012), and reduce negative symptoms (White et al., 2011). The feasibility and effectiveness of behavioral activation for inpatients with psychosis have been shown in a preliminary study (Mairs et al., 2011). The study protocol includes one introductory session followed by three sessions each adressing; behavioural activation, acceptance of voices/thoughts and acceptance of affects/emotions. Aims: is an acceptance based therapy (10 daily individual sessions) acceptable, does it increase experienced health status, valued activities, and does it decrease psychotic symptoms in a Swedish inpatient context. Method: Participants from two inpatient wards are invited to 10 daily sessions. The study is a multiple baseline design with consecutive patients, the goal is to include n=12 participants. The study is ongoing and therefore no results are available at this timepoint. We will discuss the suitability of the intervention in a Swedish context parallell to the outcome.

Things To Do in Seville and Traveling Tips

Welcome to Seville [1235], the capital of southern Spain’s Andalusia region! 

Attractions:

The Real Alcazar Palace of Seville:

The Alcázar of Seville [1236] is one of the most representative monumental compounds in the city, the country and the Mediterranean culture as a whole. Part of it is still in use by the royal family of Spain. If you're a Game of Thrones fan, some parts of the recent seasons have been filmed here.
Save time and buy tickets ahead of time! ACBS is offering an organized trip to the Alcazar here. [1137]

Seville Cathedral:

The cathedral [1237] is the largest Gothic cathedral and third largest church in the world. Walk up the tower for an amazing view of Seville, and visit the tomb of Christopher Columbus. Only a 20 minute walk from Melia Sevilla, the cathedral is a must see! ACBS is offereing a pre-arranged, guided tour of the Cathedral here. [1136]

Cordoba:

If you have time for a day-trip, Cordoba won't disappoint.  It's 1-1.5 hours away by train or bus. Here are some suggestions of what to see [1238]. ACBS is offering a pre-arranged, guided trip to Cordoba here. [1135]

Plaza de Toros de la Maestranza:

The Plaza de Toros de la Maestranza was constructed over the late 17th and 18th centuries and is one of the most famous venues in all of Spain to watch a bullfight or go on a tour. 

Torre del Oro:

Torre del oro/Golden Tower dates back to the 13th century and houses the local maritime museum. You can visit the tower for only 1€ or free on Tuesdays. 

For more information and other attractions visit Explore Seville [1239]. 

Flamenco:

Seville is the birthplace of Flamenco dancing, which apparently started out a couple of hundred years back as just a chant accompanied by the rhythm beaten out on the floor by a wooden cane. It is now an experience not to be missed!  There are a number of different places you can see Flamenco, but here is one....for tickets visit: http://www.lacasadelflamencosevilla.com/entradas/agenda_completa [1240]


Tipping Etiquette: [1241]

Restaurants:

Tipping is entirely optional and it’s not very common. You may see people leaving small change but most of the time, you won’t see anyone other than tourists leaving a tip. Never add tip to a credit card slip because the money will go straight to the owner. Instead, always use cash to thank your waitress/waiter.

There is generally a service charge included in the bill (servicio incluido) but if not, you should consider tipping up to 10%.

Taxi:

Tipping in a taxi is practically nonexistent. Other than extraordinary situations, you aren't expected to tip. 

 


Dining out and Meals:

Meal Time: 

Lunch: Kitchens generally open around 12:30-13:30 then remain open until 16:00 or later. Lunch is normally around 14:00. 

Dinner: Restaurants do not open for dinner until about 20:00-20:30, at the earliest. Dinner is normally around 21:00. Bars are open earlier and may serve tapas.

Locals will often be seen going to restaurants as late as 22:30 or 23:00, especially on the weekends. Only tourists eat before 21:00. :)

Allergies: 

To help translate food allergies to Spanish, visit here and pre-print what you need: https://www.brokerfish.com/food-allergy-translation-cards

Ask for the bill:

Don’t wait for the waiter to put the bill on your table. You need to ask for the bill when you are ready to leave, “la cuenta, por favor”.

In Spain waiters won’t generally check up on your table, so you need to get their attention when you need something.

Jamon:

Jamon (or cured ham), pronounced "ha-moan", is very popular throughout Spain.

The BEST, most sought after, variety is Jamon Iberico de bellota from acorn-fed, indigenous black pigs from four specific regions of Spain.


Shopping and Souvenirs: [1242]

Souvenir Ideas:

Olive oil, orange wine, fans ("abanicos"), hand-painted ceramics, and especially flamenca dresses for children.

Orange marmalade could work as a souvenir as well. Most of the orange trees you'll see around Seville are growing bitter oranges, used in making marmalade. Please remember to pack these liquid and jelly items in your checked luggage, or they won't make it through airport security.

Shopping:

The main shopping streets are located on Calles Tetuan and Sierpes, along with the alleyways around them. 

The "Soho of Seville" is located near the Plaza de la Encarnacion with many specialty shops. 

Local artisan markets are located around Plaza del Pan, Calle Francos and Calle Alvzarez Quintero. Bargain prices can be found on Calle San Jorge and Calle Antillo Campos in the Triana neighborhood.


Travel/Flight Information

Airfare Discount with oneworld to Seville, Spain (SVQ airport)

oneworld® is pleased to be the official airline alliance of ACBS World Conference 15.

As a registered attendee, you can access discounted flights for travel to this event

[1243]

attendee benefits

  • Discounts on flights for attendees and one travel companion, with code OW03F16
  • Travel between 1 June and 21 July.
  • Flights available from all oneworld member airlines and affiliates.
  • Enjoy a user-friendly booking tool showing the most convenient flight options.
  • 24-hour support via email or phone.
  • Earn rewards and tier status points on eligible oneworld flights.
  • Frequent flyer privileges including access to some 650 premium airport lounges worldwide, fast track at security lanes in selected airports and extra baggage allowance.*
  • Seamless connections and quality service on oneworld member airlines.

take advantage today

Visit www.oneworld.com/events [1244], select ‘Attendee’ and enter event code OW03F16 to access our online booking tool.

oneworld, the premier global airline alliance, brings together 14 leading airlines from around the world - airberlin, American Airlines, British Airways, Cathay Pacific Airways, Finnair, Iberia, Japan Airlines, LATAM Airlines, Malaysia Airlines, Qantas, Qatar Airways, Royal Jordanian, S7 Airlines and SriLankan Airlines. Together with around 30 affiliate members, oneworld’s network currently serves more than 1,000 destinations in 150 countries. For more information please visit www.oneworld.com [1245].

*Privileges depend on your oneworld tier status level. For more information visit www.oneworld.com/benefits [1246].

 

Airport Taxi Information

[828]There are taxis available at the airport for transportation to the Melia Sevilla Hotel. A taxi from the airport should cost 12-16 Euros, depending on the time of day and traffic. If there is no traffic, it's 17 minute, however it is safe to anticipate some traffic.

It is 10.4 km from the airport to the Melia Sevilla Hotel and about the same to the NH (the conference overflow hotel).

On your return trip to the airport, the Melia Sevilla Hotel has a taxi stand in front, or the concierge/front desk can order one for you.
 

Airport Transfer to the Hotel

[828]By Taxi

There are taxis available at the airport for transportation to the Melia Sevilla Hotel. A taxi from the airport should cost 12-16 Euros, depending on the time of day and traffic. If there is no traffic, it's 17 minute, however it is safe to anticipate some traffic.

It is 10.4 km from the airport to the Melia Sevilla Hotel and about the same to the NH (the conference overflow hotel).

On your return trip to the airport, The Melia Sevilla Hotel has a taxi stand in front, or the concierge/front desk can order one for you.


By Airport Bus

Busing from the airport is available for 4 Euros (cash only). The busses operate throughout the day. Instead of a bus "number" it will say "EA" on the bus. You can see the times and drop off locations here [1247].

How to ride the bus:

Exit the airport with your luggage, walk to the left to the sign that says "BUS, EA" (pictured).

Wait in line for the bus (pictured) to arrive (every 15-30 minutes). The bus will say "EA aeropuerto" on the front.

A ticket seller will approach you in the line to sell you a ticket for the bus, or you can purchase it on the bus.

While on the bus you can watch the screen tell you the upcoming stops and your proximity to them.

If you are going to the Melia Sevilla Hotel you will want to get off at the Apeadero San Bernardo or Avda. Carlos V (Jardina del Prado) stop.

If you are staying at Hotel NH Collection Sevilla (the conference overflow hotel) you will want to get off at the Apeadero San Bernardo (Hotel NH Viapol). 

Note: You do not want to purchase the 6 Euro "return" ticket.  It is usable for a return only on the day you purchase it.

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WC15 Posters

Poster files will be added as we receive them. If you would like your poster file to be added to this list, please email it to Fred at acbsstaff@contextualscience.org [910].

Location: Grand Ballroom

Wednesday, 21 June, 2017, 18:30-19:30 - Poster Session #1 

Friday, 22 June 2017, 18:15-19:15 - Poster Session #2

Friday, 22 June 2017, 19:15-20:15 - Poster Session #3

Image denotes ACBS Junior Investigator Poster Award Recipients

 

Wednesday, 21 June, 2017, 18:30-19:30 - Poster Session #1

 

Placeholder

Friday, 22 June 2017, 18:15-19:15 - Poster Session #2

 

Placeholder

Friday, 22 June 2017, 19:15-20:15 - Poster Session #3

WC15 Powerpoints and Handouts

Powerpoints and handouts files added where available. If you would like your materials to be added to this list, please email it to Fred at acbsstaff@contextualscience.org.

UNDER CONSTRUCTION

Pre-Conference Workshops 

Tuesday-Wednesday, 20-21 June, 2017


Brief Interventions for Radical Change: Basics of Focused Acceptance and Commitment Therapy (FACT)
Kirk Strosahl, Ph.D, Patricia Robinson, Ph.D., Thomas Gustavsson
Handout [1248]
Powerpoint [1249]

The Therapeutic Relationship in ACT: Cultivating Present and Powerful Client Connections in Acceptance and Commitment Therapy
Kelly G. Wilson
Powerpoint [1250]


Conference Sessions


Thursday, 22 June


3. Harnessing the Power of the Present Moment in ACT/ Aprovechar el Poder del Momento Presente en ACT
Kirk Strosahl, Ph.D, Patricia Robinson, Ph.D.
Handout [1251]
Powerpoint [1252]

10. Uncovering the Process of "Creative Hopelessness" 
Rikke Kjelgaard, M.Sc
Robyn Walser, Ph.D.
Powerpoint [1253]

12. Same Technology, Different Delivery: Varieties of Formats of ACT Interventions for Chronic Health Problems
Dayna Lee-Baggley, Ph.D.
Handout 1 [1254]
Handout 2 [1255]
Handout 3 [1256]
Handout 4 [1257]

21. Ignite Session
Your Therapist Doesn't Feels Like a Fraud? You Should Look for Another Professional! 
Giovanni Pergher, MS
Powerpoint [1258]
4 Paths to Wholeness
Marianela Medrano
Handout 1 [1259]
ACT in Sex-therapy
Charlotte Makboul
Powerpoint [1260]
 

24. ACT Interventions for Health Problems
Dayna Lee-Baggley, Ph.D.
Handout 1 [1261]
Handout 2 [1262]
Handout 3 [1263]
Handout 4 [1264]

37. Sessions with IMPACT: Interpersonal Mindfulness Processes in Acceptance & Commitment Therapy
Russ Harris
Powerpoint [1265]

42. Using Different Methods to Study Clinical Applications I 
Benjamin M. Ramos, M.Sc.
Powerpoint [1266]

43. Burnout Inoculation: Using ACT to Prevent Burnout in the Workplace and in Yourself
Dayna Lee-Baggley, Ph.D.
Timothy Gordon
Handout 1 [1267]
 


Friday, 23 June


62. Clinical Application of RFT in Practice
Yvonne Barnes-Holmes, Richard Bennett, Joe Oliver
Handout 1 [1268]
Handout 2 [1269]

67. Metaphor: From Science to Psychotherapy
Niklas Törneke, M.D.
Powerpoint [1270]

65. "I’ll do it later": Overcoming Procrastination in College Students with ACT 
Frederick Dionne, Ph.D
Powerpoint [1271]

72. Applying ACT Processes and SelfCompassion to Develop Psychological Flexibility with Survivors of Suicide: Quebec Chapter Sponsored 
Francis Lemay, Ph.D., Fernando Parada Zelada, Psy.D.
Powerpoint  [1272]

75. Evoking, Exploring and Shaping Relevant Bodily Responses: Contextual Medicine SIG Sponsored
Maarten Aalberse, Niklas Törneke
Powerpoint [1273]

76. Activando paso a paso: Tratamiento de Activación Conductual para Depresión (BATD) 
Fabian Maero, Licenciada Paula José Quintero
Handout 1 [1274]

87. Ten Mistakes you don't want to make as an ACT Therapist
Rikke Kjelgaard, M.Sc
Powerpoint [1275]

89. Evolution on Purpose: Why the Ultimate Success of CBS is Tied to Applied Evolution Science/
Evolución del propósito: Por qué el éxito final de la CBS está ligado a la ciencia de la evolución aplicada

Steven C. Hayes, Ph.D
Powerpoint [1276]


Saturday, 24 June


96. ACT in Organizations
Søren Braskov, M.Sc., Asger Neumann, M.Sc
Powerpoint [1277]

95. Am I Still Doing ACT?
Danielle Moyer, MS, Jacqueline A-Tjak, MSc, Matt Boone, Matthieu Villatte Ph.D., Darrah Westrup, Ph.D.
Handout 1 [1278]

98. Metaphor in Practice
Niklas Törneke, M.D., Jennifer Villatte, Ph.D.
Handout 1 

99. Live Demonstrations: ACT with Challenging Clients
Russ Harris
Handout 1 [1279]

115. Acceptance, Mindfulness and Compassion-Based Interventions for Problem Eating Behaviors 
Lara Palmeira
Powerpoint [1280]

116. The ACT of Self Forgiveness: A Principles-Based Response to Intrapersonal Offence 
Grant Dewar
Powerpoint [1281]
Powerpoint with Audio
Powerpoint with notes [1282]

131. Living with the Stuff that Sucks: Using ACT Flexibly with Adolescents 
Ben Sedley
Powerpoint [1283]


Sunday, 25 June


134. The Science of Arts in Functional Analytic Psychotherapy (FAP): Functional Analytic Psychotherapy SIG Sponsored 
Holly Yates, Stavroula Sanida
Powerpoint [1284]

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

¿Qué será en español en la conferencia?

[1069]1. Habrá un taller previo a la conferencia impartido en español por Carmen Luciano y Francisco Ruiz [1150], del 20 al 21 de junio.
2. Durante la conferencia, todas las sesiones plenarias (22-24 de junio) serán traducidas simultáneamente al español (a través de un stand y auriculares) por traductores profesionales. Los auriculares no son garantizado por inscripciónes despues de 22 Mayo.
3. Durante el jueves, viernes, sábado (22-24 de junio) de la conferencia, las sesiones celebradas en el salón de baile más grande serán simultáneamente traducidas al español (a través de un stand y auriculares).
4. Durante la conferencia, habrá una sala de reuniones adicional, en todo momento que tenga contenido original en español. (Esto significa que habrá 2 sesiones en todo momento, disponibles en español).
5. El domingo por la mañana de la conferencia, tendremos 2 sesiones impartidas en español al mismo tiempo. (25 de junio)
6. Los PowerPoints para las sesiones plenarias y para las sesiones en el Salón grande serán en inglés y español.
7. El personal de la ACBS va a hacer etiquetas opcionales que los asistentes pueden utilizar para denotar sus idiomas en sus tarjetas de identificación.
 

1. We will have one pre-conference workshop delivered in Spanish by Carmen Luciano & Francisco Ruiz [1150], 20-21 June.
2. During the conference, all plenary sessions (22-24 June) will be simultaneously translated into Spanish (via a booth and headsets) by professional translators.
3. During Thursday, Friday, Saturday (22-24 June) of the conference, the sessions held in the largest Ballroom will be simultaneously translated into Spanish (via a booth and headsets).
4. During the conference, there will be one additional meeting room, at all times that has original Spanish language content. (This will mean that there will be 2 sessions at all times, available in Spanish.)
5. On Sunday morning of the conference, we will have 2 sessions delivered in Spanish at the same time. (25 June)
6. The PowerPoints for the plenaries and for the sessions in the Ballroom will be in English and Spanish.
7. The ACBS staff is going to make optional flag stickers that attendees can use to denote their languages on name badges.
 

Inscripción aquí [1069]

La forma de inscripción [1285] en Español.

ACBS World Conference III

 

WC3logobannerweb2.jpg

Online Registration is Now Closed.

Registration includes access to: symposia; paper presentations; invited talks; plenary sessions; more than 40, 1-6 hour workshops; transportation to/from your hotel [1286] (where available, when we're notified by our deadline); 3 lunch buffets; 2 complete dinners; poster session; and our famous follies night.

View the Program Content [1287]

Hotel Information [1288]

This three-day conference (with two days of pre-conference intensive workshops [1289]) will provide a unique opportunity to learn about cutting-edge advances in Acceptance & Commitment Therapy (ACT) and Relational Frame Theory (RFT), in addition to other third generation approaches in the behavioral and cognitive therapies. There will be a comprehensive scientific program in these areas of contextual behavioral science, examining philosophical, theoretical, basic and applied issues. Students, practitioners, researchers, and policy makers will benefit from this conference and find it an excellent opportunity to learn from the very top people involved in the development and advancement of ACT, RFT, and contextual behavioral approaches.

The conference will have 12 tracks simultaneously for all three days. There will be invited addresses from internationally known clinical and research leaders. Many of the leaders of the ACT / RFT community will also be giving invited addresses. There will be more than 100 symposia, panels, case conferences, and discussions on topics as wide ranging as ACT / RFT work itself.

In addition to a full, multi-track scientific and clinical program, a wide variety of half-day (and a few full-day) workshops will be presented at the conference (July 1-3) by leading researchers and practitioners. These workshops are FREE with conference registration, no additional sign up required. These workshops will be designed to help develop the practice and skills of novice, intermediate, and advanced clinical practitioners, educators, prevention specialists, and even basic scientists. Most of the workshops will focus on ACT, but a wide range of topics will be addressed.

Location:

University of Twente [258] Enschede, The Netherlands (pronounced "EN-sha-day" or "EN-skhey-day") The conference, pre-conference workshops, as well as the social events will take place at the campus of the University. Enschede can be reached by a direct, two-hour train trip from Schiphol Airport in Amsterdam. Most of the designated hotels are within walking distance of the campus (designated hotels farther away will provide shuttle service).

Dates: Kick off Poster Session, evening June 30 Conference, July 1 - July 3, 2009 (pre-conference workshops June 29 & 30)

For questions (in Dutch): Als u vragen heeft, gesteld in het Nederlands, kunt u deze verzenden naar: bureau.bij-ennascholing@ggnet.nl. U krijgt dan zo spoedig mogelijk bericht.

2-Day Pre-Conference Workshops

All of the Pre-Conference Workshops have filled. Please check our Training Events Calendar for other training opportunities in your area. Or come to the World Conference, where you can learn from all of these trainers, and more.

These 2-day workshops will be held the 2-days immediately preceding the ACBS World Conference III, at the same venue. They will be roughly 9:00-5:00/5:15pm on Monday and Tuesday, June 29 & 30, 2009.

*These workshops run concurrently, therefore you may only attend one of the workshops below, and they require their own registration (they are not a part of the ACBS World Conference).

Pre-Conference 2-day Workshop Early Registration (June 29 & 30):
Note: Onsite registration is not available for the 2-day workshops

€275: Professional/ Affiliate
€165: Student

Prices include 2 lunches, coffee/tea.

  • WORKSHOP FULL: ACT with Youth and Parents (introductory - advanced) [1290]:
    Amy Murrell, Ph.D., and Rikard Wicksell, Ph.D.
  • WORKSHOP FULL: Tweedaagse Experientiele Introductie Workshop Acceptance en Commitment Therapie (In het Nederlands- In Dutch!!!) (introductory) [1291]:
    Ando Rokx, MSc, and Lucas Goessens, MSc
  • WORKSHOP FULL: Using the Hexaflex Functional Dimensional Experiential Interview (intermediate - advanced) [1292]:
    Kelly Wilson, Ph.D., Emily Sandoz, & Regan Slater
  • WORKSHOP FULL: Introductory ACT Workshop (introductory/intermediate) [1293]:
    Steve Hayes, Ph.D.
  • WORKSHOP FULL: Applying ACT to Complex Chronic Dug in Problems emphasizing the use of experiential dramatization of Core Processes (intermediate/advanced) [1294]:
    JoAnne Dahl, Ph.D.
  • WORKSHOP FULL: Personal Willingness and Compassion: Advanced Workshop in Acceptance and Commitment Therapy (advanced) [1295]:
    Robyn Walser, Ph.D.

WORKSHOP FULL: ACT with Youth and Parents - Amy Murrell & Rikard Wicksell

amy.JPGrikard.jpg

ACT with Youth and Parents Workshop Leader:

Amy Murrell, Ph.D., University of North Texas, USA, & Rikard Wicksell, Ph.D., Karolinska University Hospital, Sweden

Dates & Location:

June 29 & 30, 2009, 9:00am - 5:00/5:30pm at the University of Twente (Enschede, The Netherlands).

Workshop Description:

Emphasis on acceptance and mindfulness in treatment has grown dramatically in recent years. Along with empirical investigation of these and related processes, corresponding clinical knowledge has been increasingly disseminated. Research on and clinical utility of ACT exemplifies this growing interest. ACT supervision is becoming more and more available; and, presentations, workshops and other trainings are frequently conducted - in multiple settings, in a number of countries. The proportion of such trainings that address child, adolescent or parenting issues, however, is quite small. While some work on the use of ACT with youth and parents has been conducted, the fraction of existing work and training is miniscule compared to the likely need. Foremost, many people consider the time span of childhood and adolescence to define a culture which is entirely separate and different from that of adulthood. Therefore, cultural sensitivity and relevant adaptations cannot be ignored. Additionally, there is evidence that many of the problems experienced by youth and their parents are resistant to change (especially long-term) via traditional cognitive-behavioral treatment approaches. There is some literature that suggests this could be related to cognitive fusion and/or experiential avoidance, and that ACT might address these problems in a novel way. Thus, this workshop will explore the ways that ACT can be used to address problems of youth and parenting. Functional and other assessment, case conceptualization and treatment planning from an ACT perspective will be reviewed. More specifically, the presenters will discuss how treatment goals and the six core components of ACT work can be tailored to youth and parents. Clinical examples will be used to illustrate therapeutic techniques. The workshop will be a mix of didactics and experiential work. Participants will be encouraged to discuss cases as well as treatment ideas, role-play, and participate in a number of exercises.

Learning Objectives:

1. Learn how to address each of the six core components in work with youth populations.

2. Learn how parents, from an ACT perspective, are relevant to treatment of youth.

3. Learn about the current assessment of ACT relevant processes in youth.

Target Audience: Beginner through Advanced.

WORKSHOP FULL: Applying ACT to Complex Chronic "Dug in" Problems - JoAnne Dahl

JOANNE.jpgApplying ACT to Complex Chronic Dug in Problems emphasizing the use of experiential dramatization of Core Processes

Workshop Leader: JoAnne Dahl, Ph.D., University of Uppsala, Sweden

Dates & Location: June 29 & 30, 2009, 9:00am - 5:00/5:30pm at the University of Twente (Enschede, The Netherlands).

Workshop Description: In the ACT perspective, it is through experimenting with different behaviors and mindfully experiencing what life serves up that we can free ourselves from ‘dug in’ patterns and move on. Freeing our energy from endless struggles with unsolvable problems, we can channel this same energy towards valued living. The pay off for taking even the tiniest step in valued directions is immediate, meaningful and heartfelt. The aim of this workshop is to let you experience a variety of innovative ways of applying the ACT core processes to help free the ‘dug-in’ client from her struggle and go on to live a valued life. What characterizes this ACT workshop is less talk and more own experiencing of ACT core processes. ACT and RFT conceptualization are done ‘on the floor’ in the form of a ‘Life-line’ which you will get the chance to do. The ‘Life-line’ is a behavioral analysis in a values context done on the floor illustrating functional classes of both experiential avoidance and attachment to content and feelings. The ‘Life-line’ provides a quick perspective taking of one’s learning history in the form of habitual behavior as well as the verbally constructed rules regarding these experiences. This aim of this exercise is to illustrate the discrepancy between the client’s valued direction in life and detours of experiential avoidance. This leads to ‘creative hopelessness’ and instigates motivation for taking steps in one’s valued directions. Based on the analysis, core processes of ACT: values, defusion, acceptance, mindfulness, self as context and commitment are all ‘ACTED’ out using physical dramatizations developed by the author. Participants will have the opportunity to practice and receive feedback. My hope is that every participant will leave this workshop filled with own experiences of ACT assessment and treatment for ‘dug-in’ problems both own as well as with for client work. Welcome!

Learning Objectives:

1. Learn how to make an assessment 'on the floor' using the Life-line for any presenting 'dug-in' problem.

2. Learn how to physicalize, dramatize and experience all ACT core processes applied to 'dug-in' problems

3. Increase your own psychological flexibility as a therapists when you both get 'stuck'.

Target Audience: Intermediate through Advanced.

WORKSHOP FULL: Introductory ACT Workshop (introductory/intermediate)- Steve Hayes

Steve Hayes head shot circa 2007.JPGIntroductory ACT Workshop

Workshop Leader: Steven C. Hayes, Ph.D., University of Nevada

Dates & Location: June 29 & 30, 2009, 9:00am - 5:00/5:30pm at the University of Twente (Enschede, The Netherlands).

Workshop Description: Difficult clients tend to be both harder to treat successfully, and to be emotionally difficult for therapists, resulting in higher levels of stress and burn-out. These clients are generally more complex and chronic, and they often been through the therapy mill. Because of the growing popularity of empirically supported methods, difficult clients may have already had courses of more traditional empirical treatments (e.g., various forms of cognitive behavior therapy) and are unlikely to be moved by another attempt within the same model. Something else is needed that is empirically based, that provides relief for clinicians, and that allows for a new, more powerful approach to difficult cases. Acceptance and Commitment Therapy (ACT) is such an approach. The core conception of ACT is that psychological suffering is usually caused by experiential avoidance, cognitive entanglement, and the resulting failure to take needed behavioral steps in accord with core values. According to this view, trying to change difficult thoughts and feelings as a means of coping might can be counter productive, but new, powerful alternatives are available, including acceptance, mindfulness, cognitive defusion, values, and committed action. ACT teaches clients and therapists alike how to alter the way difficult private experiences function mentally rather than having to eliminate them from occurring at all. This empowering message has been shown empirically to help clients cope with a wide variety of clinical problems, including depression, anxiety, stress, substance abuse, and even psychotic symptoms. Research has shown that these methods are as beneficial for the clinician as they are for clients, quickly alleviating therapist burn-out. This two-day workshop will discuss and demonstrate ACT techniques, particularly acceptance, cognitive defusion, and behavioral commitment strategies. While the procedures are broadly useful, the workshop will focus in particular on issues of multi-problem patients. Data supportive of this approach will be discussed. The workshop will at times be experiential, not merely didactic. The intention of the workshop is to provide clinicians with a workable set of ACT skills, and with personal experiences that will allow further development of these skills based on their application with difficult clients.

Learning Objectives:

Attendees will learn:

1. Why experiential avoidance and cognitive fusion underlie most forms of psychopathology

2. How modern research in human language and cognition is revealing a key source of human suffering

3. How to formulate cases in terms of experiential avoidance and cognitive fusion

4. The major steps in Acceptance and Commitment Therapy

5. How to foster psychological acceptance

6. How to quickly reduce the impact of negative thoughts

7. How to mobilize and make use of the spiritual side of clients

8. How to help clients get more into contact with their core values

9. How to build larger patterns of committed action

10. How to apply these same methods to the stressful impact of working with difficult clients

Target Audience: Beginners and above.

WORKSHOP FULL: Personal Willingness and Compassion: Advanced Workshop in Acceptance and Commitment Therapy - Robyn Walser

robyn walser.jpgPersonal Willingness and Compassion: Advanced Workshop in Acceptance and Commitment Therapy

Workshop Leader: Robyn D. Walser, Ph.D., TL Consultation Services

Dates & Location: June 29 & 30, 2009, 9:00am - 5:00/5:30pm at the University of Twente (Enschede, The Netherlands).

Workshop Description: This workshop will focus more specifically on improving your personal skills in the delivery of ACT and will be largely experiential in nature. The ACT approach holds that clinicians must be willing to apply ACT in their own lives in order to deliver the therapy effectively – in this workshop we will be exploring barriers to this process while promoting personal acceptance and behavior change as it applies to the therapeutic relationship and personal values. We will focus on a variety of experiential exercises that will address subtle issues of control and will invite openness to experience. Opportunity to role-play difficult clients, address sticking points, and work on personal therapeutic challenges will be provided. Main areas of experiential focus will be on forgiveness, compassion, improving patience, and taking bold, ethical steps in life and the therapeutic relationship. The occasion for personal feedback on your ACT work will be available. In addition, we will engage in a number of mindfulness practices designed to promote personal skill in awareness. And finally, we will have a bit of fun too!

Learning Objectives:

1. Learn the how to apply the core competencies of the ACT therapeutic stance.

2. Learn how to use ACT in working with difficult barriers, challenges and sticking points from both the client and therapist perspective.

3. Develop personal skill in willingness and awareness.

Target Audience: Advanced.

WORKSHOP FULL: Tweedaagse Experientiele Introductie Workshop ACT (In het Nederlands- In Dutch!!!)- Ando Rokx & Lucas Goessens

leaves.JPGTweedaagse Experientiele Introductie Workshop ACT (In het Nederlands - In Dutch)

Workshop Leaders: Ando Rokx, MSc, and Lucas Goessens, MSc, GGNET

Dates & Location: June 29 & 30, 2009, 9:00am - 5:00/5:30pm at the University of Twente (Enschede, The Netherlands).

Workshop Description: ACT is een relatief nieuwe vorm van psychotherapie, met een radicaal ander perspectief op menselijk lijden en psychopathologie. Het doel van ACT is vergroting van de psychologische flexibiliteit. In de cursus ‘Acceptance en Commitment Therapie’ ervaart u de werking en effecten van deze bijzondere therapievorm.

U kunt ACT toepassen bij de behandeling van angst, depressie, werkgerelateerde problematiek, verslaving en chronische pijn. Met deze therapie stelt u niet iemands symptomen, klachten of cognities centraal, maar zijn eigen beleving, de acceptatie daarvan en commitment aan eigen waarden. ‘Acceptance en Commitment Therapie’ maakt deel uit van de derdegeneratie gedragstherapie. Vanuit een empirisch ondersteunde filosofie en theorie zijn elementen uit onder meer gedragstherapie, gestalt en mindfulness samengevoegd. De traditionele cognitieve gedragstherapie doet volgens ACT overmatige pogingen om invloed uit te oefenen op feitelijk onbeheersbare emotionele en cognitieve processen. De traditionele technieken als gedachten onderdrukken, positief denken, analyseren van gedachten en zoeken naar verklaringen en oorzaken, lijken logische manieren om psychische klachten te bestrijden. Volgens ACT leiden ze er mogelijk juist toe dat klachten allesbepalend worden en gedrag in het teken komt te staan van emotionele vermijding. ACT stelt dat de eigen beleving een reactie is op de werkelijkheid in plaats van een weergave van de werkelijkheid. Met ACT leert u de patiënt dit onderkennen en aanvaarden. Ook leert u hem zijn gedrag te laten leiden door gekoesterde waarden. Ondanks of soms juist dankzij de aversieve reacties en belevingen die daar onvermijdelijk mee gepaard gaan.

Programma

Cursusdag 1 -theoretische en filosofische achtergronden -verschillende fasen, processen, methoden en toepassingsgebieden -overeenkomsten en verschillen met bestaande vormen van (gedrags)therapie -uitleg, illustratie en beleving van de kernprocessen -experiëntiële vermijding, cognitieve fusie, aanvaarding en mindfulness

Cursusdag 2 -formuleren van waarden -stimuleren van waardengericht gedrag -identificeren van emotionele en cognitieve belemmeringen -de consequenties van ACT voor de therapeutische relatie -verdieping naar specifieke toepassingsgebieden

Werkwijze De cursus start met een presentatie van de theorie, filosofie en methodiek van ACT. Vervolgens worden de verschillende fasen en processen van ACT doorlopen, verduidelijkt met ervaringsgerichte oefeningen, en direct toegepast met casus-gerichte oefeningen. De opzet is zodanig dat u na deze workshop direct een begin kunt maken met het toepassen van ACT-interventies bij uw cliënten.

Learning Objectives:

Na afloop van deze cursus:

-kent u de filosofie, theorie en praktische toepassing van Acceptance en Commitment Therapie

-hebt u zelf ervaren wat het effect is van de verschillende processen, oefeningen en interventies

-beschikt u over een nieuw perspectief op emotioneel lijden, psychopathologie en uw rol als hulpverlener

-kent u de interventiemethoden die focussen op acceptatie van de eigen beleving van patiënt en zijn commitment aan eigen waarden

-hebt u voldoende theoretisch inzicht en therapeutische vaardigheden om onderdelen van ACT toe te passen in uw dagelijkse praktijk

Target Audience: Beginner, Intermediate.

WORKSHOP FULL: Using the Hexaflex Functional Dimensional Experiential Interview - Kelly Wilson, Emily Sandoz, & Regan Slater

kelly2.jpgUsing the Hexaflex Functional Dimensional Experiential Interview

Workshop Leader: Kelly G. Wilson, Ph.D., University of Mississippi, USA, Emily K. Sandoz, University of Mississippi, USA, & Regan Slater, University of Mississippi, USA (assisted by Nadia Lucas, Maureen Flynn, Stephanie Nassar, and Lindsay Martin)

Dates & Location: June 29 & 30, 2009, 9:00am - 5:00/5:30pm at the University of Twente (Enschede, The Netherlands).

Workshop Description: In the workshop, we will use the structure of the Hexaflex Functional Dimensional Experiential Interview (HFDEI; from Mindfulness for Two, Wilson & DuFrene, 2009). This interview provides strong linkage between treatment, assessment, and case conceptualization. The HFDEI is an unusual interview. First, it doesn’t bow to syndromal classification. The user of the interview need not discard syndromal classification, since many circumstances require them. Although the diagnoses in the HFDEI are not DSM syndromes, many of the signs and symptoms required for DSM diagnoses will be elicited in the context of this interview. Second, the interview is organized around a dimensional understanding of psychological difficulties. Third, and probably most unusual, the interview contains significant experiential components. The interview for the hexaflex is not a mere series of questions, rather it involves a set of questions embedded in a series of experiential exercises. The exercises and questions will provide you with directly observable samples of client behavior that will allow for rating those behavior samples in terms of the six facets of the hexaflex. The entire interview is embedded in a series of questions about valued domains of living. ACT is not a treatment aimed at the elimination of symptoms, rather it’s a treatment aimed at the enhancement and development of valued living. Because there’s an intimacy between values and vulnerabilities, an examination of values is a likely entry point to seeing the relationship between difficulties with behavior change processes on the one hand and mindfulness processes on the other. In addition, such an interview helps you and your client remain closely connected to the ACT model. Work with client struggles are always directed and dignified by valued living. Likewise progress in ACT is ultimately to be found in increases in valued living. The workshop will involve a series of exercises and intensive practice with the HFDEI. Practice with the interview will be interspersed with viewing video segments. Participants will practice looking at each of the six facets of the hexaflex and will practice at case conceptualization. As is usual for me, this workshop will be highly experiential. In the workshop, we will mix the experiential and conceptual. This mixing itself is practice for the mixing of conceptual and experiential in our treatment. The interview can provide a framework for assessment and also for treatment. In a short version, the interview allows for the assessment of all six core ACT processes. The interview, in an extended form can serve as a template for the provision of treatment. Prior to the workshop I will make workshop preparation materials available to attendees. For additional information, please contact me at kwilson@olemiss.edu.

Learning Objectives:

1. Learn to use assessment to directly generate treatment targets.

2. Learn to conceptualize client difficulties in terms of core ACT processes.

3. Learn to devise specific treatment strategies based on this conceptualization.

Target Audience: Intermediate through Advanced.

CE Credits (Continuing Education)

Possible credit hours:

  • 2-day pre-conference workshops: 14 hours
  • ACBS World Conference III (attending all events): 21 hours
    (July 1 - 6.5 hours, July 2 - 7.5 hours, July 3 - 7 hours)

Types of Credit Available:

  • Accreditation (CE's) for Dutch participants will be available for the VGCT, FGzP, NVVP and Eerstelijnspsycholoog NIP.
  • CE credit is available for psychologists (APA type).

Approval:
Accreditation (CE's) for Dutch participants will be available for the VGCT, FGzP, NVVP and Eerstelijnspsycholoog NIP. These CE credits are maintained and provided by GGNet.

The Association for Contextual Behavioral Science is approved by the American Psychological Association to offer continuing education for psychologists. The Association for Contextual Behavioral Science maintains responsibility for the program. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Neilan Rodrigues, 1-775-746-2013 or through the "Contact Us" link on this website.

  • CE credit fees are included in the price of registration. No further fee is required.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

Call for POSTER Submissions - Closed

[img_assist|nid=3685|title=|desc=|link=none|align=right|width=100|height=97]
ACBS WORLD CONFERENCE III- 2009

Call for Submissions - Closed

Go to Online Submission Form [1296]
Poster Submission Deadline Extended to April 1, 2009

I am happy to announce that planning for the ACBS World Conference III is underway. The Institute will be held at the Technical University of Twente on 1-3 July, 2009 in Enschede, The Netherlands.

Pre-conference 2-day experiential workshops will be held on 29-30 June. The conference as well as the social events will take place at the campus of the University. Enschede can be reached by a direct, two-hour train trip from Schiphol Airport in Amsterdam. Most of the designated hotels are within walking distance of the campus (designated hotels farther away will provide shuttle service).

The structure of the program will be similar to previously successful ACBS World Conferences, and will be both ACT and RFT focused. We are hoping to give the conference a European flavor so we especially want to hear from European clinicians and/or researchers. Of course we also hope to welcome a lot of folks from outside Europe. We want to give research and RFT a prominent place and we are looking for innovations and new clinical, as well as non-clinical, applications.

We will host an opening evening on Tuesday (30 June) with a poster session/ cocktail event which is intended to showcase clinical and experimental research in RFT and ACT—a great way to see what is happening around the world. There will be a big barbecue on Wednesday evening for all participants of the conference. On Thursday we’ll have our famous Follies night as well as a separate place with music and drinks if you prefer.

At this time, we would like to put out a call for submissions to the ACBS World Conference III. We want to open the call broadly and encourage proposals for short workshops (3 hrs. or less), panel discussions, research symposia, research papers (looking for a symposium), consultation sessions, or other types of sessions you think would be an asset to this year’s program. Feel free to propose sessions you would like to see, along with those you would like to conduct.

We are eager to hear your ideas and will continue to post information regarding the ACBS World Conference III.

For further description of purpose, audience, and style of sessions please read below.

Looking forward to seeing you all here!

On behalf of the program committee

Ando Rokx
GGNET Apeldoorn
The Netherlands
________________________________________________
PURPOSES
The primary purpose of the conference is to share knowledge, scientific work, ideas, and skills about ACT and RFT. All over the world people are producing an exciting array of work, varying from fundamental research on basic processes to clinical and nonclinical application of ACT and RFT. We want the conference to be a place where all of these folks can meet and exchange the richness of their scientific and applied work.

A secondary purpose is to increase the skill of attendees in implementing research and application of ACT. This will be accomplished through a combination of targeted workshops, symposia, poster session, video demonstrations, live demonstrations, role playing, clinically focused case discussions, and experiential work.

A final purpose of the World Conference is to help interested attendees better understand RFT, its significance in understanding human suffering and how RFT principles can be translated into clinical practice, and to help attendees learn and develop methods and strategies for conducting ACT process and outcome studies in applied and academic settings. This will be accomplished through “user friendly” workshops and small group discussions.

AUDIENCE
The target audience for this conference is any practitioner, researcher, or student interested in learning more about the clinical and non-clinical application of ACT/RFT or who is interested in building the scientific ACT/RFT base of knowledge.

STYLE OF SESSIONS
We want the conference to be very interactive, with participants getting chances to increase their knowledge, enhance their understanding and develop skills, with lots of time for questions, presentations on different levels, chances to do role plays, watch videos, get feedback on difficult clients, and watch tapes of clinical work they have brought with them.

There will also be scientific symposia presented by researchers, with one entire track devoted to RFT research and applications for those with varying levels of familiarity.

Did my registration go through? / Was my payment received?

Registration
This is easy to check.

While logged into your account, on the right, below your username, click "Transaction History". This will show everything you've paid for, or events you've registered for in the past 2 years.

If you were not logged into your account when you registered, you'll need to contact us [393].

Payment
If you have received an email receipt, your payment has been processed, and you're all set.

If you look under "Transaction History" (see instructions above) and it says "Completed" on the right side of your registration, then payment has been received. (If it says "Pending" then the payment information has not yet reached ACBS.)

Please note: If you are paying by Euro Bank Transfer (we thank you!), it may take up to 10 days for your payment information to be updated on the website. (The information is being securely sent to ACBS every 7-10 days.) When your account is updated, registration completed, payment received, you will receive an email confirmation.

If you're just not sure, please contact us [393].

Problèmes de paiment depuis la France

Un certain nombre d'entre vous ont fait l'expérience de voir leurs paiements rejetés depuis la France.

Pour autant que nous puissions comprendre ce qui se passe, il s'agit d'un programme de sécurtié automatique des banques françaises qui bloquent comme étant suspecte toute transaction international considérée (par les banques, pas par l'ACBS) comme trop petite pour ne pas être suspecte. Nous savons que ça passe mal à $10, bien à $25 et nous ne savons pas e qui se passe avec des sommes intermédiaires./Pour payer sans difficulté moins de $25, essayez paypal: créez un compte gratuit sur le site ACBS en vous inscrivant puis allez sur www.paypal.com/sendmoney

L'addresse pour envoyer votre paiement est : acbs@contextualscience.org Le site vous invite ensuite à créer un compte Pypal, et vous demandera d'entrer vos détailsd e carte de crédit et, quand le paiement est complété, Emiliy à l'ACBS reçoit un email pour l'informer que le paiement est passé. 

Elle ira ensuite vous donner les privilèges d'accès. 

http://www.contextualscience.org/how_do_i_purchase_or_renew_membership [495]

Enschede, The Netherlands - Maps, Restaurant Info, etc.

Visit Enschede [1297]

  • Includes transportation, bed & breakfast, restaurant, event information, etc.

General information about visiting The Netherlands [1298]

The Netherlands Board of Tourism & Conventions [1299]

Enschede City Map I found an Enschede City Map of the downtown area, with landmarks noted, at VisitEnschede.nl [1300] It is attached at the bottom of this page for ACBS members. (You won't see the link if you're not logged into your current, paid ACBS member account.)

Interactive Google Map of Enschede & the University of Twente

Scroll to the northwest to see hotels, restaurants, and more in Hengelo.

Click "Sat" in the top right corner of the map to see a satellite view.


View Larger Map [1301]

Michelin Map

There is an alternative map from Michelin here: Michelin Map [1302].

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

General Schedule of Events

leaves.JPGPre-Conference Experiential Workshops (2-days):

  • Monday, June 29, 9:00am-5:00/5:15pm
  • Tuesday, June 30, 9:00am-5:00/5:15pm

ACBS World Conference III:

  • Tuesday, June 30, 7:30pm-10:00pm (poster session begins at 8:00pm) - Poster Session/ Opening Cocktail Social Event
  • Wednesday, July 1, 9:00am-5:45/6:00pm, 1st day of sessions (workshops/ symposia/ plenary sessions)
  • Wednesday, July 1, 6:00pm-11:30pm - University Hosted BBQ Dinner and Social Event
  • Thursday, July 2, 9:00am-5:45pm, 2nd day of sessions (workshops/ symposia/ plenary session)
  • Thursday, July 2, 6:00pm - Midnight - Dinner, ACBS Follies/Skit night, and Social Event
  • Friday, July 3, 9:00am-5:30, 3rd and final day of sessions (workshops/ symposia/ plenary session)

Hotel Accommodations

ACBS World Conference III, 2009 We have blocked rooms at the following hotels in Enschede. (Please note, the conference rate is only available until the dates listed for each hotel.)

  • The prices listed are the conference room rates (including or excluding breakfast).
  • Only the Drienerburght has rooms suited for one individual, the rest are rooms with two beds, intended to accommodate 1 person per bed.
  • ACBS recommends staying at the Drienerburght or Eden Broeierd because of their proximity to the conference location.

1. Eden Dish, Eden Star, (Eden Broeierd - the Broeierd is currently full)

Location Nearby the conference location and in the cities Enschede and Hengelo
Telephone +31 53 85 06 500 (number for reservation for all the Eden-hotels)
Amount of Rooms 35 (Broeierd)/65 (Eden Star)/25 (Eden Dish)
Room Rates €90,- for a room, breakfast €15,- per person
Reservation Before the First of March rooms will be guaranteed, after 3/1/2009 reservations are possible for the reduced price until 4/28/2009 (while rooms last).
Subscription You can make your reservation via this Eden hotels English language reservation PDF [1303]. If you are unable to view the pdf, you may get the form here [1304].
Website www.edencityhotels.com [1305]
Remarks The reservations will first be placed in the Eden Broeierd, then Dish Hotel, because of the distance to the conference location. The Eden Broeierd Hotel is a chique place in a former farm (founded in 1831).

2. Van der Valk

Location Hengelo
Telephone +31 74 25 55 055
Amount of Rooms 100
Room Rates €85,- for a room, breakfast €12.50 per person
Reservation Reservations can no longer be made at the conference rate, but rooms are still available in this hotel as of 18 June.
Subscription By e-mail receptie@hengelo-valk.nl or by telephone (+31 74 25 55 055).
Website www.valk.com [1306]
Remarks www.valk.com (English) [1307]

3. Drienerburght - THIS HOTEL IS FULL.

Location Twente University (on campus)
Telephone +31 53 43 31 366
Amount of Rooms 64
Room Rates €72.50 incl. breakfast for a single room, €82.50, incl. breakfast for a double room.
Reservation Booking should be made before April 15, 2009
Subscription www.drienerburght.nl (English) [1308], choose reservations, complete your hotel room reservation and type ACT under "I take part in the congress" to book a room with the discount. Or by telephone: +31 53 43 31 366 under the reference ACT.
Website www.drienerburght.nl [1309]
Remarks The Drienerburght offers 51 single rooms and 13 double rooms. The hotel only has basic service and facilities.

Transportation

ACBS only offers free touringcar transportation from the hotels above. The Drienerburght and Broeierd are within ten walking minutes. ACBS does not offer transportation for these two hotels. You must submit a transportation request by June 1, 2009, at this link contextualscience.org/wc3_transportation [1310] to take advantage of the free shuttle.

Alternative Housing

For information concerning Bed & Breakfasts, cheap holiday homes (6-8 pax) call +31 53 432 32 00 or by e-mail info@enschedepromotie.nl

Or check out: http://www.hotelenschede.nl/holiday%20apartments.htm [1311]

I'm told it's 15 min from the University. You'll likely need to rent a car if you stay at this location, or sort out information about busing, to see if this will work for you.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Eden Hotel Reservation Form

Below is the 2-page reservation form for the Eden Hotel Group.

Page1 ********

EDEN

Hotel De Broeierd - Enschede

Dish Hotel - Enschede

Star Hotel - Hengelo

BOOKING REQUEST World Conference ACT 2009 -University of Twente 29-06-2009 until 03-07-2009

Preferred Hotel :

□ Eden Hotel De Broeierd Enschede

□ Eden Dish Hotel Enschede

□ Eden Star Hotel Hengelo

Hotel room

Arrival Date ___________________________________________

Departure Date ________________________________________

Number of nights _______________________________________

Number of rooms _______________________________________

Number of persons ______________________________________

Special requests ________________________________________

* Room rate € 90.00 per room per night ( single use), Breakfast € 15.00 per person

Personal

Family name ___________________________________________

First name _____________________________________________

Address _______________________________________________

Postcode ______________________________________________

City ______________________________________________

Country ______________________________________________

Phone __________________ Fax: __________________

E-mail ___________________________________________ Eden Hotel De Broeierd Enschede, Hengelosestraat 725, 7521 PA Enschede 053-8506500

Eden Dish Hotel Enschede, Boulevard 1945 nr 2, 7511 AE Enschede 053-8506600

Eden Star Hotel Hengelo, BP Hofstedestraat 50, 7551 DG Hengelo 074-8516800

Page 2**********

EDEN

Hotel De Broeierd - Enschede

Dish Hotel - Enschede

Star Hotel - Hengelo

Method of payment

In order to process your hotel reservation, we do require your credit card number and expire date. Your credit card is only used for guarantee purposes and will only be charged in case of non-arrival without prior / timely cancellation. All payments will be done directly at the hotel, either by credit card, pin card or in cash.

Credit card details Credit card : □ Visa, □ American Express, □ Euro/Mastercard

Card number : _______________________________________ Expire date : ____________________

Name card holder : _________________________________________

Conditions

-We advise to reserve your room as soon as possible but before 28-04-2009

-Reservations, cancellations and modifications will be done in writing

-This registration form will only be handled when it is filled out completely

-All requests will be confirmed in writing within 2 days by Eden Hotels Twente

-Free cancellation is possible upon 4 days before arrival date, after this date the room costs ( € 90.00 per night) will be charged on your credit card

By signing this form you agree with the above mentioned conditions.

Signature : ___________________________________________ Date : ________________________________________________

Please return this form to:

Eden City Hotels Twente

Reservations Department

Hengelosestraat 725

7521 PA Enschede

Netherlands

Fax : 0031 (0)53 850 6502

E-mail : reservations.twente@edenhotelgroup.com

Eden Hotel De Broeierd Enschede, Hengelosestraat 725, 7521 PA Enschede 053-8506500

Eden Dish Hotel Enschede, Boulevard 1945 nr 2, 7511 AE Enschede 053-8506600

Eden Star Hotel Hengelo, BP Hofstedestraat 50, 7551 DG Hengelo 074.-8516800 ******* 

Powerpoint presentations for World Conference III events

We have collected many of the powerpoint presentations and handouts from presenters at the ACBS World Conference III, which took place July 1-3, 2009, in Enschede, The Netherlands. These are available for download for any current, paid ACBS member. It can cost you as little as $10 to join, so please consider it! Find out how to join [495] and learn about the benefits of membership [496].

  • The ABC Course: A pilot ACT course for learning mindfulness - Trepka [1312]
  • Acceptance and Present-Moment Processes with People who Hear Distressing Voices - Morris, Garrety, Peters [1313]
  • ACT as a Brief Intervention: Theory and Application - Strosahl [1314]
  • ACT based Treatment of Chronic Pain - Outcome data to three years - Vowles, McCracken, & Jeremy Gauntlett-Gilbert [1315]
  • ACT Early: Acceptance, Mindfulness, and Values in Early Intervention for Psychosis - Morris, Oliver, Bloy [1316]
  • ACT for Young Adults (16-28 year olds) - ACT used in Group Format as Prevention or an Early Intervention aimed towards Psychological Ill-health and Stress - Livheim [1317]
  • ACT in Teams - Heuts [1318]
  • ACT to prevent stress and promote health: Psychological Treatment of Youth under Stressful Conditions - A Pilot Evaluation of the Impact of ACT in an Adolescent Group - Livheim & Stavenow [1319]
  • ACT with Love- Harris [1320]
  • ACT with the Challenging Patient - Strosahl [1321]
  • "ACTifying" Religious Traditions - Robb [1322]
  • Applying ACT to Cases of Complex Depression: New Clinical and Research Perspectives - Gaudiano [1323]
  • Applying ACT to Cases of Complex Depression: New Clinical and Research Perspectives - Dalrymple [1324]
  • Building systems with values: Integrated care and beyond… - Webster, Ormston, & Harrington [1325]
  • Can a Mindfulness-Based Stress Reduction Intervention Change Personality? - Nyklicek [1326]
  • Creative Confusion: An Idiot's Guide to ACT in Groups - Polk, Webster, Schoendorff, & Hambright (handout) [1327]
  • A Group ACTivation Program for Us Old Folks - Rydberg [1328]
  • From Verbal Content to Experiential Process with the iView - Polk [1329]
  • From Verbal Content to Experiential Process with the iView - Polk (handout) [1330]
  • Evaluating introductory ACT workshops: Changes in knowledge and responses to experiential exercises - Morris [1331]
  • Identifying the Active Ingredients in ACT - Ciarrochi [1332]
  • The Impact of ACT Training on Stress and Burnout in Human Services Workers - Lloyd & Bond [1333]
  • The ImPActS model of principled living: Measuring the extent that people find principles to be Important, Pressured by others, Activated, and successfully engaged - Ciarrochi [1334]
  • The Importance of RFT to the Development of Contextual Behavioral Science (Presidential Address) - Hayes [1335]
  • Living a Vital Life with Obsessions: Treating OCD with ACT - Plumb & Schoendorff [1336]
  • Measuring acceptance and fusion in individuals seeking treatment for chronic fatigue - Vowles, Catchpool, Johnson, Bristow, & Hadlandsmyth [1337]
  • Mindfulness and Acceptance in the Treatment of Depression - Strosahl & Robinson [1338]
  • On being present and feeling good: The link between present-moment awareness and emotional well-being amongst adolescence - Ciarrochi [1339]
  • Overcoming Resistance - Made Simple - Harris [1340]
  • OCD and Case Formulation in ACT - Brock (handout) [1341]
  • Practical Mindfulness for Meditation Hating Clients: The appliance of Heartrate Coherence Training - Kleen [1342]
  • The Primary Care Behavioral Health Model: A Platform for ACT - Robinson [1343]
  • RFT & the Self: Theory, Research, and Applications - Boulanger & Stewart (pdf version) [1344]
  • RFT: An Overview of the Evidence to Date - Stewart & Sandoz (pdf version) [1345]
  • RFT - Basic Concepts and Clinical Implications - Torneke & Luoma [1346] or (pdf handout version) [1347]
  • RFT and evolution: Are memetics the missing link? - Kleen [1348]
  • Self-as-Context Made Simple - Harris [1349]
  • Thought Suppression and the Transfer on Stimulus Functions - Hooper, McHugh, Saunders (pptx file) [1350]
  • Using ACT to Empower the Unconscious - A-Tjak [1351]
  • Using ACT to Improve Management of Chronic Pain in Primary Care - Robinson [1352]
  • Working with Values in Chronic Pain - Vowles [1353]
This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

3-hour workshop on FC in therapy and supervision

I told several people that I would post a copy of these slides, so here they are. The slides are missing a lot of the clinical examples we used, and they have supervision examples that we did not use (to conserve time), but for the most part, this was our presentation.

I also just wanted to note that Amanda and I did this talk for a specific purpose. We wanted to show how the philosophy of science "plays out" in the contexts of clinical work (including therapy and supervision) and to emphasize that viewing this stuff as science (as opposed to something mystical, magical, etc.) lends itself better to clinical training and dissemination.

Hope it is useful!
Amy

ACT for Disordered Eating - Sandoz

This is the Workshop provided by Sandoz

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Babel's AAQ-II. Do different languages result in different outcomes in Europe? Monestès et al.

Babel's AAQ-II-Monestès et al powerpoint is attached below.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Flexing the gut- Quality of life in IBS

These are the powerpoint slides for the presentation on Psychological Flexibility and Quality of Life in patients with Irritable Bowel Syndrome (IBS). The presentation describes how low psychological flexibility towards the experiences of IBS can result in lower quality of life. Preliminary results of the first of 2 studies are presented. study 2 is described with the presentation of a new self-help manual.
For more in formation regrading this research contact me at N.M.D.R.Ferreira@sms.ed.ac.uk

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IRAP Workshop -- Vahey, Stewart, McHugh, Kosnes, & Barnes-Holmes

Workshop Title:
The Implicit Relational Assessment Procedure (IRAP): Where From, How To, and Where To

Workshop Abstract:
A key objective of the workshop will be to summarise the key empirical literatures that gave rise to the IRAP, and to then collate the rapidly expanding IRAP literature itself. The authors will draw on this empirical base to outline key principles of how best to design and implement IRAPs so as to both maximise precision and minimise attrition. These principles will be illustrated in practice for workshop participants by the workshop facilitators. The IRAP is a computerised response-time measure derived from an integration of the account of human language and cognition provided by Relational Frame Theory (RFT), and the substantial cognitive literature addressing so-called “implicit” attitudes. In broad terms the model underlying the IRAP conceptualises implicit effects as being driven by immediate and relatively brief relational responses; in contrast, explicit (self-report) measures then are thought to reflect more elaborated and coherent relational response networks for which implicit attitudes are precursors. More simply, the IRAP captures spontaneous and automatic evaluative responses, whereas self-report measures capture more carefully considered deliberative reactions. Whereas explicit measures are frequently criticised as suffering from the limitations of introspection, and as largely reflecting a person’s tendency to respond in a socially desirable manner, implicit measures are relatively impervious to such confounding biases. Indeed, to date numerous studies have shown that the IRAP supplements traditional explicit measures, to provide greater prediction of target behaviours and a more precise understanding of the processes of attitude and behaviour change (see http://psychology.nuim.ie/IRAP/IRAP_Articles.shtml). Implicit attitudes appear to be particularly useful in the analysis of relatively established behaviours that do not often come under deliberative control such as those underlying addictive compulsions or prejudice. The workshop facilitators will provide workshop participants advice on how best to harness these strengths for the purposes of their individual research interests.

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Know Thyself, Choose Thyself: Exploring Flexibility with Self and Valued Living - Sandoz & Nassar

This is the powerpoint from a mini-workshop by Sandoz and Nassar

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Prediction and influence with precision, scope and depth - a guide. (Joe Curran)

Here are the slides from a brief presentation I gave at World Conference III that discussed 'Prediction and influence with precision, scope and depth'. It's mainly aimed at clinicians and I'm turning it into a paper to help explain the bits that need explaining. Get in touch if you see anything that you'd like to mention. Cheers Joe (joe.curran@shsc.nhs.uk)

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Resistance to Anti-smoking Information As a Function of Implicit Expectancies Toward Smoking and Smoking-cessation (Vahey et al)

Title: Resistance to Anti-smoking Information As a Function of Implicit Expectancies Toward Smoking and Smoking-cessation

Presenters/authors and affiliations:
Vahey, N.1, Barnes-Holmes, D.1, Barnes-Holmes, Y.1, & Stewart, I.2
1National University of Ireland, Maynooth, Co. Kildare, Ireland.
2National University of Ireland, Galway, Co. Galway, Ireland.

Objectives: To examine across two studies (N = 92), how implicit expectations of quitting versus smoking impede anti-smoking messages prescribing smoking-cessation.

Design: The studies employed group comparisons (smokers at different stages of change and nonsmokers), coupled with repeated-measures analyses of target-attitudes about quitting and smoking. Between-group manipulations also allowed the examination of how implicit attitudes interact with the framing of the anti-smoking information presented.

Method: The Implicit Relational Assessment Procedure required participants to alternate between making “consistent” responses and “inconsistent” responses (e.g. responding “True” and “False” respectively, to “I Need to Smoke when Upset”) at speed. The response-time differentials between consistent and inconsistent tasks indexed implicit bias.

Results: ANOVA and regression statistics provided significant effects strongly implicating implicit attitudes in smoking-persistence and –relapse.

Conclusions: The collective findings suggest that implicit smoking- and quitting-related expectancies are important in differentially undermining smoking-cessation, by respectively precipitating smoking-relapse and undermining information that prescribes quitting.

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Transformation of Function of Pseudofood Names - Sandoz Paper

This is the powerpoint from a paper presented at Worldcon

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Treatment of stuttering with ACT

These are the slides of the presentation. If you are interested on any further detail or on the exercises, please send me a mail to higueratr at sign psicoterapeutas dot com or contact through http://www.contextualscience.org/user/higuera.

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Values in ACT: Conceptualization, Clinical Exercises, and Assessment

Values symposium by Slater, Nassar, & Flynn

•What are Values? Unpacking Values as Conceptualized in Acceptance and Commitment Therapy
• An Improved Measure of Valued Living: The Valued Living Questionnaire-II (VLQ-2)
• Values-Centered Exercises: Impact of Values Work on Psychological Well-Being

This symposium discussed values, from unpacking the definition presented in Mindfulness for Two, an assessment of values to be used in both research and clinical work, and exercises to explore values work.

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Villatte, Monestès, McHugh et al. : Deictic relational responding in belief attribution - social anhedonia

Deictic relational responding in beliefs attribution: people with high social anhedonia are impaired in reversing the frame of I-YOU.

A Relational Frame account of beliefs attribution has been proposed in terms of deictic relational responding. According to this view, attributing beliefs to another involves a higher relational complexity than self-attributing because it requires reversing the deictic frame of I-YOU (i.e., taking the perspective of another). Social anhedonia has been shown to lack social interactions and to present deficits in attribution of mental states and in complex deictic relational responding involving the frame of I-YOU. The current study investigated the ability to respond in accordance with deictic frames in a task consisting of reporting true- and false-beliefs to another and to the self in 30 participants with a high level of social anhedonia. We predicted that these participants would perform weaker than controls on tasks involving attributing beliefs to another. Consistent with this prediction, participants with high social anhedonia were less accurate than controls when reporting the beliefs of another, but not of the self, thus indicating difficulties in reversing the deictic frame of I-YOU in this population. Implications for the understanding of deficits in beliefs attribution in populations characterized by a high level of social anhedonia (e.g. people with schizophrenia) are discussed.

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Program

Complete, Final, Program - July 1, 2, & 3 (for ACBS members) [1354]

(please login to your current paid member account to download/view the pdf) (If you need to find something specific in the program, do a "Control+F" to find a name or title.) If you prefer, far below is a list of what will be at the World Conference III. Below are Workshops, Invited Talks, Symposia, Papers, & Posters.

Wednesday, July 1

Wednesday Morning 9:00-9:45am 

1. Welcome to the ACBS World Conference III, the University of Twente, and Enschede 

Plenary (9:00-9:45am): 

Room: Vrijhof – Agora/ Amphitheater 

ANDO ROKX, GGNET, Netherlands 

PROF. DR. HUBERT COONEN, Deacon Faculty of Behavioral Sciences, Twente University 

DRS. K. LEMKE, M.D., Member of the board of directors of GGNET 

STEVE HAYES, University of Nevada, Reno 

EMILY RODRIGUES, ACBS 

Target Audience: All 

 

Wednesday Morning 10:00am 

2. ACT in the Workplace Symposium (10:00-Noon): ACT - Other/ Organisational Psychology, Stress at Work, Burnout, Human Services Workers, Stigma 

Room: Vrijhof – Agora Chair: FRANK BOND, Goldsmiths, University of London, U.K. 

Target Audience: Beginner, Intermediate, Advanced 

• The Impact of ACT training on Leadership FRANK BOND, Goldsmiths, University of London, U.K. 

• The Impact of ACT and CBT on Stress at Work Paul Flaxman, City University, U.K. FRANK BOND, Goldsmiths, University of London 

• The Impact of ACT Training on Stress and Burnout in Human Services Workers JO LLOYD, Goldsmiths, University of London, U.K. Frank Bond, Goldsmiths, University of London 

• Can ACT reduce staff stigma? Preliminary findings and work in progress SUE CLARKE, Dorset Healthcare Foundation Trust, UK GEORGINA TAYLOR, University of Southampton Kelly Wilson, University of Mississippi, USA Bob Remington, Southampton University, UK This symposium will present original research on organisational applications of ACT. The papers cover ACT interventions and investigations for stress management, leadership, stigma and burnout in a range of organisational contexts including human services workers, public sector workers and financial services. 

 

3. From Verbal Content to Experiential Process with the iView Workshop (10:00-Noon): ACT - Clinical/ Functional Contextualism and Mindfulness 

Room: Vrijhof – Amphitheater 

KEVIN POLK, PH.D., ACT Gone Wild and Togus VA 

Target Audience: Intermediate, Advanced 

This will be a discussion of setting up the therapeutic context for ACT using the iView and then showing how the iView is used to transform a client's verbal story into experiential process. In this way clients are given multiple exemplars of ACT-consistent discrimination tasks. 

Educational Objectives: 

  • Participants will learn what the iView is. 
  • Participants will learn how to use the iView in relationship to their clinical practice. 

 

4. Using ACT to Improve Management of Chronic Pain in Primary Care Workshop (10:00-Noon): ACT - Clinical/ Chronic Pain 

Room: Drienerburght – Zaal A 

PATRICIA ROBINSON, PH.D., Mountainview Consulting Group 

Target Audience: Beginner 

Most chronic pain patients receive the majority of their care in primary care settings. They are often unhappy with the services they receive, and primary care providers often feel unprepared to address pain that does not respond well to treatment. This workshop suggests specific strategies for re-organizing care delivered to primary care patients who suffer from chronic pain. Participants will learn methods for integrating ACT strategies into primary care team interactions with patients, techniques for using ACT in on-going, monthly classes, approaches to evaluating outcomes, and strategies for preventing onset of chronic pain. 

Educational Objectives: 

  • Learn strategies for teaching ACT to medical colleagues 
  • Learn techniques for using ACT in monthly primary care classes 
  • Learn strategies for preventing onset of chronic pain 

 

5. Applying ACT to Cases of Complex Depression: New Clinical and Research Perspectives Workshop (10:00-Noon): ACT - Clinical/ Depression 

Room: Drienerburght – Zaal B 

BRANDON A. GAUDIANO, PH.D., Alpert Medical School of Brown University and Butler Hospital 

KRISTY L. DALRYMPLE, PH.D., Alpert Medical School of Brown University and Rhode Island Hospital 

Target Audience: Intermediate 

Clients who present or are referred to psychotherapy for "major depression" typically have a heterogeneous mix of problematic behaviors for which they are seeking help. However, current clinical trial research and empirically-supported psychotherapy manuals tend to narrowly focus on depressed mood as the target problem, and fail to provide clinicians with a real-world approach for dealing with the multiple, complex problems that often co-exist with complaints of depression. ACT represents a trans-diagnostic approach that may offer a particularly useful clinical model for treating and understanding the depressive experience and its typically co-occurring problems. This workshop will describe newer clinical and research applications of ACT for complex cases of depression. Participants will learn how to use ACT in concert with traditional behavioral interventions such as behavioral activation and exposure techniques. Novel research being conducted by the presenters in these areas will also be described, including treatment development and testing of ACT-based interventions for depressed individuals with psychotic experiences, social anxiety concerns, or suicidal behaviors. 

Educational Objectives: 

  • Participants will learn how ACT can be used to extend and enhance traditional behavioral interventions for multi-problem, depressed individuals. 
  • Participants will understand how to apply ACT to problems often related to depression, including psychosis and social anxiety. 
  • Participants will learn about new research being conducted using ACT to treat complex cases of depression. 

 

6. Developing Your Skills as an ACT Trainer, Part 1 Workshop (10:00-Noon): ACT - Skills/ Training 

Room: Drienerburght – Zaal C 

JASON LUOMA, PH.D., The Portland Psychotherapy Clinic, Research, & Training Center, PC 

ROBYN D. WALSER, PH.D., National Center for PTSD at the VA Palo Alto 

Target Audience: Intermediate, Advanced 

In a discussion format, we will conduct a needs assessment for trainer development. We will help trainers identify common places where trainers can get stuck in workshops, conduct an assessment of their own strengths and weaknesses as a trainer, and help them develop plans for self-development as a trainer. This needs assessment will provide the material for the second part of the workshop to be conducted on the last day of the conference. In this second workshop, experienced trainers will develop a workshop that responds to the training needs identified in part 1 of this workshops series. If someone plants to attend part 2 of the workshop, it would also be helpful to go to part 1 in order to provide input into what will be in part 2 of the workshop. 

Educational Objectives: 

  • Identify learning needs as a trainer. 
  • Develop a plan for next steps in trainer development. 
  • Develop learning focus for part two of the workshop. 

 

7. ACT for Well-Being of Children and Adolescents: Conceptualization, Prevention, and Intervention Symposium (10:00-Noon): ACT - Clinical, ACT - Other/ Mindfulness, Early Intervention, General Psychological Health, Stress, Adolescents, Diabetes 

Room: Hogekamp – HO 1212 

Chair: JOSEPH CIARROCHI, University of Wollongong 

Target Audience: Beginner, Intermediate, Advanced 

 

• On being present and feeling good: The link between present-moment awareness and emotional well-being amongst adolescence 

JOSEPH CIARROCHI, University of Wollongong Todd Kashdan, George Mason University Patrick Heaven, University of Wollongong Peter Leeson, University of Wollongong 

 

• Acceptance and Commitment Therapy (ACT) To prevent stress and promote health: Psychological Treatment of Youth under Stressful Conditions - A Pilot Evaluation of the Impact of ACT in an Adolescent Group 

FREDRIK LIVHEIM, Karolinska Institutet, medical university Emma Stavenow, University of Copenhagen 

 

• Acceptance and Commitment Therapy for adolescents: Study 1 - individual treatment delivered in mental health services, and Study 2 - a group program delivered in schools 

LOUISE HAYES, Ph.D, University of Ballarat 

 

• Measuring processes of behavioral modification during a Diabetes Management Summer Camp: Acceptance in Diabetic Children 

GIOVANNI ZUCCHI, PSY.D., Villa Maria Luigia Hospital, Parma 

Giovanni Miselli, Psy.D., IULM University 

Giovambattista Presti, M.D., IULM University Paolo Moderato, Ph.D., IULM University Paola Accorsi, M.A., C. Magati Hospital, Reggio Emilia

Valerio Miselli, M.D., C. Magati Hospital, Reggio Emilia 

 

This symposium will explore the relevance of ACT for improving the well-being of children and adolescents. Paper 1 examines the relation between the present-moment awareness component of mindfulness and other psychological measures such as tendency to avoid, neuroticism, antisocial tendencies, and psychological flexibility in 10th grade students. Paper 2 describes a study using ACT – delivered by group leaders with limited traning – as an early intervention for young adults with already elevated levels of mental ill-health. Paper 3 reports on two pilot studies using ACT with adolescents as part of beyondblue: Australia’s national depression initiative. Paper 4 investigates the effect of a brieft 5-day summer camp for children with type 1 diabetes. 

 

8. Values in ACT: Conceptualization, Clinical Exercises and Assessment Symposium (10:00-Noon): ACT - Clinical/ Values 

Room: Hogekamp – HO 1216 

Chair: REGAN M. SLATER, University of Mississippi 

Target Audience: Beginner, Intermediate, Advanced 

• What are Values? Unpacking Values as Conceptualized in Acceptance and Commitment Therapy 

REGAN M. SLATER, University of Mississippi 

Stephanie L. Nassar, University of Mississippi 

Maureen K. Flynn, University of Mississippi 

Kate K. Kellum, University of Mississippi 

Kelly G. Wilson, Ph.D., University of Mississippi 

 

• An Improved Measure of Valued Living: The Valued Living Questionnaire-II (VLQ-2) 

STEPHANIE L. NASSAR, University of Mississippi Maureen K. Flynn, University of Mississippi 

Regan M. Slater, University of Mississippi 

Kate K. Kellum, University of Mississippi 

Kelly G. Wilson, Ph.D., University of Mississippi 

 

• Values-Centered Exercises: Impact of Values Work on Psychological Well-Being 

MAUREEN K. FLYNN, University of Mississippi 

Regan M. Slater, University of Mississippi 

Stephanie L. Nassar, University of Mississippi 

Kate K. Kellum, University of Mississippi 

Kelly G. Wilson, Ph.D., University of Mississippi 

This symposium will discuss values, from unpacking the definition presented in Mindfulness for Two, an assessment of values to be used in both research and clinical work, and exercises to explore values work.

 

9. Experimental analysis of complex human behavior: Disambiguation of relational networks and transformations of functions through hierarchical and analogical relations. Symposium (10:00-Noon): RFT - Research/ Relational responding

 Room: Hogekamp – HO 1220

Chair: FRANCISCO RUIZ, University of Almería

Target Audience: Beginner, Intermediate, Advanced

 

• Relational coherence in ambiguous and unambiguous relational networks

Jennifer L. Quiñones, University of Nevada

STEVEN C. HAYES, Ph.D., University of Nevada

 

• Transformation of functions through hierarchical frames.

 ENRIQUE GIL, University of Almería

Carmen Luciano, Ph.D., University of Almería

Francisco Ruiz, University of Almería

Vanessa Sánchez, University of Almería

 

• Transformation of functions through analogical relations: An experimental analysis of metaphors as clinical method.

FRANCISCO RUIZ, University of Almería

Carmen Luciano, University of Almería

 

• Modelling Hierarchical Relational Responding

IAN STEWART, NIU Galway

This symposium brings together different topics from relational responding and Relational Frame Theory (RFT) fields. The first paper addresses the topic of the derivation of ambiguous relations. Specifically, the paper presents two experiments that were conducted to examine how individuals disambiguate relational networks. The second presentation discusses the nature of hierarchical relational responding and presents the advances to extend the model presented by Griffee & Dougher (2002) to arbitrarily related stimuli and categorization under the control of contextual cues for hierarchical relational responding. The third presentation provides further evidence of the transformation of functions through hierarchical relations proceeding from an independent laboratory. Participants were trained to respond to arbitrary stimuli as several relational contexts (specifically as similar, different and hierarchical relations) and then a complex relational network was formed. Functions were given to some stimuli and the transformation of functions was observed according with the specific relational context. Finally, the fourth presentation tries to provide a RFT account of the use of metaphors as clinical methods. Specifically, this paper shows a series of studies that explore the conditions under which transformation of functions occurs through analogical relations.

 

10. Introduction to ACT in Dutch; Introductieworkshop ACT – Nederlandstalig Workshop (10:00am-4:15pm): ACT - Skills/ Theoretical and experiential introduction to ACT therapy

Room: Hogekamp – HO 1224

JACQUELINE A-TJAK, PsyQ at Zaandam, The Netherlands

INGRID POSTMA, GGZ West Friesland, Hoorn, The Netherlands

Target Audience: Beginner

This is a workshop to introduce ACT to folks who take an interest in ACT, but know little of this form of therapy. The workshop will be held in Dutch, because it aims at Dutch and Flemish people who want to attend the world conference. We will address the ACT model of Psychological Flexibility and Inflexibility at a theoretical level and in experiential exercises. This will be done according to the ACT book: Learning ACT, which is available in Dutch at the beginning of 2009. The workhop aims at giving people some basic understanding of ACT, which will help understanding other workshops at the world conference with more ease. It can also been seen as a stand-alone workshop for people who want to get more acquainted with ACT. Deze workshop is bedoeld voor wie behoefte heeft aan een overzichtelijke en praktische kennismaking met ACT. Theoretische basiskennis wordt afgewisseld met experientiële oefeningen, waarin de deelnemer aan den lijve kan ondervinden wat ACT ‘met je doet’. De workshop laat deelnemers kennismaken met de basisprincipes van het ACTmodel van psychologische (in)flexibiliteit.

Educational Objectives:

  • Have an understanding of the model of psychopathology underlying ACT
  • Being acquainted with the six core processes
  • Having experienced what it is like to undergo experiential exercises (experience the six processes)
  • kennismaken met de 6 ACT kernprocessen: acceptatie, defusie, zelf-als-context, contact met het huidige moment, waarden en toegewijde actie.
  • kennismaken met de ACT opvatting van wat psychopathologie is
  • kennismaken met enkele ACT interventies

 

11. Framing different behavioral strategies in a coherent picture: Where ACT takes place Symposium (10:00-Noon): ACT - Clinical/ Insomnia, academic behavior, social behavior, gambling

Room: Hogekamp – HO 1228

Chair: GIOVAMBATTISTA PRESTI, M.D., Ph.D., IULM University, Milan; IESCUM (Italy)

Discussant: BENJAMIN SCHOENDORFF, Université Claude Bernard, Lyon (France)

Target Audience: Intermediate

• Case report: Compulsory, school and social problem behaviors in an 18 yrs old student GRETA CARLOTTI, PSY.D., Humanitas School of Childhood and Adolescence Clinical Psychology, Milan, IESCUM (Italy)

Giovambattista Presti, M.D., Ph.D., IULM University, Milan; IESCUM (Italy)

Paolo Moderato, Ph.D., IULM University, Milan; IESCUM (Italy)

 

• Case report: Dysfunctional behavioral repertoire in a pre-adolescent girl with congenital dwarfism Ramona Carlotti, Psy D., Humanitas School of Childhood and Adolescence Clinical Psychology, Milan, IESCUM (Italy)

GIOVAMBATTISTA PRESTI, M.D., PH.D., IULM University, Milan; IESCUM (Italy)

Paolo Moderato, Ph.D., IULM University, Milan; IESCUM (Italy)

 

• Case report: Dysfunctional behavioral repertoire in a young woman with mild mental retardation and bipolar disorder

FRANCESCA SCAGLIA, Psy. D., Academy of Behavior and Cognitive Sciences (ASCCO), Parma; IESCUM (Italy)

 

• ACT and 'Impulsive' behavior: A case study of pathological gambling

SARA BORELLI, Psy. D., Academy of Behavior and Cognitive Sciences (ASCCO), Parma; Risorse Psicologiche, Reggio Emilia; IESCUM (Italy)

 

• Case report: Applying ACT in a case of prolonged avoidance of school by an adolescent boy with performance anxiety

MASSIMO RONCHEI, Psy. D., Academy of Behavior and Cognitive Sciences (ASCCO), Parma; IESCUM (Italy)

 

• ACT approach in Chronic Insomnia: A case study KATIA COVATI, Academy of Behavior and Cognitive Sciences (ASCCO), Parma; Istituto Fysios, Parma; IESCUM (Italy)

ACT (Acceptance and Commitment Therapy) works on human cognition, by creating spaces for expanding behavioral repertoires beyond the boundaries that restrict individual functioning. In addition it helps lowering barriers to implementing additional behavioral strategies that might directly address individual dysfunctional behavioral patterns. This symposium aims to address the synergy that arises from implementing ACT with other behavior modification strategies: e.g. functional behavior analysis, token economy, stimulus control strategies. Clinical cases presented and discussed have a wide range of behavioral disfunctioning often nested in complex symptomatic pictures. ACT contribution within a unique coherent behavioral frame of intervention will be presented. Advantages and disadvantages of using different strategies, in terms of efficacy and effectiveness, will be also discussed

 

12. Psychological Flexibility and Disordered Eating: Conceptualization and Treatment Symposium (10:00-11:00am): RFT - Research, ACT - Clinical, Other/ Eating Disorders, Experiential Avoidance and Eating Pathology, Mindfulness, Health Promotion

Room: Vrijhof – Kleine Zaal

Chair: THOMAS PARLING, M.SC., Department of Psychology, Uppsala University

Target Audience: Beginner, Intermediate, Advanced

• Anorexia nervosa and implicit attitudes: An IRAP-study

THOMAS PARLING, M.SC., Department of Psychology, Uppsala University Martin Cernvall, M.Sc., Department of Psychiatry, Uppsala Academic Hospital

Ata Ghaderi, Ph.D., Department of Psychology, Uppsala University

 

• Experiential Avoidance and Eating Pathology in a Sample of College Students in Cyprus

MARIA KAREKLA, PH.D., University of Nicosia

 

• Evaluation of relaxation response and mindfulness strategies in overweight women: A two year randomized trial

CAROLINE HORWATH, PH.D., University of Otago, Dunedin, New Zealand Greer Hawley, MSc,

Andrew Gray, B Com (Hons),

Alison Bradshaw, MSc,

Lisa Katzer, MSc,

Janine Joyce, M Health Sci.,

Sue O'Brien, BHSc

This symposium discusses the analysis and treatment of eating disorders. Paper 1 reports on preliminary findings from a study examining the implicit attitudes towards body-shape and body perceptions using the Implicit Relational Assessment Procedure (IRAP). Paper 2 examines the relationship between experiential avoidance and other psychological factors, and eating pathology. Paper 3 compares a relaxation and mindfulness program with two other non-dieting programs using results from a 10-week intervention as well as follow-up data.

 

13. ACT and Chronic Illness Symposium (10:00-Noon): ACT - Clinical/ Physical Health, ACT Processes, Intervention, Research Room: Vrijhof – Vergaderzaal 5

Chair: DAVID GILLANDERS, University of Edinburgh, U.K.

Target Audience: Intermediate, Advanced

• Beliefs, Acceptance, Knowledge, Emotional Distress and Self Care in Older People with Type 2 Diabetes.

DAVID GILLANDERS, University of Edinburgh, U.K. Vicky Thurlby, NHS Lanarkshire, U.K.

 

• ACT based Treatment of Chronic Pain - Outcome data to three years

KEVIN VOWLES, PH.D., University of Bath, U.K.

Lance McCracken, Royal National Hospital for Rheumatic Diseases, U.K.

Jeremy Gauntlett-Gilbert, Royal National Hospital for Rheumatic Diseases, U.K.

 

• Flexing the gut - Quality of Life in Irritable Bowel Syndrome NUNO FERREIRA, University of Edinburgh, U.K.

David Gillanders, UNiveristy of Edinburgh, U.K.

 

• The Evolution of General Psychological Flexibility and Pain Specific Acceptance across time in people with Chronic Pain

ALEXANDRA DIMA, University of Edinburgh, U.K.

David Gillanders, University of Edinburgh, U.K.

In this symposium we will explore ACT relevant processes such as avoidance, fusion, acceptance, beliefs and behaviour as these apply to living successfully with chronic illness. Papers will outline original clinical research on chronic pain, irritable bowel syndrome and diabetes.

 

14. Getting Started with ACT Experiential Supervision Skills Workshop (10:00-Noon): ACT - Skills/ Supervision for ACT Clinicians

Room: Vrijhof – Vergaderzaal 6

MARY SAWYER, Private Practice Sydney Australia

Target Audience: Intermediate, Advanced

This workshop will focus on how to do ACT experiential supervision and the challenges of providing supervision for your peers, interns or students. It will be both didatic and experiential, exercises will be completed in pairs as well as in group. On the spot feedback/guidance will be given during the workshop process. There will be adequate time to process and discuss the experinces of each participant. The main aims of the workshop are to develop psychological flexibility within the supervisor and the supervisee to assist both to utilise the processes of mindfulness, acceptance and committed action to do with whatever shows up in your ACT practice. Educational Objectives: At the completion of this workshop participants will have: 1. A better understanding of ACT experiential supervision. 2. Practiced supervising using role play with feedback. 3. Experienced their own barriers to clinician competence in the same process used with their clients.

 

15. Tinnitus and acceptance - "Is it the sound or your relationship to it?" Symposium (10:00-11:00am): ACT - Clinical/ Clinical trial

Room: Vrijhof – Vergaderzaal 3

Chair: GERHARD ANDERSSON, Linköping University Target Audience: Intermediate, Advanced

 

• Randomized Controlled Trial of Acceptance and Commitment Therapy for Tinnitus Distress

VENDELA WESTIN, Linköping University

 

• Clients' in-session acceptance and cognitive defusion behaviors in ACT treatment of tinnitus distress HUGO HESSER, M.SC., Department of Behavioural Sciences and Learning; Swedish Institute for Disability Research, Linköping University, Sweden Vendela Westin, M.Sc., Department of Behavioural Sciences and Learning; Swedish Institute for Disability Research, Linköping University, Sweden

Steven C. Hayes, Ph.D., Department of Psychology, University of Nevada, USA

Gerhard Andersson, Ph. D., Department of Behavioural Sciences and Learning; Swedish Institute for Disability Research, Linköping University, Sweden

Tinnitus it defined as the perception of internal noises without any outer auditory stimulation and is a common condition reported by approximately 10-15% of general adult population. Despite recent advantages in research on tinnitus, few medical treatments can successfully alleviate the symptom. A growing number of studies support acceptance to be associated with less distress across chronic medical conditions, but to date this new avenue has not been extensively explored with tinnitus. This symposium will present the research on acceptance and related psychological processes with tinnitus. We will provide a brief overview of the condition and consider the theoretical ideas and clinical observations why acceptance might be useful for individuals suffering from tinnitus. Outcomes from acceptance-based psychological treatment of tinnitus distress will be highlighted along with the mechanisms by which the therapy might work. Data from controlled outcome trials, clinical process studies, correlational analyses will be presented to illustrate what we know so far about acceptance and tinnitus and provide listeners with broad coverage of the research within the area.

 

Wednesday Morning 11:15am

 

16. When Physical Struggles Overwhelm: ACT and Behavioral Medicine Symposium (11:15-Noon): ACT - Clinical/ Lupus, Chronic Pain, Health Psychology

Room: Vrijhof – Kleine Zaal

Chair: FRANCISCO MONTESINOS, PH.D., Spanish Cancer Association (aecc)/Instituto ACT, Madrid, Spain.

Target Audience: Beginner, Intermediate, Advanced

• Application of Acceptance and Commitment Therapy in the Treatment of Psychological Problems Associated with Systemic Lupus Erythematosus

 TOMÁS QUIROSA-MORENO, University of Almería

Carmen Luciano, Ph.D., University of Almería N. Navarrete-Navarrete, Systemic Autoimmune Disease Unit, University Hospital "Virgen de las Nieves," Granada Olga

Gutiérrez Martínez Ph.D., Universidad de Barcelona

 

• Web Based Interventions for Relapse Prevention after Pain Management Program

NINA BENDELIN, M.SC., Division of Rehabilitation Medicine, Department of Clinical and Experimental Medicine, Linköping University, Sweden

Gerhard Andersson, Ph.D., Department of Behavioural Sciences and Learning, Linköping University, Sweden

Björn Gerdle, Ph.D., Division of Rehabilitation Medicine, Department of Clinical and Experimental Medicine, Linköping University, Sweden

 

• Psychooncology and ACT: State of research and new challenges

FRANCISCO MONTESINOS, PH.D., Spanish Cancer Association (aecc)/Instituto ACT, Madrid, Spain. Marisa Páez, Ph.D., Instituto ACT, Madrid

ACT-based interventions have been successfully used with a several chronic diseases. The papers in this symposium examine the effectiveness of ACT components for patients with lupus, chronic pain, and cancer. Paper 1 reports on a study examining the efficacy of a brief six-session protocol for women diagnosed with systemic lupus eythematosus. Paper 2 evaluates an acceptance-based intervention for chronic pain delivered via the internet. Paper 3 reviews the state of ACT research with individuals with cancer using data from case studies, clinical trials, and randomized studies.

 

Wednesday Lunch 12:00-1:15pm

 

Wednesday Afternoon 1:15pm

 

17. Working with Values in Chronic Pain Panel Discussion (1:15-3:00pm): ACT - Clinical/ Pain

Room: Vrijhof – Agora

JOANNE DAHL, University of Uppsala

KENNETH FUNG, M.D. FRCPC MSc, University of Toronto

MATEUSZ ZUROWSKI, M.D. MSc FRCPC, University of Toronto

RIKARD WICKSELL, Pain Treatment Service, Astrid Lindgren Children's Hospital, Karolinska University Hospital

KEVIN VOWLES, PH.D., University of Bath, U.K.

Target Audience: Intermediate, Advanced

ACT is emerging as a useful modality to treat chronic pain, a prevalent condition with significant long-term disability. For those afflicted with chronic pain, values are often abandoned in the natural pursuit for pain alleviation. Clinically, working with values is an important cornerstone in therapy, and in many treatment protocols, tend to become a therapeutic focus earlier compared to the treatment of other conditions. In this symposium, we would like to share, discuss, and raise questions about values work in the treatment of chronic pain. Specifically, we will explore: (i) definition of values; (ii) clinical application of values in chronic pain, including techniques to facilitate identification of values and ways of working with them; (iii) operationalization of values for measurement to facilitate tracking of clinical progress and research.

 

18. Towards a functional contextualist neuroscience Symposium (1:15-3:00pm): Other/ Basic behavioural science, neuroscience, ACT

Room: Vrijhof – Amphitheater

Chair: BENJAMIN SCHOENDORFF, Inserm, Université Claude Bernard, Lyon, France

Discussant: STEVEN C. Hayes, PH.D., University of Nevada, Reno

Discussant: Kelly G. Wilson, PH.D., University of Mississippi

Target Audience: Intermediate

• Don't you mind speaking of mind? Reflecting on mirror neurons and other homunculi on the Neuroscience scene

PAOLO MODERATO, IULM University, Milan (Italy)

 

• An exploration of acceptance related processes in presurgically implanted epileptic patients by means of real-time frequency-band analysis system

BENJAMIN SCHOENDORFF, Inserm, Université Claude Bernard, Lyon, France

Traditionally, behavior analysis has largely tended to consider brain functioning as being the preserve of physiologists rather than part of the science of behavior. This symposium/panel discussion will address the question of whether there is room for a functional contextualist neuroscience, or are attempts at linking neuroscience and behaviour necessarily reductionist? This symposium/panel discussion will bring together a general discussion of the issues as well as how they relate to presented neuroscience research projects.

 

19. ACT-Based Contextual Behavioral Supervision Workshop (1:15-4:15pm): ACT - Other/ ACT Supervision

Room: Drienerburght – Zaal A

SONJA V. BATTEN, PH.D., University of Maryland School of Medicine

ROBYN D. WALSER, PH.D., National Center for PTSD, Palo Alto

Target Audience: Intermediate, Advanced

Supervision in Acceptance and Commitment Therapy is vital to learning to competently use this treatment model. In order to be an effective supervisor in this model, a context for establishing willingness to experience is fundamental. The supervisor needs to both model willingness and promote such behavior in supervisees in a way that is tangible and transferable to therapy sessions. Thus, working with the supervisee on personal acceptance and commitment, while also pointing to the parallel processes for the client can be a powerful training tool. Strategies for providing quality supervision that is ACT-consistent and compassionate will be presented. This workshop will begin with a discussion of the importance of the expression of emotion in ACT-based supervision. Suggestions will be made for shaping the ability of therapists in training to willingly experience and express emotion, with clarification of appropriate supervisory boundaries. This didactic discussion will be followed by multiple role plays and experiential exercises in which attendees will practice different ways of responding to challenging content in a supervisory setting.

Educational Objectives:

  • Discuss the theoretical basis for including emotions in the psychotherapy supervision process.
  • Describe how to focus on acceptance of emotion and thoughts, both within the supervisee's experience and the client's experience.
  • Describe how to help supervisees assess the cost of avoidance as it relates to their own and to their clients' lives, as well as the process of psychotherapy.

 

20. Investigations into Acceptance and Commitment Therapy and Real Life Symposium (1:15-3:00pm): ACT - Other/ Non-Clinical Populations

Room: Drienerburght – Zaal B

Chair: NADIA LUCAS, University of Mississippi

Target Audience: Beginner, Intermediate, Advanced

• The Effect of Commitment and Behavior Change Processes in ACT on Public Speaking Anxiety

NADIA LUCAS, University of Mississippi Regan Slater, University of Mississippi

Kelly G. Wilson, University of Mississippi

Kate K. Kellum, University of Mississippi

 

• Mindfulness at the Front of the Room: An Evaluation of ACT for Public Speaking Anxiety

REGAN M. SLATER, University of Mississippi Nadia Lucas, University of Mississippi

Kelly G. Wilson, University of Mississippi

Kate K. Kellum, University of Mississippi

 

• The Effects of ACT for Body Image Disturbance on Eating Behavior and Valued Living

Emily K. Sandoz, University of Mississippi

K. K. Kellum, University of Mississippi

Kelly G. Wilson, University of Mississippi

LINDSAY MARTIN, University of Nevada, Reno

 

• Examining the Effects of a Values Intervention to Enhance Motivation and Commitment to Engage in Studying Behavior

 JENNIFER C. PLUMB, University of Nevada, Reno

Michael Levin, University of Nevada, Reno

Steven C. Hayes, University of Nevada, Reno

Kate L. Morrison, University of Nevada, Reno

People often have psychological difficulties in their everyday lives that are not necessarily diagnosable but still create significant distress and disruption of valued living. Acceptance and Commitment Therapy (ACT) is a therapeutic approach rooted in behavior analysis and has been found to be effective in helping people to live a valued life in the face of a variety of psychological difficulties. The following studies are designed to consider interventions rooted in ACT principles and relevant outcomes and change processes in non-clinical populations.

 

21. Self-as-context Made Simple Workshop (1:15-4:15pm): ACT - Skills/ Mindfulness/Self-as-context

Room: Drienerburght – Zaal C

RUSS HARRIS, M.D., private practice, Melbourne, Australia

Target Audience: Beginner, Intermediate, Advanced

This is a highly experiential workshop that was well-attended and well-received in ACT SI4. It demonstrates in simple, clear, non-technical language many different ways to talk about and facilitate the experience of self-as-context -- from lengthy interventions such as the classic "Observer Exercise" to extremely brief ones. It brings together metaphors and experiential exercises from ACT practitioners such as Steve Hayes, Robyn Walser, Kirk Strosahl, Kelly Wilson, JoAnne Dahl, and Hank Robb (as well as some of my own innovations). By the end of this workshop, attendees will have repeatedly experienced the psychological space of self-as-context, and will have a variety of tools to facilitate this process in therapy. They will also get an opportunity to practice some of these techniques on each other.

Educational Objectives:

  • Learn how to talk in simple everyday language about self-as-context
  • Experience the "psychological space" of self-as-context
  • Learn a variety of techniques for facilitating this experience in therapy

 

22. Integrating Values in Context: Conceptualizations and Applications of Valued Living Symposium (1:15-3:00pm): ACT - Other, ACT - Clinical/ Values, Therapy with Christians, Measurement, Values, Spirituality, Religion, "Other" Acceptance-based approaches

Room: Hogekamp – HO 1212

Chair: AMANDA C. ADCOCK, M.S., University of North Texas

Target Audience: Beginner, Intermediate, Advanced

• The ImPActS model of principled living: Measuring the extent that people find principles to be Important, Pressured by others, Activated, and Successfully engaged

JOSEPH CIARROCHI, University of Wollongong

 

• Practising ACT with Christians - challenges and opportunities

INGRID ORD, Private Practice

 

• The Meta-Valuing Measure: Measuring Valuing Behavior and the Whole Life Concept

AMANDA C. ADCOCK, M.S., University of North Texas Cicely LaBorde, M.S., University of North Texas

AMY MURRELL, PH.D., University of North Texas

 

• Preliminary support for a spiritually integrated approach to valued living in the face of spiritual struggles

CARMEN K. OEMIG, M.A., Bowling Green State University

Kenneth I. Pargament, Ph.D., Bowling Green State University

Meryl Gibbel, M.A., Bowling Green State University

Maria Gear, M.A., Bowling Green State University

Elizabeth Krumrei, M.A., Bowling Green State University

Carol Ann Faigin, M.A., Bowling Green State University

Shauna McCarthy, Ph.D., Bowling Green State University

Kavita Desai, M.A., Bowling Green State University

The papers in this symposium focus on values and their role in psychological well-being. Paper 1 discusses the ImPActS model of principled living. This model suggests that ACT helps people to (1) identify what principles are important to them (Importance), (2) identify what principles are under compliance pressure (Pressure), (3) increase the extent that they engage in principle-congruent activity (ACTivity), and (4) increase the extent that they succeed at living their principles (Success). Paper 2 explores how practicing ACT with Christians can be aided or hindered by the rules that are brought into the therapy room. Paper 3 discusses values as augmentals and the importance of flexibility in valuing. In order to measure the difference between valuing flexibly and values as augmentals, a new measure called the Meta-Valuing Measure (MVM) will be discussed and the psychometric properties will be presented. Paper 4 deals with a nine-week, spiritually-integrated, group intervention – for the negative mental and physical health indicators associated with the “darker side” of religion and spirituality – called the Winding Road and its similarities with an ACT-based approach.

 

23. The Primary Care Behavioral Health Model: A Platform for ACT in Health Care Workshop (1:15-3:00pm): ACT - Clinical/ Primary Care, Transdiagnostic

Room: Hogekamp – HO 1216

PATRICIA ROBINSON, PH.D., Mountainview Consulting Group

Target Audience: Beginner, Intermediate

This workshop describes a model for behavioral health consultation services in primary care settings. Given a trans-diagnostic approach, broadly applicable strategies, and theoretical principles that suggest a focus on struggle between patient and provider, ACT offers a great deal to the mission of integrating behavioral health services into primary care.

Educational Objectives:

  • Learn about a new job for behavior therapists (the primary care "Behavioral Health Consultant")
  • Consider case examples demonstrating use of ACT in brief encounters with primary care adult and child patients
  • Learn strategies for working as a part of a primary care team that includes a behavioral health provider

 

24. An Introduction to Behaviorism & Relational Frame Theory for Beginners Workshop (1:15-4:15pm): Behavior Analysis/ RFT

Room: Hogekamp – HO 1220

JOHN T. BLACKLEDGE, Morehead State University

 Joanne Steinwachs, Private Practice

NIKLAS TÖRNEKE, Private Practice, Sweden

Target Audience: Beginner

The workshop will discuss basic behavioral principles (e.g., operant & classical conditioning, generalization) and their relevance to psychotherapy. In addition, relational frame theory will be introduced, along with a discussion of RFT's continuity with basic behavioral principles and its implications for clinical practice. The workshop is appropriate for those unfamiliar with behaviorism and/or RFT, with the links and common focus between the two, or the relevance of all these behavioral principles to psychotherapy.

Educational Objectives:

  • Be able to define basic behavioral principles like operant conditioning, classical conditioning, extinction, stimulus function, and generalization, and identify their relevance to psychotherapy
  • Understand the links and common focal points between relational responding and more conventional behavioral processes like operant and classical conditioning.
  • Understand why RFT is relevant to psychotherapy.

 

25. RFT: Research, Measurement, and Theoretical Issues Symposium (1:15-3:00pm): RFT - Research, RFT - Other, RFT - Clinical/ IRAP, Implicit Attitudes, Experimental Behavioural Analysis, Evolution, Selectionism, Executive Functioning, Schizophrenia

Room: Vrijhof – Kleine Zaal

Chair: SEAN HUGHES, B.A, National University of Ireland, Maynooth

Target Audience: Beginner, Intermediate, Advanced

• Novel Implicit Attitudes: What Do We Know about Them and What Do We Have to Learn?

SEAN HUGHES, B.A, National University of Ireland, Maynooth

 

• RFT and evolution: Are memetics the missing link?

MARCO KLEEN, PsyAdvies and BrainDynamics Groningen

 

• A behaviour-analytic perspective on the diagnosis of executive dysfunctions GWENNY JANSSEN, DRS, Radboud University Nijmegen

Jos Egger, Ph.D., Radboud University Nijmegen

Hubert De Mey, Ph.D, Radboud University Nijmegen

 

• Schizophrenia, language and cognition: Suggestions for RFT research

MARTIN CERNVALL, M.SC., Uppsala Academic Hospital

Ian Stewart, Ph.D., National University of Ireland, Galway

Ata Ghaderi, Ph.D., Uppsala University

The scope of RFT research and analyses has expanded considerably since the inception of the theory. This symposium discusses the further extension of RFT to several areas of interest. Paper 1 presents a series of four studies on establishing and consolidating novel implicit attitudes and the utility of the IRAP in distinguishing between naturally occurring versus laboratory-induced implicit attitudes. Paper 2 discusses the relationship between memetics and RFT in explaining contragenetic behavior, such as terrorism and warfare. Paper 3 explores the idea that the broad set of cognitive skills known as executive functions is a subset of rule-governed behavior. Paper 4 examines the potential for RFT research on schizophrenia when it is understood as a failure of lateralization and the dominance of language in one hemisphere.

 

26. Applications of ACT to children, adolescents and their parents: Case studies Symposium (1:15-3:00pm): ACT - Clinical/ Children and parents

Room: Vrijhof – Vergaderzaal 5

Chair: FRANCISCO RUIZ, University of Almería

Target Audience: Beginner, Intermediate, Advanced

• Application of ACT on a persistent oscurity phobia in a 11 years old boy.

 

FRANCISCO RUIZ, University of Almería Vanessa Sánchez, University of Almería

Carmen Luciano, Ph.D., University of Almería

Rosa M. Vizcaíno, University of Almería

 

• Application of ACT on a case of bullying in a 9 year old boy

Francisco Ruiz, University of Almería

ROSA M. VIZCAÍNO, University of Almería

Carmen Luciano, University of Almería

 

• Application of ACT to improve the performance of a 12 year old chess-player, to treat familiar problems and self-injury behaviors.

FRANCISCO RUIZ, University of Almería

Carmen Luciano, University of Almería

 

• ACT in family: a case on eating disorders

MARISA PÁEZ, PH.D., Instituto ACT

This symposium presents four clinical cases of children/adolescents an their parents treated with Acceptance and Commitment Therapy (ACT). The first paper describes the intervention and results of an application of ACT in a 11-years-old boy who presented a persistent oscurity phobia. The second paper explore the utility of ACT in bullying. Specifically, a case of a 9-years-old boy suffering bullying and social exclusion is presented. The third paper extends previous studies on chess performance presenting the case of a 12-years-old chess-player who suffered high levels of competitive anxiety and presented oscurity phobia, familiar problems and self-injury behaviors. Finally, the fourth paper presents a case of an adolescent with a swallow phobia who presented a very restricted diet because of her fear to choke. The interventions are described highlighting the sinergical effect of the use of ACT components with contingencies management in the treatment of clinical problems in children, adolescents and their parents.

 

27. RFT and the Self: Theory, Research and Applications Workshop (1:15-4:15pm): RFT - Clinical/ The Self Room: Vrijhof – Vergaderzaal 6

CARMEN LUCIANO, University of Almeria, Spain

JENNIFER BOULANGER, University of Nevada, Reno

IAN STEWART, University of Ireland, Galway

Target Audience: Beginner, Intermediate

The self is a key concept within Acceptance Commitment Therapy as well as psychology more broadly. Relational Frame Theory defines the self in terms of responding verbally to one's own behavior and predicts that relational responding give rise to three distinct senses of self. Over the last decade RFT/ACT research has empirically examined several concepts related to the self including verbal self-discrimination, perspective-taking and self-rules. The current workshop will outline the RFT/ACT approach to self; describe developmental and clinical research that has explored these concepts; discuss self-issues in therapy, drawing on RFT conceptualizations and provide for experiential exploration of senses of self. Educational Objectives: 1. Understand the RFT conceptualization of self and its implication for self-discrimination, perspective-taking, and self-regulation. 2. Become familiar with key RFT studies on the self & perspective taking. 3. Understand the nature of "language traps" and how they contribute to difficulties in self-regulation.

 

28. OCD and Case Formulation in ACT Workshop (1:15-4:15pm): ACT - Clinical/ Case Formulation OCD

Room: Vrijhof – Vergaderzaal 3

MARTIN BROCK, Institute of Mental Health Nottingham

Target Audience: Intermediate

Acceptance and Commitment Therapy (ACT) is a new model of behavioural treatment that emphasizes acceptance of internal experience while maintaining a focus on positive behaviour change. This approach is designed to address maladaptive avoidance of internal experiences associated with many problems in functioning while also focusing on making and keeping commitments. A Functional Contextual Model for OCD and also a Case Formulation approach in ACT has been developed; both will be described in this workshop. Obsessive Compulsive Disorder is recognized as a complex disorder and is difficult to treat, due in part to the intrusive nature of the types of thoughts which can be highly distressing and motivation to abate, avoid or eliminate them is strong. In this experiential workshop opportunities will be given to develop awareness of the typical experiences found in OCD and to explore and share the challenges for therapists. Finally an opportunity will be given to formulate a case within OCD.

Educational Objectives:

  • Participants will begin to understand the Core Activities of Case Formulation in ACT.
  • Participants will have an understanding of a Functional Contextual Model of OCD.
  • Participants will explore the highly intrusive nature of OCD.

 

Wednesday Afternoon 3:15pm

 

29. Training Nurses in ACT Skills for Medical Treatment Planning Invited Lecture (3:15-4:15pm): ACT - Skills/ Training

Room: Vrijhof – Agora

KEVIN POLK, PH.D., ACT Gone Wild and Togus VA

FANNY ROBICHAUD, RN, VAC Canada

Target Audience: Intermediate Nurses are often on the front line of recommending and monitoring behavioral goals for physical health that ultimately affect mental health. This program will show a training that we do to help nurses help clients through a contextual point of view.

 

30. Identifying Key Processes Involved in Disorders and Therapies Symposium (3:15-4:15pm): ACT - Clinical/ rumination, borderline personality disorder, Cognitive mediation

Room: Vrijhof – Amphitheater

Chair: JOSEPH CIARROCHI, University of Wollongong

Target Audience: Beginner, Intermediate, Advanced

• The role of rumination in borderline personality disorder

RUTH A. BAER, PH.D., University of Kentucky

 

• Key cognitive constructs in classical and new-wave cognitive behavioral psychotherapies: relationships with each other and with emotional distress

IOANA CRISTEA, Babes-Bolyai University, Cluj-Napoca

Daniel David, Babes-Bolyai University, Cluj-Napoca

Madalina Sucala, Babes-Bolyai University, Cluj-Napoca

 

• Identifying the Active ingredients in ACT. What we know and what we need to know.

JOSEPH CIARROCHI, University of Wollongong

This symposium will explore the importance of identifying processes that may be critically involved in the development or the treatment of disorders. Paper 1 examines the role of rumination as avoidance behavior in Borderline personality disorder. Paper 2 presents a study comparing the key cognitive constructs of three forms of cognitive behavioral therapy - Rational-emotive behavioral therapy, cognitive behavior therapy Beck version, and ACT. The final paper reviews evidence on the core ACT mediational hypotheses and discusses ways to help pinpoint the active ingredients in ACT.

 

31. Theoretical Frameworks and Therapeutic Possibilities Invited Lecture (3:15-4:15pm): Other/ Philosophy of Psychology

Room: Drienerburght – Zaal B

MICHAEL MCEACHRANE, Department of Philosophy, University of Massachusetts-Amherst

Target Audience: Beginner, Intermediate, Advanced This talk will cast doubt on the seemingly ubiquitous connection between Acceptance and Commitment Therapy (ACT) and Relational Frame Theory (RFT) in two ways. (i) By questioning some of the connections between language and cognition as posited by RFT. And (ii), by considering a more piecemeal approach to explaining, and seeking remedies for, human suffering. Instead of aspiring to a capitol-F-theoretical-Framework in service of a capitol-T-Therapy, a more piecemeal approach could perhaps cast new light on ACT as well as open up to a greater range of therapeutic possibilities.

 

32. The Efficacy and Process of ACT: A systematic review and meta-analysis Invited Lecture (3:15-4:15pm): ACT - Other/ Meta-Analysis

Room: Hogekamp – HO 1212

LARS-GÖRAN ÖST, Department of Psychology, Stockholm University, Sweden

Target Audience: Beginner, Intermediate, Advanced Acceptance and Commitment Therapy (ACT) is a treatment that has attracted a lot of clinical interest during the past 5-10 years. The number of randomized clinical trials (RCTs) has also increased to a large extent and there are now 22 published RCTs on psychiatric or medical disorders. In this invited lecture, a meta-analysis using the primary outcome measure from each study will be presented. Then the APA Task Force criteria for empirically supported treatments (Chambless et al., 1998) will be applied to assess if ACT can be considered evidence-based for one or more specific disorders. Finally, process research assessing factors that mediate treatment outcome will be reviewed and evaluated. The presentation will end with suggestions concerning further outcome and process research on ACT.

 

33. Reinventing Empirical Clinical Psychology in the Electronic Age: An Invitation to Participate in the First Fully Distributed Research Network Ever Created Invited Lecture (3:15-4:15pm): Other/ Science as a Public Trust

Room: Hogekamp – HO 1216

KELLY G. WILSON, PH.D., University of Mississippi

Target Audience: Beginner, Intermediate, Advanced

There is a received view of empirical clinical psychology and the way to make progress within it that masquerades as the only well-reasoned view. The received view accepts a number of dubious assumptions. The assumed prerequisites to progress include large randomized clinical trials, a focus on DSM diagnostic categories, enormous concern for internal validity over external validity, for Type 1 error at the expense of Type 2 error, and on outcome over change processes, among others. This collection of assumptions creates problems that are unlikely to be self-correcting. While they have led to increasing confidence, I will question whether they have led to increasingly effective and disseminable treatments. Barriers to self-correction that emerge from a model of science are ironic, since science, as a way of knowing, is unique in its capacity for self-correction. We have a chance within ACBS to cultivate a different sort of research effort than has ever existed. In part the potential for this research effort emerges from contextual science sensibilities, but also in part from the availability of electronic means for the distribution knowledge and collection of data. What would it look like to build a network of providers who participated in research across settings, client difficulties, cultures, and countries? What would our treatments look like if they were vetted in a persistent and iterative way by both real world providers as well as by behavioral scientists? What would our treatments look like if they were persistently examined in clinical trials, real world clinics, and in the basic laboratory—where all are equal partners? The answer to these questions is: I don’t know. However, trends within and without ACBS are telling. In this address, I will advocate for a contextual behavioral science that is inclusive, horizontal, relevant, iterative, and progressive. I will advocate that ACBS take a leadership role in the development not just of a new psychology, but also a new way of doing psychology. Finally, I will invite the membership, all of the membership, to join in the invention of a new way forward.

 

34. Welcome to the functional Babel: Talking ACT in non English-speaking countries Symposium (3:15-4:15pm): ACT - Other/ Research and language issues

Room: Hogekamp – HO 1228

Chair: GIOVAMBATTISTA PRESTI, M.D., Ph.D., IULM University, Milan; IESCUM (Italy)

Discussant: GIOVANNI MISELLI, PSY. D., IULM University, Milan, IESCUM (Italy)

Target Audience: Beginner, Intermediate, Advanced

• Babel's AAQ-II: Do different languages result in different outcomes in Europe?

JEAN-LOUIS MONESTÈS, CNRS 8160, Centre Hospitalier Ph. Pinel

NELE JACOBS, Hasselt University, Diepenbeek (Belgium)

Marco Kleen, PsyAdvies.nl / Brain Dynamics Groningen, Groningen (Netherlands)

Francis De Groot, Psychiatrisch Centrum Broeders Alexianen, Boechout (Belgium)

Jacqueline A-Tjak, PsyQ, Zaandam, (Netherlands)

Maria Karekla, University of Nicosia, Cyprus

Frank Bond, Goldsmiths, University of London

Giovanni Miselli, Psy. D., IULM University, Milan; IESCUM (Italy)

Matthieu Villatte, Ph.D., University of Picardie

• Building towers in Babel: Spreading and sharing knowledge, translating manuals and self-help books

MATTHIEU VILLATTE, PH.D., Université de Picardie Jules Verne, Amiens (France)

Jean-Louis Monestès, CNRS 8160, Centre Hospitalier Ph. Pinel (France)

Giovambattista Presti, IULM University, Milan; IESCUM (Italy)

ACT (Acceptance and Commitment Therapy) seems to have gained the great momentum in the last year 10 years, developing outside the English-speaking laboratories and clinics where it was studied and experimentally developed. The behavioural tradition behind it distinguishes between topography and function of verbal as well as non verbal behaviours. Thus ACT is based on a functional contextual vision of language and its effects on human behaviour and cognition. Translating and adapting textbooks, self-help manuals, clinical techniques and assessment instruments imply thorough research whether different verbal topographies, which may be correct from a grammatical and syntactic point of view, might not exert equal functions in the different verbal communities. This phenomenon, which follows logically from RFT (Relational Frame Theory) itself, the model of mind functioning behind ACT, needs to be addressed within the different research, clinical, publishing contexts that help the implementation of ACT in non-English speaking countries. This symposium aims to draw the lines of action taken in different countries all over the world in translations of books, adaptation and validation of scales, in everyday clinical work, and in research while implementing ACT in each verbal community. In addition it aims to foster international collaboration on relevant problems. Roadblocks arising from cultural differences between countries, cultures and languages are discussed, and recommendations for future work on these matters.

 

35. Using ACT with Non-Clinical Populations: Findings from Recent and Ongoing Outcome Studies Symposium (3:15-4:15pm): ACT - Other/ Non-Clinical Populations, ACT Treatment Outcome

Room: Vrijhof – Kleine Zaal Chair: MICHAEL LEVIN, University of Nevada, Reno

Target Audience: Beginner, Intermediate, Advanced

• ACT for Stigma and Burnout with Substance Abuse Counselors

STEVEN C. HAYES, University of Nevada, Reno Jacqueline Pistorello, University of Nevada, Reno

Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center, PC

Barbara Kohlenberg, Ph.D., University of Nevada, Reno

Roger Vilardaga, M.A, Michael Levin, University of Nevada, Reno

Jason Lillis, Ph.D., University of Nevada, Reno

Mikaela Hildebrandt, University of Nevada, Reno

 

• Using ACT to prevent mental health problems among college freshman

JACQUELINE PISTORELLO, PH.D., University of Nevada, Reno

Steven C. Hayes, Ph.D., University of Nevada, Reno

Jason Lillis, Ph.D., University of Nevada, Reno

Chelsea MacLane, Ph.D., University of Nevada, Reno

Michael Levin, University of Nevada, Reno

Jennifer Boulanger, University of Nevada, Reno

Anthony Biglan, Ph.D., Oregon Research Institute

John Seeley, Ph.D., Oregon Research Institute

Research has tested the impact of ACT across an increasingly broad range of problems. Recently, this has included using ACT in non-clinical populations targeting areas such as stigma and prevention. This symposium will present a series of studies using ACT in non-clinical populations. Results from outcome trials that have been recently completed, or are in progress, will be presented. In addition, we will discuss differences encountered in using ACT in these populations as compared to clinical populations.

 

36. The Trainer Peer Review Process: Introduction and Updates Panel Discussion (3:15-4:15pm): Other/ Training

Room: Vrijhof – Vergaderzaal 5

JASON LUOMA, PH.D., The Portland Psychotherapy Clinic, Research, & Training Center, PC

AMY MURRELL, PH.D., University of North Texas

RAINER SONNTAG, M.D., Private practice, Germany

Target Audience: Beginner, Intermediate, Advanced

Being listed as a trainer on the ACBS site is meant as a pragmatic way to help learners find high quality ACT training. The ACT Trainers in this community are committed to training with high fidelity to the model and work from explicit, agreed-upon shared values as they train others in ACT. The ACBS community uses a peer-review process to balance the need to protect and foster the high fidelity of ACT training with the need to keep the community open to new talented, innovative, qualified trainers. This panel discussion will provide an overview of that peer-review process and answer audience questions. 

 

Wednesday Plenary 4:30-5:45pm

 

37. Perspectives on How Best to Produce Progress in Applied Psychological Science Plenary (4:30-5:45pm):

Room: Vrijhof – Agora/ Amphitheater

Chair: KELLY WILSON, University of Mississippi

RUTH BAER, University of Kentucky

STEVE HAYES, University of Nevada, Reno

LARS-GÖRAN ÖST, Department of Psychology, Stockholm University, Sweden

Target Audience: All

This session will examine the model of scientific development underlying ACT, contextual behavioral science, and will compare it to other models of how best to produce progress in the behavioral sciences. In that context we will discuss the state of the current evidence in ACT and to a lesser degree other third generation approaches, consider whether adequate progress is being made, and compare where we are relative to progress being made in the field at large. Educational Objectives: Participants will: 1. Have a general understanding of the extant ACT evidence base. 2. Understand the potential value of an iterative, horizontal, theory-driven approach to treatment development. 3. Understand the current criticisms of ACT treatment development to date. 

 

Wednesday Night Barbeque & Music 6:00pm-12:00am

 

Dinner (6:30-8:00pm)

Location: Boerderij Bosch

Music/Social (6:00pm-11:30pm)

Location: Boerderij Bosch

 

Thursday Morning 9:00am

 

38. Learning Hexaflex Processes Using Mindfulness for Two Videos Workshop (9:00-Noon): ACT - Clinical/ Psychotherapy training

Room: Vrijhof – Agora

KELLY G. WILSON, PH.D., University of Mississippi

EMILY K. SANDOZ, University of Mississippi

Target Audience: Beginner, Intermediate, Advanced

Learning to detect shifts in core ACT processes is central to flexible responding on the part of the therapist. The six core ACT processes described in the hexaflex can be detected through a variety of verbal and nonverbal manifestations. In this workshop, attendees will be provided with coding instructions for all six core ACT processes. We will watch a series of video segments and learn to code the segments based on the indicators described in the coding instructions. Reviewing of segments will quickly help therapists and researchers to see instances of all ACT processes and transitions from high to low levels of functioning in each. In addition, we will brainstorm potential intervention strategies based on changes in ACT processes. This will be a very active, hands on session intended to build on the fly fluency in seeing and responding to shifts in ACT processes.

Educational Objectives:

  • Learn verbal and nonverbal signs of psychological inflexibility.
  • Learn to detect values and commitment fusion.
  • Learn to generate treatment alternatives based on detected changes in ACT processes.

 

39. Acceptance and Commitment Therapy (ACT): Finding Life Beyond Trauma for the Survivor and the Therapist Workshop (9:00-Noon): ACT - Clinical/ Trauma, PTSD

Room: Vrijhof – Amphitheater

ROBYN D. WALSER, PH.D., National Center for PTSD

JACQUELINE PISTORELLO, PH.D., University of Nevada, Reno

Victoria M. Follette, Ph.D., University of Nevada, Reno

Target Audience: Intermediate

Many individuals who have been diagnosed with PTSD or have experienced trauma are struggling with difficult memories, painful feelings and unwanted thoughts and they take great efforts to avoid these private experiences. Trauma can have a powerful negative impact in individual’s lives. Therapists, too, can come to feel overwhelmed, burnt-out and discouraged by the repeated and often horrific stories of trauma. Avoidance can began to play a role in therapist’s life. Acceptance, an alternative to avoidance, can create a new context from which the trauma survivor and therapist may view the world and the self. This workshop will focus on use of acceptance and mindfulness techniques and on re-committing to values following trauma. We will also explore the clinician’s experience of working with traumatized individuals and personal impact and how ACT applies to the therapist when working in the field of PTSD. Educational Objectives: 1. Explore the process of experiential avoidance as it relates to trauma. 2. Describe the application of ACT with trauma survivors with a particular focus on values lost as a result of the trauma. 3. Conduct experiential exercises to demonstrate the implementation of ACT to reduce burn-out in working with trauma survivors.

 

40. ACT with The Challenging Patient Workshop (9:00-Noon): ACT - Clinical/ personality disorders

Room: Drienerburght – Zaal A

KIRK STROSAHL, Central Washington Family Medicine

Target Audience: Intermediate, Advanced

Most clinicians struggle to find a positive therapeutic foothold with challenging patients. Challenging patients often present with high risk behaviors such as suicidal/self destructive behavior, alcohol or drug abuse and are often described as "help seeking, help rejecting". Challenging patients have a way of shifting responsibility onto the clinician for solving the patient's problems or influencing the patient to try more adaptive behaviors. The combination of high risk behavior and power shifting creates a therapeutic impasse and often, confrontation, mutual negative labelling and therapy termination. This workshop will introduce participants to an ACT model for addressing challenging behaviors ranging from suicidality to missing appointments to non adherence to agreed upon homework. We will explore how fusion and emotional avoidance on both the part of the patient and the therapist feed this vicious cycle. Participants, through large and small group exercises, will get to practice skills designed to solve these communication obstacles. Video demonstrations will be used to demonstrate a simple case conceptualization method that will allow the clinician to predict in advance whether a patient is likely to turn into a "challenging patient".

Educational Objectives:

  • Appreciate the central characteristics of a challenging patient from an ACT perspective.
  • Learn how to address high risk and challenging behaviors from an ACT framework.
  • Learn to identify and manage "hot buttons" that draw clinicians into therapeutic struggle with challenging patients

 

41. Demystifying Relational Frame Theory Workshop (9:00-Noon): RFT - Other/ Functional Contextualism

Room: Drienerburght – Zaal B

DANIEL J. MORAN, PH.D., BCBA, Trinity Services, Inc.

PATRICIA BACH, PH.D., Illinois Institute of Technology

Target Audience: Beginner

Arbitrarily applied what? Derived relational who? If you started learning about Relational Frame Theory (RFT), and then stopped when you read: Crel {ArxB and BrxC...}, or have just been interested in learning the basics of RFT, this is the introductory workshop for you. This workshop will outline and explain the basic concepts of RFT and help the audience members understand an expanded functional approach to verbal behavior. We will discuss, from a behavior analytic point of view, how people can listen with understanding and speak with meaning. The workshop will simplify functional contextualism principles and discuss the basic RFT research methods and results in a manner that will help people who are new to RFT to begin applying the concepts to their own behavior analytic endeavors. We plan to make clear the core assumptions of functional contextual behavior analysis and how they apply to discussing language and cognition. We aim to not let your eyes glaze over as we discuss transformation of stimulus functions, generalized operants, and the different types of derived relating. Most importantly, we plan to help everyone have an enjoyable time while "framing events relationally" about RFT.

Educational Objectives:

  • Workshop attendees will be able to list and describe six basic principles of functional contextualism, and also contrast those principles from mainstream psychology principles.
  • Attendees will be able to compare and contrast conditioned discrimination and derived relational responding, in research contexts and in daily use.
  • Attendees will be able to define arbitrary applicable relational responding, along with mutual entailment and combinatorial entailment.

 

42. A Practitioner’s Field Guide to Developing Effective Language Training Programs Using Relational Frame Theory (RFT): Part 1- The Basics of RFT Workshop (9:00-Noon): RFT - Clinical/ RFT-Research, ABA, Early Language Training Programs, Education, Fluency, Precision Teaching

Room: Drienerburght – Zaal C

NICHOLAS M. BERENS, University of Nevada, Reno/ Center for Advanced Learning, Inc.

TIMOTHY WEIL, University of South Florida

CARMEN LUCIANO & FRANCISCO JOSÉ RUIZ-JIMÉNEZ, Universidad de Almería

MARTHA PALAEZ, Florida International University

Target Audience: Beginner

This two part workshop will guide practitioners and researchers through the basics of RFT, how to conceptualize early language training programs using RFT, and finally using the core premises of RFT in more traditional educational programs. The first workshop will cover beginner level concepts of behavior analysis and RFT. Having established a foundational understanding of RFT, this workshop will then begin to assist in the conceptualization of early language training scenarios. The first workshop is ideal for those working with autistic children, young children with mild-language delays, and young children in general. Those interested in the basics of RFT and/or language building programs based on RFT will benefit from the workshop. Educational Objectives: Attendees will: 1. understand the core principles and premises of RFT, 2. be able to think about how these core features may extended to clinical contexts involved in language training with young children, & 3. understand preliminary frames (coordination, comparison, distinction, and opposition) and be able to use these behavioral distinctions in their current clinical settings.

 

43. Creative Confusion: An idiot's guide to ACT in groups Workshop (9:00-Noon): ACT - Clinical/ Groups

Room: Hogekamp – HO 1212

KEVIN POLK, VA - Togus

MARK WEBSTER, South Hampshire CBT Ltd- Southampton

BENJAMIN SCHOENDORFF, Claude Bernard University- Lyon

JEROLD HAMBRIGHT, VA - Togus

Target Audience: Beginner, Intermediate, Advanced

In this workshop we will first give live demonstrations of the group sessions and then present the theory behind each module. The day will be divided into four separate sections and at each juncture the various therapist skills that are used will be discussed. Participants in this workshop will be introduced to the group treatment manual that has been developed and will learn a basic set of skills to deliver it. Included in the day will be an introduction to the iView which is the basic ACT stance that is used throughout. The main modules will then be covered in turn- Suffering and Solutions, Rule of World and Rule of Mind, Hooked and Unhooked and finally the MegaView.

Educational Objectives:

  • Understand the ACT stance in Groups.
  • Become familiar with the group protocols.
  • Learn skills required to deliver in group format.

 

44. Turning your life toward maturity: ACT with older adults Workshop (9:00-10:30am): ACT - Clinical/ Older Adults

Room: Hogekamp – HO 1216

ERWIN LUTZKE, Riagg Rijnmond, Rotterdam, The Netherlands

Target Audience: Beginner, Intermediate, Advanced

“All aspects of experience have a benign quality to them, having a language of their own which can be looked upon with a friendly, compassionate gaze” is inherent to ACT and to maturity. The life-line method, adapted from FAP and introduced to ACT by JoAnne Dahl, is quick to demonstrate all 6 core processes. This has profound and far reaching implications for therapy with older adults. Its’ practice is able to evoke an immediate felt sense of the ground on which one stands, calling for acceptance, awareness of one’s conditioning, but also for mindful action. Clarifying values on personal and spiritual levels introduce a higher order context, showing a path on which we are simply free to build and expend energy as we choose. A freedom that many older adults may have deemed not possible.

Educational Objectives:

  • Participants will be able to use all 6 core processes operating in unison, in one excercise;
  • Participants will be able to illustrate how all response types are clarified on the life-line;
  • Participants will be able to explain from where ACCEPTANCE derives its’ power.

 

45. ACT Early: Acceptance, mindfulness and values in early intervention for psychosis Workshop (9:00-10:30am): ACT - Clinical/ Psychosis

Room: Hogekamp – HO 1220

ERIC MORRIS, South London & Maudsley NHS Foundation Trust/ Institute of Psychiatry, King's College London, UK

JOE OLIVER, South London & Maudsley NHS Foundation Trust, UK

SALLY BLOY, South London & Maudsley NHS Foundation Trust, UK

Target Audience: Beginner, Intermediate

The stance of acceptance and committed action may allow for flexibility in response to persisting psychotic experiences, as has been suggested in ACT studies with the seriously mentally ill (Bach & Hayes, 2002; Gaudiano & Herbert, 2006). There may also be exciting potential for researching the impact of ACT in the early phase of psychosis - helping first episode clients to recover from psychosis through the development of mindfulness toward unusual experiences and critical appraisals, and committing to values-based actions (Morris & Oliver, 2009). More specifically, the use of ACT may: 1. foster the development of a psychologically flexible stance toward anomalous experiences, 2. enable a "values-based" recovery, 3. reduce the impact of "fear of recurrence" of psychosis through development of mindfulness and self as context, 4. enable individuals to notice the process of self-stigmatisation, contexts where this operates as a barrier, and commit to valued directions in the face of these appraisals, and 5. improve relapse prevention plans through the use of mindfulness and committed action. We will describe a group program we have developed, as well as individual work with young people who have experienced a first episode of psychosis. We will present adaptations to ACT to suit the needs of young people from an inner-city setting, including variations of "classic" exercises and procedures to engage a traditionally difficult group of clients. Examples of case formulations and treatment approaches will illustrate the principles of using ACT in an early intervention setting.

Educational Objectives:

  • To learn the rationale for ACT/mindfulness interventions with clients experiencing a first episode of psychosis.
  • To learn the theoretical background for using mindfulness interventions with young people who are at risk of psychosis.
  • To build understanding for using ACT in groups with young people who are experiencing psychotic symptoms.

 

46. ACT and Anxiety: Toward Flexibility with Fear and Worry Symposium (9:00-10:30am): ACT- Clinical/ Psychological Flexibility and Anxiety, Social Anxiety, Panic Disorder, Agoraphobia, Treatment Mediation, Psychological Flexibility, Randomized clinical trial

Room: Hogekamp – HO 1224

Chair: MARIA KAREKLA, Ph.D., University of Nicosia

Target Audience: Beginner, Intermediate, Advanced

• Psychological Flexibility and Anxiety: Preliminary Data from an Epidemiological Study in Cyprus MARIA KAREKLA, Ph.D., University of Nicosia

Margarita Kapsou, M.A., University of Cyprus

Georgia Panayiotou, Ph.D., University of Cyprus

 

• Randomized Controlled Trial Comparing Mindfulness and Acceptance-Based Group Therapy and Cognitive Behavioral Group Therapy for Social Anxiety Disorder: Preliminary Results

NANCY KOCOVSKI, PH.D., Wilfrid Laurier University; Ryerson University

Jan Fleming, M.D., Centre for Addiction and Mental Health; University of Toronto; Ryerson University

Martin Antony, Ph.D., Ryerson University; Anxiety Treatment and Research Centre, St. Joseph's Healthcare

 

• Psychological Flexibility as a Mediator of Treatment Outcome in Exposure-driven CBT NOT based on ACT: Intermediate Results from a Randomized Treatment Study of Panic Disorder with Agoraphobia ANDREW T. GLOSTER, Technical University of Dresden Michael Höfler, Technical University of Dresden

Jens Klotsche, Technical University of Dresden Franziska Einsle, Technical University of Dresden

Hans-Ulrich Wittchen, Technical University of Dresden

 

 • Cognitive therapy versus rational emotive behavior therapy versus acceptance and commitment therapy in the treatment of generalized anxiety disorder: a randomized clinical trial

Daniel David, Babes-Bolyai University, Cluj-Napoca

Aurora Szentagotai Tatar, Babes-Bolyai University, Cluj-Napoca

IOANA CRISTEA, Babes-Bolyai University, Cluj-Napoca

This symposium examines therapeutic approaches to anxiety including mindfulness, acceptance, and psychological flexibility. Paper 1 presents results from a survey on the prevalence of anxiety disorders in Cyprus, and its correlation with psychological flexibility. Paper 2 compares Mindfulness and Acceptance Group Therapy with Cognitive-Behavioral Group Therapy for the treatment of social anxiety disorder. Preliminary data on approximately 70 participants will be presented. Paper 3 examines the role of psychological flexibility as a mediator of treatment outcome in patients diagnosed with Panic Disorder with Agoraphobia based on the results from a randomized treatment outcome study consisting of two exposure-based CBT groups and a waitlist condition. Paper 4 discusses the progress of a study designed to investigate the efficacy, mechanisms of change, and the cost-effectiveness of Cognitive Therapy, Rational Emotive Behavior Therapy, and Acceptance and Commitment Therapy in the treatment of generalized anxiety disorder.

 

47. ACT Through CBT and CBT Through ACT - Are they so different? Workshop (9:00-10:30am): ACT - Clinical/ Comparative Psychotherapy

Room: Hogekamp – HO 1228

KENNETH FUNG, M.D. FRCPC MSc, University of Toronto

MATEUSZ ZUROWSKI, M.D. FRCPC MSc, University of Toronto

Target Audience: Intermediate, Advanced

Relational frame theory (RFT) posits that the core of language is the process of arbitrarily applied relational responding. Indeed, research outside RFT has shown that individuals with schizophrenia exhibit deficits in associative learning and acquired equivalence learning (Keri et al., 2005; Farkass, et al., 2008) and these processes could be readily described from an RFT-perspective, ie. as mutual entailment, combinatorial entailment and transformation of stimulus functions.

Educational Objectives:

  • Identify and appreciate common therapeutic processes and techniques in ACT and CBT.
  • Distinguish unique therapeutic processes and techniques in ACT and CBT.
  • Reflect on the optimal application of ACT and CBT principles and techniques appropriate to the specific therapeutic context.

 

48. Recent Investigations Using The Implicit Relational Assessment Procedure Symposium (9:00-10:30am): RFT - Research/ IRAP

Room: Vrijhof – Kleine Zaal

Chair: NIGEL VAHEY, NUI Maynooth

Target Audience: Intermediate, Advanced

• Resistance to Anti-smoking Information As a Function of Implicit Expectancies Toward Smoking and Smoking-cessation

NIGEL VAHEY, NUI Maynooth

Dermot Barnes-Holmes, NUI, Maynooth

 

• An implicit measure of emotional avoidance

NIC HOOPER, University of Wales, Swansea

 

• Will the Real Nazi Please Stand-Up; Attitude Formation and the Implicit Relational Assessment Procedure (IRAP).

SEAN HUGHES, NUI Maynooth

 

• Testing an adaptation of the IRAP to increase sensitivity to detect implicit relations at the individual level

MIKE LEVIN, University of Nevada, Reno

The Implicit Relational Assessment Procedure (IRAP) is an RFT-based protocol for the investigation of implicit cognition, or, in RFT terms, relational responding as it occurs under conditions of minimal contextual control. The respondent in an IRAP study is required to respond under strict time constraints in accordance with relational networks that are either consistent or inconsistent with hypothesised learned relational repertoires. Differences in average reaction times to consistent versus inconsistent networks provide some confirmation of the hypothesised relational learning history. In the present symposium, research from a number of international laboratories will be presented. The studies involved constitute a range of different IRAP based investigations examining technical IRAP as well as applied social and clinical issues. The presentations, from expert IRAP researchers, will hopefully provide some useful insight into the state of the art with respect to this protocol.

 

49. ACT Treatment of Stuttering Workshop (9:00-10:30am): ACT - Clinical/ Control of automatic behavior

Room: Vrijhof – Vergaderzaal 5

JOSÉ ANTONIO GARCÍA HIGUERA, Centro de Psicología Clínica 2, Madrid, Spain

Target Audience: Beginner, Intermediate

Stuttering is a speech problem that, in adults, is reluctant to treatment and may limit strongly stutterers' life. ACT may provide a therapeutic body to overcome such limitations. Normally, ACT is presented through its core processes. Each one of these processes influence psychological flexibility. A psychological problem may be analyzed by referring to these core processes. The advantage of building an ACT model of a psychological problem is that ACT provides a set of treatment strategies to solve it. From core processes related to utter blockings, the following may be related to stuttering: (1) Thought fusion, (2) Experiential avoidance, (3) Being present, (4) Values, and (5) Self as content. Consequently, the ACT strategies that may help cope with stuttering are: (1) Defusion, (2) Acceptance of emotions associated with blocking, (3) Mindfulness of speech behaviors, (4) Values clarification, (5) Self as context, and (6) Committed action. Clinical experiences of how to perform these strategies and results obtained in clinical practice will be shared in workshop. Generalization of the model to other behaviours will be discussed.

Educational Objectives:

  • Learn an ACT model of stuttering in adults.
  • Learn how to apply ACT-consistent techniques to stuttering cases.
  • Learn how the model may be applied to other conscious control attempts of automatic behaviours.

 

50. Time-Series Designs in Clinical Practice Symposium (9:00-10:30am): ACT - Clinical/ single case design Room: Vrijhof – Vergaderzaal 6

Chair: JENNIFER L. BOULANGER, University of Nevada, Reno

Target Audience: Beginner, Intermediate, Advanced

• A multiple-baseline study of ACT for self-stigma around sexual orientation: Issues in the measurement of less overt behaviors.

JAMES YADAVAIA, University of Nevada, Reno

 

• Exploring feasibility through single case design: A single case of ACT with a woman with traumatic brain injury

MERRY SYLVESTER, M.A., University of Nevada, Reno

 

• Time-Series Designs in Clinical Practice and an Example Using the Training of Acceptance and Commitment Therapy through Videoconferencing

JASON LUOMA, PH.D., Psychotherapy Clinic, Research, & Training Center, PC

Rikard Calmbro, Södra Älvsborgs Sjukhus, (the Hospital of Southern Alvsborg), Västra Götalands

 

• Using Time-Series Designs to Aid in Case Conceptualization, Treatment Targeting, and Progress Monitoring: A case of Acceptance and Commitment Therapy in the long-term treatment of a severe, multi-problem client

JENNIFER L. BOULANGER, University of Nevada, Reno

Time-series designs are a well-established and effective scientific method for developing and testing new interventions or adapting established treatments for use with unique populations or clinical problems. Time-series, or single-subject designs, focus more intensively on intervention with a smaller number of individuals through the repeated measurement over time of a client's behavior and the context in which it occurs. Because these designs do not require large samples of participants, they are ideal for clinicians who are interested in improving client outcomes and contributing to the scientific literature through their own clinical practices. This symposium will familiarize the audience with the logic of time-series designs, demonstrate the application of these methods through case presentations, and discuss the unique issues that arise in designing and implementing time-series designs in nontraditional research settings. The first paper will describe the logic of time-series designs, with a focus on the multiple-baseline design. To illustrate the application of this method, data on the training of a clinician in Acceptance and Commitment Therapy using videoconferencing will be presented. The second paper will demonstrate how to use repeated measures to choose treatment targets and monitor progress by presenting data on a long-term Acceptance and Commitment Therapy case with a multiproblem client diagnosed with borderline personality disorder. A third paper will present a multiple-baseline evaluation of Acceptance and Commitment Therapy to reduce self-stigma regarding sexual orientation. This study will illustrate the development and evaluation of problem-specific measures and interventions targeted at less overt behaviors. Finally, a single case of Acceptance and Commitment Therapy with a woman with traumatic brain injury will be used as an exemplar of the use of time-series design to determine feasibility for larger-scale clinical trials.

 

51. ACT of Love: Sex and Intimacy Workshop (9:00am-4:15pm): ACT - Clinical/ Relationships

Room: Vrijhof – Vergaderzaal 3

ANDO ROKX, GGNET AAD VAN LEEUWEN, Private Practice

MONIQUE BARNOUW, GGNET

Target Audience: Beginner, Intermediate, Advanced

For most of us and our clients intimate relationships are at the core of what we value in our lives. Relationships seem to be related to physical and mental health, quality of life and even survival. Nevertheless intimate relationships seem to be hard to get and even harder to keep. Divorce rates in the US and in Europe are around 50 % and even higher for second or third marriages. Adultery rates are on a conservative guess 30 %, but in some studies numbers up to 75% are found. Relationships are a major source of emotional pain and suffering even (or maybe, in some cases, especially) if they don't end up in divorce. It's difficult to balance the need for security, intimacy and dependency versus the need for self-development, passionate love, sex, autonomy and honesty. In this workshop we want to linger around these questions. Who are the people who once were so close in your life that it felt they were the one and only you cared for, and where did you lose them? How do you feel about your present relationship, what do you value, and what do you avoid? Where is the longing part, where is the missing part? What have become your solution(s) to "make things work" and what is the price you pay for that? How do sex and intimacy influence each other? What is your story about your partner(s) and your relationship and how does that story relate to the life you value?

Educational Objectives:

  • Getting some understanding of the role of avoidance and conflicting values in intimate relationships.
  • Understanding how "solutions" ( i.e. denial, justification, understanding, creating distance or leading a double life) might create the actual problems.
  • Finding a way to get stuck relationships back on the move again. Partners are caught in their story, that might serve multiple purposes, but stands in the way of getting what they really are longing for. 

 

Thursday Morning 10:45am

 

52. A Group ACTivation Program for Us Old Folks Invited Lecture (10:45-Noon): ACT - Other/ The Aged

Room: Hogekamp – HO 1216

SVEN RYDBERG, PH.D., Fahraeus & Rydberg, Ltd.

Target Audience: Beginner, Intermediate

A behavioural activation format is presented. Purposes: (1) Acceptance of ageing and death for all, (2) commitment to helping others, for those willing, (3) entertainment and socializing. At a Swedish senior-citizens residence, the author has been running weekly 1-hour morning meetings for 1.5 years. Now we usually have 20 minutes (initially more) of unpretentious readings, at times a song, etc.; followed by a previously announced, more formal presentation and/or discussion. Increasingly, invited external and younger presenters, including TV companies, have come. Participants usually have been 12-36, initially 4. Ages: 70-95 years. A small grant finances this mainly qualitative research. It is mainly based on video recordings, interviews, and questionnaires.

 

53. Training Psychological Flexibility and Successful Living Outside of the Clinic Symposium (10:45-11:45am): Other, ACT - Skills, ACT - Clinical/ Experiential Avoidance, Education, E-learning, Research, Parent Training, Autism, Parental Stress

Room: Hogekamp – HO 1220

Chair: GIOVANNI MISELLI, PSY.D., IULM University Milan; IESCUM Italy

Target Audience: Intermediate

• Coping Strategies and the Mediating Role of Experiential Avoidance

TIZIANA PENNATO, University of Pisa

Olivia Bernini, University of Pisa

Fiammetta Cosci, University of Pisa

Carmen Berrocal, University of Pisa

 

• Elearning and behavior modification: Measuring the differences of ACT based and CBT based Podcast on the academic behavior of students of an Italian University

GIOVANNI MISELLI, PSY.D., IULM University Milan; IESCUM Italy

Julian McNally, M.Psych, Counselling Psychologist

Francesco Pozzi, M.S., IULM University Milan; IESCUM Italy

Elisa Rabitti, M.A., IULM University Milan; IESCUM Italy

Giovambattista Presti, M.D., IULM University Milan; IESCUM Italy

Giovanni Zucchi, Psy.D., Villa Maria Luigia Hospital, Parma

Paolo Moderato, Ph.D., IULM University

 

• ACT for parent of childern diagnosed with autism: Developing and evaluating group intervention for supporting parents in Italy

GIOVANNI MISELLI, PSY.D., IULM University Milan; IESCUM Italy

Giovambattista Presti, M.D., IULM University Milan; IESCUM Italy

Paolo Moderato, Ph.D., IULM University Milan; IESCUM Italy

This symposium explores the relevance of ACT related concepts to non-clinical populations. Paper 1 discusses the mediating role of experiential avoidance in the relation of specific forms of coping strategies such as self distraction, denial, behavioral disengagement, and self blame with depression, anxiety, and alexithymia. Paper 2 evaluates the efficacy and effectiveness of two audio e-learning programs on psychological flexibility, performance, and academic behavior with students at an Italian university. The research project, the electronic tools developed, and the preliminary results will be presented and discussed. Paper 3 discusses the development and evaluation of an ACT based group intervention for supporting parents of autistic children. The ACT intervention delivered in a short format and data on its outcomes at follow-ups of 1 and 3 months will be presented.

 

54. Using ACT to empower the unconscious Workshop (10:45-Noon): ACT - Skills/ Social and cognitive psychology

Room: Hogekamp – HO 1224

JACQUELINE A-TJAK, PsyQ at Zaandam, the Netherlands

Target Audience: Beginner

Social and Cognitive Psychology have shown a great interest in the differences between conscious and non-conscious information processing. Research in this area has shown the huge impact of non-conscious information processing on behavior. As such, it is interesting for therapists in general and ACT therapist in particular to make use of this knowlegde and help client to make good use of this unconscious processing. This contribution gives a short overview of research findings and draws conclusions on the consequences for therapy. There will be exepriential exercises to bring these consequences into practice.

Educational Objectives:

  • Gain knowlegde of research findings concerning the unconscious information processing
  • Apply this knowledge to the theory and practice of ACT (therapy)
  • Being able to use this knowledge in the practice of doing therapy

 

55. Assessment, Treatment, and Process in Acceptance and Commitment Therapy for Chronic Illness Symposium (10:45-Noon): ACT - Clinical/ Assessment, Treatment, Process Analysis, Chronic Illness

Room: Hogekamp – HO 1228

Chair: KEVIN E. VOWLES, PH.D., Centre for Pain Research, University of Bath

Target Audience: Beginner, Intermediate, Advanced

• Measuring acceptance and fusion in individuals seeking treatment for chronic fatigue

KEVIN VOWLES, PH.D., Centre for Pain Research, University of Bath Nikie Catchpool, Royal National Hospital for Rheumatic Diseases

Anne Johnson, Royal National Hospital for Rheumatic Diseases

Kathryn Bristow, Royal National Hospital for Rheumatic Diseases

Katherine Hadlandsmyth, University of Missouri - St Louis

 

• The function of acceptance and values in pediatric Sickle Cell Disease

LINDSEY L. COHEN, PH.D., Georgia State University

Aki Masuda, Georgia State University

Kevin E. Vowles, Centre for Pain Research, University of Bath

Josie Welkom, Georgia State University

Crystal Lim, George State University

Amanda Feinstein, George State University

 

• ACT in the treatment of epilepsy: Where are we now and where are we going?

TOBIAS LUNDGREN, University of Uppsala

JoAnne Dahl, University of Uppsala

Lennart Melin, University of Uppsala

Nandan Yardi, Yardi Hospital

Bryan Kies, University of Cape Town

 

• Development and Evaluation of a Self-help based ACT treatment for persons with long-standing chronic pain

 JOANNE DAHL, PH.D., University of Uppsala

Tobias Lundgren, University of Uppsala

In recent years, the burden of chronic illnesses on healthcare systems in the developed world has been increasingly recognized. With the ACT literature, there is now a substantial amount of data indicating that many ACT processes are key predictors of functioning in individuals with chronic illness. The present symposium will highlight new areas of measurement, as well as refinements in areas that have been the subject of previous inquiry. Our intention is to be broad in scope; therefore, data from a number of diverse conditions will be presented (i.e., Chronic Fatigue Syndrome, chronic pain, epilepsy, Sickle Cell Disease) from adolescents and adults. The analyses presented will focus on how key ACT processes can best be approached in clinical and research settings to guide intervention and experimentation.

 

56. RFT Methods Applied to Clinical & Health Psychological Issues Symposium (10:45-Noon): RFT - Research/ RFT-Clinical

Room: Vrijhof – Kleine Zaal

Chair: LOUISE McHUGH, Swansea University

Target Audience: Beginner, Intermediate, Advanced

• Thought Suppression and the Transfer on Stimulus Functions

NIC HOOPER, Swansea University

Louise McHugh, Swansea University

Jo Saunders, Swansea University

 

• Transformation of Health Risk Functions of Pseudo-Food Names

EMILY K. SANDOZ, University of Mississippi

Chad E. Drake, Kelly Wilson, University of Mississippi

 

• Comparing IRAP, IAT and Facial Electromyography (EMG) as measures of implicit attitudes towards the overweight

Sarah Roddy, NUI Galway

IAN STEWART, NUI Galway

 

• Implicit future expectations and autobiographical memory in depression LIV KOSNES, Swansea University

Louise McHugh, Swansea University

Jo Saunders, Swansea University

Robert Whelan, Trinity College

Relational Frame Theory has suggested that language and cognition may be analyzed as derived relational responding, and over the last decade RFT researchers have been exploring a variety of linguistic and cognitive phenomena based on this theoretical interpretation. The present symposium presents a selection of recent studies that demonstrate the application of RFT-based methods to empirical issues in areas of health and clinical psychological interest. Paper 1 investigated the transformation of thought suppression functions; Paper 2 investigated the transformation of health risk functions of pseudo-food names; Papers 3 and 4 employed the Implicit Relational Evaluation Procedure to examine implicit versus explicit anti fat attitudes and future thinking in depression, respectively.

 

57. Stress Reduction through Acceptance and Mindfulness Symposium (10:45-Noon): Other, ACT - Clinical/ Mindfulness, ACT and Work Stress

Room: Vrijhof – Vergaderzaal 5

Chair: IVAN NYKLICEK, PH.D., Tilburg University

Target Audience: Beginner, Intermediate, Advanced

• Can a Mindfulness-Based Stress Reduction Intervention Change Personality?

IVAN NYKLICEK, PH.D., Tilburg University

 

• The Effectiveness of an Acceptance and Commitment Therapy Intervention for Work Stress on Innovation, Cognitive Interference, and General Health Symptoms

ERIN BANNON, Bowling Green State University

This symposium examines the role of mindfulness and acceptance in reducing stress. Paper 1 discusses the effectiveness of a mindfulness-based stress reduction intervention in reducing characteristics of Type D personality and present results from a randomized controlled trial. Paper 2 describes the results of an ACT intervention for work stress and its impact on propensity to innovate, cognitive interference, and general health symptoms.

 

58. New Research on Measuring Stigma and its Relationship to ACT Processes Symposium (10:45-Noon): ACT - Other/ Stigma, ACT Processes

Room: Vrijhof – Vergaderzaal 6

Chair: MICHAEL LEVIN, University of Nevda, Reno

Target Audience: Beginner, Intermediate, Advanced

 

• Measuring weight stigma

Jason Lillis, Ph.D., University of Nevada, Reno

Steven C. Hayes, Ph.D., University of Nevada, Reno

MICHAEL LEVIN, University of Nevada, Reno

 

• Development and Psychometrics of a New Measure of Self-Stigma in Addiction

JASON LUOMA, PH.D., Portland Psychotherapy Clinic, Research, & Training Center, PC

Alyssa Rye, University of Nevada, Reno

Kara Bunting, University of Nevada, Reno

Chad Drake, Portland Psychotherapy Clinic, Research, & Training Center, PC

Barbara Kohlenberg, University of Nevada Medical School

Steven C. Hayes, Ph.D., University of Nevada, Reno

 

• Generalized Prejudice: Testing a Relational Frame Theory Account of Prejudice and Stigma

MICHAEL LEVIN, University of Nevada, Reno

Roger Vilardaga, M.A., University of Nevada, Reno

Jason Lillis, Ph.D., University of Nevada, Reno

Steven C. Hayes, Ph.D., University of Nevada, Reno

Jacqueline Pistorello, Ph.D., University of Nevada, Reno

Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center, PC

Barbara Kohlenberg, University of Nevada Medical School

 

• Predictors of stigma among addictions counselors ROGER VILARDAGA, M.A., University of Nevada, Reno

Jason Luoma, Ph.D., Portland Psychotherapy Clinic, Research, & Training Center, PC

Michael Levin, University of Nevada, Reno

Steven C. Hayes, Ph.D., University of Nevada, Reno

Jacqueline Pistorello, Ph.D., University of Nevada, Reno

Mikaela Hildebrandt, University of Nevada, Reno

Barbara Kohlenberg, University of Nevada Medical School

Nancy Roget, University of Nevada, Reno

 

This symposium will present a series of papers examining stigma and its relationship to ACT processes. Papers will present new measures of self stigma related to weight and substance abuse, as well as potential models for how ACT processes may interact with other important factors to predict stigmatizing attitudes towards oneself and others. 

 

Thursday Lunch 12:00-1:15pm

 

ORIËNTATIE LUNCH VOOR MOGELIJK OP TE RICHTEN NEDERLANDS/VLAAMSE CHAPTER VAN DE ACBS (DUTCH/FLEMISH MEETING) Organizational Meeting

Room: Vrijhof - Kleine Zaal

JACQUELINE A-TJAK, PsyQ at Zaandam, The Netherlands

MARCO KLEEN, BrainDynamics Groningen, PsyAdvies

Target Audience: Dutch/Flemish interested in networking and possibly starting an ACBS chapter

Informatie: deze lunch is bedoeld voor Nederlandstalige ACBS leden die mogelijk geïnteresseerd zijn in het helpen opzetten van een Nederlands-Vlaams ACBS Chapter. Meer informatie bij Jacqueline A-Tjak en/of Marco Kleen.

 

GERMAN-SPEAKING ACT GROUP Organizational Meeting

Room: Vrijhof - Vergaderzaal 5

JAN MARTZ, FMH Psychiatrie und Psychotherapie, ACT-Therapeut, Switzerland

RAINER SONNTAG, Private Practice, Germany

Target Audience: All German speakers interested in networking

 

An opportunity to get connected, vitalize our relationships, and discuss / plan for the further dissemination and development of ACT and RFT in German-speaking countries. Who knows, we might even launch a german-speaking chapter at ACBS? 

 

Thursday Afternoon 1:15pm

 

59. Walking Through an Initial ACT Session Workshop (1:15-4:15pm): ACT - Clinical/ Assessment and Intervention

Room: Vrijhof – Agora

STEVEN C. HAYES, PH.D., University of Nevada

Target Audience: Intermediate

In this session I will present an initial ACT session with an actual client. After considering possible ACT targets we will walk through the session with an eye toward ACT processes.

Educational Objectives:

  • To learn the seven processes that underlie and ACT model.
  • To learn client cues that indicate presence or absence of these processes.
  • To apply these concepts to the interpretation of an actual case.

 

60. ACT in Practice: Case conceptualization in Acceptance and Commitment Therapy Workshop (1:15-4:15pm): ACT - Clinical/ Case conceptualization

Room: Vrijhof – Amphitheater

PATRICIA BACH, PH.D., Illinois Institute of Technology

DANIEL J. MORAN, PH.D., BCBA, Trinity Services, Inc.

Target Audience: Beginner, Intermediate

This workshop will provide a step-by-step framework for functionally conceptualizing client behavior problems, and will discuss selection and application of specific ACT interventions based on the six core ACT processes described in Steven Hayes 'hexaflex' model. Participants will practice experiential exercises and have the opportunity to practice case conceptualization and developing their own ACT consistent interventions, exercises, and metaphors using clinical examples from their own practices. This workshop will be based on content from the publication ACT in Practice: Case Conceptualization in Acceptance and Commitment Therapy, (Bach and Moran, 2008). The workshop will use a case-based approach beginning with instructor supplied cases and later using participants' clinical cases for practice in ACT case formulation, selecting interventions, and assessing the effectiveness of interventions, and outcomes. There will be a 60 minute slide presentation, demonstrations, large group exercises and case-based practice. Participants will be provided with handouts to use with their clients for assessment and homework assignments to augment in session interventions. Worksheets will also be distributed for the participants to use to facilitate ACT case formulation. Educational Objectives: 1. Workshop participants will become familiar with the six core ACT principles of defusion, self-as-context, acceptance, values, committed action, and contacting the present moment, which will be described from a strict behavior analytic perspective. 2. Workshop participants will be able to select ACT interventions appropriate for addressing specific core principles and learn how to apply specific ACT interventions based on the case formulation. 3. Workshop participants will learn to use ACT case conceptualization to facilitate creating one's own ACT consistent metaphors, exercises, and interventions for application in the context of a client's unique history and presenting complaints and assessing the effectiveness of interventions.

 

61. Mindfulness and Acceptance in the Treatment of Depression Workshop (1:15-4:15pm): ACT - Clinical/ Depression

Room: Drienerburght – Zaal A

KIRK STROSAHL, Central Washington Family Medicine

PATRICIA ROBINSON, PH.D., Mountainview Consulting Group

Target Audience: Intermediate, Advanced

ACT has been shown to be an effective treatment for clinical depression. In this workshop, participants will learn a systematic approach to depression using ACT principles. Based on the Mindfulness and Acceptance Workbook for Depression (Strosahl & Robinson, 2008), attendees will learn how emotional avoidance and fusion with unworkable rules about living combine to foster depression. In the ACT model, depression is a result of systematic avoidance of more pressing personal issues. Attendees will learn an 8 step approach to depression that helps the patient identify core values; understand the protective role that depression plays in avoiding painful private experiences; identify strategies for separating self from the products of reactive mind; identify and defuse from self defeating story lines that reinforce depressive behaviors; and techniques for developing an "ACT lifestyle" that will help inoculate the patient against relapse. Video demonstrations and small group role-playing will be used to demonstrate core treatment strategies.

Educational Objectives:

  • Learn how emotional avoidance and fusion with unworkable rules about living combine to foster depression.
  • Learn an ACT-consistent 8 step approach to addressing depression symptoms
  • Learn techniques for developing an 'ACT lifestyle' that will help inoculate patients against relapse

 

62. Child ACT-ing with Functional Contextualism: From the Playroom to the Supervisor's Office Workshop (1:15-4:15pm): ACT - Clinical/ Children

Room: Drienerburght – Zaal B

AMY R. MURRELL, University of North Texas

AMANDA C. ADCOCK, University of North Texas

Target Audience: Beginner, Intermediate, Advanced

Contrary to the traditional majority view of adult psychopathology, the psychological distress of child clients has often been conceived in contextual terms. The influence of environmental factors on children is, in deed, a cornerstone of developmental psychology. This influence is seen in a variety of treatment approaches, including psychoanalysis, cognitivism, and behaviorism alike. The definition of context has expanded over time; and now, many clinical scientists, from varying theoretical backgrounds, acknowledge that such influence is complex and interactive - including internal as well as external - and historical, as well as current, events. This broad definition of context as relevant to child development and distress is fitting of Acceptance and Commitment Therapy (ACT). The underlying philosophy of ACT is functional contextualism (FC). Derived from radical behaviorism, functional contextualism focuses on behavior ongoing in and with context. Individuals subscribing to FC as their worldview, such as ACT therapists, can thus see clients sitting inside a rich and broad context of environmental stimuli. This examination allows for a view of child clients, and people in general, as whole, complete, and perfect. A brief overview of contextual approaches to child treatment will be presented, most heavily emphasizing ACT. The effectiveness of FC as it relates to therapy and supervision will be discussed. The presenters will describe examples of how FC informs their approach to clinical work, primarily using examples of child clients. Presenters will also focus on how a FC approach informs training. This workshop will be primarily didactic; however, some role plays and experiential work will be used.

Educational Objectives:

  • Learn how to conduct an ACT consistent functional analysis with a child client.
  • Learn how to recognize how functional contextualism is related to therapeutic stance.
  • Learn how to facilitate transfer of information from therapy to supervision and vice-versa.

 

63. A Practitioner's Field Guide to Developing Effective Language Training Programs Using Relational Frame Theory (RFT): Part 2- From Research to Practice Workshop (1:15-4:15pm): RFT - Clinical/ RFT-Research, ABA, Early Language Training Programs, Education, Fluency, Precision Teaching

Room: Drienerburght – Zaal C

NICHOLAS M. BERENS, University of Nevada, Reno/ Center for Advanced Learning, Inc.

TIMOTHY WEIL, University of South Florida

CARMEN LUCIANO & FRANCISCO JOSÉ RUIZ-JIMÉNEZ, Universidad de Almería

MARTHA PALAEZ, Florida International University

Target Audience: Beginner

This two part workshop will guide practitioners and researchers through the basics of RFT, how to conceptualize early language training programs using RFT, and finally using the core premises of RFT in more traditional educational programs. The second workshop will provide a brief review of the main concepts of RFT that are relevant to early language training, review some new developments in the RFT research base that are relevant to practitioners, and provide examples of more advanced clinical strategies that promote language development. Experts in the field will show their data, present clinical videos, and engage attendees in activities that will translate into good clinical work. This workshop will be ideal for practitioners and researchers interested in accelerating language development for semi-verbal children, who work with children with learning disabilities, and who just want to get a deeper understanding of RFT.

Educational Objectives: Attendees will:

  • understand the current state of the RFT research base as it applies clinical settings dealing with language training,
  • be able to translate recent research into their current practice, &
  • understand more advanced or later developing frames (e.g., temporal/spacial, deictic, hierarchical, and relations among relations) and be able to conceptual how to target those behavior in a clinical setting.

 

64. ACT and Living Successfully with Psychotic Experience Symposium (1:15-4:15pm): ACT - Clinical/ Psychosis, ACT Processes, Intervention, Research

Room: Hogekamp – HO 1216

Chair: DAVID GILLANDERS, University of Edinburgh, U.K.

Target Audience: Beginner, Intermediate, Advanced

• Acceptance and Present-Moment Processes with People who Hear Distressing Voices

ERIC MORRIS, Institute of Psychiatry, U.K.

Philippa Garrety, Institute of Psychiatry, U.K.

Emmanuelle Peters, Institute of Psychiatry, U.K.

 

• Psychotic Symptoms and Illness Beliefs do not Predict Successful Valued Living With Psychosis, But Psychological Flexibility Does.

LAURA WEINBERG, NHS Fife, U.K.

DAVID GILLANDERS, University of Edinburgh, U.K.

 

• The Relationship between Self-Schemas, Illness Beliefs, Psychological Flexibility and Distress in people with Psychosis.

REBECCA LOWER, NHS Forth Valley, U.K.

DAVID GILLANDERS, University of Edinburgh, U.K.

 

• The Impact of Psychological Flexibility and Negative Schemas on Changes in Delusional Ideation Over Time

JOE OLIVER, South London & Maudsley NHS Trust, U.K.

KENNEDY MCLACHLAN, Open Polytechnic, New Zealand

• Developing a trans-diagnostic ACT group in an acute psychiatric inpatient ward.

GORDON MITCHELL, NHS Fife, U.K.

AMY MCARTHUR, NHS Fife, U.K.

LAURA WEINBERG, NHS Fife, U.K.

Lucy Clark, NHS Fife, U.K.

Marie Mirfield, NHS Fife, U.K.

In this symposium we will explore ACT relevant processes such as avoidance, fusion, acceptance, present-moment processes, beliefs, schema, distress, and behaviour as these apply to living successfully with psychotic experiences. Papers will outline original clinical research on ACT processes and interventions for this client group.

 

65. ACT for Disordered Eating: Conceptualization, Assessment, and Intervention Workshop (1:15-4:15pm): ACT - Clinical/ Disordered Eating

Room: Hogekamp – HO 1220

EMILY K. SANDOZ, University of Mississippi

LINDSAY M. MARTIN, University of Mississippi

Target Audience: Beginner, Intermediate, Advanced

Disordered eating is a class of behaviors associated with devastating disruptions of life, frightening medical consequences, and traditionally unsuccessful interventions. Acceptance and Commitment Therapy (ACT) is an emerging behavior therapy that may offer a unique approach to changing an individual's relationship with food, the body, the self and others in service of a life that he or she values. This workshop will focus on a combination of didactic and experiential orientation to conceptualization, assessment, and treatment of disordered eating from an ACT perspective.

Educational Objectives:

  • Become oriented to empirical support for ACT with eating disorders
  • Learn how to conceptualize disordered eating from an ACT perspective
  • Learn strategies for treatment of disordered eating from an ACT perspective

 

66. Teaching ACT More Directly & Making Room for "Second Wave" Moves Workshop (1:15-4:15pm): ACT - Clinical/ Teaching more directly

Room: Hogekamp – HO 1224

HANK ROBB, PH.D., Private Practice

Target Audience: Beginner, Intermediate, Advanced

Many practitioners attempting to grasp the basic moves in ACT find the explanations often get in the way. In this workshop participants will experience more direct methods to transmit basic ACT moves including acceptance, defusion, self-as-context, committed action, values and contact with the present moment; all of which are aimed collectively at developing psychological flexibility. Additionally, the workshop will show practitioners how to "make room" for "Second Wave" Behavior Therapy moves. The workshop aims to demonstrate A way, not THE way, to introduce ACT processes in preparation for their use to address troublesome life issues. Participants will watch this introductory protocol conducted with a workshop participant in a manner similar to that provided to most of the speaker's new clients. Participants will be asked to offer personal or role-play case material with the aim of seeing how that material can be situated in this landscape of ACT processes and addressed within that context. Participants will discuss and integrate what they have experienced.

Educational Objectives:

  • Observe more direct methods of instantiating ACT principles while including "Second Wave" moves;
  • Explore the application such methods actual issues;
  • Consider ways to incorporate basic moves in participant's repertoire.

 

67. Issues of Values and Committed Action in the Context of End of Life Workshop (1:15-4:15pm): ACT - Skills/ End of Life

Room: Hogekamp – HO 1228

MARTIN BROCK, Institute of Mental Health Nottingham

SONJA V. BATTEN, PH.D., University of Maryland School of Medicine

Target Audience: Intermediate, Advanced

Within the ACT model, the context for change is underpinned by a focus on the processes of Values and Committed Action, that is, defining and pursuing the path that makes one's life rich and meaningful. End of life presents a stark perspective to view these processes, provides unique opportunities and challenges for both clients and therapists and is indeed the one event that will happen in all our lives. This workshop will offer an experiential setting in which to explore these issues and will give the opportunity to practice relevant techniques with each other. We propose that whether or not clinicians specifically work with clients at end of life, these issues will face all clients from time to time, or their family members -- thus affecting the work of therapy. In addition, we suggest that an ongoing awareness of the inevitability of end of life can energize both day to day living, and the clinical setting.

Educational Objectives:

  • Learn about current data relevant to ACT approaches to End of Life
  • Explore the challenges presented by End of Life, either for self or loved ones
  • Explore utilising components of values and committed action in context of awareness of imminent or future end of life

 

68. The Implicit Relational Assessment Procedure (IRAP): Where From, How To, and Where To Workshop (1:15-4:15pm): Other/ IRAP

Room: Vrijhof – Kleine Zaal

NIGEL VAHEY, National University of Ireland Maynooth

IAN STEWART, National University of Ireland Galway

LOUISE MCHUGH, University of Wales Swansea

LIV KOSNES, University of Wales Swansea

Dermot Barnes-Holmes, NUI, Maynooth

Target Audience: Beginner, Intermediate

A key objective of the workshop will be to summarise the key empirical literatures that gave rise to the IRAP, and to then collate the rapidly expanding IRAP literature itself. The authors will draw on this empirical base to outline key principles of how best to design and implement IRAPs so as to both maximise precision and minimise attrition. These principles will be illustrated in practice for workshop participants by the workshop facilitators. The IRAP is a computerised response-time measure derived from an integration of the account of human language and cognition provided by Relational Frame Theory (RFT), and the substantial cognitive literature addressing so-called “implicit” attitudes. In broad terms the model underlying the IRAP conceptualises implicit effects as being driven by immediate and relatively brief relational responses; in contrast, explicit (self-report) measures then are thought to reflect more elaborated and coherent relational response networks for which implicit attitudes are precursors. More simply, the IRAP captures spontaneous and automatic evaluative responses, whereas self-report measures capture more carefully considered deliberative reactions. Whereas explicit measures are frequently criticised as suffering from the limitations of introspection, and as largely reflecting a person’s tendency to respond in a socially desirable manner, implicit measures are relatively impervious to such confounding biases. Indeed, to date numerous studies have shown that the IRAP supplements traditional explicit measures, to provide greater prediction of target behaviours and a more precise understanding of the processes of attitude and behaviour change (see http://psychology.nuim.ie/IRAP/IRAP_Articles.shtml). Implicit attitudes appear to be particularly useful in the analysis of relatively established behaviours that do not often come under deliberative control such as those underlying addictive compulsions or prejudice. The workshop facilitators will provide workshop participants advice on how best to harness these strengths for the purposes of their individual research interests.

Educational Objectives:

  • To describe, introduce and place the IRAP within the extant literature. This will include communicating the broad psychometric properties of the IRAP within the theoretical framework of the newly offered Relational Elaboration and Coherence Model (RECM), a model derived from RFT.
  • Using role-play, to provide workshop participants with the core practical knowledge of how to prepare and maintain subjects across the IRAP procedure. This information is particularly important for minimising the substantial possibility of task attrition among novice users.
  • To use role-play experience to illustrate important IRAP design parameters that have a bearing on the difficulty and relevance of each IRAP design to target groups. The objective is to equip workshop participants decide between the qualities of competing IRAP designs for their particular application.

 

69. Relational Frame Theory (RFT) for Dutch-speaking participants: The theory, its rootings and implications Relational Frame Theory (RFT): De theorie, haar oorsprong en implicaties Workshop (1:15-4:15pm): RFT - Other/ RFT - Concepts, history, applications

Room: Vrijhof – Vergaderzaal 5

HUBERT DE MEY, PH.D., Radboud University Nijmegen

Target Audience: Beginner, Intermediate

Deze workshop bestrijkt het brede gamma van aspecten die te maken hebben met RFT. Eerst komen de fenomenen aan de orde die middels RFT verklaard moeten worden. Vervolgens geef ik een inleiding in basisbegrippen van de gedragsanalyse, een noodzakelijk preludium omdat RFT niet uit de lucht komt vallen maar naadloos aansluit op de onderzoeksagenda van B.F. Skinner en het onderzoek van Murray Sidman. In de ontwikkeling van RFT staat het experiment, met menselijke deelnemers, centraal. Ik zal laten zien dat hoe dit gebeurt, en hoe deze experimenten ons hebben geleid naar het juiste inzicht in de rol van taal en cognitie. Dit inzicht wordt ons verschaft door het baanbrekende werk van Steven Hayes c.s. in Amerika, en van Dermot Barnes-Holmes c.s. in Ierland. Rule-governed behavior (RGB) is een term door Skinner bedacht ter onderscheiding van “contingency-shaped,” en heeft duidelijk gemaakt hoe belangrijk taal en cognitie zijn in de sturing van gedrag. RGB maakt gebruik van relational frames. Wat is relational framing, hoe komt het tot stand, wat doet het, en waarom is het geen cognitieve theorie maar gaat het wel over cognities? Deze en andere vragen zijn onderwerp van de workshop. Deze workshop is dus breed van opzet, en geeft de deelnemer een beeld van het grote belang van de gedragsanalyse, en van RFT in het bijzonder, ten behoeve van de praktijk van alledag, van de clinicus, de opvoeder, de therapeut, de maatschappelijk werker, de onderwijzer, maar ook van de econoom en de politicus, zeker in tijden waarin de door hen gefêteerde neoliberale theorie van de vrije markt heeft bewezen psychologisch niet levensvatbaar te zijn.

Educational Objectives:

  • Learn how to evaluate the role of private events (language and cognition) in the determination of behavior.
  • Learn how to set up an experiment on equivalence learning.
  • Learn how to better appreciate and specify the role of context in the analysis of contingencies.

 

70. Developing Your Skills as an ACT Trainer, Part 2 Workshop (1:15-4:15pm): ACT - Skills/ Training Room: Vrijhof – Vergaderzaal 6

JASON LUOMA, PH.D., The Portland Psychotherapy Clinic, Research, & Training Center, PC

ROBYN D. WALSER, PH.D., National Center for PTSD at the VA Palo Alto

Target Audience: Intermediate, Advanced

This workshop is part two of a two-part workshop. In this second part of the workshop, a series of exercises and didactic segments will be developed by experienced trainers that will respond to training needs identified in part one of the workshop. This workshop is intended for those who are interested in developing their skills as trainers and supervisors in Acceptance and Commitment Therapy.

Educational Objectives:

  • Learn new ways to respond to difficult points in training.
  • Learn new ideas for how to address future training needs.
  • Engage experiential exercises designed to help with trainer flexibility.

 

Thursday Plenary 4:30-5:45pm

 

71. Presidential Address: The Importance of RFT to the Development of Contextual Behavioral Science Presidential Address (4:30-5:45pm): RFT - Other/ Contextual Behavioral Science

Room: Vrijhof – Agora/ Amphitheater

STEVEN C. HAYES, PH.D., University of Nevada, Reno

Target Audience: All

ACBS is not about acceptance and commitment therapy or even third generation CBT more generally -- it is about creating a more progressive psychology based on a developmental strategy called "contextual behavioral science." In this talk I will review the progress of Relational Frame Theory, and its importance to that development strategy. RFT is showing itself to be a clinically useful analysis, with good precision, scope, and depth in a domain that has challenged psychology since its inception. As progress continues, RFT will present opportunities for the ACBS community but it will take considerable effort to realize those opportunities.

Educational Objectives:

  • Learn what context behavioral science is.
  • Learn some of the recent progress in RFT research.
  • Learn some ways in which RFT can be clinically useful. 

 

Thursday Night Dinner & Follies

6:00pm-12:00am Dinner (6:00-8:00pm)

Room: Vrijhof – Audiozaal

 

Follies (8:15-10:00pm)

 Room: Vrijhof – Agora/Amphitheater

 

Music/Dancing (9:30pm-12:00am)

Room: Vrijhof – Audiozaal

 

Friday Morning 9:00am

 

72. ACT With Love Workshop (9:00-Noon): ACT - Clinical/ Relationship Issues

Room: Vrijhof – Agora

RUSS HARRIS, M.D., private practice, Melbourne, Australia

Target Audience: Beginner, Intermediate, Advanced

This workshop, which draws on my forthcoming book "ACT With Love" looks at how we can simply and effectively apply the ACT model in relationship issues - whether one or both partners attend sessions! ACT is very effective with relationship issues. (I base this statement not just on my own clinical experience, but on that of anecdotal evidence from numerous other therapists I have trained). The workshop is both didactic and experiential. Experiential components focus on compassion, acceptance and forgiveness of a partner. Attendees will also get the opportunity to practise some simple exercises in pairs, to learn some useful defusion techniques for couples.

Educational Objectives:

  • Learn a simple model for applying ACT to relationship issues
  • Learn to adapt classic ACT exercises to couples
  • Learn a simple technique for developing compassion

 

73. ACT and Mindfulness with chronic pain Symposium (9:00-10:30am): ACT - Clinical/ chronic pain

Room: Vrijhof – Amphitheater

Chair: ERNST BOHLMEIJER, Ph.D, University of Twente

Target Audience: Beginner, Intermediate, Advanced

• Results of a meta-analysis

Martine Veehof, University of Twente

ERNST BOHLMEIJER, Ph.D, University of Twente

 

• A multidisciplinary approach in a rehabilitation centre

KARLEIN SCHREURS, PH.D., Roessingh Rehabilitation Centre, University of Twente

 

• ACT in Teams

PETER HEUTS, Rehabilitation physician; Rehabilitation Centre Leijpark, Tilburg

The aim of this symposium is to present and discuss current evidence for ACT and mindfulness as treatment of chronic pain and the implementation of ACT in multidisciplinary rehabilitation treatments. Results of a meta-analysis Paper 1 presents the results of a meta-analysis of 15 studies on the effects of acceptance-based therapies (Mindfulness and ACT) with people with chronic pain on mental and physical health. Paper 2 discusses the implementation of ACT interventions in one of the inpatient programs for chronic pain at the pain department of the Roessingh Rehabilitation Centre started in 2005. Treatments are delivered in groups of 6 to 7 patients. The program consists of three days inpatient treatment during eight weeks and one day of treatment six months later. Values are introduced to all patients in the first four weeks of the program. In the second part, four group sessions of ACT are offered to those patients who show the most experiential avoidance. These ACT interventions are implemented in a context of a multidisciplinary treatment delivered by psychologists, physiotherapists, occupational and sport therapists and social workers, supervised by a rehabilitation physician. When we started, the psychologists were the only professionals who were trained in ACT. Meanwhile, the other professionals are more aware of ACT, although most of them have not yet followed any form of training. Results of this program will be presented. We would like to discuss the design of the studies, measurement instruments and the challenges of implementing ACT in a non-academic setting with professionals of different education. Paper 3 describes the development and implementation of an ACT training for multidisciplinary teams. The training consists of 5 lines (i.e.: introduction in RFT; clinical ACT model/hexaflex; case conceptualization; personal development of the care provider; exercises & metaphores). The training consists of 3 sessions of 2 days each. The first session is mainly informative and partly experiential. The second and third sessions are highly experiential and offer plenty of opportunity to develop skills. We would like to share our experiences with this programme with colleagues for the purpose of further development of multidisciplinary work with ACT.

 

74. Sticky Thoughts & Other Unwanted Experiences Workshop (9:00-Noon): ACT - Skills/ Intrusive Thoughts

Room: Drienerburght – Zaal A

ROBYN D. WALSER, PH.D., National Center for PTSD

MARTIN BROCK, Institute of Mental Health Nottingham

Target Audience: Intermediate, Advanced

Acceptance and Commitment Therapy (ACT) is a promising treatment that is progressing contemporary psychological approaches more appropriate to the human condition. Within the ACT model the context for change is underpinned by a focus on the role of experiential avoidance and the associated control agenda. The current data for ACT is promising and the ACT model suggests that developing willingness to be present to currently avoided thoughts and other unwanted experiences is helpful. However it is apparent , particularly within presentations such as Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD) that some thoughts and experiences seem more "sticky" than others. That is, the intrusive nature of these kinds of thoughts can be highly distressing and motivation to abate, avoid or eliminate them is strong. Willingness to be present to these types of thoughts is challenging, given their nature and the attendant social disapproval. This workshop will offer an experiential setting in which to explore these issues and will give the opportunity to practise relevant techniques with each other designed to promote willingness and acceptance around these sorts of "sticky" experiences.

Educational Objectives:

  • Explore typical "sticking points" in developing willingness to be present to unwanted thoughts and experiences.
  • Explore how one's personal fusion as a therapist and non-acceptance may be an obstacle.
  • Develop enhanced skills in recognising and responding to experiential avoidance as it is related to particularly challenging thoughts found in OCD and PTSD.

 

75. Contextual Behavioral Science and ACT/RFT: Discussing scientific strategy and future directions in research Workshop (9:00-Noon): ACT - Other/ Philosophy of Science, Research Methods in ACT/RFT

Room: Hogekamp – HO 1212

MICHAEL LEVIN, University of Nevada, Reno

ROGER VILARDAGA, University of Nevada, Reno

JENNIFER BOULANGER, University of Nevada, Reno

Target Audience: Beginner, Intermediate, Advanced

The ACT/RFT research program is part of a larger scientific strategy within psychology, which we term contextual behavioral science (CBS). Features of CBS include a clear explication of philosophical assumptions, development of analytic abstractive theoretical models from basic research, and an expanded list of methodologies used to answer research questions. Exploring the various features of our scientific strategy can be helpful for evaluating the current progress of the ACT/RFT research program and provide insight into future directions for research. The current workshop will involve an interactive discussion with attendees regarding CBS and the ACT/RFT research program. During the workshop we will present an overview of CBS, outlining its key features. The audience will engage in an active discussion around each of these features, including their role in ACT/RFT research and areas for further development and exploration such as new methodologies to use or questions to address. We will discuss functional contextualism and how it informs theory, methodology and intervention technologies. We will discuss the important role of basic research and how this work can inform the development and refinement of theoretical models of pathology and intervention. We will then discuss the variety of methodological approaches employed within CBS to address our scientific questions including measurement development, component studies, processes of change research, time series designs, RCTs, effectiveness research, and training studies. Other features of CBS, such as the need to foster dissemination in the community and the culture at large will also be discussed. A review of the current ACT literature, and to a lesser extent RFT, from the perspective of this CBS approach will be presented throughout and audience members will engage in evaluating the current success in meeting the goals of CBS and potential future directions, including the exploration of new research questions and the use of new methodologies.

Educational Objectives:

  • To present a review of the specific goals and features of contextual behavioral science
  • To discuss the success of current ACT and RFT research in meeting these goals
  • To discuss future research directions for ACT and RFT research based on these reviews

 

76. Practical mindfulness for meditation hating clients: The appliance of heartrate coherence training Workshop (9:00-10:30am): ACT - Clinical/ Mindfulness

Room: Hogekamp – HO 1216

MARCO KLEEN, BrainDynamics Groningen, PsyAdvies

Target Audience: Beginner, Intermediate, Advanced

In ACT the concept of mindfulness is applied pragmatically. The effectiveness of the exercises taught are more important than their theoretical form. When confronted with clients who do not like meditation-like interventions heartrate coherence training is an option. By using an easy to apply biofeedback method clients can be taught defusion and mindfulness skills without spending hours exploring raisins.

Educational Objectives:

  • Learn about the possibities to use biofeedback within an ACT context.
  • Learn about heartrate variability as a possible biological marker for mindfulness.
  • Think about ways to let 'difficult clients' make use of mindfulness.

 

77. Young clinical ACT researchers from Uppsala University Symposium (9:00-Noon): ACT - Clinical/ pain, epilepsy, obesity, LGBT teenagers

Room: Hogekamp – HO 1220

Chair: JOANNE DAHL, PH.D., University of Uppsala, Sweden

Target Audience: Beginner, Intermediate, Advanced

• A short term self help based manual treatment for patients with severe chronic pain

JENNY THORSELLl, University of Uppsala, Sweden

REBECCA TINGVALL, Uppsala University

ANNA FINNAS, Uppsala University

MARIA GYBRANT, University of Uppsala, Sweden

Emma Jokimaki, Moa Brathen, Elin Waxin, Karin Andersson, Sofia Fredriksson, Johanna Aronsson

 

• Acceptance and Commitment Therapy for Increase of Social Support in Families of Lesbian, Gay and Bisexual Youth: A pilot study with multiple baselines

MALIN DAHLSTROM, University of Uppsala, Sweden

EMMA WALLIN, University of Uppsala, Sweden

 

• Acceptance and Commitment therapy for bariatric surgery patients JoAnne Dahl, University of Uppsala, Sweden

SANDRA WEINELAND, University of Uppsala, Sweden

 

• ACT in the treatment of epilepsy: Where are we now and where are we going

TOBIAS LUNDGREN, MS, University of Uppsala, Sweden

JoAnne Dahl, University of Uppsala, Sweden

Lennart Melin, University of Uppsala, Sweden

Nandan Yardi, Yardi Hospital, Pune

Bryan Kies, University of Cape Town, South Africa

The aim of this symposium is to show the research activity in clinical research research applications in the ACT model. The symposium will show a wide range from on-going research, to completed master theses, doctoral level research. The application cover ACT treatments of chronic illness such as pain, epilepsy, and obesity as well as other applications such as problems of acceptance between parents and LGBT teenagers. Many of these applications use internet based treatment and are as a rule are very short and cheap.

 

78. Explorations into ACT and Literature Symposium (9:00-10:30am): ACT - Clinical/ Literature

Room: Hogekamp – HO 1224

Chair: MAUREEN K. FLYNN, University of Mississippi

Target Audience: Beginner, Intermediate, Advanced

• Crying Out in the Dark: A Look into ACT and Literature

MAUREEN K. FLYNN, University of Mississippi

Kelly Wilson, Ph.D., University of Mississippi

 

• My Deep and Abiding Interest in Transitions

KELLY G. WILSON, Ph.D., University of Mississippi

 

• Once, Twice, Three Times a Loser: Cognitive Fusion and the Antihero in Mid-Twentieth Century American Short Fiction

TROY DUFRENE, New Harbinger Publications

Many forms of psychological inflexibility that people often experience are exemplified in the mediums of literature and poetry. Through these works, the ubiquity of human suffering can truly be seen and felt. Their words resonate with the anguish and freedom that our neighbors, friends, co-workers, clients, family members, and perhaps even ourselves experience at some point in life. This symposium will examine three examples of such experiences from an Acceptance and Commitment Therapy (ACT) conceptualization.

 

79. Behavioral Approaches to Learning Using Derived Relational Responding and Fluency Symposium (9:00-10:30am): RFT - Research, Behavior Analysis/ Establishing Relational Responding, RFT in Education, Behavioral Momentum and Fluency Training

Room: Hogekamp – HO 1228

Chair: NICHOLAS M. BERENS, University of Nevada, Reno/Center for Advanced Learning

Target Audience: Beginner, Intermediate, Advanced

• Acquisition and fluency of the arbitrarily applicable derived relational responding in accordance with opposition and comparison contexts

Rosa M. Vizcaíno, University of Almería

Carmen Luciano, Ph.D., University of Almería

Vanessa Sánchez, University of Almería

FRANCISCO RUIZ, University of Almería

 

• Increasing the Rate of Derived Relational Responding: An Applied Investigation

NICHOLAS M. BERENS, University of Nevada, Reno/Center for Advanced Learning

Steven C. Hayes, Ph. D., University of Nevada, Reno

Kimberly N. Berens, Ph. D., Center for Advanced Learning/UNR

 

• A Demonstration of an Easy Token Economy in an Applied Setting

ALYSSA WILSON, University of Mississippi

Jonathan H Weinstein, University of Mississippi

Kelly G. Wilson, University of Mississippi

Karen Kate Kellum, University of Mississippi

This symposium will discuss aspects of a behavioral approach to education and learning, particularly derived relational responding and fluency. Paper 1 describes a study with a four-year old child to examine the process involved in establishing fluency and flexibility across several frames of relational responding. Paper 2 evaluates the use of a fluency criterion across multiple exemplars of derived relational responding with synonyms and antonyms to improve the rate of responding to novel sets of stimuli. Paper 3 discusses an intervention to increase the target behavior and demand compliance of a participant at an after-school tutoring program.

 

80. Relational Frame Theory: An overview of the evidence to date Workshop (9:00-Noon): RFT-Research/ Empirical Evidence

Room: Vrijhof – Kleine Zaal

IAN STEWART, NUI Galway

EMILY K. SANDOZ, University of Mississippi

Target Audience: Intermediate, Advanced

Relational Frame Theory (RFT; e.g., Hayes, Barnes-Holmes & Roche, 2001) is a comprehensive account of language and cognition from a behaviour analytic perspective, with potential applications in disparate areas of psychology and current applications in such major areas as adult clinical psychotherapy, education, developmental delay, occupational and social psychology. The present workshop will introduce the core principles of RFT and present an up-to-date overview of the empirical evidence in favour of this approach, including work by RFT researchers and others whose work strongly supports the RFT conception of language as arbitrarily applicable relational responding. The workshop will attempt to convey the current state of the evidence as well as possible future directions for RFT research. Implications for clinical research and practice will also be discussed.

 

81. Living a Vital Life with Obsessions: Treating OCD with ACT Workshop (9:00-Noon): ACT - Clinical/ OCD

Room: Vrijhof – Vergaderzaal 5

JENNIFER PLUMB, M.A., University of Nevada, Reno

BENJAMIN SCHOENDORFF, Calypsy, Lyon, France

Target Audience: Beginner, Intermediate, Advanced

Obsessive-compulsive disorder (OCD) is one of the few DSM diagnoses that is functionally defined. The DSM criteria for OCD is more dimensional (as opposed to categorical) than many other disorders, and as such is more amenable to a functional approach to treatment such as ACT. ACT can be successfully applied to OCD due to its 1) focus on acceptance, defusion, self-as-context and mindfulness strategies aimed at changing the function (rather than the form or frequency) of obsessions, and 2) focus on increasing values-based behavior (as opposed to behavior predominantly in the service of reducing obsessions) in the face of such uncomfortable private experiences. ACT is also suitably flexible to work with many forms of OCD, including sub-types of OCD deemed difficult-to-treat (e.g., hoarding, primary obsesssional cases) and behaviors on the O-C spectrum (e.g., tics, skin-picking, hair-pulling). In this workshop we will discuss a) state of the extant literature on ACT for OCD, b) case conceptualization of OCD and O-C spectrum cases from an ACT perspective including a discussion about exposure from an ACT perspective, c) the challenges associated with using ACT in this population, d) OCD-specific assessment instruments, and e) specific methods we have found fruitful in treating OCD. This workshop will be interactive, and participants will be asked to take part in experiential exercises and role plays.

Educational Objectives:

  • Understand the relevance of the ACT model for the treatment of OCD
  • Experientially contact some of the difficulties faced by OCD sufferers
  • Learn how to flexibly use ACT moves and exercises with OCD sufferers

 

82. Relational Frame Theory - Basic concepts and clinical implications Workshop (9:00am-4:15pm): RFT - Other/ A conceptual overview of RFT with a clinical focus

Room: Vrijhof – Vergaderzaal 6

NIKLAS TÖRNEKE, NT Psykiatri, private practice

JASON LUOMA, PH.D., Portland Psychotherapy Clinic, Research, and Training Center; Private practice Target Audience: Intermediate

Relational Frame Theory (RFT) is the result of an attempt to deal with the area of human language and cognition from a behavioural perspective. Together with well known principles of operant and respondent conditioning it forms the theoretical basis of Acceptance and Commitment Therapy. This workshop presents the basic concepts of RFT. The workshop also shows how these concepts can be used to understand common psychological problems and give directions for clinical interventions. The workshop is mainly didactic but will include some experiential parts for illustrative purposes. It is assumed that partakers have a basic understanding of operant and respondent learning.

Educational Objectives:

  • To give the attendees an understanding of all the basic concepts of RFT
  • To show the relevance of RFT for understanding psychological problems
  • To show how RFT can be used to understand the central therapeutic strategies of ACT

 

83. Short mindfulness interventions with the old, the young and the fearful Symposium (9:00-10:30am): Behavior Analysis/ Mindfulness

Room: Vrijhof – Vergaderzaal 3

Chair: LOUISE McHUGH, Swansea University

Target Audience: Beginner, Intermediate, Advanced

• Short web-based manipulation of self-focused attention: a comparison of Attention Training and mindfulness

JEAN-LOUIS MONESTÈS, Service Universitaire de Psychiatrie - Neurosciences Fonctionnelles & Pathologies – CNRS UMR 8160 - Centre Hospitalier Ph. Pinel.

Matthieu Villatte, Université de Picardie Jules Verne,

Amiens G. Loas, Service Universitaire de Psychiatrie - Neurosciences Fonctionnelles & Pathologies – CNRS UMR 8160 - Centre Hospitalier Ph. Pinel

 

• Can changing perspective on one’s own experience increase awareness of negative psychological events in others?

MATTHIEU VILLATTE, PH.D., Université de Picardie Jules Verne, Amiens

Louise McHugh, Swansea University

Jean-Louis Monestès, Service Universitaire de Psychiatrie - Neurosciences Fonctionnelles & Pathologies – CNRS UMR 8160 - Centre Hospitalier Ph. Pinel.

 

• The Behavioural Approach Test (BAT); Thought Suppression Vs Mindfulness

NIC HOOPER, Swansea University Laura Davies, Swansea University Louise McHugh, Swansea University

 

• Stimulus over-selectivity as a model of cognitive functioning in older adults: Mindfulness as a potential intervention

LOUISE McHUGH, Swansea University Anna Simpson, Swansea University

Phil Reed, Swansea University

The current symposium consists of four papers the unifying concern of which is the empirical testing of short mindfulness interventions. The first paper involves a web-based manipulation of mindfulness (self-focused attention) and an unfocused attention intervention. The second paper involves comparing level of mindfulness and psychological flexibility when taking ones own versus another person's perspective in both positive and negative emotional contexts. The third paper compares mindfulness and thought suppression as coping strategies for phobic individuals with phobia related content. The final paper investigates the utility of mindfulness versus unfocused attention in overcoming dysfunctional levels of stimulus over-selectivity in an elderly population. The findings from all four studies suggest the utility of mindfulness in comparison with other interventions including unfocused attention and thought suppression in a range of populations. 

 

Friday Morning 10:45am

 

84. ACT as public mental health Workshop (10:45-Noon): ACT - Clinical/ perevention

Room: Vrijhof – Amphitheater ERNST BOHLMEIJER, PH.D., TU Twente ANDO ROKX, MSc, GGNET

Target Audience: Beginner, Intermediate

Many people suffer from mild or moderate psychological distress. The presence of mild (subclinical) symptoms e.g. depression, anxiety is the most important risk factor for developing clinical disorders. Experiential avoidance possibly plays an important role in this process. However most people do not seek help. Acceptance and commitment therapy (ACT) could be actively offered to the general population. As an early intervention, it could help people to accept their distress and commit to their values. And thereby prevent unnecessary long duration or deterioration of distress. The University of Twente developed a new preventive intervention for adults with mild to moderate psychological distress: Voluit Leven (living to the full). It is a group intervention for 8-10 people that consists of 8 sessions of 2 hours. It is based on acceptance and commitment therapy (ACT) and mindfulness. Recruitment takes place by advertisements and interviews in local newspapers. The workshop will start with some exercises from the intervention. We will then present the intervention and the results of a randomized controlled trial with 90 participants. We also present some results of a process evaluation that gives insight in how participants appreciate the different exercises and metaphors.

Educational Objectives:

  • Learn how ACT can be applied with subclinical populations
  • Development and implementation of an ACT-based prevention programme
  • How pre-and post measurements can be useful in evaluating and adapting a prevention programme

 

85. The Long Road: The Role of Acceptance and Values in Substance Abuse Treatment Symposium (10:45-Noon): ACT - Clinical, ACT - Other/ Substance Abuse, Addictions, ACT Substance Abuse Disorder

Room: Hogekamp – HO 1216

Chair: MARISA PÁEZ, ACT Institute, Spain

Target Audience: Beginner, Intermediate, Advanced

 

• Alcoholics Anonymous From a Contextual Behavioral Perspective

MAUREEN FLYNN, University of Mississippi

Kelly Wilson, University of Mississippi

 

• Acceptance, Values and Motivation to Change in Alcohol Addicted Patients

GIOVANNI ZUCCHI, PSY.D., Villa

Maria Luigia Hospital, Parma

Giovanni Miselli, Psy.D., IULM University

Giovambattista Presti, M.D., IULM University

Paolo Moderato, Ph.D., IULM University

 

 • Preliminary data of a Random Clinical trial of ACT and TU (cognitive-behavioural) with substance abuse disorder

MARISA PÁEZ, ACT Institute, Spain

M. López, University of Almería

M. C. Luciano, University of Almería

Several approaches to the treatment of substance abuse, including ACT, have been shown to be effective. This symposium examine compatibilities between ACT and other approaches, and compares ACT with a standard cognitive approach. The fit between Alcoholics Anonymous and ACT, the relationship between variables involved in the psychological models underlying ACT and the Motivational Interview, and a comparison of ACT to a cognitive approach with polysubstance abusing clients will be discussed.

 

86. Building systems with values: Integrated care and beyond… Invited Lecture (10:45-Noon): Other/ Systems, Integrated Care

Room: Hogekamp – HO 1224

MARK WEBSTER, South Hampshire CBT Ltd- Southampton

MICHELLE ORMSTON, Portsmouth City PCT

JULIE HARRINGTON, Portsmouth City PCT

Target Audience: Beginner, Intermediate, Advanced

The addiction service in Portsmouth began using ACT in its treatment services, and then developed an integrated care pathway, based on values, across the different agencies, including those not using ACT. The concept and process of implementation will be described along with the obstacles that had to be overcome. The pathway will be put in the wider context of management models and computer systems requirements. The current data forms and management information outputs will be presented to show how a values approach provides a basis for healthcare systems to become integrated and run more effectively.

 

87. ACT in the Room: Implications and Applications of ACT in Practice Symposium (10:45-Noon): ACT - Other, ACT - Clinical/ ACT Values, Mindfulness

Room: Hogekamp – HO 1228

Chair: CHRIS TREPKA, Bradford District Care NHS Trust

Target Audience: Intermediate, Advanced

 

• Core ACT values are "Prediction and influence with precision scope and depth": A guide

JOE CURRAN, Sheffield Health and Social Care NHS Trust, UK

 

• The ABC Course: a pilot ACT course for learning mindfulness

CHRIS TREPKA, Bradford District Care NHS Trust

This symposium will examine issues pertinent to the training and use of ACT by therapists. Paper 1 discusses the role of “prediction and influence with precision, scope, and depth” as values in ACT and RFT. It explores the history and development of these values, examines and contrasts their role in other psychological approaches, and considers the ways in which clinicians can work towards instantiating them in their everyday practice. Paper 2 describes a brief mindfulness training course designed to run alongside a course of individual ACT. Results from a pilot course involving 5 weekly classes conducted for a mixed group of therapy clients and other therapists will be presented.

 

88. Social Communication and Relational Frame Theory Workshop (10:45-Noon): RFT - Clinical/ Perspective Taking

Room: Vrijhof – Vergaderzaal 3

LOUISE MCHUGH, Swansea University

MATTHIEU VILLATTE, Université de Lille

Target Audience: Beginner, Intermediate, Advanced

Researchers within cognitive and traditional developmental fields have written volumes on the social-cognitive nature of social problems in disorders such as autism and schizophrenia, with the "Theory of Mind" (ToM) construct receiving the majority of attention. While behavior analysis has offered descriptions of how to teach basic social behaviour to individuals with autism, descriptions of complex social behaviour (e.g., understanding deception, empathy, "self-reflection" - all falling under the rubric of "perspective taking") have eluded commonly utilized behavioural intervention resources, and little or no research has attempted to remediate social deficits in schizophrenia. However, researchers within behavior analysis are beginning to investigate how complex social behavior constructs can be examined within a behaviour analytic framework, with recent progress in derived multiple stimulus relations offering particular promise. "Relational Frame Theory" (RFT) accounts of ToM, perspective-taking in particular, have yielded testable hypotheses, developmental profile analyses, and descriptions of treatment protocols. This workshop will summarize this literature, and discuss the relevance to clinical disorders such as autism-related and schizophrenia spectrum related deficits (e.g., understanding deception, intentions, other's interest in discussion topics, other's feelings, etc.).

Educational Objectives:

  • Understand the RFT conceptualization of perspective taking and its implication for social communication.
  • Become familiar with key RFT studies on perspective taking.
  • Learning RFT based techniques to train social communication in populations who are deficient, such as those diagnosed with ASD or schizophrenia. 

 

Friday Lunch 12:00-1:15pm

 

ACT with Christians – challenges and advantages Organizational Meeting

Room: Vrijhof – Kleine Zaal

INGRID ORD, Cognitive Behavioral Psychotherapist, Dubai, UAE

Target Audience: All

ACT with Christians may encounter issues specific to this population. This SIG is for pooling ideas and discussing experiences with or information about aspects such as unconditional acceptance, values and rule-governed behaviour, and mindfulness with Christian clients. Therapists do not need to be Christians themselves to be able to make valuable contributions to this very specific topic. 

 

Friday Afternoon 1:15pm

 

89. Know Thyself, Choose Thyself: Exploring Flexibility with Self and Valued Living Workshop (1:15-4:15pm): ACT - Clinical/ Self-as-Context

Room: Vrijhof – Agora

EMILY K. SANDOZ, University of Mississippi

ROGER VILARDAGA, University of Nevada, Reno

STEVEN C. HAYES, PH.D., University of Nevada, Reno

STEPHANIE NASSAR, University of Mississippi

Target Audience: Beginner, Intermediate, Advanced

Common to a number of diagnostic categories are disturbances in the way an individual experiences him or her Self. Through complex relational conditioning processes, individuals come to experience themselves in ways that narrow their behavioral repertoire, creating less and less freedom and more distance between them and a live they would value. This workshop will orient the participant to the different ways that the Self can be experienced and to the relationship between Self and Values processes.

Educational Objectives:

  • To understand a behavioral account of the development of sense of self.
  • To describe how inflexibility with self can hamper valued living
  • To list three ways to encourage flexibility with self that will contribute to valued living

 

90. The Art and Science of valuing in psychotherapy Workshop (1:15-4:15pm): ACT - Clinical/ Clinical

Room: Vrijhof – Amphitheater

JOANNE DAHL, PH.D., University of Uppsala

JENNIFER PLUMB, M.A., University of Nevada, Reno

IAN STEWART, NIU Galway

TOBIAS LUNDGREN, University of Uppsala

Target Audience: Beginner, Intermediate, Advanced

This workshop aims at helping therapists approach human problem through a values perspective as a part of the ACT/RFT model. The participants will learn: helping clients clearly define what matters to them; creating a sense of meaning and purpose; providing a framework for setting specific goals in both the short term and the long term; providing a context in which a client may be more willing to experience difficult thoughts and feelings as she moves in valued directions; helping clients practice being more aware of the reinforcing qualities of behaviors in the moment that are related to a larger value. Values clarification is the process of developing values statements that guide client behavior. This is a process that is ongoing throughout therapy. When a client enters therapy, she may not have a clear sense of her values or may have difficulty engaging in behaviors consistent with her values. As therapy progresses, a client’s chosen values and value-directed behaviors may shift as her behavior becomes more flexible. Just as you would periodically check your compass bearing to make sure you haven’t strayed too far from your intended direction, it is also important to engage in values clarification throughout therapy. Second, clients and clinicians work together to develop goals: discrete behaviors that can be evaluated and completed to move the client in the direction of her stated values. Choosing particular goals that are in line with one’s values can take practice. To determine whether a particular goal is in line with her values, the client must practice becoming aware of the reinforcing properties of her values-consistent behaviors. Third, clients build larger and larger patterns of behavior in line with their values, building meaning and developing a purpose to work toward in each moment. This workshop consists of demonstrations, RFT theoretical perspectives, experiential exercises and own applications.

Educational Objectives: Participants will learn:

  • How to distinguish between values and feelings, values and judgements, values and rules.
  • To understand the RFT perspective on valuing.
  • How to use the values compass.
  • How to use the bull's eye for valued living.
  • How to use a dramatization of the life-line to identify values directions.

 

91. ACT as a Brief Intervention: Theory and Application Workshop (1:15-4:15pm): ACT - Skills/ Brief Interventions

Room: Drienerburght – Zaal A

KIRK STROSAHL, Central Washington Family Medicine

Target Audience: Intermediate, Advanced

The transdiagnostic focus of the ACT model makes it an ideal approach for addressing a broad range of human problems. The twin themes of acceptance and valued actions are also ideal for application in brief intervention contexts such as primary care, crisis centers, hospitals and schools. This workshop will introduce the basic principles of brief intervention and how to create a useful interface between these principles and ACT work. Participants will learn the defining principles of strategic interventions and how acceptance and valued actions can be integrated into the strategic change framework. Video and live role play demonstrations will be used to highlight key learning points.

Educational Objectives:

  • Learn the clinical and service utilization data that argue for a brief intervention approach in most settings
  • Learn to apply the key principles of strategic therapy
  • Learn to use ACT interventions in a way that is consistent with the strategic therapy framework.

 

92. ACT for young adults (16-28 year olds) - ACT used in group format as prevention or an early intervention aimed towards psychological ill-health and stress Workshop (1:15-4:15pm): ACT - Clinical/ General psychological health, stress, prevention, early intervention

Room: Hogekamp – HO 1212

FREDRIK LIVHEIM, Karolinska Institutet, medical university

Target Audience: Beginner, Intermediate, Advanced

According to calculations by the World Health Organization (WHO), the second largest health problem of the Swedish population today is psychological ill-health. In some further years it is predicted to be the very largest health problem in the Swedish populace (Swedish National Institute for Public Health, 2005). Self reported mental health is found to rapidly deteriorate especially among Swedish "young adults" (defined as 18-24/29 years of age), where the problems are reported to have doubled or tripled in the period of 1988/89 to 2001 (Swedish National Institute of Public Health; 2006). Common problems as reported are anxiety, worry, pain and sleep problems. Since 2006 Fredrik Livheim has been working for Stockholm Centre for Public Health, within Stockholm County Council, to make a detailed treatment-protocol and train new group leaders in "ACT- To cope with stress and promote health" (as it now is called in Swedish). Until now approximately 75 new group leaders (school-counsellors etc) has been trained. Fredrik has also begun to educate new trainers of group leaders in this particular ACT group format. Those trainers also constitutes an ACT-network that can arrange regular ACT booster sessions for the existing group leaders and also arrange education of new group leaders. The focus of the workshop will be on the content in "ACT- To cope with stress and promote health". This will give the participants an understanding and examples of one way of working with young adults in group-settings as prevention or as an early intervention. The workshop will also provide examples of how it is possible to create an infrastructure to make ACT-interventions available to young adults in a larger scale. The participants will be guided through handpicked exercises that are part of the course "ACT- To cope with stress and promote health" as if they themselves were taking part in the full course. A special focus will be on components, exercises and metaphors that are a bit new or unusual in the more "traditional ACT tool-box". For example using a "reward-system" when following up homework, the "bus-metaphor" role-played in a group setting, RFT easily explained for young adults etc. There will be time for questions throughout the workshop. Participants will be encouraged to ask any questions they want, and questions about pitfalls when working with groups will get extra attention. The presenter has extensive experience both of giving the course clinically directly with young adults and also with training group leaders. The presenter is also the program developer of this ACT group format.

Educational Objectives:

  • Learn how to apply an ACT-consistent group approach to presenting problems of diffuse mental health problems and stress.
  • Learn how to work with the "life-compass" as a tool for values clarification.
  • Learn exercises and metaphors that are easy for the participants to adopt and use in their own clinical work, either individually or in group settings.

 

93. Applications of deictic relational framing Symposium (1:15-2:45pm): RFT - Research/ Perspective taking

Room: Hogekamp – HO 1216

Chair: LOUISE McHUGH, Swansea University

Target Audience: Intermediate, Advanced

 

• The Effects Of Teaching Situation-Based Emotions On Perspective Taking

LOUISE McHUGH, Swansea University

Alina Bobarnac, Swansea University

Phil Reed, Swansea University

 

• Deictic Relational Framing and Connectedness among College Students: A Small Analog Study

ROGER VILARDAGA, University of Nevada, Reno

Thomas Waltz, University of Nevada, Reno

Michael Levin, University of Nevada, Reno

Steven C. Hayes, University of Nevada, Reno

Colin Stromberg, University of Nevada, Reno

Kimberly Amador, University of Nevada, Reno

 

• Deictic framing protocols to increase discrimination of own behavior and reduce impulsive behavior

CARMEN LUCIANO, University of Almería

V. Sánchez, University of Almería

Francisco Ruíz, University of Almería

Marisa Páez, University of Almería

R. Vizcaino, University of Almería

O. Gutiérrez, University of Almería

 

• Deictic relational responding in beliefs attribution: People with high social anhedonia are impaired in reversing the frame of I-YOU

MATTHIEU VILLATTE, PH.D., University of Picardie

Jean-Louis Monestès, Service Universitaire de Psychiatrie - Neurosciences Fonctionnelles & Pathologies – CNRS UMR 8160 - Centre Hospitalier Ph. Pinel

Louise McHugh, Ph.D., University of Wales, Swansea

Esteve Freixa i Baqué, Ph.D., University of Picardie

Gwenolé Loas, Service Universitaire de Psychiatrie - Neurosciences Fonctionnelles & Pathologies

The current symposium reports four empirical studies examining deictic relational responding across a number of different populations. The first study trained children with Autistic Spectrum Condition to tact their own emotions, and examined the effect of this training on deictic framing / perspective taking. The second study tested deictic relational framing and connectedness among college students. The third study used deictic framing protocols to increase discrimination of own behavior and reduce impulsive behavior in high and low emotional avoiders. The fourth study explored deictic relational responding and belief attribution in people with high levels of social anhedonia. Findings from the four studies support the contention that deictic relational framing is a distinct relational repertoire the training of which can facilitate social communication.

 

94. Overcoming Resistance - Made Simple Workshop (1:15-4:15pm): ACT - Skills/ Barriers To Change

Room: Hogekamp – HO 1220

RUSS HARRIS, M.D., private practice, Melbourne Australia

Target Audience: Beginner, Intermediate, Advanced

This is workshop is both experiential and didactic. It goes step-by-step through the most common factors in resistance and barriers to change -- and how we can not only help clients (and ourselves) to get unstuck, but we can also turn these obstacles and barriers into useful opportunities to develop core ACT skills. It also covers an incredibly simple defusion technique that can be used to overcome any objection to therapy and teach defusion skills at the same time!

Educational Objectives:

  • Learn the most common factors in resistance
  • Learn a different and more comprehensive interpretation of the popular F.E.A.R. acronym
  • Learn a variety of techniques for overcoming resistance and increasing motivation.

 

95. "ACT-ifing" Religious Traditions Workshop (1:15-4:15pm): ACT - Clinical/ Spiritual-Theoretical & Practical

Room: Hogekamp – HO 1224

HANK ROBB, PH.D., Private Practice

Target Audience: Beginner, Intermediate

The principles of Acceptance and Commitment Therapy have been suggested already to be in, or available for use to support, many traditional dualistic spiritual beliefs and practices. This workshop suggests ACT based principles and practices could be used to support a monistic, pragmatically oriented approach to spiritual development. This workshop will explore the philosophical and practical aspects of such a proposal.

Educational Objectives:

  • Identify the outlines of a monistic, pragmatically oriented approach to spiritual development;
  • Identify a possible root metaphor for the approach;
  • Consider ACT principles as a basis for spiritual development rather than an adjunct to it.

 

96. A Perfect Match: Meditation and ACT Workshop (1:15-4:15pm): ACT - Clinical/ Mindfulness, Meditation, Buddhism

Room: Hogekamp – HO 1228

LINDSAY FLETCHER, M.A., University of Nevada, Reno

Target Audience: Beginner, Intermediate, Advanced

Acceptance and Commitment Therapy (ACT) is one of several third wave behavioral treatments to incorporate mindfulness into therapy. The term mindfulness is borrowed from Eastern religious and spiritual traditions that emphasize meditation practice as an important technique for the alleviation of suffering. While many third-wave therapies emphasize informal mindfulness practices, including ACT, this workshop will explore the inclusion of “formal” practices that may enhance treatment when they are adapted for use with the ACT model. There is a growing literature showing that meditation is a powerful tool for therapists and clients and Buddhist traditions provide a nearly limitless supply of different meditation practices. Furthermore, most meditation-based therapies do not include a values component. Thus, ACT and meditation may mutually benefit each other. The purpose of this workshop will be to teach participants how to conceptualize particular meditation practices in terms of an ACT definition of mindfulness. During the workshop, meditation exercises will be taught experientially. Participants will learn to apply these techniques to provide an ongoing practice for therapists and clients. We will explore how to apply mindfulness skills in the therapy interaction and use clinical examples. This workshop is meant to inspire clinicians and researchers to investigate how meditation may enhance mindfulness when used with clients and therapists.

Educational Objectives:

  • Learn meditation techniques that have been adapted for use with ACT.
  • Learn how to conceptualize Buddhist meditation techniques in terms of the ACT definition of mindfulness.
  • Learn about the empirical support for meditation as a psychological intervention.

 

97. Single Case Designs for Clinicians- Bridging the gap between research and practice Workshop (1:15-4:15pm): ACT - Clinical/ Single subject research, case formulation, treatment planning

Room: Vrijhof – Kleine Zaal

JENNIFER BOULANGER, M.A., University of Nevada, Reno

Target Audience: Beginner, Intermediate, Advanced

Clinicians in private practice rarely have the time, resources, or support to conduct the kind of applied research that is typically awarded grants or published in major peer-reviewed journals. As a result, those who develop, test, and train new therapies rarely have access to the wealth of clinical experience and knowledge possessed by those who practice outside of academic or research settings. However, there is a way for clinicians to incorporate research strategies into their existing practice, thereby improving therapy outcomes for their clients and contributing to the scientific literature. Single-case designs do not require large samples of participants or statistical expertise, but allow clinicians to analyze a client’s behavior and the context in which it occurs through repeated measurement over time. These designs can be used to conduct functional analyses of behavioral targets, facilitate case formulation and treatment planning, and improve therapy efficiency and effectiveness. This workshop will introduce clinicians to the logic of single-case designs, demonstrate the application of these methods through case presentations, and help clinicians develop a strategy for incorporating these methods into their existing practices. We will walk through the steps of designing, implementing, analyzing, and publishing/presenting single case designs. Clinicians will also learn to use single case design elements to facilitate case formulation, treatment planning, and progress monitoring. No prior research experience is necessary.

Educational Objectives:

  • Understand the logic and methodology of single-case, or time-series, research.
  • Learn how to use single-case designs to facilitate case formulation, treatment planning, and progress monitoring.
  • Develop a strategy for designing, implementing, and analyzing single case research within private practice settings.

 

98. Cognitive Rigidity: Conceptualizations, Mechanisms, Measurement, and Intervention Symposium (1:15-2:45pm): Other, ACT - Other, ACT - Clinical/ Cognitive flexibility, physiology, ACT Processes, Measurement, Cognitive Defusion

Room: Vrijhof – Vergaderzaal 5

Chair: DAVID GILLANDERS, University of Edinburgh, U.K.

Target Audience: Beginner, Intermediate, Advanced

 

• Developing a Measure of Cognitive Fusion

DAVID GILLANDERS, University of Edinburgh, U.K.

HELEN BOLDERSTON, Private Practice

Maria Dempster, NHS Grampian, U.K.

Frank Bond, Goldsmiths University of London

 

• The study of Defusion in clinical setting: a replication of word-repetition studies with an inpatient sample

GIOVANNI ZUCCHI, PSY.D., Villa Maria Luigia Hospital, Parma

Akihiko Masuda, Ph.D., Georgia State University

Giovanni Miselli, Psy.D., IULM University Milan

Giovambattista Presti, M.D., IULM University Milan

Paolo Moderato, Ph.D., IULM University

Cognitive defusion is one of the core processes in ACT and its relation to well-being has been the subject of numerous investigations. However, there are still gaps in our knowledge of this core process. This symposium will attempt to fill some of those gaps by discussing issues surrounding cognitive fusion and defusion. Paper 1 describes the development of a self-report measure of cognitive fusion, while Paper 2 presents the preliminary results of an investigation into the relevance of cognitive defusion with a clinical population, instead of with non-clinical samples as has typically been done in prior studies. 

 

Friday Afternoon 3:00pm

 

99. “What Just Happened?” What We are Training and How Symposium (3:00-4:00pm): ACT - Skills/ Training, ACT Training

Room: Hogekamp – HO 1216

Chair: M. C. LUCIANO, University of Almería

Target Audience: Beginner, Intermediate, Advanced

• Evaluating introductory ACT workshops: Changes in knowledge and responses to experiential exercises

ERIC MORRIS, South London and Maudsley NHS Foundation Trust, UK

 

• How to measure what really works in ACT training

M. C. LUCIANO, University of Almería

MARISA PÁEZ, ACT Institute, Spain

The first paper discusses how workshop participants evaluate introductory ACT workshops on various measures. Pre-, post-, and follow-up ratings on ACT knowledge, comparisons of ACT with mainstream CBT, interest in further ACT training, and rating about the experiential exercises from over 50 workshop attendees will be presented. The second paper highlights the fact that we do not know much about the key components involved in learning ACT. While several methods seem to be useful (e.g., learning the conceptual background, reviewing video or audio recordings, role playing, using experiential work in supervision groups, etc.), no instruments are available for measuring the progress that therapists achieve after different kinds of learning sessions. Ideas about the structures of learning sessions and instruments to measure the impact of work done as well as results from therapist training over the last two years in ACT Institute will be presented. 

 

Friday Plenary 4:30-5:30pm

 

100. Enhancing everyday life using ACT and RFT/ Closing Plenary (4:30-5:30pm): ACT/RFT - Everyday Life/

Room: Vrijhof – Agora

FRANK BOND, PH.D., Goldsmiths, University of London, U.K.

ERNST BOHLMEIJER, PH.D., Twente University

PATRICIA BACH, PH.D., Illinois Institute of Technology

Target Audience: All

One of the most useful features of ACT and RFT is that they provide a comprehensive analysis of verbal behaviour, which, thus, creates guidance for not only reducing mental ill-health but for promoting vital and effective living in all areas of people’s lives. The aim of this plenary is to discuss research that has explored how the application of contextual behavioural science is producing a greater understanding of how to help people thrive in their daily life—to more effectively move through the everyday psychological barriers that get in our way and more successfully create contexts (e.g., at work) that encourage ourselves and others to maximise our potential.

Educational Objectives:

  • Understand the qualities of ACT and RFT that make it applicable to everyday life.
  • Learn how ACT and behaviour analysis can enhance leadership and group performance.
  • Learn how ACT, RFT and mindfulness can facilitate health promotion, as well as reduce stigma and re-offending.

 

 

  • "ACT-ifing" Religious Traditions־־־Hank Robb, Ph.D.
  • A Perfect Match: Meditation and ACT־־־Lindsay Fletcher, M.A.
  • Acceptance and Commitment Therapy (ACT): Finding Life Beyond Trauma for the Survivor and the Therapist־־־Robyn D. Walser, Ph.D., Jacqueline Pistorello, Ph.D., Victoria M. Follette
  • The Implicit Relational Assessment Procedure (IRAP): Where From, How To, and Where To --- NIGEL VAHEY, IAN STEWART, LOUISE MCHUGH, LIV KOSNES, Dermot Barnes-Holmes
  • ACT as a Brief Intervention: Theory and Application־־־Kirk Strosahl
  • ACT as public mental health־־־Ernst Bohlmeijer, PhD, Ando Rokx, MSc
  • ACT Early: acceptance, mindfulness and values in early intervention for psychosis־־־Eric Morris, Joe Oliver, Sally Bloy
  • ACT for Disordered Eating: Conceptualization, Assessment and Intervention ־־־Emily K. Sandoz, Lindsay M. Martin
  • ACT for preventing mental health problems־־־Jason Lillis, Ph.D., Jennifer L. Boulanger, M.A.
  • ACT for weight related issues ־־־Jason Lillis, Ph.D., Lindsay B. Fletcher, M.A.
  • ACT for young adults (16-28 year olds) - ACT used in group format as prevention or an early intervention aimed towards psychological ill-health and stress.* ־־־Fredrik Livheim
  • ACT in Practice: Case conceptualization in Acceptance and Commitment Therapy־־־Patricia Bach, Ph.D., Daniel J. Moran, Ph.D., BCBA
  • ACT of Love: Sex and Intimacy־־־Ando Rokx, Aad van Leeuwen, Monique Barnouw
  • ACT Through CBT and CBT Through ACT - Are they so different?־־־Kenneth Fung, MD FRCPC MSc, Mateusz Zurowski, MD FRCPC MSc
  • ACT Treatment of Stuttering־־־José Antonio García Higuera
  • ACT With Love ־־־Russ Harris, MD
  • ACT-Based Contextual Behavioral Supervision־־־Sonja V. Batten, Ph.D., Robyn D. Walser, Ph.D.
  • An Introduction to Behaviorism & Relational Frame Theory for Beginners־־־John T. Blackledge, Joanne Steinwachs, Niklas Torneke
  • Applying ACT to Cases of Complex Depression: New Clinical and Research Perspectives־־־Brandon A. Gaudiano, Ph.D., Kristy L. Dalrymple, Ph.D.
  • Contextual Behavioral Science and ACT/RFT: Discussing scientific strategy and future directions in research־־־Michael Levin, Roger Vilardaga, Jennifer Boulanger
  • Creative Confusion: An idiot's guide to ACT in groups־־־Kevin Polk, Mark Webster, Benjamin Schoendorff, Jerold Hambright
  • Demystifying Relational Frame Theory־־־Daniel J. Moran, Ph.D., BCBA, Patty Bach, Ph.D.
  • Getting Started with ACT Experiential Supervision Skills ־־־Mary Sawyer
  • Introduction to ACT in Dutch־־־Jacqueline A-Tjak, Ingrid Postma
  • Issues of Values and Committed Action in the Context of End of Life־־־Martin Brock, Sonja V. Batten
  • Know Thyself, Choose Thyself: Exploring Flexibility with Self and Valued Living־־־Emily K. Sandoz, Roger Vilardaga, Steve Hayes, Stephanie Nassar
  • Learning Hexaflex Processes Using Mindfulness for Two Videos־־־Kelly G. Wilson, Ph.D., Emily K. Sandoz
  • Living a Vital Life with Obsessions: Treating OCD with ACT־־־Jennifer Plumb, MA, Benjamin Schoendorff, MSc
  • Mindfulness and Acceptance in the Treatment of Depression ־־־Kirk Strosahl, PhD, Patricia Robinson
  • A Practitioner’s Field Guide to Developing Effective Language Training Programs Using Relational Frame Theory (RFT) --- NICHOLAS M. BERENS, TIMOTHY WEIL, CARMEN LUCIANO & FRANCISCO JOSÉ RUIZ-JIMÉNEZ, MARTHA PALAEZ
  • OCD and Case Formulation In ACT־־־Martin Brock
  • Overcoming Resistance - Made Simple־־־Russ Harris, MD
  • Practical mindfulness for meditation hating clients: The appliance of heartrate coherence training־־־Marco Kleen
  • Relational Frame Theory - Basic concepts and clinical implications־־־Niklas Torneke, Jason Luoma, PhD
  • Self-as-context Made Simple ־־־Russ Harris, MD
  • Sticky Thoughts & Other Unwanted Experiences־־־Robyn Walser, Martin Brock
  • Teaching ACT More Directly & Making Room for "Second Wave" Moves־־־Hank Robb, Ph.D.
  • The Art and Science of valuing in psychotherapy־־־Joanne Dahl, PhD, Jennifer Plumb, MA, Ian Stewart, Tobias Lundgren
  • The Primary Care Behavioral Health Model: A Platform for ACT in Health Care־־־Patricia Robinson, PhD
  • Turning your life toward maturity: ACT with older adults ־־־Erwin Lutzke
  • Using ACT to empower the unconscious ־־־Jacqueline A-Tjak
  • Using ACT to Improve Management of Chronic Pain in Primary Care־־־Patricia Robinson, PhD
  • Relational Frame Theory (RFT) for Dutch-speaking participants: The theory, its rootings and implications Relational Frame Theory (RFT): De theorie, haar oorsprong en implicaties (in Dutch) --- Hubert De Mey
  • Towards a functional contextualist neuroscience־־־BENJAMIN SCHOENDORFF, STEVEN C. HAYES, KELLY G. WILSON
  • Don't you mind speaking of mind? Reflecting on mirror neurons and other homunculi on the Neuroscience scene־־־PAOLO MODERATO An exploration of acceptance related processes in presurgically implanted epileptic patients by means of real-time frequency-band analysis system־־־BENJAMIN SCHOENDORFF ‘Behavior is what the organism is doing’ – limbs, neurones, biochemistry, thoughts, and feelings. Within a context. Reaching out to the neurosciences, starting from where they are.־־־ROB PURSSEY
  • ACT and Living Successfully with Psychotic Experience־־־DAVID GILLANDERS

Acceptance and Present-Moment Processes with People who Hear Distressing Voices־־־ERIC MORRIS, Philippa Garrety, Emmanuelle Peters Psychotic Symptoms and Illness Beliefs do not Predict Successful Valued Living With Psychosis, But Psychological Flexibility Does־־־LAURA WEINBERG, DAVID GILLANDERS The Relationship between Self-Schemas, Illness Beliefs, Psychological Flexibility and Distress in people with Psychosis־־־REBECCA LOWER, DAVID GILLANDERS The Impact of Psychological Flexibility and Negative Schemas on Changes in Delusional Ideation Over Time ־־־JOE OLIVER, KENNEDY MCLACHLAN Developing a trans-diagnostic ACT group in an acute psychiatric inpatient ward. ־־־GORDON MITCHELL, AMY MCARTHUR, LAURA WEINBERG, Lucy Clark, Marie Mirfield

  • ACT in the Workplace ־־־FRANK BOND

The Impact of ACT training on Leadership־־־FRANK BOND The Impact of ACT and CBT on Stress at Work־־־Paul Flaxman, FRANK BOND The Impact of ACT Training on Stress and Burnout in Human Services Workers־־־JO LLOYD, Frank Bond Can ACT reduce staff stigma? Preliminary findings and work in progress־־־Sue Clarke, Georgina Taylor, Kelly Wilson, Bob Remington

  • ACT and Chronic Illness־־־DAVID GILLANDERS

Beliefs, Acceptance, Knowledge, Emotional Distress and Self Care in Older People with Type 2 Diabetes.־־־DAVID GILLANDERS, Vicky Thurlby ACT based Treatment of Chronic Pain - Outcome data to three years־־־KEVIN VOWLES, PH.D., Lance McCracken, Jeremy Gauntlett-Gilbert Flexing the gut - Quality of Life in Irritable Bowel Syndrome־־־NUNO FERREIRA, David Gillanders The Evolution of General Psychological Flexibility and Pain Specific Acceptance across time in people with Chronic Pain־־־ALEXANDRA DIMA, David Gillanders

  • Assessment, Treatment, and Process in Acceptance and Commitment Therapy for Chronic Illness־־־KEVIN E. VOWLES, PH.D. (Chair)

Measuring acceptance and fusion in individuals seeking treatment for chronic fatigue ־־־KEVIN VOWLES, PH.D., Nikie Catchpool, Anne Johnson, Kathryn Bristow, Katherine Hadlandsmyth The function of acceptance and values in pediatric Sickle Cell Disease־־־Lindsey L. Cohen, Ph.D., Aki Masuda, Kevin E. Vowles, Josie Welkom, Crystal Lim, Amanda Feinstein ACT in the treatment of epilepsy: Where are we now and where are wegoing?־־־TOBIAS LUNDGREN, JoAnne Dahl, Lennart Melin, Nandan Yardi, Bryan Kies Development and Evaluation of a Self-help based ACT treatment for persons with long-standing chronic pain־־־JoAnne Dahl, Ph.D., Tobias Lundgren

  • Short mindfulness interventions with the old, the young and the fearful־־־LOUISE McHUGH

Short web-based manipulation of self-focused attention: a comparison of Attention Training and mindfulness ־־־JEAN-LOUIS MONESTÈS, Matthieu Villatte, G. Loas Can changing perspective on one’s own experience increase awareness of negative psychological events in others?־־־MATTHIEU VILLATTE, PH.D., Louise McHugh, Jean-Louis Monestès The Behavioural Approach Test (BAT); Thought Suppression Vs Mindfulness־־־NIC HOOPER, Laura Davies, Louise McHugh Stimulus over-selectivity as a model of cognitive functioning in older adults: Mindfulness as a potential intervention־־־LOUISE McHUGH, Anna Simpson, Phil Reed

  • RFT Methods Applied to Clinical & Health Psychological Issues־־־LOUISE McHUGH

Thought Suppression and the Transfer on Stimulus Functions־־־NIC HOOPER, Louise McHugh, Jo Saunders Transformation of Health Risk Functions of Pseudo-Food Names־־־EMILY K. SANDOZ, Chad E. Drake, Kelly Wilson Comparing IRAP, IAT and Facial Electromyography (EMG) as measures of implicit attitudes towards the overweight־־־Sarah Roddy, Ian Stewart Implicit future expectations and autobiographical memory in depression־־־LIV KOSNES , Louise McHugh , Jo Saunders, Robert Whelan

  • Recent Investigations Using The Implicit Relational Assessment Procedure --- NIGEL VAHEY

Resistance to Anti-smoking Information As a Function of Implicit Expectancies Toward Smoking and Smoking-cessation --- NIGEL VAHEY An implicit measure of emotional avoidance --- NIC HOOPER Will the Real Nazi Please Stand-Up; Attitude Formation and the Implicit Relational Assessment Procedure (IRAP) --- SEAN HUGHES Testing an adaptation of the IRAP to increase sensitivity to detect implicit relations at the individual level --- MIKE LEVIN

  • Applications of deictic relational framing־־־LOUISE McHUGH

The Effects Of Teaching Situation-Based Emotions On Perspective Taking־־־LOUISE McHUGH, Alina Bobarnac, Phil Reed Deictic Relational Framing and Connectedness among College Students: A Small Analog Study־־־ROGER VILARDAGA, Thomas Waltz, Michael Levin, Steven C. Hayes, Colin Stromberg, Kimberly Amador Deictic framing protocols to increase discrimination of own behavior and reduce impulsive behavior־־־CARMEN LUCIANO, V. Sánchez, Francisco Ruíz, Marisa Páez, R. Vizcaino, O. Gutiérrez Deictic relational responding in beliefs attribution: People with high social anhedonia are impaired in reversing the frame of I-YOU ־־־MATTHIEU VILLATTE, PH.D. , Jean-Louis Monestès, Louise McHugh, Ph.D., Esteve Freixa iBaqué, Ph.D., Gwenolé Loas

  • Framing different behavioral strategies in a coherent picture: Where ACT takes place־־־GIOVANBATTISTA PRESTI, MD, PhD (chair), BENJAMIN SCHOENDORFF (discussant)

ACT and 'Impulsive' behavior: A case study of pathological gambling־־־SARA BORELLI, Psy. D. Case report: compulsory, school and social problem behaviors in an 18 yrs old student־־־Greta Carlotti, Psy. D., Giovambattista Presti, MD, PhD, Paolo Moderato, PhD Case report: dysfunctional behavioral repertoire in a pre-adolescent girl with congenital dwarfism־־־Ramona Carlotti, Psy D., Giovambattista Presti, MD, PhD, Paolo Moderato, PhD Case report: dysfunctional behavioral repertoire in a young woman with mild mental retardation and bipolar disorder־־־FRANCESCA SCAGLIA, Psy. D. Case report: Applying ACT in a case of prolonged avoidance of school by an adolescent boy with performance anxiety ־־־MASSIMO RONCHEI, Psy. D. ACT approach in Chronic Insomnia: A case study־־־KATIA COVATI

  • Welcome to the functional Babel: Talking ACT in non English-speaking countries־־־GIOVANBATTISTA PRESTI, MD, PhD (chair), GIOVANNI MISELLI, Psy. D. (discussant)

Babel's AAQ-II: do different languages result in different outcomes in Europe?־־־JEAN-LOUIS MONESTÈS, NELE JACOBS, Marco Kleen, Francis De Groot, Jacqueline A-Tjak, Maria Karekla, Frank Bond, Giovanni Miselli, Psy. D., Matthieu Villatte, Ph.D. Building towers in Babel: spreading and sharing knowledge, translating manuals and self-help books־־־MATTHIEU VILLATTE, PH.D. , Jean-Louis Monestès,Giovambattista Presti

  • ACT and Mindfulness with chronic pain־־־ERNST BOHLMEIJER, Ph.D, Martine Veehof, Ph.D., Karlein Schreurs, Ph.D., Peter Heuts

Results of a meta-analysis־־־Martine Veehof, Ernst Bohlmeijer, Ph.D. A multidisciplinary approach in a rehabilitation centre־־־KARLEIN SCHREURS, PH.D. ACT in Teams־־־PETER HEUTS

  • Tinnitus and acceptance - "Is it the sound or your relationship to it?"־־־Gerhard Andersson, Vendela Westin, Hugo Hesser, Caroline Croft

Randomized Controlled Trial of Acceptance and Commitment Therapy for Tinnitus Distress־־־VENDELA WESTIN Clients' in-session acceptance and cognitive defusion behaviors in ACT treatment of tinnitus distress־־־HUGO HESSER, M.SC., Vendela Westin, M.Sc., Steven C. Hayes, Ph.D., Gerhard Andersson, Ph.D.

  • New Research on Measuring Stigma and its Relationship to ACT Processes־־־MICHAEL LEVIN

Measuring weight stigma־־־JASON LILLIS, PH.D., Steven C. Hayes, Ph.D., Michael Levin Development and Psychometrics of a New Measure of Self-Stigma in Addiction־־־JASON LUOMA, PH.D., Alyssa Rye, Kara Bunting, Chad Drake, Barbara Kohlenberg, Steven C. Hayes, Ph.D. Generalized Prejudice: Testing a Relational Frame Theory Account of Prejudice and Stigma־־־MICHAEL LEVIN, Roger Vilardaga, M.A., Jason Lillis, Ph.D., Steven C. Hayes, Ph.D., Jacqueline Pistorello, Ph.D., Jason Luoma, Ph.D., Barbara Kohlenberg Predictors of stigma among addictions counselors־־־ROGER VILARDAGA, M.A., Jason Luoma, Ph.D., Michael Levin, Steven C. Hayes, Ph.D., Jacqueline Pistorello, Ph.D., Mikaela Hildebrandt, Barbara Kohlenberg, Nancy Roget

  • Using ACT with Non-Clinical Populations: Findings from Recent and Ongoing Outcome Studies־־־MICHAEL LEVIN

ACT for Stigma and Burnout with Substance Abuse Counselors־־־Steven C. Hayes, Ph.D., Jacqueline Pistorello, Jason Luoma, Ph.D., Barbara Kohlenberg, Ph.D., Roger Vilardaga, M.A., Michael Levin, Jason Lillis, Ph.D., Mikaela Hildebrandt Using ACT to prevent mental health problems among college freshman ־־־JACQUELINE PISTORELLO, PH.D., Steven C. Hayes, Ph.D., Jason Lillis, Ph.D., Chelsea MacLane, Ph.D., Michael Levin, Jennifer Boulanger, Anthony Biglan, Ph.D., John Seeley, Ph.D.

  • Experimental analysis of complex human behavior: disambiguation of relational networks and transformations of functions through hierarchical and analogical relations. ־־־FRANCISCO RUIZ

Relational coherence in ambiguous and unambiguous relational networks־־־Jennifer L. Quiñones, STEVEN C. HAYES, Ph.D. Transformation of functions through hierarchical frames.־־־ENRIQUE GIL, Carmen Luciano, Ph.D., Francisco Ruiz, Vanessa Sánchez Transformation of functions through analogical relations: An experimental analysis of metaphors as clinical method. ־־־FRANCISCO RUIZ, Carmen Luciano Modelling Hierarchical Relational Responding־־־IAN STEWART

  • Applications of ACT to children, adolescents and their parents: Case studies־־־FRANCISCO RUIZ

Application of ACT on a persistent oscurity phobia in a 11 years old boy. ־־־Francisco Ruiz, Vanessa Sánchez, Carmen Luciano, Ph.D., Rosa M. Vizcaíno Applicationof ACT on a case of bullying in a 9 year old boy־־־Francisco Ruiz, ROSA M. VIZCAÍNO , Carmen Luciano Application of ACT to improve the performance of a 12 year old chess-player, to treat familiar problems and self-injury behaviors.־־־FRANCISCO RUIZ, Carmen Luciano ACT in family: a case on eating disorders־־־MARISA PÁEZ, PH.D.

  • Young clinical ACT researchers from Uppsala University־־־JOANNE DAHL

A short term self help based manual treatment for patients with severe chronic pain־־־JENNY THORSELLl, REBECCA TINGVALL, ANNA FINNAS, MARIA GYBRANT, Emma Jokimaki , Moa Brathen, Elin Waxin, Karin Andersson, Sofia Fredriksson, Johanna Aronsson Acceptance and Commitment Therapy for Increase of Social Support in Families of Lesbian, Gay and Bisexual Youth: A pilot study with multiple baselines־־־Malin Dahlstrom, Emma Wallin Acceptance and Commitment therapy for bariatric surgery patients־־־JoAnne Dahl, Sandra Weineland ACT in the treatment of epilepsy: Where are we now and where are we going־־־Tobias Lundgren, MS,JoAnne Dahl, Lennart Melin, Nandan Yardi, Bryan Kies

  • Time-Series Designs in Clinical Practice־־־JENNIFER L. BOULANGER, Jason Luoma, Ph.D., Merry Sylvester, M. A., James Yadavaia

A multiple-baseline study of ACT for self-stigma around sexual orientation: Issues in the measurement of less overt behaviors־־־JAMES YADAVAIA Exploring feasibility through single case design: A single case of ACT with a woman with traumatic brain injury־־־MERRY SYLVESTER, M.A. Time-Series Designs in Clinical Practice and an Example Using the Training of Acceptance and Commitment Therapy through Videoconferencing־־־JASON LUOMA, PH.D., Rikard Calmbro Using Time-Series Designs to Aid in Case Conceptualization, Treatment Targeting, and Progress Monitoring: A case of Acceptance and Commitment Therapy in the long-term treatment of a severe, multi-problem client־־־JENNIFER L. BOULANGER

  • Values in Acceptance and Commitment Therapy: Conceptualization, Clinical Exercises and Assessment־־־REGAN M. SLATER

What are Values? Unpacking Values as Conceptualized in Acceptance and Commitment Therapy־־־REGAN M. SLATER, Stephanie L. Nassar, Maureen K. Flynn, Kate K. Kellum, Kelly G. Wilson, Ph.D. An Improved Measure of Valued Living: The Valued Living Questionnaire-II (VLQ-2)־־־STEPHANIE L. NASSAR, Maureen K. Flynn, Regan M. Slater, Kate K. Kellum, Kelly G. Wilson, Ph.D. Values-Centered Exercises: Impact of Values Work on Psychological Well-Being־־־MAUREEN K. FLYNN, Regan M. Slater, Stephanie L. Nassar, Kate K. Kellum, Kelly G. Wilson, Ph.D.

  • Investigations into Acceptance and Commitment Therapy and Real Life־־־Nadia Lucas, Regan Slater, Lindsay Martin, Jennifer C. Plumb, M.A.

The Effect of Commitment and Behavior Change Processes in ACT on Public Speaking Anxiety־־־NADIA LUCAS, Regan Slater, Kelly G. Wilson, Kate K. Kellum Mindfulness at the Front of the Room: An Evaluation of ACT for Public Speaking Anxiety־־־REGAN M. SLATER, Nadia Lucas, Kelly G. Wilson, Kate K. Kellum The Effects of ACT for Body Image Disturbance on Eating Behavior and Valued Living־־־Emily K. Sandoz, K. K. Kellum, Kelly G. Wilson, LINDSAY MARTIN (presenter) Examining the Effects of a Values Intervention to Enhance Motivation and Commitment to Engage in Studying Behavior־־־JENNIFER C. PLUMB, Michael Levin, Steven C. Hayes, Kate L. Morrison

  • Explorations into ACT and Literature ־־־MAUREEN K. FLYNN, M.A., KELLY WILSON, Ph.D., TROY DUFRENE

Crying Out in the Dark: A Look into ACT and Literature־־־MAUREEN K. FLYNN, Kelly Wilson, Ph.D. My Deep and Abiding Interest in Transitions־־־KELLY WILSON, Ph.D. Once, Twice, Three Times a Loser: Cognitive Fusion and the Antihero in Mid-Twentieth Century American Short Fiction־־־TROY DUFRENE

  • A behaviour-analytic perspective on the diagnosis of executive dysfunctions־־־GWENNY JANSSEN, DRS, Jos Egger, Ph.D., Hubert De Mey, Ph.D
  • RFT and evolution: Are memetics the missing link?־־־MARCO KLEEN
  • Schizophrenia, language and cognition: Suggestions for RFT research־־־MARTIN CERNVALL, M.SC., Ian Stewart, Ph.D., Ata Ghaderi, Ph.D.
  • Novel Implicit Attitudes: What Do We Know about Them and What Do We Have to Learn? ־־־SEAN HUGHES, B.A.
  • A Demonstration of an Easy Token Economy in an Applied Setting ־־־ALYSSA WILSON, Jonathan H Weinstein, Kelly G. Wilson, Karen Kate Kellum
  • Acquisition and fluency of the arbitrarily applicable derived relational responding in accordance with opposition and comparison contexts־־־Rosa M. Vizcaíno, Carmen Luciano, Ph.D., Vanessa Sanchez, Francisco Ruiz
  • Increasing the Rate of Derived Relational Responding: An Applied Investigation־־־NICHOLAS M. BERENS, Steven C. Hayes, Ph. D., Kimberly N. Berens, Ph. D.
  • Integrating cognitive and autonomic flexibility: Preliminary support for a neurobiological mechanism־־־PAUL W. GOETZ, William H. O'Brien, Ph.D., Carmen K. Oemig, M.A., Erin Bannon
  • Application of Acceptance and Commitment Therapy in the Treatment of Psychological Problems Associated with Systemic Lupus Erythematosus־־־TOMÁS QUIROSA-MORENO, Carmen Luciano, Ph.D., N. Navarrete-Navarrete, Olga Gutiérrez Martínez, Ph.D.
  • Web Based Interventions for Relapse Prevention after Pain Management Program ־־־NINA BENDELIN, M.SC., Gerhard Andersson, Ph.D., Björn Gerdle, Ph.D.
  • ACT for parent of childern diagnosed with autism: Developing and evaluating group intervention for supporting parents in Italy־־־GIOVANNI MISELLI, PSY.D., Giovambattista Presti, MD, Paolo Moderato, Ph.D.
  • Psychooncology and ACT: State of research and new challenges ־־־FRANCISCO MONTESINOS, PH.D. , Marisa Páez, Ph.D.
  • Acceptance and Commitment Therapy for adolescents: Study 1 - individual treatment delivered in mental health services, and Study 2 - a group program delivered in schools ־־־LOUISE HAYES, Ph.D.
  • Randomized Controlled Trial Comparing Mindfulness and Acceptance-Based Group Therapy and Cognitive Behavioral Group Therapy for Social Anxiety Disorder: Preliminary Results ־־־NANCY KOCOVSKI, PH.D., Jan Fleming, M.D., Martin Antony, Ph.D.
  • Preliminary data of a Random Clinical trial of ACT and TU (cognitive-behavioural) with substance abuse disorder־־־MARISA PÁEZ, M. López, M. C. Luciano
  • Psychological Flexibility as a Mediator of Treatment Outcome in Exposure-driven CBT NOT based on ACT: Intermediate Results from a Randomized Treatment Study of Panic Disorder with Agoraphobia־־־ANDREW T. GLOSTER, Michael Höfler, Jens Klotsche , Franziska Einsle, Hans-Ulrich Wittchen
  • Elearning and behavior modification: Measuring the differences of ACT based and CBT based Podcast on the academic behavior of students of an Italian University־־־GIOVANNI MISELLI, PSY.D., Julian McNally, M.Psych, Francesco Pozzi, M.S., Elisa Rabitti, M.A., Giovambattista Presti, MD, Giovanni Zucchi, Psy.D., Paolo Moderato, Ph.D.
  • Preliminary support for a spiritually integrated approach to valued living in the face of spiritual struggles־־־CARMEN K. OEMIG, M.A., Kenneth I. Pargament, Ph.D., Meryl Gibbel, M.A., Maria Gear, M.A., Elizabeth Krumrei, M.A., Carol Ann Faigin, M.A., Shauna McCarthy, Ph.D., Kavita Desai, M.A.
  • Practising ACT with Christians - challenges and opportunities־־־INGRID ORD
  • "Acceptance and Commitment Therapy (ACT) To prevent stress and promote health Psychological Treatment of Youth under Stressful Conditions - A Pilot Evaluation of the Impact of ACT in an Adolescent Group" ־־־FREDRIK LIVHEIM, Emma Stavenow
  • Measuring processes of behavioral modification during a Diabetes Management Summer Camp: Acceptance in Diabetic Children־־־Giovanni Zucchi, Psy.D., Giovanni Miselli, Psy.D., Giovambattista Presti, MD, Paolo Moderato, Ph.D., Paola Accorsi, M.A., Valerio Miselli, MD
  • The Effectiveness of an Acceptance and Commitment Therapy Intervention for Work Stress on Innovation, Cognitive Interference, and General Health Symptoms־־־ERIN BANNON
  • The Meta-Valuing Measure: Measuring Valuing Behavior and the Whole Life Concept ־־־AMANDA C. ADCOCK, M.S., Cicely LaBorde, M.S., AMY MURRELL, PH.D.
  • Developing a Measure of Cognitive Fusion־־־DAVID GILLANDERS, HELEN BOLDERSTON, Maria Dempster, Frank Bond
  • Core ACT values are "Prediction and influence with precision scope and depth": A guide־־־JOE CURRAN
  • Evaluating introductory ACT workshops: Changes in knowledge and responses to experiential exercises־־־ERIC MORRIS
  • How to measure what really works in ACT training־־־M. C. LUCIANO, MARISA PÁEZ
  • The study of Defusion in clinical setting: a replication of word-repetition studies with an inpatient sample ־־־Giovanni Zucchi, Psy.D., Akihiko Masuda, Ph.D., Giovanni Miselli, Psy.D., Giovambattista Presti, MD, Paolo Moderato, Ph.D.
  • Acceptance, Values and Motivation to Change in Alcohol Addicted Patients־־־Giovanni Zucchi, Psy.D., Giovanni Miselli, Psy.D., Giovambattista Presti, MD, Paolo Moderato, Ph.D.
  • Psychological Flexibility and Anxiety: Preliminary Data from an Epidemiological Study in Cyprus־־־MARIA KAREKLA, Ph.D., Margarita Kapsou, M.A., Georgia Panayiotou, Ph.D.
  • Experiential Avoidance and Eating Pathology in a Sample of College Students in Cyprus־־־MARIA KAREKLA, PH.D.
  • The ABC Course: a pilot ACT course for learning mindfulness־־־CHRIS TREPKA
  • On being present and feeling good: The link between present-moment awareness and emotional well-being amongst adolescence־־־JOSEPH CIARROCHI, Patrick Heaven
  • The ImPActS model of principled living: Measuring the extent that people principles to be Important, Pressured by others, Activated, and Successfully engaged־־־JOSEPH CIARROCHI
  • Coping Strategies and the Mediating Role of Experiential Avoidance־־־TIZIANA PENNATO, Olivia Bernini, Fiammetta Cosci, Carmen Berrocal
  • Evaluation of relaxation response and mindfulness strategies in overweight women: A two year randomized trial־־־CAROLINE HORWATH,PH.D., Greer Hawley MSc, Andrew Gray B Com (Hons), Alison Bradshaw MSc, Lisa Katzer MSc, Janine Joyce M Health Sci, Sue O'Brien BHSc
  • Can a Mindfulness-Based Stress Reduction Intervention Change Personality?־־־IVAN NYKLICEK, PH.D.
  • Anorexia nervosa and implicit attitudes: An IRAP-study־־־THOMAS PARLING, M.SC., Martin Cernvall, M.Sc., Ata Ghaderi, Ph.D.
  • From Verbal Content to Experiential Process with the iView--- Kevin Polk, Ph.D.
  • Training Nurses in ACT Skills for Medical Treatment Planning--- Kevin Polk, Ph.D., Fanny Robichaud, RN
  • A Group ACTivation Program for Us Old Folks--- Sven Rydberg, Ph.D.
  • Theoretical Frameworks and Therapeutic Possibilities--- Michael McEachrane
  • Reinventing Empirical Clinical Psychology in the Electronic Age: An Invitation to Participate in the First Fully Distributed Research Network Ever Created--- Kelly Wilson, Ph.D.
  • Experiential Avoidance and Self-Compassion in Chronic Pain: Relations with Depression, Anxiety and Stress-- Joana Costa, José Pinto Gouveia, PhD
  • Acceptance and commitment therapy with religiously committed clients: Using the crucible of faith to foster more authentic meaningful living-- Christopher Larsen
  • ACT for Stress Management Amongst Staff in Challenging Behaviour Services-- Dr Nick Gore
  • Assessing psychological flexibility: Preliminary psychometric properties of the Acceptance and Action Questionnaire - II in clinical and healthy German samples-- Katrin Hummel, Jens Klotsche, Samia Chaker, Jürgen Hoyer
  • An in-progress program of validation of ACT oriented clinical tools in Italy-- Elisa Rabitti, Psy. D., Giovanni Miselli, Psy. D., Rossana Somalvico, Psy. D., Giovambattista Presti
  • Correlates of acceptance in patients with and without substance abuse-- Marco Kleen, Nele Jacobs, Francis de Groot, Jacqueline A-Tjak
  • The Influence of Values Induction on Cold Pressor Pain Tolerance: A Pilot Study Brooke M. Berry, Jennifer L. Boulanger, Steven C. Hayes, Ph.D.
  • Descriptions of short natural instructions sequences within education and psychotherapy in terms of relational frames-- Stefan Billinger Ms
  • Using the IRAP to investigate emotional reactions to challenging behaviour-- Dr Nick Gore
  • ACT for Health Anxiety - a randomized controlled trial-- Trine Eilenberg, Msc. Lisbeth Frostholm, Ph.D., Emma Rehfeld, MD, Per Fink, MD. Ph.D.
  • ACT for Bodily Distress Disorder - a Randomized Controlled Trial-- Lisbeth Frostholm, Ph.D., Emma Rehfeld, MD, Per Fink, Dr. Med. Sc., Ph.D.
  • An ACT-based Treatment to Improve Methadone Detoxification Success Rates-- Angela L. Stotts, Ph.D. , William D. Norwood, Ph.D., Charles Green, Akihiko Masuda, Ph.D.
  • Spanish adaptation of Acceptance and Action Questionnaire - II: Factor structure and psychometric properties-- Álvaro I. Langer, Francisco J. Ruiz, Adolfo J. Cangas, Carmen Luciano
  • Radical Behaviour View Of Acceptance and Commitment Therapy-- Michaele Terena Saban
  • Exposure and Acceptance in Chronic Debilitating Pain – an Evaluation of a Residential Treatment Model-- Mike Kemani, Rikard Wicksell, Camilla Wiwe, Gunnar Olsson
  • ACT Physiotherapy treatment protocol for clients with long-lasting pain. Preliminary results of a pilot study at a multidsciplinary pain clinic in Sweden-- Graciela Rovner
  • Patient selection criteria to enter ACT-based pain rehabilitation programs. Is our clinical reasoning (case conceptualization) and decision making supported by the self-report questionnaires?-- Graciela Rovner
  • The effects of Acceptance and Commitment Therapy on Mindfulness-- Philipp Breil
  • The differential effect of suppression, reappraisal and defusion strategies to coping with aversive private events-- Carmen Luciano, Francisco J. Ruiz, Enrique Gil-González, Juan C. López
  • An analog study comparing mindfulness- and values-based strategies for coping with food cravings-- Priscilla V. Almada, B.A., Agnes Matter-Dang, Kemisha James, Jennifer A. Gregg, Ph.D.
  • An experimental comparison of Acceptance and Congitive Restructuring-- Lydie Cornu, Benjamin Putois, MA, Benjamin Schoendorff
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Registration Rates & Information

ACBS World Conference III Registration Rates:

€425: Professional/ Affiliate €225: Student

Prices include 3 lunches, 2 dinners, coffee/tea. Pre-Conference 2-day Workshop Registration (June 29 & 30): Note: Onsite registration is not available for the 2-day workshops

€275: Professional/ Affiliate €165: Student

Prices include 2 lunches, coffee/tea.

    Regular and Onsite Registration:
    • Online registration will end June 26, 2009.
    • Onsite registration fees will be the above fees plus €50.

      Note: Onsite registration is not available for the 2-day workshops.

  1. Refunds: A €25 processing fee will be charged for World Conference registration refunds up to June 1, 2009. We regret that after June 1, 2009, refunds can not be made. Enrollment limitations: Enrollment may be limited due to the limitation of our venue to accommodate additional sessions and attendees. Thanks! ACBS

Transportation - Information and Directions

 

Shuttle Bus/ Touring Car in Enschede, Netherlands:

ACBS is offering free shuttle bus/ touring car transportation to-and-from the Eden Dish, Eden Star, and Van der Valk hotels [1288]. This shuttle can take you from your hotel to the site of the World Conference on the campus of the University of Twente, and back to your hotel in Enschede/Hengelo during designated hours, June 29 - July 3.

The Drienerburght and Broeierd are within ten walking minutes. ACBS does not offer transportation for these two conference hotels.

To use the Shuttle Bus/ Touring Car services, you must notify us by June 1, 2009. After you have booked your room at the Eden Dish, Eden Star, or Van der Valk hotel, you must reserve with us via this webform [1310].

The deadline for signing up for the free shuttle bus has passed. If you need transportation, convenient and frequent buses operate, and are inexpensive. See local bus information below.

Exact shuttle bus schedules will be emailed to those who reserved with us, a few weeks before the event.

Parking at University of Twente:

If you have a car and would like to drive it to the University of Twente, parking is available at no cost on campus

Train from Amsterdam's Schiphol Airport:

On the Schiphol Airport there is a train station from the Dutch Railroads (NS). In the main Hall (arrivals hall) you can find an information desk (where they can help you plan the trip and print this on a hardcopy) and ticket machines. On the following website you can see which train will leave from Schiphol to Enschede: http://www.ns.nl/cs/Satellite/travellers [1355]
(on this website, you'll choose "From: Airport", Airport:"Amsterdam Airport Schiphol", Travel Method:"Bus, Tram, Metro,...", To:Station:"Enschede", then enter your date and approximate time of travel.)

There is a direct train to Enschede but this doesn’t depart that often (once every 2 hours). However every 20 to 30 minutes there is a train that goes to Hilversum, with a stop in Almelo where you should get off. Then take the train to Hengelo which also stops in Enschede. (There are other train routes as well.)

Depending on which train, the travel time to Enschede will be approximately 2 hours and 16 minutes. This trip will cost 24,50 Euro.

If you are staying at the Drienerbrught or Eden Broeierd Hotels, you may want to get off of train at the "Enschede Drienerlo" Station. If you are staying in Enschede at the Eden Dish, you will want to get off of the train at the "Enschede" Station; if at the Eden Star in Hengelo, you'll want the "Hengelo" Station; if staying at the Van der Valk Hotel, you'll want the "Borne" or "Hengelo" stations. Please look at the map on this page [1356], and you can find your hotel as well as the train stations.

Bus, Local (Enschede, Hengelo):

Check out JourneyPlanner [1357] for Enschede/Hengelo bus information. You can enter the Twente University bus stop "UT/Viaduct" and then your hotel's address (for example) if you want to figure out the bus number, route, and times. Or enter the name of the train station you'll get off at, then your hotel's address, for transportation options.

Detailed Bus Information for conference attendees:

All of these buses run every 10-30 minutes.

The “UT/Viaduct” and “UT/Parallelweg” bus stops can be found on the campus map on the back cover of this program at the entrance of the university on Hengelose Straat (UT/Viaduct) and on Parallelweg Noord (UT/Parallelweg).

Eden Dish Hotel, Enschede
From Eden Dish Hotel, Boulevard 1945 no. 2, Enschede to the University of Twente (first morning bus 6:17am)

  • From “Centraal” station in Enschede take Bus 9 destination Hengelo, and get off at “UT/Viaduct” bus stop.

From University of Twente to Eden Dish Hotel (last evening bus 11:38pm)

  • From “UT/Viaduct” bus stop take Bus 9 destination Enschede, get off at “Centraal” station; or from “UT/Parallelweg” bus stop take CityBus 1 destination Wesselerbrink, and get off at “Van Heekplein” bus stop.

Eden Star Hotel, Hengelo 
From Eden Star Hotel, B.P. Hofstedestraat 50, Hengelo to the University of Twente (first morning bus 6:15am)

  • From “Station NS” station in Hengelo take Bus 9 destination Enschede, and get off at “UT/Viaduct” bus stop.

From University of Twente to Eden Star Hotel (last evening bus 11:46pm)

  • From “UT/Viaduct” bus stop take Bus 9 destination Hengelo, get off at “Station NS” station.

Van der Valk Hotel, Hengelo
From Van der Valk Hotel, Bornsestraat 400, Hengelo to the University of Twente (first morning bus 5:41am)

  • From “Vosboer” bus stop take bus 51 destination Hengelo, get off at “Station NS” station; then take Bus 9 destination Enschede, get off at “UT/Viaduct” bus stop.

From University of Twente to Van der Valk Hotel (last evening bus 11:16pm)

  • From “UT/Viaduct” bus stop take Bus 9 destination Hengelo, get off at “Station NS” station, then take CityBus 13 destination Hengelo North, get off at “Stadskantoor” bus stop; or from “UT/Viaduct” take Bus 9 destination Hengelo, get off at “Station NS” station, then take Bus 51 destination Almelo, get off at “Vosboar” bus stop; or from “UT/Viaduct” take Bus 8 destination Kristenbox, get off at “Vosboer” bus stop.

Taxi Service (Enschede):

ETC taxi services
Phone: 0534338889
Website: http://www.taxi-enschede.nl/ [1358]

Di Taxi Enschede
Phone: 0534615060
Website: http://www.ditaxi-enschede.com/ [1359]

Airplane

You probably have your own method, but, in the USA, I love Kayak [286], it has a funny name but is a great tool for finding good fares, and good schedules. The only domestic US airline that it does not include is Southwest. You'll have to create a free login, but it's worth it. easyJet [1360] flies into Amsterdam (among many others of course).

ACT Oceania II, Christchurch NZ

Presentations will be added as and when I can get them, can find the time to put them up and the site is responding enough to receive them
We appreciate your comments either here or on the listserve.

Some of these presentations have already been placed on the ANZO files page. Joseph has added his separately.

Larger presentations could not be uploaded until recently and I have now loaded all the presentations I have available.

David Mellor

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ACT Summer Institute III

SI3bannerlogo3.jpg

CE Credits now available! [1361]

ACT Summer Institute III (a.k.a. ACT SI 3) will be held July 16-20, 2007, (with University of Houston-Clear Lake Campus [1362]. Houston is a conveniently accessible and relatively inexpensive city offering plenty of opportunities for leisure to complement your learning. It may be a bit warm, but there is plenty of air conditioning to go around! This five-day institute will provide a unique opportunity to learn about cutting-edge advances in Acceptance & Commitment Therapy (ACT) and Relational Frame Theory (RFT), in addition to other third generation approaches in behavior therapy. Students, practitioners, researchers, and policy makers will benefit from this institute and find it an excellent opportunity to learn from the very top people involved in the development and advancement of ACT, RFT, and contextual behavioral approaches.

The basic structure will include experiential workshops [1363] the weekend before the institute, targeted half-day workshops in domains of specific ACT/RFT applications, and plenary sessions where all conference participants come together.

There will be a wide range of topics and presenters, with areas of interest for everyone. In addition, there will be academic and social evening events during which you can get to know your friends and colleagues in the international ACT/RFT community on a more personal basis (for anyone who hasn't been to one of these events before - these are a LOT of fun!).

The structure of the program will be similar to previously successful ACT Institute, and will be both ACT and RFT focused. Based on previous feedback, however, the program will allow more time for socializing and networking, with longer breaks. In addition to 5 workshop tracks, we will also have research papers presented at the end of the lunch break. We will host an evening cocktail poster session as well, which is intended to showcase clinical and experimental research in RFT and ACT.

Location: University of Houston- Clear Lake [1364] 2700 Bay Area Blvd. Houston, TX, 77058 United States

Program [1365]: We are planning 5 workshop tracks and research papers to be presented at the end of the long lunch break. A poster session will be held the evening of July 17th.

Please click on Program- ACTSI3 at the bottom of this page for more detail. The schedule will be much looser this year as compared to previous years. There will be more free time to interact with others. The schedule will be posted as soon as it is ready.

4 two-day pre-conference workshops [1363] (July 14-15, 2007) are scheduled with Sonja Batten, Robyn Walser, Kelly Wilson and Emily Sandoz, Niklas Törneke and Jason Luoma.

Registration [1366]: Registration is now closed. Onsite registration is NOT available for the pre-conference workshops. Limited onsite registration will be available for the Summer Institute, July 16-20, due to limitations of the venue, catering, etc.

Accommodations: [1367] Our conference hotel is the Hilton - Houston NASA Clear Lake. Information about special conference hotel rates and how to reserve your room is available here [1367].

Sponsors: [1368] University of Houston - Clear Lake, Clinical Psychology Program Houston Psychological Association Context Press Nevada State Psychological Association (APA approved CE credit sponsor)

 

The Wonderful Folks Making It Happen:

The Co-directors of the Summer Institute are Kelli Wright [1369].

The Program Chair is Angie Stotts [1370].

Airfare Discount

ACT SI 3 is pleased to offer attendees and their travel companions discounted airfare through American Airlines. Tickets booked through American Airlines qualify for a 5% discount.

Flights into Houston Hobby Airport (HOU) and Bush Intercontinential Airport (IAH) qualify for the discount and is valid July 12-25, 2007. (Note to passengers: Houston Hobby is about 25 minutes by car from the ACT SI 3 venue, while Bush Intercontinental is approximately 45 minutes by car from the ACT SI 3 venue.)

This discount is good for travel on partner airlines as well (including international) as long as at least one leg of the trip is on an American Airlines plane, and the ticket is purchased through American Airlines. International originating passengers, will need to call their local reservations number and refer to the Discount Code below (STARfile authorization number).

Website: www.aa.com [1371]

Phone: 1-800-433-1790*

Discount Code/ Tour Code: A8077AS

*Please note that there is a $10 ticketing fee for all tickets reserved via phone.

Airport Shuttle/ Rental Car Discounts

SuperShuttle (Airport Shuttle)
To/from Hobby Airport (HOU) to/from Hilton NASA/Clear Lake is $19 one-way per person (round trip is $38)

To/from George Bush Intercontinental (IAH) to/from Hilton NASA/Clear Lake is $33 one-way per person (round trip is $66)

When you arrive at the airport, simply collect your baggage and follow signs to "Ground Transportation" and you will see the SuperShuttle counter. You do not need to make reservations from the airport but for your return trip from the hotels, you do need reservations. You can either make your return reservation when you are arranging your transportation to the hotel or you can make your reservations in advance on-line at www.SuperShuttle.com [1372] or you can call 1-800 BLUE VAN.

Discounted Shuttle: The per person one-way fare to/from IAH to Hilton Nasa/Clear Lake is $31 and for HOU it's $18. You need to go on-line at www.SuperShuttle.com [1372] to make your reservation and enter group discount code K6HNV to take advantage of this discounted rate.

(According to our research, SuperShuttle is the most affordable and most reliable airport shuttle service in town. The above quote was gotten directly from Stacey Lee Roberts, Director of Sales & Marketing, SuperShuttle Houston.)

AVIS Rental Car
We have negotiated a discount with AVIS for car rentals during the Summer Institute if you need one.

Please use the Avis Worldwide Discount (AWD) Number: D757505.

Use this AWD number when calling Avis directly at 1-800-331-1600 or when booking online at AVIS [1373] to receive the best car rental rates available.

CE Credits

Continuing Education Credits from our APA approved sponsor, NSPA, and Texas State Board LPC Credits now available!

We now have CEs available from our APA approved sponsor for the ACT Summer Institute III and the Pre-Conference workshops. (Thank you to the Nevada State Psychological Association!) They are $25 in addition to registration.

    These CEs, sponsored by the NSPA are available for a flat fee of $25 for the week, weekend, or both.
    CEs are also sponsored by the Houston Psychological Association. The CEs they can provide are free to all conference attendees, but they are not an APA approved sponsor. Many states, Texas, Louisiana, and Nevada, to name a few, accept CEs from sponsors who are not APA approved. Please check with your state Psychological Association to see what is required of you. (This link [1374] lists most of the state Psychological Associations (scroll down on the page) so you can check your state's requirements.)
    CE hours available for Pre-Conference workshops: 15
    CE hours available for the Summer Institute (5 days): 35.5

We have also have CE provider status with the Texas State Board of Examiners of Professional Counselors. With this, we can provide CEs to LPCs. You can purchase them for $15 in addition to registration.

Approval: Nevada State Psychological Association (NSPA) [1375] is approved by the American Psychological Association to sponsor continuing education for psychologists. NSPA maintains responsibility for this program and its content. NSPA will issue certificates of completion. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Neilan Rodrigues, 1-775-746-2013 or through the "Contact Us" link at the bottom of the page.

Free Ground Transportation at SI (AM, PM, and Evening)

Free Ground Transportation at SI

We are happy to announce that ACT SI 3 has hired ground transportation during the SI and pre-conference workshops. Once you are at the conference Hilton hotel, you will not need a rental car to attend the workshops and institute, nor to go out for dinner. (If you want to explore the area further, you can rent a car for a discount via this AVIS [1373] link.)

We have hired a 47 passenger bus to make multiple AM and PM trips to and from the Summer Institute and workshops back to the Hilton (July 14-20). The bus will also run in the evenings (from the Hilton) to take you out for dinner and for your return to the hotel at night.

The Hilton and SI venue are about 5-10 minutes apart. The majority of dining is only 15 minutes away or less.

The bus will run between the Hilton and the University of Houston- Clear Lake (UHCL) 7:30-9:30am each day, July 14-20.
The bus will run from 5:30pm until 10:30pm on Sat., Sun., Mon., and Wed.
The bus will run from 5:30pm until 8:30pm on Tues. & Thurs. (We have evening events at the Hilton on those nights.)
The bus will run Friday afternoon from approximately 1:00pm-4:00pm.

The exact schedule and routes will be posted at a later date. We are attempting to create a schedule so that you may have access to a wide variety of dining, taking advantage of all that Houston has to offer.

Hotel

Our conference hotel is the Hilton - Houston NASA Clear Lake [1376].

To reserve your room call Hilton reservations at 1-800-HILTONS (1(800)445-8667) or call directly:

Hilton - Houston NASA Clear Lake

3000 NASA Parkway

Houston, TX 77058

1(281)333-9300

Where available, reservations may also be made through the World Wide Web. - www.houstonnasaclearlake.hilton.com [1376].

Our discounted room block is full, and because we're so close to the SI, I'm afraid that we can't get more rooms for a discount.

People who book rooms by June 14, 2007, will qualify for a raffle for 1 free hotel night gift certificate (2 gift certificates will be awarded prior to the institute).

The free certificates have been awarded to..... (drum roll please)... Lynn McFarr, Ph.D., of UCLA, and Chris Wemple of Washington, D.C. They were awarded using www.random.org to select the numbers from my Excel file of registrants.

Free parking is available at the hotel.

ALTERNATIVE HOTEL An alternative hotel in the area is:

C [1377]andlewood Suites [1377]

HOUSTON-CLEAR LAKE

2737 BAY AREA BLVD

HOUSTON, TX 77058

UNITED STATES

Hotel Front Desk: 1-281-4613060

According to MapQuest, this hotel is about 1/2 mile from the University. No shuttle service is provided by ACT SI3 to this location.... only to the Hilton. (just in case you were wondering... you will likely need a vehicle if you stay here)

Free parking is available at Candlewood Suites.

Pre-Conference Workshop Information

Pre-conference workshops:

REGISTRATION FOR THESE PRE-CONFERENCE WORKSHOPS IS NOW CLOSED. ONSITE REGISTRATION IS NOT AVAILABLE FOR THE PRE-CONFERENCE WORKSHOPS. Please check the "Upcoming Events" calendar on the right for other training opportunities.

These 2-day workshops will be held the weekend before the ACT Summer Institute at the same venue. They will be roughly 9:00-5:15pm on Saturday and Sunday, July 14 & 15, 2007.

These workshops are independent of the Summer Institute and require a separate registration fee. Registration at the Summer Institute is not required in order to take advantage of these workshops. APA and LPC CE credits are available [1361].

DRIVING?
Directions to UHCL and Campus Map [1378]

UHCL parking is free of charge in the Visitor's lots on the weekend. I recommend you park in the visitor's lot on the west side of the Bayou Building (the workshops are in the Bayou Building). The sign says "parking $5", but they lift the gate at noon on Saturday, so you won't have to pay as you exit, and it will be open (and free) all day Sunday. The other visitor lot is a bit of a hike.

See our Weekend Workshop Info PDF for the complimentary busing schedule, dinner schedule, and map.



View/ download Weekend Workshop Info [1379]


Please arrive by 8:30am at the latest on Saturday, July 14th, so that everyone can get their name badges and get settled so that the workshops can start on time.

LATE REGISTRATION RATES: (early registration is done)
$265: Professional/ Affiliate ACBS members
$145: Student ACBS members
$320: Professional non-members
$175: Student non-members
(becoming an ACBS member first is cheaper than paying the non-member rate!)
Price includes lunch both days.

Registration is now available here [1366].

Introductory ACT Experiential Workshop (Introductory) [1380]: THIS WORKSHOP IS FULL.
Sonja Batten, Ph.D.

ACT Core Skills and Competencies (Introductory) [1381]:
Niklas Törneke, M.D., & Jason Luoma, Ph.D.

ACT: Advanced Experiential Workshop (Advanced) [1382]:
Robyn Walser, Ph.D.

ACT in the Present Moment (Advanced) [1383]:
Kelly Wilson, Ph.D., & Emily Sandoz, M.S.

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Introductory ACT Experiential Workshop - Sonja Batten

sonjaphoto_0.jpgIntroductory ACT Experiential Workshop Registration is now closed.

Workshop leader: Sonja V. Batten, Ph.D., VA Maryland Health Care System and University of Maryland School of Medicine

Dates & Location: July 14 & 15, 2007, 9:00am - 5:00/5:30pm at the University of Houston - Clear Lake.

General description/abstract: Clients frequently come to therapy with an agenda of the amelioration of symptoms - to feel less depressed, have fewer panic attacks, and have fewer cravings to use drugs and alcohol.

Traditional treatment approaches are designed for exactly such a purpose - to assist in symptom reduction. But what if there were another way of approaching our clients' difficulties in living? What if it were not the thoughts, memories, and feelings that are the problem, but instead that individuals presenting for treatment have lost touch with what is important to them? That they are not living a life in accordance with those things that they really value? Often we find that years of disappointment, disenfranchisement, and avoidance have led our clients to make choices based on attempts to feel good, rather than based on building a life that is meaningful to them.

Acceptance and Commitment Therapy, a contemporary behavior therapy, provides an alternative to the feel-good agenda and instead focuses on helping our clients to reconnect with those ideals and principles for living that are deeply important to them. This two-day workshop will provide clinicians with the tools to work with clients on identifying each person's valued life directions and then help motivate behavior change in the service of those values. Structured experiential and written exercises, along with role pays and case material, will be used to demonstrate the process of values assessment and commitment to engage in valued life activities.

Educational Objectives: *Understand problems in living as the result of behavioral choices that individuals make that are inconsistent with their personal values *Identify the role of avoidance in the development and maintenance of psychopathology *Recognize client barriers to identifying and acting upon values *Be able to lead clients in experiential exercises designed to facilitate awareness of valued life directions and motivate valued behavior

PLEASE NOTE: It is important that you understand the experiential nature of this workshop. These workshops teach ACT by creating an experience of what it is like to stand in the place where we ask ACT clients to stand. The workshop will be largely experiential and may be intense at times.

Target Audience: Clinicians who have not previously attended a 2-day ACT introductory training

ACT Core Skills and Competencies- Niklas Törneke & Jason Luoma

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ACT Core Skills and Competencies (Introductory)luoma1.jpg

Registration is now closed.

Workshop Leaders: Niklas Törneke, M.D., Private Practice, Sweden, & Jason Luoma, Ph.D., Private Practice, Portland, Oregon

Dates & Location: July 14 & 15, 2007, 9:00am - 5:00/5:30pm at the University of Houston - Clear Lake.

General description/abstract: This is primarily a didactic and skills-building workshop, presenting the central clinical strategies and techniques of Acceptance and Commitment Therapy. The presentation will include video examples of different techniques and active exercises will be used to help participants to improve both their understanding of and skills implementing ACT core competencies.

Educational Objectives: The participants should:

1. Learn how to do case conceptualization within an ACT framework

2. Understand how the different ACT techniques relate to each other and, to the basic principles of ACT.

3. Improve their skills in using central ACT techniques and

4. Learn how to bring metaphors and experiential exercises into the flow of therapy.

Target audience: People who are beginning to learn ACT, who have been to an experiential workshop or a shorter introduction to ACT and who want to learn some more about how to implement ACT in their work. We highly recommend those who have not read the basic ACT book (Acceptance and Commitment Therapy [1384] by Hayes, Strosahl & Wilson 1999, Guilford Press) to do so prior to the training!

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ACT: Advanced Experiential Workshop- Robyn Walser

robyn walser.jpgACT: Advanced Experiential Workshop

Registration is now closed.

Workshop Leader: Robyn D. Walser, PTSD Core, Palo Alto, VA Hospital

Dates & Location: July 14 & 15, 2007, 9:00am - 5:00/5:30pm at the University of Houston - Clear Lake.

General description/abstract: The advanced ACT workshop is designed to sharpen skills learned in the beginner’s workshop, plus provide additional experiential exercises to further the understanding of the ACT model. Attendees will have the opportunity to: 1. focus on the therapeutic relationship 2. role-play clients/practice ACT components and receive feedback 3. learn how interpersonal process, letting go of self-concept and compassion fit into the ACT model.

Educational Objectives:

1. Learn how to improve flexible implementation of ACT core skills

2. Develop further understanding of compassion and forgiveness from an ACT perspective

3. Cultivate mindfulness and self-as-context

4. Develop understanding of ACT double-flex and the therapeutic relationship The advanced training is highly experiential and interactive and is designed to provide attendees with a personal sense of how ACT is applied in their own and their client’s lives.

Target audience: Those who've previously attended a 2-day ACT experiential workshop.

ACT in the Present Moment- Kelly Wilson & Emily Sandoz

wilsondkw127-small.preview.jpgSandoz.jpgACT in the Present Moment (Advanced)

Registration is now closed.

Workshop Leaders: Kelly G. Wilson, Ph.D., & Emily K. Sandoz, M.S., University of Mississippi

Dates & Location: July 14 & 15, 2007, 9:00am - 5:00/5:30pm at the University of Houston - Clear Lake.

General description/abstract: The focus of this workshop will be on the role of mindfulness and present-moment processes in Acceptance and Commitment Therapy. Over the past year or two, I have become increasingly interested in the centrality of present-moment processes in ACT. It has become clear that when ACT interventions go wrong, the problems can often be traced back to a failure of present moment processes. For example, when our clients struggle with acceptance of some thought, emotion, or memory, they are often rejecting conceptualized acceptance in a conceptualized future. Likewise, some of the biggest problem we see with values and commitment work centers on guilt (conceptualized past) and fear (conceptualized future). Persistently bringing clients (and ourselves) into the present moment undermines fusion and non-acceptance and enhances values and commitment work. Other difficulties that arise in ACT involve the therapist overstepping the therapeutic contract. Part of the therapeutic contract involves some limited amount of pain the client is willing to have in their interaction with the clinician. Attending carefully to present moment processes allows the therapist to work in harmony with the client and dramatically lessen the chance for breaks in the therapeutic alliance or problems with the pacing of treatment. Through a series of experiential exercises, participants will learn to bring present moment focus to acceptance and defusion work on the one hand, and values and commitment work on the other. Participants will learn to intersperse mindful moments into their ongoing therapeutic interactions. Although this is a skills acquisition-oriented workshop, it will be densely experiential.

Educational Objectives:

  • Learn the role of present-moment processes in acceptance, defusion, values, and commitment interventions.
  • Learn to enhance these interventions by interspersing mindful moments into the ongoing therapeutic interaction.
  • Learn the role of present moment processes in the enhancement of therapeutic alliance and in the maintenance of a strong therapeutic alliance.

Target Audience: This workshop is advanced. It is intended for those who have attended a previous ACT workshop. (If you have never taken an ACT workshop before, please consider taking one of the two Introductory Pre-Conference workshops available.) The workshop may be of particular interest for those interested in the interface between ACT and other mindfulness-based interventions.

Program (final) & Directions

To see the FINAL PROGRAM click below.

View/download ACT Summer Institute III Draft Program [1385]

EARLY ONSITE (Hilton) REGISTRATION AVAILABLE:

Early registration will be available from 6:00-7:00pm on Sunday, July 15th, in the lobby of the Hilton.

You can get the program, namebadge, and other info. (And miss the rush on Monday morning!)

We will begin Monday, July 16th at 9:00am (registration opens at 7:30am), and conclude Friday, July 20th at approximately 2:00pm.

Parking Info Update

I have a small change to the parking information. Monday - Friday parking in the visitor's lot on the southwest side of the Bayou building is $5 per day. You pay as you exit. Parking in the visitor's lot on the northeast side of the Bayou building is $4 per day. HOWEVER, you pay as you enter and exact change is required. It accepts coins and $1 bills. (If you put in a $5 bill it will be read as $1.)

Maps of campus and the Bayou Building are also on the last pages of the program above.

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Registration/ Rates

REGISTRATION IS NOW CLOSED.

LIMITED ONSITE REGISTRATION WILL BE AVAILABLE DUE TO CATERING LIMITATIONS.

NO ONSITE REGISTRATION IS AVAILABLE FOR THE PRE-CONFERENCE WORKSHOPS.

Program information can be found here [1365].

Don't forget to reserve your hotel [1367] room!

Prices include lunch Monday - Friday. Early registration ends June 27, 2007. (After this date, $25 will be added to each registration and $10 to each single day registration (for each day).)

ACT Summer Institute III Late Registration Rates: (early registration is finished)
$410: Professional/ Affiliate ACBS members
$235: Student ACBS members
$475: Professional non-members
$275: Student non-members

Single Day Rate:
$125: Professionals
$75: Students

Pre-Conference 2-day Workshops Early Registration:
$265: Professional/ Affiliate ACBS members
$145: Student ACBS members
$320: Professional non-members
$175: Student non-members
(Single day registration not available for these 2-day workshops, you must be able to attend both days.)
Price includes lunch both days.

A $25 processing fee will be charged for Institute registration refunds up to June 30, 2007. After June 30, refunds will be granted only at the discretion of the organizers.
Enrollment may be limited due to the limitation of our venue to accommodate additional sessions and attendees.

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Sponsors

ACBS would like to extend our thanks to our ACT Summer Institute III sponsors:

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ACT Summer Institute IV

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(2-day, pre-institute experiential workshops, May 26 & 27 [1386]) 

Location:

Illinois Institute of Technology

3300 South Federal Street

Hermann Hall/ Conference Center

Chicago, IL 60616-3793

Registration: Registration is now closed for this event, which has already taken place. Add your pictures and comments in the "photos and comments" daughter page below however!

What is the ACT Summer Institute?:

This three-day institute will provide a unique opportunity to learn about cutting-edge advances in Acceptance & Commitment Therapy (ACT) and Relational Frame Theory (RFT), in addition to other third generation approaches in behavior therapy. Students, practitioners, researchers, and policy makers will benefit from this institute and find it an excellent opportunity to learn from the very top people involved in the development and advancement of ACT, RFT, and contextual behavioral approaches.

The basic structure will include experiential workshops the 2 days prior [1386] to the institute, targeted half-day workshops in domains of specific ACT/RFT applications, and plenary sessions where all conference participants come together. There will be a wide range of topics and presenters, with areas of interest for everyone. In addition, there will be academic and social evening events during which you can get to know your friends and colleagues in the international ACT/RFT community on a more personal basis (for anyone who hasn't been to one of these events before - these are a LOT of fun!).

The structure of the program [1387] will be similar to previously successful ACT Institutes, and will be both ACT and RFT focused. We will have 7 workshop tracks running simultaneously during the Summer Institute. We will host an evening cocktail poster session as well, which is intended to showcase clinical and experimental research in RFT and ACT.

Program:

View the final program [1388].

 

General Schedule of Events:

View the times & locations [1387] of ACT SI events.

Conference committee: Patricia Bach & D. J. Moran

2-Day Pre-Institute Workshops

These 2-day workshops will be held the 2-days immediately preceeding the ACT Summer Institute IV, at the same venue. They will be roughly 9:00-5:15/5:30pm on Monday and Tuesday, May 26 & 27, 2008.

Onsite registration will be available (for you to pick up your name badge, materials, etc.) on Sunday, May 25th from 8:00pm-10:00pm in "Stevens Center, 3" on the lower level of the Hilton Chicago. (This is the "reception" room and time for ACBS during the ABA (Association for Behavior Analysis) [1389] conference taking place at the same hotel). Otherwise, you can pick these up onsite, on Monday morning.

Please arrive at Hermann Hall on the campus of IIT by 8:30am, on Monday, May 26, at 3300 South Federal Street. Please check here [1390] for directions.

Registration for the 2-day workshops has closed. No onsite registration is available for the 2-day workshops.

CLOSED (this workshop is full) Introductory ACT Experiential Workshop (introductory) [1391]:
Sonja Batten, Ph.D.

Introductory ACT Workshop (introductory/intermediate) [1392]:
Steve Hayes, Ph.D.

ACT Training Made Simple (all levels of experience) [1393]:
Kevin Polk, Ph.D., Jerold Hambright, Ph.D., John Agee, Ph.D., Chad E. Drake, M.S., & Katharine Mocciola, Psy.D.

ACT Case Conceptualization Workshop (intermediate/advanced) [1394]:
Kelly Wilson, Ph.D.

ACT Training Made Simple (all levels of experience)- Kevin Polk, Jerold Hambright, John Agee, Chad Drake, & Katharine Mocciola

polkcrew1.jpgACT Training Made Simple Registration is now closed.

Workshop Leaders: Kevin Polk, Ph.D., Togus (Maine) VA,

Jerold Hambright, Ph.D., Togas VA,

John Agee, Ph.D., Togas VA,

Chad E. Drake, M.S., Togus VA,

& Katharine Mocciola, Psy.D., Togas VA

Dates & Location: May 26 & 27, 2008, 9:00am - 5:00/5:30pm at the Illinois Institute of Technology (Chicago).

Workshop Description: This workshop is offered as a streamlined and simplified means of training ACT therapists and/or providing ACT treatment. The structure and organization of the workshop will resemble ACT as it is delivered at the VA center in Togus, Maine, to groups of veterans suffering from PTSD. The workshop will begin with a didactic review of the ACT model and quickly transition to more experiential training in that model. In addition to instructions in the techniques and skills necessary to conduct the Togus VA protocol, there will be an emphasis on relating the work back to Functional Contextualism and RFT. Over the two days, the providers will both demonstrate the model and present opportunities for attendees to practice delivering the model. Subsequently, attendees will be able to begin incorporating these new skills in their own lives and/or their clinical work.

Learning Objectives:

1. Provide a simple model for training and implementing ACT.

2. Explore the clinical relevance of functional contextualism in training and implementing ACT.

3. Review the basic skills underlying mindfulness in training and implementing ACT.

Target Audience: This workshop is for all levels of experience with ACT.

Introductory ACT Experiential Workshop (introductory)- Sonja Batten

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Introductory ACT Experiential Workshop - CLOSED

(this workshop has reached its 36 participant max.)

Workshop leader: Sonja V. Batten, Ph.D., VA Maryland Health Care System and University of Maryland School of Medicine

Dates & Location: May 26 & 27, 2008, 9:00am - 5:00/5:30pm at the Illinois Institute of Technology (Chicago).

General description/abstract: Clients frequently come to therapy with an agenda of the amelioration of symptoms - to feel less depressed, have fewer panic attacks, and have fewer cravings to use drugs and alcohol. Traditional treatment approaches are designed for exactly such a purpose - to assist in symptom reduction. But what if there were another way of approaching our clients' difficulties in living? What if it were not the thoughts, memories, and feelings that are the problem, but instead that individuals presenting for treatment have lost touch with what is important to them? That they are not living a life in accordance with those things that they really value? Often we find that years of disappointment, disenfranchisement, and avoidance have led our clients to make choices based on attempts to feel good, rather than based on building a life that is meaningful to them. Acceptance and Commitment Therapy, a contemporary behavior therapy, provides an alternative to the feel-good agenda and instead focuses on helping our clients to reconnect with those ideals and principles for living that are deeply important to them. This two-day workshop will provide clinicians with the tools to work with clients on identifying each person's valued life directions and then help motivate behavior change in the service of those values. Structured experiential and written exercises, along with role pays and case material, will be used to demonstrate the process of values assessment and commitment to engage in valued life activities.

Learning Objectives:

1. Understand problems in living as the result of behavioral choices that individuals make that are inconsistent with their personal values

2. Identify the role of avoidance in the development and maintenance of psychopathology

3. Recognize client barriers to identifying and acting upon values

4. Be able to lead clients in experiential exercises designed to facilitate awareness of valued life directions and motivate valued behavior

PLEASE NOTE: It is important that you understand the experiential nature of this workshop. These workshops teach ACT by creating an experience of what it is like to stand in the place where we ask ACT clients to stand. The workshop will be largely experiential and may be intense at times.

Target Audience: Clinicians who have not previously attended a 2-day ACT introductory training.

Introductory ACT Workshop (introductory/intermediate)- Steve Hayes

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Introductory ACT Workshop

Registration is now closed.

Workshop Leader: Steven C. Hayes, Ph.D., University of Nevada

Dates & Location: May 26 & 27, 2008, 9:00am - 5:00/5:30pm at the Illinois Institute of Technology (Chicago).

Workshop Description: Difficult clients tend to be both harder to treat successfully, and to be emotionally difficult for therapists, resulting in higher levels of stress and burn-out. These clients are generally more complex and chronic, and they often been through the therapy mill. Because of the growing popularity of empirically supported methods, difficult clients may have already had courses of more traditional empirical treatments (e.g., various forms of cognitive behavior therapy) and are unlikely to be moved by another attempt within the same model. Something else is needed that is empirically based, that provides relief for clinicians, and that allows for a new, more powerful approach to difficult cases. Acceptance and Commitment Therapy (ACT) is such an approach. The core conception of ACT is that psychological suffering is usually caused by experiential avoidance, cognitive entanglement, and the resulting failure to take needed behavioral steps in accord with core values. According to this view, trying to change difficult thoughts and feelings as a means of coping might can be counter productive, but new, powerful alternatives are available, including acceptance, mindfulness, cognitive defusion, values, and committed action. ACT teaches clients and therapists alike how to alter the way difficult private experiences function mentally rather than having to eliminate them from occurring at all. This empowering message has been shown empirically to help clients cope with a wide variety of clinical problems, including depression, anxiety, stress, substance abuse, and even psychotic symptoms. Research has shown that these methods are as beneficial for the clinician as they are for clients, quickly alleviating therapist burn-out. This two-day workshop will discuss and demonstrate ACT techniques, particularly acceptance, cognitive defusion, and behavioral commitment strategies. While the procedures are broadly useful, the workshop will focus in particular on issues of multi-problem patients. Data supportive of this approach will be discussed. The workshop will at times be experiential, not merely didactic. The intention of the workshop is to provide clinicians with a workable set of ACT skills, and with personal experiences that will allow further development of these skills based on their application with difficult clients.

Learning Objectives:

Attendees will learn:

1. Why experiential avoidance and cognitive fusion underlie most forms of psychopathology

2. How modern research in human language and cognition is revealing a key source of human suffering

3. How to formulate cases in terms of experiential avoidance and cognitive fusion

4. The major steps in Acceptance and Commitment Therapy

5. How to foster psychological acceptance

6. How to quickly reduce the impact of negative thoughts

7. How to mobilize and make use of the spiritual side of clients

8. How to help clients get more into contact with their core values

9. How to build larger patterns of committed action

10. How to apply these same methods to the stressful impact of working with difficult clients

Target Audience: Beginners and above.

ACT Case Conceptualization Workshop (intermediate/advanced)- Kelly Wilson

Kelly photo.jpgACT Case Conceptualization Workshop

Registration is now closed.

Workshop Leaders: Kelly G. Wilson, Ph.D., University of Mississippi, Emily Sandoz, M.S., University of Mississippi, Regan M. Slater, University of Mississippi, Stephanie N. Nassar, University of Mississippi, & Lindsay Martin, University of Mississippi

Dates & Location: May 26 & 27, 2008, 9:00am - 5:00/5:30pm at the Illinois Institute of Technology (Chicago).

Workshop Description: ACT does not allow a neat division between people doing treatment and people needing treatment. It is hard to get what is important about ACT without confronting the fact that in a very deep sense, we are all in the same boat. The purpose of this workshop will be to learn some core ACT strategies, but, more importantly, to learn some things that are not well transmitted in written form. The workshop will contain a mix of didactics and experiential work. The workshop will begin with a brief introduction to the hexaflex multidimensional diagnoses, assessment, and treatment and to the Hexaflex Worksheets. This fully dimensional model allows clinicians to examine psychological difficulties across a wide range of presentations. For example, examining fusion/defusion, we will see how it is possible to view problems in thinking ranging from full-fledged thought disorders seen among psychotic patients to the “thought disorders” of everyday life. The linkage between assessment and intervention on these various dimensions will be examined throughout the workshop in the context of a series of experiential exercises and observation of these exercises. Exercises will be completed in groups of four and the results will be processed both within the foursome and in the workshop as a whole. The clusters of four individuals will consist of two pairs. Each pair will engage in an exercise while the other pair observes and makes notes using Hexaflex Worksheets. Hexaflex Worksheet conceptualizations will be applied to both the therapist and the client in the exercises. Therapist fusion and non-acceptance is often as much an obstacle as client fusion and non-acceptance. Both observing and participating pairs will work out case conceptualizations. Through the series of exercises, we will examine a variety of interventions stemming from the hexaflex model. The workshop has two primary aims. The first target of the workshop is to increase therapist ability to make discriminations central to ACT case conceptualization using the Hexaflex Worksheets and to apply these conceptualizations to both client and therapist difficulties. The second target of the workshop is to increase therapist ability to perform present moment focused ACT interventions with clients, as opposed to interventions done to clients. As has been common in my recent workshops, we will examine the centrality of mindfulness processes in other ACT interventions. This workshop will contain significant use of mindfulness and present-moment focused work. Although formal mindfulness meditation practice is not necessarily emphasized in ACT, mindfulness processes are central to the work. These exercises will show how we can bring the values directed, present moment focus directly into clinical interactions and even to case conceptualization (yes, it is possible!).

Learning Objectives: Learning objectives will be taught through both direct teaching and experiential learning methods. However, the predominant learning method will be experiential throughout the training.

Learning objectives include:

1. Case conceptualization from and ACT perspective

2. Practice in acceptance, defusion, present-moment focus, self-as-context, values, and commitment interventions.

3. Practice at conceptualizing therapist obstacles using the ACT model. 4. Practice at using the ACT model to understand and create a powerful therapeutic contract and relationship with your most difficult clients.

Target Audience: This workshop is intermediate/advanced. It is intended for those who have attended a previous ACT workshop. (If you have never taken an ACT workshop before, please consider taking one of the two Introductory Pre-Institute workshops available.)

ACT SI4 Presentation Materials/Resources

Available powerpoint presentations from the ACT Summer Institute IV are attached below.

Note: You will not be able to view these or any other attachments on this website without a current, paid ACBS membership.

ACT Early: ACT in early intervention for psychosis (Morris & Oliver) - with audio

Authors: Eric Morris, Joseph Oliver, Louise Johns, Majella Byrne & Ellen Craig

Affiliation: Lambeth Early Onset Services & OASIS Service
South London & Maudsley NHS Foundation Trust /
Institute of Psychiatry, King’s College London, UK

Abstract
The stance of acceptance and committed action may allow for flexibility in response to persisting psychotic experiences, as has been suggested in ACT studies with the seriously mentally ill (Bach & Hayes, 2002; Gaudiano & Herbert, 2006). There is also the exciting potential for researching the impact of ACT in the early phase of psychosis - helping first episode clients to recover from psychosis through the development of a more mindful approach toward unusual experiences and critical appraisals, and committing to values-based actions.

More specifically, the use of ACT may:

[1] foster the development of a psychologically flexible stance toward anomalous experiences,

[2] enable a “values-based” recovery,

[3] reduce the impact of “fear of recurrence” of psychosis through development of mindfulness and self as context,

[4] enable individuals to notice the process of self-stigmatisation, contexts where this operates as a barrier, and commit to valued directions in the face of these appraisals, and

[5] improve relapse prevention plans through the use of mindfulness and committed action.

We describe a group program we have developed, as well as individual work with young people who have experienced a first episode of psychosis.

In addition we briefly discuss a pilot ACT/mindfulness group for people experiencing at risk mental states, who may be in the initial prodromal phase of psychosis.

The .pdf of this presentation is here [1395]

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ACT With Couples - 2008: Russ Harris

Powerpoint from half-day workshop

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ACT and CBT -- The plenary session with Hayes, Hofmann, and Bricker

Here are the PowerPoints for the discussion between myself, Stefan Hofmann and Jonathan Bricker on the relationship between ACT and traditional CBT

- S

Steve Hayes

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ACT with Chronic Pain - Schreurs

ACT for chronic pain rehabilitation.

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ACT with Depression-Zettle & Gird

Attached are the power point presentation and experiential exercise script from the ACT with Depression workshop.

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ACTs of Kindness & Compassion -- With John P. Forsyth & Sean Sheppard

Here are the slides for our 90 minute time together exploring kindness & compassion from an ACT perspective. I've also uploaded the video that goes in the spots set in the files. I hope some of this is useful. I know that I enjoyed the time we had exploring these important domains and I know that Sean did too. Peace -john

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Acceptance Based DBT

Acceptance Based DBT for emotion regulation

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Acceptance is Not Surrender: Applications of ACT in Treating Substance Use Disorders - M. Bricker

To many clients - and come clinicians - ACT may seem like new and uncharted territory, thus complicating acceptance of the model. This workshop draws parallels between ACT and 2 other more widely recognized "best practices" - 12 Step Facilitation, and the Transtheoretical or "Stages of Change" model.

Exploring these commonalities may help increase the usefulness of ACT for both clients and clinicians.

Powerpoint attached below. (viewable to paid ACBS members only)

Michael Bricker

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Batten intro experiential workshop readings

These are several readings I use during my workshops to share concepts, in words that come from people who are more eloquent writers than me!

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Building Skill and Flexibility in Defusion - Luoma

This workshop is aimed at improving attendees' skill in utilizing the core ACT process of defusion. Partifipants will further understand the process of defusion through a theoretical overview of defusion and a discussion of how defusion is facilitative of other ACT processes. Experiential exercises will help participants contact a defused space, while other exercises will help participants try out and obtain feedback on new defusion techniques.

Jason Luoma, Ph.D.

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Creating Compassionate Intentions in Therapeutic Sessions - Wright & Sanders

Powerpoint and handout attached.

Presentation by:
M. Joann Wright, Family counseling Center, A Division of Trinity Services
Kimbery Sanders, Trinity Services, Inc.

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Experiential Practice with Feedback for Learning ACT - Luoma & Torneke

This workshop is aimed at providing participants an opportunity to practice ACT by being in the role of both "therapist" and "client" in experiential exercises that mimic a therapy process. Much of the workshop will be spent in small groups where participants will work in dyads utilizing ACT techniques, both as the "therapist" and the "client" with their own personal material. As a result, participants will experientially learn more about implementing ACT, with also learning a new method for supervision and training.

Jason Luoma, Ph.D.
Niklas Torneke, M.D.

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HEAT Group: ACT for Posttraumatic Anger-Related Problems in Living - Santanello

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Horton Hears an Alternative -- Steve's Follies slides

It is dangerous as hell to post this since out of context it might look like this is anti-CBT or something -- especially if you've never seen the Follies and do not understand the style of roast humor. That is why I've also posted a couple of pictures of us having fun at the Follies -- including with my friend and resolute traditional CBTer Stefan Hofmann -- who is definitely not the sour CBT Kangaroo!

Maybe that will provide the context.

Have fun

- S

Steve Hayes

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Introductory ACT Workshop -- Steve Hayes

This page includes the power point from the two day pre-institute introductory ACT workshop by Steven Hayes, Jennifer Plumb, and Jennifer Boulanger.

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Mindfulness and ACT: Connecting Buddhist Meditation Practices to ACT/RFT Concepts - Fletcher

ACT is one of several third wave behavioral treatments to incorporate mindfulness into therapy. The term mindfulness is borrowed from Eastern religious and spiritual traditions that emphasize meditation practice as an important technique for the alleviation of suffering. While many third-wave therapies emphasize informal mindfulness practices, including ACT, this workshop will explore the inclusion of "formal" practices that may enhance treatment when they are adapted for use with the ACT model. Buddhist traditions provide a nearly limitless supply of different meditation practices that may be adapted to work with ACT concepts. Specifically, tonglen practice, loving kindness meditation, vipassana, and other meditation techniques will be introduced and additional exercises that were not presented at least year's workshop. The purpose of this workshop will be to teach participants how to conceptualize particular meditation techniques in ACT/RFT terms and to apply these techniques to therapy. During the workshop we will accomplish these goals by introducing a variety of meditation techniques within an experiential format. These techniques will also be tied to a larger context by relating them to ACT core processes. Thus, clinicians will learn to apply these techniques and conceptualize their application according to specific ACT core processes and RFT.

Lindsay Fletcher

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OCD and Case Formulation in ACT - Brock

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Polk, Hambright, Agee, Drake and Mocciola 2-Day ACT Training Made Simple

Attached is our PowerPoint. I actually use a Mac program called Keynote. It allows me to export as a PowerPoint document, but some of the bells and whistles get lost.

Some handouts are also attached.

See Kevin Polk's blog [1396] for further info.

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Practices and principles of ACT for OCD and OCD Spectrum Disorders - Twohig

This presentation will first outline common clinical presentations of OCD. Next, empirical work and the theoretical conceptualization of ACT for OCD will be offered. Finally, the presenter will work through a protocol for ACT for OCD with the participants using didactic, video, and experiential presentations.

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RFT Made Simple - Drake, Hambright, & Sonntag

Attached is the powerpoint presentation for "RFT Made Simple" from the ACT SI 4 in Chicago. Enjoy!

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RFT for Clinicians (Blackledge)

My half of the Intro to RFT for Clinicians talk

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RFT for Clinicians (Stewart)

This is the first half of the talk on RFT for Clinicians that was co-presented by myself and JT Blackledge. If people have questions about the content of this portion of the talk, whether you were there or not, feel free to e-mail me: ian.stewart@nuigalway.ie.

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Reflections on the North of England ACT Interest Group - Brock

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Roots of Compassion -- Steve Hayes plenary

The video of this talk should eventually be up. I tweaked the slides to remove errors ... caused by staying up all night working on the *#$%^! follies (see my Horton slides also posted in this section) ... leaving this plenary talk to the (sleepy) last minute!

Oh well. At least I had my priorities right

- S

Steve Hayes

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Russ Harris: Self-as-context Made Simple

This is the powerpoint from a 3-hour workshop at ACT SI 4

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Sex and Intimacy-Ando Rokx-Aad van Leeuwen

Experiential Workshop Sex and Intimacy

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Spirituality Reality PPT - Hank Robb

Hank Robb's SI4 presentation on Spirituality Reality.

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They've Framed Me: RFT, the Self & Language Traps (Luciano, Boulanger & Stewart)

An introduction to RFT / ACT theory on the self and perspective taking by Carmen Luciano, Jennifer L. Boulanger & Ian Stewart

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Treatment of Trichotillomania and Chronic Skin Picking from a Modern Behavioral Perspective - Twohig

This presentation will first outline common clinical presentations of trichotillomania and chronic skin picking. Next, and empirically based conceptualization of trichotillomania and chronic skin picking will be offered that focuses on two motivating factors: focused and non-focused pulling and picking. Finally the presenter will work through a protocol for trichotillomania and chronic skin picking that combines ACT as well as more traditional behavior therapy procedures.

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Turtle OS - Takashi Muto

The power point was presented in the workshop of "Beyond categorical thinking: Using the Hexaflex for diagnosis, assessment, and intervention". "Turtle OS" (Operating System) is created as a revised version of Hexaflex, which has a) better connotations related with ACT, b) simpler and more familiar visualization, and c) more useful interface, in doing ACT case-formulation and intervention.

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CE Credit Hours

Possible credit hours:

  • 2-day pre-conference workshops: 14 hours
  • ACT Summer Institute IV (attending all events, including 6am session): 22 hours
    (May 28 - 6.5 hours, May 29 - 9.5 hours, May 30 - 6 hours)

Continuing Education Credit Hours from our APA approved sponsor, NSPA, will be available at the ACT Summer Institute IV and the Pre-Conference workshops in Chicago, 2008!

Thank you to the Nevada State Psychological Association!

Approval: Nevada State Psychological Association (NSPA) [1375] is approved by the American Psychological Association to sponsor continuing education for psychologists. NSPA maintains responsibility for this program and its content. NSPA will issue certificates of completion. APA CE rules require that we only issue credits to those who attend the entire workshop. Those arriving more than 15 minutes late or leaving before the entire workshop is completed will not receive CE credits.

Refunds & Grievance Policies: Participants may direct any questions or complaints to ACBS Executive Director Emily Neilan Rodrigues, 1-775-746-2013 or through the "Contact Us" link on this website.

Social Worker's CE credits:
This program is approved by the National Association of Social Workers (NASW) [1397] (Provider # 886495791) for 36 Continuing Education Contact Hours.

    Please note, the NASW CEs are not accepted by the following 5 states... California, Michigan, North Carolina, Ohio, and West Virginia.

Licensed Professional Counselors (LPC) CE credits:
This program has been approved by the National Board for Certified Counselors (NBCC) [449] for CE credit approval.

    Many states accept NBCC approved hours, but each state is different, please check with your state LPC board to verify that they will accept NBCC approved hours.
  • CE credit fees are included in the price of registration. No further fee is required.
  • (Note: CE credits are only available for professionals. You may not earn CE credits with a student registration.)

Chicago Entertainment & Cheap Eats (near Hilton & near IIT)

A Brief Glance at Tourism and Entertainment in Chicago

** A tip for traveling in Chicago
Most of Chicago’s north-south and east-west streets are set in a simple grid pattern. The city’s numerical street system starts at the intersection of State and Madison downtown. From here (0,0) street numbers go up in all directions at about 100 numbers each block. “800” equals 1 mile. If you’re at 720 S. Michigan Ave., 880 N. Michigan Ave. would be exactly 2 miles away.

Have Fun at the Ballpark.
Chicago White Sox are home the week of the conference. U.S. Cellular Field is located within walking distance of IIT at 35th St. and Shields St., just west of campus. Catch a 7:11 p.m. night game May 20th, 21st, 22nd , or 23rd.

Chicago Cubs are home May 17th & 18th, but then play away games until the 26th. You can take the red line CTA “El” train to Wrigley Field, located at Addison and Clark. This Chicago neighborhood, “Wrigleyville,” is also a great place to dine and/or spend a late night out with friends.

Go Sightseeing and Museum Hopping.
South of the Loop (downtown Chicago), near Lake Shore and Columbus drives (as well as close to the Hilton), are Grant Park, Buckingham Fountain, Millennium Park, Adler Planetarium, Field Museum, and Shedd Aquarium and Oceanarium… Not to mention, beautiful Lake Michigan and the breathtaking Chicago skyline. The lake offers a walking path, beaches, and bike rental. Ride the Farris wheel or catch a 3-D movie, boat ride, or the fireworks at Navy Pier… even travel through the Amazing Chicago Funhouse Maze!

Go shopping, sightseeing, and dining on the famous Magnificent Mile.
In just eight spectacular blocks, explore over 460 exclusive stores and boutiques. Enjoy fine dining at over 200 restaurants. Marvel at Chicago’s famous architecture by boat, trolley or on foot. Visit the John Hancock Observatory or the Sears Tower Skydeck. Learn why North Michigan Avenue in downtown Chicago is called The Magnificent Mile.

Eat your way around the world.
Chicago has a spectacular array of restaurants. Dining options are abundant. The ethnic diversity of Chicago’s population is represented in the wide variety of cuisine offered. In addition, there are lots of choices at affordable prices. One helpful website is http://chicago.metromix.com/.

Have a night on the town.
Comedy clubs, dance clubs, blues and jazz bars, and theatres… the attractions are endless. A great source for more information on Chicago nightlife is the Chicago Reader, a free weekly arts and entertainment newspaper. You can pick up a copy at the Conference Center/Hermann Hall or the McCormick Tribune Campus Center. It is also available online.

One of the better known blues clubs, Buddy Guy’s Legends, is located just a couple of blocks from the Hilton at 734 Wabash.

Cheap Eats near IIT

*Unless noted, most off-campus locations are NOT considered within walking distance.

Starbucks
3506 S. State St.
35th & State Street, just south of campus, within walking distance

Off-campus Pharmacy and Convenience Stores

Walgreens
3405 S King Dr
35th & King Drive, east of campus

Walgreens
3000 S Halsted
Halsted & 30th, west of campus

CVS Pharmacy and Drug Store
741 W 31st Street
Halsted & 31st, west of campus

Off-Campus Cheap Eats (under $9)

Fast Food:

All located east of campus on 35th St....

Church’s Chicken
101 E. 35th St.
McDonalds
207 E. 35TH St.

KFC/Pizza Hut
300 E. 35th St.

Popeye’s
318 E. 35th St.

Subway
753 W 31st St
near Halsted & 31st, west of campus

Other Eateries:

Carbon
Mexican and American Tex Mex
300 W. 26th St.
Go west on 31st, turn north (right) on Princeton, located on Priceton & 26th St.

Chinese Kitchen
430 W. 31st St.
31st & Canal St., west of campus, within walking distance

Erendira Tacos
3207 S. Halsted
32nd & Halsted, west of campus

Fratellini Pizza & Pasta
3258 S. Well St.
West on 31st, south (left) on Wells, near 33rd & Wells, within walking distance

Opart Thai House
1906 S. State
North of campus on State St. & Archer Ave.

Parkside Cafe
Sandwhiches, hot dogs, pizza
308 W. 33rd St.
33rd & Princeton Ave., west of campus, within walking distance

Ricobene's
Italian, famous breaded steak sandwich
252 W. 26th St.
West on 31st, turn north (right) on Wells, near 26th & Wells

Off Campus Restaurants

Franco's Ristorante
Small, family owned Italian Eatery, price range $9-$15
300 W. 31st St.
31st & Princeton, west of campus, within walking distance

Cafe Bionda
Italian Eatery, Bar, price range $16-25
1924 S. State St.
North of campus, located on State St. & Archer Ave.

Kroll's
Sports Bar, famous burgers, chili, milkshakes, price range $9-$15
1736 S. Michigan Ave.
North of campus, located near 18th St. & Michigan Ave.

Pancho Pistola's
Mexican and American Tex Mex, Full Bar, price range $9-$15
700 W. 31st St.
31st & Union Ave., west of campus

Polo Cafe & Catering
Candy Store & Restaurant featuring Steaks, Full Bar, price range $16-25
3322 S. Morgan St.
Go west on 31st, turn south (left) on Morgan, near Morgan & 33rd Pl.

Room 21
Historical Al Capone hot spot, Contemporary American Food, price range $26-30
2110 S. Wabash
Go north on State St., turn east (right) on Cermak Ave., go 1 block, turn north (left) on Wabash

Trattoria 31
Upscale Italian, Seafood
605 W. 31st St.
31st & Wallace St., west of campus

Chinatown Restaurants (Off-campus)
Chinatown is located a little north of IIT’s campus at Cermak Road (22nd Street) and Wentworth Avenue. On the CTA elevated transit (“El”) red line, it is one stop north of IIT. Here are some suggestions…

Happy Chef Dim Sum House
Great for seafood lovers, diverse wall menu
2164 S Archer Ave
Archer Ave. & Cermak Rd. (22nd St.), west of State St.

Lao Sze Chaun
Great for spicy lovers, delicious
2172 S Archer Ave
Archer Ave. & Cermak Rd. (22nd St.), west of State St.

Joy Yee’s Noodle Shop
Mix of Vietnamese, Chinese, Pan-Asian; Moderately Priced, Large portions, Well-liked
2139 S China Pl.
At the intersection of Prinction Ave., Archer Ave., & Cermak, go north on Princeton to China Pl.

Phoenix Restaurant
Expensive, however deemed cleanest, best service, best cuisine
2131 S Archer Ave # 2
Archer Ave. & Cermak Rd. (22nd St.), west of State St.

7 Treasures
Cheap, Home-made noodles
2312 S. Wentworth Avenue
23rd & Wentworth Ave.

Cheap Eats near the Hilton Downtown Chicago, the conference hotel
All locations considered within walking distance to the hotel. The hotel’s address is 720 S. Michigan Ave.

Arby’s Roast Beef Restaurant
Fast food sandwiches, fries, etc.
20 E. Jackson Blvd.

Blackies
Bar/Restaurant with Burgers & Breakfast
Mon-Thurs. 11 a.m. to 2 a.m.; Fri-Sun. 7:30 a.m. to 2 a.m.
755 S. Clark St.

Bennigan’s Grill & Tavern
Traditional American
150 S. Michigan Ave.

Chicago Carry Out
Cheap Burger and Fry Joint, Cash Only
63 E. Harrison Ave.

Chipotle Mexican Grill
14 E. Jackson Blvd.

Corner Bakery Café **good for breakfast near Hilton**
224 S. Michigan Ave. #108
Open 7:30am - 8:00pm

Dunkin’ Donuts **good for breakfast near Hilton**
Donuts, bagels, muffins, coffee, etc.
406 S. Michigan Ave.
(312) 235-0955‎

Eleven City Diner
Diner & Coffee Shop, Deli
1112 S. Wabash Ave.

Giordanio’s Pizzeria
Chicago’s Famous Deep Dish Pizza
236 S. Wabash Ave.

Gino’s East of Chicago
Chicago’s Famous Deep Dish Pizza
633 N. Wells St.

Hackneys’ Printers’ Row
Traditional American, Burgers
733 S. Dearborn St.

Harold’s Chicken Shacks
Fried Chicken, Wings, Fries, etc.
636 S. Wabash Ave.

Hi Tea
Coffee Shop & Diner
14 E. 11th St.

Jimmy John’s Gourmet Sandwiches
Deli Sandwiches & Chips
725 S. State St.

Kentucky Fried Chicken (KFC)
612 S. Wabash Ave.

Pizza-Ria
Pizza by the slice and whole pies
719 S. State St.

Orange
American, Breakfast
75 W. Harrison St.

Panera Bread
Bakery, Deli sandwichs, salads, soups, coffee
525 S. State St.

Pat’s Pizzeria
Great thin crust pizza
638 S. Clark St.

Potbelly Sandwich Works (2 nearby locations)
Hot deli sandwiches, salads, soups & milkshakes
55 E. Jackson Blvd.
542 S Dearborn St.

Quiznos
Hot deli sandwiches, salads, soups
333 S. State St.

Sbarro
Pizza, Italian fast food
333 S. State St. #1

Subway
Deli Sandwiches
604 S. Wabash Ave.

Thai Spoon & Sushi
601 S. Wabash Ave.

Yolk
American, Breakfast & Lunch, M-F 6 a.m. to 3 p.m.
1120 S. Michigan Ave.

California Pizza Kitchen
In Water Tower Place (“skyscraper mall”)
835 N. Michigan Ave.

Caribou Coffee
20 N. Michigan Ave.

Chicago Flat Sammies
Sandwiches & Flatbread Pizzas
811 N. Michigan Ave.

Corner Bakery Café
900 N. Michigan Ave.

Dunkin’ Donuts
20 E. Chicago Ave.

Downtown Dogs Inc.
Chicago Style Hot Dogs
804 N. Rush St.

Einstein Bros Bagels
44 E. Walton St.

Ethel’s Chocolate Lounge
Coffee, Tea, and Dessert
900 N. Michigan Ave.

Foodlife
In Water Tower Place (“skyscraper mall”)
13 kitchens, each dedicated to a different cuisine
835 N. Michigan Ave.

Gino’s East Pizza
Chicago’s Famous Deep Dish Pizza
162 E. Superior St.

Giordano’s
Chicago’s Famous Deep Dish Pizza
730 N. Rush St.

Great Steak & Potato Co.
700 N. Michigan Ave.

Jimmy John’s Gourmet Sandwich Shop
46 E. Chicago Ave. #1W

McDonald’s
700 N. Michigan Ave.

Original Pancake House
A delicious breakfast; Mon-Fri 7 a.m. to 3 p.m.
22 E. Bellevue Pl.

Panda Express
700 N. Michigan Ave.

Panera Bread
501 S. State St.

Pizano’s Pizza & Pasta
Open until 2 a.m.
864 N. State St.

Potbelly’s Sandwich Works
900 N. Michigan Ave.

Quiznos
106 W. Chicago Ave.

Soup Box
50 E. Chicago Ave.

Starbucks
42 E. Chicago Ave.

Subway
700 N. Michigan Ave. #8

Taco Bell
700 N. Michigan Ave.

Tempo Café
24 hours, American Food, Serves Breakfast
6 E. Chestnut St.

West Egg Café
American, Great Breakfast and Lunch Items
620 N. Fairbanks Ct.

Wow Bao
In Water Tower Place (“skyscraper mall”)
Hot Asian Buns filled with meat and veggie combinations
835 N. Michigan Ave.

Hotel

Conference Hotel, May 25-May 31:

Hilton Chicago [1398]

720 South Michigan Avenue

Chicago, IL 60605

Phone: 312-922-4400

Fax: 312-922-5240

http://www.chicagohilton.com

Discounted Room Block Full

Group Rates: Single person: $179

Additional person: $25 (looking for a roomate??? check here [1399]) When making your reservations by phone, be sure to indicate that you are with the ACT Summer Institute (ACT) group. Or visit the website above and use the Group/Convention Code: ACT.

ACBS encourages you to make your hotel reservations early as the block begins to fill early.

Other Options: A number of folks will be staying at Hostelling International Chicago [1400]. All ages are welcome. There may be an "ACT room" (it's been requested at least) so mention the ACT Summer Institute group when booking. It sounds like they have lockers, but you should bring your own lock. (You should also verify all of the above info before booking...)

They are just a few blocks from the conference hotel.

HI-Chicago

24 East Congress Parkway

Chicago, Illinois 60605

Telephone: +1 (312) 360-0300

I've also recently seen some pretty good deals at Hotels.com [445].

I'd recommend staying near the SI hotel, 720 S. Michigan Ave., or any place North of that hotel, in the downtown area. A few folks will be at the Club Quarters on Wacker Drive for sure... I would not recommend getting a hotel close to the SI venue, the Illinois Institute of Technology.

While IIT is on a beautiful campus, the accommodations, eating options, and access to public transportation are not ideal on the south side of Chicago. I highly recommend downtown Chicago instead.

Program/ Schedule

Welcome to the ACT Summer Institute IV in Chicago, May 28-30, 2008.

Complete, final PROGRAM. [1388]

SI4 General Schedule
2-day Workshop Schedule
Early Registration Schedule

All events take place at the Illinois Institute of Technology (IIT) unless otherwise noted.

SI Schedule:
May 28, Wednesday

9:00am-9:45am, Opening
10:00am-12:00pm, Workshops
12:00pm-1:15pm, Lunch
1:15pm-4:15pm, Workshops
4:30pm-6:00pm, Plenary Session
8:00pm-10:00pm, Poster Session (Hilton)

May 29, Thursday

6:00am-8:00am, Optional "Yoga and ACT" session to be held at the conference hotel (Hilton)
9:00am-12:00pm, Workshops
12:00pm-1:15pm, Lunch
1:15pm-4:15pm, Workshops
4:30pm-5:45pm, Plenary Session
8:00pm-11:30pm, Follies (Hilton)

May 30, Friday

9:00am-12:00pm, Workshops
12:00pm-1:15pm, Box Lunch and SIG meetings
1:15pm-4:15pm, Workshops

Pre-institute 2-day Workshops:
May 26, Monday

9:00am-12:00pm
12:00pm-1:00pm, Box Lunch
1:00pm-5:00/6:00pm (exact end time will vary by workshop)

May 27, Tuesday

9:00am-12:00pm
12:00pm-1:00pm, Box Lunch
1:00pm-5:00/6:00pm (exact end time will vary by workshop)

Early Registration:
You will be able to pick up your name badges and registration packets/ CE paperwork/ etc. (as needed) during one of these times:

May 25, Sunday

8:00pm-10:00pm
Hilton Chicago, room "Stevens 3"

May 27, Tuesday

12:00pm-1:00pm
Illinois Institute of Technology, Hermann Hall

7:00pm-8:00pm
Hilton Chicago, room "3rd Floor Coat Check"

You can of course pick up these materials on the morning of your first event in Hermann Hall at IIT if you prefer.

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Call for Submissions

Request for Session Proposals (& Posters)

The Submission period is now over. - Thanks to all of those who submitted!

ACT Summer Institute - May, 2008

I am happy to announce that planning for the ACT Summer Institute 2008 is underway. The Institute will be held at the Illinois Institute of Technology (IIT) on May 28-30 in Chicago, IL. Pre-conference 2-day experiential workshops will be held on May 26-27. While Chicago is nicknamed “the city that works” there are many fun things to do while you are not ‘working’ at the summer institute. The city is accessible from Midway and O’Hare airports and we have reserved some lodging at the Chicago Hilton (where the ABA conference is being held just before the ACT SI) in the downtown loop, located near Lake Michigan’s lakefront, the Art Institute, Museum campus and Chicago’s “magnificent mile” of awesome shopping. The conference hotel is approximately four miles from IIT accessible by car, bus, subway, and Metra train (from Chicagoland area).

The structure of the program will be similar to previously successful ACT Institutes, and will be both ACT and RFT focused. Based on previous feedback, however, the institute will be briefer (three days rather than four and a half). We will host an evening cocktail poster session as well, which is intended to showcase clinical and experimental research in RFT and ACT—a great way to see what is happening around the world. And it wouldn’t be the ACT SI without the Follies.

At this time, we would like to put out a call for submissions to the Institute. Some of the institute events will be invited. However, we want to open the call broadly and invite proposals for short workshops (half day), panel discussions, and consultation sessions. Your submission should include the title, presenters and their affiliations (ex. University of Houston; private practice; Oregon Research Institute), topic category (ex. ACT/Clinical; RFT/Theoretical), a general description, three educational objectives, three post-test questions, a target audience (ex. beginner/ clinicians; intermediate/researcher), email addresses for all speakers, and audio visual needs. Please state whether it is a workshop, consultation, poster presentation, etc., plus the amount of time you believe you would need. Your submission description should include enough information to give the program committee a clear idea of your proposal--a paragraph or so. Vitas for accepted sessions will be collected at a later date. Feel free to propose sessions you would like to see, along with those you would like to conduct.

Please use page 3 of this document for your submissions.

Please send all proposals back-channel to: actsi4@hotmail.com
Please indicate in the subject line the following: ACT Institute Proposal 2008.

Please submit your proposal by Friday, January 11, 2008.

We are eager to hear your ideas and will continue to send information regarding the ACT Summer Institute 2008.

For further description of purpose, audience, and style of sessions please read below.

Looking forward to seeing you all here!
Patty Bach
Institute of Psychology
Illinois Institute of Technology

PURPOSES

The primary purpose of the institute is to increase the skill of attendees in implementing ACT in applied settings. This will be accomplished through a combination of targeted workshops, video demonstrations, live demonstrations, role playing, clinically focused case discussions, and experiential work.

A secondary purpose of this institute is to provide a forum for ACT trainers to conduct various training activities, receive structured feedback on their training methods from other ACT trainers as well as to examine ways to create a more consistent set of ACT training philosophies, goals and strategies.

A final purpose of the institute is to help interested attendees better understand RFT, its significance in understanding human suffering and how RFT principles can be translated into clinical practice, and to help attendees learn and develop methods and strategies for conducting ACT process and outcome studies in applied and academic settings. This will be accomplished through “user friendly” workshops and small group discussions.

AUDIENCE

The primary target audience for this institute is any practitioner interested in learning more about the clinical application of ACT, or who wishes to function as an ACT trainer. The institute will also be of relevance to researchers interested in building the ACT / RFT base of knowledge.

The Institute will be focused on people who can attend the whole 3-day institute, while still being open and providing options for those interested in or able to attend only a few days.

STYLE OF SESSIONS

We want the institute to be very interactive, with participants getting chances to develop skills, with lots of time for questions, chances to do role plays, watch videos, get feedback on difficult clients, and watch tapes of clinical work they have brought with them.

ACT Summer Institute IV Proposal, 2008

Format: (workshop; consultation; panel discussion; poster; etc.)

Amount of time needed: (20 min.; full 2.75 hr. session; etc.)

Topic/Category: (ex. ACT/Clinical; ACT/RFT/Theoretical/Contextualism; RFT/Basis of Applied Work)

Title:

Presenters/authors and affiliations: (if all authors are not presenting, please embolden the speaker’s name(s)) (affiliation ex.: University of Houston; private practice; Oregon Research Institute)

General description/abstract:

Three educational objectives: (ex. Learn a simple model for working with mindfulness; develop a range of mindfulness exercises; build understanding of Self as Context)

Three questions for attendee post-test: (ex. What is a simple model for working with mindfulness?; List 3 mindfulness exercises.; What is “Self as Context”?)

Target audience: (ex. beginner/ clinicians; intermediate/researcher)

Email addresses for all speakers:

Audio visual needs: (Laptop/powerpoint projector, TV/VCR, TV/DVD, overhead projector)

(This entire document is attached below for your convenience.)

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Registration/ Rates

Registration is now closed.

ACT Summer Institute IV Registration Rates (May 28-30):

$365: Professional/ Affiliate
$120: Student

Prices include lunch.

Pre-Conference 2-day Workshop Registration (May 26 & 27):
Note: Registration for the 2-day workshops has closed. Onsite registration is not available for the 2-day workshops

$270: Professional/ Affiliate
$115: Student

Prices include lunch.

Onsite early registration will be available (for you to pick up your name badge, materials, etc.) on Sunday, May 25th from 8:00pm-10:00pm in "Stevens Center, 3" on the lower level of the Hilton Chicago. (This is the "reception" room and time for ACBS during the ABA (Association for Behavior Analysis) [1389] conference taking place at the same hotel). Early registration material pick-up for SI4 attendees will be available at the Hilton on Tuesday evening, May 27th, 7:00pm-8:00pm at the "3rd Floor Coat Check Room".

A $25 processing fee will be charged for Institute registration refunds up to May 9, 2008. After May 9, refunds will be granted only at the discretion of the organizers.

Enrollment may be limited due to the limitation of our venue to accommodate additional sessions and attendees (although we don't anticipate this problem).

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Sponsors

ACBS would like to extend our thanks to our ACT Summer Institute IV sponsors:

iit_logo.gif

cp_logo_0.jpg

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Transportation - Getting There and Getting Around

Quick Links on this page: (or just read down the page)
Getting to Chicago
Getting to the Hilton Hotel from Airport (O'Hare & Midway)
Getting to conference venue (Illinois Institute of Technology) from Hilton hotel:
----By Bus

----By "L" Train
Map of Hilton area
Map of IIT (Illinois Institute of Technology) campus
Map of IIT parking [1401]
Chicago Public Transportation Info. (costs, purchasing passes, link to official website with route maps)

By Air:
You can fly into either O'Hare International Airport, or Midway Airport.
O'Hare is about 19 miles from the Hilton Hotel, while Midway is about 11 miles from the Hilton Hotel.

By Train:
Amtrak trains [1402] arrive in Chicago at Union Station. Union Station is 1.3 miles from the Chicago Hilton. This is very walkable.

We don't recommend driving to Chicago if you can help it. It will cost you $41 per day to park at the Chicago Hilton. A little less around town, but not much less. If you're local with a car, check out the Parking Instructions for IIT [1403].

Sample Amtrak fares one-way:
$27 Detroit - Chicago
$18 Kalamazoo - Chicago
$21 Milwaukee - Chicago
$53 St. Paul/ Minneapolis - Chicago
$23 St. Louis - Chicago

Directions from Airport to Hilton Hotel:

When taking public transportation from O'Hare International Airport:
Take CTA BLUE LINE TRAIN (TO 54TH/CERMAK) to JACKSON/DEARBORN. Walk 0.6 miles Southeast to 720 S MICHIGAN AVE.

(or just take the Blue Line Train to the LaSalle station beyond Jackson, exit the LaSalle station on Congress Pkwy. and head left/East to Michigan Ave., then turn right/South and you'll arrive at the Hilton in 2 or 3 blocks; Note: the Jackson station has a elevator available if you have luggage, the LaSalle station does not)

When taking public transportation from Midway Airport:
Take CTA ORANGE LINE TRAIN to ROOSEVELT. Walk 0.5 mile N to 720 S MICHIGAN AVE.

When taking a taxi from the Airports to the Hilton, it will cost:
Taxi Fare from O’Hare to downtown is about $35-40.
Taxi Fare from Midway to downtown $25-28.
(subject to change with rapidly rising gas prices!)


View/Print Large Google Map of Hilton Location [1404]

The ACT SI4 conference location at the Illinois Institute of Technology [19] is 4.5 miles straight south from the Hilton Hotel.

Directions from Hilton Hotel to IIT (conference venue) via city bus or the "L" (short for the elevated train/ subway):

From the hotel to IIT via bus: The bus runs every 10 minutes during rush hour and every 10 – 15 minutes the rest of the day (except the wee hours 2:00 – 5:00 am when it runs every 30 minutes)

Exit the back of the hotel, you will be facing west; take Balbo St. (the north side of the hotel) west two blocks, turn right on state and look for signs on the west side of the street for bus route #29/State Street and stop at Illinois Institute of Technology stop (33rd street) (watch the street signs out the window and make sure you ring the bell when approaching 33rd Street) when you get off you will be on State St. and as you look towards the campus you will see the "Hermann Hall/ IIT Conference center" about 100 yards in front of you. For the return trip wait across the street from where you got off of the bus at the stop in from of the McCormick Campus Center and exit at the Balbo/Harrison stop.

Campus Map [1405]

To take the “L” to IIT: The L runs every four minutes during rush hour and every five to 8 minutes most of the rest of the day.

Exit the back of the hotel, you will be facing west; take Balbo St (the north side of the hotel) west two blocks, turn right on State on either side of State Street you will see a staircase going underground with a red sign above it that says “Red Line Trains”. This is the Harrison Street stop. Trains in both directions stop on the same platform so make sure you get on a southbound train to Dan Ryan/95th street. Get off at the third stop, Bronzeville/Sox Park/IIT/35th street. When you step off of the train walk left/North to the 33rd street exit. Once at 33rd head East (right of station exit) two blocks and the "Hermann Hall/ IIT Conference center" will be on your left at Federal Street.

To return, simply reverse directions taking Northbound train to Howard and exit Harrison Street.

If you prefer a taxi the fare is approximately $10.00 each way.

Public Transportation Costs & Passes:

You'll need to use public transportation to reach the conference venue. The ACT SI4 conference location at the Illinois Institute of Technology [19] is 4.5 miles straight south from the Hilton Hotel. You can catch a bus headed south on State St. (this street is at the rear of the Hilton) and get off at 33rd St. It's a straight shot.

Unless you have a "Chicago Card" public transportation card, all Chicago Transit Authority (CTA) [1406] fairs are $2.00 cash. Exact fare is required, no change is given.

CTA passes offer the best value for CTA riders. "Passes" are available in 1-day, 7-day and 30-day versions. "Visitor Passes" are available in 1-day, 2-day, 3-day, and 5-day versions. These passes cannot be shared or recharged. They are activated the first time they are used at a train station or on a bus.

7-day passes cost $20 (less than $3 per day) and allow unlimited rides on CTA buses and trains.

5-day passes cost $18 (less than $4 per day) and allow unlimited rides on CTA buses and trains.

You can purchase your passes here [1407]. The website states that if you order it online they will mail it to you within 10 days. I ordered from Reno, Nevada, and received it within 8 days. An attendee in Australia ordered it, and received it in 9 days. (I highly recommend getting it by mail, then you don't have to fuss with dollar bills every day.)

For more info than you ever wanted to know, check out the Chicago Public Transportation official website [1408]. You can find schedules, maps, etc.

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ACT SI 4 Photos and Comments

If you want to post photos or comments from ACT SI 4 in Chicago, just add them here

International RFT Meeting: ACT Japan Annual Meeting, Kyoto, 2012

banner.jpg

ACT Japan [1409] (The Japanese Association for Contextual Behavioral Science) will hold the International RFT Meeting as its first Annual Meeting.

General Conference Schedule
March 12th 2012 RFT/IRAP Meeting (9:00am-17:30pm)
March 13th 2012 RFT/IRAP Meeting (9:00am-17:30pm)
March 14th 2012 RFT/IRAP Meeting (9:00am-14:00pm)
* A dinner is planned for 7.30pm Tuesday 13th to give researchers the opportunity for informal discussion and exchange of ideas.

Conference Venue
Doshisha University in Kyoto, Japan

The conference will provide a forum for leading RFT researchers (Dermot Barnes-Holmes, Yvonne Barnes-Holmes, Ian Stewart, and many others) to discuss recent findings and applications of RFT in differing research and applied domains, as well as their work with other active RFT researchers.

The aim of the meeting is to stimulate continued refinement and development of RFT research.

ADDITIONAL EVENTS: An Introduction to RFT: A One-Day Workshop with Dermot Barnes-Holmes, Yvonne Barnes-Holmes and Ian Stewart. (each date is the same lecture; please register for only one)

  • March 11th 2012 (9:30am-16:30pm) at Doshisha University in Kyoto
  • March 17th 2012 (9:30am-16:30pm) at Tokyo office of Doshisha University in Tokyo

act japan pic.jpg

 CALL FOR PAPERS (for the main event, March 12-14):

Submissions must be received by January 31, 2012.

To submit a paper for consideration, please fill out the application form and send the following information to registration_for_meeting@act-japan-acbs.jp [1410]:

A) Title of Presentation

B) Name and Affiliation of principle author

C) Name and Affiliation of co-authors

D) 200 Word Summary including objective, design, method, results, and conclusion.

 

REGISTRATION:

Individuals interested in attending but not presenting at the meeting are encouraged to attend! Please send the application form to registration_for_meeting@act-japan-acbs.jp [1410] by January 31, 2012.

Anyone can participate in the event free of charge. Those attending the meeting, however, must arrange their own travel, accommodation, and meals.

 

TRAVEL, LODGING AND DIRECTIONS:

ACBS Members: Download the full-length interactive brochure (attached in a compressed zip folder, containing a pdf file). 

Non-ACBS Members: Please e-mail your interest to to registration_for_meeting@act-japan-acbs.jp [1410]. We will send you the full-length interactive brochure by return.

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Conference Locations and Maps

Main Event, March 22, 2011

Location Address

Tokyo Office at Doshisha University

DIV.566, Level 5, Nippon Building, 2-6-2,

Otemachi, Chiyoda-ku, Tokyo, 100-0004

http://www.doshisha.ac.jp/english/information/campuses/tokyo/php [1411]

map doshisha.jpg

How To Get There:

  • 5 minute walk from JR Tokyo Station Yaesu North Exit or Shinkansen Nihonbashi Exit. Look for the Shizuoka Bank.
  • There is a direct escalator connection to the building fro Exit B8 of Otemachi Subway Station.

 

ADDITIONAL EVENTS DETAILS

An Introduction to RFT: Tokyo Event, March 21, 2011

10:00am - 4:30pm

Location

Mejiro University (Shinjuku Campus)

Number 10 Building, Room 10903

http://www.mejiro.ac.jp/eng/campus/shinjuku/html [1412]

map mejiro.jpg

How To Get There

Mejiro University is a10-minute walk away from Nakai Station (Seibu Shinjuku Line). Detailed directions are only available in Japanese (http://www.mejiro.ac.jp/map/nakai_s.html [1413]). If you wish to attend, we will provide the guide on the day or we recommend that you get a taxi from the front of Nakai Station.

 

An Introduction to RFT: Kyoto Event, March 26, 2011

10:00am - 4:30pm

Location

Doshisha University (Imadegawa Campus)

Shiseikan, Room 23

Kyoto

http://www.doshisha.ac.jp/english/access/ima_campus.html [1414]

kyoto map.jpg

How To Get There

Doshisha University is a 3-minute walk from Imadegawa Station (Kyoto Subway Karasuma Line). Take the Karasuma Line for Kokusai-kaikan from Kyoto Station and get off at Imadegawa. 

 

Travel Information

Anyone can participate in the event free of charge. Those attending the meeting, however, must arrange their own travel, accommodation, and meals.

TRAVEL TO TOKYO

Plane

Narita International Airport (Tokyo)

Getting from Narita International Airport to Tokyo Station:

Train

For rail access, use JR Narita Express (N'EX) or JR Airport Narita (Rapid Service). JR Narita Express (N'EX) takes you to Tokyo station in 60 minutes which costs 2,940 yen each way. JR Airport Narita (Rapid Service) will take you to Tokyo station in 90 minutes which costs 1,280 yen each way.  Morer details are available from http://www.narita-airport.jp/en/access/train/index.html [1415].

Bus

Airport Limousine Bus will take you to Tokyo station in 85-110 minutes which costs 3,000 yen. More details available from http://www.narita-airport.jp/en/access/bus/index.html [1416].

ACCOMMODATION TOKYO

A number of hotels are located around Tokyo station. Here are some hotels which are a short distance away from the Tokyo Office of Doshisha University.

http://www.marunouchi-hotel.co.jp/english/index.html [1417]

http://ryumeikan-tokyo.jp/english/index.html [1418]

http://www.shangri-la.com/en/property/tokyo/shangrila [1419]

http://www.presso-inn.com/en/hotel/otemachi.html [1420]

Additional Information about Tokyo:

http://www.tourism.metro.tokyo.jp/english/index.html [1421]

TRAVEL FROM TOKYO TO KYOTO

The best public transportation is to get JR Tokaido Shinkansen "Nozomi". "Nozomi" will take you to Kyoto station in 150 minutes which cost 13,520 yen each way. To search time table for "Nozomi", please visit http://english.jr-central.co.jp/info/index.html [1422].

Plane

The nearest airport to Kyoto station which operates international flights is Kansai International Airport (Tokyo). However if you fly to Japan via Narita International Airport and leave through the same way, there are several ways to travel between Kyoto and Tokyo.

Kyoto Station -----> Tokyo Station -----> Narita International Airport

Take JR Tokaido Shinkansen "Nozomi" from Kyoto station to Tokyo Station. For traveling from Tokyo Station to Narita, use JR Narita Express (N'EX), JR Airport Narita (Rapid Service), or Airport Limousine Bus. To search time table for Narita Express, please visit http://www.jreast.co.jp/e/nex/narita.html [1423]. For detailed information for Airport Limousine Bus, please visit http://www.limouseinbus.co. jp/en/ [1424].

Kyoto Station -----> Osaka International Airport (Itami) -----> Narita International Airport

Take Osaka Airport Limousine Bus from Kyoto Station. To search time table for Limousine Bus, please visit http://www.osaka.co.jp/eng/html. For traveling from Osaka International airport to Narita International Airport, the major domestic carriers to Narita are ANA (http://www.ana.co.jp/asw/index.jsp?type=de [1425]) and JAL (http://www.jal.co.jp/en/ [1426]). 

Kyoto Station -----> Kansai International Airport -----> Narita International Airport

Take JR Airport Express "Haruka" or Osaka Limousine Bus from Kyoto Station. To search time table for Aiport Express, please visit http://www.westjr.co.jp/english/global.html [1427]. For detailed information for Airport Limousine Bus, please visit http://www.limousinebus.co.jp/en/. For traveling from Kansai International airport to Narita International Aiport, the major domestic carriers to Narita is ANA and JAL and it is well served by other carries. for detailed information, please visit http://www.kansai-airport.or.jp/en/flight/index.html [1428].

ACCOMMODATION KYOTO

There are a number of hotels located near Kyoto station. Here are some hotels which are a short distance away from Central City.

http://okura.kyotohotel.co.jp/english/ [1429]

http://www.rihga.com/kyoto/index.html [1430]

http://www.miyakohotels.ne.jp/newmiyako/english/index.html [1431]

http://www.granviakyoto.com/ [1432]

http://www.apahotel.com/hotel/kansai/01_kyoto-ekimae/english/index.html [1433]

http://www.kyoto-centuryhotel.co.jp/english/index.html [1434]

Additional Information about Kyoto:

http://www.kyoto.travel/ [1435]

http://www.kyotojoho.co.jp/english/index.html [1436]

The 6th annual Australia-New Zealand Acceptance and Commitment Therapy Conference

Our sixth annual conferene was held at Australian Catholic University from November 30 to December 2, 2012. In contrast to earlier conferences, this comprised a set of two day workshops followed by a single day of seminars and workshops together with a stimulating poster session.

Following is the program of the conference along with links to the presentation materials and handouts provided by the presenters/speakers. Where these are not provided, reasons are noted in the description of the presentation.

November 30 & December 1: Workshops

1. Dr Louise Hayes & Darin Cairns:
The adolescent self: A functional account of their developing self. Handouts [1437]

2. Dr Benji Schoendorff:
Clinical Functional Contextualism - Integrating ACT and FAP with the Matrix. Powerpoint and Handouts. Bridging form, Day 1 [1438]. Bridging form, Day 2 [1439].

3. Dr Kirk Strosahl & Dr Patricia Robinson
Brief Interventions for Radical Change: Principles and Practice of Focused Acceptance and Commitment Therapy (FACT). 

  • Slides [1440]
  • FACT Timeline worksheet [1441]
  • FACT True North worksheet [1442]
  • Patient Tools [1443]
  • Dealing with Downers Exercise [1444]
  • Life Path Class Session Protocol [1445]
  • Provider Burnout Self-Assessment Tools [1446]
     

December 2: Seminars

Rob Purssey: ACT on Drugs - Functional contextual pharmacology. Slides [1447]
Darin Cairns: Symbol Wars: The Fight for the Last Word...
Baljinder Sahdra, Sarah Marshall, & Joseph Ciarrochi: Letting Go, Becoming Free: The Role of ACT in Promoting Nonattachment. Slides [1448]
Rachel Collis: Using Contextual Behavioural Science in Executive Coaching. Handout [1449]
Claire Edwards & Dianne Tucker: Taming the Angry Beast. Slides [1450]. Resources for working Mindfully and Creatively with children and families [1451].
Mary Sawyer & James Duguid: Rule Governed Behaviour and ACT. Slides [1452]- Duguid, RGB [1452]
Henry Schmidt III: Chain Analysis in DBT. Slides [1453]
Russ Harris: The Reality Slap. Slides [1454]
NeLi Martin & Paul Atkins: Buddha As a Contextual Behaviourist. Slides [1455]
Jane Morton: Wise Choices: Acceptance and Commitment Therapy for People with Borderline Personality Disorder Symptoms.
Emma Hanieh: ACT with the Australian Aboriginal Population. To protect the privacy of individuals, no slides were provided, however Dr Hanieh is happy for people with questions to contact her directly: admin@theactcentre.com.au
Matthew Smout: ACT Research in Context. Slides [1456]
 

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The Second World Conference on ACT, RFT, and Contextual Behavioural Science

WorldConLogo2_0.jpg

 

This five-day conference (with two days of pre-conference intensive workshops [1457]) will provide a unique opportunity to learn about cutting-edge advances in Acceptance & Commitment Therapy (ACT) [57] and Relational Frame Theory (RFT) [1458], in addition to other third generation approaches in the behavioral and cognitive therapies. There will be a comprehensive scientific programme in these areas of contextual behavioural science, examining philosophical, theoretical, basic and applied issues. Students, practitioners, researchers, and policy makers will benefit from this conference and find it an excellent opportunity to learn from the very top people involved in the development and advancement of ACT, RFT, and contextual behavioral approaches.

The conference will have 9-11 tracks simultaneously for all five days. There will be approximately 30 invited addresses from internationally known clinical and research leaders. Some will be from outside the ACT / RFT community per se, such as Mark Williams, Lars-Goran Ost, Andy Christensen, and Adrian Wells, among others. Many of the leaders of the ACT / RFT community will also be giving invited addresses.

There will be nearly 100 symposia, panels, case conferences, and discussions on topics as wide ranging as ACT / RFT work itself, including by not limited to:

  • Implicit Relational Assessment Procedure (IRAP)
  • Mindfulness
  • ACT for Anxiety and Stress
  • ACT for Epilepsy
  • Relational Frame Theory (RFT)
  • Chronic Pain
  • Prevention of Health Problems
  • RFT & Learning
  • ACT for Depression
  • Derived Relational Responding
  • Equivalence
  • Behavioral Analysis & Control
  • Cognitive Defusion
  • Values
  • ACT for Smoking Cessation & other Addiction
  • Acceptance
  • Emotions
  • Psychopathology
  • Stigma & Prejudice
  • ACT for Eating Disorders
  • ACT and Behavioral Medicine
  • ACT for Children
  • ACT for PTSD
  • Spirituality
  • Suicide
  • Verbal Behavior & Language
  • RFT & Clinical Work
  • ACT in Private Practice
  • ACT & FAP (Functional Analytic Psychotherapy)
  • DBT & ACT
  • Personality Disorders
  • Functional Contextualism
  • ACT/RFT for People with Challenging Needs

In addition to a full, multi-track scientific and clinical programme, a wide variety of half-day workshops will be presented at the conference by leading researchers and practitioners. These workshops are FREE to conference attendees, no additional sign up required. These workshops will be designed to help develop the practice and skills of novice, intermediate, and advanced clinical practitioners, educators, prevention specialists, and even basic scientists. Most of the workshops will focus on ACT, but a wide range of topics will be addressed, including:

Free Workshop Topics

  • Clinical situations from the perspective of RFT
  • ACT in medical settings
  • ACT with chronic pain and chronic illnesses
  • ACT in Groups
  • ACT for Depression
  • Using ACT to Combat Prejudice
  • ACT in Education
  • ACT and Therapist Boldness and Compassion
  • Behaviour Analysis for Clinicians: From basic principles to RFT
  • Using RFT to Train Generative Verbal Behavior
  • Implications of ACT & RFT for the Therapeutic Relationship
  • Approaches to self-destructive behavior
  • ACT for substance abuse
  • Functional Analytic Psychotherapy
  • The Nature of Mindfulness
  • Intro to RFT
  • Treating PTSD with ACT
  • Teaching and Learning ACT
  • Using ACT with Epilepsy
  • ACT for Sexual Problems
  • ACT and DBT
  • Integrative Behaviour Couples Therapy
  • ACT in the treatment of psychosis/serious mental illness
  • Case Conceptualization in ACT
  • Using the Supported Role-play Method in ACT Training
  • Using ACT with chronically suicidal patients
  • Using ACT as a brief intervention model
  • Mindfulness-based cognitive therapy

Venue: Institute of Education, University of London [1459]
The Institute is located in the grand, eighteenth-century Bloomsbury neighbourhood of central London, within close walking distance to museums, galleries, theatres, shops, parks, and a wide-array of famous, second-hand bookshops. The nearby University of London Student Union offers state-of-the-art fitness facilities, including a large swimming pool.

  • How to get to the Institute of Education [1460]
  • For details about London, see www.visitlondon.com [1461]
  • For another map, see attached UCLMAP at the bottom of this page.

This conference is not related to the World Science Fiction Convention http://www.worldcon.org [1462]. "Worldcon" is a registered service mark of the World Science Fiction Society, an unincorporated literary society.

Select a link below (or in the menu on the top left of your screen) for further conference information.

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Accommodation

Conference delegates must arrange their own accommodation. There is a large selection of hotels in the central London neighbourhood of Bloomsbury, where the conference venue is located. Here, we are recommending a number of hotels, bed and breakfasts, university halls of residence (or dorms), and youth hostels.

Important Note: July is one of London’s busiest tourist and business periods. It is important, therefore, that you book your accommodation as early as possible. This is particularly important for people who wish to stay in university halls, as these are often booked up early.

 

Conference Hotel

The conference hotel is the Royal National [1463] on Bedford Way. It is located directly opposite the Institute of Education, which is the conference venue. All rooms are en suite with satellite TV, radio and tea/coffee making facilities. Computer points and hairdryers are available on request. Facilities include a Chinese restaurant, coffee shop, traditional pub, gift shops, internet kiosks and a bureau de change. There is also an underground (pay) car park.

Room rates (inclusive of VAT):

  • £66 for a single (i.e., one person in a room)
  • £85 for a twin (i.e., two people in a room)
  • £103 for a triple (i.e., a double room with an extra bed)
  • £121 for a quad (i.e., a triple room with an extra bed)

Click here [1464] for a currency converter.

Those delegates who identify themselves as attending the Second World Conference on ACT, RFT, and Contextual Behavioural Science at the time of booking and who stay for 7 consecutive nights will pay for only six. In order to avail yourselves of this special conference offer, delegates must prepay in full, by credit card, at the time of booking. This booking cannot then be amended or cancelled. You can book rooms at the Royal National via the following:

Online: info@imperialhotels.co.uk
Phone: +44 (0)20 7278 7871
Fax: +44 (0)20 7837 4653

Hotels and B&B’s from £36 - £100

(All within a 10 minute walk from the conference venue)

  • Avalon Hotel [1465], -47 Cartwright Gardens, London, WC1H 9EL (from £45) Tel: +44 (0)20 7387 2366; Fax: +44 (0)20 7387 5810
  • The George Hotel [1466], 58-60 Cartwright Gardens, London WC1H 9EL (from £36) Tel: +44 (0)2 07387 8777; Fax: +44 (0)20 7387 8666
  • Gresham Hotel [1467], 36 Bloomsbury Street, London WC1B 3QJ (from £45) Tel: +44 (0)20 7580 4232; Fax: +44 (0)20 7436 6341
  • Crescent Hotel [1468], 49-50 Cartwright Gardens, London WC1H 9EL (from £50) Tel: +44 (0)20 7387 1515
  • Ruskin Hotel [1469], 23-24 Montague Street, London WC1B 5BH (from £50) Tel: +44 (0)20 7636 7388; Fax: +44 (0)20 7323 1662
  • St Margaret's Hotel [1470], Bedford Square, London WC1B 5JL (from £51) Tel: +44 (0)20 7636 4277, +44 (0)20 7580 2352; Fax: +44 (0)20 7323 3066
  • Tavistock Hotel [1471], Tavistock Square, London WC1H 9EU (from £61) Tel: +44 (0)20 7636 8383; Fax: +44 (0)20 7837 4653
  • Bedford Hotel [1472], Southampton Row, London WC1B 4HD (from £71) Tel: +44 (0)20 7636 7822; Fax: +44 (0)20 7837 4653
Hotels from £100+ per night

(All within a 10 minute walk from the conference venue)

  • Radisson Edwardian Kenilworth Hotel [1473], 97 Great Russell Street, London WC1B 3LB (from £109) Tel: +44 (0)20 7637 3477
  • Radisson Edwardian Marlborough Hotel [1474], 9-13 Bloomsbury Street, London WC1B 3QD (from £109) Tel: +44 (0)20 7636 5601
  • My Hotel Bloomsbury [1475], 11-13 Bayley Street, London WC1 3HD (from £170) Tel: +44 (0)20 7667 6000; Fax: +44 (0)20 7667 6001
Student Halls of Residence

There are a large number of university and college halls (or dorms) in central London. There are two, in particular, that we would recommend most highly, owing to their location to the conference venue in Bloomsbury. They are, in rank order:

  • Campbell House East, 5 – 10 Taviton Street, London WC1H 0BX
    Tel: +44 (0)20 7679 1479; Fax: +44 (0)20 7388 0060. Prices from £22.00 per person, per night for a single and £43.00 for a twin (i.e., two people per room).
  • Ifor Evans Hall, 109 Camden Road, London NW1 9HZ.
    Tel: +44 (0)20 7485 9377; Fax: +44 (0)20 7284 3328. Single rooms start from £21.50 per night self catered, or £26.50 per night bed and breakfast

Information and booking details for these two halls can be accessed from the following webpage: http://www.ucl.ac.uk/residences/ [1476]

We cannot recommend more strongly the need to book halls of residence at your earliest possible convenience.

Additional Student Halls of Residence

Individual or group bookings of 20 people or more can be made at many of the following halls. They are all very central and within a short walking distance or tube journey of the Institute of Education, the conference venue.

It is recommended that you telephone or email residences that you are interested in to check availability and make a provisional booking, and to then print off a booking form and send it in with your deposit.

  • The university of London Intercollegiate halls of residence [1477] (From £23 per night)

    There are several very central halls, which let accommodation to visiting groups or individual students. The individual halls must be contacted directly for bookings.

  • Kings College London [1478] (From £21 -£25 per night) Tel: Stopover on +44 (0)207 848 1700

    Individual or group bookings can be made at these halls. Whilst they are slightly further out than the University of London halls, they are very accessible by tube and bus and involve a journey of around 15-20 minutes.

  • University of Westminster [1479] (From £19.50 per night) Tel: Commercial Services Summer Accommodation on +44 (0)207 911 5181

    Individual or group bookings can be made at these halls. Once again these may be slightly further out than University of London halls but are nevertheless very accessible.

NB: Many more London Universities provide low budget summer accommodation for students but these may not be as central as the universities specified above. To view these options please click the following link [1480].

Youth Hostels (£11.50 - £17 depending on room type)

There are many independent youth hostels in central London and these generally have to be accessed through booking websites such as:

  • http://www.bedbreakfastreservations.com [1481]
  • http://www.travelstay.com [1482]
  • http://www.studystay.com [1483]

Some very central hostels that come highly recommended are The Camden Inn [1484] and The Generator [1485]; others can be found on the above websites. If price is the main concern then these will undoubtedly be your cheapest bet, but be aware that if you book into these hostels, you will generally be booking a bed in a shared dormitory.

London Travel Tips

 
Arriving at London's Heathrow Airport

Unless you are being met by someone with a car, it is advisable to travel to the conference hotel/venue via the London Underground (Tube) or the Heathrow Express. The Tube involves a slightly longer journey, but it is less expensive than the Heathrow Express option. A Taxi from Heathrow is not advisable as it will be a long and expensive journey (approximately £50). There are bus services into London from Heathrow Airport, but they involve a long journey, and they do not deposit you anywhere near the conference venue/hotel, and so this option will require an additional Tube journey.

London Underground (or Tube) There are 4 terminals at Heathrow. Unfortunately, there will be no Tube service from Terminal 4 during the conference, owing to engineering works. Terminals 1, 2 and 3 will continue to be served by the Tube’s Piccadilly Line, which will take you very close to the conference venue/hotel. If you arrive at Terminal 4, and wish to take the Tube, you are strongly advised to take the Heathrow Express (for free) to the next stop, which is ‘Terminals 1, 2, and 3’. Once there, you can transfer onto the Piccadilly Line (after buying a ticket). (From Terminal 4, you can also take a free bus to Hatton Cross Tube station and join the Piccadilly Line there, but this inconvenient route is not advisable.) The advantage of taking the Tube from Heathrow is that the Piccadilly Line runs direct to Russell Square Tube station, which is a short walk from the conference venue/hotel. The disadvantage is that the Tube journey is approximately 1 hour, but it is the cheapest and most direct option from Heathrow. Here's a great map of the conference & hotel area (including the location of the Russel Square Tube station): Institute of Education [1460] Heathrow Express The Heathrow Express will get you into Central London’s Paddington Station in 15 minutes (one way, £15; return/round trip, £23). From Paddington, the conference venue is a mere 10 minute taxi ride away (which costs approximately £10 - £15, depending upon traffic). From Paddington, you could also take a Tube to Euston Square, but this is not advised as you would then have a 10 – 15 minute walk from the Tube station to the conference venue/hotel.) If you are willing to pay approximately £30 to get to the hotel/venue, then this is the most pleasant, and quickest, way to do so.

Arriving at London's Gatwick Airport

Unless you are being met by someone with a car, a train from Gatwick Airport into London is the only advisable mode of transport. Any type of taxi is prohibitively expensive from Gatwick, and the journey time to the conference venue/hotel will be approximately 1.5 hours (if the traffic is not bad, which it typically is). Accordingly, the bus service into London is slow, yet cheap, but it is not especially pleasant and you will not end up anywhere that is convenient to the conference’s location. Go train.

Trains to London King’s Cross from Gatwick airport THIS IS THE ADVISABLE TRAIN OPTION FROM GATWICK, if you are staying in accommodation that is recommended on this website (or anywhere near the conference venue). From Gatwick Airport there are frequent trains direct to King’s Cross station, which is well situated for the conference and associated hotels. The conference hotel is a longish walk from King’s Cross station, a very short taxi ride, or one stop (to Russell Square station) on the Tube. Trains to London Victoria Station (including the Gatwick Express) THIS OPTION IS NOT RECOMMENDED if you are staying at the conference hotel or are going directly to the conference venue. If you are staying in West London (which is not near the conference), then this is the fastest way to get into London.

Arriving at London's Stanstead Airport

The ONLY way that you will want to travel from Stanstead to London is via train. The Stanstead Express train service takes you into London’s Liverpool Street Station. Once there, people can take either a taxi or the Tube to the conference venue/hotel. The nearest Tube station to the conference venue/hotel is Russell Square.

Arriving at London's Luton Airport

The ONLY way that you will want to travel from Luton to London is via train. From Luton, there are trains that go to different London railway stations. Unless there are exceptional circumstances, you will only want to take a train to London King’s Cross station which is well situated for the conference and associated hotels. The conference hotel is a longish walk from King’s Cross station, a very short taxi ride, or one stop (to Russell Square station) on the London Underground (i.e., Tube). Please email Tony Balazs [1486] (tony@balazs.co.uk) if you require further travel advice.

Program

View/download the final WorldCon2 Program [1487] (PDF file, 6.7MB)

  • Pre-conference intensive weekend workshops will be held July 22-23, 2006.
  • The conference itself will take place July 24-28, 2006.
  • Registration materials will be available on Monday morning, July 24, at 8:00/8:30am. You will need to be at: Institute of Education, University of London, 20 Bedford Way, London WC1H OAL. If you don't see us in the foyer outside of Jeffrey Hall, just follow the signs.
  • Program details are finalized, see PDF above.

Evening Events

Evening Events

Tuesday Evening, Social, 25 July, 19:00 – Midnight
We will have an evening of drinks, lab/research centre posters, and merriment at the Royal National Hotel (the conference hotel), across the street from the conference venue, on Bedford Way. Anyone is welcome to bring a poster showing how ACT/RFT is a part of your workplace or university. We will be in the Edward VII & Alexandra Suites. Please eat dinner prior to arriving. A cash bar will be available.

Thursday Evening, Follies, 27 July, 19:00 – Midnight
Thursday will be our famous “Follies Night.” We encourage one and all to develop and perform ACT/RFT related skits, songs, funny PowerPoint presentations, etc. The show will begin at approximately 8:30pm.
You can buy drinks and some basic bar snacks (like pizza, nachos, etc.).
This evening event will take place at Boland House, not at our conference venue. It will be a 15 minute Tube ride away, approximately 20-30 minutes total if taking the Tube. (It will be a very long walk, if you choose to walk it.). It is near the London Bridge Underground Station. Complete directions and map appear in the full conference program.

Pre-Conference Workshop Information

 

To register for these workshops please visit this page [1488] and scroll down to find the Pre-Conference Workshop Registration. If you have registered for a Pre-conference Workshop with Steve Hayes, Sonja Batten, JoAnne Dahl, or Kelly Wilson (separate from the WorldCon2 registration), to be held July 22-23, you will need the following information. All Pre-conference Workshops will be held from 9:00am - 6:00pm on July 22 & 23. Please arrive prior to 9:00am to get your name tag and be ready to start on time. Steve Hayes' workshop location:

    Ramsay Hall "TV Room" 20 Maple Street London W1T 5HB

JoAnne Dahl's workshop location:

    Ramsay Hall "Game Room" 20 Maple Street London W1T 5HB

Kelly Wilson's workshop location:

    Ifor Evans Hall "Common Room" 109 Camden Road London NW1 9HZ

Sonja Batten's workshop location:

    Ifor Evans Hall "TV Room" 109 Camden Road London NW1 9HZ

Lunch and afternoon tea will be provided. We encourage you to bring water/drinks and quiet snacks (please, no noisy eating during the workshop!) to enjoy during breaks. We also encourge you to bring a jacket/long-sleeved shirt, it's hard to know how high the air-conditioning will be in the buildings and we want you to be comfortable. Please keep checking this site for further updates. See you in London!

 
This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Pre-Conference Workshop Abstracts

Steve Hayes, Ph.D., Beginner Workshop:

    Acceptance and Commitment Therapy (ACT)

    Difficult clients tend to be both harder to treat successfully, and to be emotionally difficult for therapists, resulting in higher levels of stress and burn-out. These clients are generally more complex and chronic, and they often been through the therapy mill. Because of the growing popularity of empirically supported methods, difficult clients may have already had courses of more traditional empirical treatments (e.g., various forms of cognitive behavior therapy) and are unlikely to be moved by another attempt within the same model. Something else is needed that is empirically based, that provides relief for clinicians, and that allows for a new, more powerful approach to difficult cases. Acceptance and Commitment Therapy (ACT) is such an approach. The core conception of ACT is that psychological suffering is usually caused by experiential avoidance, cognitive entanglement, and the resulting failure to take needed behavioral steps in accord with core values. According to this view, trying to change difficult thoughts and feelings as a means of coping might can be counter productive, but new, powerful alternatives are available, including acceptance, mindfulness, cognitive defusion, values, and committed action.

    ACT teaches clients and therapists alike how to alter the way difficult private experiences function mentally rather than having to eliminate them from occurring at all. This empowering message has been shown empirically to help clients cope with a wide variety of clinical problems, including depression, anxiety, stress, substance abuse, and even psychotic symptoms. Research has shown that these methods are as beneficial for the clinician as they are for clients, quickly alleviating therapist burn-out.

    This two-day workshop will discuss and demonstrate ACT techniques, particularly acceptance, cognitive defusion, and behavioral commitment strategies. While the procedures are broadly useful, the workshop will focus in particular on issues of multi-problem patients. Data supportive of this approach will be discussed. The workshop will at times be experiential, not merely didactic. The intention of the workshop is to provide clinicians with a workable set of ACT skills, and with personal experiences that will allow further development of these skills based on their application with difficult clients.

    Workshop Objectives:
    Attendees will learn:
    • Why experiential avoidance and cognitive fusion underlie most forms of psychopathology
    • How modern research in human language and cognition is revealing a key source of human suffering
    • How to formulate cases in terms of experiential avoidance and cognitive fusion
    • The major steps in Acceptance and Commitment Therapy
    • How to foster psychological acceptance
    • How to quickly reduce the impact of negative thoughts
    • How to mobilize and make use of the spiritual side of clients
    • How to help clients get more into contact with their core values
    • How to build larger patterns of committed action
    • How to apply these same methods to the stressful impact of working with difficult clients

    Target Audience: Beginners and above

JoAnne Dahl, Ph.D., Advanced Workshop on Chronic Pain:

    ACT in the Treatment of Chronic Pain

    The workshop is designed to conceptualize, demonstrate and offer each participant the opportunity to practice an ACT analysis and treatment of clients with chronic pain. A typical case example will be dramatized, analysed and treated with ACT core components. Participants will learn how chronic pain can be conceptualized using the values compass and fusion with typical verbal rules associated with pain. Everyone will get the chance to practice core ACT skills applied to clients with chronic pain. Dramatizations of the funeral excercise, Joe the Bum, the Bus metaphor will be played showing the application to chronic pain. Participants may want to bring examples of difficults clients or clients behaviors with them.

    Target Audience: Advanced, clinicians

Kelly Wilson, Ph.D., Advanced Workshop:

    ACTing Mindfully: Valued Living in the Present Moment

    In a sense, it is odd to speak of values , acceptance, and being-in-the-present-moment in the same breath. Values are intrinsically about something one is willing to work for, to sacrifice for, to suffer for. It is this for-ness, this purposive-ness, which threatens to pull us from the present moment. It can pull us into stories about "befores" when we have done well, or failed, and "laters", when we might do so again. When values are a story about a "what" that we value, about a "when" in which we will do so, and about an "I" that will be there to do it, the moment is lost.

    Moving in a direction consistent with one¹s values is central to Acceptance and Commitment Therapy. However, values need not take us from the here and now. Valuing, in so far as it is important in ACT, is never about later or before. It is always about values lived in the present moment. It is
    the valued act in flight, the valued act experienced in this very moment that dignifies and directs the necessary hard work of therapy. In the workshop, we will describe methods of bringing a vital sense of direction into the therapeutic work. We will examine experientially methods of disentangling clients from stories about values and freeing them to make valued living a creative act in the here and now. The workshop will focus on experiential components that will readily translate into clinical work. We will proceed through a series of exercises designed to enhance your ability to work with your most difficult clients.

    Educational Objectives:
    1. Use the Valued Living Questionnaire to generate a potent
    therapeutic contract.
    2. Recognize the emergence of aversive control over client behavior
    and learn to facilitate mindful acceptance.
    3. Recognize the emergence of aversive control over clinician
    behavior and learn to practice mindful acceptance.

    Target Audience: Clinicians, researchers, all levels

Sonja Batten, Ph.D., Beginner Workshop:

    Clients frequently come to therapy with an agenda of the amelioration of symptoms – to feel less depressed, have fewer panic attacks, and have fewer cravings to use drugs and alcohol. Traditional treatment approaches are designed for exactly such a purpose – to assist in symptom reduction. But what if there were another way of approaching our clients’ difficulties in living? What if it were not the thoughts, memories, and feelings that are the problem, but instead that individuals presenting for treatment have lost touch with what is important to them? That they are not living a life in accordance with those things that they really value?
    Often we find that years of disappointment, disenfranchisement, and avoidance have led our clients to make choices based on attempts to feel good, rather than based on building a life that is meaningful to them.
    Acceptance and Commitment Therapy, a contemporary behavior therapy, provides an alternative to the feel-good agenda and instead focuses on helping our clients to reconnect with those ideals and principles for living that are deeply important to them. This two-day workshop will provide clinicians with the tools to work with clients on identifying each person’s valued life directions and then help motivate behavior change in the service of those values. Structured experiential and written exercises, along with role pays and case material, will be used to demonstrate the process of values assessment and commitment to engage in valued life activities.

    OBJECTIVES
    *Understand problems in living as the result of behavioral choices that individuals make that are inconsistent with their personal values
    *Identify the role of avoidance in the development and maintenance of psychopathology
    *Learn to conduct a full-scale Values Assessment
    *Recognize client barriers to identifying and acting upon values
    *Be able to lead clients in experiential exercises designed to facilitate awareness of valued life directions and motivate valued behavior

    Target Audience: Beginner to Intermediate, clinicians, students and professionals.

    PLEASE NOTE: It is important that you understand the experiential nature of this workshop. These workshops teach ACT by creating an experience of what it is like to stand in the place where we ask ACT clients to stand. The workshop will be largely experiential and may be intense at times.

Session Schedule

 
View/download the WorldCon2 Session Schedule [1489] (PDF file, 90KB)

Registration for the conference will begin on Monday morning, July 24, at 8:00/8:30am. You will need to be at: Institute of Education, University of London, 20 Bedford Way, London WC1H OAL. If you don't see us in the first floor foyer outside of Jeffrey Hall, just follow the signs. Please note that evening events will be posted separately soon.

Sponsors

 
WorldCon2 is possible due to the generosity of our sponsors
 
Corporate Sponsor
  • Context Press
Individual Sponsors
  • Patricia Bach
  • Dermot Barnes-Holmes
  • Yvonne Barnes-Holmes
  • John Billig
  • Frank Bond
  • Ann Branstetter
  • Kara Bunting
  • Lisa Coyne
  • Sarah Dew
  • Evan Forman
  • Brandon Gaudiano
  • Laurie Greco
  • Jennifer Gregg
  • Steve Hayes
  • James Herbert
  • Carmen Luciano
  • Jason Luoma
  • D.J. Moran
  • Susan Orsillo
  • Hank Robb
  • Patricia Robinson
  • Lizbeth Roemer
  • Leslie Rogers
  • Vijay Shankar
  • Rainer Sonntag
  • Ian Stewart
  • Kirk Strosahl
  • Niklas Torneke
  • Robyn Walser
  • Rikard Wicksell
  • Kelly Wilson
  • Robert Zettle

Why So Expensive? What Your Registration Covers

We did a survey of the list serve members to arrive at the cost and set it below the mean recommendation but still they might seem a little steep when it comes to actually paying. It helps a bit to know what they cover and where the money goes.

The World Con II cost includes lunch and coffee all five days: that is a $150 cost to us.

We are not charging for workshops during the conference proper ... which is unheard of and saves hundreds

The conference will have at least 8 tracks continuously for the entire 5 days

And if you an ACBS member you save more than your membership cost

The biggest expense is the venue. No one is presenting being paid except a few of the non-ACT / RFT workshop leaders. We figure we break even at around 300 people.

So, yeah it is expensive, but it is way cheaper than most similar conferences when you factor in the size, length, meals, sessions, speakers, and city.

Continuing Education Opportunities with ACT

These are online resources for CE training in ACT.

  • 100314 [1490]: "Acceptance and Commitment Therapy for Anxiety Disorders" using Eifert and Forsyth's book and providing 14 hrs. CE.
  • 100826 [1491]: "Get Out of Your Mind and Into Your Life" using the Hayes and Smith book for 16 hrs. CE.
  • 100888 [1492]: "Act on Life, Not on Anger" using the Eifert, McKay, and Forsyth book for 6 hrs. CE.
  • Introduction to ACT, Steven C. Hayes: [1493]. Psychotherapy Networker Audio Home Study Course A318

    This is a six hour, clinician-friendly audio course on ACT. You can get it as a CD. Good introduction to the model. A bit pricey and the audio is not always great during questions, but you get CEs.

Developing Nations Training Fund

We need your support!

ACBS is an international society but in many corners of the world it is difficult for professionals to attend ACBS conferences and trainings due simply to cost. The Developing Nations Fund helps disseminate CBS in the developing world and provides scholarships for attendees and presenters from developing nations to attend the world conference. We know that our members from diverse backgrounds contribute depth and richness to the organization and this program will lead to a better ACBS for all of us.

Often a very small amount of help can make a huge difference in their home country -- professionals often play a very important role in public policy and determining what kinds of services are available.

Every dollar/euro/yen goes to helping those in need -- not a nickel goes to administration. Since its inception ten professionals in developing countries around the world have come to the the ACBS World Conference, and several trainings have been held in developing countries.

Money collected for this fund is distributed by an ACBS Developing Nations Fund committee, in cooperation with the Developing Nations Special Interest Group. Scholarships are awarded based on need and merit.

Won't you help? You may donate via Paypal [1495] by using the button below. 

 

Please note that this contribution does not qualify as a tax-deductible charitable contribution, according to USA tax law ... but it's a nice thing to do.


2017 ACBS Developing Nations Scholars

The following individuals were named the Developing Nations Scholars for the ACBS World Conference 15 in Seville, Spain:

Edmond Brandon, Sierra Leone
Racheal Nuwagaba, Uganda
Fatema Ahmadi, Afghanistan - Unable to Attend


2016 ACBS Developing Nations Scholars

The following individuals were named the Developing Nations Scholars for the ACBS World Conference 14 in Seattle, USA:

  • Fernando Parada, Chile
  • Edmond Brandon, Sierra Leone - Unable to Attend
  • Fatema Ahmadi, Afghanistan - Unable to Attend

2015 ACBS Developing Nations Scholars

The following individuals were named the Developing Nations Scholars for the ACBS World Conference 13 in Berlin:

  • Norman Gustavson, Afghanistan [1496]
  • Roscoe Kasujja, Uganda [1497]
  • Sook Huey Lee, Malaysia [1498]
  • Mario Maričić, Bosnia and Herzegovnia [1499]

2014 ACBS Developing Nations Scholars

The following individuals were named the Developing Nations Scholars for the ACBS World Conference 12 in Minneapolis:

  • Ingrid Ord, South Africa [1500]
  • Manuel Garayar, Peru [1501]
  • Bertus Swanepoel, South Africa [1502]

2013 ACBS Developing Nations Scholars

The following individuals were named the Developing Nations Scholars for the ACBS World Conference 11 in Sydney, Australia:

  • Zhu Zhuohong, Chinese Academy of Sciences [1503]
  • Ji Yang, Chinese Academy of Sciences [1504]

2012 ACBS Developing Nations Scholars 

The following individuals attended ACBS World Conference 10, in Washington D.C., USA. Click a name below to see what they have been up to since then:

  • Yoav Van der Heyden, Cape Town, South Africa [1505]
  • Juan Pablo Coletti, Argentina [1506]
  • Chhori Laxmi Maharjan, Nepal [1507]
  • Christian Vonjoe, Sierra Leone [1508]

2011 ACBS Developing Nations Scholars

The following individuals attended ACBS World Conference 9, in Parma, Italy. Click a name below to see what they have been up to since then:

  • Manuel Alejandro Garayar Del Castillo, Peru [1509]
  • Silvia Lucia Melgar Bravo, Peru [1510]
  • Sylvester Kiche, Sierra Leone [1511]
  • Hannah Bockarie, Sierra Leone [1512]
  • Krisztina-Gabriella Szabo, Romania [1513]
  • Fatih Yavuz, Turkey [1514]
  • Belal Mustafa, Jordan [1515]
  • Fabian Maero, Argentina [1516]

2010 ACBS Developing Nations Scholars

The Developing Nations Fund began with a spontaneous effort to support two therapists from Sierra Leone, to participate in our World Conference in Reno. One was Sister Liz Onwuama, a teacher and catholic nun, who worked with traumatized refugees during the civil war and trained teachers all over the country to deal with traumatized children. The second was Bondu Manyeh, a social worker, who started the Graceland Counselling Services during the war to help especially women who were captured and abused, at times for years.

They came to the World Conference in part because of a program run by Beate Ebert [1517], a German ACT clinician, who has been in Sierra Leone training professionals in ACT for traumatized people (for more on her program see www.commitandact.com). ACT trainers JoAnne Dahl and D. J. Moran went to Sierra Leone to do trainings following the Reno World Conference (2010).


2011 Dissemination Activities

Argentina Dissemination Activities 2011

I'm a clinical psychologist working in Argentina. My main area of interest (and the main reason for attending to the conference), is the dissemination and training of EST in Argentina, specially low-cost interventions with a wide spectrum. In terms of therapies, this means ACT and also BATD (values-driven behavioral activation, Lejuez et al).

And, since Parma, a lot of good things had happened. First of all, we've created the SIG for Dissemination (the majority of the scholarship's recipients are on the SIG), which is a whole challenge on itself (I think there are as many languages as people on the SIG, it is a beautiful thing), and we are giving our firsts steps with it.

Specifically in Argentina, we had our first BATD and ACT workshops a couple of months ago. Particularly, the ACT workshop (with Kelly Wilson), had more than 80 attendees, which is just crazy in a country with a long standing psychoanalytic tradition (even CBT is relatively new around here). I've been giving some short lectures on several places (including the university of buenos aires, which in a sense is like teaching in Freud's backyard. Highly rewarding.), and we are having our first "native" workshop next month. In addition to that, we are starting to work on a research project using behavioral activation for depression. Im particularly interested on the act-related mediational factors for BA, so maybe in a couple of years we'll get back to you with some data about it (and btw, research funding for psychology is nearly zero, so almost everything in this is just will-supported).

If you interested in any of the things we are working on, drop me an email, join the SIG http://groups.yahoo.com/group/acbsdisseminationsig/ [1518], or buy me a beer at DC this year :-)

Peace,
Fabian Maero
 

Jordan Dissemination Activities 2011

I, Belal Mustafa, am a fresh graduate from the Jordan University of Sciences and Technology (JUST) located in Middle East country of Jordan, currently holding a master degree in applied behavior analysis.

I have participated in the ninth ACBS world conference held last year in the city of Parma- Italy as being awarded a scholarship by ACBS’s committee to attend that international event gathering. The invaluable benefits I gained through that event have significantly helped achieve my learning and performance objectives. Eventually, the exposure and presentation I had through the course of the conference was translated into an experience I am currently sharing with the rest of applied behavior research community in the region (Middle East and North Africa).

My main objectives are centered at enhancing my RFT, ACT and other contextual behavior science knowledge and experience, and serving the community specially those whom are suffering worldwide. More specifically, it is on how these conferences positively contribute to my personal and academic goals.

Through the course of these conferences I have established relations with professionals from all over the world. Preconference workshops were a great opportunity to exchange experience and knowledge about ACT that continued and extended to a network of relations that I am very proud of. The conference was a valuable opportunity to acquire up to date knowledge on latest ACT & RFT research introduced by most known professors in the track of contextual behavior science from overall the world. It is worth mentioning that, Behavior Analysis science is still a new field in my entire region that is why more effort is extremely needed in educating ACT, RFT, and other contextual science theories. In this context and since my attendance in the ninth conference till now I am working hard to hopefully implement ACT, RFT at our university’s hospital. Moreover, after attending the conference I've started preparing a research paper analyzing the “Arab spring” phenomenon and current region nations revolutions from an RFT perspective, I may considered myself a pioneer with this approach at both my university and within the entire region, where as this is the first psychological and behavioristic analysis to this phenomenon, in addition I believe that I am one of the first people in middle east region who worked on relational frame theory (RFT).

Considering RFT, ACT, and contextual behavior science becoming the most interesting fields in behavior analysis and psychology in general, , I was all the time keen to get advanced knowledge through my attendance at the ninth conference. Following my ambitious in this regard, I proposed establishing an ACBS chapter in the Middle East region and North Africa ; Since then I have made serious endeavors at initiating this promising chapter that disseminate ACBS values, serve professionals and students from one side, and patients whom indeed need to be treated deploying this prominent science from the other side.

I cannot ignore the positive impact and experience I gained by being a member of the “CBS Dissemination in Developing Nations” Special Interest Group (SIG). Finally, beside all of what I have mentioned before, I cannot emphasizes enough one of the benefits the ninth conference have served, which is getting acquainted with seasoned professors and scientist which in return gave me the chance to get consultation and guidance on many issues related to this science and others. Furthermore, I am communicating with other ACBS official chapters to enhance my presentation in future scientific conferences, looking to maximize my educational knowledge in this prominent track as well. In essence, I consider this conference a precious and priceless event I cannot bear to miss.

Many Thanks and Best Regards

Belal Mustafa
A member of Jordanian Applied Behavior Analysis Association.
Bsn,RN,Master Degree at ABA program in Jordan University of Sciences and Technology.

Irbid, Jordan
 

Peru Dissemination Activities 1 2011

My name is Manuel Garayar and I’m from Peru. Since I’ve got back to my country, I've continued with my scientific blog about CBS in Spanish (http://conductistaenperu.wordpress.com/ [1519]). It worked very well because, a few months later, I received an invitation to give a presentation about some topic related to Functional Contextualism. For my audience, I choosed the title: “Functional Contextualism: A contemporary monistic perspective to understand and influence on cognitive events” and my goal was to give a broad perspective about philosophical issues that underly CBS, and an introduction about their theoretical (RFT) and applied dimensions (ACT).

As I said in my poster presentation at Parma, I’ve continued doing workshops, helping others learn about ACT and Psychological Flexibility as a way of promoting personal development. I think that CBS can be promoted by demonstrating that its products are useful for the problems that common people label with their own words (low self-esteem, anger control, leadership, etc.). The interventions were planned, for example, using notions like self as context vs. self as content for deminishing the discriminative functions of the “negative” self-statements known as “low self-esteem”. I’ve shared some of this work through the ACT listserv (a power point presentations called “Lidiando con emociones no deseadas” [“Dealing with unwanted emotions”] for someone who was looking for some material in Spanish for his client).

As a therapist, I’ve been working with children, adolescents and adults (especially, parents). My experience is that the psychological flexibility model is a powerful and useful approach for the therapist in his role of helping the client to get a valuable life for him/her. A clear advance after the conference is that I’ve made an initial adaptation of the “feeding the tiger” metaphor for working with unwanted emotions in children, which I call “the story of the monster” who is presented as an analog of their emotions and thoughts and the notion that the problem comes when you always do “what the monster says”, adding to this some training in basic mindfulness repertoires.

In the same way, my Peruvian partner (Silvia Melgar) and I are preparing an experiential seminar with the goal of giving an introductory level of knowledge about CBS (ACT/FAP, RFT, FC). In April, I’ll travel to Buenos Aires (Argentina) to give a class about Functional Contextualism. Besides this class, I’m co-working on the possibility of a seminar about CBS topics too. For October, Silvia and I are organizing an ACT workshop (with Patricia Zurita) which will be the first one in my country.

In my country, it’s really important to show in both contexts, academic and professional, that there’s a powerful scientific approach, which emerging from the past behavioral and cognitive interventions, is giving new solutions from a contextual behavioristic point of view. The scholarship received from the ACBS (my new family around the world) was, of course, fundamental because I received more tools for achieving this goal. I’m sure that CBS approach can fill the void of dealing with suffering with verbal subjects in a human, pragmatic and scientific way. Our clients, the people who trust in us, will receive this benefit.
 

Peru Dissemination Activities 2 2011

Silvia Melgar

My Peruvian partner (Manuel Garayar) and I are preparing an experiential seminar with the goal of giving an introductory level of knowledge about CBS (ACT/FAP, RFT, FC). In October, Manuel and I are organizing an ACT workshop (with Patricia Zurita) which will be the first one in my country.

Romania Dissemination Activities 2011

Report by Krisztina G. Szabó, PhD
Psychotherapist, trainer and supervisor in Ericksonian Pyschotherapy and Client- Centered Psychotharapy (Focusing)
Cluj, Romania

The scholarship represented a unique opportunity to participate in an intensive 14 hours pre-conference workshop and in 6 other workshops during the conference. Through this experience, I got a comprehensive understanding of the core processes of ACT and learned ways of using related concepts and techniques based on the model to develop therapeutic and supervision interventions. My previous readings about ACT have already provided me with a new understanding of processes related to therapeutic change, adding more effectiveness to my work; but it has been so important to actually see how different ACT professionals work, because for me this created a “shortcut” to the deep and living sense of what ACT means.

Another tremendous gain was to meet the ACBS community live and to experience that declared values really are the compass of acting and interacting within it. I consider this kind of experience really vital, especially when coming from a community still paying tribute to authority- and hierarchy-driven relationships.

So far, my dissemination activities have consisted in:
- using ACT in clinical practice
- introducing the ACT model trough all my teaching and training activities (seminars in clinical psychology and psychotherapy, trainings in psychotherapy/CE, as well as in supervision);
- bringing with me a colleague to the conference, who actively supported me further in all of the following activities:

  • organizing a summer-camp (30 hours of training) on the topic of fostering psychological flexibility, where we presented the ACT model and specific techniques and also discussed ways of using the model in clinical practice; we also offered access to all the relevant materials (books and articles) we have. The program was credited with 30 CE credits by the Romanian College of Psychologists (August, 2011);
  • developing a personal development program for adolescents based on ACT (ACT flexibly!); the program is thought to be an 8-week group activity, with the aim of fostering psychological flexibility; we organized a two-day intensive training (16 hours) for counselors and therapists interested in applying the program and also continuous assistance; we offered a brochure containing the specific topic and the objectives targeted in each session, as well as samples of recommended activities and guidelines. So far we have 20 therapists involved in the program, from different towns, and are still more interested. This program is sustained on a volunteer basis (the training and the assistance is free, as well as the participation in the group); we offered access to all the materials we have (books, articles etc.) and which are relevant to the topic;
  • have submitted our proposal to translate into Romanian the best-seller Get out of your mind and into your life to a prestigious publisher;
  • founding the Institute for Contextual Psychological Technologies which basically aims to promote values, views and principles grounded in functional contextualism, and to contribute to the dissemination and enrichment of knowledge and technologies based on that (the process in ongoing);
  • have translated into Hungarian (in addition to the Romanian version) the Acceptance and Action Questionnaire-II and we are working on its validation; we have translated into Romanian and Hungarian the Avoidance and Fusion Questionnaire for Youth (for the Hungarian versions we have collaborated with a colleague from Hungary);

It is to be mentioned that we conducted our teaching and training activities being certified trainers by the Romanian College of Psychologists; we did not presented ourselves as ACT-trainers, but shared our understanding and experience with it.
 

Sierra Leone Dissemination Activities 1 2011

From Hannah Bockarie Sierra Leone West Africa.

 Subject. Report on ACBS Conference Attended 2011.

The painful and bitter experience of the war in Sierra Leone left most people with traumatic experiences and the feeling of unstable minds, the ACBS conference has help me touch many lives. It helped build my skills that I use to help people with mental health problems. With the help of these tools, major achievements have been done in the following ways:

1. After the ACBS Conference, training was organized for eight therapists in Bo Southern part of Sierra Leone at my place of work. The topic ACT for Life was presented, for which they were very much grateful. They were able to understand the basic concept, and learned some new skills for dealing with clients.

2. A supervision meeting for therapists in Freetown the capital city was organized where I facilitate on the topic ACT and the Treatment of Trauma. This helps therapists learn the usefulness of ACT in the treatment of trauma, a new tool of dealing with traumatic cases which helps them better understand the painful feelings, unstable minds, and unwanted thoughts clients goes through as a result of the traumatic experience. These tools are used by most therapists.

3. The training has help me with new skills which I use to help my clients with different cases in both individual and group counseling and the communities.

4. A workshop is organized for thirty participants which is going to be facilitated by Beate and her team from the 5th to the 7th of March 2012 to help therapists with new tools in working with clients with mental health problems. (Scroll down for pictures).

Action Plan

1 . I have written a proposal in which the objective is to open a Commit and ACT center in Bo, the second capital city of Sierra Leone. I am seeking funds to help facilitate the process.

2. To continue supporting other therapists through trainings, and to continue with individual and group sessions for both old and new clients.
 


Pictures from the March 2012 Sierra Leone ACT Workshop

^ ACBS Members, left to right: Beate Ebert, Hannah Bockarie, Ross White

^ ACT workshop participants complete the "Life Line" exercise together.

^ The group who participated in the Seirra Leone ACT Workshop March 5th-7th, 2012

 

 

 

 

Sierra Leone Dissemination Activities 2 2011

My vision of life has changed.

As a Catholic priest, I use ACT in my sermons. Sometimes, instead of preaching, I use a mindfulness exercise related to the Word of God of the day. During some retreats, I preach about acceptance. Many people appreciate this.

Last year, on August 15th, 2011, I gathered fifty disabled people to give them food and drink, and to talk about acceptance. Many of them are frustrated, and therefore have become aggressive, smoke, or drink alcohol. Many journalists came to cover that event and presented it in radio, TV, and newspapers. Many people called to congratulate me.

Also, as chaplain of school, I coordinated with the Ministry of Education in the training of many teachers.

My project now is how to disseminate to francophone (French-speaking) countries. Because I’m a francophone working in Anglophone (English-speaking) country.

For me ACT-ACBS can be used to build Peace in the world.

Thanks to you.

Rev. Fr KICHE
 

Turkey Dissemination Activities 2011

The Parma Conference was a unique experience for me. I am a psychiatrist and CBT therapist. The ACBS community is so warm, energetic compared to our communities. At the Parma Conference I have reached what I could consider an intermediate level about ACT, metaphors and mindfulness techniques.

When I returned to Turkey I decided to study more on ACT and related topics. I have started to try to treat my patients from the ACT point of view. I see that creative hopelessness, in particular, is a very useful technique for resistant patients and it can be useful for CBT too. 

I have been working at a full time inpatient clinic for three months. With ACT techniques I’m helping my patients to accept and be mindful about their hallucinations and delusions without any response. I finished two of my client’s therapy with only ACT techniques. One is PTSD and the other one hypochondriasis. I realized that ACT provides motivation quickly for functional behavioral change.

I organized a half day workshop called “Three waves of Behaviorism” at the National psychiatry congress which was held on October 2011. It includes basic RFT principles and RFT views of psychopathology, too. At the same congress we organized a session about “new behavioral therapies” and I did a presentation called “What ACT brings to Cognitive and Behavioral Therapy?”

I am working at the biggest Psychiatry Hospital in Turkey. On December 2011, I did a presentation called “Acceptance and Commitment Therapy: A new behavioral model for psychopathology” at my hospital. At the same time I am teaching and reading together with my psychiatry residents about ACT at my inpatient clinic.

Nowadays I am working about meta-cognitions (rumination, avoidance, thought action fusion, etc.) and have some researches with these processes. Soon I will start to research for the reliability and validity of Turkish version of AAQ-2. I took permission from the authors. I think this will be an important experience for me. 

I am a founder member of a new association in Turkey called “Association for Cognitive and Behavioral Therapies of Turkey”. I am responsible for the ACT unit of this association. I am planning to arrange workshops and trainings about ACT and RFT in midterm.

I am planning a two days workshop at a psychotherapy training center in Istanbul. The content will be about the history of behaviorism and Acceptance and Commitment Therapy. With this workshop I want to constitute a basic level for further trainings.

This year there will be two psychiatry congresses in Turkey. I will suggest half or full day ACT workshops to congresses’ committees.
With my colleagues this year I am planning to start to translate one of the ACT books into Turkish.

It seems that my direction is on the ACT path at this point in my professional development...

K.Fatih Yavuz, MD
Psychiatrist
Bakirkoy Psychiatry Education and Research Hospital
Istanbul, Turkey
 

2012 Dissemination Activities

Argentina Dissemination Activities 2012

Having attended WC10 has been a very fruitful experience for me because it was a great opportunity to train therapeutic skills in experiential ways. Much of my knowledge in contextual therapy has been self-taught and has a clear deficit in experiential training. Attending the conference was very useful for me in that sense. My current efforts are focused on the ability to convey this knowledge to colleagues in my country and for this purpose I have organized a study group without charge. We meet once every two weeks (for 3 hours) and we read papers, book chapters and watch videos, then we have very fruitful discussions to deepen our knowledge. It is a stable group that aspires to become a clinical team working consistently with behavior contextual sciences.

Attending to the conference has also allowed me to meet colleagues from different places around the world, with whom I keep in contact to facilitate the exchange of knowledge and experiences.

Some of my actions committed to disseminating contextual behavioral science in my country were: paper presentations and workshops at various conferences in Argentina, such as Argentine Psychiatrists Association (APSA) in the city of Mar del Plata, Latin American Association Analysis and Behavior Modification (ALAMOC) in CABA, Buenos Aires and the American Association of Clinical and Health (APICSA) in the province of Cordoba (Argentina).

I've also been able to complete the first promotion course of Contextual Third Generation Therapies that I have organized and coordinated in Fundacion Foro (institution focused on promotion and research in mental health), where 13 professionals from various disciplines of mental health learned about theoretical and practical contents of ACT, FAP and Mindfulness. Another achieved goal for 2012 has been to organize Schoendorff Benjamin´s workshop during the month of October, also in the Fundacion Foro.

After establishing contact with colleagues in my country interested in contextual behavioral sciences I have organized a two-day workshop in the province of Cordoba, attended by 15 professionals who learned ACT and FAP principles in an experiential way with a very good response from the audience.

I am currently working with a colleague Dr. Fabian Olaz, (National University of Cordoba), in designing a research project that will begin soon. It was really valuable for me being able to attend the conference in Washington and I take this opportunity to thank again the support I have received from ACBS to make this possible.
 

Nepal Dissemination Activities 2012

By Chhori Laxmi Maharjan
FNC/Ankur Counseling Center

Chhori Maharjan is the senior counselor and program director for Friends of Needy Children, a non-profit organization dedicated to providing psychosocial therapy to disadvantaged children and young people of Nepal. Chhori and her team of psychologists at the Ankur Counseling Center provide counseling to adults and children in the Kathmandu area and the income generated through this counseling helps to fund free treatment for disadvantaged children, many of whom struggle with trauma, disability, and homelessness. Since 2006, Chhori’s group has provided training to over 700 mental health providers, including counselors, child care professionals, Buddhist monks, and women’s groups from all over Nepal. Here, Chorri describes what she has been up to since attending ACBS World Conference X.

I am thankful to the team of ACBS for providing me a chance to participate in the conference last year. It was my first exposure to the international expertise in contextual behavior science and ACT. Because of the scholarship from ACBS I got an additional chance to attend Sand play therapy as well as an exposure visit to Antioch group and Bradley University, where I started to share about ACT and its effectiveness. We discussed ACT with students, practicing psychologists, psychotherapists, sand play therapists, as well as some of administrative staff.

Being a beginner and an enthusiastic learner in ACT therapy, before starting orientation classes in Nepal, I referred ‘ACT made simple’, ‘Get Out of Your Mind and into Your Life for Teens’ and consultation with Dr.Louise along with my experiences. I organized orientation programs 2-3 hours long for staff members of my organization. 

Similarly, in the last six months, five orientation classes were organized for teachers, students of clinical and counseling psychology, students of Buddhism studies, private and government colleges, along with the only Mental Hospital in Nepal. Also, during world mental health day (October 10), I had a chance to share about ACT.

After my orientation session, students, teachers have been visiting Ankur counseling center seeking books on ACT, and they have provided positive feedback to Ankur. They have shown their keen interest to learn more, have trainings, and planning to apply for the upcoming world conference in Sydney. 

‘ACT Made Simple’, ‘I just want to be Me’, and ’Get Out of Your Mind and Into Your Life for Teens’ are commonly used books by the readers in Ankur library.

According to the need, I have been using some of the interventions effectively during counseling sessions such as diffusion, mindfulness, workability, mindfull movement, values base living, and more. 

I translated ‘Leaves on the Stream’ and am currently translating a values exercise for teens by Dr. Louise into Nepali language for easiness and for its effectiveness.

Publicly I gave two Radio Interviews and one talk program. 

Currently, I have prepared a training manual including ACT and its interventions as a major component. The training is named “Trauma counseling.” It lasts for five days, and is specially designed for volunteer peer counselors who have been rescued from servitude, and have had various traumatic past life experiences. 

In addition, I have been communicating with some of the professionals for their commitment to give training on ACT in Nepal. Dr.Louise, Tim and Sandra are planning to come this year.

Dr.Louise and Ankur team have been in Skype for clinical supervision monthly.

Lastly, I would like to state that the five days exposure to ACT is just an appetizer, so I need to learn and get trained on ACT more and more just like a full meal course. Hence, all of my colleagues and I are looking forward to get a floor of ACT with a thrust again and again.
 

Sierra Leone Dissemination Activities 2012

Christian Vonjoe is a Senior Health Education Officer at the Health Education Division of the Ministry of Health and Sanitation in Sierra Leone. Christian’s program develops and disseminates educational initiatives and behavioral interventions that promote healthy behavior change at both the individual and community levels. Christian uses a contextual behavioral approach to develop culturally appropriate health messages that combat stigma, discrimination, and the persistence of inaccurate information about HIV, tuberculosis, reproductive health, and immunization. Christian also provides counseling to individuals with HIV and tuberculosis, emphasizing values and flexibility in their approach to managing their illness and engaging with their communities. To learn about his activities since ACBS World Conference X, read his report below.

REPORT ON ACBS ACTIVITIES IN SIERRA LEONE

INTRODUCTION
Knowledge and skills gained form the ACBS conference in Washington D.C. was disseminated through staff meeting with the Ministry of Health and Sanitation and a one day orientation meeting held on the 25th September, 2012 with members from line ministries and a cross–section of university students. My presentation focused on the following concepts:

• Background information of ACBS and its objectives
• Promoting Behavior Change in Primary Health care
• Acceptance and values in Behavior Medicine
• ACT as a behavioral medicine to improve health- pain management and smoking cessation
• Promoting Healthy behavioral life choices
A one day orientation meeting was supported by the Directorate of Non communicable diseases in the Ministry of Health and Sanitation in Sierra Leone.

NEXT STEP
• A National Contextual Behavioral Science (NCBS) committee was formulated and has been identified by the ministry of health to collaborate with health partners to promote healthy behavioral lifestyle choices .
• The executive structure of the committee was developed.
• Committee meets monthly to discuss issues that required to be address through the use of CBS, RFT and ACT concepts.
• Coordination with the broad ACBS umbrella was highly suggested.
• Mobilize resource for the implementation of CBS activities.
• The committee wrote project proposal to promote healthy behavioral lifestyle choices in communities

ACHIEVEMENT
• Committee meets twice each month to identify issues required to be address and among them were: Unhealthy diet, physical inactivity, tobacco and alcohol consumption.
• The committee is now a member of the national taskforce on non-communicable diseases in the Ministry of health and sanitation.
• The Health Education Programme in the Ministry of Health and Sanitation is a member of this committee and has now incorporated some CBS principles to heighten community awareness on health issues.
• The committee has written a project proposal to solicit support form NGO partners and to create awareness on healthy behavioral lifestyle choices ( physical exercise, healthy diet and the prevention and control of tobacco and alcohol in communities).
• So far we are awaiting feedback from our donor partners.

CONCLUSION
The committee noted the importance of securing e a technical support from ACBS and additional resources to effectively implement pending CBS projects. The committee also identified the need for additional training on CBS concepts to scale up behavioral interventions in the country.

Submitted by:
Christian Vonjoe
Senior Health Education Officer
Ministry of Health and Sanitation
Sierra Leone
  

South Africa Dissemination Activities 2012

Time has flown since the Worldcon in July and so many things have been happening. I want to first thank everyone at ACBS for creating and supporting the opportunity for me to attend the conference and the training before. I would like to especially thank Chris Wemple and Suzan Stafford who made me feel so comfortable when hosting me so far from home, and giving me greater insight into life in DC.

The pre-conference workshop I attended was presented by Paul Gilbert and Dennis Tirch on Compassion Focused Therapy. I found the workshop very inspiring, and I began to apply what I had learned to my personal process and my work with individual clients immediately. In September, I used some of these principles and exercises in a facilitator training and a leadership camp for cultural diversity intelligence, called Umthombo Wesizwe (Spring of the Nation, see www.uwfund.org) near Cape Town. The facilitators were especially moved by the compassionate approach, and there was a lot of positive feedback about how this helped them to deepen their connection with themselves, others, and within the group.

Over the past 5 months I have been involved in a process of exploring a research topic relating to the process of transformation in South Africa. I find that I have been deeply affected by the work on shame that we explored with Paul Gilbert, and I am intending to follow in this line by exploring "white shame" and its consequences in terms of transformation in South Africa.

On the ACT front I continue to apply an ACT approach with many of my clients and I continue to grow in this work. I have also done an introductory presentation on ACT to a group of mental health professionals at the military hospital in Cape Town that I based on an introductory pamphlet that I compiled for distribution to health professionals. The pamphlet has been well received and I had some requests for more from interested General Practitioners.

I had made plans for an introductory workshop on ACT in November/December to be presented by an international ACT trainer, though due to time and communication constraints this did not happen.
I have subsequently come into contact with others that are also working with ACT, and have been asked to do another ACT presentation in a neighboring town in the near future.

Overall the opportunity to participate in the conference was a great inspiration to my work in various areas. I have had numerous conversations with people since that time discussing my experience and sharing the knowledge gained in D.C., and I continue to contemplate Worldcon X in Cape Town.

Thank you again to all of those that have supported this wonderful opportunity.

Regards,

Yoav Van der Heyden
Cape Town, South Africa
 

2013 Dissemination Activities

China Dissemination Activities 1 2013

Dear Association of Contextual Science,

Thank you for providing us with this opportunity to come to Australia and attend the 13th World Conference of ACBS. There is a number of good news to be reported here for ACT promotion and training in China.

In September 2013, we had held a small Salon inviting around 15 professionals (professors and psychologists), and we presented on both ACT and RFT for introduction. The attendees were excited in training, researching, and developing culturally adaptable techniques for ACT.

A larger forum for “Chinese culture and post-modern applied psychology” was held by the Key Laboratory of Mental Health and the Mental Health Promotion Center of our institute during early December 2013. This forum was for the promotion and development of post-modern psychological practices in China based on Chinese cultural backgrounds. In this event, Dr. Kenneth Fung from Canada joined us, and we provided a brief session on the core techniques and practices of ACT and its relationships to the wisdoms of Zen. Around 200 attendees come together from 20 universities and centers from America, Canada, Germany, Taiwan, and across China. The ACT session was well-received, and ACT practices may be applied in the vast public servant population in China.

Soon after, a three day elementary training program for the Acceptance and Commitment Therapy was provided from 27th to 29th of December by Dr. Yan Li and I. Yan had prior trainings in ACT and is based at the Counseling and Psychological Services center at Duke University. More than 50 people including lecturers, research staffs, clinical psychologists, and graduate students attended the event. The training was based on theories and activities to introduce the hexflex model. After the theoretical session, Yan lead the games of “the passengers”, “tug-of-war with difficulties”, “self-labeling”, several role play sessions and others. These games provided learners with deeper understandings and applications of each of the core processes in the ACT model.

We had also discussed with Professor Hayes for introducing the Boot Camp to China. Now, we have started the elementary package offered by Chinese ACT trainers, and a third training event will be held soon. These preparations as discussed were to create public awareness for the ACT therapy. Following from such local events, we would welcome International trainers to come to China for an intermediate package, and finally an advanced package by arranging Chinese audiences to come the US Boot Camp. We hope that this would progress well in the years to come.

Besides training, we never cease to introduce ACT to the wider Chinese audiences. For instance, we have continued to use microblogs and blogs to spread news on ACT. More importantly, the translation of the 2nd Edition of the ACT text is near completion. We make sure more professional guides on ACT will be appeared in the Chinese market in addition to the best sellers on the same topic. We express our gratitude for the hospitality of the ACBS team in giving us the opportunity to come to the 13th world conference and the careful arrangements during the conference. During the time of Chinese New Year, we wish you a happy Year of the Horse.

Yours sincerely,
Dr. Zhuohong Zhu
 

China Dissemination Activities 2 2013

Dear Association of Contextual Behavioral Science,

Being the recipient of the developing world scholarship of the 2013 Sydney world conference for contextual behavioral science, I hereby express my gratitude for this wonderful opportunity to learn, discuss, and share insights in the theory and practice of this burgeoning field. In the following, I will be happily present what we have accomplished in terms of the empirical researches of psychological flexibility carried out by myself and our team after the conference.

 In Chinese, we submitted two papers on the validations of the Acceptance and Action Questionnaire 2nd Edition as well as the Cognitive Fusion Questionnaire, both validation papers (entitled “Reliability and validity in a Chinese version of the Acceptance and Action Questionnaire – 2nd Edition (AAQ-II) in college students” and “Reliability and validity of the Chinese version of the Cognitive Fusion Questionnaire”) have been accepted by the Chinese Mental Health Journal, and will be appeared in the upcoming printed journal soon. Together with the two earlier review papers on ACT and RFT, these papers would lay down the conceptual foundation for further theoretical and interventional researches in China.

Following the validation papers, we have further analyzed the associations between psychological flexibility measures (PS) and generalized psychological well-being scales. This included the relationships of PS with differential psychological symptoms (SCL-90-R) among college students, together with post traumatic stress (PCL-C) and post traumatic growth (PTGI) among college student earlier influenced by the Wenchuan Earthquake. Our results showed that PS is a good predictor for psychological well-being, and these two papers have both submitted for review (entitled “Psychological flexibility model in predicting post-traumatic stresses and growth” and “Psychological flexibility as a predictor for levels of psychological distress and gender differences in its predictability among college students”).

I personally have completed a paper on the reliability, construct and incremental validity of the AAQ-II questionnaire in English. The paper after slight amendments will be submitted to the Journal of Behavioral Therapy, following Dr. Frank Bond’s original paper on the development of the AAQ-II questionnaire. The paper has been read by Professor Steven Hayes, and he considered the incremental validity studies were important conceptually, and encouraged us to take part in longitudinal studies for the predictive roles of psychological flexibility in future.

Moreover, we have completed a study among 40 college students on the associations between psychological flexibility and cognitive flexibility based on a computerized modified Wisconsin Card Sorting Task, our preliminary results suggested that cognitive flexibility are not as context specific, thus were more associated with the concept of present moment awareness. This study will be prepared into a manuscript in the near future.

Unfortunately, our paper on a microblogged suicide case “Zou-Fan” was not accepted into the Journal of Contextual Behavioral Science due to its qualitative nature. We consider the paper not as a rigorous empirical research but a mixed policy article. Although the paper may not be readily accepted as agreed by most of our team, we believe that this endeavor in assessing a real life case would shed many insights to the new field of data mining and computer aided assistance, which is going to be more and more based on a pragmatic contextual philosophy.

These are the little “milestones” we have accomplished after last year’s world conference on contextual behavioral science. I hoped that we can produce more empirical researches of contextual behavioral science. Again, thank you for providing me the precious opportunity to come to UNSW in Sydney, and we wish the ACBS to have an ever more fruitful year in 2014.

Yours sincerely,
Yang Ji
 

2014 Dissemination Activities

Peru Dissemination Activities 2014

On the next weeks after coming back to Peru, I made a call to begin with meetings around discussing and providing some guidance to a formal study and practice at different levels of CBS, all for free. The middle-term goal linked to this was the one of stablishing a regional chapter, which would be the Peruvian Chapter of the ACBS. I was not alone on this, since Silvia Melgar, another CBS folk, has been working with me. This meant the born of the CBS Peruvian Community and since the first session we had discussed scientific articles around functional contextualism, RFT and more applied issues related to ACT. Our community also has worked through a virtual space where the members share CBS literature and where I share specific readings that could help in this first stage of the CBS dissemination in a more formal way (as long as we are following a route that beging on the philosophical level of analysis and its connection with more applied issues that constitutes the technological level). Some time of other sessions were dedicated to questions and answers. But what I think is the most exciting part of it is that our CBS Peruvian community has born with a strong orientation not only on dissemination activities (as it could be the case of a study group) but on practicing all that CBS can provide as a way of contributing to the history of human evolution, to say, for example, sharing certain values that create the context for the occurrence and manteinance of flexible repertoires across its members, in terms of how we relate each other (kindly, with good sense of humor, etc.) and with our society (i.e. curiosity about the needs of our regional context, so we can plan some intervention according to them). So our community is not just a mere academic group but I hope it could achieve the goal of being useful for our context and, in certain way, to contribute to evolution of humanity using CBS. This is the soul of this community, or at least, I'll work with Silvia to make it work in that way. I truly believe that we can do this by giving just little steps momment to momment. Besides this CBS community, another important activity that took place in the last months was the ACT workshop that I leaded on November about ACT since an RFT perspective where a group of participants could get a closer contact with the power of using behavior analysis since a functional contextual point of view in the direction of alleviating human suffering. Finally some of the sessions of the community have also been dedicated to discuss about the benefits and requirements to become a formal ACBS chapter. Until now we got and sent all the signatures required, which meant at least 10 new members from Peru in the ACBS. A good number that calls for happiness and good expectations, considering that we are, as I usually say, so far from the places where things happen. Now I'm just preparing the by-laws to send it to the ACBS so our community could become formally a chapter, which I think is a more practical way to get involved, interested and committed with the whole community around the world. My second attendance to the Conference was determinant on giving these steps which I hope can be the beginning of a more active role of the Peruvian folks in the world community.

South Africa Dissemination Activities 2014

I would like to thank all those who made it possible for me to have the opportunity to attend Worldcon in Minneapolis. Although I have managed to attend before and have been practising ACT for sometime, my relocation to South Africa and the accompanying financial constraints would have made attendance at this particular Worldcon impossible; yet I felt that precisely because of my relocation it was imperative to attend to focus on what can be done in South Africa to disseminate ACT.
During the buildup to Worldcon I had the privilege of meeting Bertus Swanepoel in an introduction to ACT workshop that I facilitated over a few days in my hometown. He lives in Gauteng and specifically in the most densely populated area in South Africa, where he can have the greatest influence in the mental health professional community. I will leave it to him to tell you of the great work he has been doing there.

I live in a very small town which also happens to have the most diverse population group – from the very rich, multiple home-owner holiday-makers and retirees to the very poorest unemployed and homeless. I have chosen to focus on the latter, although in my private practice I have had the opportunity to promote ACT within the local medical community: for example with report back especially with chronic pain patients.

In my work within the poor community, I am developing a protocol that I hope to be able to provide a simple model for dissemination amongst the disadvantaged and sometimes illiterate communities. Some years ago I studied the success rates of ‘foreign’ models that are brought into Africa by both religious and secular groups and discovered a high rate of failure. This was mainly due to a lack of consideration of the structures already in place, mainly leadership structures and ‘natural’ sources of healing. These are often older members of the society who, in contrast to some other societies, gain respect and reverential treatment as they age; also some influential younger persons who are considered to have ‘special’ powers who may, or may not agree to consider what is being offered.

As a result of my previous studies I decided to become a ‘participant observer’ and to this end have been part of a group of about 30-40 people in a church in the poorest area, and have been attending their meetings for three years now. I am accepted by most now, and sometimes (increasingly) asked to speak. I have identified the natural leaders and done two one-day workshops with them this year, and another two with any members of the community who care to attend. These were well attended, and the idea of willingness has been very well received. The cycle of poverty requires a great deal of stoic endurance for some, and especially for most of this group who are economic refugees (and some political). Families and support systems are often far away, and it has been a privilege to watch the transformation from stoicism to willingness as values have been brought into the picture.
The wonderful work in Sierra Leone has inspired me to prepare the ground here should we ever have to tackle that epidemic. The practice of handling, kissing and being present with the dead during lengthy repatriation is similar to Sierra Leone. It is, however, topical as we already have an epidemic of note, namely HIV. As this is mainly a church group, although others are attracted to come and listen by the great drumming and singing (!), it has been a welcome relief, I believe, to be introduced to a view that is based on compassion and yet moving towards health, as opposed to rules and judgement. The discussion of sex or anything approaching such a discussion is taboo in this community and a very delicate issue as I am a ‘foreigner’ but we get around this also with careful wording around values.

We had some wonderful discussions at Worldcon around different possibilities for dissemination and we are trying them out. We came home to the advent of spring, summer, holidays and end of year exams and deadlines and so it has been a different dynamic from what would be experienced in the northern hemisphere. I am confident that early 2015 will provide more opportunities for professional workshops and other opportunities as people will be more focussed on work and less distracted by immediate necessities.
Thank you to Jenn Gregg for her continued help in getting my training videos ‘up to speed’ so that I can finally hand in my portfolio to apply for peer recognition as a trainer. This will go a long way toward establishing my credibility in the professional arena in South Africa – and also toward providing videos that can be used in our sprawling and transport challenged count
 

South Africa Dissemination Activities 2014

Report on Dissemination Activities in South-Africa

I would firstly like to thank ACBS for their kind gesture to provide me with complimentary conference and pre-conference registration. It made it possible to attend as our currency isn't very strong against the dollar. I also appreciated the the lunch/dinner escorts with whom we could converse and learn from.

It was a privilege to meet people and attend sessions where theory and what I have read in books became alive in practical illustrations and discussions.
It was surely the beginning of a long term relationship with the ACBS.

Since being at the conference my Private Practice has been booming. I think it is a combination of being more mindful in sessions as well as having a better functional contextual understanding of behaviour. My best month was in September 2014 where I had 80 sessions for the month.

I have had the privilege to share the Matrix with two grade groups (15 and 16 year olds) and the staff at a High School in my community with great feedback. The school management and I are currently integrating the values of the school into behavioural outcomes and it seems to make the values more real to the children and the staff.

I also had several meetings with a representative of the Sereti Institue who does community projects like Violence and crime prevention as well as Football for youth.
We were at a stage where the involvement of PROSOCIAL was considered with possible meetings with a University to come on board, but unfortunately the person from the Sereti Institute had to deal with personal issues and the discussions were halted up until now.
He has contacted me a few weeks ago and told me that we must meet in the new year. Hopefully I can convince him to engage with PROSOCIAL but will ask for some guidance from PROSOCIAL if it comes to that.

I must admit that I was very excited about the above-mentioned possibilities and disappointed at the same time that nothing has happened yet, but I am learning to be patient.

I also networked with a few CPD (continuous professional development) forums and I have been given the opportunity to introduce ACT in January 2015 at two different forums. I also want to use these opportunities to invite interested persons to an ACT workshop which Ingrid Ord and I are planning to have in the Johannesburg area in March 2015.

Ingrid and I keep in contact on a regular basis and and although she is 1000 km away, it is nice to have someone knowledgeable in South-Africa to brainstorm with.

Hopefully we can bring new faces with us to Berlin next year.

Kind Regards

Bertus Swanepoel

2015 Dissemination Activities

Malaysia Dissemination Activities 2015

Greetings from Malaysia!

I can still feel the excitement while writing this dissemination report seven months after attending the ACBS World Conference 13 in Berlin. It was my first international conference, and this was made possible because of ACBS Developing Nation Scholarship. I am very grateful for the learning opportunity and am committed to share my learning back in my
home country. This dissemination report will briefly describe my initial dissemination activities thus far and the future plans.

In contrast to learning from written materials, the six days conference has provided me with great conceptual and experiential learning on ACT, adding valuable amount of my repertoire on the application of the psychological flexibility processes. With the effective training method, the two days preconference workshops on ACT skill building by Steven Hayes has
especially given me a good balanced of theoretical and practical input on ACT. During the conference, I attended workshops in accordance to my interest in young people and chronic pain, trying to gain as much as I can within the six days.

After returning to Malaysia, I started utilizing ACT modality with greater confidence in my private practice with individuals with mental disorders. For group work, I have also started to facilitate the participants' psychological flexibility to increase their work functioning while conducting a Return to Work program. In my work at pain clinic Hospital Kuala Lumpur, I
have started to incorporate ACT approach to guild patients to manage chronic pain.

In addition to some informal sharing with my colleagues in Malaysia, I have organized a workshop on managing exam anxiety with ACT for students in Methodist College Kuala Lumpur in October 2015. In February 2016, I will be facilitating another ACT workshop on increasing psychological flexibility for special needs children in the Special Education Network in Asia Conference (SENIA).

For prospective plans, after securing a good funding, I will start my doctorate study on the area of ACT for young people with pain condition under Dr Lance McCracken. I am also looking for opportunities to observe ACT chronic pain group program, as I wish to implement one in the pain clinic that I am working in. Besides that, I plan to equip myself on the use of ACT on young children by attending workshops by Louise Hayes. Lastly, my longterm goal is to become a peer review trainer and share this wonderful approach and community to my fellow colleagues in Malaysia.

Thank you, ACBS!

With gratefulness,
Lee Sook Huey
Clinical Psychologist, Malaysia

Afghanistan Dissemination Activities 2015

Report to ACBS on using ACT to train Lay Counselors in Afghanistan

Reported by Norman Gustavson, Phd

Feb. 17, 2016

First, thank you for your support and the ongoing work of ACBS

"Lay counseling" is a very new concept in Afghan communities attempting to deal with a vulnerable population dealing with many physical/structural demands and psychosocial issues.  In this project, in spite of the expected challenges, the volunteers who were trained were very determined in their community outreach and very enthusiastic about the tools that they acquired in the PARSA trainings.  This project demonstrated that the foundational work done this year has created the possibility of a healthy and effective community response to mental health issues. Methodology adapted from cognitive behavior therapy and Acceptance and Commitment Therapy (ACT) by Dr. Gustavson and Dr. Sabour proved effective in reaching clients in vulnerable communities.

During this period, three workshops on awareness of psychosocial problems and three trainings on “Introduction to Counseling Skills” were designed, developed and implemented in Kabul, Kandahar and Nangarhar provinces.

In the workshops on “Introduction to Counseling Skills” 53 people were certified as “Village Psychosocial Counselors” (VPSC) to provide counseling to clients in internal refugee camps in these three provinces on a volunteer basis.

These 53 VPSCs reached 793 people utilizing their "lay counseling" skills.

The first awareness workshop was held in Kabul in February 2015 for five days for 16 staff from WarChild-Canada (WCC). 

The second MH awarness training for staff of the WCC contract provider, “Organnization for Human Welfare” (OHW) in February for 17 participants, male and female staff of OHW.

The third staff development-awareness of MH issues workshop was conducted in Kandahar in April for staff of (OHW) with 17 staff participants.

The first trainings for Village Psychosocial Counselors (VSPC)was conducted in in April in Kabul’s Charahe Qambar “Internally Displace Persons” (IDP) refugee camp.

The second and third trainings for VPSCs were conducted in June in Kandahar and Jalalabad.  The training method included several hours of practical exercise from actual case studies as well as simplified case vignettes from the trainer’s clinics and International Assistance Mission (IAM) mental health clinic materials.

Methods:

Observing, listening without judging is a basic counseling skill that crosses many counseling methodologies as does “active listening” and form a basis for PARSA’s work.  What we have added are principles form Acceptance and Commitment Training (ACT), an evidence based program of training and therapy.  ACT does not focus on diagnosis but on the concerns of the client and helping the client to discover unworkable avoidance patterns that tend keep the client “stuck” in a “vicious cycle” that attempts to avoid painful, distressing feelings but that actually tend to keep the client focused on the painful emotions.  The focus of ACT is to foster acceptance of distress as it is while building on the clients stated (and elaborated values, i.e., who and what are truly important to the client.  The client is assisted to formulating behaviors they can take on that support these values.  Acceptance plus increases in valued behavior aid the client in improved functioning, i.e., living a more productive and valued life.  In this way an overview of psychosocial problems was developed for trainees without needing to go into great detail about psychopathology and diagnosis.  The orientation of counseling is pragmatic.

The model used to help trainees understand how clients get stuck in problematic patterns of behavior or “suffering” with negative emotions was drawn from the ACT approach known as “The Matrix” (“the ACT Matrix”, Edited by Kevin Polk, PhD and Benjamin Schoenhorff, MA, 2014, New Harbinger Publications, Inc.).

The Matrix was used to develop both a way of conceptualizing a clients issues; a focus on recognizing things that trigger problem behavioral reactions or emotions and a path for finding more productive behaviors while learning to accept negative feelings as they come up without getting fixated on them.  The basic approach has counselors help clients list what and who is really valuable to the client and then use these values to develop positive actions toward personal goals instead of getting caught in behaviors or feelings they have learned in an attempt to avoid unwanted feelings and reactions.  For example actions to engage in social activity that is valued, like doing things with friends and family instead of trying to avoid negative feelings by self-isolating, drug use or other escape behaviors.

Outcomes:

The success of this program is quantifiable and exceeded our expectations. Using 53 volunteers at a low level of education trained to be Village Psychosocial Counselors (VPSC's), PARSA has documented an outreach to 793 beneficiaries in IDP camps in Kabul, Kandahar, and Nangarhar by the completion of the first year program.

 

Beneficiaries served

VPSC

Beneficiairies

Total number of VPSC male clients in Kabul

9

97

Total number of VPSC female clients in Kabul

4

346

Total number of VPSC male clients in Kandahar

11

4

Total number of VPSC female clients in Kandahar

9

126

Total number of VPSC male clients in Jalalabad

11

80

Total number of VPSC female clients in Jalalabad

9

140

Total beneficiaries who participated in the VPSC outreach

53

793

 

In Kabul the training started in two separate locations for male and female groups and was conducted for 10 women and 12 men.

The VPSC workshop in Kandahar was conducted May 30th through June 5th for 11 females, and in a concurrent but separate workshop during the same dates for 14 males.

In Jalalabad the VPSC workshop was conducted from June 13th through the 17th in concurrent groups for 16 females and 17 males.  The trainees were a group of men and women from districts where IDPs were living (Daman District).

In addition to traditional training components for lay counselors like “active listening” and taking a nonjudgmental stance in relation to the client with whom the counselor is working, the ACT Matrix was used to help the VPSCs to listen for and share with clients the experiential avoidance patters that clients revealed as their issues or “struggles”.  A (I believe) new exercise was also developed (shown in our Poster) called “this is not a tree”.  Here participants were asked to recall an early image of “tree” as they learned to associate the word with objects in their environment and then to draw their personal image of “tree”.  The next step was for them to add to the drawing an early experience associated with their “tree” (to other things and actions in the larger “frame” of their tree.  After sharing their tree and related story/frame the ‘take away’ from the exercise was for the trainees to see that no ones “tree” and framework is any better than anyone else’s.  no ones tree is more or less valid than any other person’s.  All points of view are valid.  This work supported other exercises to build a nonjudgmental stance in relation to their clients.  The exercise also helped to reinforce the idea of observing and giving feedback to clients on patterns of avoidance and behaviors that move toward who and what is important without advise giving, i.e., helping clients discover and sort out unworkable patterns of behavior from moves toward their stated values.

The matrix exercise was done with individuals creating their own matrix using pictures to past into the four quadrants of the matrix.  This was a very success process based on presentations each participant made to describe their own matrix of values, internal (mental) thoughts and feelings, actions to avoid these feelings (stuck places) and new behaviors to move toward values to enrich their lives.

Bosnia & Herzegowina Dissemination Activities 2015

My name is Mario Maricic, and I have been awarded a scholarship for Developing Nations ACBS World Conference in Berlin 2015. It`s been a long time since I was in Berlin and enthusiasm I felt there is somewhat present here. Beautiful people and World Class teachers. For me, it was as I have been to the Moon.

I would like to reflect on activities that my colleagues and I have done after WC13. Over the past ten months, a lot of things was going on. For the first time, I was part of the ACT training in Serbia, as a workshop co-facilitator with my mentor and teacher Igor Krnetic, Ph.D.

Since Berlin, ACT is what I'm practicing and learning with the clients and colleagues I see daily, although I was practicing ACT for and with myself for years.
In December of 2014, my professor and I had created and started an Association for promoting and developing psychotherapeutic practice and science "Center for Mindfulness". Under that roof, we have begun with Student counseling services in October 2015. Students from the University of Banjaluka (Bosnia&Herzegowina) now can get counseling and can get into psychological treatment based on 3rd wave behavioral therapies free of charge. We have started continuous peer support and supervision in Center for Mindfulness, for therapists who work with the students.
(see our Facebook page [1520])

Also, we had started group activities with the goal to promote, create and practice living meaningful lives. We had started a pilot project named "Practicing, developing and building meaningful lives". This group offers support for psychotherapists and non-psychologists in the area. We all learn and practice to respond to others needs with authentic courage and love and spread and share those experiences with our families, friends, clients, etc. We had used an online app to organize these activities (see link http://www.meetup.com/Banja-Luka-Mindfulnes-Meetup/)

In the March 2016., we had organized an event for promoting mental health in the local community "Days of mental health in local community - Banja Luka". We had five days of different events with the focus on creating peer support groups in the local community, and with a particular interest in persons with psychotic experience, and hearing voices.

I would like to thank all of you who made it possible for me to attend ACBS world conference in Berlin. Thank you all who made some effort and support people like me, and countries like mine. I would like to say thanks personally to a big-hearted Kristin Marjalla from Norway who financially supports me even these days, months after the World Conference 13 and who is investing in my personal and professional future. I want to say thanks to Dr. Igor Krnetic, my mentor, who is supportive beyond limits, warm and kind person who puts his efforts and made it possible for me and my colleagues to contribute to our local community and make a change. They both are investing in the future of my family, my friends, clients that I live and work with, investing into my colleagues trough me. Thank you! I could never say or do anything to match gratefulness I experience. Thank you all!

With kindness and love, Mario Maricic.

Uganda Dissemination Activities 2015

ACCEPTANCE & COMMITMENT THERAPY IN UGANDA: 12 MONTHS ON
Time has flown since the Worldcon in July last year and so many things have been happening. I want to first thank everyone at ACBS for creating and supporting the opportunity for me to attend the conference in Berlin. I would like to especially thank Ross White, Jennifer Gregg, and everyone else who made me feel so comfortable when hosting me while so far from home, and giving me greater insight into life in Berlin. I have to say that I felt so welcome and supported all throughout my stay in Berlin. Thanks too, to Courtney and the rest of the organizers.

The pre-conference workshop I attended was presented by Steve Hayes on Advanced ACT. I personally found the workshop to be very enriching and inspiring, and I began to apply what I had learned to my personal process and my work with individual clients immediately. The workshop offered me an opportunity to experience ACT as an individual which gave me confidence to use it further. It’s now my first choice in my private practice. I have got to say that most clients here in Uganda also respond well to ACT.

I personally receive supervision from Ingrid who is based in Cape Town, South Africa. This has offered me an invaluable opportunity to have someone guide me through my case whenever I get stuck but also, just to have another person guiding me while I take on ACT. She has been extremely supportive and understanding because some times power or internet do not enable us to start on time but she is always willing to attend to me whenever I need her. She has been so supportive that it made my work seem so worth it. I had an opportunity to take on Matthew’s online course which runs for a year but the internet and the very busy schedule couldn’t allow me to complete. I still feel awful about not completing it but, I guess sometimes things like that happen.

In November last year we had a visitor from Bosnia (Igor) who visited Uganda for two weeks and offered ACT training workshops to over 40 students of psychology. These students were from three different programs including the Masters of Arts in Counseling (12 students), Masters of Science in Clinical Psychology (25), and Post-Graduate Diploma in Counseling Psychology (3). Some of these students had already benefitted from an Introductory course from Ross White who had visited Uganda the previous year. The coming of Igor boosted the students’ motivation and passion for ACT. In fact, most of them are continuing to use ACT as their major approach during psychotherapy. In December last year we had a visitor from UK (Taslim) who also conducted a half day workshop on ACT to over 60 students of psychology. This was a very interesting group of students (partly because more than 15 students were from the organizational psychology department).

I have also done an introductory presentation on ACT to a group of mental health professionals including a Clinical Psychologist who works with African Center for Treatment and Rehabilitation of Torture Victims (ACTV), and another School Psychologist who works with two International Secondary Schools here in Uganda. These mental health workers continue to use ACT in their day to day work are part of the team forming the Uganda Chapter.

Makerere University has now officially embraced ACT and I am receiving support to continue offering short courses and supervision to students on all post-graduate psychology programs. I continue to look for volunteers who are willing to come and offer support. In fact, as I speak with have someone from Denmark (Anne Anderson) who is going to be with the students for a month just to part of an ACT workshop series that will be running at Makerere University from the 19th of July until the 19th of August. This is very encouraging.
We are also expecting Joe Oliver to come over to Uganda some times in December. This will surely benefit the first years who are coming in this August. I hope that Joe Oliver will be keen on meeting a group of mental health workers who also are thirsty for more trainings. These attended Dr, Ross White’s introductory course but have since then not got so much attention. I also continue to coordinate the nurse’s stress reduction program using ACT. Cerdic Hall is supporting that program and both of us continue to work together.
There’s a very good opportunity for ACT to continue growing but sometimes both time and money remain a constraint.

Thank you again to all of those that have supported this wonderful opportunity.

Regards,
Rosco Kasujja
Kampala, Uganda.

Materials for Presenting ACT

This is the old parent page (<2011) for presentations (e.g., Powerpoint Slides), individual slides or figures, handouts, or related materials for sharing ACT with others.  

Back to the new page (>2011) titled [1521]Teaching Resources [1521]. [1521]

ACT 2-day Training

Presented by Steve Hayes in Boston.

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ACT Colloquium

Colloquium presented by Steve Hayes in 2005. Includes Ann Branstetter's data on psychological adjustment among cancer patients.

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ACT Gone Wild

The Togus, VA Intensive Outpatient Program's approach to ACT in groups is presented. It reviews a bit of the old four-week ACT program and then presents the new one-week program. Values work runs throughout the program. Diffusion from struggling with suffering moves across four themes. It also includes some short videos of Dr. Polk's colleagues, Dr.s Agee and Hambright, presenting a bit of the program.

Presented by Kevin Polk, Ph.D. at SI-3; Houston, TX, USA; July 2007

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ACT Oceania II - The History of ACT and RFT

Powerpoint presentation on history of ACT and RFT presented by Rob Zettle at Christchurch, NZ.

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ACT Oceania II--ACT with Depression

Powerpoint on ACT with Depression workshop presented by Rob Zettle at Christchurch, NZ.

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ACT State of the Evidence

Originally presented by Steve Hayes at ACT SI 2; Philadelphia, PA, USA 2005. Updated July 2008.

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ACT for Anxiety- Kenneth Cole

Presented by Kenneth Cole, PhD, of the VA Long Beach Health Care System in April 2007

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ACT for Anxiety-Gary Powell

Presented by Gary Powell, Trinity School Staff Twilight Talks Session,
6 February 2006

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ACT for Chronic Pain

Presented by Laura Meyers, PhD, Minneapolis VAMC

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ACT for Male Sexual Problems

This page includes a power point presentation by Russ Harris on ACT for Male Sexual Problems, from the 2nd World Conference in 2006.

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ACT for PTSD

Two powerpoint presentations to psychology interns in Spring 2006 by Kevan McCutcheon, PhD, Center for Stress Recovery, Cleveland, Ohio, USA

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ACT materials - Dr Kingsley Mudd

Some useful client education tools and handouts from my ACT presentations.

Cheers

Dr Kingsley Mudd MBBS BMedSci FRACGP

Townsville, Qld, Australia

Email - kjkmudd@bigpond.net.au [1522]

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ACT with Couples

This is a presentation called:

The Application of Acceptance and Commitment Therapy to Couples in Distress

Presented by Casey Capps and Ragnar Storaasli

May 30th, 2006
ABA Atlanta

Powerpoint presentation attached below.

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ACT with Depression

PowerPoint presented by Rob Zettle of Wichita State University at ACT SI-3; Houston, Texas, USA; July 2007.

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ACT with Parents and Families

Presented by J.T. Blackledge, Ph.D. on enhancing parent training with ACT.

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ACT:Model and Application

Presented by Steve Hayes at NIMH in 2005. Includes overview of ACT processes and outcome data.

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Anxiety and Forgiveness

The two links below are to introductory ACT-based presentations on Forgiveness and Anxiety that I gave to staff and students at the UK school where I work.

Please feel free to use/amend/distribute them for non-commercial purposes. Thanks to the ACT artists and conceptualisers of the illustrations used therein.

http://www.cyberpauken.com/forgiveness.ppt [1523]

http://www.cyberpauken.com/Anxiety.ppt [1524]

Downloadable files below.

Gary

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ContextaFlex: Connecting FC, RFT and the Hexaflex

A PowerPoint presentation to show beginners the importance of the underlying philosophy (functional contextualism) and theory (RFT) behind the practice of ACT.

Presented by:
Jerold Hambright, Ph.D., Kevin Polk, Ph.D., John Agee, Ph.D.
Veterans Affairs Hospital, Togus, Maine, USA

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Drugs and Alcohol Action Teams ACT 2 day training course

Powerpoint from 2 day training courses I have run for Drugs and Alcohol Action Teams (DAATS). The course is usually run after a two day CBT training.

 

AIMS OF INTRODUCTION TO ACT TWO DAY WORKSHOP

In this workshop, you will learn:

The position of ACT in relation to other cognitive behavioural therapies
The six core principles of ACT, and how to adapt them to different clinical populations
Become aware of tools to develop and strengthen psychological acceptance
Become aware of ways to rapidly reduce the believability of negative thoughts (without challenging them)
Develop an understanding of mindfulness, and how to use ACT therapeutically
How to innovate your own mindfulness techniques
How to utilise ACT in a variety of clinical problems
How to use interventions based on metaphor, paradox and experiential exercises
How to apply ACT in your own life, to create a sense of vitality, meaning and fulfilment
How to use ACT to help you cope with the stresses of difficult clients
How to access and experience a transcendent sense of self
How to fundamentally change your relationship with unwanted thoughts and feelings
How to help clients connect with their core values, and take committed action

Teaching methods will be a mixture of didactic and experiential learning. Handouts for future use will be provided.

COURSE TUTOR
Nadim I. Siddiqui
Associate Fellow British Psychological Society, BA (Hons) Psychology, MSc (Cognitive Behavioural Psychotherapy), Cert. REBT, Cert. Stress Man., Dip. Couns., EMDR level 2. Psychologist, Cognitive Behavioural Psychotherapist, EMDR Practitioner
 

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From Mechanism to Functionalism - or: What is Avoided in Emotional Avoidance?

PowerPoint presented by Rainer Sonntag of Olpe, Germany at WorldCon II; London, England; July 2006

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Handouts from Introductory and Advanced ACT Workshops by Russ Harris

Russ Harris (from Australia) responded to a query about handouts that could be shared with the ACT community by volunteering a couple handouts that he uses in his workshops (see below). After looking at them, I find them to be a very valuable and practical aid for ACT therapists. If you want to talk to him about them, his contact info is described in the handouts.

Update by Russ Harris on April 22, 2008:

Thanks for posting my worksheets up, Jason. I regularly update them, and I'll send some them to you as I do so. Just a note: the extracts from 'The Happiness Trap' in these handouts are from the Australian version. It has been significantly rewritten for the USA version. If you don't already know about it, 'The Happiness Trap' is unique amongst ACT books in that it is the only one that has been written for EVERYONE - therapists, coaches, housewives and astronauts, regardless of whether or not they have ‘mental health issues’ - which also explains ACT in a simple, easy-to-understand manner, without any technical language, or a battery of worksheets and inventories. You can find out more at http://www.thehappinesstrap.com. It is increasingly used as a resource by both therapists and coaches - not only to use with their clients, but also as a way of learning the theory and techniques of ACT in a simple, clear and entertaining manner. (And its ultra-low cost also helps: only $10.50 via www.amazon.com)

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Intro to ACT by Guarna and Kubik, Portland, ME June 5, 2009

Powerpoint from full-day workshop in Portland, Maine, 6/5/09.

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Intro to ACT, 2/04/11, Maine Medical Center, Portland -- by Joel Guarna

My powerpoint presentation for this workshop can be found in my blog at this page [1525].  You will need to be logged-in to see and download the attachments. If you need it sent to you directly, please email me at joel@whitepinepsych.com

Intro to ACT_Portland, Maine_Guarna_&_Kubik

Full day training on 6/20/08 by Joel Guarna and Elizabeth Kubik.

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Introduction to ACT by Joel Guarna, Dover, NH: 3/21/09

Powerpoint attached (must be member & logged-in).

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Introduction to ACT- Charles Morse

Presented by:
Charles Morse, MA, LMHC,
Director of WPI Student Development & Counseling

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Introduction to ACT-Julian McNally

The PowerPoint is an abbreviated form of Steve Hayes' presentation on the Hexaflex. The only original material is in the speaker's notes (under the slides and in the attached Word document) and I think the 'Chocolate' slide is original.
Julian McNally

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Introduction to ACT_Boston Consortium_ 2005_Joel Guarna

Intro to ACT Presentation to the Boston Consortium in Clinical Psychology, March 2005, by Joel Guarna and Steve Quinn (staff psychologists at the VA Boston).

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Introduction to the Hexaflex

This power point created by Steve Hayes outlines the various features of the hexaflex model.

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Trans-Diagnostic Approach to Problems in Living

Presented by Kelly Wilson at Boystown.

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What is This Thing Called ACT

A Presentation at the University of Maryland (College Park) Counseling Center

10/26/2011

Ron Kimball, PhD, CGP, FACFE

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What is this Acceptance and Commitment Therapy?

Presented in Australia by Mary Sawyer.

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Tips on how to add content to this section

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Suggestions on adding to the ACT Presentation Materials section:

(a) For the sake of keeping this organized, I would recommend using the option for "add child page" to this main page instead of adding as comment/reply. Child pages are listed in a nice list that is easy to read and access. Comments can get quite chaotic. Also, the "add child page" format allows others to make comments and give feedback that will stick to the appropriate page/presentation instead of getting jumbled to the point where you will not know which comments refer to which postings.

(b) Then, give your new page a short, descriptive title (e.g., "General ACT Talk, Boston 2005").

(c) Write whatever description/comments/requests for feedback that you want directly on the new child page.

(d) You can then either: (i) Provide a link to the location where the presentation/materials are located (on or off site) or (ii) Attach the actual presentation/materials at bottom (if you do this, be sure to mention "materials attached at bottom" as attachments are easy to miss with the format here). Personally, I would encourage folks to do (ii) for ease of downloading.

(e) Another option: Link from here to material in your blog. Even if you opt to leave your posted presentations in your personal blog, perhaps you could add a child page here, inform members you have stuff in your blog, and then link to it by adding the URL to your child page. For example, if Steve wanted to link us to presentations in his blog, he would (a) add a child page, (b) title it "Steve's Presentations," (c) Write: Hey gang, I have some presentations you can use in my blog. You can find them at... on the page, and then (d) provide the link on the next line: "http://www.contextualscience.org/en/blog/steven_hayes"
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New Harbinger Publications - resources for ACT Trainers and Therapists

NHPfloatingleaf.jpg [1526]

New Harbinger publishes a wealth of materials on ACT, from in-depth training manuals and professional texts, to accessible, self-treatment workbooks for the layperson.

If you are an ACT therapist, our books can serve as the bibliotherapy side of your practice, providing your clients with additional self-work between treatments. You can find self-help resources here [1527]. If you are an ACT trainer, our many professional books [1528]can serve as excellent teaching materials and resources.

When purchasing books through the ACBS bookstores, a portion of the profit helps support ACBS!

Online Learning Opportunities

This is a brief list of online learning opportunities which we know about. If you know of others, and would like to add to the list, please log in as a member, and click "Add a child page" below. 

The Matrix Webinars with Kevin Polk and Jerold Hambright

Drs. Polk and Hambright at the Togus, Maine VA have developed a model of psychological flexibility made simple (called The Matrix) and frequently host webinars to share their strategy with professionals. Visit http://www.drkevinpolk.com/ [1529] for details on the next webinar for professionals.

6 ACT Conversations. [1530] E-learning program by Julian McNally hosted by RMIT University.

This is an e-learning program by Julian McNally hosted by RMIT University, developed for use with the general public and is a great to learn some ACT basics as a professional or to use as an adjunct to therapy. The program comprises six sessions of between 15 and 50 minutes duration. Each session includes a conversational mini-lecture and several practical exercises.

Dr. Russ Harris also gives many useful ACT Trainings online.  You can find more about them here [1531].

ACT Carolinas E-Groups

The ACT Carolinas affiliate hosts monthly "e-groups," virtual peer groups where counselors, therapists and coaches gather to discuss ACT texts, share intervention ideas and collaborate on case conceptualization from an ACT perspective. The groups are open to members outside the Carolinas state lines. Please contact Anna Leisa via email at anna@moodtreatmentcenter.com or check out our website at www.actcarolinas.com [1532] if you are interested in joining a group, starting a group or otherwise would like information about how e-groups work! 

ACT for hallucination

FORMACIÓN EN TERAPIAS CONTEXTUALES - ONLINE para Latinoamérica (dirigido por Carmen Luciano)

Madrid Institute of Contextual Psychology (MICPSY) [49] ofrece el título de Especialista en Terapias Contextuales (ACT, FAP y técnicas Mindfulness), dirigido a profesionales de Latinoamérica. Este innovador formato ofrece la máxima flexibilidad a alumnos latinoamericanos que no puedan realizar ofertas formativas presenciales de larga duración. El curso será dirigido por la Catedrática de Psicología Dr Carmen Luciano y contará con profesores expertos en Terapias Contextuales.

Uno de los objetivos principales de MICPSY es abrir el conocimiento de las Terapias Contextuales al habla hispana, ya que gran parte de las publicaciones, libros de referencia y workshops de entrenamiento sólo están disponibles en inglés. Debido a la creciente demanda de formación en Terapias Contextuales por parte de profesionales latinoamericanos, ofrecemos el nuevo curso de Especialista en Terapias Contextuales. Este curso proporciona una inmersión en las Terapias Contextuales o Terapias de Tercera Generación, y cuenta con diferentes modalidades para que cada alumno elija la que mejor se adapte a su demanda formativa:

(I) Modalidad básica que, a través de diferentes formatos online (tutorías, vídeos, etc),dotará de una visión amplia del modelo contextual, empezando por su raíz-sus fundamentos– y siguiendo por sus aplicaciones.

(II) Modalidad básica y de habilidades (presencial), que añade a la modalidad básica online un entrenamiento intensivo presencial para el moldeamiento de habilidades clínicas, que permitirá poner en práctica los conocimientos adquiridos en el módulo online y desarrollar las habilidades clínicas que necesitan un entrenamiento directo. Dicho entrenamiento es en Madrid o en otros lugares de Latinoamérica, siendo en tres días intensivos y consecutivos. El entrenamiento en Madrid se realizará en la sede de MICPSY en junio de 2017, con el objetivo de que los asistentes también puedan asistir a la ACBS World Conference en Sevilla (fecha exacta por determinar). 

(III) Modalidad básica y de habilidades con supervisión online, que, además de lo expuesto en las modalidades anteriores, incluye un módulo de supervisión online.

 

La inscripción está abierta durante todo el año.

Plazas limitadas.

MÁS INFORMACIÓN en http://micpsy.com/producto/especialista-terapias-contextuales-latinoamerica/

Free Online ACT Peer Support Meetings

After a successful first round of online peer support facilitation in 2013, Chris McConnell and Valerie Kiel are inviting you to take part in another series of ACT based (more broadly Functional Contextual) online peer support meetings in 2014. Throughout February and March, there will be eight independent weekly opportunities for you to meet other ACT practitioners from around the world online.

Meetings are free for ACBS-members. In other words, if either time, geographical or financial issues have been putting constraints in the past for you to improve your ACT skills, they no longer need to be this this time round. Just drop in online and practice your ACT skills with colleagues as passionate about ACT and Functional Contextualism as you are! For more information, dates and access to the meetings, see attached flyer.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

The ACT Matrix 101 by Kevin Polk, Ph.D.

https://www.theactmatrixacademy.com/offers/j8vGz7cq [1533]

This is a free online video course series from Dr. Polk, the principle creator of the ACT Matrix.

There are 7 lessons, from beginner to advanced ACT, including introductions to Functional Contextualisam and Relational Frame Theory.

Enjoy!

https://www.theactmatrixacademy.com/offers/j8vGz7cq [1533]

Resources for Learning ACT

Here is a list of resources for those seeking ACT training or who want more direction in what to do next in terms of learning ACT.

There are two basic ways to begin learning about ACT:
Reading up on it your own
Seeking out a community in which to network and broaden and deepen your knowledge of ACT


On Your Own:

To gain a basic and experiential understanding of the ACT work:
Read Get Out of Your Mind, an ACT self-help workbook [1534], and do all the exercises to get an experiential sense for the work. This is no substitute for the experiential workshop, but a great start.

Here is a list of scholarly articles and chapters freely available on the site (for paid ACBS members) that will help you gain a basic understanding of ACT principles (but not the experiential nature of the work). There are more that you might find interesting (and in other languages) so check out the full Publications list [1535].

  • Hayes, S. C. (2004). [1536]Behavior Therapy, 35, 639-665.
  • Hayes, S. C. (2004). [1537] Acceptance and Commitment Therapy and the new behavior therapies: Mindfulness, acceptance and relationship. In S. C. Hayes, V. M. Follette, & M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive behavioral tradition (pp. 1-29). New York: Guilford.
  • Hayes, S. C. (2000). [1538] Acceptance and Commitment Therapy in the treatment of experiential avoidance disorders.
  • Hayes, S. C., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2006). [1539]Acceptance and Commitment Therapy: Model, processes, and outcomes. Behaviour Research and Therapy, 44(1), 1-25.

 

To gain a depth of knowledge about ACT:
Read the core ACT text: Acceptance and Commitment Therapy, Second Edition: The Process and Practice of Mindful Change [1540]. (This revised edition of the original 1999 text was published in 2012). This will give you an overview of the basic theory and body of techniques behind ACT. This book can be pretty dense, so if you have problems with understanding it, don't worry about it, and just chug along. You can always come back to it later.

 

To see exemplars of ACT in Action:
Consider purchasing or borrowing copies of the many DVDs available [1541].

 

For a simpler explanation about ACT:
Read ACT Made Simple: An Easy to Read Primer on Acceptance and Commitment Therapy [1542].

 

To learn how to expertly apply ACT using the ACT core competencies:
Read Learning ACT: A Skills-Training Manual for Therapists Learning Acceptance and Commitment Therapy [1543] for an approach to ACT that focuses on learning the Core Competencies of an effective ACT therapist. The website learningact.com [1544] goes with the book and is a resource for people who are interested in learning ACT. The Learning ACT forum [1545] provides a place to discuss ACT for people new to the approach and wanting to learn more.

 

To learn case conceptualization and application skills:
Read ACT In Practice: Case Conceptualization in Acceptance and Commitment Therapy [1546]. This book details the ACT model and describes how to accomplish case conceptualizations from an ACT perspective, offering a précis of the literature that establish the importance and value of case conceptualization. Exercises throughout help you to evaluate the information you have just learned so that you may effectively integrate ACT into your practice.

 

To learn how to apply ACT to different populations:
Read A Practical Guide to Acceptance and Commitment Therapy [222] for many different chapters with applications to particular settings and disorders.

Read other ACT books targeting various more specific problems (e.g., anxiety, depression, trauma, chronic pain, etc.) -- a complete list of ACT relevant books, books on theory and application, as well as related resources (i.e., videos, online courses) is available here [1547]. Visit New Harbinger Publishers to learn about upcoming ACT book releases (both self-help and resources for professionals) at www.newharbinger.com [1548].

Check out the continually evolving list of clinical resources [1549], including treatment manuals [1550], measures [1551], audio recordings [1552], videos [1553], visual aids, powerpoint presentations [1554], and film recommendations [1555] at contextualscience.org.

 

Use the ACBS Site as a Resource
Visit www.contextualscience.org [1556] often. This website forms the nexus of what is called an online community. The whole community of ACT developers and researchers contribute to this website by adding webpages, files, multimedia presentations, voting, and holding discussion groups. New materials are being added on a daily basis. You can find forms to improve your practice, help tune your case conceptualizations, and a great deal of other information that might be helpful in learning ACT. To access all of the files, videos, and to contribute your own material to the website, etc., you need to be logged into your current, paid ACBS membership. Check here [496] for the benefits of membership, and here [495] to learn how to join.

Note: We highly recommend at some point perusing the RFT sections [1557] of the site. Since ACT is based upon this modern behavioral theory of language and cognition (Relational Frame Theory) its principles are very relevant to clinical work. While an in-depth knowledge of RFT is not required to be a clinician, you might be surprised at how even a basic understanding of the fundamentals of RFT inform your work. And there is much clinically relevant work being done in RFT labs all over the world; we're gaining a greater understanding of avoidance, suppression, sense of self, perspective taking, empathy and other deeply important clinical phenomena. If RFT seems confusing at first, come back to it and look for some of the introductory resources [1558] we have made available here on the site. You may find it useful down the line.


Learn from others and stay connected

Online Consultation
Join the ACT listserv for generally collegial conversation about ACT (acceptanceandcommitmenttherapy@ yahoogroups.com). A list of additional ACT-relevant listservs can be accessed here [1559]. There are also threaded discussion boards on the website where you can post questions and receive responses from the ACT community. Soon there should be online events and online supervision groups forming, but this is still in the works. Keep an eye on www.contextualscience.org for more info.

The website www.learningact.com [1544] has a forum that is intended to be focused on discussion for those wanting to learn more about ACT and how to use it with their clients.

Use the ACT Core-Competency Self-Rating Assessment [135]. This form can help to guide you to areas where you might need more work. Try it out!

 

Workshops
Consider coming to a training workshop. Particularly useful are the 2 day experiential training workshops which will give you a much better sense for the ACT "space" and what it is like experientially to do this work. There are also large yearly training events with hundreds of people where you can really get into the meat of this work and learn it much more thoroughly. Workshops are regularly scheduled at the Annual conventions of ACBS (this website), the Association for Behavioral and Cognitive Therapies, and the Association for Behavior Analysis. ACT trainers are located all around the world. A list of trainers is posted on the ACT website, along with the values statement ensuring that this whole process is not money focused or centrally controlled. Visit the Training Events Calendar [1560] for more information on upcoming trainings in your area!

 

Peer Consultation
Check for peer consultation groups in your area via www.contextualscience.org/act_peer_supervision [1561]. If there isn't one already available, consider posting something to the ACT listserv or to one of the discussion forums on the website and developing your own group in your local area.

 

Phone Consultation
Consider phone consultation. I've done phone consultation as both the consultant and the consultee. It can be surprisingly powerful. I'm currently collecting data in an RCT to see if this bears out empirically. This can be an excellent method for learning ACT if there is no one available in your local area. Most of the ACT trainers listed on the ACT website would be able to do phone consultation www.contextualscience.org/act_trainers [1562].

 

Online Learning Opportunities
Consider learning at your own pace with guided procedures [1563] based on ACT techniques.

 

Academic Training & Research Labs
If you are planning to pursue an advanced degree in psychology or a related field, and want training in ACT, you should check out these programs [1564].

Resources for Learning About Behavior Analysis

Below is a working list of resources available to learn about behavior analysis. If you know of other helpful resources please add a sub-page to this one with the relevant information.

Resources on this website:

  • What is Behavior Analysis [1565].

    Provides a basic description of behavior analysis.

  • Behavior Analysis Books page [1566] provides a list of recommended books on behavior analysis, including texts that you may find useful in studying for the BCBA exam.

 

  • An Introduction to Verbal Behavior [1567] online learning program. 

 

  • RFT study group for beginners [1568].

    This page includes summaries of chapters from the RFT book that were created from a study group in 2006.

  • Empirical RFT Studies [1569].

    Provides a list of empirical RFT studies with links to the articles for downloading.

  • Suggested readings (UNDER CONSTRUCTION).

    This is a working list of articles that can be accessed from this site on various topics in behavior analysis

  • SI 4 Powerpoint Presentations on RFT [1570].

    This page includes several powerpoints on RFT from SI 4 in Chicago.

  • From Mechanism to Functionalism - or: What is Avoided in Emotional Avoidance? [1571]

    This page includes a powerpoint presentation by Rainer Sonntag on emotions from a functional contextual perspective.

  • Contextualism [1572].

    This section of the website provides a variety of resources to learn more about contextualism, which is strongly linked to radical behaviorism.

Websites:

  • The Cambridge Center for Behavioral Studies [1573].

    You can find a lot about behavior analysis at the Cambridge Center for Behavioral Studies, which is the oldest, best established, and best known publicly focused foundation in behavioral psychology.

  • Association for Behavior Analysis (ABA) [1574].

    This is the main website for ABA. We invite people who would never think of themselves as "behaviorists," and yet for whom the world of ACT and RFT resonates, to come to an ABA conference or a conference of similar societies world wide (but bring a knowledgable guide with you!). You will be very comfortable with the contextualistic work presented at such meetings and the program is filled with ACT and RFT work.

  • The Analysis of Behavior: A Program for Self-Instruction, Holland, J.G. & Skinner, B.F. [1575]

    This website has a free program for PCs that teaches basic behavioral concepts using an interactive format.

  • The Behaviorism Tutorial, Moore, J. [1576]

    This website has a free tutorial that teaches behavioral concepts.

  • A Glossary of Some Terms Used in the Objective Science of Behavior, Verplanck, B. [1577]

    This website provides a list of definitions for behavioral terms.

  • The Behavior Analysis Archive at the University of Wisconsin-Milwaukee. [1578]

    This website contains a variety of material related to behavior analysis.

  • Website of the Oaxaca Psychologist Society (México). [1579]

    This website includes a variety of resources in Spanish including seminars, articles and slides.

Trainer Pages (for trainees)

Available pages for Trainers appear below. Pages are created and maintained by trainers for their trainees. They often contain general information as well as available training materials.

Benjamin Schoendorff's training page - Page de formateur ACT

Welcome to my training page!

You will find on this page training documents in English covering my work in several countries: various worksheets and relevant articles.

On the child pages to this page, you will find documents in various languages (French, Portuguese, Spanish and Swedish).

In order to see these documents appear at the bottom of this page and to be able to download them, you have to be a member of ACBS. To join ACBS, click here! [1580]

Warm regards,

Benjamin Schoendorff

Pour les documents relatifs à mes ateliers québécois cliquez ici [1581].

Pour les documents relatifs à mes ateliers français (France, Suisse, Belgique) cliquez ici. [1582]

For Swedish worshop documents click here [1583].

Para Brasileo workshop documentos, cliquar aqui [1584].

Para documentos en español, haga clic aquí [1585].

In addition to the articles that you can download directly from this page, check out the following pieces available on the ACBS site by clicking on the links below:

Ruiz review of ACT 2010. [1586] Comprehensive article analyzing the general empirical evidence concerning Acceptance and Commitment Therapy (ACT), both in terms of clinical trials and in terms of process studies.

FACT: The utility of an integration of functional analytic psychotherapy and acceptance and commitment therapy to alleviate human suffering [1587]. Callaghan, Gregg, Marx, Kohlenberg & Gifford, (2004). This article outlines the areas of convergence between ACT and FAP as well as the differences.

Using Acceptance and Commitment Therapy to empower the therapeutic relationship, Pierson & Hayes (2007 [1588]). This chapter outlines the ACT model of the therapeutic relationship and invites clinicians to concentrate on the ACT processes as they appear in the therapy room and the therapeutic relationship.

Mindfulness, values, and the therapeutic relationship in Acceptance and Commitment Therapy. Wilson & Sandoz, (2008) [1589]. In S. F. Hick & T. Bein (Eds.), Mindfulness and the therapeutic relationship. New York: Guilford Press.

A Contextual Behavioral Approach to the Role of Emotion in Psychotherapy Supervision, Batten & Santanello (2009). [1590]Great article discussing how emotion processing in supervision 'This paper provides a contextual behavioral rationale for including a focus on emotion in supervision, with a four-phase model for shaping early trainees’ ability to use their emotional reactions to facilitate therapy in a coherent manner."

The role of emotion in psychotherapy supervision: A contextual behavioral analysis [1591].  Batten & Follette (2000)

Selective bibliography:

ACT:

Batten, S. (2011) The essentials of ACT. [1592] Short and to the point, this little book packs an unusual punch. It's all there in clear and concise prose. Highly recommended.

Hayes, S.C, Strosahl, K.D., & Wilson, K.G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd edition) [1593]. New York, NY: The Guilford Press.

Psychological Flexibility Training (PFT): Flexing Your Mind along with Your Muscles [Kindle Edition] Buy it on amazon (only $4,99!) [1594]

Wilson, K. G., & DuFrene, T. (2009). Mindfulness for Two: An Acceptance and Commitment Therapy Approach to Mindfulness in Psychotherapy [1595]. Oakland, CA: New Harbinger.

Harris, R. (2009). ACT Made Simple: An Easy-To-Read Primer on Acceptance and Commitment Therapy [1596]. Oakland, CA: New Harbinger.

Strosahl, K., Robinson, P., & Gustavsson, T. Brief Interventions for Radical Change: Principles and Practice of Focused Acceptance and Commitment Therapy. A great clinician-aimed book brimming with clinical tips and handy workarounds the most common clinical difficulties. It will supercharge your ACT work.

Schoendorff, B., Grand, J., & Bolduc, M-F (2011). La thérapie d'acceptation et d'engagement, guide clinique. Brussels: De Boeck. This is the book we wrote around the matrix and integrating ACT and FAP. In simple language it takes you on a tour of how to do therapy using ACT, FAP and the matrix. It covers the overal ACT model, therapist tools, intake sessions, case conceptualisation and a thorough rund down of the ACT processes and how to enhance your process work with the relationship and the matrix. It concludes on two appendices, a theoretical one ranging from basic behavioral principles to RFT and an exposition of FAP rules and how to apply them to ACT processes. Richly illustrated with cartoons, clinical vignettes and a wealth of new and more traditional ACT exercices, we think it's a very good book and would love to see it translated in more languages as there is no other book like it right now.   Buy it on amazon.ca. [1597]

FAP:

Tsai, M., Kohlenberg, R.J., Kanter, J., Kohlenberg, B., Follette, W., & Callaghan, G. (2008). A guide to Functional Analytic Psychotherapy: Awareness, courage, love and behaviorism. New York: Springer. Buy it on amazon.com. [1598]

Kohlenberg, R. J., & Tsai, M. (1991). Functional Analytic Psychotherapy: A guide for creating intense and curative therapeutic relationships. New York: Plenum. Buy it on amazon.com. [1598]

Tsai, Kohlenberg, Kanter, Hlman, Loudon (2012) Functional Analytic Psychotherapy: Distinctive Features. Buy it on amazon.com. [1599]

RFT:

Törneke, N. (2010). Learning RFT: An introduction to relational frame theory and its clinical applications [1600]. Oakland, CA: New Harbinger Publications, Inc.

Clinical Behavior Analysis:

Ramnero, J., & Törneke, N. (2008). ABCs of human behavior: Behavioral principles for the practicing clinician [1601]. Oakland, CA: New Harbinger & Reno, NV: Context Press.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.
See video [1602]
See video [1603]

Documentos de talleres en español

En esta página encontrarás documentos y herramientas de formación clínica en español, tambien formularios de los talleres que he dado en español, así como las hojas de trabajo del cliente y formularios puente. Muchas gracias a Paula Qunitero y Juan Pablo Colletti para traducciones.

A continuación podes leer una entrevista que me hizo mi amiga Paula Quintero, en Buenos Aires. Para ver los documentos y poder descargarlos, tienes que ser un miembro ACBS y loguearte.

Espero que lo disfrutes y no dudes en dejar comentarios en esta página.

Encuentro con un Terapeuta: Entrevista con Benjamín Schoendorff (realizada por Lic. Paula José Quintero)

1) ¿Qué fue lo que te decidió a estudiar psicología y por qué has elegido esa orientación en particular?
Yo llegué tarde a la psicología. Mi trayectoria personal empezó en las finanzas, luego de haber realizado estudios en filosofía, política y economía. Luego de una crisis personal, pasé 10 años de mi vida produciendo música techno antes de elegir enfrentar mi “dragón personal” de adicción a las drogas a través de la aceptación y de la acción comprometida. Y a partir de ahí decidí volver a la universidad para estudiar psicología y entrenarme como terapeuta cognitivo-conductual. Mi interés desde tiempo atrás por el mindfulness y mi compromiso con la ciencia pronto me guió hacia ACT (Terapia de Aceptación y Compromiso) y me convertí en uno de los pioneros de ACT en Francia, escribiendo el primer libro de ACT de auto-ayuda en francés en 2009. La Terapia de Aceptación y Compromiso “le habla” a mi experiencia personal más profunda y satisface mi compromiso con las prácticas basadas en la evidencia. Más tarde me encontré con FAP (Terapia Analítico-Funcional); FAP realmente me ayudó a entender la importancia de las dimensiones interpersonales y progresé de manera asombrosa en mis relaciones terapéuticas con mis clientes y en mis relaciones de la vida cotidiana.

2) ¿En qué se diferencia tu técnica y la teoría que te guía de la psicoterapia convencional? ¿Qué hace que ACT sea única?
Desde mi punto de vista, hay tres elementos que hacen que ACT sea única. Primero, pone el foco de atención en el momento presente adaptando de manera flexible las técnicas del mindfulness a la mayoría de las poblaciones clínicas. Segundo, ofrece una forma novedosa para lidiar con experiencias privadas indeseadas: haciendo lugar a emociones y sensaciones incómodas y dolorosas (aceptación) y distanciándonos de los pensamientos que nos “atrapan” a través de la defusión. Tercero, hay un foco en valores y en utilizar lo que es más importante para la persona para motivar y reforzar la activación conductual y el cambio. Estos tres elementos convierten a ACT en una forma más humanística y existencial de terapia cognitivo-conductual, lo que representa en gran medida su atractivo para terapeutas y clientes. Respecto a la ciencia, ACT mantiene un alto compromiso con basar la práctica clínica en estudios empíricos, principios básicos e investigación experimental y en el desarrollo de la Teoría de los Marcos Relacionales, la cual constituye un paso más allá del análisis de la conducta verbal de Skinner en 1957 dando cuenta de manera novedosa de los procesos verbales respaldándose en la investigación experimental básica.

3) ¿Cuál es el mayor mito acerca de la psicoterapia?
¡Oh, esa es una elección difícil de hacer! ¡Hay tantos! Si tengo que elegir uno diría: la idea de que uno tiene que encontrar la causa de raíz de sus problemas en su historia personal antes de lograr avanzar. ACT nos muestra que conectándonos con nuestros valores y con acciones que nos llevan hacia lo que es importante, podemos recuperar una vida rica y satisfactoria, aún cuando la gran pregunta del “¿Por qué?” permanezca sin responderse.

4) ¿Cuál es la parte más difícil y desafiante de ser psicoterapeuta? ¿Y la más gratificante?
Lo que resulta un desafío para mí como terapeuta es mantenerme flexible en todo momento y constantemente volver a la experiencia del cliente más que a mis propias ideas o teorías. La parte más gratificante es ver a mis clientes florecer una vez que han empezado a involucrarse en conductas que los acercan a lo que es importante para ellos en la vida.

5) ¿Cuál parece ser el obstáculo más grande para los clientes en psicoterapia?
Eso depende de cada cliente, pero diría que un obstáculo común es que los clientes están más acostumbrados a escuchar lo que les dice su mente en lugar de lo que les muestra su experiencia (lo que en ACT llamamos “defusión cognitiva”). Esto significa que ellos quedan frecuentemente atrapados en estrategias que no funcionan para cambiar cómo piensan o sienten. Otro gran obstáculo es el impacto que tiene su propia lucha privada contra lo que sienten, en sus propias relaciones interpersonales, incluída la relación terapéutica. Por lo tanto el terapeuta tiene que permanecer atento de no fusionarse con lo que el cliente dice y también prestar mucha atención a las dimensiones interpersonales de la lucha del cliente, a medida que aparecen en la relación terapéutica.

6) En tu opinión: ¿Cuáles son las cualidades más importantes de un psicoterapeuta?
Flexibilidad, autenticidad, compasión y la habilidad de conectar con el cliente tratando de no quedar atrapado en el contenido de las historias que limitan el comportamiento valioso del cliente. Y también la disposición a mostrarse vulnerable.

7) ¿Qué es lo que primariamente facilita el cambio terapéutico? ¿Cuál crees que es la intervención más poderosa de ACT para generar cambio?
De nuevo: depende. Desde el punto de vista de ACT, el aumento de la flexibilidad, la habilidad de sostener los pensamientos con liviandad y actuar al servicio de valores es la clave. De modo que, en cualquier momento dado, la intervención más poderosa será aquella que mejor promueva flexibilidad en ese momento particular. En general encuentro que referir al cliente al diagrama de la Matrix (1) puede constituir una intervención poderosa en tanto que ayuda al cliente a notar si está atrapado en la lucha contra su sufrimiento o se está acercando hacia lo que es importante para él, de una manera que es una intervención que minimiza la interferencia del terapeuta y así maximiza el aprendizaje del cliente.

8) Has creado un enfoque muy interesante integrando intervenciones de ACT y de FAP. ¿De qué manera crees que FAP puede mejorar las intervenciones de ACT y viceversa?
ACT y FAP comparten las mismas raíces filosóficas e históricas (ambas se desarrollan dentro del contextualismo funcional). ACT es un gran modelo de cómo interactuamos con nuestras experiencias privadas y cómo nuestros modos de interacción pueden, en ciertos contextos, influenciar nuestra conducta. En términos generales, el modo en que interactuamos con las experiencias privadas puede o bien empujarnos a actuar para cambiar esa experiencia – alejarnos de ella- o bien inspirarnos a actuar en la dirección de nuestros valores vitales –acercarse a lo que es importante-. ACT se basa en la Teoría de los Marco Relacionales, un elegante modelo de cómo estos procesos son el resultado del funcionamiento normal de la inteligencia verbal. Así pues ACT es en gran medida una terapia enfocada en los procesos intrapersonales. Como tal, es un modelo muy poderoso. Por momentos, sin embargo, algunas intervenciones de ACT pueden sentirse como invalidantes por parte del cliente y enviar tanto al terapeuta como al cliente de nuevo “a sus mentes”. FAP, por el otro lado, se focaliza en la relación y en reforzar en el momento presente el comportamiento relacional más operativo. De manera que FAP se focaliza en los procesos interpersonales. Ahora bien, ambos enfoques consideran que el modo en que interactuamos con nuestra experiencia interna y con otras personas, fue aprendido a través de interacciones interpersonales. De modo que al integrar herramientas de FAP a la terapia ACT, podemos usar mejor la relación como un contexto social en el cual aprender ambos, es decir, un modo más útil de interactuar con nuestras experiencias internas y con los otros. Además, prestar atención a los efectos del comportamiento del terapeuta en el cliente y viceversa, como sugiere FAP, ayuda a la terapia a permanecer en “contacto con la tierra” y el cliente siente que se encuentran en el núcleo del trabajo más que en la teoría del terapeuta.

9) Si hubiese una cosa que desearías que tus clientes sepan acerca de la psicoterapia o de la enfermedad mental ¿Cuál sería?
Que ellos no están “rotos” o defectuosos, que no hay nada que tenga que ser añadido o removido de ellos antes de que puedan tener una vida rica y significativa. También me encantaría que sepan que la terapia se trata de ayudarlos a acercarse a la vida que quieren a través de sus propias acciones más que tratarse de “deshacerse de” o de interpretar sus síntomas.

10) Hoy en día la depresión genera mucha preocupación; algunos incluso hablan de una “epidemia”. ¿Qué factores (sociales y psicológicos) crees que están influenciando la actual prevalencia de la depresión?
Tengo la sensación de que los factores que más están ejerciendo influencia sobre ésto son sociales y culturales. En el plano social, no puedo evitar pensar que anteponer las ganancias por sobre las personas tiene un impacto directo sobre la salud mental. La gente siente que no tiene control sobre su vida cuando son objeto de fuerzas económicas sin rostro que son presentadas como realidades insuperables más que como elecciones políticas. También creo que la cultura del “sentirse bien” tiene mucho por lo que responder. Somos constantemente bombardeados con mensajes que dicen que tenemos que sentirnos bien para vivir bien. Empezamos a comparar nuestra experiencia interna con lo que los otros muestran para el afuera y encontramos que estamos “deseando”. ACT y FAP pueden ayudar al demostrarnos que podemos experimentar eso al “actuar bien”, es decir, en línea con nuestros valores de manera efectiva; nos podemos mover hacia vidas más significativas, incluso cuando habrá días en que nos sintamos bien y días en que nos sintamos no tan bien.

11) ¿Cuál de los libros que has leído recientemente sobre salud mental, psicología o psicoterapia te pareció muy bueno?
Como era de esperar, los dos libros que más valoro como terapeuta son: el libro original de ACT y, más aún, la versión revisada de 2011. También recomiendo, sin dudas, el libro original de FAP (1991) y la Guía Clínica de FAP (2008). Estos libros son la piedra angular de mi práctica clínica. Y un libro que estoy leyendo en este momento y que recomendaría es “Intervenciones Breves para el Cambio Radical” de Strosahl, Robinson y Gustavsson (2012), que es un libro acerca de intervenciones breves de ACT escrito por tres clínicos increíbles.

12) ¿Cual crees que es la investigación más emocionante que se está realizando en este momento en el campo del contextualismo funcional?
Estoy entusiasmado con la investigación en las fronteras de la Teoría de los Marcos Relacionales (TMR): sus aplicaciones en el campo del autismo para ayudar a niños autistas a desarrollar un comando del lenguaje más flexible, sus aplicaciones en el aumento del desempeño intelectual y, finalmente, sus aplicaciones en el campo de la investigación de la cognición implícita. Si TMR da una cuenta viable de la cognición humana, tiene que tener aplicaciones más allá de psicoterapia clínica. Es en estos dominios así como también a través de ACT, que la TMR demostrará su utilidad para el campo más amplio de la psicología. Respecto a investigación clínica, estoy particularmente interesado en los estudios centrados en los procesos. No es suficiente saber que la Terapia A y la Terapia B son efectivas. Quiero saber qué procesos están involucrados para que podamos refinar una Terapia C que focalice directamente los procesos clínicos significativos. Muchos investigadores en ACT y FAP comparten esta perspectiva de modo que podemos esperar de nuestra comunidad de investigación algunos hallazgos interesantes en el futuro cercano.

13) ¿Cuál es el mejor consejo que puedes ofrecer a nuestros lectores sobre cómo llevar adelante una vida significativa?
Simplemente notar, observar en el momento presente si lo que haces está al servicio de orientarte hacia lo que es importante para ti o al servicio de alejarte de aquello que no quieres pensar o sentir.

(1) La Matrix, creada por Kevin Polk, es un diagrama sencillo para trabajar sobre los 6 principios de ACT para aumentar la flexibilidad psicológica.

Bibliographia

Schoendorff, B., Grand, J., & Bolduc, M-F (2011). La thérapie d'acceptation et d'engagement, guide clinique. Brussels: De Boeck. Este es el libro que escribimos en torno a la matriz, integrando ACT y FAP. En un lenguaje simple, te lleva por un tour sobre como usar ACT, FAP y la Matrix. El libro hace un recorrido por el modelo ACT, herramientas para el terapeuta, sesiones de admisión, conceptualización de casos, y un completo recorrido por los procesos de ACT y como mejorar tus procesos de trabajo con la relación terapéutica y la Matrix. Incluye dos apéndices, uno teórico, que va desde los principios conductuales básicos hasta RFT y otro que expone las reglas de FAP y como aplicarlas en el marco de los procesos de ACT. Ricamente ilustrado con caricaturas, viñetas clínicas y enriquecido con nuevos y los tradicionales ejercicios de ACT. Pensamos que es un muy buen libro y nos encantaría traducirlo en tantos idiomas como ningún libro ha sido hasta ahora.

 

 

 

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Documentos de treinamento em português

Você vai encontrar nesta página os documentos do workshop en Portuges (Brasil). Obrigado a Michaele Saban e Karen Vogel para traduções.
Para ver os documentos e baixá-los, você precisa ser um membro da ACBS e ser registrado dentro

You will find on this page the workshop documents.
To see the documents and download them, you need to be a member of ACBS and be logged in

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Documents de formation Québec (format lettre)

Vous trouverez sur cette page divers documents relatifs aux ateliers ACT-FAP donnés au Québec en 2011-2012 seul ou avec Marie-France Bolduc.

Vous pouvez aussi téléchargez divers articles et documents en anglais sur ma page de formation anglophone, ici [1604].

En adhérant à l'ACBS (cotisation basée sur la valeur que vous donnez à l'association à partir d'un minimum de USD1), vous pourrez accéder librement aux documents ci-dessous (diapos de l'atelier, fiches et échelles cliniques et documents supplémentaires) et les télécharger au format pdf. NB: Ces documents n'apparaitront que si vous êtes membre et 'logged in'.

En adhérant à l'ACBS (cotisation basée sur la valeur que vous donnez à l'association à partir d'un minimum de US$10), vous pourrez accéder librement aux documents ci-dessous (diapos de l'atelier, fiches et échelles cliniques et documents supplémentaires) et les télécharger au format pdf. NB: Ces documents n'apparaitront que si vous êtes membre et 'logged in'.

L'ACBS compte à ce jour près de 6000 membres dans le monde entier et représente une communauté unique qui promeut la recherche et la dissémination de l'ACT, la Théorie des Cadres Relationnels, et, plus largement, la science comportementale contextuelle. Nous espérons que vous choisirez de rejoindre l'ACBS ainsi que sa branche francophone, l'AFSCC. Pour ce faire, une fois membre de l'ACBS, il vous suffit d'envoyer un courriel à psychologiecontextuelle@gmail.com [1605]. L'AFSCC, née en 2011 compte à ce jour près de 150 membres. L'adhésion est gratuite. Une fois membre de l'ACBS, vous aurez accès à la quasi-totalité des articles scientifiques publiés sur l'ACT et la TCR, à des chapitres de livres, des présentations powerpoint, des protocoles de traitement, des vidéos et une abondance d'outils cliniques. Si vous ne désirez pas encore, rejoindre l'ACBS, vous pouvez m'écrire par courriel pour que je vous communique les documents qui, sur cette page, ne sont disponibles qu'aux membres de l'ACBS.

Vous pouvez aussi rejoindre la liste de discussion de l'AFSCC, un espace d'échange convivial pour partager des idées, des réflexions, des informations sur les activités ACT et troisième vague, des questions cliniques (dans le respect de la nécessaire confidentialité de nos clients/patients). Cette liste se veut un lieu vivant et accueillant pour la communauté francophone et vous pouvez la rejoindre en cliquant ici [1606].

Vous trouverez aussi des documents et illustrations libres de droits pour usage non commercial sur le site http://guidecliniqueact.com [1607] où vous pourrez également être informé de nos prochaines formations et vous inscrire pour être référencé en tant que thérapeute et/ou superviseur(e) ACT francophone.

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Documents de formation en français (format A4)

Vous trouverez sur cette page divers documents relatifs aux ateliers ACT-FAP donnés en France, Suisse et Belgique par moi-même ou avec Jana Grand ou Egide Altenloh.

Vous pouvez aussi téléchargez divers articles et documents en anglais sur ma page de formation anglophone, ici. [1604]

En adhérant à l'ACBS (cotisation basée sur la valeur que vous donnez à l'association à partir d'un minimum de US$10), vous pourrez accéder librement aux documents ci-dessous (diapos de l'atelier, fiches et échelles cliniques et documents supplémentaires) et les télécharger au format pdf. NB: Ces documents n'apparaitront que si vous êtes membre et 'logged in'.

L'ACBS compte à ce jour près de 6000 membres dans le monde entier et représente une communauté unique qui promeut la recherche et la dissémination de l'ACT, la Théorie des Cadres Relationnels, et, plus largement, la science comportementale contextuelle. Nous espérons que vous choisirez de rejoindre l'ACBS ainsi que sa branche francophone, l'AFSCC. Pour ce faire, une fois membre de l'ACBS, il vous suffit d'envoyer un courriel à psychologiecontextuelle@gmail.com [1605]. L'AFSCC, née en 2011 compte à ce jour près de 150 membres. L'adhésion est gratuite. Une fois membre de l'ACBS, vous aurez accès à la quasi-totalité des articles scientifiques publiés sur l'ACT et la TCR, à des chapitres de livres, des présentations powerpoint, des protocoles de traitement, des vidéos et une abondance d'outils cliniques. Si vous ne désirez pas encore, rejoindre l'ACBS, vous pouvez m'écrire par courriel pour que je vous communique les documents qui, sur cette page, ne sont disponibles qu'aux membres de l'ACBS.

Vous pouvez aussi rejoindre la liste de discussion de l'AFSCC, un espace d'échange convivial pour partager des idées, des réflexions, des informations sur les activités ACT et troisième vague, des questions cliniques (dans le respect de la nécessaire confidentialité de nos clients/patients). Cette liste se veut un lieu vivant et accueillant pour la communauté francophone et vous pouvez la rejoindre en cliquant ici [1606].

Vous trouverez aussi des documents et illustrations libres de droits pour usage non commercial sur le site http://guidecliniqueact.com [1607] où vous pourrez également être informé de nos prochaines formations et vous inscrire pour être référencé en tant que thérapeute et/ou superviseur(e) ACT francophone.

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Training documents in Swedish

Below you will find over 20 documents: handouts from the workshop in powerpoint and pdf format; articles about FAP, integrating ACT and FAP, ACT and the therapeutic relationship; FAP questionnaires; ACT-FAP session bridging sessions; client matrix forms and worksheets, and more. This is only a sample of the hundreds of articles, documents, powerpoints, videos that you have free access to and can dowload as an ACBS member. Slet Gustavsson att tacka för översättningarna.

If you are not yet ready to join ACBS and attended the workshop, please email me and I'll send you the documents.

ALso be sure you visit http://functionalanalyticpsychotherapy.com/ [1608]

Where you'll find more information about FAP and a treasure-trove of downloadable articles and tools for therapists.

Selected FAP bibliography:

Kohlenberg, B.S. & Callaghan, G.M. (2010). FAP and Acceptance Commitment Therapy (ACT) : Similarities, Divergence, and Integration, in J. Kanter, M. Tsai & R.J. Kohlenberg (Eds.). The practice of Functional Analytic Psychotherapy, New York : Springer.

Kohlenberg, R.J. & Tsai, M. (1991). Functional Analytic Psychotherapy : A guide for creating intense and curative therapeutic relationships, New York : Plenum.

Tsai, M., Kohlenberg, R.J., Kanter, J., Kohlenberg, B., Follette, W., & Callaghan, G. (2008). A guide to Functional Analytic Psychotherapy: Awareness, courage, love and behaviorism. New York: Springer (recommanded).

Kohlenberg, B. & Callaghan, G. M. (2010). FAP and Acceptance Commitment Therapy: Similarities, divergence, and integration. In Kanter, J.W., Tsai, M., & Kohlenberg R.J. (Eds.). The practice of Functional Analytic Psychotherapy. New York: Springer.

Warm regards,

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David Gillanders' Training Page

Hi, I hope you've enjoyed training with me or maybe you have just found these training goodies! Hope you enjoy these materials and find them useful, they are given away, not for profit, so don't go making a profit from them! You don't need permission to use or copy any of these materials.

If you want to contact me to arrange a training, or ask about any training materials you can email me via the University of Edinburgh website here [1609].

Here is some description of the content of this page:

NEW!!!! My team and I at the University of Edinburgh have created some training videos of therapy sessions with simulated clients. These are password protected so to see them you will need to download this document [1610]

 

Powerpoints for various workshops and trainings I deliver:

Empirical Status [1611] (updated June 2015)

Introduction to ACT [1612] Powerpoint

A presentation on ACT & Behaviour Analysis [1613]

Metaphors I have created - The sailing boat metaphor [1614], the rope bridge metaphor [1615], the bicycle factory, [1616] walking the path, [1617] taking your armour off [1618].

Therapist behaviour tracking grids [1619] - These are inspired by the work of Henry Whitfield of Mindfulness Ltd. [1620] who has done a more detailed version for tracking the level of organisation and purpose of therapy behaviours. I have simplified this down to simply helping people track the function of their behaviour or when observing others, and even provided a further simplification [1621].

A developmentally sequenced introductory reading list [1622] (updated March 2015)

A picture of the two sides of the hexagon [1623]

A brief overview of ACT [1624]

Workability diary [1625]- I use this early on in treatment after having the client discriminate how they are standing towards their probelm using physical gestures of fighting, hiding, or willing and then have them keep an activity diary for a week that also serves to have them discriminate if these activities are fighting, hiding or willing and to rate how much they feel they are really living their life in each moment, theres also a space to write notes on what things hook you in or help you be willing. I've also done a version 2.0 [1626] that changes 'fighting' to 'figure it out' which may fit some clients strategies better. 

Selected ACT readings [1627] - just stories, poems and quotes that inspire me and are ACT relevant

ACT audio exercises: These are 6 recordings of exercises, targeting each of the main ACT processes. Before listening or downloading you must read the guide and disclaimer document. [1628]

I've attached a case formulation [1629] sheet that walks you through functional analysis / workability. The rating of dimensions of psychological flexibliity owes a debt to Kelly's approach in M42, and to David Chantry's ACTADVISOR

This case formualtion sheet has been simplified and revised a number of times, this is the latest version I use, based on feedback from participants. Its version 2.2. [1630]

Mark Turner of Guy's Hospital, London has adapted [1631]the formulation template for working with people who have visible difference concerns

I also have completed a version [1632] as an example of the client John, who appears itn the videos that are mentioned in the document above.

These are the slides [1633] that Helen Bolderston and I used for our Seattle preconference workshop: 'Learning ACT from the Inside Out'

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Elizabeth Maher's Training Page

Hello,

Welcome to my training page.  On this page you will find various materials that I use in my training.  My page is just getting started so there will be more added in due course.  So far, you will find various metaphors that I have created, an ACT thought record, a psychological flexibility model in layman's terms, and information on supervision and consultation.  I hope you find these materials helpful.  

If you have any queries or to arrange a training, please feel free to contact me liz@nz-act-training.com [1634]

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.
See video [1635]

Jason Luoma's training page

Attached below are some documents providing information on how to obtain further training in ACT and also Powerpoint presentations from some past trainings. This page is just getting started, so more presentations will be added over time.

*Can't see the links below? Access to attachments, videos, audio, the professional listserv, etc. are a privilege of paid ACBS membership.

With Values-Based Dues, you choose how much you pay for your membership ($10 min.). You can sign up here [1636].

luoma1.jpg [1637] For more information about training I provide, online training, and a listserv to be alerted to ACT trainings in the Pacific NW, you can go [69]here [69] for more info [69]. Additional ACT-relevant handouts and ACT audio-recordings [1638] can be found here [1639].

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.

Jen Plumb Vilardaga's Training Page

Welcome to Jen's trainer page!

Here you will find lots of great things that you can download, only for members who have paid their values-based dues.

Anything here that I have created is not copyrighted. Other materials are cited accordingly and are not copyrighted. 

The video you see on this page is of myself and Matt Villatte; created to help people think about different ways to create actions in line with values (this video also has RFT prompts).

At the bottom of this page (below the video) you will find a link to "TRAINING HANDOUTS". Here you will find handouts from my most recent trainings. 

I hope you enjoy all that you find here. Please do not hesitate to contact me for additional information at jennifer.plumb.vilardaga@duke.edu [1640]

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.
See video [1641]

TRAINING HANDOUTS

These are handouts from recent trainings

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Kevin Polk Training Page

An Introduction to ACT-the for Rapid Behavior Change

The Basic Matrix Diagram

The Matrix represents the two primary mechanism of change in ACT that are called Perspective Taking and Behavioral Analysis. Unlike typical behavioral analysis in which a practioner does the analysis, in ACT we teach the client to do her or his own analysis. In it's simplest form, the person learns to notice behaviors that move Toward values or Away from unwanted experiencing. Both Toward and Away moves are essential to life, it's the combination of the moves over time that add up to living a relatively stuck life, or one that is moving toward values. Said another way, it's a way of noticing a combination of behaviors that work for living a valued life.

You can use the Matrix a million different ways. Below is a video course about Psychology Flexibility Training that can be presented to community groups.

The ACT Matrix 101 Free Course... Click Here [1642]

 


I offer online and telephone training to professionals doing mental health or process improvement work.

You can contact me or visit the website at www.drkevinpolk.com [1643] for more information.

A great way to get started with the Matrix is the Visual Wellness Plan.

You can get the "Visual Wellness Plan" manual by clicking here [1643].

Be well,

Kevin

Louise Hayes' Training Page

Louise Hayes' Training Page

ACT.Conference-8422_2 2.jpg

Welcome to my training page. I hope you enjoy doing ACT work with young people as much as I do. Here you will find materials that I use in my workshops.

You need to be logged in as a member to download the attachments, so if nothing is happening when you click on a link, try logging in.

As you may remember from my workshops, membership of ACBS takes only a few minutes and costs just a few dollars. We keep this fee very low because our aim is to welcome you into the community. Once you are logged in you will find you have access to information from the entire community, a plethora of publications, clinical materials, measures, presentations, etc…

 

If you are having difficulty please drop me an email and I’ll try and help you.

 

There are more free resources available from my website www.louisehayes.com.au

Kind regards, Louise
 

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Hayes values cards - Danish translation

The file with a Danish translation can be downloaded at this link

https://www.dropbox.com/s/q37bxqtwofwaddd/Hayes%20cards%20danish%20new%20version.pdf?dl=0

The translation was done by camilla grønlund, camilla@acthouse.dk

Thanks Camilla

Hayes values cards German

Norwegian values cards

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Values cards French translations - 3 files

There are two card files for the French translation. One contains cards that have images, the other has question cards.

You will also need the instruction booklet, which is in english on this site.

Louise

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Values cards translated into Polish (wersja polska)

Hi all,

Below you will find translation of Louise Hayes's Values Cards into Polish. 

best regards,

Joanna Dudek-Glabicka

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Values cards translated into Spanish

Graciela Rovner has translated the cards into Spanish.

Attached.

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Values cards translation Portuguese (Portugal)

Dear all,

Please find in the attachment below the portuguese (from Portugal) translation of Louise Hayes's Values Cards.

 

Peace,

 

Nuno Ferreira

Lecturer in Clinical Psychology

University of Edinburgh

Nuno.Ferreira@ed.ac.uk

(0044)1316503898

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Matthew Boone's Trainer Page

 

Welcome to my trainer page. Here, you can view a list of my peer-reviewed publications, book chapters, invited lectures, and conference presentations. Please visit my website: www.matthewsboone.com [1644] for more information about me.

Watch my training series: ACT Nuggets [1645].

Or check out this video from one of my workshops where we demonstrate the ACT classic metaphor: Tug of War [1646].

Watch these ACT animations [1647] I helped to create at my day job. (FYI - this should not be construed as an endorsement by the VA of my non-VA training activities)

My ACT for Depression and Anxiety group protocol can be found here [1648]. (Only accessible to ACBS members [1649]) Alterantively, if you would like me to email you a copy, write to me [1650].

 

PEER-REVIEWED PUBLICATIONS

Boone, M. S., Mundy, B., Morrissey, K., & Genrich, B. (2015). Acceptance and commitment therapy, functional contextualism, and clinical social work. Journal of Human Behavior in the Social Environment (25)6, 643-656.

Boone, M. S., Edwards, G. R., Haltom, M., Hill, J. S., Liang Y., Mier, S. M., Belizaire, L. S., Kamp, L. C., Murthi, M., Shropshire, S. Y., Wong, W., & Yau, T. Y. (2011). Let's talk: getting out of the counseling center to serve hard-to-reach students. Journal of Multicultural Counseling and Development (39)4, 194-205.

Masuda, A., & Boone, M. S. (2011). Mental health stigma, self concealment, and help seeking attitudes among asian american and european american college students with no help seeking experience. International Journal for the Advancement of Counselling (34)4, 266-279.

Masuda, A., Boone, M. S., & Timko, C. A. (2011). The role of psychological flexibility in the relationship between self concealment and disordered eating symptoms. Eating Behaviors (12)2, 131-135.

Mier, S. M., Boone, M. S., & Shropshire, S. Y. (2009). Community consultation and intervention: supporting students who do not access counseling services. Journal of College Student Psychotherapy (23)1, 16-29.

 

EDITED BOOKS

Boone, M. S. (Ed.). (2014). Mindfulness and acceptance in social work: Evidence-based practices and emerging applications. Oakland, CA: New Harbinger.

 

BOOK CHAPTERS
Boone, M. S. (2014). Mindfulness and acceptance in social work. In M. S. Boone, (Ed.). Mindfulness and acceptance in social work: Evidence-based practices and emerging applications. Oakland, CA: New Harbinger.

Boone, M. S. (2014). Acceptance and commitment therapy in social work. In M. S. Boone, (Ed.). Mindfulness and acceptance in social work: Evidence-based practices and emerging applications. Oakland, CA: New Harbinger.

Masuda, A., Boone, M. S., Hill, M. L., & Pasillas, R. M. (2014). Thinking functionally and contextually about cultural diversity in mindfulness-based treatments. In M. S. Boone, (Ed.). Mindfulness and acceptance in social work: Evidence-based practices and emerging applications. Oakland, CA: New Harbinger.

Steinwachs, J., & Boone, M. S. (2014). Contextual behavioral science and social work: A natural and effective partnership? In M. S. Boone, (Ed.). Mindfulness and acceptance in social work: Evidence-based practices and emerging applications. Oakland, CA: New Harbinger.

Boone, M. S. (2013). Acceptance and commitment therapy (ACT): theory and individual treatment. In Pistorello, J., (Ed.). Acceptance and mindfulness for counseling college students: Theory and practical applications for intervention, prevention, and outreach. Oakland, CA: New Harbinger.

Boone, M. S., & Cannici, J. (2013). Acceptance and commitment therapy (ACT) in groups. In Pistorello, J., (Ed.). Acceptance and mindfulness for counseling college students: Theory and practical applications for intervention, prevention, and outreach. Oakland, CA: New Harbinger.

 

OTHER PUBLICATIONS

Boone, M. S., & Eells, G. T. (2008). Reaching students who won't walk in: Innovative outreach programs offer options. Leadership Exchange (6)3, 13-17. (Not peer-reviewed.)

 

INVITED PRESENTATIONS, TRAININGS, AND LECTURES

Boone M. S. (2015, August). ACT 1: Introduction to Acceptance and Commitment Therapy. Two day experiential workshop. Sponsored by Praxis Continuing Education and Training. Oakland, California.

Boone M. S. (2015, June). Acceptance and Commitment Therapy (ACT). Two day experiential workshop. Sponsored by MidSOUTH Center for Prevention & Training. Little Rock, Arkansas.

Boone M. S. (2015, May). Acceptance and Commitment Therapy (ACT). Two day experiential workshop. Sponsored by MidSOUTH Center for Prevention & Training. Pine Bluff, Arkansas.

Boone M. S. (2015, March). Thinking Big, Thinking Small: Bringing Compassion and Flexibility to Making a Difference in the World. Plenary at the 1st Annual Conference of the Southeastern Chapter of the Association for Contextual Behavioral Science (ACBS). Lafayette, Louisiana.

Boone M. S. (2015, February). Thinking Big, Thinking Small: Bringing Compassion and Flexibility to Making a Difference in the World. 90-minute experiential workshop presented at ACT Boot Camp, a four day intensive training on acceptance and commitment therapy (ACT). Reno, Nevada.

Boone M. S. (2014, August). Acceptance and Commitment Therapy (ACT): An Experiential Introduction. Two 3-hour experiential workshops presented at the 42nd Annual Behavioral Health Institute of the Arkansas Mental Health Council. Hot Springs, Arkansas.

Boone M. S. (2013, November). Acceptance and Commitment Therapy (ACT): An Experiential Introduction. 3-hour experiential workshop presented to the Northwest Chapter of NASW, Arkansas. Harding University. Searcy, Arkansas.

Boone M. S. (2013, March). Acceptance and Commitment Therapy (ACT): Responding Flexibly to the Human Condition. Grand Rounds, University of Arkansas for Medical Sciences, Department of Psychiatry. Little Rock, Arkansas.

Boone, M. S. (2012, May). Acceptance and Commitment Therapy (ACT): An Experiential Approach to Behavior Change. Day-long training workshop, Family Counseling Services of Cortland County, Cortland, New York.

Pistorello, J, & Boone, M. S. (2012, March). Acceptance and Commitment Therapy in College Settings. Experiential workshop presented at the 10th Annual Depression on College Campuses Conference. University of Michigan, Ann Arbor, Michigan.

Boone, M. (December 2011). An Acceptance and Commitment Therapy (ACT) Approach to Eating Disorder Treatment. Experiential introduction presented at the 11th annual Erin Leah Robarge Memorial Seminar, Corning, New York. Presentation was followed by a case discussion and role-play from three panelists using three different treatment modalities: ACT, DBT, and Internal Family Systems.

Boone, M. S. (2011, September). Acceptance and Commitment Therapy (ACT): An Experiential Approach to Behavior Change. Day-long training workshop, SUNY Cobleskill, Cobleskill, New York.

Eells, G. T., & Boone, M. S. (2011, May). Helping Faculty Help Students Who Need Mental Health Care. Online Professional Development Webinar, Magna Publications.

Boone, M. S. (2009, August). Let's Talk and Community Consultation and Intervention (CCI). Invited presentation on Cornell University outreach. University Of Massachusetts, Boston, Counseling Center.

Boone, M. S. (2009, February). A Critical Look A Mental Health. Invited lecture on cultural influences on definitions of mental health and mental illness. Presented to Introduction to Disability Studies course in the College of Industrial and Labor Relations, Cornell University.

Boone, M. S. (2009, January). Acceptance and Commitment Therapy (ACT): An Introduction. Professional development workshop. Ithaca College Counseling Center.

 

CONFERENCE PRESENTATIONS

Boone, M. S. (2014, June). Connecting To Your Clients, Connecting to Your Community: Psychological Flexibility and Social Work Values. Experiential training workshop presented at the annual world conference of the Association for Contextual Behavioral Science (ACBS). Minneapolis, Minnesota.

Boone, M. S. (2014, June). Mindfulness for Millions: Promoting Contextual Behavioral Science (CBS) Through the Practice of Social Work. Paper presented as part of a symposium entitled "Contextual Behavioral Science and Social Work" at the annual world conference of the Association for Contextual Behavioral Science (ACBS). Minneapolis, Minnesota.

Boone, M. S. (2014, April). Acceptance and Commitment Therapy (ACT): Bringing Mindfulness and Flexibility to Social Work Practice. 3-hour experiential workshop at the annual conference of the National Association of Social Workers (NASW), Arkansas chapter. Little Rock, Arkansas.

Boone, M. S. (2013, November). Acceptance and Commitment Therapy (ACT): Responding Flexibly to the Human Condition. 2.5 hour experiential workshop at the annual conference of the Arkansas Counseling Association (ArCA). Hot Springs, Arkansas.

Boone, M. S. (2013, April). Acceptance and Commitment Therapy (ACT): An Experential Introduction. 3-hour experiential workshop at the annual conference of the National Association of Social Workers (NASW), Arkansas chapter. Little Rock, Arkansas.

Block-Lerner, L., Cardaciotto, L., Boone, M. S., Danitz, S., Kowarz, K., Hayes, S. C., Orsillo, S., Wilson, K. G., & Wolanin, A. (2012, November). Building Psychological Flexibility Within and Outside the Classroom: ACT-based Approaches in Higher Education. Panel discussion at the annual Association for Behavioral and Cognitive Therapies (ABCT). National Harbor, Maryland.

Boone, M., & Myler, C. (2012, July). Mindfulness for 10: New Group Strategies in Acceptance and Commitment Therapy. Experiential training workshop presented at the annual world conference of the Association for Contextual Behavioral Science (ACBS). Washington, DC.

Boone, M. (2012, July). Embracing the Suck: Getting to Work When All You Want to Do Is Update Your Facebook Profile (Again). "Ignite" presentation presented at the annual world conference of the Association for Contextual Behavioral Science (ACBS). Washington, DC.

Boone, M., Hamilton, J, Morrissey, K, Mundy, B., & Steinwachs, J, (2012, July). ACT and Social Work: Shared Values, Shared Goals. Panel discussion chaired at the annual world conference of the Association for Contextual Behavioral Science (ACBS). Washington, DC.

Boone, M. (2011, October). Acceptance and Commitment Therapy (ACT): A New Direction for College Health. Presented at the combined annual meeting of the New England College Health Association and New York State College Health Association, Saratoga Springs, New York.

Reed, F., Boone, M., Lorenz, A., & Ndusha, L. (2011, October). Care Management in Higher Education. Presented at the combined annual meeting of the New England College Health Association and New this York State College Health Association, Saratoga Springs, New York.

Boone, M., & Manning, J. (2011, June). Acceptance and Commitment Therapy (ACT): An Experiential Introduction for College Counselors. Presented at the 29th annual conference of the Counseling Centers of New York, Ithaca College, Ithaca, New York.

Patterson, R., Hodges, C., Rubineau, A., Boone, M., & Sullivan, D. (2011, June). Developing Effective Integrated Care for Eating Disorders. Presented at the 29th annual conference of the Counseling Centers of New York, Ithaca College, Ithaca, New York.

Timko, C. A., Merwin, R., Zucker, N., Sandoz, E., Lappalainen, R., Boone, M., Pearson, A., & Walton, C. (2010, June). ACT and the Full Spectrum of Disordered Eating: Challenges and Possibilities. Panel discussion at the annual world conference of the Association for Contextual Behavioral Science (ACBS), Reno, Nevada.

Boone, M., Polk, K., Steinwachs, J., Minor, K., Archer, R., & Stone, C. (2010, June). Surfing the Learning Curve: ACT, RFT, and Functional Contextualism. Panel discussion at the annual world conference of the Association for Contextual Behavioral Science (ACBS), Reno, Nevada.

Sullivan, D., Rubineau, A., Patterson, R., Hodges, C., & Boone, M. (2009, October). The 7 Secrets of the Highly Effective Eating Disorders Team. Presented at the combined annual meeting of the New England College Health Association and New York State College Health Association, Burlington, Vermont.

Boone, M., & Hagge, T. (2009, June). Let's Talk: Developing and Nationally Disseminating an Innovative Outreach Program. Presented at the second annual National Outreach Conference for Counseling Centers, University of Michigan.

Boone, M., & Liang, Y. (2008, May). Moving Beyond Your Four Walls: Engaging Hard-To-Reach Students through Community-Based Services. Presented at the first annual National Outreach Conference for Counseling Centers, University of Michigan.

Mier, S., Boone, M., & Edwards, G. (2007, February). Community Consultation and Intervention (CCI): Non-Traditional Means of Engaging and Supporting Hard-To-Reach Students on a College Campus. Presented at the 24th annual Teachers College Winter Roundtable on Cultural Psychology and Education, Teachers College, Columbia University.

This page contains attachments restricted to ACBS members. Please join or login with your ACBS account.
See video [1651]
See video [1652]
See video [1653]
See video [1654]

Ole Taggaard Nielsen's Training Page

Hi Everyone !

Welcome to my Training page where you will find various ACT resources in Danish.

I hope you will enjoy these materials and find them useful.

I am a licensed Psychologist and Specialist in Psychotherapy and Supervision,  ACBS Peer reviewed ACT Trainer and member of the ACBS trainer community. Owner of the private practice “ACT Klinikken” in Copenhagen - www.actklinikken.dk.  

Feel free to get in contact with me [1655]if you have any questions, comments and suggestions.

(You need to be logged in as a member to download the attachments, so if nothing is happening when you click on a link, try logging in).

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Steve Hayes' Training Page

Welcome to my training page!

This entire site is fillied with training resources, but I use this page so that people who have been to trainings of mine can get oriented to the work. If you cannot see the attachments on these pages it is because you are not yet logged in ... see below.

I generally add talks and resources as I do events and leave just the last couple of years here, but if I forget to add something you want, let me know and I will try to get them up.

At the bottom of this page are links to many materials you might find useful, and links to other areas of the site where you will find more materials. 

However, you will not be able to view or download these materials without becoming a member of ACBS. That is because access to attachments, videos, audio, the professional listserv, and so on are a privilege of paid ACBS membership.  Becoming a member takes less than 3 minutes, and is an easy one-step process. The link is below. 

Some videos etc I cannot put on this page (such as my TED talks. The first one can be found here: www.bit.ly/StevesFirstTED

WORKSHOP ATTENDEES: If you received a special link, use it to join rather than the link below. Then whether you just joined or are already and ACBS member log in first. If you did not get a special link, use the link that is only a couple of lines down from here.

If this "you have to be a member" pitch sounds like a crass attempt to get you to give money to ACBS, well it really is not. It is a crass attempt to get you to be part of a community, and that is much different. With Values-Based [1656] Dues, you choose how much you pay for your membership based on what your values are, how you think ACBS furthers those values, and your ability to pay. $10 is the minimum but most professionals average near the $60 recommended; most students average near the $30 recommended. If you are new and don't know whether this organization and this website is important to you, it is perfectly reasonable to use lower amounts initially and then adjust your dues as you learn what it has to offer [When ACBS went to values-based dues, dues payments went up -- there is a nice ACT-consistent lesson in there]. And of course if you are very poor, go all the way to the minimum. Simply go to www.contextualscience.org/join [1636] to complete the process. (If you have an account already, be sure to log in first to see the attachments to this page and throughout the site. You can technically have a website account and not yet have joined -- watch out for that no man's land because you will not see the attachments.). If you do not have a credit card or cannot afford even the $10 (in the Developing Nations, that is not uncommon for example) then just send an email to our Executive Director at acbs@contextualscience.org (or to me -- I will be happy to pay for it). The requirement for a credit card is to avoid spam spiders from joining and loading spam onto the site since once you are a member you can upload anything that seems relevant to the work, creating pages and so on.

I hope that you find these materials interesting and helpful in your journey and that the make a difference in the lives of those you serve.

Peace, love and life.

- S

(Try to solve any problems by searching the site but if you cannot, then email me: stevenchayes "at-sign" gmail "dot" com ... sheesh, why do I even try to avoid spammers?)

See video [1657]

Training Slides and Handouts

Below you will find slides and any related handouts from workshops I have given.   

Please fee free to peruse beyond the materials from a training you did with me. 

2011 Trainings

These are materials for a few workshops I am giving or have given in 2011. Things that seem repetitive I do not upload so if your specific workshop is not here, just try one of the others and see if it is close

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2010 Trainings

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2009 Trainings

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2012 Trainings

My workshops in 2012 have used the same slides set. The one for Chicago and Phoenix is the generic one; the one for Newport Beach is listed specifically. These are in PowerPoint and should load on any system with MS Office on it or equivalent.

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Trainings in Germany March 2012

I've attached below a number of resources sent to me by Rainer Sonntag and Georg Eifert that might be of special use to participants in my March 2012 workshops in Germany. If you can see this it is because you haven't logged in. You have to join ACBS and then log in to see the materials.

By the way, there is a German chapter forming and there is more extensive page of German materials on the website. Just search for "German" and you will find it.

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2013 Trainings

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2014 Trainings

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2015 trainings

I now do most of my trainings with Praxis, a training company owned by New Harbinger Publications

For information, go to www.praxiscet.com

I've attached a couple of files below however for recent 2015 workshops

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2016 Trainings

Here are some slides I used in 2016

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ACT Boot Camp workshops

Jacque and I ran BootCamp for a few years but frankly the burden of running conferences is not small and we have turned over the conduct of ACT Boot Camp to Praxis, which is a subsidiary of New Harbinger Publications.

If you are interested in ACT Boot Camp go to www.praxiscet.com for the upcoming versions and to get on their email list

ACT Boot Camp Reno February 20-23, 2014

Here are the handouts and some additional materials. All the slides are up too. Woo hoo.

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ACT Boot Camp, January 12-15, 2012

We are going to hold "ACT Boot Camp" in Reno this January 12 - 15.

 

 

The first ACT Boot Camp was a complete success!
Thank you to all 161 of you who attended.
 

 

We are going to hold "ACT Boot Camp" in Reno this January 12 - 15.

The plan is this.

A two day experiential workshop will be held Thursday and Friday January 12-13 and Saturday and Sunday will focus on skills training.

There will be evening presentations each day -- talks on the model, data, sessions on reading ACT processes, and similar things.

Other than expenses and an honorium for two presenters, all income will go to support the lab in Reno.
For the individuals who want to know about level. It's a question that's tough to answer because categories like "introductory" or "intermediate" capture so little of the variance
and the topics keep changing and evolving so what is in a beginning workshop now is often not what was there a few years ago.

Let's just say it this way:
There are things in here that will benefit people of all skills levels, but it is not deliberately cast at an intermediate or advanced level. We set it up with beginners and intermediates particularly in mind.

Continuing Education credits:
We will be issuing CEUs for this event.

They will be issued through the Association for Cognitive Behavioral Science (ACBS), so APA-approved!

The credits will be for:
• Psychologists
• MFT
• Social Workers
We can get MFT and SW CEUs in California through ACBS, however, people will then have to get them recognized in their particular state.

*****Register at (www.contextualpsychology.org/join) ACBS before attending the Boot Camp*****

Schedule:
Start at 8:00am all days.

End at 9:00pm on Thursday, Friday, and Saturday.

End at 4:30pm on Sunday.
Payment Method:
*********************
While this PayPal button will happily take your money
regardless, you have to take an additional step to
make sure we know who you are so we can match the
money to your actual registration.

Send an email to:
ACT.in.Context@gmail.com

with your name, contact information, and level of registration.
Make sure the name you use there and the one you then use in checking out
with PayPal (your credit card, etc.) are the same or tell us how to match the
names if they differ (e.g., "I used Geraldine Fickwat's credit card but that is
my sister. My name for registration is ..." or "I used my corporate card for registration
in the name of the 'ACT Center for All Things Wonderful' but actually my
name is John Jones and my contact information is ...

It's a kludge solution, we realize. We are working on a real one,
but in the meantime help us out.

And it would be wise to save your PayPal receipt in case of problems.
*********************

 

Hotel:
ACT Boot Camp will be held at the Silver Legacy hotel in Reno.

We have a block of 60 rooms but more are available. However the deadline to reserve a room is very short: 1 week.
The rooms are super nice and are $49 Wed and Thursday night and $69 Friday and Saturday. Technically, after 2 people are in the room rates go up by $10 per person per room. Max 4 / room.

***Click Here*** to make your hotel reservation online using group code ACT12.

OR...

Call Silver Legacy at 1-800-687-8733 and give the group code ACT12. Reservations received after December 21, 2011 will only be accepted on a space and rate availability basis. Now in fact this is a slow period so that would likely still work but don’t risk it. You can stay elsewhere if you like but this will be convenient to the meeting and it is a good deal. And getting 60 rooms filled is how we got the meeting room.

Transportation:
AIRPORT: The Reno Tahoe International Airport (RNO) is a mere 4 miles from the resort and takes only 12-15 minutes to arrive.

SHUTTLE: The Silver Legacy offers shuttle service daily from 5am – 12 Midnight running every 30 minutes. The shuttle leaves hotel valet at the hour and half hour and picks up at the airport at 15 and 45 minutes past the hour.

PARKING: Both a 10 story parking garage, and Valet parking are available.

DRIVING: The Silver Legacy a landmark in downtown Reno and our gracious tower can be seen upon approach from any direction. The Silver Legacy is easily accessible from both the 395 and 80 freeways.

Hertz:
The Silver Legacy has arranged for special car rental rates for attendees. For your convenience there is a complete Hertz rental desk located in the Resorts Lobby and Reno Tahoe Airport near the baggage pick-up. Cars can be rented or returned at the Resort, or any Hertz Corporate location. For Hertz reservations, please call 1-800-654-2240, and use group code CV# 03VW0004.
 

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ACT Boot Camp, March 14-17, 2013

At the bottom of the page you will find the material relevant to the March 2013 ACT Boot Camp workshop. We will be updating this as we go so recheck the pages.

We will be handing out a packet at registration containing all the information needed for your workshop participation. Registration is in the Bubinga Lounge Wednesday from 5:30pm to about 10 (the meet and greet cash bar opens at 7) in the El Dorado Hotel. Registration will reopen Thursday at 7:30am in the Convention Center. Prepare yourself for some loooong days. This is called Boot Camp for a reason!

Some of the Trainers have provided their PowerPoint’s if you want to download them to follow along.

If you have any questions or need assistance, email Brian Cooper <ACT.in.Context@gmail.com [1658]>.

- S

"Love isn't everything, it's the only thing"

 

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ACT Boot Camp, September 5-8, 2013

 

 

 

 

You will find at the bottom of the page materials to download for the ACT Boot Camp in Florida.

If you have any questions or need assistance, email Brian Cooper <ACT.in.Context@gmail.com [1659]>.

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ACT and Gestalt: why are they similar?

It is very common for people to notice that ACT looks a bit like Gestalt or Emotional Focused Therapy. That links has been there from the beginning. Les Greenburg is on the back of the original ACT book for example. Why would that be?

Part of it is that contextual behavioral thinking helped establish Gestalt therapy.

Gestalt therapy never had much to do with Gestalt psychology -- even the Gestalt
psychologist that were still around rejected the comparison.

See the attached article for documentation and explanation.

Ralph wanted to call it integrative therapy ... think of how the history of psychotherapy might have been different had that happened. The ACBSers are just walking over that same ground.

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All About ACT: ACT Handouts for Professionals

The materials below contain a longer handout (with brief description of ACT as a treatment, as well as suggestions for further reading, measurement materials, treatment protocols, and current research findings); a list of ACT randomized trials;

and a short, focused handout I use in my workshops for the Institute for Advancement of Human Behavior. 

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Brief audio exercises

These are jsut brief exercises you can use.

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Clinical Tools & Protocols

The resources attached below are helpful for doing ACT. There is an amazing number of protocols on the site ... I just attached a few to show examples.

There are many more resources, such as introductory materials for clients, other protocols, metaphors, exercises, visual aids, and so on, available on the site here: www.contextualscience.org/clinical_resources [1660]

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Fun things

This is a page just with things I like ... mostly from other people. The poem from Jason Luoma (The ACT Therapist) is awesome.

The Greek film is one of those "open your eyes; touch your non-toothache" pieces that moves we every time I see it

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Handouts to Use with Clients

Below are a few handouts you may wish to use with clients.

There are more available at www.contextualscience.org/clincial_resources [1660]

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How to test RFT

HOW TO TEST RFT

I occasionally hear the old chestnut that "RFT is not really testable."

It makes me mad. 

Over two decades ago my students and I laid out a fairly well crafted list of ways you can test RFT.

I've put the in the page numbers of the quotes below for a reason: so you can cite specific predictions if you want even if you do not have access to this book.

Many of these predictions are now known to be true. And not one piece of disconfirmatory evidence has yet emerged, so far as I know.

I would invite RFTers who are publishing new pieces to occasionally remember our history. If you agree with me that these were indeed reasonable stakes to pound in the ground 20 years ago, then every once in a while it would be good remind readers that the theory was laid out in testable ways from the beginning. There are dozens of such predictions in the 2001 purple book but even before that, we were putting our ideas on the line and asking for help in showing where and how the theory was wrong. In the history of science all theories are wrong -- in their details at least -- given enough time and effort to test them. That surely includes RFT. I'm not a falsificationist but risky tests are pragmatically useful because as we learn more about the contextual conditions under which knowledge claims, we advance the precision, scope, and depth of our analyses.

Anyway, the summary below should be of use.

- Steve Hayes

*******************************

Hayes S. C., Gifford, E. V. & Ruckstuhl, Jr., L. E. (1996) Relational frame theory and executive function.  Chapter in G. R. Lyon & N. A. Krasnegor (Eds.), Attention, memory and executive function (pp. 279-305). Baltimore: Brookes.

From p. 298:

TESTS OF THE THEORY

A theory of executive function based on relational frames has two somewhat distinct components that can be tested: whether relational frame theory is a worthwhile account of human verbal behavior and verbal regulation, and whether executive function can be usefully thought of in these terms. 

Relational frame theory argues that relational frames are learned and are not primitive psychological functions. We already mentioned five testable components to this claim: They should show clear developmental trends, they should be flexible, they should be under both antecedent and consequential control, and improved relational abilities should emerge from deliberate training. Supportive data exist in each these five areas, but much more remains to be done.

The last point is particularly in accord with the pragmatic assumptions of behavior analysis: The best way to test a theory or device is to see if it can lead to more effective treatment (Hayes, Nelson, & Jarrett, 1987). Training could occur with populations who have disabilities in rule generation, rule understanding, and rule following, such as children with attention deficits or hyperactivity, youth who are antisocial, and those with mental retardation. Typical youth could be

From p. 299:

given procedures designed to modify existing repertoires and accelerate their healthy development.

These five testable components of the claim that relational frames are learned also suggest ways that this key aspect of relational frame theory can be disproved. If derived stimulus relations are present in whole cloth in neonates, or emerge without training in nonhumans, the theory is disproven. If new, more subtle, or more complex stimulus relations cannot be taught to children and brought to bear on arbitrary events in a fashion envisioned by the theory, it is disproven. The theory argues that a wide variety of relations can be trained and that derived stimulus functions will be transformed by these underlying relations. The first point has some empirical support, but not yet the latter. If complex relations are merely a by-product of equivalence and nonequivalence, and if derived functions are merely transferred, not transformed, when relations such as oppositeness pertain to two stimuli, the theory is disproven. A key idea is that relational frames are a defining feature of human verbal behavior. If the behavioral functions of verbal events (e.g., self-awareness, construction of long-term futures and a resultant reduction in impulsivity, complex problem solving) do not emerge in children in a fashion that parallels developing relational abilities, the theory is disproven. If complex relational frames can be developed in nonhumans, without also seeing some of the effects produced in humans by verbal behavior, the theory is disproven.

If relational frame theory is correct, children should show increased abilities in verbal regulation as they learn to apply more complex relational frames to events (e.g., if-then, comparatives). The theory suggests that the key aspects of training are 1) increases in the number of available relational frames, 2) increases in combinatorial abilities and the resultant complexity of the derived relational networks, 3) greater sensitivity and subtlety in the contextual control of relational frames and resulting increases in both their arbitrary applicability and appropriate regulation by physical context, 4) increased ability to transform stimulus functions through derived stimulus relations and greater sensitivity and subtlety in the contextual control over this process of transformation, 5) greater ability to relate networks of relations, and 6) greater ability to alter the functions of the previously nonverbal world by including aspects of this world in relational networks. As these performances increase in children, we should see increases in self-control, reasoning, and problem solving-if not, the theory is disproven.

According to the theory, following verbal rules is a product of the ability both to apply if-then frames to events and to transform the functions of verbally constructed consequences and of experience with contingencies that support specific types of rule following, such as pliance, tracking, and augmenting. Both contentions are clearly testable. Our line of thinking also suggests that pliance usually helps establish tracking, which helps establish augmenting. It suggests that moral development and other complex forms of rule governance normally emerge in that sequence and may need to be trained in that sequence. It also suggests novel ways that deficits in rule following may occur, such as mismatches of 

From p. 300:  

types of rules and rule following (e.g., the tendency for persons with some histories to treat descriptions as demands and thus to show pliance or counterpliance instead of tracking in these situations).

Testing these effects of verbal rules will be difficult, but behavior analysis offers the field at large not just a theoretical approach, but also a set of methods that are highly precise and well-developed. These include refined methods of arbitrary matching-to-sample and methods for testing the effects of rules on sensitivity to changes in environmental demands. Behavior analysts have also argued for and used refined "talk aloud" methods for detecting the participation of verbal rules in problem solving (Hayes, 1986; Wulfert, Dougher, & Greenway, 1991). 
 

Measures and Tools for Case Formulation and to Track Therapy Outcomes and Processes

Here are a few commonly-given measures to assess client progress in key ACT domains. 

There are many more available, including foreign language and population-specific versions of measures, as well as information on who developed them; all available by visiting the Measures & Assessment [1551] section of the site. 

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Therapy Transcripts

These files are transcripts of real treatment sessions with clients (recorded and shared with permission). Please treat them carefully as they are confidential clinical materials. 

Videos of one of these sessions is available for purchase from APA:

[1661]

Acceptance and Commitment Therapy with Steven C. Hayes [1662]. (Part of the Systems of Psychotherapy APA Psychotherapy Video Series)

 

Also, there are many other videos available for purchase and all make great training materials. To explore other formal materials for learning and doing ACT, visit: www.contextualscience.org/books_tapes [1547]

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World Conference 13 in Berlin slides and materials

Here are the slides and handouts for my PreCon and the slides for my talks at WC 13  - Steve Hayes

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WorldCon XI in Sydney Pre-Conference Workshop

Here are miscellaneous materials from our workshop

including some some clinical tools, measures, and several articles ...

By the way, to understand what the "ACT ADVISOR" stands for open the file just by that name (its a simple rating scale -- no items -- but the key explains the acronym)

The slides are up. Most of the RFT slides in Day 2 are in the Day 1 section and many of the Day 2 slides were not used

- S

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ACBS Conference Talks from 2010 or earlier

Below are slides from talks I have given on ACT, RFT, and Contextual Behavioral Science at conferences and meetings. 

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Timothy Gordon's Training Page

Welcome to My Training Page!

 

This is the exclusive home of presentation materials that I'm offering. I welcome members of interested members of ACBS, workshop attendees, and students of mine to freely use these materials. Please do give me credit when applicable.

In order to gain access to these materials, you must be a member of ACBS, join [1636]! Your commitment to learning ACT and developing your skills can be well supported by this community, its listserv, and many resources.

WC15 20-21 June, Pre-Conference Workshop - General Evaluation

Please take a moment to give us feedback on general aspects of the Pre-conference Workshops in Seville, Spain.

If you have any problems/issues/questions completing this form, please contact Marcy at support@contextualscience.org.

Note: Completing this evaluation does not provide CE Credits.

Poor Fair Average Above Average Excellent
Maps/Directions
Accommodations
Materials
Food
Registration
Workshop Rooms
Workshop Staff & Volunteers

Check all that apply.

Check all that apply.

Please list any suggestions you have in regards to the venue, sessions, formats, food, or anything else.

WC15 Seville Evaluations

[1663]

Evaluations for the ACBS World Conference in Seville, Spain, will start becoming available on 21 June, 2017.  Please check back here to links to all general and CE evaluations.
 

General Conference Evaluation [1664]

General Pre-Conference Evaluation [1665]

CE Credit Evaluations

Pre-Conference, 20-21 June [1666]

Conference

Thursday, June 22

8:00 CE Evaluation [1667]
9:30 CE Evaluation [1668]
11:00 CE Evaluation [1669]
12:45 CE Evaluation [1670]
15:15 CE Evaluation [1671]
17:00 CE Evaluation [1672]

Friday, June 23

8:00 CE Evaluation [1673]
8:15 CE Evaluation [1674]
9:30 CE Evaluation [1675]
11:00 CE Evaluation [1676]
12:45 CE Evaluation [1677]
15:15 CE Evaluation [1678]
17:00 CE Evaluation [1679]

Saturday, June 24

8:00 CE Evaluation [1680]
9:30 CE Evaluation [1681]
11:00 CE Evaluation [1682]
12:45 CE Evaluation [1683]
15:15 CE Evaluation [1684]
17:00 CE Evaluation [1685]

Sunday, June 25

9:30 CE Evaluation [1686]
11:15 CE Evaluation [1687]

Official website of the Association for Contextual Behavioral Science

Mailing Address

P.O. Box 655
Jenison, MI 49429
USA

Socialise

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Source URL: https://contextualscience.org/act_training

Links:
[1] http://contextualscience.org/civicrm/profile?gid=20&amp;reset=1&amp;force=1
[2] https://contextualscience.org/calendar
[3] http://www.alliant.edu/cspp/programs-degrees/clinical-psychology/psyd-sandiego.php
[4] https://sites.google.com/site/cuaampir/
[5] http://www.mentorabi.com/standard/page.aspx?guid=79e0e063-2487-4993-85b2-625d80359118
[6] http://www.act-for-anxiety-disorders.com/
[7] http://www.chapman.edu/CS/psych/faculty/eifert.asp
[8] http://www.acceptanceandmindfulness.com/index.htm/
[9] http://www.drexel.edu/psychology/research/labs/formanherbert/
[10] https://faculty.duhs.duke.edu/faculty/info?pid=20770
[11] http://www.joshpritchard.com/site/content/lab
[12] http://cpla.fit.edu/clinical/faculty.php
[13] http://research.fhcrc.org/behavioral-health/en.html
[14] http://www.evergreenclinical.org
[15] http://mason.gmu.edu/~tkashdan/
[16] http://mason.gmu.edu/~tkashdan/publications.html
[17] http://www.ugent.be/pp/ekgp/en/research/research-groups/learning-and-implicit-processes-lab/members
[18] http://www.gold.ac.uk/institute-management-studies/staff/bond/
[19] http://www.iit.edu
[20] http://www.iit.edu/psych/faculty/patricia_bach.shtml
[21] https://contextualscience.org/national_university_of_c_rdobainterpersonal_behavi
[22] http://www.cipco.com.ar
[23] mailto:consultacipco@gmail.com
[24] http://www.kean.edu/~psyd/Welcome.html
[25] http://www.kean.edu/~psyd/research_interests.html
[26] http://www.facebook.com/korebehavioral?ftref=ts
[27] http://www.lasalle.edu/schools/sas/psychology/index.php?section=faculty_staff&amp;page=cardaciotto
[28] http://gradschool.louisiana.edu/graduate-programs/masters-degrees/ms-psychology
[29] mailto:nrwilliams42@gmail.com
[30] mailto:jxa0806@louisiana.edu
[31] mailto:greysun7@gmail.com
[32] mailto:ginaqboullion@gmail.com
[33] mailto:hope.inspire.love@gmail.com
[34] mailto:ryan.albarado@gmail.com
[35] mailto:alg4961@louisiana.edu
[36] mailto:rebeccacopell@gmail.com
[37] mailto:emilytherese9@gmail.com
[38] mailto:leg7609@louisiana.edu
[39] mailto:benmramos@gmail.com
[40] mailto:magamble0913@gmail.com
[41] mailto:debeshmallik@ymail.com
[42] http://micpsy.com/formacion/
[43] http://www.analisisexperimental.com/
[44] http://cliniklab.konradlorenz.edu.co/
[45] http://www.ugent.be/pp/ekgp/en/research/research-groups/learning-and-implicit-processes-lab
[46] http://anxiety.psych.ucla.edu/
[47] http://micpsy.com/publicaciones-terapias-contextuales/
[48] http://micpsy.com/investigacion-desarrollo/
[49] http://micpsy.com/
[50] http://psychology.missouristate.edu/annrost.aspx
[51] http://psychology.missouristate.edu/clinical/default.htm
[52] http://www.moreheadstate.edu/psych/index.aspx?id=2531
[53] http://pediatrics.cancer.gov/scientific_programs/neurobehavioral/index.asp
[54] http://blogs.psyche.unc.edu.ar/laci/laci-2/
[55] http://www.nuigalway.ie/psy/i_stewart_page.htm
[56] http://www.contextualscience.org/en/rft
[57] http://www.contextualscience.org/act
[58] http://www.nuigalway.ie/psychology/d_o_hora_page.htm
[59] http://www.portlandpsychotherapyclinic.com
[60] http://portlandpsychotherapyclinic.com/
[61] http://portlandpsychotherapytraining.com/research-lab-at-portland-psychotherapy/
[62] http://portlandpsychotherapytraining.com/employment-opportunities-at-portland-psychotherapy/
[63] http://portlandpsychotherapytraining.com/workshops-and-classes-for-therapists/
[64] http://www.portlanddepressiontreatment.com/
[65] http://portlandpsychotherapyclinic.com/anxiety-treatment/
[66] http://portlandpsychotherapytraining.com/publications-by-scientists-at-portland-psychotherapy/
[67] http://www.portlandpsychotherapyclinic.com/counseling/portland-psychotherapy-unique-model-combining-science-and-practice-psychotherapy
[68] http://portlandpsychotherapytraining.com/current-research-at-portland-psychotherapy/
[69] http://www.portlandpsychotherapyclinic.com/training/classes_and_workshops_for_therapists
[70] http://www.sjsu.edu/people/jennifer.gregg/
[71] http://www.sjsu.edu/psych/GraduatePrograms/clinicalpsych/index.htm
[72] http://www.suffolk.edu/college/12186.html
[73] http://www.suffolk.edu/college/16734.html
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[75] http://psy.swan.ac.uk/staff/saunders/learningandbehaviour/index.htm
[76] http://www.swan.ac.uk/staff/academic/HumanSciences/mchughlouise/
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[78] http://www.thechicagoschool.edu/content.cfm/programs
[79] http://pertlab.umc.edu/index.html
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[81] http://www.ucd.ie/psychology/staff/louisemchugh/
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[83] http://www.albany.edu/adrp/
[84] http://acceptanceandmindfulness.com/
[85] http://act-for-anxiety-disorders.com/
[86] http://www.amazon.com/Mindfulness-Acceptance-Workbook-Anxiety-Commitment/dp/1572244992/ref=sr_1_1?s=books&amp;ie=UTF8&amp;qid=1398094041&amp;sr=1-1&amp;keywords=mindfulness+and+acceptance
[87] http://www.drjohnforsyth.com
[88] mailto:forsyth@albany.edu
[89] http://www.albany.edu/psy
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[94] http://www.chester.ac.uk/node/35013
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[108] http://www.onelifellc.com
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[110] http://www.unm.edu/~psych/faculty/sm_dougher.html
[111] http://psychology.unt.edu/dr-amy-murrell/
[112] http://www.psy.uq.edu.au/directory/index.html?id=30#_
[113] http://www.psy.uq.edu.au/future-students/postgraduate/
[114] http://aba.cbcs.usf.edu/faculty/Weil.cfm
[115] http://aba.cbcs.usf.edu/
[116] http://www.uta.fi/english/
[117] http://www.psych.uw.edu/psych.php#p=233
[118] http://www.psych.uw.edu/psych.php#p=358&amp;PersonID=10339
[119] https://pantherfile.uwm.edu/dwoods/www/
[120] http://www.contextualscience.org/woods_2006
[121] http://www.contextualscience.org/node/2995
[122] https://pantherfile.uwm.edu/jkanter/www/index.htm
[123] https://www4.uwm.edu/letsci/psychology/faculty/kanter.cfm
[124] http://joannedahl.com/index.php
[125] http://contextualscience.org/utah_state_university_michael_p_twohig_ph_d
[126] http://psychology.usu.edu/
[127] http://usucbs.com/
[128] http://www.usu.edu/psychology/people/Michael_Twohig.php
[129] http://homepages.wmich.edu/~sgaynor/index.html
[130] http://www.wmich.edu/psychology/grad/clinical/index.html
[131] http://webs.wichita.edu/?u=psychology&amp;p=/graduate/clinical/clinicalphd/
[132] https://contextualscience.org/training_resources_for_rftfcba_competencies
[133] https://contextualscience.org/files/Announcement%20of%20changes%20to%20Peer%20Reviewed%20Trainer%20%20application%20FINAL%20-%20Dec%202nd%202015.pdf
[134] http://contextualscience.org/acbs_CE_co-sponsorship
[135] http://www.contextualscience.org/complete_the_act_core_competency_self_assessment
[136] https://contextualscience.org/files/ACT Trainer Competencies as of January 15, 2016.docx
[137] https://contextualscience.org/files/New Observation Form as of January 15, 2016_0.docx
[138] https://contextualscience.org/files/New Peer Reviewers Form as of January 15, 2016.docx
[139] https://contextualscience.org/files/New Peer Review Guidance for Observers and Reviewers as of January 15, 2016.pdf
[140] https://contextualscience.org/files/New Application Form as of January 15, 2016.docx
[141] http://contextualscience.org/webform/observation_request_form_for_trainings_0
[142] http://contextualscience.org/files/ACBS Peer review observation form 3.13.14.pdf
[143] https://contextualscience.org/files/New Observation Form as of January 15, 2016_0.pdf
[144] mailto:support@contextualscience.org?subject=question%20about%20peer%20review%20or%20joining%20training%20community
[145] https://contextualscience.org/files/New Peer Review Guidance for applicants as of January 15, 2016_0.pdf
[146] https://contextualscience.org/amazon_store/item/1597380075
[147] https://contextualscience.org/dougher_2000
[148] https://contextualscience.org/hayes_1992
[149] https://contextualscience.org/amazon_store/item/1572245387
[150] https://foxylearning.com/tutorials/rft
[151] https://www.youtube.com/watch?v=KFokaoodfO0
[152] https://www.youtube.com/watch?v=YE3f5wiqQIE
[153] http://portlandmindful.com/therapy-videos/#.VGyh_4uun68
[154] https://www.dropbox.com/s/byvmetpqrh9muut/Yvonne.Rich.mp4?dl=0
[155] https://www.dropbox.com/s/tlptc9o88e5xfgn/Yvonne%20and%20Sue.mp4?dl=0
[156] https://www.dropbox.com/s/1607yqbv4vvrgol/Yvonne%20and%20Jon.mp4?dl=0
[157] http://languageasintervention.com/
[158] https://contextualscience.org/amazon_store/item/1608824470
[159] https://contextualscience.org/amazon_store/item/1572249951
[160] https://contextualscience.org/publications/rft_for_clinical_use_the_example_of_metaphor
[161] https://contextualscience.org/gross_fox_2009
[162] https://contextualscience.org/hayes_1984
[163] https://contextualscience.org/amazon_store/item/0306466007
[164] https://contextualscience.org/amazon_store/item/1572249064
[165] https://contextualscience.org/amazon_store/item/1608825299
[166] https://contextualscience.org/publications/cognitive_vs_contextual_causation_different_world
[167] https://contextualscience.org/Hayes_2008
[168] https://contextualscience.org/Hayes_Barnes-Holmes_Wilson_2012_CBS
[169] https://contextualscience.org/hayes_brownstein_1986
[170] https://contextualscience.org/hayes_hayes_reese_1988
[171] https://contextualscience.org/hayes_act_cbs_behavior_therapy
[172] https://contextualscience.org/hayes_wilson_1995
[173] https://contextualscience.org/publications/pragmatism_realism_and_psychology_understanding_th
[174] https://contextualscience.org/vilardaga_2009
[175] https://contextualscience.org/wilson_2001_0
[176] http://www.bcm.edu/psychiatry/?PMID=2205
[177] http://ccc.byu.edu/cc/apa-internship-home
[178] http://www.littlerock.va.gov/careers/psychology/internship/overview.asp
[179] http://psychiatry.duke.edu/modules/psych_education/index.php?id=3
[180] http://www.trinity-services.org/home.htm
[181] http://www.psychologytraining.va.gov/lomalinda/
[182] http://www.thempinstitute.com
[183] mailto:TheMPInstitute@comcast.net?subject=Internship%20Information
[184] http://www.minneapolis.va.gov/education/psychology/pre_setting.asp
[185] http://psychology.umc.edu/faculty/kim_gratz.html
[186] http://psychologyconsortium.umc.edu/overview.html
[187] http://www.psychologytraining.va.gov/northampton/
[188] http://www.ppbhg.org
[189] http://www.contextualscience.org/user/caseycapps
[190] http://psychiatry.ucsd.edu/psychology/faculty.html
[191] http://www.uhcl.edu/counselingservices/internship
[192] http://www.psychologytraining.va.gov/baltimore/
[193] http://ucc.nd.edu/professional-training/
[194] http://www.paloalto.va.gov/MentalHealth/PsychologyTraining.asp
[195] http://www.psychologytraining.va.gov/seattle/
[196] mailto:Kevan.McCutcheon@Va.Gov
[197] http://events.r20.constantcontact.com/calendar/monthview?eso=001t1dJiv4sO8ZuTC1QztLAIw%3D%3D&amp;llr=455lm4iab
[198] http://www.acceptanceandcommitmenttherapyact.com
[199] http://www.youtube.com/watch?v=wyDE0cm_7gY
[200] mailto:forsyth@albany.edu?subject=Interested%20in%20ACT-based%20clinical%20supervision%20%2F%20consultation
[201] http://www.drjohnforsyth.com/books1.html
[202] http://www.funktionelpsykologi.dk
[203] http://www.therapist.dk
[204] mailto:ingridrhea@gmail.com
[205] http://www.amazon.com/Group-Supervision-Creative-Practice-Counselling/dp/0761959793/ref=pd_ybh_1?pf_rd_p=280800601&amp;pf_rd_s=center-2&amp;pf_rd_t=1501&amp;pf_rd_i=ybh&amp;pf_rd_m=ATVPDKIKX0DER&amp;pf_rd_r=1Y4K0RJZEM8WAGWP2V35
[206] htttp://www.actmindfully.com.au
[207] http://www.drluoma.com/ACT.html
[208] http://www.learningact.com
[209] http://www.joannesteinwachslcsw.com/TrainingSupervisionConsultation.en.html
[210] http://www.ahus.no
[211] http://www.studia.swps.pl/english-site/
[212] http://malicki.me
[213] http://contextualscience.org/training_standards
[214] http://contextualscience.org/events
[215] https://contextualscience.org/chapters
[216] https://contextualscience.org/special_interest_groups
[217] https://contextualscience.org/conferences
[218] http://contextualscience.org/act_training
[219] http://contextualscience.org/list_of_resources_for_learning_act
[220] http://contextualscience.org/emailing_lists
[221] https://contextualscience.org/files/core_competencies_self-rating_form.doc
[222] http://www.contextualscience.org/hayes_strosahl_2004
[223] http://contextualscience.org/chapters
[224] http://contextualscience.org/how_do_i_manage_my_listserv_subscriptions
[225] http://contextualscience.org/running_a_peer_supervision_group
[226] http://www.learningact.com//about-the-book/index.php
[227] http://www.acbsbene.com/intervisie-groepen
[228] http://contextualscience.org/acbs_belgium_netherlands_chapter
[229] http://www.acbsbene.com
[230] mailto:jim@moritaschool.com
[231] http://www.smact.me
[232] http://www.rhondahelp.com
[233] mailto:doctor.kaplan@gmail.com?subject=ACT-NYCE&amp;body=Interested%20in%20info%20about%20ACT%20NYCE
[234] mailto:pilecki@gmail.com?subject=ACT-NYCE%20supv%20group&amp;body=I%20am%20interested%20in%20the%20ACT%20NYCE%20supv%20group
[235] mailto:NYC PEER-TO-PEER SUPERVISION GROUPS: NYC has at least two running supervision groups running and intermittently taking new members. They usually require a willingness to commit to attending monthly meetings for a least a period of several months to a year. These groups are primarially focused on peer case presentation &amp; ACT case conceptualization. They sometimes assign books and/or chapters for dicussion. Other activites may include role-playing, ACT experientials, &amp; rehearsing specific ACT interventions. They are usually hosted by at least one ACT experienced professional. 1. ACT-NYCE (ACT in NYC Environs): Meets fourth Wed., of every month at the New School; contact Jonathan Kaplan, PhD: doctor.kaplan@gmail.com, or Brian Pilecki, MA: pilecki@gmail.com 2. Union Square ACT Study Group: Meets monthly, at 41 Union Square W, Suite 736, Contact Rob Handelman, PsyD, drrob@hotmail.com 3. Monthly ACT Open Practice/Study Group: Not structured as a peer-to-peer supervision group, but as an open and rotating audience of ACT interested professionals. Monthly format alternates between one month ACT case conference, the alternate month emphasizes facilitated practice/experientials. Regular monthly meetings the third Thursday of every month, from 7:00-8:45, at The Village Community School, 272-278 West 10th Street, NYC. Contact: Brian Pilecki, pilecki@gmail.com. For more information on ACT in NYC see NYC-ACBS webpage: www.nycacbs.com?subject=supv%20group&amp;body=I%20would%20like%20info%20on%20the%20ACT%20supv%20group
[236] mailto:pilecki@gmail.com?subject=ACT%20study%20Group&amp;body=Interested%20in%20ACT%20study%20group%20info
[237] http://www.nycacbs.com
[238] http://drlyden.com
[239] http://www.portlandpsychotherapyclinic.com/training/acceptance_and_commitment_therapy_peer_consultation
[240] http://www.austinmindfulness.org
[241] http://actinaustin-subscribe@yahoogroups.com
[242] https://www.appic.org/About-APPIC/Universal-Psychology-Postdoctoral-Directory/detail?id=1860
[243] http://tinyurl.com/k7syzry
[244] http:// http://www.acu.edu.au/research/research_institutes_and_programs/ippe
[245] http://www.portlandpsychotherapyclinic.com/
[246] http://portlandpsychotherapyclinic.com/anxiety-clinic/
[247] http://portlandpsychotherapyclinic.com/portland-psychotherapy-unique-model-combining-science-and-practice-psychotherapy/
[248] https://contextualscience.org/webform/register_your_interest_in_the_acbs_world_conferenc_0
[249] https://contextualscience.org/wc14
[250] http://contextualscience.org/wc13
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[252] http://contextualscience.org/wc11
[253] http://contextualscience.org/wc10
[254] http://contextualscience.org/wc9
[255] http://www.contextualscience.org/wc8
[256] http://www.unr.edu/
[257] http://www.contextualscience.org/world_conference3
[258] http://www.utwente.nl/en/
[259] http://www.contextualscience.org/act_summer_institute_iv
[260] http://www.contextualscience.org/act_summer_institute_iii
[261] http://www.contextualscience.org/world_conference2
[262] https://twitter.com/myacbs
[263] https://www.facebook.com/AcbsWorldConferenceNewsFeed
[264] http://contextualscience.org/wc11_ce_credits
[265] http://contextualscience.org/wc11_preconference_workshops
[266] http://contextualscience.org/files/WC11 clean brief schedule 6.20.pdf
[267] http://contextualscience.org/wc11_program
[268] http://contextualscience.org/wc11_invited_speakers
[269] http://&lt;h3&gt;
[270] http://contextualscience.org/sydney_cruise
[271] http://contextualscience.org/world_conference_11_audio_recordings
[272] http://www.delta.com
[273] https://www.delta.com/booking/searchFlights.do?displayTripType=roundtrip
[274] http://contextualscience.org/visa_to_australia_everyone_needs_one
[275] http://igniteshow.com/
[276] http://www.speakerconfessions.com/2009/06/how-to-give-a-great-ignite-talk/
[277] http://contextualscience.org/wc11_room_share_ride_share
[278] http://www.coogeesands.com.au/Default.aspx
[279] http://www.coogeebayhotel.com.au/stay
[280] http://www.medina.com.au/medina-executive-coogee/hotel-room-types
[281] https://gc.synxis.com/rez.aspx?Chain=14687&amp;template=GCGLEX&amp;shell=TOGA&amp;locale=en-US&amp;promo=TH4905282&amp;hotel=58460&amp;arrive=07/5/2013&amp;nights=1
[282] http://www.crowneplazacoogee.com.au/
[283] https://resweb.passkey.com/Resweb.do?mode=welcome_ei_new&amp;eventID=9553811
[284] https://resweb.passkey.com/Resweb.do?mode=welcome_gi_new&amp;groupID=19789725
[285] http://www.housing.unsw.edu.au/housing/short_term/short_term.php?p=low_cost
[286] http://www.kayak.com
[287] http://www.surfsidebackpackers.com.au/coogee-beach-backpacker-accommodation/
[288] https://maps.google.com/maps/ms?msa=0&amp;msid=211559458344621587200.0004d137660f851a703f3&amp;ie=UTF8&amp;t=m&amp;ll=-33.919752,151.246204&amp;spn=0.017094,0.027466&amp;z=15&amp;source=embed
[289] http://www.unsw.edu.au/
[290] http://contextualscience.org/australia_travel_tips_getting_there_getting_around#parking
[291] http://contextualscience.org/wc11_public_transportation_info
[292] http://www.psychologyboard.gov.au/Registration/General.aspx
[293] http://www.psychology.org.au/medicare-psychology/cpd-requirements/
[294] http://contextualscience.org/contact
[295] http://wikitravel.org/en/Australia
[296] http://www.airportconnect.com.au/
[297] https://maps.google.com/
[298] http://www.sydneybuses.info/routes
[299] http://maps.google.com/
[300] http://www.daff.gov.au/aqis/travel/entering-australia/cant-take
[301] http://wikitravel.org/en/Sydney
[302] http://contextualscience.org/files/KENC - Parking.pdf
[303] http://contextualscience.org/files/WC11 Onsite Registration Form.doc
[304] https://contextualscience.org/contact
[305] http://www.sydneyprincesscruises.com.au
[306] http://www.sydneyprincesscruises.com.au/page_var16
[307] http://www.immi.gov.au/
[308] http://www.immi.gov.au/visitors/tourist/evisitor/
[309] http://www.immi.gov.au/e_visa/evisitor.htm#b
[310] http://www.immi.gov.au/skilled/business/956-977/
[311] https://www.eta.immi.gov.au/ETA/etas.jsp
[312] http://www.immi.gov.au/allforms/pdf/456.pdf
[313] http://www.immi.gov.au/visitors/event-organisers-participants/
[314] http://contextualscience.org/files/WC11 Program 620_1.pdf
[315] https://contextualscience.org/files/WC11%20Sydney%20Preconhandout_0.pdf
[316] http://contextualscience.org/wc11_registration
[317] mailto:admin@contextualscience.org?subject=Poster%20File
[318] http:// http://contextualscience.org/files/MBT Meta analysis.pdf
[319] http://contextualscience.org/files/Bassam-meta-psychosis.pdf
[320] http://contextualscience.org/files/Bassam-CAM.pdf
[321] http://contextualscience.org/files/Internet-delivered ACT for health anxiety_ACBS 2013.pdf
[322] http://contextualscience.org/files/ACTing on Weight Gallagher.pdf
[323] http://contextualscience.org/files/FIT-60.Batink.pdf
[324] http://contextualscience.org/files/Group ACT for Chronic Health Conditions.Pearson.pptx
[325] http://contextualscience.org/files/The ACT practice for the mother.Tani_.pdf
[326] http://contextualscience.org/files/Emotional Awareness and Social Support.Rowsell.pptx
[327] http://contextualscience.org/files/Effects_of_cognitive_diffusion_poster_final.pdf
[328] http://contextualscience.org/files/Impact of Psychological Flexibility.pdf
[329] http://contextualscience.org/files/ACLposter_finalversion2.pdf
[330] http://contextualscience.org/files/Making Waves.Hall_.pdf
[331] http://contextualscience.org/files/S2P9.Butler.pptx
[332] http://contextualscience.org/files/S2P10.Ramos_.pptx
[333] http://contextualscience.org/files/ACT for Interpreters.Corti_.pdf
[334] http://contextualscience.org/files/An app for Indigenous suicide prevention.pdf
[335] http://contextualscience.org/files/28 Dudek-Glabicka poster_0.pdf
[336] http://contextualscience.org/files/Mexcian Behavior Therapists. Reyes Ortega.pdf
[337] https://contextualscience.org/files/WC11%20Sydney%20Preconhandout.pdf
[338] http://contextualscience.org/files/WC11 Public Bus Transportation Map.pdf
[339] http://contextualscience.org/wc9_pre-cons
[340] http://www.contextualscience.org/wc9_ce_credits
[341] http://contextualscience.org/files/WC9_Program_final_june13online.pdf
[342] http://www.nbcc.org/
[343] http://www.socialworkers.org/
[344] http://maps.google.com/maps/ms?hl=en&amp;ie=UTF8&amp;msa=0&amp;msid=211865872209980479462.00049bc94d79ab9b15327&amp;ll=44.81174,10.321312&amp;spn=0.029227,0.054932&amp;z=14&amp;source=embed
[345] https://contextualscience.org/wc9_room_share
[346] http://maps.google.com/maps/ms?hl=en&amp;ie=UTF8&amp;source=embed&amp;msa=0&amp;msid=211865872209980479462.00049bc94d79ab9b15327&amp;ll=44.805346,10.328436&amp;spn=0.014615,0.027466&amp;z=15
[347] mailto:hotelbutton@tin.it
[348] http://www.hotelbutton.it/
[349] mailto:info@piuhotels.com
[350] http://www.astoriaexecutivehotel.it/
[351] mailto:info@hotel-torino.it
[352] http://www.hotel-torino.it/index.php?lingua=en
[353] http://info@hoteldaniel.biz/
[354] http://www.hoteldaniel.biz/
[355] mailto:info@hoteltoscanini.it
[356] http://www.hoteltoscanini.it/
[357] mailto:duparc.pr@starhotels.it
[358] http://www.starhotels.com/hotel/du_parc_parma/starhotels_du_parc.php?idalb=13&amp;lin=1
[359] mailto:reservationsml@sinahotels.com
[360] http://www.palacemarialuigia.com/hotel-in-parma/luxury-hotel-parma.html
[361] http://www.ostelloparma.it/en/
[362] http://mvcongressi.onlinecongress.it/Cod1201
[363] http://contextualscience.org/wc9_ce_credits
[364] https://contextualscience.org/../../wc9_ce_credits
[365] http://contextualscience.org/user/kirkstrosahl
[366] http://contextualscience.org/user/patti_robinson
[367] http://contextualscience.org/wc9_hotels
[368] https://contextualscience.org/wc9_hotels
[369] http://www.parma-airport.it/default.aspx
[370] http://www.skyscanner.net/
[371] http://www.meridiana.it/it/index.aspx
[372] http://www.volawindjet.it/
[373] http://www.blu-express.com/
[374] http://www.easyjet.com/
[375] http://www.ryanair.com/
[376] http://www.airitaly.it/
[377] http://www.alitalia.com/AP_IT/home/index.aspx
[378] http://www.airberlin.com/
[379] http://www.aerlingus.com/
[380] http://www.cimber.com/
[381] http://www.jet2.com/
[382] http://www.vueling.com/
[383] http://www.kayak.com/
[384] http://www.trenitalia.com/
[385] http://www.raileurope.com/us/rail/point_to_point/triprequest.htm
[386] http://www.easycaritalia.com/
[387] http://www.rent.it/
[388] http://www.europcar.it/
[389] http://www.infomobility.pr.it/index.php?id=14&amp;page=default〈=it&amp;sezione=elenco_giallo_block
[390] http://turismo.comune.parma.it/tportalparma/application/tportal/engine/pubblica.jsp?db=tportalparma&amp;id=homeIAT_en
[391] https://contextualscience.org/files/Internet%20Info%20Parma%20and%20Province1.doc
[392] https://contextualscience.org/files/Official_list_babysitter_Parma-1.pdf
[393] http://www.contextualscience.org/contact
[394] http://www.raileurope.com/index.html
[395] http://turismo.comune.parma.it/tportalparma/application/tportal/engine/pubblica.jsp?db=tportalparma&amp;id=homeIAT_en&amp;transformJava=true
[396] mailto:kate.morrison@aggiemail.usu.edu?subject=WC9%20Poster%20Session%20Postings
[397] http://contextualscience.org/system/files/ACT%20Workshop%20for%20parents%20of%20children%20with%20PDD%20Tani_1.pdf
[398] http://contextualscience.org/system/files/Portuguese_AAQ-II_Pinto-Gouveia.pdf
[399] http://contextualscience.org/system/files/Portuguese_CFQ_Pinto-Gouveia.pdf
[400] http://contextualscience.org/system/files/ACT_COPD_Duckworth_Dionne.pdf
[401] http://contextualscience.org/system/files/Dutch_Chronic_Pain.pdf
[402] http:// http://contextualscience.org/system/files/ACT_Procrastination_Dionne_Duckworth.pdf
[403] http://contextualscience.org/system/files/Portuguese_AAQ-TS.pdf
[404] http://contextualscience.org/system/files/ACT_for_sick_leave_0.pdf
[405] http://contextualscience.org/system/files/ACT_Sick_Leave_Wallin.pdf
[406] http://contextualscience.org/system/files/Clean_Language_Aalberse_file1.pdf
[407] http://contextualscience.org/system/files/Clean_Language_Aalberse_file2.pdf
[408] http://contextualscience.org/system/files/Psychological%20flexibility%20a%20mediator%20of%20change%20in%20Internet%20delivered%20ACT%20therapy%20for%20bariatric%20surgery%20patients%20Weineland_1.pdf
[409] http://contextualscience.org/system/files/ET_FOT_ACT_Szabo.pdf
[410] http://contextualscience.org/system/files/Spider_fear_Moghaddam.pdf
[411] http://contextualscience.org/system/files/Body%20Image%20Acceptance.Portuguese%20version%20of%20BI-AAQ%20Ferreira.pdf
[412] http://contextualscience.org/system/files/Chronic_Pain_Trompetter.pdf
[413] http://contextualscience.org/system/files/Mindfulness_for_infertility.ppt
[414] http://contextualscience.org/system/files/Belal_Mustafa_File1.pdf
[415] http://contextualscience.org/system/files/Belal_Mustafa_File2.pdf
[416] http://contextualscience.org/system/files/Poetry_of_ACT_Martin.pdf
[417] http://contextualscience.org/system/files/Electrodermal_activity_and_anxiety.docx
[418] http://contextualscience.org/system/files/Dissemination%20and%20training%20in%20empirically%20supported%20Maero.pdf
[419] http://contextualscience.org/system/files/Restoring_Dignity_Bockarie.pdf
[420] http://contextualscience.org/system/files/IRAP_alone_Larsson.pdf
[421] http://www.act-italia.org/
[422] http://www.iescum.org/
[423] https://vimeo.com/user6417057
[424] https://vimeo.com
[425] http://contextualscience.org/WC9powerpoints
[426] http://www.contextualscience.org/wc8_preconference
[427] http://www.contextualscience.org/wc8_ce_credits
[428] http://www.contextualscience.org/wc8_invited_speakers
[429] https://contextualscience.org/files/WC8%20Program%20complete%205-27.pdf
[430] http://www.visitrenotahoe.com/
[431] http://en.wikipedia.org/wiki/National_Bowling_Stadium
[432] http://www.automuseum.org/
[433] http://www.nevadaart.org/
[434] http://www.virginiacity-nv.org/
[435] http://www.visitrenotahoe.com/|Reno-Sparks-Lake Tahoe region]] has over 18 world-class ski resorts, many just a short 45 minutes from downtown, and 40-plus golf courses. World-class fishing, hiking, biking, kayaking, and numerous other outdoor activities abound. The area also boasts 60 gaming locations with excellent entertainment and restaurants, the [[http://en.wikipedia.org/wiki/National_Bowling_Stadium|National Bowling Stadium]], the [[http://www.automuseum.org/|National Automobile Museum]], the [[http://www.nevadaart.org/|Nevada Museum of Art]] and the historic silver boomtown of [[http://www.virginiacity-nv.org/|Virginia City]]. The [[http://www.renorodeo.com/
[436] http://web.minorleaguebaseball.com/index.jsp?sid=t2310
[437] http://www.contextualscience.org/world_conference_VIII_submissions
[438] http://www.silverlegacyreno.com
[439] http://www.silverlegacyreno.com/things_to_do/adventure_desk/
[440] http://www.eldoradoreno.com/
[441] http://www.circusreno.com/
[442] http://www.harrahsreno.com/casinos/harrahs-reno/hotel-casino/property-home.shtml
[443] http://www.sienareno.com
[444] http://www.orbitz.com
[445] http://www.hotels.com
[446] http://www.rtcwashoe.com/Schedules/schedule_files/schedule_SIERRASPIRIT.pdf
[447] http://unr.edu/studentunion
[448] http://unr.edu
[449] http://www.nbcc.org
[450] http://www.contextualscience.org/tsai_kohlenberg_reno
[451] http://www.southwest.com/
[452] http://www.skyscanner.net
[453] http://www.amtrak.com/servlet/ContentServer/AM_Route_C/1237608341980/1229726269836
[454] http://www.unr.edu/tour/UNR-Campus-Map.pdf
[455] http://www.unr.edu/parking/documents/CAMPUSPARKINGMAP2009-2010-PermitMeteredParkingMap.pdf
[456] http://www.unr.edu/studentunion/maps/directions.html
[457] http://www.rtcwashoe.com/section-public-transportation
[458] http://www.silverlegacyreno.com/amenities/hertz_car_rental
[459] http://www.bart.gov/
[460] http://[http://www.kayak.com
[461] http://www.contextualscience.org/forsyth_reno
[462] http://www.contextualscience.org/hayes_reno
[463] http://www.contextualscience.org/coyne_reno
[464] http://www.contextualscience.org/wilson_reno
[465] http://www.contextualscience.org/torneke_blackledge_reno
[466] http://www.contextualscience.org/walser_reno
[467] http://www.contextualscience.org/dahl_fletcher_livheim_reno
[468] http://galileetahoe.org/gecccpics.shtml
[469] http://www.southtahoeexpress.com/
[470] http://www.contextualscience.org/wc8_room_ride_share
[471] http://galileetahoe.org/map.shtml
[472] https://contextualscience.org/../../files/WC8%20Program%20complete%205-27.pdf
[473] http://maps.google.com/maps/ms?ie=UTF8&amp;hl=en&amp;msa=0&amp;msid=111126068526996475318.000473a6df0262dcd47b8&amp;ll=39.53463,-119.814749&amp;spn=0.031774,0.054932&amp;z=14&amp;source=embed
[474] http://planetarium.unr.edu/index.html
[475] http://museums.nevadaculture.org/
[476] http://visitreno.com/parks/wingfield.php
[477] http://www.pioneercenter.com/index.htm
[478] http://www.renophilharmonic.com/
[479] http://www.nevadaopera.org/
[480] http://www.avaballet.com/
[481] http://www.renoconcerts.org/
[482] http://www.bruka.org/Index.html
[483] http://www.wildisland.com/
[484] http://www.grandsierraresort.com/activities/recreation/ultimate_rush/
[485] http://www.maycenter.com/
[486] http://www.sierrasafari.org/
[487] http://www.animalark.org/
[488] http://www.zephyrcove.com/
[489] http://www.tahoerimtrail.org/
[490] http://www.thunderbirdlodge.org/index.html
[491] http://www.truckeeriverraft.com/
[492] http://www.tahoetruckeerafting.com/
[493] http://www.visittahoecity.com/
[494] http://docs.google.com/a/contextualscience.org/fileview?id=0BwSsZcOgUV4tN2QyZWE3MTUtM2M4ZC00MWJkLTkyZjMtOTY3Mzg4MmFhOTc0&amp;hl=en
[495] http://www.contextualscience.org/how_do_i_purchase_or_renew_membership
[496] http://www.contextualscience.org/benefits_of_acbs_membership
[497] http://contextualscience.org/system/files/Bastien%20Trauma.ppt
[498] https://contextualscience.org/../../system/files/Strosahl%20ACBS%20ACT%20Brief%20Intervention%20Workshop.ppt
[499] https://contextualscience.org/../../system/files/ACT-Based%20Family%20Intervention%20for%20Adolescents%20with%20Anorexia%20Nervosa.pdf
[500] http://contextualscience.org/system/files/Levin_PreventionPanel.pptx
[501] https://contextualscience.org/../../system/files/ACT%20Based%20Prev%20Prog%20Panel%20Morse.pptx
[502] http://contextualscience.org/system/files/ACT_for_Anxious_Children_Families_Coyne.Davis_.pptx
[503] http://contextualscience.org/system/files/ACT_EDSandoz.pdf
[504] http://contextualscience.org/system/files/Workshop%20Manduchi_ACT_and_disordered_eating_anorexia_SandozPresti.ppt
[505] http://contextualscience.org/system/files/ACT_for_Spiritual_Development.ppt
[506] http://contextualscience.org/system/files/Manduchi_ACT_in_Eating_Disorders_Clinical.ppt
[507] http://contextualscience.org/system/files/Livheim.ppt.2010.pdf
[508] http://contextualscience.org/system/files/Lifecompasses.two_.versions.Livheim.handout.pdf
[509] http://contextualscience.org/system/files/HealthAnxiety_Eilenberg_Frostholm.ppt
[510] http://contextualscience.org/system/files/ACTinPractice_BachMoran_June2010.ppt
[511] http://contextualscience.org/system/files/Gregg_living_and_dying.pdf
[512] https://contextualscience.org/../../system/files/Strosahl%20ACBS%20ACT%20With%20Complex%20Cases.ppt
[513] http://contextualscience.org/system/files/Coyne_ACT_for_Kids_Two_Day_Workshop.pptx
[514] https://contextualscience.org/../../system/files/Depression%20-%20Zettle-1.ppt
[515] http://contextualscience.org/system/files/Introduction_to_Longitudinal_Data_Analysis.pdf
[516] http://contextualscience.org/system/files/ACT_with_students_Woidneck.pptx
[517] http://contextualscience.org/system/files/LouiseHayes_young_people_0.pptx
[518] http://contextualscience.org/system/files/ACT%20RENO%20Compassion2.pptx
[519] http://contextualscience.org/system/files/Art_and_Science_of_Thought_Suppression_compressed.pdf
[520] http://contextualscience.org/system/files/Measuring_fusion_defusion_Kearney.ppt
[521] http://contextualscience.org/system/files/Thompson_PTSD.ppt
[522] http://contextualscience.org/system/files/CBA_Workshop_Bonow_Follette.pptx
[523] http://contextualscience.org/system/files/Reticulated%20Science-1.pptx
[524] http://contextualscience.org/system/files/drake.iraping%20to%20psy%20flex.pptx
[525] http://contextualscience.org/system/files/Levin_PASAT_MonAM_BxMeasuresSymposium.pptx
[526] http://contextualscience.org/system/files/LillisDoing_ACT_Research.ppt
[527] http://contextualscience.org/system/files/Teaching_ACT_While_Still_Recalling_Your_ABCs.ppt
[528] https://contextualscience.org/../../system/files/Eating%20Dialog.ppt
[529] https://contextualscience.org/../../system/files/ACT_and_Motivational_Interviewing_Dempsey.ppt
[530] http://contextualscience.org/system/files/Enhancing%20Psychotherapy%20with%20Values_revised_final_0.ppt
[531] http://contextualscience.org/system/files/Values%20workshop%20handouts.pdf
[532] http://contextualscience.org/system/files/Polk.Matrix.WorldCon8.ppt
[533] http://contextualscience.org/system/files/Villatte_WC2010_Creative%20Hoplessness.ppt
[534] http://contextualscience.org/system/files/Davis_EA_Safety_Seeking_and_Willingness_in_Family_Based_CBT_for_OCD.pptx
[535] http://contextualscience.org/system/files/Morrill_Experiential_Avoidance_Parenting_Measure.pptx
[536] http://contextualscience.org/system/files/Bendezu_Maternal_Avoidant_Emotion_Regulation_Preschooler.pptx
[537] http://contextualscience.org/system/files/Thompson_Maternal_Emotion_Regulation_Depression.pptx
[538] http://contextualscience.org/system/files/drake.defs%20of%20psy%20flex.pptx
[539] http://contextualscience.org/system/files/Levin_WedAM_OnlineSymposium.pptx
[540] http://contextualscience.org/system/files/TWilson.plenary_0.ppt
[541] http://contextualscience.org/system/files/PresentationAtelierEmpathyWC-VIIIlast%5B1%5D.pptx
[542] http://contextualscience.org/system/files/Pakenham_stress.pptx
[543] https://contextualscience.org/../../system/files/Introduction_to_Longitudinal_Data_Analysis.pdf
[544] https://contextualscience.org/../../system/files/Intro_to_RFT_Clinicians.pptx
[545] http://contextualscience.org/system/files/Linking_RFT_to_the_Hexaflex.ppt
[546] http://contextualscience.org/system/files/Horwath_EA_0.pdf
[547] https://contextualscience.org/../../system/files/Schmidt.ACBS2010.Believability_final.ppt
[548] http://contextualscience.org/system/files/Luoma_Addiction_Measure_development.pptx
[549] https://contextualscience.org/../../system/files/Bricker_Telephone_Smoking.ppt
[550] http://contextualscience.org/system/files/Silberstein%20Presentation.ppt
[551] http://contextualscience.org/system/files/Perspectives_on_perspective_takingVilardaga_0.pptx
[552] http://contextualscience.org/system/files/Developing%20a%20spirituality%20inventory.pptx
[553] http://contextualscience.org/system/files/Carrasquillo_perspectives.pptm
[554] https://contextualscience.org/../../system/files/Pillars_Posts_Strosahl%20Response%20Styles.ppt
[555] http://contextualscience.org/system/files/Farhall_ACT_for_people_with_persisting_psychosis_0.ppt
[556] https://contextualscience.org/../../system/files/RGB%20as%20delusion%20maintenance%20factor%20in%20schizophrenia.ppt
[557] http://contextualscience.org/system/files/Reconstructing_measurement_theory_Assessment_presentation.pptx
[558] http://contextualscience.org/system/files/VALUES%20SYMP%202010.pdf
[559] http://contextualscience.org/system/files/RFT_ACTtalkClinicalexamples.docx
[560] http://contextualscience.org/system/files/Road_Ahead_ACT_research_session.pdf
[561] http://contextualscience.org/system/files/the_shaping_game_2010.pps.ppt
[562] http://contextualscience.org/system/files/Speaking%20across%20islands_0.ppt
[563] http://contextualscience.org/system/files/Villatte_WC2010_%20SCD%20workshop.ppt
[564] https://contextualscience.org/../../system/files/Standing%20Your%20Ground%20acbs.pdf
[565] http://contextualscience.org/system/files/Stress%20Less%20Live%20More.ppt
[566] http://contextualscience.org/system/files/Stress%20Less%20Live%20More%20Handouts.doc
[567] http://contextualscience.org/system/files/FledderusSchreursSupportingACTonline6-21-2010.pdf
[568] http://contextualscience.org/system/files/Newsome_Social_Skills.pptx
[569] http://contextualscience.org/system/files/Fletch_NS%20panel.pptx
[570] http://contextualscience.org/system/files/Hayes_Contextual_Neuro.ppt
[571] http://contextualscience.org/system/files/ACT%20RENO%20neuroscience.pptx
[572] http://www.contextualscience.org/system/files/Transformation%20in%20Psychotherapy.ppt
[573] http://contextualscience.org/system/files/matrix-based_psyflex%20measure.pptx
[574] http://contextualscience.org/system/files/truth_about_Contextualism.ppt
[575] http://contextualscience.org/system/files/GroupTraininginVocRehab_Merladet_Billig_Acord.pptx
[576] http://contextualscience.org/system/files/ACT_%2526_FAP_Reno_B.Schoendorff..pdf
[577] http://contextualscience.org/system/files/McKay%20Values%20Seminar.ppt
[578] http://contextualscience.org/system/files/Hayes%20Plenary%20at%20WC8.ppt
[579] http://system/files/The_Wisdom_to_Know_the_Difference%206_23_10.ppt
[580] http://contextualscience.org/wc10_pre-cons
[581] http://contextualscience.org/wc10_room_share
[582] http://contextualscience.org/wc10_registration
[583] http://contextualscience.org/files/WC10_schedule_finalprogram.pdf
[584] http://contextualscience.org/files/WC10_schedule_clean1 audiocomp2aRFTyellow.pdf
[585] http://contextualscience.org/files/WC10program.pdf
[586] http://contextualscience.org/wc10_invited_speakers
[587] http://contextualscience.org/wc10_hotel
[588] http://contextualscience.org/webform/world_conference_x_expo_poster_submissions
[589] http://contextualscience.org/webform/world_conference_x_plenary_invited_address
[590] http://contextualscience.org/webform/world_conference_x_chapter_sig_meeting
[591] http://www.psad-easd.eu/templates/main.php?recordID=52
[592] http://contextualscience.org/files/WC10_schedule_clean1_BCBAyellow.pdf
[593] http://www.supershuttle.com/
[594] http://www.wmata.com/rail/trackwork.cfm
[595] http://www.marriott.com/hotels/maps/travel/wasbn-bethesda-north-marriott-hotel-and-conference-center/
[596] http://www.wmata.com/rail/parking/parking_detail.cfm?station=15
[597] http://www.wmata.com/
[598] http://www.wmata.com/fares/smartrip/smartrip_qanda.cfm
[599] http://www.wmata.com/rail/maps/map.cfm
[600] http://www.wmata.com/fares/purchase/passes.cfm
[601] http://www.wmata.com/fares/metrobus.cfm
[602] http://www.wmata.com/rider_tools/tripplanner/tripplanner_form_solo.cfm
[603] http://www.marriott.com/hotels/local-things-to-do/wasbn-bethesda-north-marriott-hotel-and-conference-center/
[604] http://contextualscience.org/system/files/mac-acbs dc local area info.doc
[605] http://www.marriott.com/hotels/travel/wasbn-bethesda-north-marriott-hotel-and-conference-center/
[606] https://resweb.passkey.com/Resweb.do?mode=welcome_gi_new&amp;groupID=3979743
[607] http://contextualscience.org/getting_there_getting_around_DC#Metro
[608] http://www.hiexpress.com/hotels/us/en/rockville/wasrk/hoteldetail?groupCode=ACB
[609] http://www.wmata.com/rail/station_detail.cfm?station_id=15
[610] http://maps.google.com/maps/ms?msa=0&amp;hl=en&amp;ie=UTF8&amp;vpsrc=6&amp;msid=211559458344621587200.0004ab4713098308c30f2&amp;ll=38.970087,-77.108231&amp;spn=0.256248,0.439453&amp;z=11&amp;source=embed
[611] http://contextualscience.org/amazon_store/item/0553380990
[612] http://contextualscience.org/wc10_ce_credits
[613] mailto:kate.morrison@aggiemail.usu.edu?subject=WCX%20Poster%20File
[614] http://contextualscience.org/files/Phone Pain.Sullivan.pdf
[615] http://contextualscience.org/files/Fitness.GallowayWilliams.pdf
[616] http://contextualscience.org/files/ACT Group Adolescent.Turrell.pdf
[617] http://contextualscience.org/files/Ecological.Batink.pdf
[618] http://contextualscience.org/files/Social Anxiety.Winch_.pptx
[619] http://contextualscience.org/files/Exposure Alternative.Sears_.ppt
[620] http://contextualscience.org/files/Quantitative Fxal Evaluation Monestès et al.pdf
[621] http://contextualscience.org/files/Fluency Training.Berry_.pptx
[622] http://contextualscience.org/files/ACT for Insomniacs. Meadows.pdf
[623] http://contextualscience.org/files/Religiosity.House_.pptx
[624] http://contextualscience.org/files/PF and Distress.Mandavia.pptx
[625] http://contextualscience.org/files/Mindfulness.Grégoire.pdf
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[919] https://contextualscience.org/files/36%20Wed%20Integrating%20ACT%20Training%20into%20Postgraduate.pdf
[920] https://contextualscience.org/files/47%20Wed%20%20Predicting%20dishonest%20behaviors%20in%20the%20academic%20context%20-%20Lidia%20Baran.pdf
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[953] https://contextualscience.org/files/40%20Sat%20Promoting%20the%20effectiveness%20of%20teachers%E2%80%99%20group%20work%20in%20Italian%20Secondary%20Schools.pdf
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[965] https://www.google.com/maps/ms?msa=0&amp;msid=211501224644366936181.00050604003f44db804a0&amp;hl=en&amp;ie=UTF8&amp;t=m&amp;ll=52.476089,13.422546&amp;spn=0.292762,0.583649&amp;z=10&amp;source=embed
[966] http://res.skyteam.com/Search/promoDefault.aspx?vendor=sky&amp;promocode=2787S
[967] http://www.skyteam.com/en/Supporting-your-business/Global-meetings/Attend-an-event/
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[971] http://fahrinfo.bvg.de/Fahrinfo/bin/query.bin/en?ujm=1&amp;MapLayer=NETWORK
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[1165] http://contextualscience.org/files/30. Acceptance and Commitment Therapy with Children Evaluation of Two Interventions.pdf
[1166] https://contextualscience.org/files/32.%20Effect%20of%20a%20Short%20Mindfulness%20Intervention%20on%20the%20Cognitive%20Interference%20Caused%20by%20Pain.pdf
[1167] http://contextualscience.org/files/33. Japanese Version of Child and Adolescent Mindfulness Measure Development and Examination of its Reliability and Validity.pdf
[1168] http://contextualscience.org/files/36. ACTivate your service Introducing an ACT model at the level of clinical intervention, training and supervision across the Adult Mental Health pathway of a rural county in the UK.pdf
[1169] http://contextualscience.org/files/39. Dissemination of a Functional Analytic Psychotherapy (FAP)-Informed Intervention for Loneliness Results from an Open Trial_0.pdf
[1170] http://contextualscience.org/files/42. Using ACT with Adolescents Impacted by Cancer The PEER Program.pdf
[1171] http://contextualscience.org/files/43. A Brief ACT Based Group Program for Unemployed Individuals with Mental Health Problems.pdf
[1172] http://contextualscience.org/files/44. From Feeling Inferior to Being Concerned About One’s Body Weight and Shape The Weight of Body Image–Related Psychological Inflexibility.pdf
[1173] http://contextualscience.org/files/2. The Development of a Mindfulness Mobile App Targeting People Facing Infertility The MindfulSpot.pdf
[1174] http://contextualscience.org/files/4. Design of a Protocol for Addictions and Application of Contextual Therapy.pdf
[1175] https://contextualscience.org/files/5.%20Experiential%20avoidance%20longitudinally%20impacts%20IBD%20patients%E2%80%99%20physical%20health%20A%20latent%20growth%20analysis.pdf
[1176] https://contextualscience.org/files/6.%20Prevention%20and%20Treatment%20of%20Psychosomatic%20and%20Psychosocial%20Symptoms%20Among%20Unemployed%20Individuals%20at%20Times%20of%20Socioeconomic%20Crisis%20A%20Pilot%20Study%20of%20an%20ACT-Based%20Group%20Intervention.pdf
[1177] https://contextualscience.org/files/8.%20Development%20and%20Validation%20of%20an%20Implicit%20Measure%20of%20(Chronic)%20Pain-Related%20Fear,%20Avoidance%20and%20Acceptance%20in%20Adolescents.pdf
[1178] https://contextualscience.org/files/10.%20Social%20Anxiety%20The%20Role%20of%20Experiential%20Acceptance%20in%20Avoidance%20Behavior%20of%20Social%20Situations.pdf
[1179] http://contextualscience.org/files/17. Impact of a Mindfulness Intervention (MBSR) on Clinical Severity and Inflammatory Biomarkers in Patients with Fibromyalgia.pdf
[1180] http://contextualscience.org/files/18. Psychometric Properties of the Spanish Version of Cognitive Emotion Regulation Questionnaire (CERQ) in Patients with Fibromyalgia.pdf
[1181] http://contextualscience.org/files/19. Brief Protocol for the Development of Repertoires of Psychological Flexibility in Depression Patterns.pdf
[1182] http://contextualscience.org/files/20. Acceptance and Commitment Therapy for Co-Occurring Posttraumatic Stress Disorder and Alcohol Use Disorders in U.S. Military Veterans Preliminary Treatment outcomes.pdf
[1183] http://contextualscience.org/files/23. An Attempt to Measure Experiential Avoidance in Daily Life Using Ecological Momentary Assessment.pdf
[1184] http://contextualscience.org/files/24. The Social Anxiety – Acceptance and Action Questionnaire for Adolescents (SA-AAQ-A).pdf
[1185] https://contextualscience.org/files/25.%20A%20systematic%20review%20of%20the%20effectiveness%20of%20ACT%20for%20BI%20dissatisfaction%20and%20weight%20stigma.pdf
[1186] http://contextualscience.org/files/26. Effectiveness of Acceptance-Based Self-Help for Individuals with Visible Difference and Social Anxiety.pdf
[1187] http://contextualscience.org/files/27. The AAQ-II Translation to Georgian A Preliminary Validation Study.pdf
[1188] http://contextualscience.org/files/29. Effectiveness of a 10-Week Pilot Acceptance and Commitment Therapy Group for Social Anxiety Disorder.pdf
[1189] https://contextualscience.org/files/31.%20Flex%20Game%20The%20game%20of%20the%20Psychological%20Flexibility.pdf
[1190] https://contextualscience.org/files/32.%20Beyond%20the%20use%20of%20protocols%20in%20the%20treatment%20of%20BPD%20in%20Colombia.pdf
[1191] http://contextualscience.org/files/35. Acceptance and Commitment Therapy (ACT) for Adolescent Psychiatric and Substance Use Disorders.pdf
[1192] https://contextualscience.org/files/37.%20Cognitive%20Fusion%20Concept%20and%20Validation%20of%20the%20German%20Version%20of%20the%20Cognitive%20Fusion%20Questionnaire%20CFQ-D.pdf
[1193] http://contextualscience.org/files/39. Psychological and Cognitive Flexibility in Relationship to Age and Anxiety.pdf
[1194] https://contextualscience.org/files/41.%20Justificaci%C3%B3n%20y%20dise%C3%B1o%20de%20un%20estudio%20que%20compara%20una%20Intervenci%C3%B3n%20basada%20en%20Terapia%20de%20Aceptaci%C3%B3n%20y%20Compromiso%20con%20una%20intervenci%C3%B3n%20basada%20en%20Mindfulness%20en%20enfermos%20oncol%C3%B3gicos.pdf
[1195] https://contextualscience.org/files/45.%20Desenganchados%20de%20la%20vida.pdf
[1196] http://contextualscience.org/files/46. Aplicación de ACT a Grupo de Pacientes de ESM.pdf
[1197] https://contextualscience.org/files/47.%20Morir%20antes%20de%20tiempo%20Terapia%20de%20Aceptaci%C3%B3n%20y%20Compromiso%20en%20Cuidados%20Paliativos.pdf
[1198] https://contextualscience.org/files/49.%20Protocolo%20breve%20basado%20en%20la%20Terapia%20de%20Aceptacion%20y%20Compromiso.pdf
[1199] http://contextualscience.org/files/51. Shame, Guilt and Substance Use Coping The Mediating Role of Self-Compassion.pdf
[1200] https://contextualscience.org/files/52.%20Brief%20Evidence-Based%20ACT-Enhanced%20Parenting%20Intervention%20to%20Promote%20Young%20Adolescents%E2%80%99%20School%20Engagement.pdf
[1201] http://contextualscience.org/files/54. Physiological and Psychological Barriers to Progressing Along the Stages to Quit Smoking Among People with Schizophrenia.pdf
[1202] http://contextualscience.org/files/56. Work-Related Stress, Psychological Flexibility and Organizational Wellfare in a Sicilian Hospital.pdf
[1203] http://contextualscience.org/files/57. Study Protocol for the Development and Testing of a Questionnaire to Measure Mindfulness, Acceptance and Commitment.pdf
[1204] http://contextualscience.org/files/59. Learning Model of Metaphorical Reasoning for Children with Autism Spectrum Disorders.pdf
[1205] https://contextualscience.org/files/62. Citation Analysis of Relational Frame Theory.pdf
[1206] http://contextualscience.org/files/63. Consolidating ACT Training in Uganda.pdf
[1207] https://contextualscience.org/files/65.%20Interface%20between%20Acceptance%20and%20Commitment%20Therapy%20and%20Strategic%20Therapy.pdf
[1208] https://contextualscience.org/files/3.%20Self-Compassion%20and%20Fears%20of%20Compassion%20A%20Comparative%20Study%20in%20Clinical%20Samples%20with%20Personality%20Disorders,%20Psychosis,%20and%20Eating%20Disorders%20and%20a%20Non-Clinical%20Sample.pdf
[1209] http://contextualscience.org/files/6. Application of Acceptance and Commitment Therapy in a Lobectomized Patient Case Report.pdf
[1210] https://contextualscience.org/files/10.%20Fears%20of%20Compassion%20in%20Psychosis%20Preliminary%20Results%20on%20Reliability,%20Validity%20and%20Dimensional%20Structure%20of%20the%20Fears%20of%20Compassion%20Scales.pdf
[1211] http://contextualscience.org/files/14. Group-Based Acceptance and Commitment Therapy Preceded by an Experimental Attentional Bias Modification Procedure for Residual Symptoms of Depression.pdf
[1212] http://contextualscience.org/files/17. Loss of Self as a Cancer Caregiver Learning from RFT and ACT to Develop More Effective Psychological Interventions to Improve Wellbeing.pdf
[1213] http://contextualscience.org/files/18. MAC-CBT Group Therapy for Adult Attention Deficit Hyperactivity Disorder.pdf
[1214] http://contextualscience.org/files/19. Measuring Psychological Flexibility in Chronic and Acute Pain.pdf
[1215] http://contextualscience.org/files/21. Outcomes of a Brief ACT Intervention Among University Students with Borderline Personality Disorder Symptoms.pdf
[1216] http://contextualscience.org/files/24. The Effectiveness of Acceptance and Commitment Therapy (ACT) in Improving Stress and Wellbeing for Employees in a Hospital Setting.pdf
[1217] https://contextualscience.org/files/28. Turkish Version of Valued Living Questionnaire (VLQ) Preliminary Analysis of Reliability and Validity in Non-Clinical Sample.pdf
[1218] http://contextualscience.org/files/31. But What Exactly Are Values A brief discussion about the concept and utility of values in the clinical setting.pdf
[1219] http://contextualscience.org/files/36. “Unfolding the Values of Work” A Qualitative Study on How Therapists in an Occupational Rehabilitation Program Based on ACT.pdf
[1220] http://contextualscience.org/files/37. Eye Tracking Patterns of an Autistic Child Before and After a Multiple-Exemplar Training to Follow the Direction of the Adult Gaze_0.pdf
[1221] https://contextualscience.org/files/40. The Portuguese Version of the Teacher Acceptance and Action Questionnaire Preliminary Data.pdf
[1222] http://contextualscience.org/files/41. About the Development of ACT-Program for Implementing ACT on the Web.pdf
[1223] http://contextualscience.org/files/43. Training program based on ACT &amp; Mindfulness to improve well-being and performance in kickboxing fighters.pdf
[1224] https://contextualscience.org/files/45.%20Assessment%20of%20Cognitive%20Fusion%20among%20Portuguese%20Samples%20Psychometric%20Properties%20and%20Factor%20Structure%20of%20the%20Cognitive%20Fusion%20Questionnaire.pdf
[1225] https://contextualscience.org/files/46.%20The%20Development%20of%20a%20Mobile%20Health%20Care%20Application%20for%20Spinal%20Cord%20Injury%20Patients%20Using%20Acceptance%20and%20Commitment%20Therapy%20(ACT).pdf
[1226] http://contextualscience.org/files/47. Body Image-Related Psychological Inflexibility A Moderator of the Impact of Body Image Discrepancy in Weight Concern and Control Behaviours.pdf
[1227] http://contextualscience.org/files/49. Acceptance and Commitment Training for Employees’ Wellbeing Results From a Randomized Controlled Trial.pdf
[1228] http://contextualscience.org/files/53. Face-Off Does Religious Context Alter the Way We “Read” Faces.pdf
[1229] http://contextualscience.org/files/57. ¿Se Puede Predecir el Abandono en un Tratamiento Grupal de Mindfulness.pdf
[1230] http://contextualscience.org/files/58. Efectividad del Tratamiento Grupal Basado en Mindfulness en un Contexto de Sanidad Pública.pdf
[1231] https://contextualscience.org/files/61.%20Interferencia%20de%20las%20barreras%20del%20terapeuta%20en%20ACT%20un%20caso%20de%20rumia%20obsesiva.pdf
[1232] http://contextualscience.org/files/62. Intervención grupal basada en Mindfulness resultados en ansiedad y depresión.pdf
[1233] http://contextualscience.org/files/65. Una experiencia de Supervisión por Pares y Grupo de Estudio.pdf
[1234] https://contextualscience.org/files/66.%20Social%20Context%20In%20a%20Collective%20IRAP%20Application%20About%20Gender%20Stereotypes.pdf
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[1246] http://www.oneworld.com/benefits
[1247] https://contextualscience.org/files/AEROPUERTO 2016 (1).pdf
[1248] https://contextualscience.org/files/Kirk and Patti Handout.pdf
[1249] https://contextualscience.org/files/Kirk and Patti Slides.pdf
[1250] https://contextualscience.org/files/Kelly Wilson 55 Copies.pdf
[1251] https://contextualscience.org/files/3. Kirk and Patti.pdf
[1252] https://contextualscience.org/files/3. Slides.pdf
[1253] https://contextualscience.org/files/Uncovering the creative hopelessness Seville.pdf
[1254] https://contextualscience.org/files/When you fall off the wagon (1).doc
[1255] https://contextualscience.org/files/bullseye (4).doc
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[1257] https://contextualscience.org/files/Take care of your feelings (2).do
[1258] https://contextualscience.org/files/Ignite Doesn't your therapist feel like a Fraud (jun-22), by Giovanni Pergher.pps
[1259] https://contextualscience.org/files/PPP Four Paths M Medrano PDF.pdf
[1260] https://contextualscience.org/files/Sevilla 2017.pptx
[1261] https://contextualscience.org/files/bullseye (3).doc
[1262] https://contextualscience.org/files/Value Behaviour Tracking.CONSISTENT (1).docx
[1263] https://contextualscience.org/files/My potential health behaviours (1).doc
[1264] https://contextualscience.org/files/Values checklist (2).doc
[1265] https://contextualscience.org/files/IMPACT - Interpersonal Mindfulness Processes in ACT - Russ Harris 2017.pdf
[1266] https://contextualscience.org/files/ADHD PIB Pres.pdf
[1267] https://contextualscience.org/files/43. THU PM.pdf
[1268] https://contextualscience.org/files/62 FRI.pdf
[1269] https://contextualscience.org/files/62. FRI.pdf
[1270] https://contextualscience.org/files/Metaphor participants.pptx
[1271] https://contextualscience.org/files/Procrastination Workshop Seville ACBS DIONNE.pdf
[1272] https://contextualscience.org/files/Session 72 Survivors Suicide Lemay Parada Zelada.pdf
[1273] https://contextualscience.org/files/Complete... 16.06 Evoking, exploring and shaping relevant bodily responses.pdf
[1274] https://contextualscience.org/files/76. FRI.pdf
[1275] https://contextualscience.org/files/Top 10 mistakes by Rikke Kjelgaard.pdf
[1276] https://contextualscience.org/files/EvoS and CBS Steve Hayes Seville plenary.pptx
[1277] https://contextualscience.org/files/ACT in Organizations.pdf
[1278] https://contextualscience.org/files/98. SAT AM.pdf
[1279] https://contextualscience.org/files/Live Demonstrations With Difficult Cases - Russ Harris 2017.pdf
[1280] https://contextualscience.org/files/Kg-Free_Lara Palmeira_symposium115.pdf
[1281] https://contextualscience.org/files/Presentation Self Forgiveness ACT RFT W Shop WC 15 Seville Narrative Final.pdf
[1282] https://contextualscience.org/files/Presentation Notes PDF Self Forgiveness ACT RFT W Shop WC 15 Seville Narrative Final.pdf
[1283] https://contextualscience.org/files/Sedley Living with the Stuff that Sucks June 2017.pptx
[1284] https://contextualscience.org/files/Yates &amp; Sanida_The Science of Arts in FAP.pdf
[1285] http://contextualscience.org/files/Formulario de inscripción - WC15 5.23_0.docx
[1286] http://www.contextualscience.org/netherlands_transportation
[1287] http://www.contextualscience.org/wc3_program
[1288] http://www.contextualscience.org/hotels_enschede
[1289] http://www.contextualscience.org/2_day_netherlands
[1290] http://www.contextualscience.org/murrell_netherlands
[1291] http://www.contextualscience.org/rokx_netherlands
[1292] http://www.contextualscience.org/wilson_netherlands
[1293] http://www.contextualscience.org/hayes_netherlands
[1294] http://www.contextualscience.org/dahl_netherlands
[1295] http://www.contextualscience.org/walser_netherlands
[1296] http://www.contextualscience.org/world_conference_III_submissions
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[1303] https://contextualscience.org/system/files/Eden+Hotel+booking+form+ACT+2009.pdf
[1304] http://www.contextualscience.org/Eden_hotel_form
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[1312] https://contextualscience.org/system/files/Trepka_Enschede.ppt
[1313] https://contextualscience.org/system/files/hearing_voices_09_Mindfulness_Skills_and_Psychological_Flexibility_Morris.ppt
[1314] http://contextualscience.org/system/files/ACT%20Brief%20Intervention%20Workshop%202009.ppt
[1315] http://contextualscience.org/system/files/Vowles%20-%20Long-term%20follow-up%20in%20chronic%20pain.ppt
[1316] http://contextualscience.org/system/files/ACT_Early%20Psychosis%20Morris%20Oliver%20Bloy.ppt
[1317] http://contextualscience.org/system/files/ACT%20for%20Young%20Adults%20%2816-28%20year%20olds%29.pdf
[1318] http://contextualscience.org/system/files/Heuts%20ACT%20in%20Teams.ppt
[1319] http://contextualscience.org/system/files/ACT%20for%20Well-Being%20of%20Children%20and%20Adolescents.pdf
[1320] http://contextualscience.org/system/files/ACT%20With%20Love.ppt
[1321] http://contextualscience.org/system/files/2009%20ACT%20with%20Challenging%20Patients.ppt
[1322] http://contextualscience.org/system/files/ACTifyingReligiousTradition.ppt
[1323] http://contextualscience.org/system/files/ACTWorldConIII_Gaudiano.pdf
[1324] http://contextualscience.org/system/files/ACTWorldConIII_Dalrymple.pdf
[1325] http://contextualscience.org/system/files/Building%20Systems%20with%20Values.ppt
[1326] http://contextualscience.org/system/files/Nyklicek-Enschede.pdf
[1327] http://contextualscience.org/system/files/GroupsWorkbookTogetherv2%2C01.doc
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[1330] http://contextualscience.org/system/files/polkverbaltoexperiental-1.ppt
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[1332] http://contextualscience.org/system/files/Identifying%20processes%20of%20change.ppt
[1333] http://contextualscience.org/system/files/Lloyd%20WC3.ppt
[1334] http://contextualscience.org/system/files/impacts%20model%20of%20principled%20living.ppt
[1335] http://contextualscience.org/system/files/ACBS%20Presidential%20address.ppt
[1336] http://contextualscience.org/system/files/ACT4OCDWC3_ACBSweb.ppt
[1337] http://contextualscience.org/system/files/Vowles%20et%20al.%20-%20Assessment%20of%20acceptance%20in%20Chronic%20Fatigue%20Syndrome.ppt
[1338] http://contextualscience.org/system/files/ACT%20Depression%20Workshop.ppt
[1339] http://contextualscience.org/system/files/On%20being%20present%20in%20adolescence.ppt
[1340] http://contextualscience.org/system/files/Overcoming%20Resistance%20-%20Made%20Simple.ppt
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[1342] http://contextualscience.org/system/files/Mindfulness%20for%20meditation%20haters.ppt
[1343] http://contextualscience.org/system/files/The%20PCBH%20Model-A%20Platform%20for%20ACT%20in%20PC.ppt
[1344] http://contextualscience.org/system/files/WC3%20RFT%20and%20The%20Self.pdf
[1345] http://contextualscience.org/system/files/stewart%20sandoz%202009%20WC3.pdf
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[1347] http://contextualscience.org/system/files/RFT%20Enschede%20handout%20-%20Torneke.pdf
[1348] http://contextualscience.org/system/files/RFT%2C%20evolution%20and%20memetics.ppt
[1349] http://contextualscience.org/system/files/Self-as-context%20MadeSimple%202009.ppt
[1350] http://contextualscience.org/system/files/The%20Derived%20Generalization%20of%20Thought%20Suppression.pptx
[1351] http://contextualscience.org/system/files/Using%20the%20unconsciousness%2026-06-09.ppt
[1352] http://contextualscience.org/system/files/Using%20ACT%20to%20Improve%20Management%20of%20Chonic%20Pain%20in%20Primary%20Care.ppt
[1353] http://contextualscience.org/system/files/Vowles%20-%20Values%20in%20chronic%20pain.ppt
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[1369] http://contextualscience.org/user/643|Katherine DeLaune]], [[http://contextualscience.org/user/351|Dub Norwood]], and [[http://contextualscience.org/user/446
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[1382] http://www.contextualscience.org/act_advanced_experiential_workshop
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[1388] https://contextualscience.org/files/SI4_program5112008small.pdf
[1389] http://www.abainternational.org
[1390] http://www.contextualscience.org/transportation_getting_there_and_getting_around
[1391] http://www.contextualscience.org/batten_chicago
[1392] http://www.contextualscience.org/hayes_chicago
[1393] http://www.contextualscience.org/polk_chicago
[1394] http://www.contextualscience.org/wilson_chicago
[1395] http://quixotism.files.wordpress.com/2008/06/act-early-morris-oliver-2008.pdf|here]], and an audio recording of the workshop is available from [[http://www.fileden.com/files/2008/6/23/1972618/ACTforEarlyIntervention.mp3
[1396] http://www.contextualscience.org/blog/klpolk
[1397] http://www.socialworkers.org
[1398] http://www.chicagohilton.com
[1399] http://www.contextualscience.org/room_share_ride_share
[1400] http://www.hichicago.org/
[1401] https://contextualscience.org/files/ParkingMapIIT.pdf
[1402] http://www.amtrak.com/servlet/ContentServer?pagename=Amtrak/HomePage
[1403] https://contextualscience.org/files/IITparking_map1.pdf
[1404] http://maps.google.com/maps?f=q&amp;hl=en&amp;q=720+South+Michigan+Ave,+chicago,+IL+60605&amp;ie=UTF8&amp;layer=c&amp;cbll=41.872448,-87.624176&amp;ll=41.873907,-87.625709&amp;spn=0.005592,0.00912&amp;z=16&amp;iwloc=addr&amp;source=embed
[1405] https://contextualscience.org/files/ITTmain_campus_bw map1.pdf
[1406] http://www.transitchicago.com/
[1407] http://www3.yourcta.com/Default.asp?cookie%5Ftest=1
[1408] http://www.transitchicago.com
[1409] http://contextualscience.org/japan_chapter
[1410] mailto:registration_for_meeting@act-japan-acbs.jp
[1411] http://www.doshisha.ac.jp/english/information/campuses/tokyo/php
[1412] http://www.mejiro.ac.jp/eng/campus/shinjuku/html
[1413] http://www.mejiro.ac.jp/map/nakai_s.html
[1414] http://www.doshisha.ac.jp/english/access/ima_campus.html
[1415] http://www.narita-airport.jp/en/access/train/index.html
[1416] http://www.narita-airport.jp/en/access/bus/index.html
[1417] http://www.marunouchi-hotel.co.jp/english/index.html
[1418] http://ryumeikan-tokyo.jp/english/index.html
[1419] http://www.shangri-la.com/en/property/tokyo/shangrila
[1420] http://www.presso-inn.com/en/hotel/otemachi.html
[1421] http://www.tourism.metro.tokyo.jp/english/index.html
[1422] http://english.jr-central.co.jp/info/index.html
[1423] http://www.jreast.co.jp/e/nex/narita.html
[1424] http://www.limouseinbus.co. jp/en/
[1425] http://www.ana.co.jp/asw/index.jsp?type=de
[1426] http://www.jal.co.jp/en/
[1427] http://www.westjr.co.jp/english/global.html
[1428] http://www.kansai-airport.or.jp/en/flight/index.html
[1429] http://okura.kyotohotel.co.jp/english/
[1430] http://www.rihga.com/kyoto/index.html
[1431] http://www.miyakohotels.ne.jp/newmiyako/english/index.html
[1432] http://www.granviakyoto.com/
[1433] http://www.apahotel.com/hotel/kansai/01_kyoto-ekimae/english/index.html
[1434] http://www.kyoto-centuryhotel.co.jp/english/index.html
[1435] http://www.kyoto.travel/
[1436] http://www.kyotojoho.co.jp/english/index.html
[1437] http://contextualscience.org/files/Cairns &amp; Hayes, The Adolescent Self - HANDOUTS.pdf
[1438] http://contextualscience.org/files/ACT-FAP workshop Bridging form_day1.doc
[1439] http://contextualscience.org/files/ACT-FAP workshop Bridging form_day2.doc
[1440] http://contextualscience.org/files/Melbourne Two Day FACT Workshop 2012.ppt
[1441] http://FACT Timeline worksheet
[1442] http://contextualscience.org/files/FACT True North Worksheet.pdf
[1443] http://contextualscience.org/files/Patient Tools.pdf
[1444] http://contextualscience.org/files/Dealing With Downers Exercise.doc
[1445] http://contextualscience.org/files/Life Path Class Session Protocol.doc
[1446] http://contextualscience.org/files/Provider Burnout Self Assessment Tools.doc
[1447] http://contextualscience.org/files/ACT on Drugs 2012.pptx
[1448] http://contextualscience.org/files/Sahdra, Marshall, Ciarrochi Non-Attachment, 2012.pdf
[1449] http://contextualscience.org/files/Using Contextual Behavioral Science in Executive Coaching, Handout.pdf
[1450] http://contextualscience.org/files/Taming the angry beast Dec 12.pdf
[1451] http://contextualscience.org/files/Resources for working Mindfully and Creatively with children and families.docx
[1452] http://contextualscience.org/files/RGB talk Melbourne reduced size.pptx
[1453] http://contextualscience.org/files/Schmidt, Chain Analysis in DBT.pdf
[1454] http://contextualscience.org/files/Harris, The Reality Slap, Anzact 2012.pptx
[1455] http://contextualscience.org/files/Martin &amp; Atkins, Buddha As a Contextual Behaviourist.pdf
[1456] http://contextualscience.org/files/ACT research in context.ppt
[1457] http://contextualscience.org/pre_conference_workshop_information
[1458] http://contextualscience.org/freelinking/RFT
[1459] http://ioewebserver.ioe.ac.uk/ioe/index.html
[1460] http://ioewebserver.ioe.ac.uk/ioe/getting_to.html
[1461] http://www.visitlondon.com/
[1462] http://www.worldcon.org/
[1463] http://www.ekimedata.co.uk/imptrans/royalee.asp
[1464] http://contextualscience.org/currency
[1465] http://www.avalonhotel.co.uk/
[1466] http://www.georgehotel.com/
[1467] http://www.ukhotelnet.com/gresham-bloomsbury-hotel-london.htm
[1468] http://www.crescenthoteloflondon.com/
[1469] http://www.a1tourism.com/uk/ruskin1.html
[1470] http://www.stmargaretshotel.co.uk/
[1471] http://www.imperialhotels.co.uk/tavistock.htm
[1472] http://www.imperialhotels.co.uk/bedford.htm
[1473] http://www.radissonedwardian.com/home.jsp
[1474] http://www.radissonedwardian.com/
[1475] http://hip.hotels-london.co.uk/myhotel-bloomsbury.hotel
[1476] http://www.ucl.ac.uk/residences/
[1477] http://www.london.ac.uk/index.php?id=56&amp;type=0
[1478] http://www.kcl.ac.uk/about/structure/admin/facser/conbro/accomodation
[1479] http://www.wmin.ac.uk/page-5198
[1480] http://www.talkingcities.co.uk/london_pages/lodging_hostels.htm
[1481] http://www.bedbreakfastreservations.com/
[1482] http://www.travelstay.com/
[1483] http://www.studystay.com/
[1484] http://www.travelstay.com/pages/CamdenInn.htm
[1485] http://www.generatorhostels.com/london/
[1486] https://contextualscience.org/user/tony_balazs
[1487] https://contextualscience.org/files/WorldCon2_Program.pdf
[1488] http://contextualscience.org/registration
[1489] https://contextualscience.org/files/WorldCon2_SessionSchedule.pdf
[1490] http://www.ce-credit.com/courses/100314
[1491] http://www.ce-credit.com/courses/100826
[1492] http://www.ce-credit.com/courses/100888
[1493] http://www.psychotherapynetworker.org/index.php?category=distance_learning&amp;sub_cat=all_courses&amp;type=ahs&amp;id=A318
[1494] http://www.easy-fundraising-ideas.com/products/fundraising-products/
[1495] http://www.paypal.com
[1496] https://contextualscience.org/afghanistan_dissemination_activities_2015
[1497] https://contextualscience.org/uganda_dissemination_activities_2015
[1498] https://contextualscience.org/malaysia_dissemination_activities_2015
[1499] https://contextualscience.org/bosnia_herzegowina_dissemination_activities_2015
[1500] http://contextualscience.org/south_africa_dissemination_activities_2014
[1501] http://contextualscience.org/peru_dissemination_activities_2014
[1502] http://contextualscience.org/south_africa_dissemination_activities_2014_0
[1503] http://contextualscience.org/china_dissemination_activities_1_2013
[1504] http://contextualscience.org/china_dissemination_activities_2_2013
[1505] http://contextualscience.org/yoav_van_der_heyden_cape_town_south_africa_2012
[1506] http://contextualscience.org/juan_pablo_coletti_argentina_2012
[1507] http://contextualscience.org/chhori_laxmi_maharjan_nepal_2012
[1508] http://contextualscience.org/christian_vonjoe_sierra_leone_2012
[1509] http://contextualscience.org/peru_dissemination_activities_1_2011
[1510] http://contextualscience.org/peru_dissemination_activities_2_2011
[1511] http://contextualscience.org/sierra_leone_dissemination_activities_2_2011
[1512] http://contextualscience.org/sierra_leone_dissemination_activities_1_2011
[1513] http://contextualscience.org/romania_dissemination_activities_2011
[1514] http://contextualscience.org/turkey_dissemination_activities_2011
[1515] http://contextualscience.org/jordan_dissemination_activities_2011
[1516] http://contextualscience.org/argentina_dissemination_activities_2011
[1517] http://contextualscience.blogspot.com/2012/06/act-therapists-help-survivors-in-sierra.html
[1518] http://groups.yahoo.com/group/acbsdisseminationsig/
[1519] http://conductistaenperu.wordpress.com/
[1520] https://www.facebook.com/Psiholo%C5%A1ko-savjetovali%C5%A1te-za-studente-171061243037532/?fref=ts
[1521] http://contextualscience.org/teaching_resources
[1522] mailto:kjkmudd@bigpond.net.au
[1523] http://www.cyberpauken.com/forgiveness.ppt
[1524] http://www.cyberpauken.com/Anxiety.ppt
[1525] https://contextualscience.org/node/5615
[1526] https://contextualscience.org/www.newharbinger.com
[1527] http://contextualscience.org/public_self_help_resources
[1528] http://contextualscience.org/acbs_amazon_store
[1529] http://www.drkevinpolk.com/
[1530] http://emedia.rmit.edu.au/communication/index.htm
[1531] https://www.actmindfully.com.au/
[1532] http://www.actcarolinas.com
[1533] https://www.theactmatrixacademy.com/offers/j8vGz7cq
[1534] http://www.contextualscience.org/hayes_smith_2005
[1535] http://www.contextualscience.org/publications
[1536] http://www.contextualscience.org/hayes_third_wave_2004
[1537] http://www.contextualscience.org/hayes_2004_0
[1538] http://www.contextualscience.org/hayes_2000
[1539] http://www.contextualscience.org/node/2688
[1540] http://contextualscience.org/amazon_store/item/1609189620
[1541] http://contextualscience.org/video_exemplar_materials
[1542] http://www.contextualscience.org/harris_actsimple_2009
[1543] http://www.contextualscience.org/learning_act
[1544] http://www.learningact.com/
[1545] http://www.learningact.com//index.php?option=com_content&amp;task=viewd=44&amp;Itemid=25
[1546] https://www.contextualscience.org/bach_moran_2008
[1547] http://www.contextualscience.org/books_tapes
[1548] http://www.newharbinger.com/
[1549] http://www.contextualscience.org/clinical_resources
[1550] http://www.contextualscience.org/treatment_protocols
[1551] http://www.contextualscience.org/act-specific_measures
[1552] http://www.contextualscience.org/act_audio
[1553] http://www.contextualscience.org/video
[1554] http://www.contextualscience.org/ACT_RFT_powerpoints
[1555] http://www.contextualscience.org/ACT_Books_Films_Songs
[1556] http://www.contextualscience.org
[1557] http://www.contextualscience.org/rft
[1558] http://www.contextualscience.org/resources_for_learning_rft
[1559] http://www.contextualscience.org/emailing_lists
[1560] http://www.contextualscience.org/calendar
[1561] http://www.contextualscience.org/act_peer_supervision_groups
[1562] http://www.contextualscience.org/act_trainers
[1563] http://contextualscience.org/node/5371
[1564] http://contextualscience.org/research_labs_and_academic_training
[1565] http://www.contextualscience.org/behavior_analysis_1?
[1566] http://www.contextualscience.org/behavior_analysis_books
[1567] http://foxylearning.com/vb
[1568] http://www.contextualscience.org/rft_study_group_for_beginners
[1569] http://www.contextualscience.org/rft_empirical_support
[1570] http://www.contextualscience.org/actsi4presentations
[1571] http://www.contextualscience.org/from_mechanism_to_functionalism_or_what_is_avoided_in_emotional_avoidance
[1572] http://www.contextualscience.org/contextualism
[1573] http://www.behavior.org/
[1574] http://www.abainternational.org/
[1575] http://www.bfskinner.org/educational.html
[1576] http://psych.athabascau.ca/html/Behaviorism/
[1577] http://web.utk.edu/~wverplan/gt57/glayout.html
[1578] http://www.uwm.edu/~dermer/ba.html
[1579] http://www.conductitlan.net/
[1580] http://contextualscience.org/
[1581] http://contextualscience.org/documents_de_formation_qu_bec
[1582] http://contextualscience.org/documents_de_formation_en_fran_ais_format_a4
[1583] http://contextualscience.org/training_documents_in_swedish
[1584] http://contextualscience.org/documentos_de_treinamento_em_portugu_s
[1585] http://contextualscience.org/espanol
[1586] http://contextualscience.org/ruiz_2010
[1587] http://contextualscience.org/publications/fact_the_utility_of_an_integration_of_functional_a
[1588] http://contextualscience.org/Pierson_Hayes_2007
[1589] http://contextualscience.org/wilson_sandoz_2008
[1590] http://contextualscience.org/batten_santanello_2009
[1591] http://contextualscience.org/follette_batten_2000
[1592] http://contextualscience.org/publications/essentials_of_acceptance_and_commitment_therapy
[1593] http://contextualscience.org/publications/acceptance_and_commitment_therapy_second_edition_t
[1594] http://www.amazon.com/Psychological-Flexibility-Training-PFT-ebook/dp/B004M8S4Z4/ref=sr_1_1?ie=UTF8&amp;qid=1334920475&amp;sr=8-1
[1595] http://contextualscience.org/wilson_dufrene_2009
[1596] http://contextualscience.org/harris_actsimple_2009
[1597] http://www.amazon.ca/Th%C3%A9rapie-acceptation-engagemen-Bolduc/dp/2804163806/ref=sr_1_2?ie=UTF8&amp;qid=1354697960&amp;sr=8-2
[1598] http://www.amazon.com/Functional-Analytic-Psychotherapy-Therapeutic-Relationships/dp/0387708545/ref=sr_1_2?s=books&amp;ie=UTF8&amp;qid=1334919769&amp;sr=1-2
[1599] http://www.amazon.com/Functional-Analytic-Psychotherapy-Distinctive-Features/dp/0415604044
[1600] http://contextualscience.org/learning_rft
[1601] http://contextualscience.org/abcs_of_human_behavior
[1602] http://www.youtube.com/watch?v=An18wQ3asMw
[1603] http://www.youtube.com/watch?v=KFokaoodfO0
[1604] http://contextualscience.org/benjamin_schoendorff039s_training_page_page_de_for
[1605] mailto:psychologiecontextuelle@gmail.com
[1606] http://groups.yahoo.com/group/Therapie_dAcceptation_et_dEngagement/join
[1607] http://guidecliniqueact.com
[1608] http://functionalanalyticpsychotherapy.com/
[1609] http://www.ed.ac.uk/schools-departments/health/clinical-psychology/people/teaching-staff?person_id=20&amp;cw_xml=profile.php
[1610] https://contextualscience.org/files/David Gillanders ACT Training Videos_0.doc
[1611] https://contextualscience.org/files/ACT Empirical Status[2015].pptx
[1612] https://contextualscience.org/files/ACT_Intro_0.pptx
[1613] http://behaviour analysis and act[no video].pptx
[1614] http://contextualscience.org/system/files/The%20Sailing%20Boat%20Metaphor_0.pdf
[1615] http://contextualscience.org/system/files/The%20Rope%20Bridge%20Metaphor.pdf
[1616] http://contextualscience.org/files/The Bicycle Factory Metaphor.docx
[1617] http://contextualscience.org/files/Walking the Path Metaphor.docx
[1618] http://contextualscience.org/files/Taking off your armour metaphor.docx
[1619] http://contextualscience.org/system/files/ACT%20Behaviour%20Tracking%20Grid.docx
[1620] http://www.presentmind.org/
[1621] http://contextualscience.org/system/files/ACT%20Behaviour%20Tracking%20Grid%20simplified.docx
[1622] https://contextualscience.org/files/ACT Reading list March 2015.docx
[1623] http://contextualscience.org/system/files/ACT%20model.jpg
[1624] http://contextualscience.org/system/files/A%20Short%20Guide%20to%20Acceptance%20and%20Commitment%20Therapy_0.pdf
[1625] http://contextualscience.org/system/files/Workability%20Diary.doc
[1626] http://contextualscience.org/files/Workability Diary 2.0.doc
[1627] http://contextualscience.org/system/files/Selected%20ACT%20Readings.doc
[1628] http://contextualscience.org/system/files/ACT_Audio_Exercises_Guide_and_Disclaimer.pdf
[1629] http://contextualscience.org/files/ACT Case Formulation Template v2.0.docx
[1630] https://contextualscience.org/files/ACT Case Formulation Template V2.2.pdf
[1631] https://contextualscience.org/files/ACT Case Formulation Template v2 0 Adapted for Derm_0.doc
[1632] https://contextualscience.org/files/Case Formulation for John.docx
[1633] https://contextualscience.org/files/ACBS Seattle ACT Intro Workshop 080616.pptx
[1634] mailto:liz@nz-act-training.com
[1635] http://www.youtube.com/watch?v=-Li7LDXwWlE
[1636] http://www.contextualscience.org/join
[1637] http://www.drluoma.com/
[1638] http://www.portlandpsychotherapyclinic.com/counseling/acceptance_and_commitment_therapy_exercises_and_audiofiles
[1639] http://www.drluoma.com/actresources.html
[1640] mailto:jennifer.plumb.vilardaga@duke.edu
[1641] http://www.youtube.com/watch?v=e8olReluI6c
[1642] https://actmatrix101freecourse.safechkout.net
[1643] http://www.drkevinpolk.com
[1644] http://www.matthewsboone.com
[1645] https://www.youtube.com/playlist?list=PL-QVJ0oJH-XPmsx_7-Wy2DinNTWk4hNca
[1646] https://youtu.be/uK467v-Zgp8
[1647] https://www.youtube.com/playlist?list=PL3AQ_JVoBEyxP2QsQV_W_RGHrUCCstuA8
[1648] https://contextualscience.org/act_for_depression_and_anxiety_group_cornell_unive
[1649] https://contextualscience.org/civicrm/contribute/transact?reset=1&amp;id=1
[1650] mailto:matthewsboone@gmail.com?subject=Group%20Protocol
[1651] http://www.youtube.com/watch?v=LKvx_VniWo8
[1652] http://www.youtube.com/watch?v=FfTuDUAg9p8
[1653] http://www.youtube.com/watch?v=iEkHE9gAHLw
[1654] http://www.youtube.com/watch?v=TSDBWQcUe-E
[1655] http://www.actklinikken.dk/
[1656] http://www.contextualscience.org/values_based_dues
[1657] http://www.youtube.com/watch?v=ZHSKOawRXL4
[1658] mailto:ACT.in.Context@gmail.com?subject=ACT%20Boot%20Camp%20HELP
[1659] mailto:ACT.in.Context@gmail.com?subject=Boot%20Camp%20Florida%20SCH%20training%20page
[1660] http://contextualscience.org/clinical_resources
[1661] https://contextualscience.org/www.apa.org/videos/4310860.html
[1662] http://www.apa.org/videos/4310860.html
[1663] https://contextualscience.org
[1664] https://contextualscience.org/webform/wc15_2225_june_general_conference_evaluation
[1665] https://contextualscience.org/webform/wc15_2021_june_preconference_workshop_general_eval_0
[1666] https://contextualscience.org/webform/2day_preconference_workshops_2021_june_ce_evaluati
[1667] https://contextualscience.org/webform/wc15_thurs_800_ce_evaluations
[1668] https://contextualscience.org/webform/wc15_thurs_930_ce_evaluations
[1669] https://contextualscience.org/webform/wc15_thur_1100_ce_evaluations
[1670] https://contextualscience.org/webform/wc15_thur_1245_ce_evaluations
[1671] https://contextualscience.org/webform/wc15_thur_1515_ce_evaluations
[1672] https://contextualscience.org/webform/wc15_thurs_1700_ce_evaluations
[1673] https://contextualscience.org/webform/wc15_fri_800_ce_evaluations
[1674] https://contextualscience.org/webform/wc15_fri_815_ce_evaluations
[1675] https://contextualscience.org/webform/wc15_fri_930_ce_evaluations
[1676] https://contextualscience.org/webform/wc15_fri_1100_ce_evaluations
[1677] https://contextualscience.org/webform/wc15_fri_1245_ce_evaluations
[1678] https://contextualscience.org/webform/wc15_fri_1515_ce_evaluations
[1679] https://contextualscience.org/webform/wc15_fri_1700_ce_evaluations
[1680] https://contextualscience.org/webform/wc15_sat_800_ce_evaluations
[1681] https://contextualscience.org/webform/wc15_sat_930_ce_evaluations
[1682] https://contextualscience.org/webform/wc15_sat_1100_ce_evaluations
[1683] https://contextualscience.org/webform/wc15_sat_1245_ce_evaluations
[1684] https://contextualscience.org/webform/wc15_sat_1515_ce_evaluations
[1685] https://contextualscience.org/webform/wc15_sat_1700_ce_evaluations
[1686] https://contextualscience.org/webform/wc15_sun_930_ce_evaluations
[1687] https://contextualscience.org/webform/wc15_sun_1115_ce_evaluations