接纳与承诺疗法的理论背景、实证研究与未来发展

The Theoretical Background, Empirical Study and Future Development of the Acceptance and Commitment Therapy

接纳与承诺疗法(Acceptance and Commitment Therapy,ACT)于上世纪90年代初由美国治疗师Steven C.Hayes提出。作为基于正念技术的第三代行为治疗理论之一,该疗法以功能情境主义为哲学基础,立足于人类认知和语言基本性质的实证研究,旨在通过平衡接纳与改变来提高心理灵活性。临床研究已证明其在相当广泛的临床问题上都取得了良好效果,并在与CBT等传统疗法的对比中展现优势。ACT的临床效果和技术细节可做进一步研究,该疗法与CBT的融合及其在临床领域之外的应用也是未来的研究方向。

Acceptance and Commitment Therapy （ACT） was brought forward by Steven C. Hayes in the 1990s. As one of the ＂third wave＂ of behavior therapies based on mindfulness skill, ACT takes functional contextualism as its underlying philosophy, and engages in empirical research on cognition and language to enhance the mental flexibility of clients through striking a balance between change-oriented strategy and acceptance-oriented strategy. Clinical studies have demonstrated ACT＇s effectiveness in a wide range of clinical problems, and its superiority in contrast to traditional therapies including CBT. Further studies of ACT could be done on its clinical efficacy and technical details, as well as the combination with CBT and the non-clinical uses.