advanced act-workshop-counselling-college-100410
DESCRIPTION
TRANSCRIPT
![Page 1: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/1.jpg)
Acceptance and Commitment Therapy: Advanced Workshop
Acceptance and Commitment Therapy: Advanced Workshop
Julian McNallyJulian McNally
![Page 2: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/2.jpg)
Program Outline
Review Of ACT Model
Getting Stuck Into ‘Getting Stuck’
7 Frequent Problems And How To Respond
Sweet Spot And Client Descending
Matrix For Case Formulation
Developing Mastery In ACT
![Page 3: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/3.jpg)
“Hexaflex”“Hexaflex”ACT Model of Effective LivingACT Model of Effective Living
Values, Purpose & Meaning
Defusion Committed Actions
Contact with the Present Moment
Acceptance & Willingness
Transcendent Sense of Self/ Self As
Context
PsychologicalFlexibility
![Page 4: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/4.jpg)
“InFlexaHex”“InFlexaHex”ACT Model of PsychopathologyACT Model of Psychopathology
Lack of Values Clarity or Contact
Fusion Inaction or Disorganised Activity
Dominance of Conceptualised Past
or Feared Future
Experiential Avoidance
Attachment to “Storied” or
Conceptualised Self
![Page 5: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/5.jpg)
“Hexaflex”“Hexaflex”ACT Model of Effective LivingACT Model of Effective Living
Values, Purpose & Meaning
DefusionCommitted Actions
Contact with the Present Moment
Acceptance & Willingness
Transcendent Sense of Self/ Self As
Context
Mindfulness & Acceptance Processes
Behaviour Change Processes
![Page 6: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/6.jpg)
Your turn!
Decide who will be client first
Brief your partner on presenting problem, but not what’s ‘tricky’ about this client
Counsellor: Notice yourself getting stuck. Observe thoughts and feelings
Client: observe and resist urge to be agreeable or make it easy for counsellor
If counsellor is not getting stuck, brief “client” on what the actual client does that’s ‘tricky’ and try again. Switch.
Pair up - one is “A” the other is “B”
![Page 7: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/7.jpg)
Getting Stuck Into “Getting Stuck”
My experience is not authoritative because it is infallible. It is the basis of authority because it can always be checked in new primary ways. In this way its frequent error or fallibility is always open to correction. Carl Rogers, On Becoming a Person
![Page 8: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/8.jpg)
Bennet and Cari
• Notice your reactions and make peace with them
• Provide an ACT-consistent response
• Where is the client on the Hexaflex?
• Where are you on the Hexaflex?
![Page 9: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/9.jpg)
7 Frequent Problems
1 What do I do if I get stuck?2 Do I need to cover all 6 processes?3 What if they say “it didn’t work”?4 What if they don’t know/can’t say what their
values are or don’t have any?5 What do I do with clients who are
sceptical/concrete/psychotic?6 What if they (or I!) don’t “get” Self-As-Context?7 What do I do with clients who are fused with
their beliefs or a ‘sick’ or ‘victim’ role?
![Page 10: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/10.jpg)
What do I do if I get stuck?
General principles:
Slow down!
Be willing and accepting
Hold your formulation and treatment trajectory lightly
Stick closely to principles and loosely to techniques
Listen to client’s experience before yours
Listen to experience before models and ideas
Invite a change in action rather than in understanding or feeling
![Page 11: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/11.jpg)
Do I need to cover all 6 processes?
No!
![Page 12: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/12.jpg)
What if they say “it didn’t work”?
Is there a control agenda in place?
Try another part of the model
Try a different technique from the same part
![Page 13: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/13.jpg)
What if they don’t know/can’t say what their values are or
don’t have any? How do they know they don’t know?
When was the earliest (last) time they remember having values?
Make the therapy about discovering/creating values?
Check for semantic problems
Detect values in the present
![Page 14: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/14.jpg)
What do I do with clients who are
sceptical/concrete/psychotic?
“Trust your experience, not my words or your thoughts”
Workability of scepticism
Sideline “beliefs” and “being right” for a while
You don’t have to do “mindfulness” – just pay attention
Psychosis – ACT is not an EST – other treatments
Metaphor-imperviousness? Present-moment defusion and willingness with Self-As-Context
![Page 15: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/15.jpg)
What if they (or I!) don’t “get” Self-As-Context?
Let’s practise!
![Page 16: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/16.jpg)
Indicators Of Increased Capacity For Self-As-
Context Detecting and defusing from rules and stories
Increased perspective taking and noticing
Noticing own processes of fusion and unwillingness
Naming or joking about own scripts and stories
Able to dispassionately examine value-contradictory behaviours and thoughts
Recognising current choices and history as separate phenomena
Relating to multiple conceptualisations of self as determined by context and values-in-the-moment
![Page 17: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/17.jpg)
What if they are fused with their beliefs or a ‘sick’ or
‘victim’ role? Try Self-As-Context
Be curious and empathic
Appeal to workability
![Page 18: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/18.jpg)
Template for Experiential Exercises
1 Recognise your mind will interfere, so slow down and accept
2 Contact with present moment – sounds and touch
3 Locate the moment of choice or ‘stuckness’
4 Immerse in the moment (file cabinet or movie screen)
5 Open eyes and express it
6 Hold the moment silently and appreciate
![Page 19: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/19.jpg)
The Grid - Kevin PolkThe Grid - Kevin PolkEven Simpler Model of ACT ProcessesEven Simpler Model of ACT Processes
SwS Valued Living
Sensory Experience
Mental Experience
![Page 20: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/20.jpg)
“I think that...”“I think that...”
“I’m having the thought that...”“I’m having the thought that...”
“I notice I’m having the thought that...”“I notice I’m having the thought that...”
This is This is unbearableunbearable
I notice those I notice those thoughts are there thoughts are there
againagain
![Page 21: Advanced act-workshop-counselling-college-100410](https://reader033.vdocuments.mx/reader033/viewer/2022051612/54c61e8d4a79596e338b457b/html5/thumbnails/21.jpg)
Recontextualising the ProblemRecontextualising the Problem
DepressedDepressedUnmotivatedUnmotivatedUnemployedUnemployedIndecisiveIndecisive
OverweightOverweightUnloveableUnloveable
Need therapy!Need therapy!
What I want What I want my life to my life to stand for stand for
DepressedDepressedUnmotivatedUnmotivatedUnemployedUnemployedIndecisiveIndecisive
OverweightOverweightUnloveableUnloveable
Need therapy!Need therapy!
The Life I’m left withThe Life I’m left with