Föreläsare / Lecturers
Nordic ACBS Forum 2012
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 Dindings 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 speciDic 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 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 signiDicant emphasis on the use of self-­‐based techniques, and the self was deDined 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 Dindings 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 Dit 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 yourself in your body. Bring your own yoga mat (or use the Dloor) 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
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 Dirst intervention study studied the effect of an ACT-­‐based self-­‐
help book (Get Out of Your Life). The second study investigated an ACT-­‐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 Dirst 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 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 speciDic key functional dimensional processes of change. However, this notion is an ongoing theoretical controversy in the Dield 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.
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. 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 Dind 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 Psychotherapy (ISTDP).
2. Brief exercises using the dynamic ACT model.
Cognitive and psychodynamic theory is sometimes viewed as two conDlicting 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 Dive 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. He has recently Dinished his degree of master of science in psychology at Stockholm University. For his master's dissertation he held a course for signiDicant 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 SigniDicant Other, CSO) who wants their loved one (IdentiDied 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 difDicult 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 signiDicantly 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 modiDied version of CRAFT to Dive CSO:s who were worried about a loved ones drinking. This was the Dirst 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.
Ole Taggaard Nielsen and Martin Brock
Ole Taggaard Nielsen is a psychologist, certiDied 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 Dirst 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 qualiDications 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 ShefDield Hallam University.
”OCD And ACT”
Obsessive Compulsive Disorder is recognized as a complex disorder and is difDicult to treat; due in part to the intrusive nature of the types of thoughts which can be highly distressing and motivation to abate, 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.”
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 Dirst 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 Dinns 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 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 Dind out whether the ACT-­‐intervention had a positive inDluence on psychological well-­‐being of participants as measured in increased psychological Dlexibility, 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
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 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 Dler 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 Dinns? 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.