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Acceptance and Commitment Therapy and Brain Injury: A Practical Guide for Clinicians
Abstract
Acceptance and commitment therapy (ACT) approaches may play a useful role in supporting people following brain injury. However, these approaches may not be appropriate for all – geographical, racial, ethnic and cultural barriers and disparities in accessing rehabilitation and treatment exist across the world. This chapter has been written by professionals working in the UK and Uganda; the authors will discuss pertinent issues in their countries to highlight the breadth of the challenges faced in terms of access to and availability of services supporting people following brain injury. This chapter will consider some of the potential challenges of applying ACT principles, considering issues of culture, language, spirituality and religion at institutional and individual levels. We will discuss the importance of working in a flexible and culturally sensitive way, alongside culturally competent peers within communities.
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ACT includes a strong focus on validating and acknowledging the difficulties associated with mTBI rather than a focus on reframing thoughts.
“This includes a strong focus on validating and acknowledging the difficulties associated with their mTBI rather than a focus on reframing their thoughts.84 85”
From Acceptance and commitment therapy for mild traumatic brain injury (ACTion-mTBI): a quasiexperimental feasibility study (2025) · cites this paper as [84]
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Leff, A. P., Doogan, C., Bentley, J. P., Makkar, B., Zenobi-Bird, L., Sherman, A., Grobler, S., & Crinion, J. (2023) · Aphasiology · doi:10.1080/02687038.2023.2286703 · Cited by 14
“The group follows the principles of Acceptance and Commitment Therapy (Curvis & Methley, 2021).”
Faulkner, J., Prouty, D., Devlin, L., Appleton, D., Roche, M., Below, K., Moffat, J., Snell, D., Williams, M. N., Barker-Collo, S., et al. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-089727 · Cited by 7
Blake, J., Beazley, P. I., & Steverson, T. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2023.2186498 · Cited by 5
“There is increasing support for the use of Acceptance and Commitment Therapy (ACT) as a therapeutic paradigm in the context of stroke and acquired brain injury [27,28].”
BackgroundCommentary. Freud in the stroke ward: psychodynamic theory for stroke rehabilitation professionals
Green, H. (2022) · Topics in Stroke Rehabilitation · doi:10.1080/10749357.2022.2075080 · Cited by 1
Lakey, G., Kusosa, R., Dawe‐Lane, E., Edwards, J., Cella, M., & Simblett, S. K. (2026) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2026.2623949
BRENNAN, H. J., Brown, R. J., & Teager, A. J. (2026) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2026.2717259 · Cited by 1
Cognitive, emotional and interpersonal determinants of loneliness in brain injury survivors
Salas, C. E., Ureta, H., Rojas‐Líbano, D., Castro, O., Cruces, R., Evans, J., & Aliaga, A. (2026) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2026.2742361
Metadata
- Authors
- Curvis, W., & Methley, A.
- ORCID
- Methley, Abigail
- Venue
- Routledge eBooks
- Publisher
- Routledge
- Published
- 2021-10-11
- OpenAlex
- W3205393910
- Cited by
- 7
- References
- 0
- Citations by year
- 2026: 3 · 2025: 1 · 2023: 2 · 2022: 1
- FWCI
- 1.30
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Routledge eBooks (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Keywords
- acceptance and commitment therapy, brain injury, access to rehabilitation services, cultural barriers, cultural competence, religion and spirituality, language barriers, health disparities, Uganda
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