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The Problem and the Approach | |
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The Dilemma of Human Suffering | |
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The Underlying Assumptions of the Psychological Mainstream | |
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The Assumption of Destructive Normality | |
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The Philosophical and Theoretical Foundations of ACT | |
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Why the Level of Technique Is Not Adequate | |
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The Need for Philosophy | |
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Functional Contextualism | |
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Relational Frame Theory and Rule Governance: The View of Language Underlying ACT | |
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Summary: Implications of Functional Contextualism, Rule Governance, and Relational Frame Theory | |
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The ACT Model of Psychopathology and Human Suffering | |
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The System That Traps People | |
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The Pervasiveness of Experiential Avoidance | |
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The Destructive Effects of Experiential Avoidance | |
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When Experiential Avoidance Can't Work | |
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How Humans Get Drawn into a Struggle | |
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ACT: Accept, Choose, Take Action | |
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ACT as a Contextual Cognitive-Behavioral Therapy | |
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Concluding Remarks | |
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A Personal Exercise for Therapists | |
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Clinical Methods | |
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Creative Hopelessness: Challenging the Normal Change Agenda | |
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Theoretical Focus | |
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Clinical Focus | |
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Informed Consent | |
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Drawing Out the System | |
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Confronting the System: Creative Hopelessness | |
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Barriers to Giving Up the Unworkable System | |
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Letting Go of the Struggle as an Alternative | |
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Therapeutic Do's and Don'ts | |
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Progress to the Next Phase | |
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Personal Work for the Clinician | |
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Clinical Vignette | |
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Client Homework | |
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Control Is the Problem, Not the Solution | |
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Theoretical Focus | |
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Clinical Focus | |
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Giving the Struggle a Name: Control Is the Problem | |
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How Emotional Control Is Learned | |
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Examine the Apparent Success of Control | |
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The Alternative to Control: Willingness | |
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The Cost of Unwillingness | |
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Therapeutic Do's and Don'ts | |
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Progress to the Next Stage | |
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Personal Work for the Clinician: Is Control the Problem? | |
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Clinical Vignette | |
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Client Homework | |
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Building Acceptance by Defusing Language | |
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Theoretical Focus | |
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Clinical Focus | |
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Attacking the Arrogance of Words | |
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Deliteralizing Language | |
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Undermining Reasons as Causes | |
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Disrupting Troublesome Language Practices | |
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Evaluation versus Description | |
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Willingness: The Goal of Deliteralization | |
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Therapeutic Do's and Don'ts | |
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Progress to the Next Stage | |
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Personal Exercise for the Clinician: Your Views of Yourself | |
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Clinical Vignette | |
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Client Homework | |
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Discovering Self, Defusing Self | |
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The Theoretical Focus: Varieties of Self | |
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Clinical Focus | |
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Undermining Attachment to the Conceptualized Self | |
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Building Awareness of the Observing Self | |
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Experiential Exercises with the Observing Self | |
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Therapeutic Do's and Don'ts | |
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Progress to the Next Phase | |
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Personal Work for the Clinician: Is Your Self Getting in the Way? | |
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Clinical Vignette | |
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Valuing | |
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Theoretical Focus | |
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Clinical Focus | |
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Valuing: A Point on the Compass | |
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Outcome Is the Process through Which Process Becomes the Outcome | |
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Values Clarification: Setting the Compass Heading | |
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Assessment of Values, Goals, Actions, and Barriers | |
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Willingness to Have Barriers and Barriers to Willingness | |
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Therapeutic Do's and Don'ts | |
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Progress to the Next Phase | |
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Personal Work for the Clinician: Taking a Direction | |
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Clinical Vignette | |
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Willingness and Commitment: Putting ACT into Action | |
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The Client's Quandary and the Way Out | |
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Theoretical Focus | |
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Clinical Focus | |
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Experiential Qualities of Applied Willingness | |
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Reconnecting with Values, Goals, and Actions | |
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Committed Action as a Process | |
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Committed Action Invites Obstacles | |
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A Map for the Journey: FEAR and ACT | |
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Primary Barriers to Committed Action | |
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ACT as a Behavior Therapy | |
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Termination and Relapse Prevention | |
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Therapeutic Do's and Don'ts | |
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Personal Work for the Clinician: Committed Action | |
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Clinical Vignette | |
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Client Homework | |
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Using Act | |
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The Effective ACT Therapeutic Relationship | |
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Positive Leverage Points in ACT | |
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Negative Leverage Points in ACT | |
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The Therapeutic Relationship | |
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Summary | |
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ACT in Context | |
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The Relevance of ACT in the 21st Century | |
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References | |
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Index | |