Safety Planning Within Acceptance and Commitment Therapy

Acceptance and commitment therapy (ACT) is a contextual behavioral psychotherapy that helps clients build meaningful lives in the service of their own chosen values, rather than specifically focusing on symptom reduction or prevention of destructive behaviors. However, empowering ACT clients to navigate suicidal crises effectively is vital to ensuring the opportunity to build a life they will choose to live. Suicide safety planning is a widely used empirically supported approach to prepare clients to survive suicidal crises, and can be effectively incorporated into ACT. In this paper, we offer a contextual behavioral conceptualization of suicide as an extreme attempt to solve the problem of painful thoughts, emotions, and sensations, and provide an example of how this conceptualization and the necessity of safety planning can be introduced to clients. Use of chain analysis of suicidal behavior is introduced as a tool to inform the suicide safety plan. We describe how ACT processes can enhance safety plans and, in turn, create safety plans that will serve as means to develop skills associated with efficacious/effective ACT interventions. Finally, we discuss the ongoing evaluation and revision of the safety plan from an ACT framework.     

A Network Analysis Approach on the Psychological Flexibility/Inflexibility Model

Acceptance and Commitment Therapy (ACT) is purported to work via targeting six interrelated processes summarized as the Psychological Inflexibility/Psychological Flexibility (PI/PF) model. However, the theoretical structure and interconnections of this model have not been sufficiently explored. Lacking are examinations of the interrelations among its components. Network Analysis (NA) can model PI/PF as a system of interconnected variables. We aimed at exploring the role and associations of the PI/PF model’s components using NA in two different samples and sets of scales, and compare its structure across sub-samples. Sample 1 consisted of 501 individuals, who completed an online battery of questionnaires including the Multidimensional Psychological Flexibility Inventory, and Sample 2 consisted of 428 people, who completed an online set of six ACT measures, each assessing a component of the PI/PF model. NA could not verify the six ACT dimensions as distinct components. Values and Committed Action components were found to be strongly associated and combined in a group in both sets of measures and samples. Interestingly, Acceptance and Defusion were not the most central components as purported in some ACT conceptualizations, whereas Self-as-Context had a key role on both sets of measures and its items were often merged with Present Moment Awareness items. No significant differences were found in the comparison of networks across different subsamples and sets of scales. After combining different sets of scales, the six ACT components could not be completely verified as distinct entities, which might reflect problems with the theoretical model, or with the scales used. All components had critical roles in the model, particularly Self-as-Context, which reflects the need to redirect research towards this understudied construct. Findings point towards considerations of a triflex instead of a hexaflex ACT model.     

Barry Guitar: Reflections on a career

This is the third in a series of papers that provides an historical record in this journal of contributions made by the most influential figures in the field of fluency disorders. The paper reflects on the long and productive career of Barry Guitar, documenting his outstanding achievements. The paper is based on interviews with him during 2022. Like no one else in our field, Barry Guitar has an understanding of the experience of stuttering and how to cope with it, and, throughout his career, he has used that understanding to inspire others to cope with it.     

Cognitive behavioral therapy and acceptance and commitment therapy for insomnia: Exploring the potential benefit of psychological flexibility and self-compassion combined with behavioral strategies

Chronic insomnia is a prevalent sleep disorder with serious consequences on wellbeing and health that largely extend into daily functioning. Cognitive-Behavioral Therapy for Insomnia (CBT-I), an efficacious intervention for insomnia with solid empirical support, is the recommended first-line treatment. Given the complexity of factors and mechanisms involved in its aetiology and maintenance, advances in treatment protocols and modules are important. We will review the current knowledge on insomnia and examine how advancements in behavioral sleep medicine and third-wave therapies may apply to treatment. Specifically, we will outline how a treatment protocol based on Acceptance and Commitment Therapy (ACT), adapted to include insomnia-specific behavioral strategies and with an explicit focus on self-compassion, could be a potentially effective treatment. We believe that broadening treatment focus to target hyperarousal, metacognitions, dysfunctional though control strategies and provide self-compassion training may benefit treatment outcomes, increase sleep quality, reduce daytime symptoms, and improve quality of life.     

Ways of coping and religious commitment in Muslim adolescents

The aim of this study was to find out methods of coping used most frequently by Kurdish adolescents and to investigate the relationship of methods of coping with their level of religiosity and gender. A convenience sample of 171 secondary school students, self-identified as Muslims, took part in answering two sets of questionnaires: methods of coping and religious commitment. Means, standard deviations, t-test and Pearson Correlation Coefficients were used to analyse the data. Results of the study suggest that the method of coping used most frequently by the sample was spiritual connection while passivity and avoidance were the least used methods of coping. Religiosity was correlated with all other methods of coping except seeking social support and passivity. Girls used avoidance and passivity for coping more than boys did. Kurdish Muslim adolescents use various methods to cope with problems they face. Counsellors in secondary schools should pay more attention to maladaptive methods of coping particularly among girl adolescents.     

A British university case study of the transitional experiences of student-athletes

ObjectivesWithin Great Britain, increasing numbers of elite sport performers are attending higher education institutions. The current study presents an exploration of the transitional experiences of these individuals at a specific British university. Wylleman and Lavallee's (2004) developmental model on transitions faced by athletes and Stambulova's (1997, 2003) athletic career transition model were used to provide the theoretical foundation of inquiry.Design and methodAn instrumental case study design was adopted to provide an in-depth analysis of student-athletes’ experiences at a university. The case university was selected based on its provision of elite sport support services. To acquire a holistic understanding, interviews were conducted with current and recently graduated student-athletes from the university, and focus groups were run with university staff (viz. administrators, coaches, and support staff). Qualitative data were analyzed using a thematic framework approach.ResultsElite student-athletes at the British university were found to experience simultaneous athletic, academic, psychological, and psychosocial transitions. To overcome the transitional demands, student-athletes were found to draw on a variety of internal (e.g., self-awareness) and external (e.g., academic flexibility) resources and to implement coping strategies (e.g., seeking social support). Potential barriers to successful transitions were also identified (e.g., parental overprotection).ConclusionsThese findings advance the limited existing literature on British university student-athletes’ transitional experiences and suggestions are provided for how other universities can enhance provision for their elite student-athletes.     

Career identity and the complex mediating relationships between career preparatory actions and career progress markers

We tested a cross-sectional, moderated-mediation model of career identity in young adults (N = 667, 72.9% female, mean age = 20 years). In this model, career preparatory activities (career exploration and planning) were associated with perceptions of future employability and career distress. These relationships were mediated by career identity, and career identity was conditional upon level of career calling. We found that career exploration was associated with more career distress, while career planning was associated with less, and both career exploration and planning were associated with higher perceived employability. Career identity mediated between career exploration and planning and both outcomes, and these mediated relationships were stronger when career calling was higher. We interpreted the results from career construction, identity, and exploration perspectives; highlighted the applicability of these perspectives in the development of agency, career calling, and career identity; and made recommendations for testing other theory-based moderators.     

Developmental trajectories and reciprocal associations between career adaptability and vocational identity: A three-wave longitudinal study with adolescents

The purpose of this longitudinal study was two-fold. First, we investigated patterns of stability and change in career adaptability and vocational identity in adolescents. Second, we examined reciprocal associations between career adaptability and vocational identity. In addressing both research aims we tested the moderating effects of gender, school-type, and age. Participants were 1151 (58.7% female) adolescents. They filled in measures that appraised career adapt-abilities and vocational identity processes three times during a school year. Latent growth curve analyses highlighted slight longitudinal decreases in career concern, control, and confidence especially in boys, vocational school students, and middle-to-late adolescents. Also, over time boys and students attending vocational schools reported less in-depth occupational exploration, less identification with present vocational commitments, and more flexibility and self-doubt about their careers. Findings of cross-lagged path analyses highlighted reciprocal associations between career adaptability and vocational identity. Career adaptability positively predicted adolescents' ways of dealing with vocational exploration and commitment. Vocational commitment and reconsideration of commitment predicted career adapt-abilities in time. These results indicate that career adaptability and vocational identity are dynamic and interrelated dimensions of adolescent career development. Implications for theory and practice are discussed.     

The influence of social comparison on career decision-making: Vocational identity as a moderator and regret as a mediator

This study investigated the influence of social comparison on career choice certainty and its potential mechanisms: regret as a mediator and vocational identity as a moderator. Before the formal experiment, 30 pairs of vocational values representing typical conflicts in career decision-making for Chinese university students were obtained. The formal experiment adopted a single-factor (social comparison VS no comparison) between-subject design with vocational identity as an independent covariate. Ninety-eight junior and senior undergraduate students and graduate students in a university in China were invited to participate in the computer-controlled experiment, which involved vocational identity assessment, social comparison manipulation, and analogue career-choice scenario tests. Path analysis showed that: (a) Social comparison significantly and negatively predicted career choice certainty; (b) Regret partially mediated the effect of social comparison on career choice certainty; and (c) Vocational identity did not moderate the path between social comparison and regret, but significantly moderated the negative effect of regret on career choice certainty. These results indicated that in the collectivistic Chinese culture, individuals' career development trajectories may not be totally independent and are subject to influences by other people's choices, while emotion of regret and vocational identity development all play significant roles in this intricate process.