Healthcare is now practiced in a different financial and delivery system than it was two decades ago. Currently managed care defines what is treated, how, by whom and for what reimbursement. Mental health professionals have been greatly impacted by these changes to their practice, and yet, there is little understanding of exactly what it is and where it is going. The present volume explores these issues, prospects and opportunities from the vantage of mental health /medical professionals and managed care executives who are in the very process of implementing changes to the existing system of managed care. Behavioral healthcare will be integrated into medical practice in the future for sound clinical and economic reasons. The present volume, edited by four prominent mental health professionals provides a roadmap of the emerging directions integrated behavioral healthcare is taking and lays out the steps the mental health professional needs to take--in training, and modifying her/his clinical practice--to adapt to the new system of healthcare.
Key Features
* Leading Experts in managed care
* Nicholas Cummings, Father of behavioral managed care
* Multidisciplinary approach

- Presents an authoritative overview of ACT principles and research - Emphasizes the intentional development of 6 core behavioral processes: Values, committed action, acceptance, defusion, self-as-content, and present moment awareness - Written by leading experts in the field, drawing on decades of research to develop their theories and clinical programmes

This book is the most practical clinical guide on Acceptance and Commit ment Therapy (ACT said as one word, not as initials) yet available. It is designed to show how the ACT model and techniques apply to various disorders, settings, and delivery options. The authors of these chapters are experts in applying ACT in these various areas, and it is intriguing how the same core principles of ACT are given a nip here and a tuck there to fit it to so many issues. The purpose of this book, in part, is to emboldened researchers and clinicians to begin to apply ACT wherever it seems to fit. The chapters in the book demonstrate that ACT may be a useful treat ment approach for a very wide range of clinical problems. Already there are controlled data in many of these areas, and soon that database will be much larger. The theory underlying ACT (Relational Frame Theory or "RFT"-and yes, here you say the initials) makes a powerful claim: psy chopathology is, to a significant degree, built into human language. Fur ther, it suggests ways to diminish destructive language-based functions and ways of augmenting helpful ones. To the extent that this model is cor rect, ACT should apply to a very wide variety of behavioral issues because of the centrality of language and cognition in human functioning."

- Presents an authoritative overview of ACT principles and research - Emphasizes the intentional development of 6 core behavioral processes: Values, committed action, acceptance, defusion, self-as-content, and present moment awareness - Written by leading experts in the field, drawing on decades of research to develop their theories and clinical programmes

1) The book provides updated, ACT-consistent metaphors and exercises for busy mental health professionals working with Christian clients 2) Mental health professionals will want to buy the book because ACT provides a flexible, evidence-based approach to working with clients with a variety of symptoms and disorders and their Christian clients may wish to turn to their own faith tradition for help with psychological suffering 3) Although there are a variety of ACT textbooks for mental health professionals and corresponding workbooks for their clients, there are no other ACT textbooks on the market, to my understanding, that focus on modifying ACT in a Christian-sensitive manner for working with Christian clients in psychotherapy.

Get ready to take a different perspective on your problems and your life--and the way you live it. Acceptance and commitment therapy (ACT) is a new, scientifically based psychotherapy that takes a fresh look at why we suffer and even what it means to be mentally healthy. What if pain were a normal, unavoidable part of the human condition, but avoiding or trying to control painful experience were the cause of suffering and long-term problems that can devastate your quality of life? The ACT process hinges on this distinction between pain and suffering. As you work through this book, you'll learn to let go of your struggle against pain, assess your values, and then commit to acting in ways that further those values.

ACT is not about fighting your pain; it's about developing a willingness to embrace every experience life has to offer. It's not about resisting your emotions; it's about feeling them completely and yet not turning your choices over to them. ACT offers you a path out of suffering by helping you choose to live your life based on what matters to you most. If you're struggling with anxiety, depression, or problem anger, this book can help--clinical trials suggest that ACT is very effective for a whole range of psychological problems. But this is more than a self-help book for a specific complaint--it is a revolutionary approach to living a richer and more rewarding life. Learn why the very nature of human language can cause suffering Escape the trap of avoidance Foster willingness to accept painful experience Practice mindfulness skills to achieve presence in the moment Discover the things you really value most Commit to living a vital, meaningful life

"This book has been awarded The Association for Behavioral and Cognitive Therapies Self-Help Seal of Merit -- an award bestowed on outstanding self-help books that are consistent with cognitive behavioral therapy (CBT) principles and that incorporate scientifically tested strategies for overcoming mental health difficulties. Used alone or in conjunction with therapy, our books offer powerful tools readers can use to jump-start changes in their lives."

1) The book provides updated, ACT-consistent metaphors and exercises for busy mental health professionals working with Christian clients 2) Mental health professionals will want to buy the book because ACT provides a flexible, evidence-based approach to working with clients with a variety of symptoms and disorders and their Christian clients may wish to turn to their own faith tradition for help with psychological suffering 3) Although there are a variety of ACT textbooks for mental health professionals and corresponding workbooks for their clients, there are no other ACT textbooks on the market, to my understanding, that focus on modifying ACT in a Christian-sensitive manner for working with Christian clients in psychotherapy.

Human language and our use of it to communicate or to understand the world requires deriving relations among events: for example, if A=B and A=C, then B=C. Relational frame theory argues that such performances are at the heart of any meaningful psychology of language and cognition. From a very early age, human beings learn relations of similarity, difference, comparison, time, and so on, and modify what they do in a given situation based on its derived relation to others situations and what is known about them.
This volume goes beyond theory and gives the empirical and conceptual tools to conduct an experimental analysis of virtually every substantive topic in human language and cognition, both basic and applied. As the term post-Skinnerian' suggests, this volume challenges behavioral psychology to abandon many of the specific theoretical formulations of its most prominent historical leader in the domain of complex human behavior, especially in human language and cognition, and approach the field from a new direction.

The need for a pragmatically useful analysis of language and cognition is as enormous and varied as its extensions and applications. This volume will be of interest not only to behavior theorists but also to cognitive psychologists, therapists, educators, and anyone studying the human condition.

The Canonical Papers of Steven C. Hayes is a compilation of his most pivotal articles written from 1982-2012. Through these selected papers, Hayes again revisits the theoretical struggles between behavioral and cognitive-behavior theories, taking us from the 1980s into present day, discussing the breakthroughs and follies. Using this as a focus point, he discusses the tradition of behavior analysis and its difficulties in addressing human language and cognition. Moving forward into the 90s, he chronicles the changes in a behavioral approach that emerge from a contextual perspective on human cognition, and lays out the foundation for a contextual behavioral science approach that he argues is more likely to lead to an understanding of human action and an alleviation of human suffering. Although the articles have previously been published, they have been edited and compiled ensure this branch of research is clear to the modern audience. The compilation was chosen by Dr. Hayes to enhance his vision for a functional contextual approach to complex human behavior.

An innovative and effective approach to organizational behavioral management Despite more than 40 years of empirical and conceptual research, the contribution of behavior analysis to the world of business remains relatively small and organizational behavior management gets little attention in both the academic and professional communities. Acceptance and Mindfulness at Work presents behavioral analysis of human language that's ready to use, with applied extensions proven to have a significant impact in organizational settings. The leading experts in the field examine how these ongoing developments can help broaden the exploration of the psychological issues relevant to organizational behavioral management (OBM) in the workplace. Acceptance and Mindfulness at Work presents conceptual and empirical articles, and reviews of working examples of Relational Frame Theory (RFT) and Acceptance and Commitment Therapy (ACT) applied to organizational behavior management. The book examines goal setting, feedback, task descriptions, and workers' ability to learn as examples of how to affect positive change in organizations through increased productivity and improved quality of life in the workplace. The possibilities presented by RTF can lead to advancements in employee safety and training, stress and health management, employee evaluation, managing absenteeism, tardiness, and turnover, and self-management. Acceptance and Mindfulness at Work examines: cognition in OBM industrial/organization (I/O) psychology how interventions using ACT have increased psychological flexibility rule-following feedback task performance feedback programmed schedules of reinforcement goal setting, goal statements, and goal-directed behavior how psychological flexibility and job control can predict learning, job performance, and mental health and much more Acceptance and Mindfulness at Work is a vital professional resource for organization development practitioners and human resource managers.

The future of psychology is process-based. This groundbreaking workbook offers concrete strategies for utilizing the core competencies of process-based therapy, and provides step-by-step guidance for formulating effective treatment plans. For decades, evidence-based mental health treatments have been defined in terms of scientifically validated protocols focused on syndromes. Many therapies-including cognitive behavioral therapy (CBT)-have historically been identified with that approach, but this is rapidly changing. A process focus is now emerging for a number of methods within the family of CBT, as the era of "protocols for syndromes" passes away. Written by renowned psychologists Steven C. Hayes and Stefan G. Hofmann, The Process-Based Therapy Workbook will show you how to utilize the core competencies of process-based therapy (PBT) in a way that honors the behavioral, cognitive, and acceptance and mindfulness wings of CBT. In the workbook, you'll find a comprehensive road map to the theoretical foundations of PBT, as well as step-by-step guidance to help you formulate treatment plans that address the unique needs of each client-leading to better therapeutic outcomes. Whether you are a clinician or a student of the behavioral sciences, this workbook offers everything you need to understand and implement PBT in your work.

Acceptance and commitment therapy (ACT) is among the most remarkable developments in contemporary psychotherapy. This second edition of the pioneering ACT skills-training manual for clinicians provides a comprehensive update-essential for both experienced practitioners and those new to using ACT and its applications. ACT is a proven-effective treatment for numerous mental health issues, including depression, anxiety, stress, addictions, eating disorders, schizophrenia, borderline personality disorder, and more. With important revisions based on new developments in contextual behavioral science, Learning ACT, Second Edition includes up-to-date exercises and references, as well as material on traditional, evidence-based behavioral techniques for use within the ACT framework. In this fully revised and updated edition of Learning ACT, you'll find workbook-format exercises to help you understand and take advantage of ACT's unique six process model-both as a tool for diagnosis and case conceptualization, and as a basis for structuring treatments for clients. You'll also find up-to-the minute information on process coaching, new experiential exercises, an increased focus on functional analysis, and downloadable extras that include role played examples of the core ACT processes in action. By practicing the exercises in this workbook, you'll learn how this powerful modality can improve clients' psychological flexibility and help them to live better lives. Whether you're a clinician looking for in-depth training and better treatment outcomes for individual clients, a student seeking a better understanding of this powerful modality, or anyone interested in contextual behavioral science, this second edition provides a comprehensive revision to an important ACT resource.

An innovative and effective approach to organizational behavioral management Despite more than 40 years of empirical and conceptual research, the contribution of behavior analysis to the world of business remains relatively small and organizational behavior management gets little attention in both the academic and professional communities. Acceptance and Mindfulness at Work presents behavioral analysis of human language that's ready to use, with applied extensions proven to have a significant impact in organizational settings. The leading experts in the field examine how these ongoing developments can help broaden the exploration of the psychological issues relevant to organizational behavioral management (OBM) in the workplace. Acceptance and Mindfulness at Work presents conceptual and empirical articles, and reviews of working examples of Relational Frame Theory (RFT) and Acceptance and Commitment Therapy (ACT) applied to organizational behavior management. The book examines goal setting, feedback, task descriptions, and workers' ability to learn as examples of how to affect positive change in organizations through increased productivity and improved quality of life in the workplace. The possibilities presented by RTF can lead to advancements in employee safety and training, stress and health management, employee evaluation, managing absenteeism, tardiness, and turnover, and self-management. Acceptance and Mindfulness at Work examines: cognition in OBM industrial/organization (I/O) psychology how interventions using ACT have increased psychological flexibility rule-following feedback task performance feedback programmed schedules of reinforcement goal setting, goal statements, and goal-directed behavior how psychological flexibility and job control can predict learning, job performance, and mental health and much more Acceptance and Mindfulness at Work is a vital professional resource for organization development practitioners and human resource managers.

This volume goes beyond theory and gives the empirical and conceptual tools to conduct an experimental analysis of virtually every substantive topic in human language and cognition, both basic and applied. It challenges behavioral psychology to abandon many of the specific theoretical formulations of its most prominent historical leader in the domain of complex human behavior, especially in human language and cognition, and approach the field from a new direction. It will be of interest to behavior theorists, cognitive psychologists, therapists, and educators.

Animal learning and human learning traditions have been distinguishable within psychology since the start of the discipline and are to this day. The human learning wing was interested in the development of psychological functions in human organisms and proceeded directly to their examination. The animal learning wing was not distinguished by a corresponding interest in animal behavior per se. Rather, the animal learners studied animal behavior in order to identify principles of behavior of relevance to humans as well as other organisms. The two traditions, in other words, did not differ so much on goals as on strategies. It is not by accident that so many techniques of modem applied psychol ogy have emerged from the animal laboratory. That was one of the ultimate purposes of this work from the very beginning. The envisioned extension to humans was not just technological, however. Many animal researchers, B. F. Skinner most prominently among them, recognized that direct basic research with humans might ultimately be needed in certain areas but that it was wise first to build a strong foundation in the controlled environment of the animal laboratory. In a sense, animal learning was always in part a human research program in development.

In this book, first published in the UK in 1984, John Cone and Stephen Hayes explore the relation between physical environment and human behaviour. A fledgling field at the time, this study of the roots of environmentally relevant psychology has proved both fruitful and exciting. Within this text, Cone and Hayes first explore the fields of physical and behavioural technology, and the few studies previously conducted around the latter. They then focus their attention on the principles and methodologies of the study of environmentally relevant behaviour and psychology, absorbing the work undertaken thus far on factors such as population control and noise pollution, and assembling its conclusions. A summary of the tasks facing researchers at the time then rounds off a text which will be invaluable in the analysis of the early and often trepid steps taken in the study of the physical environment and its connections to human behaviour.

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.

As a mental health clinician, you know that every client is unique and a client's symptoms are the result of a complex combination of psychological, environmental, genetic, and neural factors. However, the de facto DSM model poses considerable constraints on how you can treat clients-often resulting in a one-size-fits-all diagnosis. This important volume challenges the assumptions and approach made by the DSM, and provides a vision and plan for an evidence-based, process-based approach to individualised care. With contributions from renowned experts in the field-including Steven C. Hayes, Stefan G. Hofmann, Joseph Ciarrochi, Matthew McKay, Uma Vaidyanathan, Sarah Morris, David Sommers, J. Scott Fraser, and many more-this groundbreaking book will show you a new way to recognize the complexity of human suffering and human prosperity. You'll find solid tips for treating a wide variety of psychological issues in a more flexible way. And, finally, you'll come away with a greater understanding of the "processes of change," and how to build a solid foundation for an alternative to syndromal diagnosis. The future of mental health treatment is process-based. Whether you're a clinician, researcher, student, instructor, or other professional working in the mental health field, this breakthrough volume offers everything you need to understand process-based treatment and create a more customized and effective approach to treating clients.

This clinical guide shows therapists how to create effective, innovative, and values-driven exposures for treating clients with anxiety and avoidant behaviours. The exposures outlined in this book are easy-to-implement, easily tolerated by clients, and work to strengthen psychological flexibility. Exposure therapy is a proven-effective treatment for anxiety-related disorders; however, it is also one of the most challenging to implement-for both clinicians and clients. This comprehensive guide provides innovative exposures grounded in evidence-based acceptance and commitment therapy (ACT) to help your clients face their fears and live a values-driven life. The exposures outlined in this book are easy-to-implement, easily tolerated by clients, and work to strengthen psychological flexibility-a core process of change within ACT which involves learning to remain in contact with uncomfortable experiences while taking valued action toward creating positive and meaningful life changes. Studies have shown that ACT interventions can increase client willingness to engage in exposure therapy. Whether you are new to ACT and exposure or are experienced in traditional exposure therapy and are interested in incorporating ACT in your treatment sessions, this book is an essential resource for your professional library.

Since the original publication of this seminal work, acceptance and commitment therapy (ACT) has come into its own as a widely practiced approach to helping people change. This book provides the definitive statement of ACT--from conceptual and empirical foundations to clinical techniques--written by its originators. ACT is based on the idea that psychological rigidity is a root cause of a wide range of clinical problems. The authors describe effective, innovative ways to cultivate psychological flexibility by detecting and targeting six key processes: defusion, acceptance, attention to the present moment, self-awareness, values, and committed action. Sample therapeutic exercises and patient-therapist dialogues are integrated throughout. New to This Edition *Reflects tremendous advances in ACT clinical applications, theory building, and research. *Psychological flexibility is now the central organizing focus. *Expanded coverage of mindfulness, the therapeutic relationship, relational learning, and case formulation. *Restructured to be more clinician friendly and accessible; focuses on the moment-by-moment process of therapy.

ACT for Psychosis Recovery is the first book to provide a breakthrough, evidence-based, step-by-step approach for group work with clients suffering from psychosis. As evidenced in a study by Patricia A. Bach and Steven C. Hayes, patients with psychotic symptoms who received acceptance and commitment therapy (ACT) in addition to treatment as usual showed half the rate of rehospitalization as those who did not. With this important guide, you'll learn how a patient's recovery can be both supported and sustained by promoting acceptance, mindfulness, and values-driven action. The journey of personal recovery from psychosis is immensely challenging. Patients often struggle with paranoia, auditory hallucinations, difficulties with motivation, poor concentration and memory, and emotional dysregulation. In addition, families and loved ones may have trouble understanding psychosis, and stigmatizing attitudes can limit opportunity and create alienation for patients. True recovery from psychosis means empowering patients to take charge of their lives. Rather than focusing on pathology, ACT teaches patients how to stay grounded in the present moment, disengage from their symptoms, and pursue personally meaningful lives based on their values. In this groundbreaking book, you will learn how to facilitate ACT groups based on a central metaphor (Passengers on the Bus), so that mindfulness and values-based action are introduced in a way that is engaging and memorable. You will also find tips and strategies to help clients identify valued directions, teach clients how to respond flexibly to psychotic symptoms, thoughts, and emotions that have been barriers to living a valued life, and lead workshops that promote compassion and connection among participants. You'll also find tried and tested techniques for engaging people in groups, particularly those traditionally seen as "hard to reach"-people who may be wary of mental health services or experience paranoia. And finally, you'll gain skills for engaging participants from various ethnic backgrounds. Finding purpose and identity beyond mental illness is an important step in a patient's journey toward recovery. Using the breakthrough approach in this book, you can help clients gain the insight needed to achieve lasting well-being.

This book is the most practical clinical guide on Acceptance and Commit ment Therapy (ACT said as one word, not as initials) yet available. It is designed to show how the ACT model and techniques apply to various disorders, settings, and delivery options. The authors of these chapters are experts in applying ACT in these various areas, and it is intriguing how the same core principles of ACT are given a nip here and a tuck there to fit it to so many issues. The purpose of this book, in part, is to emboldened researchers and clinicians to begin to apply ACT wherever it seems to fit. The chapters in the book demonstrate that ACT may be a useful treat ment approach for a very wide range of clinical problems. Already there are controlled data in many of these areas, and soon that database will be much larger. The theory underlying ACT (Relational Frame Theory or "RFT"-and yes, here you say the initials) makes a powerful claim: psy chopathology is, to a significant degree, built into human language. Fur ther, it suggests ways to diminish destructive language-based functions and ways of augmenting helpful ones. To the extent that this model is cor rect, ACT should apply to a very wide variety of behavioral issues because of the centrality of language and cognition in human functioning."

CBT is one of the most proven-effective and widely used forms of psychotherapy today. But while there are plenty of books that provide an overview of CBT, this is the first to present the newest recommendations set forth by a special task force of the Association for Behavioral and Cognitive Therapies-and that focuses on the application of these interventions based on a variety of approaches for doctoral-level education and training. Starting with an exploration of the science and theoretical foundations of CBT, then moving into a thorough presentation of the clinical processes, this book constitutes an accessible, comprehensive guide to grasping and using even the most difficult competencies. Each chapter of Core Processes of Cognitive Behavioral Therapies is written by a leading authority in that field, and their combined expertise presents the best of behavior therapy and analysis, cognitive therapy, and the acceptance and mindfulness therapies. Most importantly, in addition to gaining an up-to-date understanding of the core processes, with this premiere text you'll learn exactly how to put them into practice for maximum efficacy. For practitioners, researchers, students, instructors, and other professionals working with CBT, this breakthrough textbook-poised to set the standard in coursework and training-provides the guidance you need to fully comprehend and utilize the core competencies of CBT in a way that honors the behavioral, cognitive, and acceptance and mindfulness wings of the tradition.

What do evolutionary science and contextual behavioral science have in common? Edited by David Sloan Wilson and Steven C. Hayes, this groundbreaking book offers a glimpse into the histories of these two schools of thought, and provides a sound rationale for their reintegration. Evolutionary science (ES) provides a unifying theoretical framework for the biological sciences, and is increasingly being applied to the human-related sciences. Meanwhile, contextual behavioral science (CBS) seeks to understand the history and function of human behavior in the context of everyday life where behaviors occur, and to influence behavior in a practical sense. This volume seeks to integrate these two bodies of knowledge that have developed largely independently. In Evolution and Contextual Behavioral Science, two renowned experts in their fields argue why ES and CBS are intrinsically linked, as well as why their reintegration-or, reunification-is essential. The main purpose of this book is to continue to move CBS under the umbrella of ES, and to help evolutionary scientists understand how working alongside contextual behavioral scientists can foster both the development of ES principles and their application to practical situations. Rather than the sequential relationship that is typically imagined between these two schools of thought, this volume envisions a parallel relationship between ES and CBS, where science can best influence positive change in the real world.