In Acceptance and Commitment Therapy (ACT) metaphors and experiential exercises are used to help clients get distance from their thoughts and make room for emotions. This presentation is part of a graduate course taught at NYU.
Man in Hole pp. 101-104 of manual – Dig ACT? Not really final goal, but early goal– but here’s something that looks a bit different Creative Hopelessness Explain it Control Agenda vs. Acceptance Agenda Role Play to Demonstrate Chessboard Metaphor Open Discussion General Reactions? Questions? Comfortable doing that with a client?; Think they’ll come back? Wouldn’t MI be just as good? Or a little explanation of the efficacy research?
Pain vs. Suffering Page 147
Page 163 “The Person” may go anywhere he/she chooses Cannot communicate with “The Mind” If the person tries to communicate with “The Mind”, the mind should interfere - Person should be stopped from Minding the Mind - Mind says “Never mind your mind!” The Person should listen to the Mind without minding back and go wherever the Person chooses to go After at least 5 Minutes (The Mind will monitor this), switch roles Then after everyone has gone, we each split up and go for a walk alone silently, NOTICING that each of us is still taking a mind for a walk, it is just the FAMILIAR mind in our heads Follow the same rules as before during this time Dispassionately let the Mind describe, analyze, encourage, evaluate, compare, predict, summarize, warn, cajole, point out, and so on The Mind(s) must follow & must communicate nearly constantly about anything and everyghing Descriptions Analysis Encourgement Evaluations Comparisons Predictions Summarizations Warnings Cajolings Criticisms
Page 163 Life Stories as reasons = Elaborate descriptions of life history seen as PROOF or REASONS for current events and as evidence that person is “Broken.” Have them write their Life Story (from WorkBook) Have them rewrite it Moving from deliterlaizing a single word (Milk, Bad) to deliterlizing an entire Life Story Functional Utility rather than literal truth. These questions may help And what is that story in the service of?” And does that description of your past help you move ahead? Is this helpful, or is this what your mind does to you? Are you proposeing a solution, or is thi sjust your way of “digging”? Have you said these kinds of things to yourself or to others before Is this old? If you’ve said this before, what do you think will be different now if you say them again? If God told you that your explanation is 100% correct, how would this help you? *********** OK, let’s all have a vote and vote that you are correct. Now what?
Page 167 But literally means that what comes after the But literally contradicts what went before the word
Page 168 Do Bad Cup after this slide
Acceptance and Commitment Therapy (ACT) Exercises & Metaphors
J. Ryan Fuller, Ph.D.
New York Behavioral Health
New York, NY