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Paper

Embracing Your Demons: an Overview of Acceptance and Commitment Therapy

Also known as Embracing Your Demons, A Non-technical Overview of ACT

Russ Harris's short, free overview of ACT for therapists, with one client's case

At a glance

Also on this page: Key facts · Links · Sources · Related pages

Why it matters

Key facts

Author
Russell (Russ) Harris1
Published
August 20061
Journal
Psychotherapy in Australia, vol. 12, no. 41
Design
Narrative overview with one illustrative case (Michael, social anxiety, ten sessions); no new data1
Main result
In the case, after ten sessions Michael socialised much more and his anxiety had "diminished considerably", as a by-product1
Audience
Therapists; it describes ACT as non-technical1

What it argues

  1. Destructive normality1

    Against the assumption of "healthy normality": the normal processes of the human mind often create psychological suffering for everyone.

  2. Language is the root1

    The ability to solve problems with language works outside us, but used on thoughts and feelings it creates extra suffering.

  3. Control is the problem1

    Emotional control strategies (alcohol, avoidance, rumination) often work short term but cost a lot in the long term.

  4. Two processes1

    ACT interventions focus on accepting private experiences outside our control, and committing to action toward a valued life.

Key ideas

  1. Third wave1

    ACT, created by Steve Hayes in 1986, is grouped with DBT, MBCT and MBSR as a mindfulness-based "third wave" behaviour therapy.

  2. Experiential avoidance1

    Trying to avoid unwanted thoughts and feelings; research links more of it with anxiety, depression, substance abuse and worse PTSD.

  3. Clean and dirty discomfort1

    Life's natural discomfort is clean; the extra suffering from struggling against it is dirty.

  4. Six core principles1

    Defusion, acceptance, contact with the present moment, the observing self, values and committed action.

  5. Unlike CBT1

    None of ACT's defusion techniques involve evaluating or disputing unwanted thoughts.

Examples from the paper

  1. "I'm having the thought that..."1

    Put this phrase before a self-judgment like "I am stupid" and notice the distance it creates.

  2. Quicksand and the struggle switch1

    In quicksand, struggling makes you sink; the same applies to fighting difficult feelings.

  3. The karaoke screen1

    Michael saw "I'm a loser" as words on a karaoke screen with a bouncing ball, and started chuckling at it.

  4. Eating one sultana1

    A mindfulness exercise in eating slowly, used to show what full engagement in a conversation could feel like.

  5. The t-shirt1

    Harris's one-line summary of ACT: "Embrace your demons, and follow your heart."

Connections

Sources

  1. Harris R. Embracing Your Demons: an Overview of Acceptance and Commitment Therapy. Psychotherapy in Australia 12(4), August 2006 (opens actmindfully.com.au)

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