ACT

From amazon.com

Dr. Steven Hayes answers a few questions about his book, and describes how his research was inspired by his own struggles with panic and anxiety.

Questions for Steven Hayes

Amazon.com: Can you give us a lay person's primer on acceptance and commitment therapy?

Steven Hayes: Acceptance and Commitment Therapy (ACT) is based on a rather remarkable fact: when normal problem solving skills are applied to psychologically painful thoughts or feelings, suffering often increases. Our research program has shown this in thousands of patients, in almost every area of human suffering. Fortunately, we have discovered why this is and we have developed some ways of correcting it.

The basic research underlying ACT shows that entanglement with your own mind leads automatically to experiential avoidance: the tendency to try first to remove or change negative thoughts and feelings as a method of life enhancement. This attempted sequence makes negative thoughts and feelings more central, important, and fearsome--and often decreasing the ability to be flexible, effective, and happy.

The trick that traps us is that these unhelpful mental processes are fed by agreement OR disagreement. Your mind is like a person who has to be right about everything. If you know any people like that you know that they are excited when you agree with them but they can be even more excited and energized when you argue with them! Minds are like that. So what do you do?

ACT teaches you what to do. I will say what that is, but readers need to understand that these mere words will not be useful in and of themselves. Minds are too clever for that! That is why the book has so many exercises and why we have a free discussion group on line for people working through the book (http://health.groups.yahoo.com/group/ACT_for_the_Public/). What ACT teaches is acceptance of emotions, mindful awareness of thoughts, contact with a transcendent sense of self, and action based on chosen values. This constellation of skills has shown itself in controlled research to help with an amazingly large range of problems, from anxiety to managing the challenges of physical disease, from depression, to stopping smoking.

Amazon.com: Some of this work is said to have come from your own battles with anxiety and panic. How did these ideas apply to your own struggles?

Steven Hayes: It was my own panic disorder that first put me on to the problem we have now confirmed in our research. My panic disorder began a little over 25 years ago. I watched in horror as it grew rapidly, simply by applying my normal problem solving skills to it. Anxiety felt awful and seemingly made it impossible to function, so it was obvious to me that I first needed to get rid of it before my life would improve. I tried lots of things to do that. But this very effort meant I had to constantly evaluate my level of anxiety, and fearfully check to see if it was going up or down as a result of my efforts. As a result, anxiety quickly became the central focus of my life. Anxiety itself became something to be anxious about, and meanwhile life was put on hold.

After two or three years of this I'd had enough. I began to experiment with acceptance, mindfulness, and valued action instead of detecting, disputing, and changing my insides.

I remember a moment that symbolizes the change in direction. In the middle of a panic attack, with a guttural scream like you hear in the movies, I literally shouted out loud to my own mind. "You can make me feel pain, you can make me feel anxiety," I yelled. "But you cannot make me turn away from my own experience."

It has not been a smooth path and it was several years before anxiety itself was obviously way down (getting it to go down was no longer my purpose, remember, but ironically when you stop trying to make it happen, often it does), but almost immediately life opened up again. ACT is the result of over 20 years of research, following the lead this provided.

Amazon.com: You are a language researcher and chapter two of Get Out of Your Mind and Into Your Life is called "Why Language Leads to Suffering." Can you tell us why you suggest that language is a source of human suffering?

Steven Hayes: Human language (by that I mean our symbolic abilities generally) is central to effective human cognition. It evolved to keep us from starving or being eaten--and it has done a pretty good job of that.

The key to symbolic processes is the ability to relate events in new and arbitrary ways. Our research program has shown this ability even in 14 month old babies, and we now know it comes from direct training from parents and others as part of normal language development. It is a wonderful skill. It allows us to imagine futures that have never been, and to compare situations that have never actually been experienced. That is the every essence of human verbal problem solving.

But that same process has a downside for human beings. For example, it allows us to fear things we have never experienced (e.g., death). It allows us to run from the past or compare the dull present to a fantasized future and to be unhappy as a result. And in my case it lead to the common sense but ultimately unhelpful idea that I needed to get rid of anxiety before I could live well.

We get a lot of training in how to develop and use our minds, but we get very little training in how to step out of the mental chatter when that is needed. As a result, this mental tool begins to use us. It will even claim to BE us. The overextension of human language and cognition, I believe, is at the core of the vast majority of human suffering in the developed world and human technology (the media) is only amplifying the problem by exposing us to an ever increasing stream of symbols and images. Learning how to get out of your mind and into your life when you need to do that is an essential skill in the modern world.
 

aldebe

Well-known member
Did you buy any of these books? There are many, i check some videos but i think they are all deleted...

What you suggest? Tell me one book name
 

Vancouver

Well-known member
That's weird, I've never even heard of this book until now, but my own little concoction of a 'theory' (or in my case, just a simple mindset I came up with) sounds pretty similar to that which he describes.

I'd be interested in giving it a read, self help shit's always cool.
 
aldebe said:
Did you buy any of these books? There are many, i check some videos but i think they are all deleted...

What you suggest? Tell me one book name

"Get Out of Your Mind and Into Your Life" is a great self-help workbook.
 

aldebe

Well-known member
How about this one?


Acceptance & Commitment Therapy f/ Anxiety Disorders: A Practitioner's Treatment Guide to Using Mindfulness, Acceptance..... (Hardcover)
 

Tiptoe

Member
Thanks everyone, this is good information for me and ties in with the Morita therapy/philosophy - much of it has Buddhist traits too. Let us know your progress with this, I am already feling less burdened by my SA, using some of the suggested ways of thinking (acceptance, mindfulness).

aldebe, the book you recommend is for therapists - would you recommend it for people to use for self help too?

Tiptoe.
 
aldebe said:
How about this one?

Acceptance & Commitment Therapy f/ Anxiety Disorders: A Practitioner's Treatment Guide to Using Mindfulness, Acceptance..... (Hardcover)

Yeah this one is for therapists, but the authors are releasing a version for self-help in January 2008 called "The Mindfulness and Acceptance Workbook for Anxiety" (Workbook) (Paperback) by John P. Forsyth (Author), Georg H. Eifert (Author).

Amazon.com said:
Book Description - Anxiety happens. It's not a choice. And attempts to "manage" your thoughts or "get rid" of worry, fear, and panic can leave you feeling frustrated and powerless. But you can take back your life from anxiety without controlling anxious thoughts and feelings. You can stop avoiding anxiety and start showing up to your life. This book will get you started, using a revolutionary new approach called acceptance and commitment therapy, or ACT.

The Mindfulness and Acceptance Workbook for Anxiety has one purpose: to help you live better, more fully, more richly. Your life is calling on you to make that choice, and the skills in this workbook can help you make it happen. Find out how your mind can trap you, keeping you stuck and struggling in anxiety and fear. Learn to nurture your capacity for acceptance, mindfulness, kindness, and compassion. Use these qualities to shift your focus away from anxiety and onto what you really want your life to be about. As you do, your life will get bigger as your anxious suffering gets smaller. No matter what kind of anxiety problem you're struggling with, this workbook can guide you toward a more vibrant and purposeful life.

"...Highly recommended for all those struggling with worry, anxiety, and fear." - David H. Barlow, Ph.D., professor of psychology and psychiatry at Boston University and author of Anxiety and Its Disorders.

"...a "must-read" for anyone encountering anxiety as a barrier to a leading a fuller life." - Zindel Segal, Ph.D., Morgan Firestone Chair in Psychotherpy at the University of Toronto and author of The Mindful Way Through Depression.

From the Publisher
Building on the success of their book for professionals, leaders in the field of acceptance and commitment therapy (ACT) John Forsyth and Georg Eifert present this exciting and innovative ACT workbook to general readers. It is the first self-help workbook to adapt the revolutionary techniques of ACT into a powerful program readers can use to overcome any of the anxiety disorders.

Another good one for self-help is "The Worry Trap: How to Free Yourself from Worry & Anxiety using Acceptance and Commitment Therapy" (Paperback) by Chad LeJune (Author).
 

flake__

Well-known member
:eek: this is mostly my attitude! This should be the top therapy with SA not CBT. I am working with this one spiritual guy who applies all these same techniques, maybe he is a bit better than ACT, but if anyone is going to try CBT...try this first it's much less effort and mental anguish and will probably give you more results.
 
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