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Avoiding the Traps of Thought: The Relevance of Language and Rules for Acceptance and Commitment Therapy.

Scherf, Nicole; Spruit, Edward; Köhler, Stephan; Kronenberg, Golo.
Fortschr Neurol Psychiatr; 87(8): 412-420, 2019 Aug.
Artigo em Alemão | MEDLINE | 2019 | ID: mdl-29996157
Resumo: Behavioral therapy has greatly evolved and branched out in different directions since its inception. Three stages in the development of modern behavioral psychotherapies can be discerned: behaviorism, the cognitive revolution, and, most recently, the so-called third wave behavioral therapies. Characteristic of third-wave therapies is the great heterogeneity in treatment strategies. To gain a deeper understanding of several third-wave approaches, we here outline relational frame theory (RFT) as an important theoretical foundation. RFT explains how experiential avoidance, a behavioral strategy aimed at eschewing unpleasant internal experiences (e. g., thoughts, feelings, memories), promotes the onset and progression of psychopathology. Acceptance and commitment therapy (ACT), a prime example of a third-wave therapy, focuses on cultivating the skills needed to embrace discomforting thoughts and emotions. Accumulating evidence including meta-analytic evidence supports the effectiveness of ACT in a wide array of psychiatric disorders.