What nagged at me most was that discussions of evidence-based practice usually positioned science as the royal road to discovering the world as it really is. I wasn’t sure how this fit with the social work value of respecting multiple ways of knowing, especially cultural and spiritual ways. Things changed when I saw Steven C. Hayes give a talk on acceptance and commitment therapy.
To give a very complicated question a simple answer, gender is both (1) how you express masculinity, femininity, or for most people, some mix of the two and (2) how your identity, or sense of self, relates to masculinity and femininity.
ACT co-founder, Steven Hayes, PhD, speaks to Kal Kseib from The Psychologist magazine about the possibility inside of pain, his words of advice for new clinicians, and the future of evidence-based psychology.
If you’re lucky, your new client will offer up some values-guided treatment goals. However, many clients will initially give you “emotional goals,” “dead person’s goals,” or “insight goals.” Let’s take a look at each of these.
Without the ACT toolkit, I probably would not have accepted this case. But since I was skilled at using ACT, I decided to give it a try. I modified the ACT model into a three-word mantra. This is just a single, clinical case, but it's a nice illustration of how ACT elements worked with one kid with high functioning autism.
The bottom line is that if ABA is going to be relevant in the 21st century, we need to address many more real-world issues than those faced by parents of kids with autism and other intellectual and developmental disabilities.
What about behavior in conditions of poverty, recruitment into gangs and terrorist cells, or intimate partner, gender-based violence? Strategies and tactics that worked in the basic labs, clinics, and school settings may need to be retooled for new environments. This is where some ACT strategies can be quite powerful.
We strive to organize our difficult emotional life and remembered experiences in such a fashion that they are no longer a part of who we are. We work to escape or avoid whole sets of internal experiences, whole pieces of ourselves need to be gone. Life becomes about not remembering and not feeling. Life becomes about the trauma.
Sometimes when my colleagues and I work with very depressed people who are very self-critical, it quickly becomes obvious that they’re harbouring considerable anger. They may behave in very submissive, withdrawn and self-blaming ways, but they clearly have serious conflicts with parents or partners.