By JoAnne Dahl,Carmen Luciano
A medical perform consultant to aiding persistent ache victims reside richer, extra pleasant lives with soreness utilizing reputation and dedication treatment (ACT).
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Additional resources for Acceptance and Commitment Therapy for Chronic Pain
Underpinning all of these chapters is the functional analysis, which looks somewhat different in the ACT model. When doing a functional analysis with the values context, it becomes clear that coping more successfully with pain is a means to a larger end. The ACT therapist assumes that the client does not want to just be rid of the pain but wants to be rid of the pain, in order to reclaim a vital life. The emphasis in the ACT perspective is not reduction of the problem but rather building repertoire in valued directions.
This means that the physician needs to find out what is wrong and prescribe a treatment in about the time it takes to make a pot of coffee. Difficulties arise because many of the patients who seek help have long-standing pain or stress problems, but these problems will be treated as if they are acute medical pathologies requiring short-term alleviation, not long-standing lifestyle issues requiring psychological expertise. The common diagnosis of chronic musculoskeletal pain is a perfect example.
About five years ago, I attended a workshop by Kelly Wilson here in Sweden on ACT. Kelly was putting his finger on something in the ACT model that struck me as sorely missing from the CBT model of chronic pain as I had worked with it and seen it, in many places. Kelly spoke about the concept of using the client’s values as the context of exposure and using the functional analysis even for the conceptualization and subsequent treatment of the client’s language. Kelly also demonstrated a very different therapeutic posture than the sort of teacher/student positioning that I was used to within CBT.
Acceptance and Commitment Therapy for Chronic Pain by JoAnne Dahl,Carmen Luciano