Cited by 5Behavioral and Psychological StudiesAutism Spectrum Disorder ResearchChild and Adolescent Psychosocial and Emotional Development

This is not B. F. Skinner's behavior analysis: A review of Hayes, Strosahl, and Wilson's acceptance and commitment therapy

Open access
Dougher, Michael J.·2002·Journal of Applied Behavior Analysis

Abstract

Acceptance and Commitment Therapy (Hayes, Strosahl, & Wilson, 1999) is an important addition to and extension of the growing field of clinical behavior analysis. The book provides a comprehensive introduction to a new therapy that is rooted in functional contextualistic philosophy and a "post-Skinnerian" behavior-analytic theory of verbal behavior. It begins with the assertion that language or verbal processes are at the heart of psychopathology and human suffering and goes on to describe a therapeutic approach that seeks to undermine these verbal processes and facilitate clients' active commitment to value-driven behavior change. Along the way, the book provides a compelling behavior-analytic account of a number of important but neglected issues in behavior analysis, including human suffering, the nature and function of private events, the self, suicide, anxiety, depression, values, responsibility, and commitment. In so doing, the book cogently challenges the unfortunately common but erroneous assertion that behaviorism does not and perhaps cannot address the complexity of the human condition. The present review provides a general overview of the book, summarizes its chapters, and raises a number of questions that might be addressed in future research.

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Registry

Crossref · 10.1901/jaba.2002.35-323

Cites

16 of 16 references verified0 citation errors · 0 not checkable

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Nothing to recompute.

Claims the paper makes

0 of 6 cited sources checked · 0 supported · 0 flagged

  • Interpretationreasoning

    What makes ACT essentially behavior analytic is its philosophical and theoretical underpinnings.

    “What makes ACT essentially behavior analytic, however, is its philosophical and theoretical underpinnings.”
    Quote in the paperSubstantial claim
  • Interpretationreasoning

    ACT attempts to get clients to see the track as simply an instance of verbal behavior that has to be neither obeyed nor believed.

    “ACT attempts to get clients to see the track as simply an instance of verbal behavior that has to be neither obeyed nor believed.”
    Quote in the paperSubstantial claim
  • Interpretationreasoning

    The statement 'I didn't go because I was depressed' is untenable from a functional contextualistic perspective.

    “Thus, the statement ''I didn't go because I was depressed'' is untenable from a functional contextualistic perspective.”
    Quote in the paperNot a substantial claim
  • Interpretationreasoning

    ACT attempts to undermine and weaken the reliance on tracking per se.

    “Rather than have clients substitute good tracks for bad, it attempts to undermine and weaken the reliance on tracking per se.”
    Quote in the paperSubstantial claim
  • Interpretationreasoning

    ACT seeks to alter the function of private events by altering the context within which they occur.

    “What it does seek to do, however, and this is where it departs from behavior therapy, cognitive therapy, and virtually every other form of mainstream therapy, is attempt to alter the function of private events by altering the context within which they occur.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 39
  • May combine two claims. 17
  • The quote only partly states this claim. 1
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims. The quote only partly states this claim.

    Findingreasoning

    A client with schizoid personality disorder who had not benefited from 2 years of cognitive behavior therapy was considered by the authors to have been successfully treated with an ACT-based treatment emphasizing acceptance of his schizoid tendencies while he pursued career and recreational objectives he enjoyed.

    “Although he was initially reluctant to give up on attempts to make social interactions reinforcing, in the end he considered the therapy successful.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.

    Interpretationreasoning

    ACT is more than a technology, and the failure to see it within its philosophical and theoretical context simply misses its essential points.

    “In that context, they go on to argue that ACT is more than a technology, and the failure to see it within its philosophical and theoretical context simply misses its essential points.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    Humans can verbally construct realities, including futures that can control behavior in productive ways, but they may be so distorted as to have little resemblance to reality and render us insensitive to actual contingencies of reinforcement.

    “Humans can verbally construct ''realities,'' including futures that can control behavior in productive ways, but they may be so distorted as to have little resemblance to reality and render us insensitive to actual contingencies of reinforcement.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    Simply being in contact with the environment evokes a continual stream of verbal acts that include describing, comparing, categorizing, and evaluating.

    “Thus, simply being in contact with the environment evokes a continual stream of verbal acts that include describing, comparing, categorizing, and evaluating.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisereasoning

    The key principle underlying the ACT model of human suffering and psychopathology is that human suffering results when thoughts or other private events are seen as causes of behavior, and individuals try to change or avoid their thoughts and feelings in order to change their behavior.

    “The key principle underlying this model is that human suffering results when thoughts or other private events are seen as causes of behavior, and individuals try to change or avoid their thoughts and feelings in order to change their behavior.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The current assumption of destructive normality is contrary to mainstream thinking in the mental health community but is not uncommon in other domains.

    “Although the current assumption of destructive normality is contrary to mainstream thinking in the mental health community (but see Watts' Psychotherapy East andWest, 1961, or Epstein's Thoughts Without a Thinker, 1995, for related discussions from very different perspectives), it is not uncommon in other domains.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Watts' Psychotherapy East andWest, 1961

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Epstein's Thoughts Without a Thinker, 1995

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Interpretationnone given

    Each type of rule governance (pliance, tracking, augmentals) has clinical implications.

    “The relevance of this taxonomy of rulegoverned behavior is that each of these types of rule governance has clinical implications.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationreasoning

    Problems with tracking can arise when tracks are inaccurate, untestable, or self-fulfilling.

    “Problems with tracking can arise when tracks are inaccurate, untestable, or self-fulfilling.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The therapeutic relationship itself accounts for as much gain in therapy as any specific therapeutic approach or intervention.

    “there is a considerable body of research that suggests that the therapeutic relationship itself accounts for as much gain in therapy as any specific therapeutic approach or intervention (see B. S. Kohlenberg, 2000, for a review of this literature and a discussion of the therapeutic relationship from a behavior-analytic perspective).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites B. S. Kohlenberg, 2000

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Happiness is directly related to involvement in valued activity and progress toward one's goals.

    “there is a growing literature concerned with psychological health or well-being (e.g., Myers & Diener, 1995) that suggests that happiness is directly related to involvement in valued activity and progress toward one's goals”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Myers & Diener, 1995 source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisenone given

    A cornerstone of ACT is that private events, like thoughts and feelings, are acts in themselves and, therefore, not causes of behavior.

    “A cornerstone of ACT is that it insists that private events, like the thoughts and feelings that characterize depression, are acts in themselves and, therefore, not causes of behavior.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    ACT is rooted in functional contextualistic philosophy and a post-Skinnerian behavior-analytic theory of verbal behavior.

    “it is rooted in functional contextualistic philosophy and a theory of verbal behavior that, although decidedly post-Skinnerian, is based upon principles derived from recent laboratory research on rule governance, stimulus equivalence, and derived relational responding.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationreasoning

    The bidirectional relation between verbal events and their referents renders virtually every human interaction with the environment at least partly verbal.

    “In addition, the bidirectional relation between verbal events and their referents renders virtually every human interaction with the environment at least partly verbal.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationreasoning

    Self-awareness almost inevitably leads to self-criticism, and the very act of reporting aversive events or evaluations can itself become aversive and lead to avoidance.

    “Another result of the bidirectionality of verbal relations is that self-awareness almost inevitably leads to self-criticism, and the very act of reporting aversive events or evaluations can itself become aversive and lead to avoidance.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Premisenone given

    For humans, verbal relations are primitive, fundamental, and dominant.

    “verbal dominance: For humans, verbal relations are primitive, fundamental, and dominant.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    Humans continually engage in a process of constructing reasons for their behavior, and these reasons tend to be the private experiences that are produced by certain situations or accompany certain behaviors.

    “Thus, humans continually engage in a process of constructing reasons for their behavior, and these reasons tend to be the private experiences that are produced by certain situations or accompany certain behaviors.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisereasoning

    When the functions or behavioral effects of one member of a bidirectional relation are changed, there is a related change in the functions of the other member.

    “when the functions or behavioral effects of one member of that bidirectional relation are changed, there is a related change in the functions of the other member.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Premisenone given

    Verbal communities typically demand reasons for our actions and thereby create contexts in which simply being able to make sense of our actions is reinforcing.

    “Verbal communities typically demand reasons for our actions and thereby create contexts in which simply being able to make sense of our actions is reinforcing.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    The only way for ACT to maintain its integrity and coherence is for it to be embedded in a philosophical and theoretical context.

    “The authors insist that the only way for the approach to maintain its integrity and coher-ence is for it to be embedded in a philosophical and theoretical context.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Premisenone given

    Overly pliant clients are those whose behavior is aimed primarily at obtaining social approval or attention at the expense of other valued outcomes.

    “Overly pliant clients are those whose behavior is aimed primarily at obtaining social approval or attention at the expense of other valued outcomes.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    The very act of verbalizing an unwanted private event evokes it.

    “The very act of verbalizing an unwanted private event evokes it.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Premisereasoning

    Humans spend a good deal of time trying to control their thoughts and feelings.

    “In line with the logical conclusion derived from the first four elements of the syllogism, humans spend a good deal of time trying to control their thoughts and feelings.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Adherence to functional contextualism and emphasis on successful working gives ACT its coherence and direction.

    “it is the adherence to functional contextualism and emphasis on successful working or effective action (referred to as its ''truth criterion'') that gives ACT its coherence and direction.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationreasoning

    Because of the bidirectionality of verbal relations, attempts to verbally control private events often make them more likely to occur.

    “The sad irony, however, is that because of the bidirectionality of verbal relations, attempts to verbally control private events often make them more likely to occur.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    Successful working is ACT's primary objective, and every intervention by the therapist and every act of the client are evaluated with respect to that goal.

    “Ultimately, successful working is ACT's primary objective, and every intervention by the therapist and every act of the client are evaluated with respect to that goal.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisereasoning

    Verbal stimuli participate in bidirectional relations with their referents.

    “For present purposes it may be sufficient to understand that verbal stimuli participate in bidirectional relations with their referents”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisenone given

    Contextualism's essential premise is that events can be usefully understood only in relation to their contexts.

    “Its essential premise is that events can be usefully understood only in relation to their contexts.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisereasoning

    The symbolic nature of verbal stimuli is typically not directly acquired or trained.

    “Moreover, and perhaps more interesting, the symbolic nature of verbal stimuli is typically not directly acquired or trained.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    ACT is a pragmatic, functional approach to therapy rather than a collection of topographically defined techniques, and it continually evolves as new techniques are added and existing ones are modified.

    “ACT is a pragmatic, functional approach to therapy rather than a collection of topographically defined techniques, and it continually evolves as new techniques are added and existing ones are modified to fit the needs of individual clients and therapists.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    The symbolic nature of verbal stimuli refers primarily to their ability to stand for or share many of the functions of their referents.

    “The symbolic nature of verbal stimuli refers primarily to their ability to ''stand for'' or share many of the functions of their referents.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationnone given

    At its core, the book is about language and its role in the etiology, maintenance, and treatment of human suffering and psychopathology.

    “At its core, this book is about language and its role in the etiology, maintenance, and treatment of human suffering and psychopathology.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Premisereasoning

    In some contexts, the bidirectional nature of verbal relations is such that verbal stimuli and their referents fuse together or become functionally inseparable.

    “In some contexts, the bidirectional nature of verbal relations is such that verbal stimuli and their referents fuse together or become functionally inseparable.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Premisenone given

    Many western and eastern religious traditions have embraced similar notions and have developed practices intended to reduce the domination of language over experience.

    “For instance, many western and eastern religious traditions have embraced similar notions and have developed practices (e.g., repeated chanting of mantras or prayers, silent contemplation) that are intended to reduce the domination of language over experience.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    The philosophical perspective within which ACT is situated is pragmatism or functional contextualism.

    “The philosophical perspective within which ACT is situated is pragmatism or, as the authors prefer, functional contextualism”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hayes, 1993

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisereasoning

    Behavior analysts typically restrict their explanations to accessible and manipulable events that are external to the behavior to be explained.

    “This is why behavior analysts typically restrict their explanations to accessible and manipulable events that are external to the behavior to be explained.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.

    Interpretationreasoning

    Successful working can only be evaluated with respect to specific goals, and it is for this reason that values clarification and goal setting play critical roles in ACT.

    “But successful working itself can only be evaluated with respect to specific goals, and it is for this reason that values clarification and goal setting play critical roles in ACT.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Because a rule is verbal, the very attempt to act on it is likely to make the anxiety worse.

    “ACT would argue that not only is the track inaccurate, that is, one can, in fact, give a good paper and be anxious, but because the rule is verbal (more below), the very attempt to act on it is likely to make the anxiety worse.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationcitation

    The finding that happiness is directly related to involvement in valued activity and progress toward goals validates many of ACT's basic interventions and objectives.

    “a finding that validates many of ACT's basic interventions and objectives”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationnone given

    The role that verbal processes can play in the development and maintenance of experiential avoidance is clear.

    “The role that verbal processes can play in the development and maintenance of experiential avoidance is clear, but the question is when does it go awry?”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationnone given

    ACT has not yet been shown to be an empirically validated treatment, although there are some encouraging data in support of its effectiveness.

    “although there are some encouraging data in support of its effectiveness, as the authors note, it has not yet been shown to be an empirically validated treatment”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationnone given

    Many of the book's assertions about the effects of certain therapist behaviors or attitudes on the therapeutic relationship and ultimately on therapy outcome, especially in chapter 10, seem to be based on logic rather than empirical data.

    “Ironically, many of these assertions seem to be based on logic rather than empirical data.”
    Quote in the paperNot a substantial claim
41 of 41
  • The paper relies on this without support.

    The view that thoughts and feelings are causes of behavior is the view that virtually every client brings to therapy.

    “Of course, this is the view that virtually every client brings to therapy”
  • The paper relies on this without support.

    Philosophy and theory are important in clinical science, and it is insufficient to stay at the level of technique.

    “Chapter 2 begins with the authors arguing (convincingly, in my view) for the general importance of philosophy and theory in clinical science and why it is insufficient to stay at the level of technique.”
  • The paper relies on this without support.

    There has not been a literature specifically relevant to behavior analysts working with verbally competent clients in typical outpatient clinic settings.

    “This is because there has not been a literature specifically relevant to their professional issues and concerns.”
  • The paper relies on this without support.

    The applied behavior analysis literature has been primarily focused on contingency management procedures with verbally limited clients or those in residential settings in which there is considerable control over important reinforcement contingencies.

    “The applied behavior analysis literature has been primarily focused on contingency management procedures with verbally limited clients or those in residential settings in which there is considerable control over important reinforcement contingencies.”
  • The paper relies on this without support.

    The behavior therapy literature has become increasingly cognitive in recent years.

    “The behavior therapy literature has not only become increasingly cognitive in recent years”
  • The paper relies on this without support.

    The idea that clinical disorders result from normal psychological processes is one of the core assumptions of both cognitive and behavior therapy.

    “Indeed, it is one of the core assumptions of both cognitive and behavior therapy.”
  • The paper relies on this without support.

    Cognitive therapy attempts to replace erroneous or bad tracks with good ones.

    “Of course, this is the heart of cognitive therapy, which attempts to replace erroneous or bad tracks with good ones.”
  • The authors state this as an assumption.

    People who are happy and productive are verbally competent.

    “But, presumably, these happy people are verbally competent, so this general finding raises questions about the primacy of language processes in the development of distress and psychopathology.”
  • The paper relies on this without support.

    There are many problems with formal assessment procedures.

    “Although there are many problems with formal assessment procedures, it is possible that certain kinds of assessment data would be useful in a number of ways”
9 of 9

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Values discussion is assigned to the wrong chapter

    Minor

    The review cites the book's discussion of values on page 230 as chapter 10, but its chapter summary identifies chapter 8 as "Valuing" and chapter 10 as the chapter on the therapeutic relationship.

1 of 1

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Authors
Dougher, M. J.
Affiliations
University of New Mexico (US)
Corresponding author
Dougher, Michael J.
Venue
Journal of Applied Behavior Analysis
Publisher
Wiley
Published
2002-09
Volume
35
Issue
3
Pages
323-336
ISSN
  • 0021-8855 (ISSN-L)
  • 1938-3703
OpenAlex
W2150814239
Cited by
5
References
14
Citations by year
2025: 1 · 2023: 1 · 2021: 1
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • Journal of Applied Behavior Analysis (publishedVersion)
  • Europe PMC (PubMed Central) (submittedVersion)
  • PubMed Central (submittedVersion)
Topics
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
acceptance and commitment therapy, clinical behavior analysis, functional contextualism, verbal behavior, human suffering, private events, self, suicide

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