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Cited by 70Mindfulness and Compassion InterventionsSchizophrenia research and treatmentPsychotherapy Techniques and Applications

Acceptance and Commitment Therapy for Psychosis: (674652012-001)

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Julieann Pankey, Steven C. Hayes·2012·PsycEXTRA Dataset
DOI 10.1037/e674652012-001
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Abstract

Aunque varios tratamientos farmacológicos están disponibles para las personas con síntomas psicóticos positivos, estos síntomas continúan a menudo incluso cuando toman la medicación. Los métodos psicosociales tradicionales, como la terapia de familia y la terapia cognitivo-conductual, alivian estos síntomas pero las intervenciones a menudo son largas y difíciles. El presente trabajo expone que intentar reducir directamente los síntomas psicóticos puede producir efectos paradójicos y se propone en su lugar la aceptación, la desactivación cognitiva y la acción orientada a valores como método de enfrentamiento. Se describe el procedimiento de la Terapia de Aceptación y Compromiso y se resumen brevemente sus resultados con esta población. Se presenta un caso breve de ACT con una persona psicótica retardada como ejemplo de aplicación de estos métodos con una persona que está cognitivamente alterada.

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  • A focus on mechanisms of change rather than symptom disputation reveals room for change and returns a sense of control to patients.

    “A focus on mechanisms of change rather than symptom disputation moreover reveals room for change and returns a sense of control to patients (10).”

    From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [10]

    “Exploring a Contextual Alternative” (page unavailable) supports focusing on patients’ relationship to symptoms rather than disputing their content. “Dropping the Control Agenda” and “Values and Goals” describe more workable responses and behavioral options, but do not establish that this approach returns a sense of control to patients. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • Third-wave therapies train patients to mindfully experience auditory hallucinations to reduce their negative impact on behavior.

    “Instead of examining and disputing the content of voices and thus giving them increased attention and importance for example, third-wave therapies train patients to mindfully experience auditory hallucinations in order to reduce their negative impact on behavior (10).”

    From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [10]

  • A few small randomized controlled trials have reported positive effects of ACT and MBCT for patients recovering from acute psychosis.

    “but a few small randomized controlled trials have reported positive effects of ACT and MBCT for patients recovering from acute psychosis [12], [13], [14], [15], [16], [17], [18].”

    From Putting a Hold on the Downward Spiral of Paranoia in the Social World: A Randomized Controlled Trial of Mindfulness-Based Cognitive Therapy in Individuals with a History of Depression (2013) · cites this paper as [13]

  • Deficits in metacognitive knowledge and awareness are believed to lead to cognitive distortions, dysfunctional beliefs and expectancies, and a lack of cognitive insight into cognitive biases.

    “Deficits in metacognitive knowledge and awareness moreover are believed to lead to cognitive distortions (e.g., jumping to conclusions, attributional biases, theory of mind deficits) (60), dysfunctional beliefs and expectancies (associated with a low self-esteem and negative symptoms) (10, 95) and a lack of cognitive insight into those cognitive biases (96).”

    From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [10]

    Citation 96 is attached to the claim about a lack of insight into cognitive biases. The Defusion section discusses helping clients notice thoughts as thoughts, but does not address insight into specific biases or say that metacognitive deficits cause its absence. Searches for cognitive insight, metacognitive awareness, and cognitive biases found no passage establishing that point. (LLM, conf=0.69)

    Experimental — accuracy not yet measured

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Cites

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Research works printed but not linked: 37

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  3. Bustillo, J.R., Lauriello, J., Horan, W.P. & Keith, S.J. (2001). The psychosocial treatment of Schizophrenia: An update. American Journal of Psychiatry, 158, 163-175.
  4. Connor, D.F. & Posever, T.A. (1998). A brief review of atypical antipsychotics in individuals with developmental disability. Mental Health Aspects of Developmental Disabilities, 1, 93-102.
  5. Curson, D.A., Patel, M., Liddle, P.F. & Bames, T.R.E. (1988). Psychiatric morbidity of a long stay hospital population with chronic schizophrenia and implications for future community care. British Medical Journal, 297, 819-822.
  6. Davis, J.M., Schaffer, C.B., Killian, G.A, Kinard, C. & Chan, C. (1980). Important issues in the drug treatment of schizophrenia. Schizophrenia Bulletin, 6, 70-87.
  7. Dickey, B. & Azeni, H. (1996). Persons with dual diagnoses of substance abuse and major mental PANKEY AND HAYES illness: Their excess costs of psychiatric care. American Journal of Public Health, 86, 973- 977.
  8. Dixon, L., McNary, S. & Lahman, A. (1995). Substance abuse and family relationships of persons with severe mental illness. American Journal of Psychiatry, 152, 456-458.
  9. Dougher, M.J., Auguston, E., Markham, M.R., & Greenway, D.E. (1994). The transfer of respondent eliciting and extinction functions through stimulus equivalence classes. Journal of the Experi- mental Analysis of Behavior, 62, 331-351.
  10. García, J.M., Luciano, M.C., Hernández, M. & Zaldivar, F. (in press). Application of Acceptance and Commitment Therapy to delusional symptomatology: A case study. Psicothema.
  11. Garety, P.A., Fowler, D. & Kuipers, E. (2000). Cognitive-behavioral therapy for medication-resistant symptoms. Schizophrenia Bulletin, 26, 73-86.
  12. Goff, D.C. (2002). A 23 year old man with Schizophrenia. Journal of the American Medical Association, 287 (24), 3249-3257.
  13. Hayes, S.C. (1994). Content, context, and the types of psychological acceptance. In S.C. Hayes, N.S. Jacobson, V.M Follette & M.J. Dougher (eds.). Acceptance and change: Content and context in psychotherapy. Reno, NV: Context Press.
  14. Hayes, S.C. & Pankey, J. (2003). Acceptance. In W. O' Donohue, J. Fisher, and S.C. Hayes (eds.). Cognitive behavior therapy: Applying empirically supported techniques in your practice. New Jersey: John Wiley & Sons.
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Cited by

Sorted by citations

Authors
Pankey, J., & Hayes, S. C.
Affiliations
University of Nevada, Reno (US)
ORCID
Steven C. Hayes
Venue
PsycEXTRA Dataset
Publisher
American Psychological Association (APA)
Published
2012
DOI
10.1037/e674652012-001
OpenAlex
W1899649244
Cited by
70
References
4
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 6 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 4 · 2014: 5 · 2013: 10 · 2012: 3
Type
dataset
Language
en
Open access
Locations
  • PsycEXTRA Dataset (publishedVersion)
  • Redalyc (Universidad Autónoma del Estado de México) (submittedVersion)
  • Dialnet (Universidad de la Rioja) (submittedVersion)
Funders
University of Pennsylvania
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
acceptance and commitment therapy, psychosis, positive psychotic symptoms, acceptance, cognitive defusion, valued action, coping strategies, psychosocial interventions, intellectual disability, case studies

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