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The use of metaphor is central to the implementation of acceptance
and commitment therapy (ACT) and dialectical behavior therapy
(DBT), and is a powerful tool for all practicing psychotherapists.
In Metaphor in Practice, psychotherapist Niklas Toerneke presents
the first practical book to combine the behavioral and linguistic
sciences of metaphor, and illustrates how and when to apply
metaphors in practice for better treatment outcomes. The use of
metaphors and experiential exercises can help clients gain a deeper
understanding of the problems that cause their disorders. Metaphors
help clients connect with their values, and often spark the
inspiration and motivation needed to make a commitment to change.
And while metaphor is central to relational frame theory (RFT),
acceptance and commitment therapy (ACT), and dialectical behavior
therapy (DBT), research now shows its usefulness has an even
broader reach. In this book, you'll find a scientific analysis of
metaphor based on over thirty years of research, as well as trends
in research over the last ten years. The book includes an overview
of RFT, how metaphor has influenced the community of behavior
analysis, as well as available clinical research on metaphor use.
You'll also discover how to create metaphors for functional
analysis, distance of observation, and things that matter to your
client. Most importantly, you'll find practical examples of
metaphors and clinical exercises you can use in-session.
The traditional practice of psychiatry has been focused on reducing
or eliminating distressing, unwanted symptoms. But what if the key
to health and well-being is not to be symptom free, but rather to
function effectively in life even when symptoms are present? What
if symptoms serve an adaptive and motivational function, rather
than being signals of a latent illness? What if the key to personal
health is the ability to accept symptoms for what they are and to
do what matters in life at the same time? This is the underlying
proposition of Acceptance and Commitment Therapy (ACT), and this
book-a collaboration among six clinicians from diverse practice
backgrounds-is the first to systematically describe the principles
and practices of ACT as they apply to psychiatric assessment, case
analysis, and treatment. The guide begins with an in-depth analysis
of the ACT model, from its scientific origins in the study of the
functions of human language to a fully elaborated model for
clinical assessment and intervention and outlines the clinical
benefits of ACT in everyday practice. The second section of the
book shows the reader how to conduct a streamlined assessment of
the patient's life context, how to detect and intervene with the
patient's unworkable emotional and behavioral avoidance strategies,
and how to blend the use of medication treatment and behavioral
interventions in a way that augments the beneficial effects of both
approaches. Chapter-length examples in the third section discuss
how to deliver ACT in an ambulatory psychiatric setting, in a
hospital consultation-liaison service, and in an inpatient
psychiatric context. The section also includes a chapter examining
the all-important issue of teaching ACT to psychiatric residents as
well as affiliated health professionals working in medical or
psychiatric treatment team contexts. Learning Acceptance and
Commitment Therapy uses a diverse array of case examples and
clinical dialogues to offer readers a real-life view of the
methodology in practice. Each chapter also includes additional
reading resources to pursue should a particular theoretical or
applied clinical concept create a desire to learn more.
Additionally, readers have unlimited access to an online
instructional library that includes video demonstrations of core
ACT clinical strategies "in action" as well as a host of written
practice support tools and worksheets. This book is a must for
clinicians who want to expand their ability to improve clinical
outcomes for the wide range of patients seen in clinical practice.
In this book Niklas Toerneke presents the building blocks of RFT:
language as a particular kind of relating, derived stimulus
relations, and transformation of stimulus functions. He then shows
how these concepts are essential to understanding acceptance and
commitment therapy and other therapeutic models. Learning RFT shows
how to use experiential exercises and metaphors in psychological
treatment and explains how they can help your clients. This book
belongs on the bookshelves of psychologists, psychotherapists,
students, and others seeking to deepen their understanding of
psychological treatment from a behavioral perspective.
When cognitive behavior therapy emerged in the 1950s, driven by the
work of Albert Ellis and Aaron Beck, basic behavior principles were
largely sidelined in clinical psychology curricula. Issues in
cognition became the focus of case conceptualization and
intervention planning for most therapists. But as the new
third-wave behavior therapies begin to address weaknesses in the
traditional cognitive behavioral models-principally the modest
effectiveness of thought stopping and cognitive restructuring
techniques-basic behavior principles are once again attracting the
interest of front-line clinicians. Many of today's clinicians,
though, received their training during the years in which classical
behaviorism was not a major part of clinical education. In order to
make the best use of the new contextual behaviorism, they need to
revisit basic behavioral principles from a practical angle. This
book addresses this need. The ABCs of Human Behavior offers
practicing clinicians a pithy and practical introduction to the
basics of modern behavioral psychology. The book focuses both on
the classical principles of learning as well as more recent
developments that explain language and cognition in behavioral and
contextual terms. These principles are not just discussed in the
abstract-rather the book shows how the principles of learning apply
in the clinical context. Practical and easy to read, the book walks
clinicians through both common sense and clinical examples that
help them learn to use behavioral principles to observe, explain,
and influence behavior in a therapeutic setting.
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