Matt is presenting on cognitive defusion and the other ACT processes at ACT BootCamp in San Diego on February 16 - 19.

Here is Matt on how he uses cognitive defusion with clients and personally:

ACT BootCamp Praxis CET

In an important sense, you leave something at BootCamp. You discover some personal baggage—problematic beliefs, habits, ways of relating—and you let it go. After 4 days and 32 hours of training, here is what I left in Tampa:

ACT BootCamp is a 4-day, live intensive training that is designed to familiarize clinicians with the core concepts of Acceptance and Commitment Therapy (ACT). ACT is not a set of techniques as much as it is a set of processes you can detect and change.

Jason Lillis, PhD, is assistant professor of research at the Alpert Medical School of Brown University, and a clinical psychologist at the Miriam Hospital in Providence, RI.

In acceptance and commitment therapy, defusion was originally called “deliteralization” because when we have thoughts—especially compelling ones—we tend to take them literally. We assume that they adequately capture reality, and then we behave accordingly. When we “fuse” with our thoughts, we buy into them hook, line, and sinker.

The following is an interview with Gareth Holman, PhD, a psychologist, trainer, and writer living in Seattle, Washington. He is the lead trainer for online functional analytic psychotherapy (FAP) trainings and works closely with the Center for the Science of Social Connection at the University of Washington to develop FAP research and trainings. He is author of the forthcoming book FAP Made Simple: A Guide to Therapeutic Relationships from New Harbinger Publications.

This article has been adapted from Inside This Moment: A Clinician’s Guide to Promoting Radical Change Using Acceptance and Commitment Therapy, a book by Kirk Strosahl, PhD, Patricia Robinson, PhD, and Thomas Gustavsson, MSc. 


Over the years, acceptance and commitment therapy (ACT) has grown and evolved, in part, due to the unique contributions of the clinicians who use it. The freedom within the framework is one feature that makes ACT so effective.

There are a number of reasons why a pharmacological treatment for psychosis may be ill-suited or inadequate. In the face of persistent, sometimes debilitating symptoms, clinical researchers like Joe have turned to ACT.

If you haven’t seen it for yourself, you may be skeptical that real behavior change is possible in just one or two therapy sessions. After all, that’s not time enough to form a therapeutic relationship. But the reality is that evidence supports the value of brief interventions, including ACT.

Let’s take a look at some myths and facts about brief interventions.

Myth: The benefits of therapy build over time.


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