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After 7 years in a training role in a large mental health trust, I have now stepped back into a clinical role.  The role is as a primary care nurse, helping to move clients from secondary care services like Community Mental Health Teams into GP care.  Of course they move themselves and I hope to oil their wheels and take the bugs off their windshields.  I had an introduction to Acceptance Commitment Therapy via an introductory day plus extensive reading related to its use in building resilience in the workforce.  From my vantage point, its exciting and full of poten

近きん期き参加さんか中ちゅう澳叙事じょじ治ち疗培训，感受かんじゅ良よ多おお。

首くび先さき觉得叙事じょじ治ち疗的后きさき现代、后きさき结构主ぬし义、语境主ぬし义的哲学てつがく思おもえ路ろ还是很清楚すわえ，是ぜ人じん类发展てん至いたり今こん对自身じしん认识的てき进步，也是心理しんり治ち疗的进步。从前现代的てき皇すめらぎ权、教主きょうしゅ等とう少数しょうすう掌握しょうあく所しょ谓真理知りち识到现代社会しゃかい重じゅう视科学かがく、专家知ち识，再さい到いた后きさき现代强きょう调人文じんぶん知ち识是社会しゃかい建けん构的。使つかい得治とくじ疗师的てき地位ちい逐步与あずか来らい访者平等びょうどう，甚至成なり为学生せい。不ふ再さい是ぜ专家、医い生せい的てき姿すがた态对待まち来らい访者，特とく别是因いん为心理しんり障碍しょうがい本身ほんみ就是社会しゃかい建けん构的结果。ACT在ざい这一点上与叙事治疗是一致的。

但ただし是ぜ，叙事じょじ强きょう调没有ゆう一いち个稳定じょう的てき我わが，只ただ有ゆう不断ふだん变化的てき身み份认同どう，这一いち点てん与あずかACT似に乎不太ふとし一致いっち，因いん为ACT强きょう调有观察的てき我わが存在そんざい，正せい如人本ほん主ぬし义也强きょう调有真しん我わが存在そんざい一いち样。不ふ过，通つう过学习，觉得叙事じょじ的てき变化的てき身み份认同どう似に乎更接近せっきん真相しんそう。

Dear Santa: this is just to say
That I don´t like the doll you left.
She is cross-eyed, her hair a mess
It seems to me sort of rags her dress.

I see my friend’s dolls so pretty, so well,
That I feel jealousy of their happiness.
Please Santa, come back and take it away!

Dear Santa, I hugged my doll yesterday
I told her some tales and we sang as well.
We shared our secrets and then fell asleep.

http://www.tudou.com/programs/view/Ir0b5TMi54A/

从更广阔的てき视角来らい看み，接せっ纳与承うけたまわ诺疗法ほう（ACT）属ぞく于语境さかい行ゆき为科学がく（contextual behavioral science，CBS）取と向こう，是ぜ一个整合基础与应用、理り论与实践的てき集合しゅうごう体たい[23]。非常ひじょう值得注意ちゅうい的てき是ぜ，ACT的てき理り论和实践技わざ术中，融合ゆうごう了りょう很多东方文化ぶんか，特とく别是佛学ぶつがく、禅宗ぜんしゅう的てき概念がいねん。

En cierta ocasión, un forastero llegó a la capital de un remoto lugar. Había viajado largo tiempo en busca del tesoro que, según la leyenda, se encontraba oculto en algún lugar de aquellas montañas. Como no sabía por dónde empezar, se dirigió a un mercader con aspecto honrado con el fin de conseguir alguna información sobre la posible ubicación del tesoro.

Once upon a time there was... a traveler who arrived at the main city in a distant country. He had taken a long journey in order to find the treasure which, according an old legend, was supposed to be buried in some hidden place in the mountains.

今日きょう在所ざいしょ里さと参加さんか英国えいこく马克·海うみ华德（Mark Hayward）学がく习叙事じょじ治ち疗，他た从事家庭かてい治ち疗30多年たねん，2002年ねん达利奇き中心ちゅうしん首くび届とどけ国こく际研究けんきゅう生せい课程毕业。可か以说是ぜ叙事じょじ疗法创始人じん“黄き埔一いち期き”的てき王おう牌ぱい力量りきりょう。他た在ざい英国えいこく创立叙事じょじ疗法研究けんきゅう院いん（INT）并担任たんにん院いん长。同どう时担任たんにん英国えいこく康かん沃尔（Cornwall）最大さいだい的てき健康けんこう服ふく务中心ちゅうしん叙事じょじ治ち疗部主任しゅにん。他た讲学的てき足あし迹遍布ぬの欧おう洲しゅう，并在英国えいこく、澳大利おおとし亚和美国びくに发表大量たいりょう学がく术论文ぶん。

今こん天てん的てき收おさむ获还是ぜ很多，虽然讲的内容ないよう不ふ多た。主要しゅよう收おさむ获：1、利用りようresonance来らい进行人じん际互动，相互そうご认识，反はん馈自己おのれ与あずか对方哪些内容ないよう产生了りょう共きょう鸣。2、通つう过介绍自己じこ爱好，找到Action后きさき面めん的てきintention，以及之の后きさき的てきvalue，从value探さがせ寻Hope or dream，再さい探索たんさく人生じんせい规则principle，以及按照规则行事ぎょうじ的てきcommitment，最さい后きさき上じょう升ます到いたMeaning 和わIdentity。这与ACT有ゆう很大的てき重じゅう叠部分ぶぶん，特とく别是从Vlaue到いたcommitment，但ただし是ぜ，操作そうさ路ろ线很清きよし晰。这值得とくACT训练value时使用しよう。

通つう过这些年对ACT的てき学がく习与实践，感かんじ到いたACT的てき基本きほん理念りねん非常ひじょう符合ふごう东方文化ぶんか和わ价值观，具有ぐゆう很好的てき大だい众实用よう性せい和わ适用性せい。我わが们中国ちゅうごく文化ぶんか中ちゅう一些常见的语言也与ACT很契合けいごう，大家たいか在ざい遇ぐう到いた苦く恼时经常会かい谈及“活かつ在ざい当とう下した，别想那な么多”其实就是与あずか现实接触せっしょく，减少认知融合ゆうごう。我わが们常说“退すさ一いち步ほ海うみ阔天空てんくう”“心こころ宽”不ふ就是以己为境扩大心理しんり空そら间吗？我わが们会说“忍にん一时风平浪静”其实就是接せっ纳，我わが们说“理想りそう是ぜ灯とう塔とう”就是价值，我わが们说“一いち诺千金きん”就是重じゅう视承诺的作用さよう。当然とうぜん，中国ちゅうごく没ぼつ有心うしん理学りがく家か提出ていしゅつ关系框かまち架か理り论，但ただし我わが们有儒道じゅどう佛ふつ，道みち解かい决身心こころ问题，佛ふつ解かい决自我わが问题，儒解决个人じん发展及家庭かてい社会しゃかい关系问题。如何いか把わ这些和わACT整合せいごう起おこり来らい，是ぜ一いち个很好このみ的てき研究けんきゅう方向ほうこう。如何いか让大众很好地こうち掌握しょうあく这些技わざ术，也是值得做的事情じじょう。

今こん天てん在ざい课题组讨论ACT时，感受かんじゅ到いたACT是ぜ一个比较综合的整合治疗法，与あずか叙事じょじ疗法有ゆう相しょう同どう的てき语境主ぬし义哲学がく基もと础，接せっ纳的技わざ术与叙事じょじ的てき外そと化か也重叠，特とく别是在ざい明あかり确价值、承うけたまわ诺行动部分有ぶんゆう很大的てき重じゅう叠，而CBT中ちゅう也有やゆうdistancing的てき技わざ术，这与ACT中ちゅう认知解かい离有重じゅう叠。接せっ纳部分ぶぶん及以我わが为境部ぶ分与ぶんよ咨客中心ちゅうしん疗法有ゆう重じゅう叠，积极取と向こう、资源取と向こう、解かい决取向むこう、语言重じゅう构等方面ほうめん与あずかSFBT重じゅう叠，在ざい正念しょうねん方面ほうめん与あずかMBCT重じゅう叠，这使得とくACT似に乎是一いち个整合体がったい，虽然他た背せ后きさき的てき心理しんり学理がくり论是有ゆう别于其他任にん何なん治ち疗。

期待きたい能のう有ゆう综述文章ぶんしょう来らい理り清きよし这些关系。

今こん天てん是ぜ2012年ねん11月30日にち，下しも午うま课题组会主要しゅよう讨论了りょうACT相しょう关话题，从comprehensive distancing 到いたACT的てき发展，以及比ひ较CBT与あずかACT对焦虑症的てき治ち疗效果こうか。还讨论了ACT六边模型与佛学的六盖“贪嗔痴ち慢疑见”之これ间的关系。我わが们课题组成なり员都对ACT有ゆう很高的てき认同，并且愿すなお意い在ざい中国ちゅうごく推广ACT，希望きぼう不ふ久之ひさゆき后きさき能のう够在ACBS申さる请中国ちゅうごく分会ぶんかい，更さら好地こうち传播ACT，造みやつこ福ぶく中国人ちゅうごくじん。

Just bought a Kindle copy of Russ Harris's primer ACT Made Simple. I first discivered ACT through his self-help books, which have been transformational for me. I have really been enjoying and learning from the ACBS podcasts so I thought I would go a bit deeper and look into ACT as it is practised by therapists and others.

از دیدگاه درمان پذیرش و تعهد اختلالات روان شناختی و رنج بردن ناشی از عدم انعطاف پذیری روان شناختی است و با تیدیل عدم انعطاف پذیری روان شناختی به انعطاف پذیری روان شناختی این اختلالات و رنج ها کاهش قابل توجهی پیدا خواهند کرد. انعطاف پذیری روان شناختی خود از ناهمجوشی شناختی ، دلبسته نشدن به مفهوم ساخته شده از خود ، پذیرش تجربی ، ارتباط آگاهانه با زمان حال ، واضح سازی ارزش ها و عمل کردن بر اساس ارزش های شخصی که به صورت درونی با یکدیگر در ارتباط هستند، نشات می گیرد.

Attached, please find a pdf version of my slides from my 10/12/12 (Bold Moves: Enhancing Your Practice with ACT) workshop.

Also attached, please find my notes from the 10/19/12 (Core Skills 1: Defusion and Acceptance) and 10/26/12 (Core Skills 2: Values and Committed Action) intermediate level workshops.

"Competencias Terapéuticas para el trabajo con la Conducta Clínica"

Viernes 16 y Sábado 17 de noviembre de 2012

Fundamentación:

As a Clinical Social Worker and psychotherapist, In Boca Raton, FL, I am one of the only therapists that are trained in and practice Acceptance and Commitment Therapy and Functional Analytic Psychotherapy in South Florida, let alone the South Eastern United States. I am thrilled to have had the honor to learn the foundation of ACT directly under Dr. Steven Hayes, the father of ACT, and inspired by many of ACT behavioral scientists who have helped me to enrich my technique in being an ACT Therapist. ACT is so very effective in helping individuals with depression, anxiety and pain.

As a Clinical Social Worker and psychotherapist, In Boca Raton, FL, I am one of the only therapists that are trained in and practice Acceptance and Commitment Therapy and Functional Analytic Psychotherapy in South Florida, let alone the South Eastern United States. I am thrilled to have had the honor to learn the foundation of ACT directly under Dr. Steven Hayes, the father of ACT, and inspired by many of ACT behavioral scientists who have helped me to enrich my technique in being an ACT Therapist. ACT is so very effective in helping individuals with depression, anxiety and pain.

As a Clinical Social Worker and psychotherapist, In Boca Raton, FL, I am one of the only therapists that are trained in and practice Acceptance and Commitment Therapy and Functional Analytic Psychotherapy in South Florida, let alone the South Eastern United States. I am thrilled to have had the honor to learn the foundation of ACT directly under Dr. Steven Hayes, the father of ACT, and inspired by many of ACT behavioral scientists who have helped me to enrich my technique in being an ACT Therapist. ACT is so very effective in helping individuals with depression, anxiety and pain.

Do you ever feel like you might not be the best person for the job?

Do you sometimes worry that people will find you out and realise that you aren't smart enough or knowledgable enough or skilful enough for the job?

Do you sometimes get distracted by the fear that people are thinking that you are the wrong person for the job? That they are wishing they had a different boss, coach, project manager?

When that fear that you aren't quite good enough comes up, what do you do?

Do you think it is bad to feel ashamed?

In this interview, Maarten Aalberse suggests that we have a tendency to feel ashamed about feeling shame and that this causes us problems. He suggests responding to those feelings with empathy and compassion instead of trying to reject these painful emotions. What does that look like?

A few clues about using ACT Box SAT in clinical practice with virtual examples.

When the client has scored the scales, you can use a stabilo or whatever else to underline the area. (file 1).

You can follow client progress on ongoing basis with the graph (File 2).

Christophe Cazauvieilh, Psychologist.

Bonjour à tous,

Je poste ici mes reflexions autour d'un outil permettant à nos clients de s'autoévaluer,

sur 4 dimensions, d'une version modifiée de la matrice de Polk.

Cet outil vise à être une aide clinique et n'est pas une échelle standardisée.

Les 3 feuillets comprennent respectivement des explications brèves sur l'outil et la passation,

HI everybody, here is my two cent's contribution based upon POLK Matrix Model.

The idea was to include Visual Analogic Scales (VAS)  to get client's assement of 4 Act Dimensions. This is a clinical tool, not a stantardized scale.

With the  3 files, you get a short rationale of the measure, the measure sheet, and a simple graph to report 10 sessions measure.

I wait for your comments !!!

Best,

Christophe Cazauvieilh, psychologist.

Through the fall I will be conducting weekly webinars on Tuesdays covering a range of topic. Many will be limited to 8 participants with a fee of $25.00 per person.

Also, I will have consulting times at 4 and 5pm on Wednesdays.

The webinars and consulting times are at this link: Click Here

This cards have been elaborated based in the book "Acceptance and Commitment Therapy. An experiential Approach to Behavior Change" (Hayes, Strosahl and Wilson, 2003) and I find them very useful in my workshops. They are in spanish but if somoene is interested in the english version, please write me and I will prepare this version

I have been asked by the good folks at Comporte-se in Brazil to become a columnist for their blog. Here's the first installment of my column in its English version.

I want to start this blog by thanking Comporte-se (Behave Yourself) for extending the invitation to blog on their site. I hope it will serve as a discriminative stimulus for me to blog regularly. I’d started a blog in French some years ago but as I got into writing books, let it go by the wayside.

I recently heard of a leadership programme where it is expected that half way through the programme participants will contact the CEO of their large organisation to complain. They are doubtful about the usefulness of the programme and feel overwhelmed, stressed and angry. The CEO apparently responds by telling them to 'suck it up'. Why does he tell them this? Because he sees that, in the long run, the programme works - the majority of participants do become better leaders after the programme. They are wiser, more courageous and demonstrate more integrity.

We use to think that bullying was the result of low self-esteem. Research is now showing the opposite is true. Bullies actually have high self-esteem. Bullying behavior is a way for them to take the attention off of their own sense of shame and put it onto someone else. And bullies get real good at finding this weakness in others so when they are able to do this successfully, their self-esteem is elevated. They feel better about themselves when they put others down, so they keep doing it.

As promised, I am back with more on self-compassion. To recap, in determining measures of emotional health, self-compassion is a healthier replacement for self-esteem, which I no longer hold in very high esteem. Self-compassion is a mindful comparison to the ego driven façade of pretending you are better than you really are. This sounds harsh as I am typing it, but I am also a product of this culture where it seems like an insult to be regarded as average or less than perfect.

In the practice of Zen there is a virtue to which we aspire called called Beginner’s Mind. It is like having the non-reactive mind of a child, innocent of prejudices, expectations, preconceived ideas, or bias. In this culture, we are rewarded for being experts. What is the value of expertise?