Dialectical Behavior Therapy and Acceptance and Commitment Therapy: Areas of Overlap and Distinction

Ruork, Allison K.; Finkelstein, Jesse; McLean, Caitlin L.; Rizvi, Shireen L.

doi:10.1007/s10879-022-09550-x

J Contemp Psychother

2022

DOI: 10.1007/s10879-022-09550-x

|View full text |Cite

Dialectical Behavior Therapy and Acceptance and Commitment Therapy: Areas of Overlap and Distinction

Allison K. Ruork

Jesse Finkelstein

Caitlin L. McLean

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2023

2024

Publication Types

Select...

Article3

Relationship

Self Cite0

Independent3

Authors

Journals

Cited by 3 publications

(1 citation statement)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Psychological flexibility is inherently multifaceted and, accordingly, may be achieved through different psychological and behavioral changes across individuals (Ruork et al, 2022). Psychological flexibility involves an individual's ability to adaptively respond to contextual demands in the service of valued actions, often by tolerating distressing experiences, being present focused, and cultivating flexible response patterns (Kashdan and Rottenberg, 2010).…”

mentioning

confidence: 99%

Engineering Virtuous health habits using Emotion and Neurocognition: Flexibility for Lifestyle Optimization and Weight management (EVEN FLOW)

Smith,

Whitson,

Merwin

et al. 2023

Front. Aging Neurosci.

View full text Add to dashboard Cite

Interventions to preserve functional independence in older adults are critically needed to optimize ‘successful aging’ among the large and increasing population of older adults in the United States. For most aging adults, the management of chronic diseases is the most common and impactful risk factor for loss of functional independence. Chronic disease management inherently involves the learning and adaptation of new behaviors, such as adopting or modifying physical activity habits and managing weight. Despite the importance of chronic disease management in older adults, vanishingly few individuals optimally manage their health behavior in the service of chronic disease stabilization to preserve functional independence. Contemporary conceptual models of chronic disease management and health habit theory suggest that this lack of optimal management may result from an underappreciated distinction within the health behavior literature: the behavioral domains critical for initiation of new behaviors (Initiation Phase) are largely distinct from those that facilitate their maintenance (Maintenance Phase). Psychological factors, particularly experiential acceptance and trait levels of openness are critical to engagement with new health behaviors, willingness to make difficult lifestyle changes, and the ability to tolerate aversive affective responses in the process. Cognitive factors, particularly executive function, are critical to learning new skills, using them effectively across different areas of life and contextual demands, and updating of skills to facilitate behavioral maintenance. Emerging data therefore suggests that individuals with greater executive function are better able to sustain behavior changes, which in turn protects against cognitive decline. In addition, social and structural supports of behavior change serve a critical buffering role across phases of behavior change. The present review attempts to address these gaps by proposing a novel biobehavioral intervention framework that incorporates both individual-level and social support system-level variables for the purpose of treatment tailoring. Our intervention framework triangulates on the central importance of self-regulatory functioning, proposing that both cognitive and psychological mechanisms ultimately influence an individuals’ ability to engage in different aspects of self-management (individual level) in the service of maintaining independence. Importantly, the proposed linkages of cognitive and affective functioning align with emerging individual difference frameworks, suggesting that lower levels of cognitive and/or psychological flexibility represent an intermediate phenotype of risk. Individuals exhibiting self-regulatory lapses either due to the inability to regulate their emotional responses or due to the presence of executive functioning impairments are therefore the most likely to require assistance to preserve functional independence. In addition, these vulnerabilities will be more easily observable for individuals requiring greater complexity of self-management behavioral demands (e.g. complexity of medication regimen) and/or with lesser social support. Our proposed framework also intuits several distinct intervention pathways based on the profile of self-regulatory behaviors: we propose that individuals with intact affect regulation and impaired executive function will preferentially respond to ‘top-down’ training approaches (e.g., strategy and process work). Individuals with intact executive function and impaired affect regulation will respond to ‘bottom-up’ approaches (e.g., graded exposure). And individuals with impairments in both may require treatments targeting caregiving or structural supports, particularly in the context of elevated behavioral demands.

show abstract

mentioning

confidence: 99%

Engineering Virtuous health habits using Emotion and Neurocognition: Flexibility for Lifestyle Optimization and Weight management (EVEN FLOW)

Smith,

Whitson,

Merwin

et al. 2023

Front. Aging Neurosci.

View full text Add to dashboard Cite

show abstract

Preliminary feasibility, acceptability, and effectiveness of a pilot telehealth-based intensive outpatient program incorporating acceptance and commitment therapy for adolescents with obsessive compulsive disorder

Schneider,

Petersen

2024

Journal of Contextual Behavioral Science

View full text Add to dashboard Cite

Transformative Emotional Journeys: Reconceptualizing Guilt, Shame, Hope, and Compassion in Addiction Therapy

Yılmazer,

Çınaroğlu

2024

Meriç Uluslararası Sosyal Ve Stratejik Araştırmalar Dergisi

View full text Add to dashboard Cite

This paper reconceptualizes four key emotions—guilt, shame, hope, and compassion—in addiction therapy, proposing a novel framework that acknowledges their transformative potential. Traditional perceptions cast guilt and shame as purely negative, but this study posits them as motivators for change when reframed positively. Hope and compassion are re-envisioned as active forces, essential for resilience and recovery. Integrating positive psychology and Acceptance and Commitment Therapy, the paper advocates for a therapeutic approach that focuses on strengths and growth, promoting a balanced treatment that fosters personal development. A literature review and theoretical analysis support the framework, calling for therapeutic engagement with emotions as central to the recovery process. The new model aims for a holistic, empathetic practice, empowering clients and suggesting a paradigm shift in clinical addiction therapy. Future research is encouraged to establish long-term efficacy and explore integration with conventional methods.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Dialectical Behavior Therapy and Acceptance and Commitment Therapy: Areas of Overlap and Distinction

Cited by 3 publications

References 56 publications

Engineering Virtuous health habits using Emotion and Neurocognition: Flexibility for Lifestyle Optimization and Weight management (EVEN FLOW)

Engineering Virtuous health habits using Emotion and Neurocognition: Flexibility for Lifestyle Optimization and Weight management (EVEN FLOW)

Preliminary feasibility, acceptability, and effectiveness of a pilot telehealth-based intensive outpatient program incorporating acceptance and commitment therapy for adolescents with obsessive compulsive disorder

Transformative Emotional Journeys: Reconceptualizing Guilt, Shame, Hope, and Compassion in Addiction Therapy

Contact Info

Product

Resources

About