Mindfulness- and Acceptance-Based Behavioral Therapies in Practice
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October 23, 2008
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ccessible and practical, this book provides a unified framework for integrating acceptance and mindfulness into cognitive-behavioral practice. The authors interweave elements of acceptance and commitment therapy, mindfulness-based cognitive therapy, mindfulness-based relapse prevention, and dialectical behavior therapy. They demonstrate how to conduct an assessment, develop a case formulation, and derive a flexible treatment plan for each patient. Vivid case examples and transcripts illustrate the entire process of therapy, showing how treatment can be tailored for different presenting problems and concerns. More than two dozen reproducible
handouts and forms are included.
“This book is timely and innovative in its approach to clinical work. It is a very thorough, well-researched, and scientifically sound book with a plethora of references. This is certainly gratifying and sets it apart from other books aimed at the practicing clinician....This book is an informative and well-researched approach to an exciting and promising area of practice. It is likely to deepen the clinical understanding of the beginning clinician or postdoctoral candidate.”—PsycCRITIQUES
“The book provided a robust introduction to Mindfulness, including a section on the current evidence base for the approach. It goes on to take the reader through the process of therapy from the initial history taking to evaluation of the therapy and relapse prevention. Each section is thorough but readable and the incorporation of case studies and examples of therapeutic dialogue is well balanced. The text provides a detailed section on the assessment process and tailoring of the approach to suit individuals. The chapter focusing on cultural considerations is a great asset to the book and helps to make the book relevant to professionals working within diverse communities. The book reads very well and provides a good explanation of mindfulness giving it a broad appeal to a range of professionals....The extensive supply of handouts, information sheets, and self-assessment documents provides a great resource base for therapy....A thorough yet accessible guide to Mindful and Acceptance based therapy for both the experienced therapist and the curious trainee.”—Journal of Mental Health
“Students have expressed a need for a unifying framework, through which they can sufficiently support and challenge clients to expand their affective, cognitive, and behavioral skills and experiences. The text of Roemer and Orsillo provides just the answer. All readers—whether students, practitioners, or educators—can benefit from the well-supported theoretical grounding of the mindfulness and acceptance-based behavioral therapeutic (ABBT) approaches provided as well as the detailed description and synthesis of numerous, evidence-based practices associated with both. Although any of the 11 chapters...can stand alone as a credible source of indispensable information, read together in their entirety, they offer the reader a practical and easily accessible means to integrate mindfulness and ABBT approaches in their clinical work with clients.”—The Family Journal
“A well-written, comprehensive, and consumer-friendly guide to mindfulness-and acceptance-based behavioral therapies....The authors incorporate material from a range of evidence-based interventions....In this way, the authors make the book relevant to clinicians interested in learning about important elements and principles across the range of existing mindfulness- and acceptance-based therapies....This book provides a useful guide for clinicians who are interested in learning about and utilizing mindfulness-and acceptance-based therapeutic concepts, and it would make a valuable addition to any clinician's library.”—Cognitive Behaviour Therapy
“Strong and insightful both on theory and practice. The book includes an abundance of useful and reproducible handouts, which form an integral part of mindfulness and acceptance therapy; both self-monitoring forms and psycho-educational materials....It also provides an enlightening overview of the similarities and differences between the initially bewildering array of approaches within the 'family': acceptance and commitment therapy (ACT), mindfulness-based cognitive therapy (MBCT), mindfulness-based relapse prevention (MBRP), dialectical behavior therapy (DBT), and of course the original cognitive therapy (CT)....A comprehensive guide is given to assessment, case conceptualization, and the treatment itself....I encourage all mental health practitioners to read it.”—CounsellingResource.com
“Wide ranging in its coverage and grounded in its delivery, this book illustrates the nuts and bolts of mindfulness- and acceptance-based clinical care without straying far from the authors' behavioral roots. This impressive volume will prove indispensable to therapists, students, and researchers eager to learn about the promise these models hold.”—Zindel V. Segal, PhD, Departments of Psychology and Psychiatry, University of Toronto–Scarborough, Canada
“This outstanding book describes the most up-to-date conceptualizations of mindfulness- and acceptance-based procedures, which are components of most, if not all, successful therapies. The authors present a modular approach for integrating these empirically supported techniques into the treatment of patients with diverse problems. This is the shape of things to come—a book that should be read by every clinician and clinical trainee who wants to stay abreast of advances in psychological treatments.”—David H. Barlow, PhD, ABPP, Professor Emeritus of Psychology and Psychiatry and Founder, Center for Anxiety and Related Disorders, Boston University
“This timely and important volume offers an insider’s view of what is essential and unique about mindfulness- and acceptance-based treatments. The authors show how core mechanisms of therapeutic change, derived from clinical science, can be flexibly applied in therapy that is client centered, compassionate, and emotionally connected. They provide a nuanced understanding of complex theoretical issues and how they bear on actual treatment. This readable book will be welcomed by seasoned clinicians for its conceptual clarity and wealth of clinical exercises, and by beginning therapists as a trustworthy guide to acceptance-based behavioral treatment.”—Christopher Germer, PhD, private practice, Arlington, Massachusetts
“With the growing interest in mindfulness- and acceptance-based behavioral therapies, many practitioners and students are seeking a practical book like this one to fill a gap in their training. The volume offers a detailed, step-by-step explanation of each phase of assessment, case conceptualization, and treatment. I highly recommend this excellent, well-written, theoretically informed guide.”—Gabriele Melli, PhD, President, Institute of Behavioral and Cognitive Psychology and Psychotherapy of Florence, Italy
“Roemer and Orsillo provide a practical, balanced, and comprehensive review of mindfulness- and acceptance-based treatments for anxiety, depression, and a range of other problems. They also discuss how these strategies can be used in the context of other behavioral approaches. This is an essential book for anyone planning to integrate mindfulness and acceptance-based strategies into his or her clinical practice, from the novice to the seasoned therapist.”—Martin M. Antony, PhD, ABPP, Department of Psychology, Ryerson University, Toronto, Ontario, Canada
Table of Contents
1. An Acceptance-Based Behavioral Conceptualization of Clinical Problems
2. Clinical Assessment of Relevant Domains
3. Individualized Case Formulation and Treatment Planning
4. Setting the Stage for Therapy
5. Offering the Client an Acceptance-Based Behavioral Model of Human Functioning
6. Mindfulness- and Acceptance-Based Strategies
7. Setting the Stage for Behavioral Change
8. Putting It All Together: Promoting Mindful, Valued Action
9. Evaluating Progress, Relapse Prevention, and Ending Treatment
10. Incorporating Other Evidence-Based Interventions with Acceptance-Based Behavioral Therapies
11. Cultural Considerations in Acceptance-Based Behavioral Therapies, with Jonathan K. Lee and Cara Fuchs
Appendix. Mindfulness Books
About the AuthorsLizabeth Roemer
, PhD, is Professor of Psychology at the University of Massachusetts–Boston, where she is actively involved in research and clinical training of doctoral students in clinical psychology. In collaboration with her students, her research examines basic processes that may underlie clinical problems, such as the role of emotional acceptance, emotional suppression, emotion regulatory strategies, and mindfulness in a range of clinical presentations. Dr. Roemer has published over 70 journal articles and book chapters, coedited two books, and coauthored two books.
Susan M. Orsillo
, PhD, is Professor of Psychology at Suffolk University in Boston, Massachusetts. Her current research focuses on the role of emotional response styles, most notably experiential avoidance, in maintaining psychological difficulties. In collaboration with her doctoral students in clinical psychology, she has developed a number of prevention and treatment programs that integrate acceptance and mindfulness with evidence-based behavioral approaches. Dr. Orsillo has published over 70 journal articles and book chapters, coedited two books, and coauthored two books.
Together, Drs. Roemer and Orsillo have developed an acceptance-based behavioral therapy for generalized anxiety disorder. They are currently examining its efficacy as well as mediators and moderators of change in a study funded by the National Institute of Mental Health. Their self-help book The Mindful Way through Anxiety
draws from their decade of research in this area to provide guidance to people struggling with anxiety.
Psychotherapists in a range of settings, including clinical psychologists, psychiatrists, and clinical social workers, as well as advanced students in these areas.
May serve as a text in graduate-level courses and clinical practica.