Acceptance and Commitment Therapy (Act) in Psychotic Patient
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Introductions: Psychosis is a condition of severe mental disorder characterised by the presence of disability in assessing reality. Schizophrenia is the most common psychotic disorder. It is also associated with long-term disability. ACT is one of the newest psychological interventions for psychotic patients. This paper aims to describe ACT as the newest psychotherapy intervention and its advantages for psychotic patients. Review: The management of psychosis is a combination of the use of antipsychotics, psychotherapy, and psychosocial therapy. ACT is one of the newest psychological interventions for psychotic patients that aims to increase the patient's psychological flexibility through six core processes of therapy: acceptance, cognitive defusion, being present, self as context, value, and committed action. ACT does not target symptom reduction. Therapists help patients recognise and reduce unnecessary struggles with psychological content so that patients can develop an accepting attitude and be able to move towards the values they hold. Conclusions: The use of third-wave behavioural therapy based on mindfulness and acceptance showed good results in patients with psychotic disorders. ACT aims to help individuals accept things that are beyond their control and commit to actions that can improve their lives. Research on the clinical adaptation of ACT for psychosis has shown good initial results in reducing distress due to psychotic symptoms, better regulation of emotions, and reducing relapsing rates.
Gaudiano BA, Davis CH, Epstein-lubow G, Johnson JE, Mueser KT, Miller IW. Acceptance and Commitment Therapy for Inpatients with Psychosis ( the REACH Study ): Protocol for Treatment Development and Pilot Testing. 2017;
Cramer H, Lauche R, Haller H, Langhorst J, Dobos G. Mindfulness- and Acceptance-based Interventions for Psychosis : A Systematic Review and Meta-analysis. 2016;5(1):30–43.
Donoghue EO, Clark A, Richardson M, Hodsoll J, Nandha S, Morris E, et al. Balancing ACT : evaluating the effectiveness of psychoeducation and Acceptance and Commitment Therapy ( ACT ) groups for people with bipolar disorder : study protocol for pilot randomised controlled trial. 2018;19(436):1–8.
Shawyer F, Farhall J, Thomas N, Hayes SC, Gallop R, Copolov D, et al. Acceptance and commitment therapy for psychosis : randomised controlled trial. 2017;(210):140–8.
Oliver JE, Joseph C, Byrne M, Johns LC, Morris EMJ. Introduction to Mindfulness and Acceptance-based Therapies for Psychosis. 2007;
Gaudiano BA, Busch AM, Wenze SJ, Epstein-lubow G, Miller IW. Acceptance-based Behavior Therapy for Depression with Psychosis: Result from a Pilot Feasibility Randomized Controlled Trial. 2015;21(5):320–33.
Harris R. Embracing Your Demons: an Overview of Acceptance and Commitment Therapy. 2006;12(4):1–8.
Dindo L, Liew JR Van, Arch JJ. Acceptance and Commitment Therapy : A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. 2017;546–53.
Dindo L. One-Day Acceptance and Commitment Training Workshops in Medical Populations. 2015;1(2):38–42.
Yadavaia, James E., Steven C. Hayes RV. Using Acceptance and Commitment Therapy to Increase Self Compassion: A Randomized Controlled Trial. 2014;3(4):248–57.
Harris R. ACT Made It Simple, An Easy-to-Read Primer on Acceptance and Commitment Therapy. Oakland: New Harbingers Publication Inc.; 2009.
Smith L, Webber R, DeFrain J. Spiritual well-being and its relationship to resilience in young people: A mixed methods case study. SAGE Open. 2013;3(2):1–16.
Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and Commitment Therapy : Model , processes and outcomes. 2006;44:1–25.
Gaudiano BA, Ph D. Evaluating Acceptance and Commitment Therapy : An Analysis of a Recent Critique. 2004;5(3):311–29.
Hayes SC, Levin ME, Plumb-vilardaga J, Villatte JL. Acceptance and Commitment Therapy and Contextual Behavioral Science: Examining the Progress of a Distinctive Model of Behavioral and Cognitive Therapy Steven. 2013;44(2):180–98.
Bloy S, Oliver JE, Morris E. Using acceptance and commitment therapy with people with psychosis: A case study. Clin Case Stud. 2011;10(5):347–59.
Gray R, Hillel SA, Brown E, Ghareeb A Al. Safety and Efficacy of Acceptance and Commitment Therapy ( ACT ) in Schizophrenia Spectrum and Other Psychotic Disorders : Protocol for a Systematic Review and Meta-Analysis. :1–8.
Gaudiano A, Herbert JD, Hayes SC. Is It the Symptom or the Relation to It? Investigating Potential Mediators of Change in Acceptance and Commitment Therapy for Psychosis. 2010;41(4):543–54.
Pearson AN, Tingey R. Acceptance and Commitment Therapy ( ACT ) for Psychosis : An 18 Session Group Therapy Protocol. :1–82.
Villatte J, Vilardaga R, Villatte M, All E. ACT Modules Differential impact on treatment processes and outcomes. Physiol Behav. 2016;176(3):139–48.
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