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Acceptance and commitment therapy: model, processes and outcomes.

Steven C Hayes1, Jason B Luoma, Frank W Bond

  • 1Department of Psychology, University of Nevada, Reno, NV 89557-0062, USA. hayes@unr.edu

Behaviour Research and Therapy
|November 23, 2005
PubMed
Summary
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Acceptance and Commitment Therapy (ACT), grounded in Relational Frame Theory, shows promising results for psychopathology by targeting language and cognition. While research is ongoing, ACT appears to work through distinct processes compared to treatments like Cognitive-Behavior Therapy (CBT).

Area of Science:

  • Psychology
  • Behavioral Science
  • Clinical Psychology

Background:

  • Acceptance and Commitment Therapy (ACT) is a unique behavioral therapy.
  • ACT is underpinned by Relational Frame Theory (RFT), a comprehensive theory of human language and cognition.
  • This approach reflects an earlier behavior therapy era, consciously linking clinical treatments to basic behavioral principles.

Purpose of the Study:

  • To present and review the underlying model of psychopathology and treatment for ACT.
  • To examine the evidence supporting ACT's model and its effectiveness.
  • To compare ACT's processes and outcomes with other active treatments, including Cognitive-Behavior Therapy (CBT).

Main Methods:

  • Review of correlational studies.
  • Analysis of component studies.

Related Experiment Videos

  • Examination of process-of-change research.
  • Outcome comparisons with other active treatments.

    • Main Results:

    • Evidence from various study types broadly supports ACT's model.
    • The existing literature is not yet mature, with many questions remaining unanswered.
    • Available data suggest ACT operates through different psychological processes than traditional Cognitive-Behavior Therapy (CBT).

    Conclusions:

    • The evidence for ACT's model is broadly supportive, though the field requires further development.
    • ACT appears to engage distinct change processes compared to other active therapies.
    • While not definitively proven superior to all active treatments, current data on ACT are promising.