ACT for Psychosis Recovery: A Practical Manual for Group-Based Interventions Using Acceptance and Commitment Therapy

ACT for Psychosis Recovery: A Practical Manual for Group-Based Interventions Using Acceptance and Commitment Therapy

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Overview

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.

Product Details

ISBN-13: 9781626256132
Publisher: New Harbinger Publications
Publication date: 03/01/2018
Pages: 304
Product dimensions: 7.00(w) x 9.90(h) x 0.90(d)

About the Author

Emma K. O’Donoghue, DClinPsy, is a senior clinical psychologist working in community psychosis settings in a South London National Health Service Trust. She has a long-standing interest in using acceptance and commitment therapy (ACT) approaches with clients experiencing first episode and established psychosis, as well as those with bipolar affective disorder. She has coordinated two randomized controlled trials of ACT workshops for clients and caregivers in community psychosis settings, and clients experiencing bipolar. She is also involved in working with service users to facilitate ACT interventions. Emma regularly trains psychologists in ACT for psychosis interventions, and teaches masters and doctoral courses in ACT approaches.

Eric M. J. Morris, PhD, is clinical psychologist and director of the La Trobe University Psychology Clinic in Melbourne, Australia. Eric previously worked as the psychology lead for early intervention for psychosis at the South London and Maudsley NHS Foundation Trust. He has twenty years’ experience treating people with psychosis, and their families, using psychological therapies. Eric completed a PhD at King’s College London, researching ACT as an individual- and group-based intervention for people recovering from psychosis, and as workplace resilience training for mental health workers. Eric is coeditor of Acceptance and Commitment Therapy and Mindfulness for Psychosis, and coauthor of the self-help guide, ACTivate Your Life.

Joseph E. Oliver, PhD, is a consultant clinical psychologist and joint director of the Cognitive Behavioural Therapy for Psychosis Post Graduate Diploma program at University College London. He also works within a North London National Health Service Trust, developing training and delivering interventions for people with psychosis. He is director for Contextual Consulting, a London-based consultancy offering ACT-focused training, supervision, and psychological therapy. Joseph is an Association for Contextual Behavioral Science (ACBS) peer-reviewed ACT trainer, and regularly delivers ACT teaching and training in the UK and internationally. Along with Eric and Louise, he is coeditor of the book, Acceptance and Commitment Therapy and Mindfulness for Psychosis and coauthor of the self-help book, ACTivate Your Life.

Louise C. Johns, DPhil, is a consultant clinical psychologist and British Association for Behavioural and Cognitive Psychotherapies (BABCP)-accredited cognitive behavioral therapist. She works in the Oxford Early Intervention in Psychosis Service, overseeing the delivery and evaluation of psychological interventions for clients and their caregivers, including the training and supervision of staff. She is also an honorary senior research fellow in the department of psychiatry at the University of Oxford, and an associate member of the Oxford Cognitive Therapy Centre. She led on the first UK-funded study to evaluate ACT for psychosis in group settings, and is coeditor of the book, Acceptance and Commitment Therapy and Mindfulness for Psychosis.

Foreword writer Steven C. Hayes, PhD, is Nevada Foundation Professor in the department of psychology at the University of Nevada, Reno. An author of forty-one books and more than 575 scientific articles, he has shown in his research how language and thought leads to human suffering. He is codeveloper of ACT, a powerful therapy method that is useful in a wide variety of areas.

Table of Contents


Foreword ix
An Introduction to Acceptance and Commitment Therapy (ACT) for
Psychosis Recovery 1
Part 1: Pretreatment Overview
Chapter 1
Introduction to Acceptance and Commitment Therapy for Psychosis 7
Chapter 2
Adapting ACT Workshops for Caregivers of People with Psychosis 33
Written with Suzanne Jolley
Chapter 3
Adapting ACT Workshops for Acute Inpatient Settings 51
Written with Rumina Taylor and Georgina Bremner
Chapter 4
Peer-Support
Cofacilitators 67
Working Alongside Clients with Lived Experience of Mental Health Issues
Chapter 5
Running Successful and Effective Workshops 79
Training
Chapter 6
Running Successful and Effective Workshops 99
Supervision and Evaluation
Part 2: Treatment Manual
Introduction to ACT for Psychosis Recovery Workshop Protocol 119
Written with Natasha Avery
Taster Session 123
Session 1
Introducing Noticing, Values, and Committed Action 133
Session 2
Workability as an Alternative 149
Session 3
Acting on Values with Openness, Awareness, and Willingness 171
Session 4
Bringing It All Together—Open,
Aware, and Active 187
Booster Session 1 201
Booster Session 2 211
Acknowledgments 221
Appendix A
Exercise Prompt Sheets 223
A1. Reservoir Metaphor 224
A2. Mindfulness of Breath and Body Exercise 225
A3. Passengers on the Bus Metaphor 227
A4. Mindful Stretch Exercise 228
A5. Mindful Eating Exercise 230
A6. Paul’s Story Transcript 232
A7. George’s Story Transcript 234
A8. Pushing Against the Folder Exercise 236
A9. Acting Out the Passengers on the Bus Exercise 238
A10. Three-Minute
Breathing Space Exercise 241
A11. Leaves on the Stream Exercise 242
A12. Mindful Walking Exercise 244
A13. Key Messages Cards 246
A14. Clouds in the Sky Exercise 249
A15. Client Satisfaction Questionnaire 250
A16. The ACTs of ACT Fidelity Measure 253
Appendix B
Session Worksheets 257
B1. Values Worksheet 258
B2. Passengers on the Bus Worksheet 259
B3. Committed Action Worksheet 260
B4. Developing Aware Skills Worksheet 261
B5. Driving License Worksheet side 1 262
Driving License Worksheet side 2 263
Reference List 265
Index 281
List of Figures
Figure 1
The ACT model of psychological flexibility, or hexaflex 12
Figure 2
The ACTs of ACT Fidelity Measure 105
List of Tables
Table 1
Central ACT processes 13
Table 2
The content of workshop sessions in ACT for recovery in acute
inpatient settings 61

Interviews


O’Donoghue resides in London, UK; Morris resides in Melbourne, Australia; Oliver resides in London, UK; Johns resides in Headington, Oxford, UK; Hayes resides in Reno, NV.

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