Acceptance and commitment therapy: background, assessment and application T. Batink & F. Peeters

Acceptance and Commitment Therapy (ACT) is a new form of behavioral therapy that can be used transdiagnostically. In this review article, the background of ACT will be described, the therapy itself will be described briefly as well as the current evidence base. An updated overview of the instruments that can be used for assessing the various ACT-processes will be provided. Finally, the application of the various ACT processes in the daily life of the client through a mHealth tool (ACT-DL) will be discussed.

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Acceptance and Commitment Therapy (ACT) is een nieuwe vorm van gedragstherapie die transdiagnostisch inzetbaar is. In dit overzichtsartikel staan Tim Batink en Frenk Peeters stil bij de achtergrond van ACT. Zij beschrijven de therapie kort alsook de evidence base. Aansluitend geven zij een actueel overzicht van instrumenten die kunnen worden ingezet voor het meten van verschillende ACT-processen. Ten slotte is er aandacht voor de applicatie van de verschillende ACT-processen in het dagelijks leven van de cliënt middels een mHealth tool (ACT-DL).

Drie generaties gedragstherapie

Het vakgebied van de klinische psychologie, het aandachtsgebied binnen de psychologie dat zich bezighoudt met de bevordering van de geestelijke gezondheid met behulp van psychologische behandelingen, is continu in ontwikkeling. Een van de recente ontwikkelingen op het gebied van psychotherapie, is de opkomst van de zogenaamde derde generatie gedragstherapie. Dat is een nieuwe stroming binnen de gedragstherapie (Kohlenberg et al., 2002, Hayes, 2004a; Hayes, 2004b)2944, waarbij gedragsverandering minder in het teken van klachtreductie, en meer in het teken staat van het zich op een andere manier verhouden tot negatieve interne ervaringen (cognities, affect en sensaties). Om deze ontwikkeling goed te kunnen positioneren, zal er eerst worden stilgestaan bij de historische context; de eerste en tweede generatie gedragstherapie die hieraan voorafgingen.

De basis van de gedragstherapie, de eerste generatie gedragstherapie, bestaat uit de klassieke conditionering en de operante conditionering. De klassieke conditionering vindt zijn oorsprong in het fysiologische onderzoek van Pavlov (Pavlov, 1902)[literature


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