2. Anu Kangasniemi, Essi Sairanen, Fredrik Livheim & Max Boeling
“Low intensity group, mobile and internet ACT interventions for
increasing wellbeing”
Brief interventions are cost-effective and often also ideal from the
client's point of view. Also, developing these interventions are
essential when we are dealing with common health problems that are
stressing national economy. There are several studies investigating the
effectiveness of short-term interventions and brief therapies and the
results have been very encouraging. Acceptance and Commitment
Therapy has been shown to be effective as a brief intervention. The
purpose on this symposium is to present three brief interventions for
increasing wellbeing. Effects of an ACT-based group intervention for
encouraging a physically active lifestyle will be presented. Experiences
and preliminary findings of developing an ACT-based internet
application for treatment of pain and stress, and a mobile intervention
for improving wellbeing will be shown and experiences will be
discussed. There will also be a talk on “Thinking big - How to develop
and disseminate an evidence based program in a large scale”.
Mairead Foody
Mairead Foody is chair for a symposium in RFT:
Mairéad is currently a psychology research PhD student at The
National University of Maynooth, Ireland. Her research involves bridge
building between ACT and RFT, with a specific focus on self. She has
published several book chapters and papers on the role of self in ACT
and is also a trainee ACT therapist.
Ciara McEnteggart
Ciara is a Psychology Research Doctoral Student under the supervision
of Dr. Yvonne Barnes-Holmes at the National University of Ireland,
Maynooth. Her research utilise the Implicit Relational Assessment
Procedure (IRAP) to study behaviours associated with psychosis,
particularly auditory hallucinations or ‘voice hearing’. Ciara is also
currently undergoing training from Dr. Barnes-Holmes (ACBS
accredited world-trainer in ACT) and is interested in researching
3. further the ACT treatment protocol for psychosis. Ciara has presented
papers at a number of National and International Conferences such as
The Association for Contextual Behavioural Sciences (ACBS) Annual
World Conference X, Washington, D.C. (July 2012), Division of
Behaviour Analysis (DBA) Annual Conference, Trinity College Dublin
(April 2012) and The Psychological Society of Ireland’s (PSI) Annual
Student Congress, Trinity College Dublin (April 2009).
“An Empirical Investigation of Hierarchical versus Distinction Relations
in a Self-based ACT Exercise by Mairéad Foody, Yvonne Barnes-
Holmes,
& Dermot Barnes-Holmes”
Since its inception, ACT has placed a significant emphasis on the use
of self-based techniques, and the self was defined initially through the
three selves (i.e., self as content, self as process, and self as context).
In addition, RFT provided a more technical account of self in terms of
the deictic relational frames. However, the overlap between ACT’s
mid-level terms (e.g., self as context) and RFT’s derived relations has
been the subject of limited empirical scrutiny. The current study
investigated the relative utility of manipulating distinction deictic
versus hierarchical deictic relations in a self as context exercise
designed to reduce experimentally induced emotional distress. The
findings demonstrated superiority of the intervention that focused on
hierarchical, rather than distinction, deictic relations in terms of
reducing distress. The implications of the data for the potential
overlap between ACT and RFT are discussed.
Daniel Ek
Psychologist and yoga teacher.
“Yoga für alle”
Want to stay fit the whole
conference through? Want
more than a headache and a
feeling of "ahh if only I was as
smart as Arne"? A hot tip is
then to come and establish
4. yourself in your body. Bring your own yoga mat (or use the floor) and
soft clothes. We will warm up the body and make simple soothing
exercises (hatha yoga, qigong) that will help you to center yourself in
the body. No prior knowledge. - Come as you are.
Fredrik Livheim
Fredrik Livheim, leg. psykolog, Peer Reviewed ACT Trainer, håller för
närvarande på och doktorerar på ACT-behandlingar vid FORUM –
Forskningscentrum för psykosocial hälsa vid Centrum för
Psykiatriforskning, Stockholms läns landsting och Karolinska Institutet.
(chair på symposium på fredag som beskrivs nedan)
ACT in different contexts, for youth, students and in combination with
psychodynamic therapy.
1. Mind the gap: Acceptance and Commitment Therapy (ACT) for
preventing stress-related ill-health among future nurses - a
randomized controlled trial
Presenters: Aleksandar Djordjevic and Elin Frögéli
2. Acceptance and Commitment Therapy as an Early Intervention
Group Program for Adolescent Depression and Stress Symptoms:
Two Randomised, Controlled Pilot Trials in Two Countries.
Presenter: Fredrik Livheim
3. Student Life internet program in Finland.
Presenters: Päivi Lappalainen or Pati Räsenen
4. Psychodynamics and ACT; how ISTDP can strengthen the ACT
intervention
Presenter: Max Boehling
Hanne Knudsen and Greta Lassen Lund
5. Hanne Knudsen, psychologist, Greta Lassen Lund, psychologist,
Department of Occupational
Medicine, University Hospital of
Aarhus, Denmark
“Clinical experiences from a
group based-stress
management ACT program – a
pilot study. Presentation of the
program, AAQ results and the
clinical experiences of dealing
with work-related stress in an
ACT perspective”.
Heidi Kyllönen, Aino Kohtala and Raimo Lappalainen
Department of Psychology, University of Jyväskylä, Finland
“Acceptance and Commitment Therapy for
mood problems”
Depression is a common reason for sick leave
and work disability, and there is a need for
effective brief psychological treatments for
these problems. We will discuss possible
differences between depressive and healthy
controls related to the six core processes of
ACT. The symposium will also present two
studies investigating the impact of Acceptance
and Commitment Therapy (ACT) for
depression. The first intervention study
studied the effect of an ACT-based self-help
book (Get Out of Your Life). The second study investigated an ACT-
6. based web intervention for depression symptoms. The symposium will
also discuss possibilities of very short psychological treatments for
depression with novice therapists after a brief
training in ACT.
Henrik Westin & Agnes Granberg
“ACT as Stress Management Intervention - A
comparison with CBT”
"We are two soon to be graduated psychology
students from Uppsala University. For our master
thesis we compared two group based treatments for
stress aimed at university students, based on ACT and CBT. The
interest to participate was substantial and 66 people was included. In
our symposium we'll talk about the design and results of our study.
The presentation will be held in english.
Vi är två snart färdigexaminerade psykologstudenter från Uppsala
universitet. Till vårt examensprojekt har vi jämfört två
gruppbehandlingar för stressproblematik hos universitetsstudenter,
baserade på ACT respektive KBT. Intresset för deltagande var stort och
66 personer inkluderades. I vårt föredrag berättar vi om resultaten
från vår studie.
Hoa Ly
Hoa will talk about his research, the world's first RCT on
a Smartphone-based treatment for depression. He will
show how his research might be the beginning of a
paradigm shift in depression treatment. How digital
mobile technology can lead the way to a more available
and cost-effective alternative for people suffering from
depression.
Hugo Hesser
Hugo Hesser is a licensed psychologist, researcher, and a PhD
7. candidate at Linköping University, Sweden. He has been involved in
treatment studies and process research on acceptance-based
treatments for a variety of health conditions, including generalized
anxiety disorder, irritable bowl syndrome, chronic pain, and tinnitus.
He is also working part time as a psychologist in the audiology
department at Linköping University
Hospital.
“Is ACT a Distinct Treatment Model within the CBT-tradition? Evidence
for Processes of Change in ACT.”
ACT has been proposed to target specific key functional dimensional
processes of change. However, this notion is an ongoing theoretical
controversy in the field of behavioral and cognitive therapies. In the
current symposium, we will review the evidence for processes of
change in acceptance-based treatments, in particular ACT for chronic
health conditions (pain, tinnitus, epilepsy). Three ACT researchers will
present
data and review the extent evidence for mechanisms of change in ACT.
The research is reviewed in the context of A. E. Kazdin’s criteria for
establishing a mechanism of change in psychological treatments.
Jonas Ramnerö
Själfull behaviorism – Om anti-mentalism, pragmatism och själen.
(Soulful behaviorism – On anti-mentalism, pragmatism and the soul.)
Psykologin vilar i många avseenden på en tanketradition där man
tillskriver människan en separat själslig substans och det utgör även
en demarkationslinje där behaviorismen uppfattas som apart. Men hur
kommer det sig att vi talar om själen, vad är det vi talar om och kan en
behaviorist göra det? Det är frågor som kommer att beröras i detta
anförande.
8. Karin Ovefelt
Karin Ovefelt leg. Psykolog, leg.
Psykoterapeut, handledare.
www.beteendekompetens.se
I’m now working as a privet
practioner, with clients and couples,
and a lot of supervision, and some
education. I learned DBT from
professor Alan Fruzetti 1997-98 as
I was one of the therapists in the
SKIP study. I have after that had
Anna Kåver as a supervisor and
later on worked with her up at
Uppsala academic hospital. And I
have regularly been on further
workshops, conferences and
intensive courses to build
knowledge and competence with
focus on DBT and complex psychiatric clients. My main interest is in
understanding the complexity of the client’s problem and doing
thorough analyses and on how to meet the complex clients in the
room during our sessions.
DBT with complex clients – or ”how to make lemonade out of lemons”.
I will focus on understanding the complexity of suicidal, self injuring
clients and on how to meet them with validation as a strategy.
Liv Svirsky och Therese Anderbro.
Liv Svirsky är leg psykolog, leg psykoterapeut, utbildad handledare
och författare. Hon har arbetat med KBT för barn, ungdomar och
vuxna, både inom klinisk verksamhet och forskningsprojekt. Liv
handleder psykologstudenter samt personal som arbetar med barn
och ungdomar i olika verksamheter, undervisar på
universitetsutbildningar och privata utbildningar samt föreläser om
sina böcker.
9. Therese Anderbro är leg psykolog, leg psykoterapeut, utbildad
handledare i KBT. Therese forskar vid Karolinska Institutet där hon
under hösten 2012 disputerar med sin doktorsavhandling ”Behavior
change intervention and fear of hypoglycemia in type 1 diabetes”.
Utöver forskningen bedriver Therese en egen psykoterapimottagning
och handleder psykologstudenter. Hon är också regelbundet anlitad
för föreläsningar vid universitet och vid sjukhus. Therese är också
medförfattare till boken ”Omvårdnad vid diabetes”.
“ Integrative Behavior Couple Therapy (IBCT)”
Föreläsningen syftar till att ge dig en grundläggande introduktion till
en form av parterapi som är baserad på inlärningsteori och funktionell
kontextualism, där både acceptans- och förändringsstrategier används
för att hjälpa par vidare i sin relation. IBCT utvecklades från början av
de framstående forskarna Neil Jacobson och
Andrew Christensen i USA och deras
forskning har visat att metoden ger mycket
goda resultat och att de strategier som ingår
är användbar inte bara i parrelationer utan
även i andra mellanmänskliga relationer
såsom i arbetslivet och vänskapsrelationer.
Max Boehling
Max Boehling, PhD is practicing in Denmark.
He is engaged in research, private practice and leads a volunteer
psychological and self-help team at Frivilligcenter SR-Bistand in
Copenhagen. You can find more information about his private practice
at www.funktionelpsykologi.dk and services to organizations at
www.tactTic.dk.
“Dynamic ACT; An applied ACT intervention inspired by
psychodynamics (ISTDP)”
1. Brief introduction to Intensive Short Term Dynamic
10. Psychotherapy (ISTDP).
2. Brief exercises using the dynamic ACT model.
Cognitive and psychodynamic theory is sometimes viewed as two
conflicting approached to therapy. However, the third wave
psychotherapy represented by ACT (Acceptance and Commitment
Therapy) and the modern form of psychodynamic therapy represented
by ISTDP (Intensive Short Term Dynamic Psychotherapy), have strong
applied similarities while being conceptually different. The brief
presentation illustrates a model that combines the two approaches
into an ACT consistent applied model; "dynamic ACT model".
Participants are guided through brief exercises.
Niklas Törneke
Niklas Törneke, MD, is a psychiatrist and has worked as a senior
psychiatrist in the department of general psychiatry in his hometown
Kalmar (in the southeast of Sweden) from 1991 until he started private
practice 1998. He earned license as a psychotherapist in 1996 and was
originally trained as a cognitive therapist. Since 1998 he has worked
mainly with acceptance and commitment therapy, both in his own
practice and as a teacher and clinical supervisor. His clinical
experience ranges from psychiatric disorders such as schizophrenia to
common anxiety and mood disorders with high prevalence in the
general population.
"Relationsinramningsteori (RFT) är den teoretiska grunden för ACT
men har mycket vidare implikationer än så eftersom det är en teori om
mänskligt språk och kognition i sin helhet. Föreläsningen kommer att
ge en allmän introduktion till RFT och kort peka på kliniska
implikationer för psykologisk behandling generellt."
Ola Förlin
Ola is 30 years old and originally from Göteborg. He has lived in
Stockholm for a little more than five years but still misses the brisk,
salty winds of the west coast. Ola describes himself as a part time
social animal, part time home hermit. During the hermit periods the
focus is on literature, long distance running, meditation, music and of
course Hanna, his lady friend since many years.
11. He has recently finished his degree of master of science in psychology
at Stockholm University. For his master's dissertation he held a course
for significant others to persons with a drinking problem. The course
was based on Community Reinforcement and Family Training (CRAFT),
which is a structured program with a main goal of making people with
alcohol- or drug problems to seek help.
The subject of this symposium presentation is Community
Reinforcement and Family Training (CRAFT) a structured program with
a main goal of making treatment refusing individuals with a alcohol-
or drug problem to seek help.
The "client" in CRAFT is someone close to the person with the problem
(Concerned Significant Other, CSO) who wants their loved one
(Identified Patient, IP) to get into treatment. The program is built on a
behavioral foundation with functional analysis and behavior training
with a goal of giving the CSO strategies to change the difficult
situation they're in.
A CRAFT-therapy has three main goals: decreasing the use of alcohol,
making the treatment refusing individual seek help and increasing the
life-quality of the CSO. CRAFT differs from other groups for CSO:s like
Al-Anon through its purpose of trying to make the clients more active
in the process of getting the drinker/drug user into therapy. Many
studies have been made (mainly in the US) comparing groups and their
treatment methods to each other in terms of success rate of making
the IP:s seek help. CRAFT has shown a significantly higher rate in these
studies with an average of 60-70 % of the CSO:s successfully making
their IP:s get into treatment.
As part of his master's dissertation at the Psychology institution at
Stockholm University, Ola Förlin applied a modified version of CRAFT
to five CSO:s who were worried about a loved ones drinking. This was
the first time that CRAFT was administered in Sweden and showed
promising results.
This presentation is aimed at anyone who is interested in addiction
treatment or is interested in how you can work with people related to
someone with a problematic behaviour.
12. Ole Taggaard Nielsen and Martin Brock
Ole Taggaard Nielsen is a psychologist, certified specialist in
psychotherapy and supervision. He has 15 years of experience as a
practitioner and is the owner of the private practice “ACT Klinikken” in
the center of Copenhagen specializing in ACT treatment, training and
supervision. He has co- authored the first original book on ACT in
Danish and is involved in the dissemination of ACT in Denmark. In
2006-2010 he was clinical supervisor at the University of
Copenhagen’s treatment program for anxiety disorders.
Martin Brock MSc – ACT Trainer
Martin Brock MSc is a Lecturer/Practitioner at the Institute of Mental
Health, Nottinghamshire Healthcare Trust, England and is a recognised
ACT Trainer. His qualifications include an MSc in Cognitive Behavioural
Psychotherapy, a Diploma in Nursing, an ENB 650/PG Diploma in Adult
Behavioural Psychotherapy and an RMN. His Clinical experience has
spanned over 30 years in the NHS. He has worked as a Cognitive
Behavioural Psychotherapist and has been a Principal Adult
Psychotherapist for 11 years. In this position he
has a lead role for developing Acceptance and
Mindfulness Based Treatments within the Trust
Psychological Services. His education experience
includes teaching, supervising and assessing
students within undergraduate and postgraduate
provision and he has extensive experience as a
clinical workplace mentor within PGDip/BSc/BA/
MSc programmes. Part of his current role is that of
Education and Practice Consultant within which he
delivers modules in Cognitive Behaviour Therapy and Acceptance and
Mindfulness Based Approaches at degree level in association with
Sheffield Hallam University.
”OCD And ACT”
Obsessive Compulsive Disorder is recognized as a complex disorder
and is difficult to treat; due in part to the intrusive nature of the types
of thoughts which can be highly distressing and motivation to abate,
13. avoid or eliminate them is strong. Acceptance and Commitment
Therapy (ACT) is a new model of
behavioural treatment that emphasizes
acceptance of internal experience while
maintaining a focus on positive behaviour
change. This approach is designed to
address maladaptive avoidance of internal
experiences associated with many
problems in functioning while also
focusing on making and keeping
commitments. A Functional Contextual
Model for OCD has been developed and
will be described in this presentation.
Randi Breivik
”Hvorvidt ACT er et alternativ til
medikamentell behandling tror jeg vil
tilslutt handle om preferansen klienten
har til behandling og ikke minst hvilken
ideologi som råder på behandlingsstedet. Fra et helhetlig og
humanistisk perspektiv samt egne
erfaringer innenfor psykisk
helsearbeid, er jeg av den
oppfatning at ACT er en meget god
alternativ til medikamentell
behandling. Begrunnelsen ligger i
ideen om at utfordringene rundt
angsten blir satt lys på og som man
tar stilling til der og da med åpne
øyne. Medisinering kan sløve
sansene og etter min oppfatning
hindre den angstlidende i å se
mulighetene.”
14. Rikke Kjelgaard
Rikke Kjelgaard is a psychologist and experienced trainer in ACT. She
was born and educated in Denmark and has been living in Sweden for
the past 14 years. She has 6 years of experience as a practitioner and
is currently providing supervision, workshops and specialist training in
ACT. She has co-authored the first article on ACT in Danish and is
involved in the dissemination of ACT in both Sweden and Denmark.
Rikke has been working at Psykologpartners in Sweden for the past 6
years and is currently involved in developing extensive ACT training
programs.
You've been to numerous workshops and lectures on ACT but need to
transform that into your practice. This training will include skills
training in creative hopelessness, metaphors and exercises in ACT.
Stefan Billinger
Leg psykolog/leg psykoterapeut. Specialist i Klinisk psykologi.
Specialist i Pedagogisk psykologi.
Skolpsykolog och är doktorand i handikappvetenskap med inriktning
mot funktionell kontextuell psykolog.
Härlett relationellt handlande i klassrum Skolan står inför en utmaning
att få elever med mindre kognitiva
nedsättningar att kunna vara aktiva, delaktiga och uppvisa kunskaper i
ordinarie undervisning. En aspekt i det är att läraren kan ge
instruktioner i undervisningen som alla elever har förutsättningar att
snabbt förstå och därmed uppleva det som brukar beskrivas som
begriplighet, meningsfullhet och hanterbarhet. Idag finns det ett
behov av att utveckla sätt att mer precist och objektivt kunna mer
avgöra om en elev förstått viktiga aspekter av en kort instruktion,
speciellt inom en ordinarie klassrumssituation. Kanske kan metodiken
bakom att få fram härlett relationellt handlande hjälpa oss
att skapa mått som på ett meningsfullt sätt kan utvärdera
olika kvalitéer I lärarinstruktioner i termer av uttryckt
elevförståelse. Mycket forskning återstår. Resultatet i
studierna som presenteras här antyder att metodiken skulle
kunna användas för att koppla variationer av aspekter i
15. instruktioner (kontextuella förutsättningar) till variationer i uttryckt
elevförståelse.
Tiina Holmberg Bergman
Licensed Psychologist, Programme-and development supervisor
Autismcenter for young children, Habilitation& Health, Stockholm
Sweden. Tiina has both a degree in clinical and developmental
Psychology. She has worked in Finland, Canada and Sweden during
the past 17 years with children with neurodevelopmental disorders
and their families.
”ACT for the psychological well-being of mothers raising a child
diagnosed with ASD”
Parenting a child with an autism diagnoses is a great challenge to
parents. Several studies indicate very high stress levels and
psychological distress in parents to children with autism (e.g., Mungo
et al., 2007). ACT has been found to be an effective intervention for
distressed parents to children with ASD (e.g., Blackledge & Hayes,
2006). In 2008, the Autismcenter for young children started offering a
4-session ACT-group to mothers based on the manual “ACT to
cope with stress and increase health" (Livheim, 2007).
The purpose of this presentation is to go through the study done at
the Autismcenter for Young children in cooperation with the university
of Jyväskyläs department of Psychology regarding short term ACT-
groups for mothers parenting a child with ASD. In The aim of the study
was to find out whether the ACT-intervention had a positive influence
on psychological well-being of
participants as measured in increased
psychological flexibility, greater
mindfulness, and a decline in depression.
In addition, experiences from these
groups will be shared along with parents
feedback regarding effects of ACT on not
just on their psychological well-being but
also parenting.
Tobias Lundgren
16. Tobias doktorerade och läste sin psykolog och psykoterapeutexamen
vid Uppsala Universitet. Han har jobbat och jobbar fortfarande både i
Sverige och internationellt för att utveckla och utvärdera psykologiska
behandlingsmetoder.
Tobias har tillsammans med kollegor skrivit böckerna ”Living beyond
your pain”, ”Släpp taget om smärtan” och ”The art and science of
valuing in psychotherapy”. För närvarande jobbar Tobias deltid som
vik. universitetslektor vid Stockholms Universitet och deltid vid
Svenska Psykologiinstitutet.
Tomas Gustavsson och Erik Hjalmarsson
Thomas Gustavsson är leg psykolog och en av grundarna till
Psykologpartners. Flyttade ner till Helsingborg från Linköping och
startade PP i Helsingborg 2003 och Malmö 2004. Var 2008-2011 med
och startade upp Södermottagningen som är öppenvårdspsykiatri för
södra Helsingborg med upptagningsområde på 60 000 invånare.
Arbetar ffa med utbildning och handledning inom ACT och andra
beteendeterapier men har även kontinuerligt kliniskt arbete. Största
intresseområdet är att öka tillgängligheten till bra psykologisk
behandling. Primärvård, socialtjänst och gruppen
självskadeproblematik klappat hjärtat lite extra för.
Medförfattare till den här boken som utkom i oktober i år: http://
www.amazon.com/dp/1608823458/
ref=cm_sw_r_fa_dp_OKZCqb18T3SSD
Erik Hjalmarsson – Jag är leg. psykolog med erfarenhet av psykologiskt
arbete inom psykiatri och primärvård. För närvarande arbetar jag på
Södermottagningen i Helsingborg som är en psykiatrisk mottagning
för vuxna, och då främst med psykologisk behandling i olika format;
individuellt, i grupp, i team med övriga professioner, över internet, i
fokuserad form inom primärvård, samt med utveckling av
psykologiska och psykiatriska behandlingsmodeller i verksamheten.
”Kontextuell Psykiatri”
Södermottagningen är en upphandlad verksamhet som funnits sedan i
maj 2009. Det är den första psykiatriska mottagning i landet som
17. byggts och drivs av ett psykologföretag. Givetvis är mottagningen
multiprofessionellt bemannad men där den gemensamma modellen
över professionsgränserna är inlärningspsykologisk. Mottagningen var
2011 nominerad till stora psykologpriset.
Resultaten för verksamheten är kraftigt reducerade inläggningar i
slutenvården liksom drastigt minskad förskrivning av psykofarmaka.
Detta med hög patientnöjdhet och nöjdhet hos samverkansparter och
vårdgrannar. Hur är det möjligt att bygga en psykiatrisk verksamhet på
en kontextuell grund där traditionella strukturer och vårdformer
utmanats?
”Fokuserad ACT/ Brief interventions”
Fokuserad ACT eller "brief interventions" är en modell utformad för att
möta ett brett behov av psykologisk kompetens och behandling i ett
populationsperspektiv. En vanlig dag strömmar det igenom hundratals
klienter på en större vårdcentral. Ca en tredjedel kommer ha ngn form
av psykisk ohälsa och betydligt många fler i behov av olika
livstilsförändringar. Många vårdcentraler har inte ens en
fulltidspsykolog för att möta detta behov. Hur kan man transformera
organisation och arbetssätt för att maximera "impact" av de resurser
som finns? Fokuserad ACT är en modell för just detta där psykologen
får en helt ny roll och nya arbetssätt!
Trym Nordstrand Jacobsen
Trym Nordstrand Jacobsen, Cand, psykol. He has a position at DPS
Molde, inpatient mental health unit, where he does both clinical work
and leads the development and implementation of an ACT- and
systemic based treatment programme. He also holds a position at St.
Olavs hospital in Trondheim, training and supervising staff at an ACT-
based Return-to-Work rehab center for clients with chronic pain and/
or 'mild' psychological disorders. In addition he does consulting on
several ACT research projects. He has held many ACT workshops and
presentations over the last years, and has published two articles in
Norway on ACT.
