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  • 标题:Brief ACT Protocol in At-risk Adolescents with Conduct Disorder and Impulsivity
  • 作者:María José Gómez ; Carmen Luciano ; Marisa Páez-Blarrina
  • 期刊名称:International Journal of Psychology and Psychological Therapy
  • 印刷版ISSN:1577-7057
  • 出版年度:2014
  • 卷号:14
  • 期号:3
  • 页码:307-332
  • 语种:English
  • 出版社:Universidad de Almería
  • 摘要:The aim of this preliminary research is to explore the effect of a brief protocol based on acceptance and commitment therapy (ACT) applied to 􀃀ve adolescents (15-17 years old) with conduct disorder and impulsivity, who had received treatment for the last few years without positive results. Problematic behaviors were aggressive, impulsive, and oppositional reactions at school, home, and neighborhood (e.g., drugs or alcohol consumption, legal violations, oppositionist and de􀃀ant reactions, etc.). A brief ACT protocol was designed to functionally suit the presence of impulsivity and the absence of self-control repertory of these adolescents as well as the resistance to psychological treatment. The brief protocol was focused on four aspects: (a) to set a context between the therapist and the adolescents to promote the sense of personal responsibility, (b) to confront the adolescents with the effect of their behavior regulation (pros and cons) and the experience of creative hopelessness, (c) to clarify personally important valued directions, and (d) to promote defusion skills so that the adolescents could take charge of their private experiences and choose actions according to their values. Four 90-min, individual sessions were implemented over two weeks. Participants and teachers’ reports obtained before, during, and after the treatment implementation showed a high positive change. In addition, 1-year follow-up information showed an important change in a wide range of areas such as family, social relationships, school achievement, and occupational status. These results suggest that brief ACT protocols can have a great impact on at-risk population. Limitations were discussed.
  • 其他摘要:The aim of this preliminary research is to explore the effect of a brief protocol based on acceptance and commitment therapy (ACT) applied to 􀃀ve adolescents (15-17 years old) with conduct disorder and impulsivity, who had received treatment for the last few years without positive results. Problematic behaviors were aggressive, impulsive, and oppositional reactions at school, home, and neighborhood (e.g., drugs or alcohol consumption, legal violations, oppositionist and de􀃀ant reactions, etc.). A brief ACT protocol was designed to functionally suit the presence of impulsivity and the absence of self-control repertory of these adolescents as well as the resistance to psychological treatment. The brief protocol was focused on four aspects: (a) to set a context between the therapist and the adolescents to promote the sense of personal responsibility, (b) to confront the adolescents with the effect of their behavior regulation (pros and cons) and the experience of creative hopelessness, (c) to clarify personally important valued directions, and (d) to promote defusion skills so that the adolescents could take charge of their private experiences and choose actions according to their values. Four 90-min, individual sessions were implemented over two weeks. Participants and teachers’ reports obtained before, during, and after the treatment implementation showed a high positive change. In addition, 1-year follow-up information showed an important change in a wide range of areas such as family, social relationships, school achievement, and occupational status. These results suggest that brief ACT protocols can have a great impact on at-risk population. Limitations were discussed.
  • 关键词:Acceptance and Commitment Therapy; conduct disorder; impulsivity; adolescents; case study.
  • 其他关键词:Acceptance and Commitment Therapy; conduct disorder; impulsivity; adolescents; case study.
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