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Is Acceptance and Commitment Training or Therapy (ACT) a Method that Applied Behavior Analysts Can and Should Use?

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Abstract

The present article examines whether it is appropriate for applied behavior analysts to use Acceptance and Commitment Training or Therapy (ACT) as part of their professional practice. We approach this question by briefly examining the behavioral history of ACT and then considering ACT through the lens of the requirements of applied behavior analysis as specified by Baer, Wolf, and Risley in Journal of Applied Behavior Analysis, 1(1), 91–97 (1968). We believe that ACT meets all seven of their criteria and thus conclude that ACT can and should be used as a behavior analytic method. We briefly consider the need for applied behavior analysts to use ACT in a way that is consistent with their field, scope of practice, and their individual scope of competence.

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References

  • Ackley, M., Subramanian, J. W., Moore, J. W., Litten, S., Lundy, M. P., & Bishop, S. K. (2019). A review of language development protocols for individuals with autism. Journal of Behavioral Education. https://doi.org/10.1007/s10864-019-09327-8.

  • Anderson, C. M., Hawkins, R. P., Freeman, K. A., & Scotti, J. R. (2000). Private events: Do they belong in a science of human behavior? The Behavior Analyst, 23, 1–10.

    PubMed  PubMed Central  Google Scholar 

  • Arntzen, E., & Almås, I. K. (2002). Effects of mand-tact versus tact-only training on the acquisition of tacts. Journal of Applied Behavior Analysis, 35(4), 419–422. https://doi.org/10.1901/jaba.2002.35-419.

    Article  PubMed  PubMed Central  Google Scholar 

  • Assaz, D. A., Roche, B., Kanter, J. W., & Oshiro, C. K. B. (2018). Cognitive defusion in acceptance and commitment therapy: What are the basic processes of change? The Psychological Record, 68, 405–418.

    Google Scholar 

  • Bach, P., Gaudiano, B. A., Hayes, S. C., & Herbert, J. D. (2013). Acceptance and Commitment Therapy for psychosis: Intent to treat hospitalization outcome and mediation by believability. Psychosis, 5, 166–174.

    Google Scholar 

  • Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting & Clinical Psychology, 70(5), 1129.

    Google Scholar 

  • Bach, P., Hayes, S. C., & Gallop, R. (2012). Long-term effects of brief acceptance and commitment therapy for psychosis. Behavior Modification, 36(2), 165–181.

    PubMed  Google Scholar 

  • Baer, D. M., Wolf, M. M., & Risley, T. R. (1968). Some current dimensions of applied behaviour analysis. Journal of Applied Behavior Analysis, 1(1), 91–97. https://doi.org/10.1901/jaba.1968.1-91.

  • Baer, D. M., Wolf, M. M., & Risley, T. R. (1987). Some still-current dimensions of applied behaviour analysis. Journal of Applied Behavior Analysis, 20(4), 313–327.

    PubMed  PubMed Central  Google Scholar 

  • Belisle, J., Dixon, M. R., & Stanley, C. R. (2018). The mediating effects of derived relational responding on the relationship between verbal operant development and IQ. Behavior Analysis in Practice, 11(4), 411–416. https://doi.org/10.1007/s40617-018-0215-2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Blackledge, J. T. (2007). Disrupting verbal processes: Cognitive defusion in Acceptance and Commitment Therapy and other Mindfulness-based Psychotherapies. The Psychological Record, 57(4), 555–577.

    Google Scholar 

  • Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156–163.

    PubMed  Google Scholar 

  • Branstetter-Rost, A. D., Cushing, C. C., & Douleh, T. N. (2009). Personal values and pain tolerance: Does a values intervention add to acceptance? Journal of Pain, 10(8), 887–892.

    PubMed  Google Scholar 

  • Brown, L. A., Forman, E. M., Herbert, J. D., Hoffman, K. L., Yuen, E. K., & Goetter, E. M. (2011). A randomized controlled trial of acceptance-based behavior therapy and cognitive therapy for test anxiety: A pilot study. Behavior Modification, 35, 31–53.

    PubMed  Google Scholar 

  • Brown, M., Glendenning, A., Hoon, A. E., & John, A. (2016). Effectiveness of web-delivered acceptance and commitment therapy in relation to mental health and well-being: A systematic review and meta-analysis. Journal of Medical Internet Research, 18(8), e221.

    PubMed  PubMed Central  Google Scholar 

  • Campbell, J. M. (2003). Efficacy of behavioral interventions for reducing problem behavior in persons with autism: A quantitative synthesis of single-subject research. Research in Developmental Disabilities, 24, 120–138.

    PubMed  Google Scholar 

  • Carrasquillo, N., & Zettle, R. D. (2014). Comparing a brief self-as-context exercise to control-based and attention placebo protocols for coping with induced pain. The Psychological Record, 64(4), 659–669.

    Google Scholar 

  • Castro, M., Rehfeldt, R. A., & Root, W. B. (2016). On the role of values clarification and committed actions in enhancing the engagement of direct care workers with clients with severe developmental disorders. Journal of Contextual Behavioral Science, 5(4), 201–207. https://doi.org/10.1016/j.jcbs.2016.09.003.

    Article  Google Scholar 

  • Catania, A. C., Shimoff, E., & Matthews, B. A. (1989). An experimental analysis of rule-governed behavior. In Rule-Governed Behavior (pp. 119–150). Boston, MA: Springer.

    Google Scholar 

  • Chase, J. A., Houmanfar, R., Hayes, S. C., Ward, T. A., Vilardaga, J. P., & Follette, V. (2013). Values are not just goals: Online ACT-based values training adds to goal setting in improving undergraduate college student performance. Journal of Contextual Behavioral Science, 2(3–4), 79–84.

    Google Scholar 

  • Chong, Y. Y., Mak, Y. W., Leung, S. P., Lam, S. Y., & Loke, A. Y. (2019). Acceptance and commitment therapy for parental management of childhood asthma: An RCT. Pediatrics, 143(2), e20181723.

    PubMed  Google Scholar 

  • Cochrane, A., Barnes-Holmes, D., & Barnes-Holmes, Y. (2008). The perceived-threat behavioral approach test (PT-BAT): Measuring avoidance in high-, mid-, and low-spider-fearful participants. The Psychological Record, 58(4), 585–596.

    Google Scholar 

  • Cooper, J. O., Heron, T. E., & Heward, W. L. (2019). Applied Behavior Analysis (3rd ed.). New York, NY: Pearson.

    Google Scholar 

  • Devany, J. M., Hayes, S. C., & Nelson, R. O. (1986). Equivalence class formation in language-able and language-disabled children. Journal of the Experimental Analysis of Behavior, 46, 243–257. https://doi.org/10.1901/jeab.1986.46-243.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dibs, N., & Sturmey, P. (2007). Reducing student stereotypy by improving teachers’ implementation of discrete-trial teaching. Journal of Applied Behavior Analysis, 40(2), 339–343.

    Google Scholar 

  • Dixon, M. R. (2014a). PEAK relational training system: Direct training module. Carbondale, IL: Shawnee Scientific Press.

    Google Scholar 

  • Dixon, M. R. (2014b). PEAK relational training system: Generalization module. Carbondale, IL: Shawnee Scientific Press.

    Google Scholar 

  • Dixon, M. R. (2014c). Acceptance and Commitment Therapy. Carbondale, IL: Shawnee Scientific Press.

    Google Scholar 

  • Dixon, M. R. (2015). PEAK relational training system: Equivalence module. Carbondale, IL: Shawnee Scientific Press.

    Google Scholar 

  • Dixon, M. R. (2016). PEAK relational training system: Transformation module. Carbondale, IL: Shawnee Scientific Press.

    Google Scholar 

  • Dixon, M. R., Small, S. L., & Rosales, R. (2007). Extended analysis of empirical citations with Skinner's Verbal Behavior: 1984–2004. The Behavior Analyst, 30(2), 197–209. https://doi.org/10.1007/bf03392155.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dougher, M. J., Hamilton, D. A., Fink, B. C., & Harrington, J. (2007). Transformation of the discriminative and eliciting functions of generalized relational stimuli. Journal of the Experimental Analysis of Behavior, 88, 179–197. https://doi.org/10.1901/jeab.2007.45-05.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dougher, M. J., & Hayes, S. C. (2000). Clinical behavior analysis. In M. J. Dougher (Ed.), Clinical behavior analysis (pp. 11–26). Reno, NV: Context Press.

    Google Scholar 

  • Dupuis, D. L., Lerman, D. C., Tsami, L., & Shireman, M. L. (2015). Reduction of aggression evoked by sounds using noncontingent reinforcement and time-out. Journal of Applied Behavior Analysis, 48, 669–674.

    PubMed  Google Scholar 

  • Dymond, S., & Barnes, D. (1995). A transformation of self-discrimination response functions in accordance with the arbitrarily applicable relations of sameness, more than, and less than. Journal of the Experimental Analysis of Behavior, 64, 163–184. https://doi.org/10.1901/jeab.1995.64-163.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dymond, S., & Barnes, D. (1996). A transformation of self-discrimination response functions in accordance with the arbitrarily applicable relations of sameness and opposition. The Psychological Record, 46(2), 271–300.

    Google Scholar 

  • Dymond, S., Bennett, M., Boyle, S., Roche, B., & Schlund, M. (2018). Related to anxiety: Arbitrarily applicable relational responding and experimental psychopathology research on fear and avoidance. Perspectives on Behavior Science, 41(1), 189–213.

    PubMed  Google Scholar 

  • Dymond, S., Dunsmoor, J. E., Vervliet, B., Roche, B., & Hermans, D. (2015). Fear generalization in humans: Systematic review and implications for anxiety disorder research. Behavior Therapy, 46(5), 561–582. https://doi.org/10.1016/j.beth.2014.10.001.

    Article  PubMed  Google Scholar 

  • Dymond, S., O'Hora, D., Whelan, R., & O'Donovan, A. (2006). Citation analysis of Skinner's Verbal Behavior: 1984–2004. The Behavior Analyst, 29(1), 75–88.

    PubMed  PubMed Central  Google Scholar 

  • Dymond, S., & Roche, B. (2013). Advances in relational frame theory: Research and application. Oakland, CA: New Harbinger.

    Google Scholar 

  • Eilers, H. J., & Hayes, S. C. (2015). Exposure and response prevention therapy with cognitive defusion exercises to reduce repetitive and restrictive behaviors displayed by children with autism spectrum disorder. Research in Autism Spectrum Disorders, 19, 18–31.

    Google Scholar 

  • Enoch, M. R., & Dixon, M. R. (2017). The use of a child-based acceptance and commitment therapy curriculum to increase attention. Child & Family Behavior Therapy, 39(3), 200–224.

    Google Scholar 

  • Forsyth, L., & Hayes, L. L. (2014). The effects of acceptance of thoughts, mindful awareness of breathing, and spontaneous coping on an experimentally induced pain task. The Psychological Record, 64(3), 447–455. https://doi.org/10.1007/s40732-014-0010-6.

    Article  Google Scholar 

  • Friman, P. C. (2010). Come on in, the water is fine: Achieving mainstream relevance through integration with primary care. The Behavior Analyst, 33, 19–36.

    PubMed  PubMed Central  Google Scholar 

  • Friman, P. C., Hayes, S. C., & Wilson, K. G. (1998). Why behavior analysts should study emotion: The example of anxiety. Journal of Applied Behavior Analysis, 31, 137–156.

    PubMed  PubMed Central  Google Scholar 

  • Gaudiano, B. A., & Herbert, J. D. (2006). Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy: Pilot results. Behaviour Research & Therapy, 44(3), 415–437.

    Google Scholar 

  • Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., Rasmussen-Hall, M. L., & Palm, K. M. (2004). Acceptance-based treatment for smoking cessation. Behavior Therapy, 35(4), 689–705.

    Google Scholar 

  • Ginsburg, S., & Jablonka, E. (2010). The evolution of associative learning: A factor in the Cambrian explosion. Journal of Theoretical Biology, 266(1), 11–20. https://doi.org/10.1016/j.jtbi.2010.06.017.

    Article  PubMed  Google Scholar 

  • Glassman, L. H., Forman, E. M., Herbert, J. D., Bradley, L. E., Foster, E. E., Izzetoglu, M., & Ruocco, A. C. (2016). The effects of a brief acceptance-based behavioral treatment versus traditional cognitive-behavioral treatment for public speaking anxiety. Behavior Modification, 40, 748–776.

    PubMed  Google Scholar 

  • González-Menéndez, A., Fernández, P., Rodríguez, F., & Villagrá, P. (2014). Long-term outcomes of Acceptance and Commitment Therapy in drug-dependent female inmates: A randomized controlled trial. International Journal of Clinical & Health Psychology, 14(1), 18–27.

    Google Scholar 

  • Gould, E. R., Tarbox, J., & Coyne, L. (2018). Evaluating the effects of Acceptance and Commitment Training on the overt behavior of parents of children with autism. Journal of Contextual Behavioral Science, 7, 81–88. https://doi.org/10.1016/j.jcbs.2017.06.003.

    Article  Google Scholar 

  • Granpeesheh, D., Dixon, D. R., Tarbox, J., Kaplan, A. M., & Wilke, A. E. (2009). The effects of age and treatment intensity on behavioral intervention outcomes for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(4), 1014–1022.

    Google Scholar 

  • Grazzi, L., Bernstein, C., Raggi, A., Sansone, E., Grignani, E., Searl, M., & Rizzoli, P. (2019). ACT for migraine: effect of acceptance and commitment therapy (ACT) for high-frequency episodic migraine without aura: Preliminary data of a phase-II, multicentric, randomized, open-label study. Neurological Sciences, 40, 191–192. https://doi.org/10.1007/s10072-019-03802-w.

    Article  PubMed  Google Scholar 

  • Gregg, J. A., Callaghan, G. M., Hayes, S. C., & Glenn-Lawson, J. L. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: A randomized controlled trial. Journal of Consulting & Clinical Psychology, 75(2), 336–343. https://doi.org/10.1037/0022-006X.75.2.336.

    Article  Google Scholar 

  • Grynszpan, O., Simonin, J., Martin, J. C., & Nadel, J. (2012). Investigating social gaze as an action-perception online performance. Frontiers in Human Neuroscience, 6, 94. https://doi.org/10.3389/fnhum.2012.00094.

    Article  PubMed  PubMed Central  Google Scholar 

  • Guildford, B. J., Jacobs, C. M., Daly-Eichenhardt, A., Scott, W., & McCracken, L. M. (2017). Assessing physical functioning on pain management programmes: The unique contribution of directly assessed physical performance measures and their relationship to self-reports. British Journal of Pain, 11(1), 46–57. https://doi.org/10.1177/2049463716680559.

    Article  PubMed  Google Scholar 

  • Haaland, A. T., Eskeland, S. O., Moen, E. M., Vogel, P. A., Haseth, S., Mellingen, K., et al. (2017). ACT-enhanced behavior therapy in group format for Trichotillomania: An effectiveness study. Journal of Obsessive-Compulsive Related Disorders, 12, 109–116. https://doi.org/10.1016/j.jocrd.2017.01.005.

    Article  Google Scholar 

  • Hall, G., & Sundberg, M. L. (1987). Teaching mands by manipulating conditioned establishing operations. Analysis of Verbal Behavior, 5, 41–53. https://doi.org/10.1007/bf03392819.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hanratty, L., Miltenberger, R., & Florentino, S. (2016). Evaluating the effectiveness of a teaching package utilizing behavioral skills training and in situ training to teach gun safety skills in a preschool classroom. Journal of Behavioral Education, 25, 310–323.

    Google Scholar 

  • Hayes, S. C. (1984). Making sense of spirituality. Behaviorism, 12, 99–110.

    Google Scholar 

  • Hayes, S. C. (Ed.). (1989). Rule-governed behavior: Cognition, contingencies, and instructional control. New York, NY: Plenum.

    Google Scholar 

  • Hayes, S. C. (2004). Acceptance and Commitment Therapy and the new behavior therapies: Mindfulness, acceptance and relationship. In S. C. Hayes, V. M. Follette, & M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive behavioral tradition (pp. 1–29). New York, NY: Guilford.

    Google Scholar 

  • Hayes, S. C. (2019). A liberated mind: How to pivot toward what matters. New York, NY: Avery.

    Google Scholar 

  • Hayes, S. C., & Barnes-Holmes, D. (2004). Relational operants: processes and implications: a response to Palmer's review of Relational Frame Theory. Journal of the Experimental Analysis of Behavior, 82(2), 213–234. https://doi.org/10.1901/jeab.2004.82-213.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational Frame Theory: A post-Skinnerian account of human language and cognition. New York, NY: Plenum Press.

    Google Scholar 

  • Hayes, S. C., & Brownstein, A. J. (1985). Verbal behavior, equivalence classes, and rules: New definitions, data, and directions. Invited address presented at the meeting of the Association for Behavior Analysis. OH: Columbus.

    Google Scholar 

  • Hayes, S. C., Brownstein, A. J., Haas, J. R., & Greenway, D. E. (1986a). Instructions, multiple schedules, and extinction: Distinguishing rule-governed from schedule controlled behavior. Journal of the Experimental Analysis of Behavior, 46, 137–147. https://doi.org/10.1901/jeab.1986.46-137.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hayes, S. C., Brownstein, A. J., Zettle, R. D., Rosenfarb, I., & Korn, Z. (1986b). Rule-governed behavior and sensitivity to changing consequences of responding. Journal of the Experimental Analysis of Behavior, 45(3), 237–256.

    PubMed  PubMed Central  Google Scholar 

  • Hayes, S. C., Devany, J. M., Kohlenberg, B. S., Brownstein, A. J., & Shelby, J. (1987). Stimulus equivalence and the symbolic control of behavior. Mexican Journal of Behavior Analysis, 13, 361–374.

    Google Scholar 

  • Hayes, S. C., & Follette, W. C. (1992). Can functional analysis provide a substitute for syndromal classification? Behavioral Assessment, 14, 345–365.

    Google Scholar 

  • Hayes, S. C., Hayes, L. J., & Reese, H. W. (1988). Finding the philosophical core: A review of Stephen C. Pepper's World Hypotheses. Journal of the Experimental Analysis of Behavior, 50, 97–111. https://doi.org/10.1901/jeab.1988.50-97.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes and outcomes. Behavior Research & Therapy, 44, 1–25.

    Google Scholar 

  • Hayes, S. C., Strosahl, K., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The process and practice of mindful change (2nd ed.). New York, NY: Guilford Press.

    Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An experiential approach to behavior change. New York, NY: Guilford Press.

    Google Scholar 

  • Hayes, S. C., Wilson, K. G., Gifford, E. V., Bissett, R., Piasecki, M., Batten, S. V., et al. (2004). A preliminary trial of twelve-step facilitation and acceptance and commitment therapy with polysubstance-abusing methadone-maintained opiate addicts. Behavior Therapy, 35(4), 667–688.

    Google Scholar 

  • Hernández-López, M., Luciano, M. C., Bricker, J. B., Roales-Nieto, J. G., & Montesinos, F. (2009). Acceptance and commitment therapy for smoking cessation: A preliminary study of its effectiveness in comparison with cognitive behavioral therapy. Psychology of Addictive Behaviors, 23(4), 723.

    PubMed  Google Scholar 

  • Hogan, A., Knez, N., & Kahng, S. W. (2015). Evaluating the use of behavioral skills training to improve school staffs’ implementation of behavior intervention plans. Journal of Behavioral Education, 24(2), 242–254. https://doi.org/10.1007/s10864-014-9213-9.

    Article  Google Scholar 

  • Ivanova, E., Jensen, D., Cassoff, J., Gu, F., & Knäuper, B. (2015). Acceptance and commitment therapy improves exercise tolerance in sedentary women. Medicine & Science in Sports & Exercise, 47, 1251–1258.

    Google Scholar 

  • Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1982). Toward a functional analysis of self-injury. Analysis & Intervention in Developmental Disabilities, 2(1), 3–20. https://doi.org/10.1016/0270-4684(82)90003-9.

    Article  Google Scholar 

  • Katterman, S. N., Goldstein, S. P., Butryn, M. L., Forman, E. M., & Lowe, M. R. (2014). Efficacy of an acceptance-based behavioral intervention for weight gain prevention in young adult women. Journal of Contextual Behavioral Science, 3(1), 45–50. https://doi.org/10.1016/j.jcbs.2013.10.003.

    Article  Google Scholar 

  • Kelson, J., Rollin, A., Ridout, B., & Campbell, A. (2019). Internet-delivered Acceptance and Commitment Therapy for anxiety treatment: Systematic review. Journal of Medical Internet Research, 21(1), e12530.

    PubMed  PubMed Central  Google Scholar 

  • Kennedy, A. E., Whiting, S. W., & Dixon, M. R. (2014). Improving novel food choices in preschool children using acceptance and commitment therapy. Journal of Contextual Behavioral Science, 3(4), 228–235.

    Google Scholar 

  • Kyllönen, H. M., Muotka, J., Puolakanaho, A., Astikainen, P., Keinonen, K., & Lappalainen, R. (2018). A brief acceptance and commitment therapy intervention for depression: A randomized controlled trial with 3-year follow-up for the intervention group. Journal of Contextual Behavioral Science, 10, 55–63.

    Google Scholar 

  • Lanza, P. V., Garcia, P. F., Lamelas, F. R., & González-Menéndez, A. (2014). Acceptance and Commitment Therapy versus Cognitive Behavioral Therapy in the treatment of substance use disorder with incarcerated women. Journal of clinical psychology, 70(7), 644–657.

    PubMed  Google Scholar 

  • Larson, S. A., & Hewitt, A. S. (Eds.). (2005). Staff recruitment, retention and training strategies for community human services organizations. Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Lee, J. A., Kim, C. K., Jahng, G. H., Hwang, I. K., Cho, Y. W., Kim, Y. J., et al. (2010). A pilot study of brain activation in children with trichotillomania during a visual-tactile symptom provocation task: A functional magnetic resonance imaging study. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 34(7), 1250–1258.

    Google Scholar 

  • Levin, M. E., Hildebrandt, M. J., Lillis, J., & Hayes, S. C. (2012). The impact of treatment components suggested by the psychological flexibility model: A meta-analysis of laboratory-based component studies. Behavior Therapy, 43, 741–756. https://doi.org/10.1016/j.beth.2012.05.003.

    Article  PubMed  Google Scholar 

  • Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder. Behavior Therapy, 35, 747–766.

    Google Scholar 

  • Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Annals of Behavioral Medicine, 37, 58–69. https://doi.org/10.1007/s12160-009-9083-x.

    Article  PubMed  Google Scholar 

  • Long, D. M., & Hayes, S. C. (2018). Development of an ACT prototype for therapeutic skill assessment. Journal of Contextual Behavioral Science, 9, 63–71. https://doi.org/10.1016/j.jcbs.2018.06.008.

    Article  Google Scholar 

  • Lundgren, T., Dahl, J., & Hayes, S. C. (2008a). Evaluation of mediators of change in the treatment of epilepsy with acceptance and commitment therapy. Journal of Behavioral Medicine, 31(3), 225–235.

    PubMed  Google Scholar 

  • Lundgren, T., Dahl, J., Yardi, N., & Melin, L. (2008b). Acceptance and commitment therapy and yoga for drug-refractory epilepsy: A randomized controlled trial. Epilepsy & Behavior, 13(1), 102–108.

    Google Scholar 

  • Luoma, J. B., Hayes, S. C., Roget, N., Fisher, G., Padilla, M., Bissett, R., et al. (2008). Augmenting continuing education with psychologically-focused group consultation: Effects on adoption of Group Drug Counseling. Psychotherapy Theory, Research, Practice, Training, 44, 463–469. https://doi.org/10.1037/0033-3204.44.4.463.

    Article  Google Scholar 

  • Luoma, J. B., & Vilardaga, J. P. (2013). Improving therapist psychological flexibility while training Acceptance and Commitment Therapy: A pilot study. Cognitive Behaviour Therapy, 42(1), 1–8.

    PubMed  Google Scholar 

  • Macurik, K. M., O'Kane, N. P., Malanga, P., & Reid, D. H. (2008). Video training of support staff in intervention plans for challenging behavior: Comparison with live training. Behavior Intervention, 23, 143–163.

    Google Scholar 

  • Maghsoudi, Z., Razavi, Z., Razavi, M., & Javadi, M. (2019). Efficacy of acceptance and commitment therapy for emotional distress in the elderly with type 2 diabetes: A randomized controlled trial. Diabetes, Metabolic Syndrome & Obesity: Targets & Therapy, 12, 2137.

    Google Scholar 

  • May, M. E., Shayter, A. M., Schmick, A., Barron, B., Doherty, M., & Johnson, M. (2018). Teaching preschool children to report suspicious packages to adults. Journal of Applied Behavior Analysis, 51, 571–589. https://doi.org/10.1002/jaba.478.

    Article  PubMed  Google Scholar 

  • McAuliffe, D., Hughes, S., & Barnes-Holmes, D. (2014). The dark-side of rule governed behavior: An experimental analysis of problematic rule-following in an adolescent population with depressive symptomatology. Behavior Modification, 38(4), 587–613. https://doi.org/10.1177/0145445514521630.

    Article  PubMed  Google Scholar 

  • McHugh, L., Stewart, I., & Almada, P. (2019). A contextual behavioral guide to the self. Oakland, CA: Context Press.

    Google Scholar 

  • Miller, D. L., & Kelley, M. L. (1994). The use of goal setting and contingency contracting for improving children's homework performance. Journal of Applied Behavior Analysis, 27(1), 73–84. https://doi.org/10.1901/jaba.1994.27-73.

    Article  PubMed  PubMed Central  Google Scholar 

  • Monestès, J. L., Villatte, M., Stewart, I., & Loas, G. (2014). Rule-based insensitivity and delusion maintenance in schizophrenia. Psychological Record, 64, 329–338. https://doi.org/10.1007/s40732-014-0029-8.

    Article  Google Scholar 

  • Montoya-Rodríguez, M. M., Molina, F. J., & McHugh, L. (2017). A review of Relational Frame Theory research into deictic relational responding. The Psychological Record, 67(4), 569–579.

    Google Scholar 

  • Newsome, D., Newsome, K., Fuller, T. C., & Meyer, S. (2018). How contextual behavioral scientists measure and report about behavior: A review of JCBS. Journal of Contextual Behavioral Science, (January), 0–1. doi:https://doi.org/10.1016/j.jcbs.2018.11.005

  • Nolan, T. V., Jarema, K. A., & Austin, J. (1999). An objective review of the Journal of Organizational Behavioral Management: 1987–1997. Journal of Organizational Behavior Management, 19(3), 83–114.

    Google Scholar 

  • Normand, M. P., & Kohn, C. S. (2013). Don't wag the dog: Extending the reach of applied behavior analysis. The Behavior Analyst, 36(1), 109–122. https://doi.org/10.1007/BF03392294.

    Article  PubMed  PubMed Central  Google Scholar 

  • Northup, J., Vollmer, T. R., & Serrett, K. (1993). Publication trends in 25 years of the. Journal of Applied Behavior Analysis, 26(4), 527–537. https://doi.org/10.1901/jaba.1993.26.

    Article  PubMed  PubMed Central  Google Scholar 

  • O'Connor, M., Farrell, L., Munnelly, A., & McHugh, L. (2017). Citation analysis of relational frame theory: 2009–2016. Journal of Contextual Behavioral Science, 6(2), 152–158.

    Google Scholar 

  • Páez-Blarrina, M., Luciano, C., Gutiérrez-Martínez, O., Valdivia, S., Rodríguez-Valverde, M., & Ortega, J. (2008). Coping with pain in the motivational context of values. Behavior Modification, 32(3), 403–422. https://doi.org/10.1177/0145445507309029.

    Article  PubMed  Google Scholar 

  • Paliliunas, D., Belisle, J., & Dixon, M. R. (2018). A randomized control trial to evaluate the use of acceptance and commitment therapy (ACT) to increase academic performance and psychological flexibility in graduate students. Behavior Analysis in Practice, 11(3), 241–253.

    PubMed  PubMed Central  Google Scholar 

  • Palmer, D. C. (2004a). Data in search of a principle: a review of relational frame theory: A post-Skinnerian account of human language and cognition. Journal of the Experimental Analysis of Behavior, 81(2), 189–204. https://doi.org/10.1901/jeab.2004.81-189.

    Article  PubMed  PubMed Central  Google Scholar 

  • Palmer, D. C. (2004b). Generic response classes and relational frame theory: Response to Hayes and Barnes-Holmes. Journal of the Experimental Analysis of Behavior, 82(2), 225–234.

    PubMed Central  Google Scholar 

  • Parker, R. I., & Vannest, K. (2009). An improved effect size for single-case research: Nonoverlap of all pairs. Behavior Therapy, 40(4), 357–367. https://doi.org/10.1016/j.beth.2008.10.006.

    Article  PubMed  Google Scholar 

  • Partington, J. W., & Bailey, J. S. (1993). Teaching intraverbal behavior to preschool children. Analysis of Verbal Behavior, 11, 9–18. https://doi.org/10.1007/bf03392883.

    Article  PubMed  PubMed Central  Google Scholar 

  • Petersen, C. L., & Zettle, R. D. (2009). Treating inpatients with comorbid depression and alcohol use disorders: A comparison of acceptance and commitment therapy and treatment as usual. The Psychological Record, 59, 521–536.

    Google Scholar 

  • Peters-Scheffer, N., Didden, R., Korzilius, H., & Sturmey, P. (2011). A meta-analytic study on the effectiveness of comprehensive ABA-based early intervention programs for children with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 5(1), 60–69.

    Google Scholar 

  • Pingo, J. C., & Dixon, M. R. (2012). The utility of Acceptance and Commitment Therapy on direct care workers' implementation of active treatment in rehabilitation settings. Journal of Rehabilitation Administration, 36(2) 73–80.

  • Plumb, J. C., Stewart, I., Dahl, J., & Lundgren, T. (2009). In search of meaning: Values in modern clinical behavior analysis. The Behavior Analyst, 32, 85–103.

    PubMed  PubMed Central  Google Scholar 

  • Plumb, J. C., & Vilardaga, R. (2010). Assessing treatment integrity in Acceptance and Commitment Therapy: Strategies and suggestions. International Journal of Behavioral Consultation & Therapy, 6, 263–295.

    Google Scholar 

  • Redner, R., Robertson, N., & Lo, S. (2018). Application of a brief incentive treatment for cigarette smoking. Behavior Analysis in Practice, 11(2), 154–159.

    PubMed  PubMed Central  Google Scholar 

  • Rehfeldt, R. A., & Barnes-Holmes, Y. (2009). Derived relational responding: Applications for learners with autism and other developmental disabilities. Oakland, CA: New Harbinger.

    Google Scholar 

  • Rose, H. M. S., & Ludwig, T. D. (2009). The effect of self-monitoring, task clarification and performance feedback on lifeguard cleaning behaviors. Journal of Organizational Behavior Management, 29(1), 69–79.

    Google Scholar 

  • Ruiz, F. J., & Luciano, C. (2012). Improving international level chess-players’ performance with an acceptance-based protocol. The Psychological Record, 62, 447–461.

    Google Scholar 

  • Sairanen, E., Lappalainen, R., Lappalainen, P., Kaipainen, K., Carlstedt, F., Anclair, M., & Hiltunen, A. (2019). Effectiveness of a web-based Acceptance and Commitment Therapy intervention for wellbeing of parents whose children have chronic conditions: A randomized controlled trial. Journal of Contextual Behavioral Science, 13, 94–102.

    Google Scholar 

  • Schlinger, H. D. (2010). Perspectives on the future of behavior analysis: Introductory comments. The Behavior Analyst, 33, 1–5.

    PubMed  PubMed Central  Google Scholar 

  • Shayeghian, Z., Hassanabadi, H., Aguilar-Vafaie, M. E., Amiri, P., & Besharat, M. A. (2016). A randomized controlled trial of Acceptance and Commitment Therapy for type 2 diabetes management: The moderating role of coping styles. PloS One, 11(12), e0166599. https://doi.org/10.1371/journal.pone.0166599.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shimoff, E., Catania, A. C., & Matthews, B. A. (1981). Uninstructed human responding: Sensitivity of low-rate performance to schedule contingencies. Journal of the Experimental Analysis of Behavior, 36(2), 207–220. https://doi.org/10.1901/jeab.1981.36-207.

    Article  PubMed  PubMed Central  Google Scholar 

  • Skinner, B. F. (1938). The behavior of organisms: An experimental analysis. Oxford, UK: Appleton-Century.

    Google Scholar 

  • Skinner, B. F. (1957). Verbal behavior. New York, NY: Appleton-Century-Crofts.

    Google Scholar 

  • Skinner, B. F. (1966). An operant analysis of problem solving. In B. Kleinmuntz (Ed.), Problem-solving: Research, method, and theory (pp. 225–257). New York, NY: Wiley.

    Google Scholar 

  • Skinner, B. F. (1974). About behaviorism. New York, NY: Knopf.

    Google Scholar 

  • Skinner, B. F. (1981). Selection by consequences. Science, 213, 501–504.

    PubMed  Google Scholar 

  • Steele, D., & Hayes, S. C. (1991). Stimulus equivalence and arbitrarily applicable relational responding. Journal of the Experimental Analysis of Behavior, 56(3), 519–555. https://doi.org/10.1901/jeab.1991.56-519.

    Article  PubMed  PubMed Central  Google Scholar 

  • Szabo, T. G. (2019). Acceptance and Commitment Training for reducing inflexible behaviors in children with autism. Journal of Contextual Behavioral Science, 12, 178–188.

  • Tapper, K., Shaw, C., Ilsley, J., Hill, A. J., Bond, F. W., & Moore, L. (2009). Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite, 52(2), 396–404. https://doi.org/10.1016/j.appet.2008.11.012.

    Article  PubMed  Google Scholar 

  • Tapsell, L. C., Lonergan, M., Batterham, M. J., Neale, E. P., Martin, A., Thorne, R., et al. (2017). Effect of interdisciplinary care on weight loss: A randomised controlled trial. BMJ Open, 7, e014533.

    PubMed  PubMed Central  Google Scholar 

  • Tol, W. A., Leku, M. R., Lakin, D. P., Carswell, K., Augustinavicius, J., Adaku, A., et al. (2020). Guided self-help to reduce psychological distress in South Sudanese female refugees in Uganda: A cluster randomised trial. The Lancet. Global health, 8(2), e254–e263. https://doi.org/10.1016/S2214-109X(19)30504-2.

    Article  PubMed  Google Scholar 

  • Twohig, M. P., & Crosby, J. M. (2010). Acceptance and commitment therapy as a treatment for problematic internet pornography viewing. Behavior Therapy, 41(3), 285–295.

    PubMed  Google Scholar 

  • Twohig, M. P., Hayes, S. C., & Masuda, A. (2006). A preliminary investigation of acceptance and commitment therapy as a treatment for chronic skin picking. Behaviour Research & Therapy, 44(10), 1513–1522.

    Google Scholar 

  • Twohig, M. P., Shoenberger, D., & Hayes, S. C. (2007). A preliminary investigation of acceptance and commitment therapy as a treatment for marijuana dependence in adults. Journal of Applied Behavior Analysis, 40(4), 619–632.

    PubMed  PubMed Central  Google Scholar 

  • Veehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. G. (2016). Acceptance- and mindfulness-based interventions for the treatment of chronic pain: A meta-analytic review. Cognitive Behaviour Therapy, 45, 5–31.

    PubMed  Google Scholar 

  • Vilardaga, R., Hayes, S. C., Levin, M. E., & Muto, T. (2009). Creating a strategy for progress: A contextual behavioral science approach. The Behavior Analyst, 32, 105–133.

    PubMed  PubMed Central  Google Scholar 

  • Vowles, K. E., McCracken, L. M., & O’Brien, J. Z. (2011). Acceptance and values-based action in chronic pain: A three-year follow-up analysis of treatment effectiveness and process. Behaviour Research & Therapy, 49(11), 748–755. https://doi.org/10.1016/j.brat.2011.08.002.

    Article  Google Scholar 

  • Walser, R. D., Karlin, B. E., Trockel, M., Mazina, B., & Barr Taylor, C. (2013). Training in and implementation of Acceptance and Commitment Therapy for depression in the Veterans Health Administration: Therapist and patient outcomes. Behaviour Research & Therapy, 51, 555–563.

    Google Scholar 

  • Weineland, S., Arvidsson, D., Kakoulidis, T. P., & Dahl, J. (2012). Acceptance and commitment therapy for bariatric surgery patients: A pilot RCT. Obesity Research & Clinical Practice, 6(1), e21–e30.

    Google Scholar 

  • Wicksell, R. K., Melin, L., Lekander, M., & Olsson, G. L. (2009). Evaluating the effectiveness of exposure and acceptance strategies to improve functioning and quality of life in longstanding pediatric pain: A randomized controlled trial. Pain, 141, 248–257.

    PubMed  Google Scholar 

  • Wilder, D. A., Austin, J., & Casella, S. (2009). Applying behavior analysis in organizations: Organizational behavior management. Psychological Services, 6(3), 202–211.

    Google Scholar 

  • Woods, D. W., Wetterneck, C. T., & Flessner, C. A. (2006). A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania. Behaviour Research & Therapy, 44, 639–656.

    Google Scholar 

  • Zarling, A., Bannon, S., & Berta, M. (2019). Evaluation of acceptance and commitment therapy for domestic violence offenders. Psychology of Violence, 9(3), 257–266. https://doi.org/10.1037/vio0000097.

    Article  Google Scholar 

  • Zettle, R. D., & Hayes, S. C. (1982). Rule-governed behavior: A potential theoretical framework for cognitive-behavior therapy. In P. C. Kendall (Ed.), Advances in cognitive-behavioral research and therapy (pp. 73–118). New York, NY: Academic Press.

    Google Scholar 

  • Zettle, R. D., & Hayes, S. C. (1986). Dysfunctional control by client verbal behavior: The context of reason giving. Analysis of Verbal Behavior, 4, 30–38.

    PubMed  PubMed Central  Google Scholar 

  • Zhang, C., Si, G., Duan, Y., Lyu, Y., & Keatley, D. (2016). The effects of mindfulness training on beginners' skill acquisition in dart throwing: A randomized controlled trial. Psychology of Sport and Exercise, 22, 279–285. https://doi.org/10.1016/j.psychsport.2015.09.005.

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Authors and Affiliations

  1. Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, 60607, USA

    Mark R. Dixon

  2. University of Nevada, Reno, NV, USA

    Steven C. Hayes, Stu Law & Thouraya al-Nasser

  3. Utah Valley University, Orem, UT, USA

    Caleb Stanley

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  1. Mark R. Dixon
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  2. Steven C. Hayes
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Dixon, M.R., Hayes, S.C., Stanley, C. et al. Is Acceptance and Commitment Training or Therapy (ACT) a Method that Applied Behavior Analysts Can and Should Use?. Psychol Rec 70, 559–579 (2020). https://doi.org/10.1007/s40732-020-00436-9

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