Tag Archives: CBT

Acceptance…. like learning to ride a bike

I found a nice little video on youtube recently of Kevin Polk describing the contingency-shaped nature of Acceptance and Commitment Therapy (or Acceptance & Commitment Training, as they call it in the program at the regional centre of the Veteran Affairs in Togus, Maine USA). A nice metaphor that ACT is like learning to ride a bike, no amount of instruction can replace actually being shaped by doing it. This rule-governed vs contigency-shaped distinction gets to the heart of what ACT is about (I have previously discussed this here, in relation to therapy supervision).

Dr Polk and his colleagues treat veterans for PTSD using ACT and have a program that makes the approach more accessible by describing the skills as “Let Go, Show Up and Get Moving” in valued directions. They presented their work at the recent ACT Summer Institute IV in Chicago, and I was impressed by how simple and elegant the approach was, while still being consistent to the model. It was also impressive how many groups they had run in just a couple of years. Here is a potted description of their program:

The Intensive Outpatient PTSD Program (IOP) – ACT is presented to a cohort of veterans in a “workshop” format across 14 classes (groups) in five days. All aspects of ACT (Let Go, Show Up, and Get Moving) are experienced in the 14 sessions. Veterans who have graduated from a week-long cohort are offered unlimited follow-ups in the form of additional groups or individual “coaching” via the phone or in person. The program conducts 26 cohorts per year.

Leave a comment

Filed under Acceptance and Commitment Therapy, CBT, Clinical Psychology, cognitive behavioural therapy, Mental Health, Mindfulness, Psychology