Praise for this book 4
Translator's Preface 6
Acknowledgments 14
Introduction 15

Part 1 HEAD

[KEY BEHAVIOURAL PRINCIPLES]

1 THE HEAD OF ACT - PHILOSOPHY AND THEORY 19
2 ‘B’ IN CBT THE ‘B’ IN CBT 22
3 LEARNING BY ASSOCIATION 24
4 Learning by Consequences 26
5 APPETITIVE AND AVERSIVE CONTROL 29
6 Functional Contextualism 31
7 Practical Truths A PRAGMATIC TRUTH 33
8 THE FUNCTION OF BEHAVIOUR 35
9 Function vs. Form 37
10 THE IMPORTANCE OF CONTEXT 39
11 LEARNING THROUGH LANGUAGE AND COGNITION 41

[Relational Frame Theory (RFT)]

12 Background to RFT 44
13 RELATIONAL RESPONDING 46
14 Different Ways of Relating 48
15 Transformation of Stimulus Functions 51
16 COHERENCE 53
17 LANGUAGE AS A GIFT AND A CURSE 55
18 THE ILLUSION OF CONTROL 57
19 EXPERIENTIAL AVOIDANCE 59
20 Cognitive Fusion 61
21 Rule-Governed Behavior 63

[KEY PROCESSES IN ACT]

22 THE TARGETS OF ACT 66
23 Psychological Flexibility 68
24 Discrimination and Tracking 70
25 Widening Your Behavioral Repertoire 72
26 A FOCUS ON PROCESS 74
27 THE HEXAFLEX MODEL 76
28 CONTACT WITH THE PRESENT MOMENT 79
29 SELF-AS-CONTEXT 81
30 Acceptance 83
31 Defusion DEFUSION 85
32 VALUES 88
33 COMMITTED ACTION 91

Part 2 - Hands

34 THE HANDS OF ACT - TECHNIQUE AND PRACTICE 95

[ASSESSMENT AND FORMULATION]

ACT AS A COGNITIVE BEHAVIOURAL THERAPY 98
36 EXPERIENTIAL LEARNING 100
37 THE UTILITY OF METAPHOR 102
38 RETAINING A PROCESS FOCUS 105
39 OPEN, AWARE, AND ACTIVE 107
40 FOCUSED ASSESSMENT 110
41 CREATIVE HOPELESSNESS 113
42 WORKABILITY 115
43 SHARING THE ACT MODEL 117
44 MAINTENANCE CYCLES 120
45 TOWARDS AND AWAY MOVES 122
46 ACT MATRIX THE ACT MATRIX 124

[TECHNIQUES FOR MOVING ACT PROCESSES]

47 Contact with the Present Moment Techniques 128
48 MINDFULNESS WITH A SMALL 'm' 130
49 FORMAL MINDFULNESS EXERCISES 133
SELF-AS-CONTEXT TECHNIQUES 136
51 THE 'SKY AND WEATHER' EXERCISE 138
52 Perspective Taking 140
53 Acceptance Techniques 143
54 Tug of War Exercise THE 'TUG OF WAR' EXERCISE 145
55 'Chinese Finger Traps' Exercise 148
56 DEFUSION TECHNIQUES 151
57 'I'M HAVING THE THOUGHT THAT...' 153
58 Physical Exercises 155
59 Value Techniques VALUES TECHNIQUES 157
THE 'TOP TEN MOMENTS' EXERCISE 159
61 An Alternative 'Miracle Question' 161
62 COMMITTED ACTION TECHNIQUES 164
63 THE 'VALUES, GOALS, AND ACTIONS' EXERCISE 166
64 Exposure and Inhibitory Learning 168

[Structuring Intervention]

Structuring a Course of Sessions 172
66 Structuring a Single Session 175
67 Using Overarching Metaphors 177
68 THE 'PASSENGERS ON THE BUS' EXERCISE 179
69 THE 'LIFELINE STEPS' EXERCISE 181

Part 3 - Heart

70 THE HEART OF ACT - CONTEXT, STRATEGY, AND PROCESS 187

ACT IN CONTEXT

71 Human Suffering Is Not a Disease 190
72 FUNDAMENTAL HUMAN REQUIREMENTS 192
73 Our Clients Are Stuck, Not Broken 194
74 THE THERAPEUTIC STANCE 196
75 ACT IN A CULTURAL CONTEXT 198
76 ACT AND THE MEDICAL MODEL 200

Making Decisions in Practice

77 PROCESS OR PROTOCOL? 203
Using Functional Analysis in Session 78
79 Functional Analytical Psychotherapy 207
80 MODEL, INITIATE, REINFORCE 209
81 Promoting Practitioner-Client Co-Ordination 211
82 Actions Speak Louder Than Words 213
83 Function Over Form 215
84 CONTEXT OVER CONTENT 217
85 PRAGMATISM OVER TRUTH 219
WORKING BY ADDITION 221
87 Increasing Behavior Over Reducing Behavior 223
88 VALUES OVER GOALS 225
89 ENSURING VALUES DO NOT BECOME RULES 227
90 TARGETING METAPHORS 229

[Issues within the therapeutic process]

91 When Control and Avoidance Might Be Good 232
92 SELF-DISCLOSURE 234
93 STAYING PRESENT 237
AWARENESS OF THERAPIST FUSION 239
95 Avoiding the 'Fix-It' Trap STEERING CLEAR OF THE 'FIX-IT' TRAP 242
96 Staying with Difficult Emotions 244
97 Learning to Love Your Self-Double 246
MODELLING THE MODEL 248
99 'Noticing and Recovering from Wandering Thoughts' Exercise 251
MAINTAINING FIDELITY TO THE MODEL 254

Supervision Worksheet 256

Reference 258
Search 262