Self-as-context, one of the core principles in acceptance and commitment therapy (ACT), is the concept that people are not the content of their thoughts or feelings, but rather are the consciousness experiencing or observing the thoughts and feelings. [1] [2] Self-as-context is distinguished from self-as-content, defined in ACT as the social scripts people maintain about who they are and how they operate in the world. A related concept, decentering which is a central change strategy of mindfulness-based cognitive therapy, is defined as a process of stepping outside of one’s own mental events leading to an objective and non-judging stance towards the self. [3]
Buddhist mindfulness practices in conjunction with functional contextualism deeply influenced the formation of ACT and its concept of self-as-context. [4] The approach was originally called comprehensive distancing [5] and was developed in the late 1980s [6] by Steven C. Hayes, Kelly G. Wilson, and Kirk Strosahl. [7]
To differentiate self-as-context from self-as-content, ACT presents the conceptual self (participant), the thinking self (participant observer), and the observational self (observer). [8] [9] [10] [11]
The conceptual self is a person's self-as-content. A personal narrative, the conceptual self includes objective facts (name, age, sex, cultural background, marital status, occupation, etc.), subjective details (likes, dislikes, hopes, fears, and perceived strengths and weaknesses), social roles (friend, spouse, parent, child), and gender roles (mother, father, daughter, son). [9] [12] When a person "holds" their conceptual self lightly then their identity construct is adaptable, however, should a person become unable to differentiate themselves from the rules and restrictions comprising their conceptual self then, according to ACT, they may struggle in different areas of their life. [9] Examples include saying things like "I wish I could, but I'm not the sort of person to _____" or "I'm a strong person, I don't need any help." [9] [12]
The thinking self is the inner monologue actively assessing, questioning, judging, reasoning, and rationalizing any given moment, situation, or behavior. The relationship between the participant and participant-observer is described in Russ Harris' The Happiness Trap (2007) as being like that of an actor and director:
Out of an entire lifetime of experience—literally hundreds of thousands of hours of archival "film footage"—our thinking self selects a few dramatic memories, edits them together with some related judgments and opinions, and turns it into a powerful documentary, entitled "This Is Who I Am!" And the problem is, when we watch that documentary we forget that it's just a heavily edited video. Instead, we believe that we are that video! But in the same way that a documentary of Africa is not Africa, a documentary of you is not you. [13]
The observational self is defined in ACT as a transcendent state of self-awareness accessible through mindful expansion of awareness. [14] In ACT cognitive defusion exercises are utilized to demonstrate how thoughts have no literal power over action, thereby increasing mental flexibility. [2] If someone thinks "I am the worst," for example, a cognitive defusion exercise would observe "I am having the thought that I am the worst." Other exercises demonstrating how thoughts have no actual power include saying "I can't walk and talk" while proceeding to walk and talk, or saying "I have to stand up" while remaining seated. [13] Experientially, the observational self is the part of consciousness that hears one's inner voice, and sees images in the mind's eye. ACT presents the idea that the more practiced a person is at accessing their observational self, the easier it is to perceive emotions within their situational context, remain mentally flexible, and commit to value congruent action. [8] [9] [12] [13]
Self-as-content also includes the nonverbal sense of self experienced through physiological responses, including instinct, attraction, repulsion, and emotional affect. [12] In ACT for Gender Identity: The Comprehensive Guide, Alex Stitt differentiates the somatic self from the thinking self and says that a person's relationship with their body begins to develop before their inner monologue. [12] Since gender is more than just a thought, and identity is often described in "felt" terms, the somatic self accounts for the sense of "resonance" and "dissonance" either attracting or repelling people to certain aspects of gender and gender expression. [12] Unlike the observational self, which is able to step back and see self-as-context, the somatic self can be as unreliable as the thinking self. Examples of this include when a person's physiological fear response is triggered in moments of safety, when a person is in a dissociative state, or when a person's affect is incongruent with their content of speech. [12]
Metacognition is an awareness of one's thought processes and an understanding of the patterns behind them. The term comes from the root word meta, meaning "beyond", or "on top of". Metacognition can take many forms, such as reflecting on one's ways of thinking and knowing when and how to use particular strategies for problem-solving. There are generally two components of metacognition: (1) knowledge about cognition and (2) regulation of cognition. A metacognitive model differs from other scientific models in that the creator of the model is per definition also enclosed within it. Scientific models are often prone to distancing the observer from the object or field of study whereas a metacognitive model in general tries to include the observer in the model.
Behaviour therapy or behavioural psychotherapy is a broad term referring to clinical psychotherapy that uses techniques derived from behaviourism and/or cognitive psychology. It looks at specific, learned behaviours and how the environment, or other people's mental states, influences those behaviours, and consists of techniques based on behaviorism's theory of learning: respondent or operant conditioning. Behaviourists who practice these techniques are either behaviour analysts or cognitive-behavioural therapists. They tend to look for treatment outcomes that are objectively measurable. Behaviour therapy does not involve one specific method, but it has a wide range of techniques that can be used to treat a person's psychological problems.
Acceptance and commitment therapy is a form of psychotherapy, as well as a branch of clinical behavior analysis. It is an empirically based psychological intervention that uses acceptance and mindfulness strategies along with commitment and behavior-change strategies to increase psychological flexibility.
Mindfulness-based cognitive therapy (MBCT) is an approach to psychotherapy that uses cognitive behavioral therapy (CBT) methods in conjunction with mindfulness meditative practices and similar psychological strategies. The origins to its conception and creation can be traced back to the traditional approaches from East Asian formative and functional medicine, philosophy and spirituality, birthed from the basic underlying tenets from classical Taoist, Buddhist and Traditional Chinese medical texts, doctrine and teachings.
Steven C. Hayes is an American clinical psychologist and Nevada Foundation Professor at the University of Nevada, Reno Department of Psychology, where he is a faculty member in their Ph.D. program in behavior analysis. He is known for developing relational frame theory, an account of human higher cognition. He is the co-developer of acceptance and commitment therapy (ACT), a popular evidence-based form of psychotherapy that uses mindfulness, acceptance, and values-based methods, and is the co-developer of process-based therapy (PBT), a new approach to evidence-based therapies more generally. He also coined the term clinical behavior analysis.
Buddhism includes an analysis of human psychology, emotion, cognition, behavior and motivation along with therapeutic practices. Buddhist psychology is embedded within the greater Buddhist ethical and philosophical system, and its psychological terminology is colored by ethical overtones. Buddhist psychology has two therapeutic goals: the healthy and virtuous life of a householder and the ultimate goal of nirvana, the total cessation of dissatisfaction and suffering (dukkha).
In psychology, self-compassion is extending compassion to one's self in instances of perceived inadequacy, failure, or general suffering. American psychologist Kristin Neff has defined self-compassion as being composed of three main elements – self-kindness, common humanity, and mindfulness.
Functional contextualism is a modern philosophy of science rooted in philosophical pragmatism and contextualism. It is most actively developed in behavioral science in general and the field of behavior analysis and contextual behavioral science in particular. Functional contextualism serves as the basis of a theory of language known as relational frame theory and its most prominent application, acceptance and commitment therapy. It is an extension and contextualistic interpretation of B.F. Skinner's radical behaviorism first delineated by Steven C. Hayes which emphasizes the importance of predicting and influencing psychological events with precision, scope, and depth, by focusing on manipulable variables in their context.
New Harbinger Publications, Inc. is an employee-owned, Oakland-based American publisher of self-help books.
A clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualisation of the information obtained from a clinical assessment. It offers a hypothesis about the cause and nature of the presenting problems and is considered an adjunct or alternative approach to the more categorical approach of psychiatric diagnosis. In clinical practice, formulations are used to communicate a hypothesis and provide framework for developing the most suitable treatment approach. It is most commonly used by clinical psychologists and is deemed to be a core component of that profession. Mental health nurses, social workers, and some psychiatrists may also use formulations.
The Worry Trap: How to Free Yourself from Worry & Anxiety Using Acceptance & Commitment Therapy is a self-help book written by Chad LeJeune, Ph.D. in 2007.
Flexibility is a personality trait that describes the extent to which a person can cope with changes in circumstances and think about problems and tasks in novel, creative ways. This trait comes into play when stressors or unexpected events occur, requiring that a person change their stance, outlook, or commitment.
Clinical behavior analysis is the clinical application of behavior analysis (ABA). CBA represents a movement in behavior therapy away from methodological behaviorism and back toward radical behaviorism and the use of functional analytic models of verbal behavior—particularly, relational frame theory (RFT).
Experiential avoidance (EA) has been broadly defined as attempts to avoid thoughts, feelings, memories, physical sensations, and other internal experiences — even when doing so creates harm in the long run. The process of EA is thought to be maintained through negative reinforcement — that is, short-term relief of discomfort is achieved through avoidance, thereby increasing the likelihood that the avoidance behavior will persist. Importantly, the current conceptualization of EA suggests that it is not negative thoughts, emotions, and sensations that are problematic, but how one responds to them that can cause difficulties. In particular, a habitual and persistent unwillingness to experience uncomfortable thoughts and feelings is thought to be linked to a wide range of problems.
The Association for Contextual Behavioral Science (ACBS) is a worldwide nonprofit professional membership organization associated with acceptance and commitment therapy (ACT), and relational frame theory (RFT) among other topics. The term "contextual behavioral science" refers to the application of functional contextualism to human behavior, including contextual forms of applied behavior analysis, cognitive behavioral therapy, and evolution science. In the applied area Acceptance and Commitment Therapy is perhaps the best known wing of contextual behavioral science, and is an emphasis of ACBS, along with other types of contextual CBT, and efforts in education, organizational behavior, and other areas. ACT is considered an empirically validated treatment by the American Psychological Association, with the status of "Modest Research Support" in depression, Obsessive Compulsive Disorder, mixed anxiety disorders, and psychosis, and "Strong Research Support" in chronic pain. ACT is also listed as evidence-based by the Substance Abuse and Mental Health Services Administration of the United States federal government which has examined randomized trials for ACT in the areas of psychosis, work site stress, and obsessive compulsive disorder, including depression outcomes. In the basic area, Relational Frame Theory is a research program in language and cognition that is considered part of contextual behavioral science, and is a focus of ACBS. Unlike the better known behavioral approach proposed by B.F. Skinner in his book Verbal Behavior, experimental RFT research has emerged in a number of areas traditionally thought to be beyond behavioral perspectives, such as grammar, metaphor, perspective taking, implicit cognition and reasoning.
Cognitive emotional behavioral therapy (CEBT) is an extended version of cognitive behavioral therapy (CBT) aimed at helping individuals to evaluate the basis of their emotional distress and thus reduce the need for associated dysfunctional coping behaviors. This psychotherapeutic intervention draws on a range of models and techniques including dialectical behavior therapy (DBT), mindfulness meditation, acceptance and commitment therapy (ACT), and experiential exercises.
Mode deactivation therapy (MDT) is a psychotherapeutic approach that addresses dysfunctional emotions, maladaptive behaviors and cognitive processes and contents through a number of goal-oriented, explicit systematic procedures. The name refers to the process of mode deactivation that is based on the concept of cognitive modes as introduced by Aaron T. Beck. The MDT methodology was developed by Jack A. Apsche by combining the unique validation–clarification–redirection (VCR) process step with elements from acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and mindfulness to bring about durable behavior change.
Metacognitive therapy (MCT) is a psychotherapy focused on modifying metacognitive beliefs that perpetuate states of worry, rumination and attention fixation. It was created by Adrian Wells based on an information processing model by Wells and Gerald Matthews. It is supported by scientific evidence from a large number of studies.