Psychology: Acceptance and Commitment Therapy

Psychology: Acceptance and Commitment Therapy

Psychology: Acceptance and Commitment Therapy

Three discussion posts and Reflection

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    Acceptance and Commitment Therapy Seminar: References List

    ORDER NOW FOR COMPREHENSIVE, PLAGIARISM-FREE PAPERS

    References

    APA.org. (2012). What Are The Benefits of Mindfulness? Retrieved from https://www.apa.org/education/ce/mindfulness-benefits.pdf

    Association for Contextual Behavioral Science (ACBS). (2019). State of ACT Evidence. Retrieved July 1, 2019, from https://contextualscience.org/state_of_the_act_evidence

    Association for Contextual Behavioral Science (ACBS). (n.d.). About ACT. Retrieved from https://contextualscience.org/state_of_the_act_evidence

    Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology66(1), 7-18.

    Eifert, G. H., Forsyth, J. P., Arch, J., Espejo, E., Keller, M., & Langer, D. (2009). Acceptance and Commitment Therapy for anxiety disorders: Three case studies exemplifying a unified treatment protocol. Cognitive and Behavioral Practice16, 368-385.

    Harris, R. (2009). ACT made simple. Oakland, CA: New Harbinger Publications.

    Hayes, S. C., Pistorello, J., & Biglan, A. (2008). Acceptance and Commitment Therapy: model, data, and extension to the prevention of suicide. Brazilian Journal of Behavioral and Cognitive TherapyX(1), 81-102.

    Hayes, S. C. (2005). Get out of Your Mind & into Your Life. Oakland, CA: New Harbinger Publications.

    Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review30(7), 865–878. doi:10.1016/j.cpr.2010.03.001

    Purser, R. (2015). The myth of the present moment. Mindfulness, 6(3), 680-686.

    Society of Clinical Psychology. (SCP) (2016). Treatments Home. Retrieved June 30, 2019, from https://www.div12.org/psychological-treatments/

    TEDx Talks. (2016, July). Mental Brakes to Avoid Mental Breaks | Steven Hayes | TEDxDavidsonAcademy [Video file]. Retrieved from https://www.youtube.com/watch?v=GnSHpBRLJrQ

    TEDx Talks. (2016, February). Psychological flexibility: How love turns pain into purpose | Steven Hayes | TEDxUniversityof Nevada [Video file]. Retrieved from https://www.youtube.com/watch?v=o79_gmO5ppg&t=87s

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    Participation Assignment (Required for All Students): Module 1 – Introduction to Acceptance and Commitment Therapy & Doing What Matters

    Prompt: Considering your experience of Module 1

    Please address the following point in your response (please follow the directions “For full credit” bellow when completing this prompt):

    · In your opinion, what were the two (2) most interesting or engaging things from Module 1?

    · Why were those things especially interesting or engaging to you?

    For this assignment, I want you to complete the prompt above and to post your response onto this discussion board. Click on “reply” below and type your response in at least 1 paragraph with at least 4 sentences in each paragraph.

    In addition, please thoughtfully and kindly respond to at least one other classmate’s response to the prompt (more than just, “I agree.”).

    For full credit :

    · Your response must be at least 1 paragraph long with at least 4 complete sentences. I highly recommend typing your response into a separate file first, then copying/pasting and submitting your response here.

    · Your writing must reflect proper spelling, grammar, and punctuation.

    · All information that is obtained and discussed beyond the lecture and/or required or optional readings are appropriately cited and are only peer-reviewed scientific journal articles .

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    Acceptance and Commitment Therapy-PSYC 498/598

    Spring 2020 quarter

    Kevin Criswell, Ph.D.

    As Steve Hayes said in his TEDx talk in Nevada, “Life asks us questions…and one of the most important questions it asks us is, ‘What are you going to do about difficult thoughts and feelings?’” Psychology: Acceptance and Commitment Therapy

    1

    A look at the past flyer from Summer 2020…

     

    Ironically, even though ACT is not about making people feel “happy”, which is illustrated very well by ACT author and writer, Dr. Russ Harris in his The Happiness Trap, engaging in ACT-based work can help people feel better. It can say a lot about how individuals approach life: Which of the two words do they emphasize?

    2

    feeling better…

     

     

    Choice

    Feel better

    Feel better

    Seek pleasure

    Avoid discomfort

    Narrowing

    “Bad” emotions are to be “fixed”

    Emotional openness

    Willingness/acceptance

    Commit to personal values

    All emotions can be experienced

    Grading

    Participation-brief, single-paragraph discussion posts for each of the three major sections of this seminar, due by 11:59pm on June 7th(each in their own modules in Canvas):

    Module 1: Introduction to ACT & Doing What Matters

    Module 2: Be Present

    Module 3: Open Up

    Reflection Discussion Assignment (Canvas), due by 11:59pm on June 7th

    Graduate-level only (PSYC 598): Application Discussion Assignment (Canvas), due by 11:59pm on May 31st

    Intended Audience & Purpose

    Audience: Undergraduate (498) and graduate-level (598) students interested in learning about the evidence for, structure of, and application of Acceptance and Commitment Therapy (ACT).

    Purpose

    Describe the background and concepts involved in ACT.

    Describe the evidence base for ACT.

    Describe an ACT conceptual model.

    Describe and experience how the six therapeutic processes can be applied to promote psychological flexibility.

    Describe how ACT can be applied to a clinical case study.

    Agenda

    Part 1 (See lecture video within Module 1)

    Introductions and “disclaimers”

    What is “ACT”?

    Evidence base for the effectiveness of ACT

    Conceptual model of ACT (Hexaflex/Triflex)

    Do What Matters

    Part 2 (See lecture video within Module 2)

    Be Present

    Part 3 (See lecture video within Module 3)

    Open Up

    A clinical example of ACT applied to a client

    Disclaimers

    This seminar is not intended to provide sufficient clinical training for students to deliver ACT interventions in clinical settings and/or to individuals with the intention of treating a diagnosed mental disorder (this is consistent with the APA ethics code 2.01, in the area of “Competence”).

    Students interested taking what they learned in this class and applying ACT to treat clients/patients should obtain supervised clinical training under ACT-trained clinicians. Psychology: Acceptance and Commitment Therapy

    https://contextualscience.org/civicrm/profile?_qf_Search_display=true&qfKey=efaaee08948b8245ef15b09c073b0586_5549

    As of July 16, 2019: 100+ ACT therapists located in Washington state

    I am a mandated reported of sexual harassment (Title IX), abuse of children/elders/vulnerable populations, and imminent danger to self and others.

    Title IX: Confidential counseling and non-confidential resources at Bellevue and Cheney campuses are listed in the course syllabus.

     

    7

    Introductions

    Who is your professor?

    PhD in Clinical Psychology, Adult Health concentration (LLU 2016)

    Clinical experience since 2011 across many settings.

    ACT-related coursework in grad school.

    Utilized and trained in ACT-based clinical treatment for 3+ years

    Developed an ACT-based treatment protocol for couples adjusting to advanced cancer.

    Introductions: What about you?

    May follow along in your handout:

    What do you already know about ACT or what do you think ACT is?

    How would you define “mindfulness”?

    How would you describe the purpose of mindfulness?

     

     

    What is “ACT”?

    Let’s watch a TEDx talk by Steve Hayes, Ph.D.: https://www.youtube.com/watch?v=GnSHpBRLJrQ

    Did you catch what he said about what ACT is?

    What was the “little ditty” that he presented about his 30 years of research and what does it mean?

    What were some of the ways that we can “put on the mental breaks”?

    Other comments or questions about what you noticed in the video?

    Evidence base for ACT (ACBS, 2019)

    300+ RCTs as of May 2019 (e.g., anxiety, pain, depression, stress, substance abuse, weight loss, social anxiety, and more)

    45 meta-analytic reviews of ACT-based interventions, as of Jan. 2019 (projected to hit 50 by the end of 2019)

    Evidence base for ACT

    APA, Div. 12 (Society of Clinical Psychology, 2016) Research supported psychological treatments (“pending re-evaluation”):

    Chronic pain: strong research support

    Depression: modest research support

    Mixed anxiety: modest research support

    OCD: modest research support

    Psychosis: modest research support

    “Strong” and “Modest” research Support? (SCP, 2016)

    “Research support for a given treatment is labeled “strong” if criteria are met for what Chambless et al. (1998) termed “well-established” treatments. To meet this standard, well-designed studies conducted by independent investigators must converge to support a treatment’s efficacy. Research support is labeled “modest” if criteria are met for what Chambless et al. (1998) termed “probably efficacious treatments.” To meet this standard, one well-designed study or two or more adequately designed studies must support a treatment’s efficacy. In addition, it is possible for the “strong and “modest” thresholds to be met through a series of carefully controlled single-case studies. For a full description of the Chambless criteria readers are referred to Chambless et al. (1998). In addition, this site labels research support “controversial” if studies of a given treatment yield conflicting results or if a treatment is efficacious but claims about why the treatment works are at odds with the research evidence.”

    Conceptual ACT-based Models of PsychoPathology and Wellbeing (Hayes, Pistorello, & Biglan, 2008)

    Wellbeing “Hexaflex”

    Pathology “Hexaflex”

    Psychological flexibility? (Kashdan, 2010)

    “…psychological flexibility…is a slippery construct to define. Psychological flexibility actually refers to a number of dynamic processes that unfold over time. This could be reflected by how a person: (1) adapts to fluctuating situational demands, (2) reconfigures mental resources, (3) shifts perspective, and (4) balances competing desires, needs, and life domains. Thus, rather than focusing on specific content (within a person), definitions of psychological flexibility have to incorporate repeated transactions between people and their environmental contexts” (p. 2).

    The Vital Cycle vs. The Narrow Cycle (Hayes, 2005)

    Creative Hopelessness (Harris, 2009)

    Three questions about attempts to get rid of unwanted thoughts and feelings:

    What have you tried?

    How has it worked?

    What was the cost?

    The idea: If one continues doing what has been done, then they will continue getting what they have always got.

    Consider (handout): What are some messages you have heard about how people should deal with uncomfortable or unwanted thoughts and feelings?

     

    NOTE: This does NOT mean that all attempts at controlling or regulating emotions are unhelpful. It does mean that it may helpful to examine attempts to control thoughts or feelings if individuals are unsatisfied with their situation (emotionally, physically, spiritually, etc.). Psychology: Acceptance and Commitment Therapy

    17

    A quick Aside: Metaphors

    Why all the metaphors?

    How my internship supervisor for trauma-related treatment explained it:

    Novel concepts are put into understandable scenarios, and

    The concepts are described as separate from an individual’s specific circumstances.

    This is especially helpful when presenting new ways of thinking to those who may feel vulnerable, have difficulty trusting others, and/or are vigilant for signs of danger. They get to decide how the concepts apply to them.

    Conceptual model of ACT: Simplified (Harris, 2009)

     

    Warning: We are About to go through the Core Processes of ACT 

    A popular opinion among ACT clinicians: “Practice what you preach”.

    I am adopting this approach for teaching you about the core therapeutic processes.

    What this means: I may ask you to participate in some ACT-based practices so you can experience what they are like for you, which is intended to enhance your learning experience.

    What this does NOT mean: Again, this is not intended to treat any individual student’s diagnosed condition (e.g., OCD, chronic pain). Also, I am NOT requiring you to share details about your personal life (e.g., who are involved in your relationships), disabilities, or diagnosed conditions.

    For those of you who find it too difficult or uncomfortable to apply the exercises to yourselves, I have a case study that you may use as a reference for most the exercises.

    Case study option: You will be asked to fill out worksheets from the perspective of the case and provide some reasoning for why the individual in the case study would have responded that way.

    20

    Do What Matters

     

    Do What Matters: Values

    Consider (handout): How would you define the phrase “personal value”? Give some examples.

    (ACBS, n.d.): “Values are chosen qualities of purposive action that can never be obtained as an object but can be instantiated moment by moment…In ACT, acceptance, defusion, being present, and so on are not ends in themselves; rather they clear the path for a more vital, values consistent life.”

    My preference: I begin here (as opposed to focusing on opening up and being present) because values can be excellent reminders for why a client (or I) might go through the discomfort of learning new ways of relating to my thoughts and feelings.

    metaphors for describing the function of values

    Do What Matters: Values Identification

    Values are not goals…but specific, measurable, attainable, relevant, and timely (SMART) goals can come from committing to the pursuit of a value.

    Example: I value helping others learn (when I was 20-years-old).

    Relevant goal: I want to make a career out of helping others learn.

    More specific: I want to teach undergraduate-graduate level courses.

    More timely, measurable, and attainable: I want to take part in at least one research assistantship and maintain good grades to increase the likelihood that I will be accepted into a PhD program, which will afford me opportunities to teach undergraduate-graduate students. Psychology: Acceptance and Commitment Therapy

     

     

    Do What Matters: Values Identification & Committed Action

    Commonly used exercises include:

    Values Card Sort (see on Canvas)-values only

    Valued Living Questionnaire-values + committed action

    The Life Compass-values + committed action

    The Bull’s Eye-values + committed action

    Committed Action Questionnaire (CAQ-8)-committed action only

    And (many) more…

     

    Do What Matters: The Bull’s Eye (Handout)

    This exercise gets at values identification and committed action (i.e., how closely one is living consistently with one’s values).

    Go to The Bull’s Eye handout, read the directions carefully and follow those directions.

    Underneath each area of life (Work/Education, Relationships, Personal Growth/Health, Leisure), try answering the following two questions:

    What sort of person do you want to be?

    What personal strengths or qualities do you want to develop?

     

    Reminder: If you would prefer not to apply these exercises to yourself, please let me know and I will provide you with a case study! Your job will be to fill it out from the perspective of the individual in the case study.

    Do What matters: Reflection

    Please take some notes on the following (this will help you with the reflection assignment on Canvas):

    How easy or difficult was it for you to identify what sort of person you (or the individual in the case study) want to be in each of the major areas listed in The Bull’s Eye?

    On a scale from (not at all) 1-10 (extremely) , how important is the area of Work/Education to you?

    On a scale from 1-10, how important is the area of Leisure to you?

    On a scale from 1-10, how important is the area of Relationships to you?

    On a scale from 1-10, how important is the area of Personal Growth/Health to you?

     

    Do What Matters: Final Words

    Comparing levels of importance (e.g., 1-10 scale) with levels of acting consistently/inconsistently in valued area of life can provide important clues as to where much of the best work can be to move closer towards vital living.

    A potential problem: But, everything is important (or too many extremely important values)!

    Possible solution: Focusing on improvement in one area.

    Possible solution: Recognizing that one has limited capacity, and perfectly living according to all values is impossible (e.g., values of being a present father and being a high-achieving researcher can conflict, at times).

    Canvas Discussion Assignment(S)

    Participation credit for Module 1: Brief Discussion post

    Due by 11:59pm on June 7th

    Carefully follow directions on the discussion assignment page!

     

    “How can I feel better?” This is a question that all of us have probably thought at least once in our lives. Another question that life throws at us daily is “What are you going to do about difficult thoughts and feelings?” Acceptance and Commitment Therapy (or “ACT” for short) is a set of answers to those questions (TEDx Talks, 2016). What you can expect from this seminar: We will go over the six core therapeutic processes of ACT, sometimes called the “ACT hexaflex.” We will go over the rationale for each process and participate in experiential exercises to demonstrate each process. We will also discuss how they can lead to “psychological flexibility.” I look forward to seeing you there! –Dr. C Dr. Kevin Criswell, Visiting Assistant Professor of Psychology Email: kcriswell@ewu.edu | Reference: TEDx Talks. (2016, February). Psychological flexibility: How love turns pain into purpose | Steven Hayes | TEDxUniversityofNevada [Video file]. Retrieved from https://www.youtube.com/watch?v=o79_gmO5ppgv. Psychology: Acceptance and Commitment Therapy

    Acceptance and Commitment Therapy PSYC 498.54/598.053 – Summer 2019 – July 26, 8am – 6pm

     

    “HowcanIfeelbetter?”Thisisaquestionthatallofushaveprobably

    thoughtatleastonceinourlives.Anotherquestionthatlifethrowsat

    usdailyis“Whatareyougoingtodoaboutdifficultthoughtsand

    feelings?”AcceptanceandCommitmentTherapy(or“ACT”forshort)is

    asetofanswerstothosequestions(TEDxTalks,2016).

    Whatyoucanexpectfromthisseminar:Wewillgooverthesixcore

    therapeuticprocessesofACT,sometimescalledthe“ACThexaflex.”We

    willgoovertherationaleforeachprocessandparticipatein

    experientialexercisestodemonstrateeachprocess.Wewillalsodiscuss

    howtheycanleadto“psychologicalflexibility.”

    Ilookforwardtoseeingyouthere!–Dr.C

    Dr. Kevin Criswell, Visiting Assistant Professor of Psychology

    Email: kcriswell@ewu.edu| Reference:TEDx Talks. (2016, February). Psychological flexibility: How love turns pain into

    purpose | Steven Hayes | TEDxUniversityofNevada[Video file]. Retrieved from https://www.youtube.com/watch?v=o79_gmO5ppgv

    Acceptance and Commitment Therapy

    PSYC 498.54/598.053 –Summer 2019 –July 26, 8am –6pm

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    Psychology 498

    Module 1: Introduction to Acceptance and Commitment Therapy

    and Doing What Matters

    Practice Booklet

     

    Acceptance and Commitment Therapy Seminar PSYC 498

     

    Intended Audience & Purpose

     

    · Audience: students interested in learning about the evidence for, structure of, and application of Acceptance and Commitment Therapy (ACT).

     

    · Purpose

    · Describe the background and concepts involved in ACT.

    · Describe the evidence base for ACT.

    · Describe an ACT conceptual model.

    · Describe and experience how the six therapeutic processes can be applied to promote psychological flexibility.

    · Describe how ACT can be applied to a clinical case study.

     

    · Please Note: The purpose of this seminar is to provide information about ACT, including its theory and how it may be applied. However, just taking one seminar will not provide the sufficient training necessary to know how to ethically and independently (i.e., without supervision on applying general principles to specific client/patient problems) deliver ACT-based interventions in clinical settings or to individuals with the intention of treating a diagnosed mental disorder. Students interested in using ACT to treat clients/patients should obtain supervised clinical training under ACT-trained clinicians. Psychology: Acceptance and Commitment Therapy

    · As of July 16, 2019: 100+ ACT therapists located in Washington state: https://contextualscience.org/civicrm/profile?gid=17&reset=1&force=1

    · As of March 26, 2020: 2 ACT Trainers in Washington state: https://contextualscience.org/civicrm/profile?gid=20&reset=1&force=1

     

     

     

    Introduction:

     

    Questions to consider:

     

     

    · What do you already know about ACT or what do you think ACT is?

     

     

     

    · How would you define “mindfulness”?

     

     

     

     

    · How would you describe the purpose of mindfulness?

    · Conceptual ACT-based Models of Psychopathology and Wellbeing (Hayes, Pistorello, & Biglan, 2008)

    ·

    · Wellbeing “Hexaflex”

    · 

    ·

    · Pathology “Hexaflex”

    · 

    Creative Hopelessness (Harris, 2009)

     

    Three questions about attempts to get rid of unwanted thoughts and feelings:

    1. What have you tried?

    2. How has it worked?

    3. What was the cost?

     

    The simple idea: If one continues doing what has been done, then they will continue getting what they have always got.

     

    Consider the following question: What are some messages you have heard about how people should deal with uncomfortable or unwanted thoughts and feelings?

     

     

     

     

    Conceptual model of ACT: Simplified (Harris, 2009)

     

     

    Do What Matters: Values & Committed Action (Harris, 2009)

     

    Consider the following question: How would you define the phrase “personal value”?

    Try Following the Directions in this Values exercise on this page, below:

     

    Do What matters: Reflection

     

    Consider taking some notes on the following (this may help you gather information you can use for the participation discussion post and/or the reflection assignment in Canvas):

     

    · How easy or difficult was it for you to identify what sort of person you (or the individual in the case study) want to be in each of the major areas listed in The Bull’s Eye?

     

     

    · On a scale from (not at all) 1-10 (extremely), how important is the area of Work/Education to you?

     

     

    · On a scale from 1-10, how important is the area of Leisure to you?

     

     

    · On a scale from 1-10, how important is the area of Relationships to you?

     

     

    · On a scale from 1-10, how important is the area of Personal Growth/Health to you?

     

     

    Optional Practice Materials: Values Identification & Committing to Valued Actions:

    1. Values Card Sort

    This is a very “classic” exercise to practice with clients who struggle with identifying which values they are committed to living consistently with. More specifically, this can be helpful with clients who…

    1. Have become so detached from living in alignment with their values that they are numb and struggle with identifying what is important to them,

    2. Believe that it is important to live according to (too) many values at once. Burning out or feeling overwhelmed by responsibility can be common in this clinical picture. Ironically, when fewer, specific values are selected and committed to, the other important values tend to follow in a more achievable, long-term fashion.

    3. Struggle with choosing how to live. This person may recognize that there are several good options, yet also recognizes that everyone has limited time and capacity. Focusing on what matters most can be helpful.

    Instructions:

    (Note: This is the way I have found to work best with the most amount of clients. Just like mindfulness exercises, there are several ways that this exercise can be done.)

    In general, the purpose of this card sort is to end up with 3-5 values that the individual considers “Very Important to Me.” If individuals have some idea about values that are very important to them, it may be more efficient to just select values that fit that category of importance. However, if it is unclear what personal values a person has, then it can be helpful to go through the entire list of values in the card sort and organize them into 3 piles: “Very Important to Me”, “Important to Me”, and “Not Important to Me.” Then, focus just on the “Very Important to Me” pile and try removing 1-3 cards at a time until 3-5 are selected. Psychology: Acceptance and Commitment Therapy

    Download the card sort (Miller, Baca, Matthews, & Wilbourne, 2001): file attached

     

    2. Valued Living Questionnaire (VLQ)

     

    Author: Kelly Wilson & Groom

     

    The VLQ is an instrument that taps into 10 valued domains of living. These domains include: 1. Family, 2. Marriage/couples/intimate relations, 3. Parenting, 4. Friendship, 5. Work, 6. Education, 7. Recreation, 8. Spirituality, 9. Citizenship, and 10. Physical selfcare.

     

    Scoring: Respondents are asked to rate the 10 areas of life on a scale of 1–10, indicating the level of importance and how consistently they have lived in accord with those values in the past week. For detailed information on scoring the VLQ see Wilson and Murrell (2004).

     

    Reliability: The instrument has shown good test-retest reliability.

     

    Validity: Currently being collected.

     

    Reference: Wilson, K. G. & Groom, J. (2002). The Valued Living Questionnaire. Available from Kelly Wilson. Wilson, K. G. & Murrell, A. R. (2004). Values work in acceptance and commitment therapy: Setting a course for behavioral treatment. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive behavioral tradition (pp. 120-151). New York, NY: Guilford Press. Psychology: Acceptance and Commitment Therapy

     

    Valued Living Questionnaire

     

    Below are areas of life that are valued by some people. We are concerned with your quality of life in each of these areas. One aspect of quality of life involves the importance one puts on different areas of living. Rate the importance of each area (by circling a number) on a scale of 1-10. 1 means that area is not at all important. 10 means that area is very important. Not everyone will value all of these areas or value all areas the same. Rate each area according to your own personal sense of importance.

     

    Area not at all important extremely important

     

    1. Family (other than marriage or parenting) 1 2 3 4 5 6 7 8 9 10

     

    2. Marriage/couples/intimate relations 1 2 3 4 5 6 7 8 9 10

    3. Parenting 1 2 3 4 5 6 7 8 9 10

    4. Friends/social life 1 2 3 4 5 6 7 8 9 10

    5. Work 1 2 3 4 5 6 7 8 9 10

    6. Education/training 1 2 3 4 5 6 7 8 9 10

    7. Recreation/fun 1 2 3 4 5 6 7 8 9 10

    8. Spirituality 1 2 3 4 5 6 7 8 9 10

    9. Citizenship/Community Life 1 2 3 4 5 6 7 8 9 10

    10. Physical self-care (diet, exercise, sleep) 1 2 3 4 5 6 7 8 9 10

     

    In this section, we would like you to give a rating of how consistent your actions have been with each of your values. We are not asking about your ideal in each area. We are also not asking what others think of you. Everyone does better in some areas than others. People also do better at sometimes than at others. We want to know how you think you have been doing during the past week. Rate each area (by circling a number) on a scale of 1-10. 1 means that your actions have been completely inconsistent with your value. 10 means that your actions have been completely consistent with your value. Psychology: Acceptance and Commitment Therapy

     

    During the past week

     

    Area not at all consistent with my value completely consistent with my value

     

    1. Family (other than marriage or parenting) 1 2 3 4 5 6 7 8 9 10

     

    2. Marriage/couples/intimate relations 1 2 3 4 5 6 7 8 9 10

    3. Parenting 1 2 3 4 5 6 7 8 9 10

    4. Friends/social life 1 2 3 4 5 6 7 8 9 10

    5. Work 1 2 3 4 5 6 7 8 9 10

    6. Education/training 1 2 3 4 5 6 7 8 9 10

    7. Recreation/fun 1 2 3 4 5 6 7 8 9 10

    8. Spirituality 1 2 3 4 5 6 7 8 9 10

    9. Citizenship/Community Life 1 2 3 4 5 6 7 8 9 10

    10. Physical self-care (diet, exercise, sleep) 1 2 3 4 5 6 7 8 9 10

     

     

    3. Committed Action Questionnaire (CAQ-8)

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