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The idionomic future of cognitive behavioral therapy : What stands out from criticisms of ACT development
Hayes, Steven C. Hofmann, Stefan G. Ciarrochi, Joseph
Hayes, Steven C.
Hofmann, Stefan G.
Ciarrochi, Joseph
Abstract
The present special section critical of Acceptance and Commitment Therapy or Training (ACT in either case) and its basis in psychological flexibility, relational frame theory, functional contextualism, and contextual behavioral science (CBS) contains both worthwhile criticisms and fundamental misunderstandings. Noting the important historical role that behavior analysis has played in the cognitive behavioral therapy (CBT) tradition, we argue that CBS as a modern face of behavior analytic thinking has a potentially important positive role to play in CBT going forward. We clarify functional contextualism and its link to ethical behavior, attempting to clear up misunderstandings that could seriously undermine genuine scientific conversations. We then examine the limits of using syndromes and protocols as a basis for further developing models and methods; the role of measurement and processes of change in driving progress toward more personalized interventions; how pragmatically useful concepts can help basic science inform practice; how both small- and large-scale studies can contribute to scientific progress; and how all these strands can be pulled together to benefit humanity. In each area, we argue that further progress will require major modifications in our traditional approaches to such areas as psychometrics, the conduct of randomized trials, the analysis of findings using traditional normative statistics, and the use of data from diverse cultures and marginalized populations. There have been multiple generational shifts in our field's history, and a similar shift appears to be taking place once again.
Keywords
functional contextualism, acceptance and commitment therapy, processes of change, idionomic analysis, process-based therapy
Date
2023
Type
Journal article
Journal
Book
Volume
54
Issue
6
Page Range
1036-1063
Article Number
ACU Department
Institute for Positive Psychology and Education
Faculty of Education and Arts
Faculty of Education and Arts
Relation URI
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open
Notes
© 2023 Association for Behavioral and Cognitive Therapies.
Published by Elsevier Ltd.
This is an open access article under the CC BY license (http://creativecommons.
This is an open access article under the CC BY license (http://creativecommons.