See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/333194914 Janina Scarlet: Superhero Therapy: A Hero’s Journey Through Acceptance and Commitment Therapy Article in Journal of Youth and Adolescence · March 2017 DOI: 10.1007/s10964-017-0658-8 CITATIONS READS 20 2,731 1 author: Chris Fradkin Rio de Janeiro State University 55 PUBLICATIONS 330 CITATIONS SEE PROFILE All content following this page was uploaded by Chris Fradkin on 18 May 2019. The user has requested enhancement of the downloaded file. J Youth Adolescence (2017) 46:1629–1632 DOI 10.1007/s10964-017-0658-8 BOOK REVIEW Janina Scarlet: Superhero Therapy: A Hero’s Journey Through Acceptance and Commitment Therapy London: Little, Brown Book Group, 2016, 111 pp, ISBN: 978-1-47213-641-1 Chris Fradkin 1 Received: 4 March 2017 / Accepted: 6 March 2017 / Published online: 17 March 2017 © Springer Science+Business Media New York 2017 In Superhero Therapy: A Hero’s Journey Through Acceptance and Commitment Therapy, Janina Scarlet outlines a do-it-your-self-help program aimed at adolescent and young adult readers. The program is designed for readers dealing with anxiety- or trauma-based disorders. Based on the core principles of Acceptance and Commitment Therapy (ACT; Hayes et al. 1999), the author leads the reader through eight weekly chapters. These chapters hone the skillsets of: defusion, engagement with emotions, articulation of life values, self-compassion, mindful gratitude, and stepwise movement in accord with one’s life values. Illustrated by Wellinton Alves, the book’s content is delivered in a semigraphic-novel format. In the closing section of each chapter (except for Chapter 1), the author offers Superhero Steps— suggestions for the reader to practice in the week, based on contents of the chapter. The first chapter acquaints the reader with the author’s backstory. This includes the health, emotional, and social challenges endured in her emigration from the Soviet Union to the US. The author describes her turning point (Rutter 1987), or moment of empowerment, as sparked by the viewing of a superhero film when she was 12. As a victim of the Chernobyl radiation spill, the author found connection with the Super Mutants on the screen; she was emboldened by their strength and superpowers. As with many youths her age, the author found connection, through the adversities she shared with on-screen superheroes (Fradkin 2016). That experience was key to the author’s * Chris Fradkin chrisfradkin@gmail.com 1 Psychological Sciences, University of California, Merced, 5200 N. Lake Road, Merced, CA 95343, USA core belief that the hardships that we face can give us power. The author describes the path to this empowerment as a superhero path, with the traveler on a superhero journey. This framing is very much in keeping with mythologist Joseph Campbell’s hero’s journey (Campbell 2008), a universal template for redemption and salvation. The author then outlines the book’s Superhero Program: a program based on ACT, and other empirically-validated programs. The author introduces six fictional characters she will be using—derived from patients she has treated in her practice. The reader completes a seven-item self-assessment survey, including questions: “My symptoms overwhelm me…” True or False?/“I spend a lot of my time fixating on the past…” True or False?. Chapter 2 sets the reader on their superhero path, where they meet Monica Mercury, Doctor Semper, and Neil Scott —all victims of anxiety and self-loathing. Through depictions of these characters’ destructive behaviors, the author brings to life the concept of avoidance (Hayes et al. 1996). While avoidance may shield us from our demons in the short term, over time its presence is destructive (Hayes et al. 1996; Lee et al. 2010; Wegner 2011). The author stresses that, in fact, avoidance maintains many mental health disorders, including obsessive compulsive disorder (Abramowitz et al. 2013), specific phobias (Singh and Singh 2016), substance abuse disorders (Worden et al. 2015), eating disorders (Rawal et al. 2010), as well as anxiety-related disorders (Drake et al. 2015). The Superhero Steps consist of: noticing avoidance. Chapter 3 introduces the reader to mindfulness, one of the components of ACT. Research shows that mindfulness, or awareness training—i.e., awareness of one’s body, of one’s breathing, the environment—has been successful in reducing stress, anxiety, and depression (Bluth et al. 2016; 1630 Borquist-Conlon et al. 2017). It has also been successful in treating PTSD (Gordon et al. 2008), and eating and substance-use disorders (Barnes et al. 2016; Himelstein and Saul 2015). The author brings to life the concept through the story of two characters—Katrina Quest and Shadow Gray—whose lives are compromised by PTSD. Once more, the concept of avoidance is brought in: To attain recovery, the patient must move forward, which is hindered by the burden of one’s past. The author presents the reader with several options for this movement. Superhero Steps: implementing daily mindfulness, through: (1) attention to one’s body and input from the senses; (2) mindful savoring (e.g., music, food, or tea); (3) breathing exercises; and/or (4) the expression of gratitude. Chapter 4 addresses self-assessment. The author differentiates between the self-perceived self and what she calls the superhero self. In contrast to the self-perceived self, which places undue spotlight on our faults and our shortcomings, the superhero self embodies the positive, nurturing, and altruistic self that youth with mental illness frequently lose touch with. These youth frequently indulge in maladaptive thoughts, or cognitive distortions, which if not neutralized, exacerbate an illness (Shirk et al. 2013). The notion of cognitive distortions is core to Beck’s defining work on depression (Beck 1976; Beck and Steer 1987). Beck’s negative triad plots these self-destructive thoughts in terms of: self, world, and future. The author illustrates this concept through the stories of two characters—Drovin and Dr. Semper—who are trapped within their negative schemata. The author aims to neutralize these thoughts, and replace them with their healthy counterparts. To facilitate, a grounding meditation is prescribed, with the goal of empowering the superhero self. Superhero Steps: identifying likeable qualities of oneself; and logging them in a superhero journal. Chapter 5 continues with cognitive restructuring: work based upon the notion of core values. These superhero values are: “the most meaningful activities, life-paths and practices we have” (Scarlet 2016, p. 53). They define the person that we are; and for the troubled teen cry out for reinforcement. The author argues that avoidance of these values—these self-defining traits—is destructive to the person we could be. And conversely: reinforcement of these values is extremely beneficial, especially for youth struggling with illness. Superhero Steps: (1) identifying core values; (2) choosing one superhero value to address; (3) taking the first steps to address it; and (4) continuing the practice of mindful gratitude. Continuing along the path of cognitive restructuring, Chapter 6 looks at catastrophizing thoughts. These assumptions of negative outcomes occur disproportionately among youths suffering from anxiety and trauma (Legerstee et al. 2011). Whether thoughts about the future or thoughts about one’s self, these cognitions fuel a negative J Youth Adolescence (2017) 46:1629–1632 momentum. Cognitive fusion describes “the extent to which we are psychologically tangled with and dominated by the form or content of our thoughts” (Romero-Moreno et al. 2014, p. 117). The author’s response to this is cognitive defusion. The reader is provided with two defusion charms: defusion repetition and gratitude defusion. Defusion repetition has the reader repeating their distressing thought out loud. Over the course of several minutes, the author claims this will reduce the power and the meaning of the thought. Gratitude defusion involves expressing gratitude toward oneself: “Thanks Self, I’ll be OK…” The author claims this reassurance can shift catastrophizing thoughts to a level where their voice is barely heard. Superhero Steps: practicing defusion charms and gratitude: both on a daily basis. Chapter 7 focuses on willingness. In the context of this program, willingness entails the willingness to experience such emotions as anxiety, insecurity, and depression. It involves the willingness to be vulnerable, to take chances, to reach out, while knowing that the outcome might be failure. It involves courage and commitment, to walk a path unknown. Joseph Campbell calls this notion “following your bliss” (Campbell 1988). Superhero Steps: expressing willingness to experience something critically important; and gratitude: both on a daily basis. Chapter 8 presents the reader with the tool of selfcompassion. The author notes that many people, in response to personal setbacks, berate themselves with shame and guilt. The author argues that these moments scream out for self-compassion; at these times we need to still the inner critic. Suggestions are presented, including: (1) placing one’s hands upon one’s heart; (2) employing breathing exercises; (3) hugging a pillow or a pet; (4) taking a oneminute break (for a stretch or a short walk); (5) using reaffirming self-talk—“It’s OK; I’ll make it through…”; or (5) indulging in a pleasurable activity. Expressive writing is presented as an option at this point, through a variation on James Pennebaker’s work (Pennebaker 1997; Pennebaker et al. 1988). Superhero Steps: (1) practicing selfcompassion; (2) writing a self-compassionate letter to oneself; and (3) practicing gratitude. Chapter 9 sets the reader on their superhero path. Using the practices of defusion, mindfulness, self-compassion, willingness, and connecting with one’s superhero self, the author primes the reader for the first steps on their path to their recovery. These superhero action steps move the reader toward embracing their core values—values they explored in Chapter 5. Whether these be friendship, health, service, or forgiveness, at this point the reader starts their movement forward. Superhero Steps: (1) taking small steps daily in one’s valued life direction; (2) logging progress; and (3) practicing gratitude (e.g., a letter to someone who has supported you). J Youth Adolescence (2017) 46:1629–1632 In Chapter 10, the reader takes count of their progress. Specific areas are assessed, through a retake of the Chapter 1 survey. Skillsets are reviewed (e.g., willingness, defusion, mindfulness) to assist the reader with their journey, as their steps move toward embracing their core values. Nonetheless, the author foresees problem-solving setbacks, and suggests being realistic with self-improvement goals. This caveat reprises the role of self-compassion, as a means to counteract the inner critic. As with most programs of its sort, review is recommended, to keep the skillsets available and sharp. Superhero Steps: a weekly reread, and reimplementation, of one of the chapters in the book. Superhero Therapy: A Hero’s Journey Through Acceptance and Commitment Therapy provides the adolescent with tools for doing battle with their demons. Based on the principles of ACT, the author’s program is constructed on an empirically-supported base; but the author goes well beyond that base. First and foremost is the choice of semigraphic-novel format: a format rich with colored illustrations. Studies show that visual formats are more engaging for adolescents, than presentations based on text alone (Bolton-Gary 2012; Cook 2017; Schwarz 2002; Spiegel et al. 2013). Next, there is the makeup of the cast within the book. Unlike the demographic of the most popular superheroes (e.g., Spider-Man, Iron Man, Batman), 90% of which are male (Fradkin et al. 2016), the cast within this book is gender balanced (50/50). One would assume these female heroes (Monica Mercury, Katrina Quest, Shadow Gray) would engage the female reader, in a way that Batman and Iron Man fail to do. In addition, there are other aspects of diversity. Early in the read, the reader is informed that one of the characters is gay. As with the female heroes, one would assume an LGBT hero would engage the LGBT reader, in a way that Batman and Iron Man fail to do. While previous books on superhero therapy (see Langley 2012, 2016; Rubin 2006) have based their methods on commercial superheroes, this book pursues a different path. Through its diversity of characters, it spans demographic bounds. Through its inclusion, it challenges the mainstream. 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