Acceptance and Commitment Therapy for Anxiety Disorders

Acceptance and Commitment Therapy for Anxiety Disorders pdf epub mobi txt 电子书 下载 2026

出版者:New Harbinger Publications
作者:Georg H. Eifert
出品人:
页数:304
译者:
出版时间:2005-8-1
价格:USD 59.95
装帧:Hardcover
isbn号码:9781572244276
丛书系列:
图书标签:
  • ACT
  • 焦虑症
  • 心理治疗
  • 认知行为疗法
  • 接纳与承诺疗法
  • 心理健康
  • 自我帮助
  • 情绪调节
  • 正念
  • 行为疗法
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具体描述

Acceptance and commitment therapy, or ACT (pronounced as a word rather than letters), is an emerging psychotherapeutic technique first developed into a complete system in the book Acceptance and Commitment Therapy by Steven Hayes, Kirk Strosahl, and Kelly Wilson. ACT marks what some call a third wave in behavior therapy. To understand what this means, it helps to know that the first wave refers to traditional behavior therapy, which works to replace harmful behaviors with constructive ones through a learning principle called conditioning. Cognitive therapy, the second wave of behavior therapy, seeks to change problem behaviors by changing the thoughts that cause and perpetuate them. In the third wave, behavior therapists have begun to explore traditionally nonclinical treatment techniques like acceptance, mindfulness, cognitive defusion, dialectics, values, spirituality, and relationship development. These therapies reexamine the causes and diagnoses of psychological problems, the treatment goals of psychotherapy, and even the definition of mental illness itself. ACT earns its place in the third wave by reevaluating the traditional assumptions and goals of psychotherapy. The theoretical literature on which ACT is based questions our basic understanding of mental illness. It argues that the static condition of even mentally healthy individuals is one of suffering and struggle, so our grounds for calling one behavior 'normal' and another 'disordered' are murky at best. Instead of focusing on diagnosis and symptom etiology as a foundation for treatment-a traditional approach that implies, at least on some level, that there is something 'wrong' with the client-ACT therapists begin treatment by encouraging the client to accept without judgment the circumstances of his or her life as they are. Then therapists guide clients through a process of identifying a set of core values. The focus of therapy thereafter is making short and long term commitments to act in ways that affirm and further this set of values. Generally, the issue of diagnosing and treating a specific mental illness is set aside; in therapy, healing comes as a result of living a value-driven life rather than controlling or eradicating a particular set of symptoms. Emerging therapies like ACT are absolutely the most current clinical techniques available to therapists. They are quickly becoming the focus of major clinical conferences, publications, and research. More importantly, these therapies represent an exciting advance in the treatment of mental illness and, therefore, a real opportunity to alleviate suffering and improve people's lives. Not surprisingly, many therapists are eager to include ACT in their practices. ACT is well supported by theoretical publications and clinical research; what it has lacked, until the publication of this book, is a practical guide showing therapists exactly how to put these powerful new techniques to work for their own clients. Acceptance and Commitment Therapy for Anxiety Disorders adapts the principles of ACT into practical, step-by-step clinical methods that therapists can easily integrate into their practices. The book focuses on the broad class of anxiety disorders, the most common group of mental illnesses, which includes general anxiety, panic disorder, phobias, obsessive-compulsive disorder, and post-traumatic stress disorder. Written with therapists in mind, this book is easy to navigate, allowing busy professionals to find the information they need when they need it. It includes detailed examples of individual therapy sessions as well as many worksheets and exercises, the very important 'homework' clients do at home to reinforce work they do in the office. The book comes with a CD-ROM that includes electronic versions of all of the worksheets in the book as well as PowerPoint and audio features that make learning and teaching these techniques easy and engagin

深入理解与实践:现代心理治疗的前沿视角 一本关于认知行为疗法(CBT)在特定临床情境下应用、人本主义疗法核心原则探讨,以及正念(Mindfulness)在压力管理中整合的专业指南。 --- 第一部分:认知行为疗法的精进与拓展 书名:认知重构与行为激活:应对复杂临床挑战的整合路径 核心内容概述: 本书聚焦于传统认知行为疗法(CBT)在处理那些对标准干预反应不佳的复杂临床案例时的深化与拓展。它不仅仅是对CBT核心技术(如认知评估、行为实验)的梳理,更深入探讨了如何根据来访者的特定背景、文化因素和共病情况,对干预策略进行灵活的个体化调整。 第一章:超越自动思维:中介信念与图式的深入挖掘 本章详细阐述了如何识别和挑战深层次的“中介信念”(Intermediate Beliefs)——那些连接核心信念与表面自动思维的规则和假设。我们将探讨常用的图式疗法(Schema Therapy)工具,例如“情绪实验”和“反思性倾听”,来帮助来访者接触并温和地解构那些在童年早期形成的、持久的负性自我认知图式。重点在于区分“合理的怀疑”与“僵化的信念”,并提供实用的技术来增强来访者的认知灵活性。 第二章:行为激活的精细化策略:从动机到意义 行为激活(Behavioral Activation, BA)是应对抑郁和回避行为的有效工具,但本书强调了其在特定恐惧症和社交焦虑中的局限性与改进空间。我们深入探讨了“目标导向的行为激活”,即不仅关注“做些什么”,更关注“为了什么而做”。章节中包含了一系列详细的案例研究,演示了如何通过渐进式的暴露(Exposure)与行为实验相结合,来系统地瓦解回避循环,同时增强来访者对自身能动性的内在体验。我们特别关注了“延迟满足”和“不适耐受性”的训练,这对于那些倾向于寻求即时安慰的来访者至关重要。 第三章:跨文化视角下的CBT应用:文化敏感性与适应性 在全球化的临床实践背景下,本章强调了CBT干预的文化适应性。内容涵盖了如何识别文化规范对认知扭曲的影响(例如,集体主义文化中的“自我批评”倾向),以及如何调整沟通风格和建立治疗联盟。提供了具体的工具,用于探索文化信念系统如何影响疾病的体验和对治疗的期望,确保干预措施在尊重来访者世界观的基础上发挥效力。 --- 第二部分:人本主义核心:同理心、无条件积极关注与自我实现 书名:存在的对话:从“治疗技术”到“人际疗愈” 核心内容概述: 本部分回归到心理治疗的基石——人与人之间的真实联结。它旨在帮助治疗师超越技术手册,重新聚焦于卡尔·罗杰斯(Carl Rogers)提出的三大核心治疗变量(同理心、真诚、无条件积极关注)在当代实践中的深刻意义。 第四章:深度同理心的艺术:感受的精准捕捉与验证 本章探讨了同理心(Empathy)不仅仅是“理解”来访者所说的,更是“体验”来访者所感受到的。通过详细的对话片段分析,我们学习如何识别情绪的层次——从表层的烦躁到深层的失落——并用精准、非评判性的语言进行“验证性回应”。强调了“共情疲劳”的预防,以及如何通过自我觉察来维护治疗师自身的情感边界,从而保持持续的深度投入。 第五章:无条件积极关注(UAP)的实践:接纳未被接纳的自我 UAP是促使来访者进行自我探索的关键动力。本章深入剖析了治疗师如何做到在面对来访者令人不安或冲突性的想法时,依然保持全然的接纳。内容包括:如何处理治疗师自身可能产生的“反移情”反应,如何运用叙事技巧帮助来访者重塑对自身“不完美”部分的接纳,以及如何建立一个安全的“经验空间”,让来访者敢于探索那些长期被压抑或自我批判的面向。 第六章:自我实现倾向的激发:内在潜能的导航 本章侧重于从“问题解决”模式转向“潜能激发”模式。它探讨了当来访者开始自我接纳后,如何引导其发现和追求其内在的成长方向(Self-Actualizing Tendency)。内容涉及如何识别和培养“内在动机”,以及如何帮助来访者构建与自我核心价值相一致的生活蓝图,而非仅仅是消除症状。 --- 第三部分:正念的整合与压力适应 书名:觉察的锚点:正念在日常情绪调节中的应用 核心内容概述: 本部分侧重于将正念(Mindfulness)原则无缝融入临床工作流程,特别关注其在管理广泛性压力、躯体化症状以及对负面情绪的过度反应中的作用。 第七章:从“冥想”到“心智训练”:正念的临床转换 本章明确区分了正式的冥想练习与日常的正念应用。重点在于教授来访者如何在非结构化的情境中,即时地“回归当下”。内容包括“身体扫描”(Body Scan)如何帮助识别情绪的早期躯体信号,以及“开放的觉察”(Open Awareness)如何减少对思绪的卷入。此外,本章还探讨了正念如何帮助来访者建立对“内在批判声音”的“去中心化”(Decentering)。 第八章:应对压力反应链:神经科学与正念的结合 本章从简化的神经科学角度,解释了压力和恐惧如何激活“战或逃”反应。然后,介绍如何使用呼吸技术(如“4-7-8呼吸法”)作为一种即时的自主神经系统调节工具。重点在于,正念不是试图“停止”压力反应,而是学会“陪伴”它,允许生理唤醒自然消退,从而打破压力与强迫性反应之间的自动化联结。 第九章:自我关怀与治疗师的持续成长 最后,本书回归到治疗师自身。本章强调,只有当治疗师自身实践了高度的自我觉察和自我关怀,才能有效地引导来访者。提供了一套结构化的“临床反思工具包”,旨在帮助治疗师定期评估自身的技术运用平衡性(技术与人本的平衡),并确保临床工作是滋养而非耗竭的。 --- 本书的独特价值: 本书旨在提供一个整合性的框架,它尊重认知行为疗法的实证基础,同时深度挖掘人本主义对治疗关系的强调,并将现代正念科学的工具融入其中。它不是提供单一的“万能药”,而是一本指导临床工作者如何在复杂、动态的来访者经验中,灵活、有深度地运用多种成熟疗法工具的实践手册。读者将获得如何更具人性化、更有效率地应对人类复杂情绪困境的全新视角。

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