Contextualist Perspectives in the Treatment of Antisocial Behaviors and Offending: A Comparative Review of FAP, ACT, DBT, and MDT

2020 ◽  
pp. 152483802093950
Author(s):  
J. Carmelo Visdómine-Lozano
Keyword(s):  
Antisocial Behavior ◽  
Acceptance And Commitment Therapy ◽  
Dialectical Behavior Therapy ◽  
Positive Outcomes ◽  
Antisocial Behaviors ◽  
Functional Analytic Psychotherapy ◽  
Sexual Offenses ◽  
Acceptance And Commitment ◽  
Comparative Review ◽  
At Risk Adolescents

This article presents a comparative review of the application of four contextualist therapies in the treatment of antisocial behavior and offending. The therapies reviewed are functional analytic psychotherapy (FAP), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and mode deactivation therapy (MDT). A descriptive and comparative review was conducted through a search carried out in both general and specific databases related to each therapy. We included a total of 44 studies treating any type of antisocial behavior or offending. Results show that these interventions have been used to treat challenging behavioral patterns, inmates’ institutional behaviors, exhibitionism, at-risk adolescents’ aggressive conducts, and offending behaviors performed by juveniles who committed robbery and/or serious sexual offenses. The main conclusions are that the four therapies show very positive outcomes: Although FAP and ACT have been used more sparsely, DBT and MDT have been employed in a larger number of interventions and using more controlled comparative designs. The therapeutic components that seem to be relevant to understanding in a transversal way how changes in behavior are achieved are acceptance/validation of clients’ histories of neglect and abuse and clients’ commitment to behaving toward their valued directions in life.

Black Boxes and Trojan Horses

2019 ◽  
pp. 113-146
Author(s):  
Ira Helderman
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Treatment Interventions ◽  
Acceptance And Commitment ◽  
Black Boxes ◽  
Scientific Legitimacy ◽  
Mindfulness Practices ◽  
Biomedical Treatment ◽  
Historical Origins

This chapter introduces psychotherapists’ translating religion approaches to Buddhist traditions focusing on the therapeutic use of mindfulness practices as a popular case example. In these approaches, Buddhist elements are “translated” into biomedical treatment interventions admissible to secular-designated psychotherapy. Influenced by a number of institutional and affiliative factors, cognitive behavioral psychotherapists were predisposed to seek to maintain scientific legitimacy while incorporating Buddhist practices. Taking a closer look at the historical origins of contemporary therapeutic mindfulness practices and the currently-untold stories of the development of some of the most prominent mindfulness methodologies (Dialectical Behavior Therapy, Acceptance and Commitment Therapy, etc.), the chapter interrogates the prevailing narrative that “mindfulness was extracted from Buddhism” and completely remade into a secular biomedical item. The chapter elucidates the ongoing contestation among clinicians - spurred by encounters with multiple, overlapping institutional authorities (not only biomedical or Buddhist, but academic as well) - over whether to define their “translations” as Buddhist or psychotherapeutic, religious or not-religious.

scholarly journals FACT: The Utility of an Integration of Functional Analytic Psychotherapy and Acceptance and Commitment Therapy to Alleviate Human Suffering.

Psychotherapy ◽  
2004 ◽  
Vol 41 (3) ◽  
pp. 195-207 ◽  
Author(s):  
Glenn M. Callaghan ◽  
Jennifer A. Gregg ◽  
Brian P. Marx ◽  
Barbara S. Kohlenberg ◽  
Elizabeth Gifford
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Human Suffering ◽  
Functional Analytic Psychotherapy ◽  
Commitment Therapy ◽  
Acceptance And Commitment

scholarly journals Integrating Acceptance and Commitment Therapy With Functional Analytic Psychotherapy: A Case Study of an Adult Male With Mixed Depression and Anxiety

2019 ◽  
Vol 19 (1) ◽  
pp. 34-50
Author(s):  
Meagan J. Brem ◽  
Kristina Coop Gordon ◽  
Gregory L. Stuart
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Specific Treatment ◽  
Integrative Approach ◽  
Future Research ◽  
Depression Symptoms ◽  
Treatment Goals ◽  
Functional Analytic Psychotherapy ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Acceptance and commitment therapy (ACT) gained support for treating transdiagnostic features of major depressive (MDD) and generalized anxiety disorders (GAD). However, ACT’s intrapersonal emphasis may be insufficient for targeting interpersonal treatment goals. Integrating ACT with functional analytic psychotherapy offers theory-based strategies for responding to ACT-specific processes through the contingent interpersonal relationship thereby targeting both intra- and interpersonal treatment goals. Yet, no research examined the efficacy of this integrative approach (i.e., functional-analytic acceptance and commitment therapy [FACT]) in treating comorbid MDD and GAD. In this case study, we conceptualized a man with comorbid MDD and GAD from a FACT perspective, described FACT treatment across 28 sessions, and presented pretreatment, termination, and 6-month posttreatment data on FACT-specific treatment targets. Depression symptoms, self-compassion, mindfulness, and interpersonal relationships improved despite unchanged physiological anxiety symptoms throughout treatment. These preliminary data provide clinicians with a conceptual framework for treating clients using FACT and may guide future research on integrative treatment approaches.

Mindfulness and Cognitive Behavioral Therapy: Are They Compatible Concepts?

2009 ◽  
Vol 23 (4) ◽  
pp. 315-323 ◽  
Author(s):  
Neil Harrington ◽  
Charles Pickles
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Behavioral Therapy ◽  
Religious Tradition ◽  
Theoretical Concept ◽  
Cognitive Behavior ◽  
Third Generation ◽  
The Core ◽  
Acceptance And Commitment

Several therapies have emerged that include mindfulness as a central theoretical concept within a Cognitive Behavior Therapy (CBT) model. These include Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Mindfulness-Based Cognitive Therapy (MBCT). This article argues that mindfulness is contrary to many of the core principles of CBT, but more importantly, the concept of mindfulness lacks meaning, outside of the Buddhist religious tradition from which it arises. As part of a mystical ideology, mindfulness represents an antirational and prescientific worldview. As such, this article questions the assertion that mindfulness can be a part of a new scientific paradigm, representing a “third generation” of CBT, and suggests that CBT is in danger of becoming an all-encompassing term.

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