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.     

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.     

Evidence for the effectiveness of holistic process goals for learning and performance under pressure

ObjectivesResearch has suggested that holistic process goals might help avoid the effects associated with conscious processing of task relevant information by skilled but anxious athletes. This experiment compared the efficacy of holistic and part process goal strategies for novices using a learning paradigm.DesignLaboratory-based experimental design incorporating practice, retention and transfer phases.MethodTwenty-four males were randomly assigned to a part process goal, holistic process goal or control condition and performed a simulated race-driving task in practice, retention and transfer tests.ResultsAnalyses of variance revealed that performance during practice was similar in all conditions but that the holistic process goal group outperformed the part process goal group at both retention and transfer.ConclusionsCompared to part process goals, holistic process goals result in more effective motor learning and performance that appears to be more robust under pressure.     

Goal engagement in coping with occupational uncertainty predicts favorable career-related outcomes

We investigated whether goal engagement and disengagement in coping with occupational uncertainty (e.g., perceptions of growing difficulties in career planning and lacking job opportunities) predicts three objective career-related outcomes: job loss, job finding, and income change. We also tested for the buffering effects of these coping strategies on the association between objectively unfavorable labor market conditions (as indicated by regional unemployment rates) and these outcomes. We used four-wave survey data from a longitudinal sample of 620 German adults aged 16–43 years at the first wave and analyzed changes in the three career-related outcomes across 1294 pairs of successive annual waves. Analyses revealed that goal engagement predicted a higher chance of job finding over one year. Moreover, goal engagement buffered the association between higher regional unemployment rates and a higher likelihood of job loss, as well as a lower income, over one year. Goal disengagement predicted a lower income but had no other statistically significant effects. Thus, even in a relatively highly regulated labor market like the German one, goal engagement in coping with occupational uncertainty can contribute to objective career success.     

Engaged,Committed and Helpful Employees: The Role of Psychological Empowerment

Although previous research has been focused on the relationship among personality, empowerment, and outcomes, little is known about the incremental effect of empowerment on positive work outcomes. This article aims at exploring the relation between personality factors (i.e., extraversion and conscientiousness) and positive work outcomes (i.e., work engagement, affective organizational commitment, and organizational citizenship behavior), and at determining the incremental effect of psychological empowerment on these outcomes. A convenience sample from three organizations has been used for data collection (N = 258; 52% women, mean age 38.55 years, SD = 10.21). Hierarchical multiple regressions indicate that personality and psychological empowerment explain a significant amount of the variance in the positive organizational outcomes, and that psychological empowerment has a significant incremental value over demographics and personality for the studied outcomes.     

Getting going and letting go: Religiosity fosters opportunity‐congruent coping with work‐related uncertainties

This study investigated how religiosity relates to goal engagement (i.e., investing time and effort; overcoming obstacles) and goal disengagement (i.e., protecting self‐esteem and motivational resources against failure experiences; distancing from unattainable goals) in coping with perceived work‐related uncertainties (e.g., growing risk of job loss) that arise from current social change. We hypothesised that religiosity not only expands individuals' capacities for both engagement and disengagement but also fosters an opportunity‐congruent pattern of engagement and disengagement, promoting engagement especially under favourable opportunities for goal‐striving in the social ecology and facilitating disengagement especially under unfavourable opportunities. Multilevel analyses in a sample of N = 2089 Polish adults aged 20–46 years partly supported these predictions. Religiosity was associated with higher goal engagement, especially under favourable economic opportunities for goal‐striving in the social ecology (as measured by the regional net migration rate). For disengagement, the results were more mixed; religiosity was related to higher self‐protection independently of the economic opportunity structure and predicted higher goal‐distancing only under the most unfavourable opportunities. These results suggest that religiosity can promote different coping strategies under different conditions, fostering a pattern of opportunity‐congruent engagement and, to some extent, disengagement that is likely to be adaptive.     

Predicting Behavioral Career Commitment of College Students With Attachment and Separation Relationships

This study compares the behavioral and attitudinal career commitment of college students, then examines the influences of parental attachment and separation on career commitment. Undergraduates (N = 195) from 3 academic programs were surveyed: a combined degree program that accepts students simultaneously into bachelor's and medical programs, premedical curriculum alone, and general university enrollment. Behavioral career commitment (enrollment in one of the aforementioned programs) correlated with attitudinal commitment for the combined degree and general enrollment groups. Greater attachment to father and less separation from parents were associated with lower career commitment for men. Attachment and separation did not predict career commitment for women.     

The Interactive Effects of Conscientiousness and Agreeableness on Career Commitment

In the last few decades, considerable research has focused on the effects of trait interactions on job performance, but only a few studies have examined trait interaction effects on career commitment. This study investigates the interactive effects of conscientiousness and agreeableness on career commitment and its 3 facets of career identity, career resilience, and career planning in a sample of 254 employees in North India. Results suggest a partial interaction effect of conscientiousness and agreeableness on career commitment. Trait interactions were seen as significant predictors of career resilience in the Indian context. The authors discuss implications for research, theory, and practice.