Acceptance And Commitment Therapy For Improving Adaptive Functioning In Persons With A History Of Pediatric Acquired Brain Injury
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Psychological Therapies in Acquired Brain Injury
The psychological impact of an acquired brain injury (ABI) can be devastating for both the person involved and their family. This book describes the different types of psychological therapies used to ameliorate psychological distress following ABI. Each chapter presents a new therapeutic approach by experts in the area. Readers will learn about the key principles and techniques of the therapy alongside its application to a specific case following ABI. In addition, readers will gain insight into which approach may be most beneficial to whom as well as those where there may be additional challenges. Covering a wide array of psychological therapies, samples range from more historically traditional approaches to those more recently developed. Psychological Therapies in Acquired Brain Injury will be of great interest to clinicians and researchers working in brain injury rehabilitation, as well as practitioners, researchers and students of psychology, neuropsychology and rehabilitation.
Innovations in Acceptance and Commitment Therapy (ACT) for Acquired Brain Injury
Acceptance and Commitment Therapy (ACT) allows people with acquired brain injury to develop psychological flexibility, in order to lead a vital life, despite all the difficult thoughts, feelings and brain injury symptoms that are present. Innovations in Acceptance and Commitment Therapy (ACT) for Acquired Brain Injury brings together contributions from highly experienced clinicians, using innovative approaches in ACT for acquired brain injury, in the context of individuals, working with relatives, groups and multidisciplinary teams. This book will be a valuable resource for clinical psychologists, clinical neuropsychologists, counselling psychologists, cognitive behaviour therapists, psychiatrists and counsellors working therapeutically with clients with acquired brain injury.
Acceptance and Commitment Therapy for Improving Adaptive Functioning in Persons with a History of Pediatric Acquired Brain Injury
Acquired brain injury (ABI) often results in lifelong disability without affecting longevity. While abilities may be affected by neuronal damage, psychological factors may compound disability by inhibiting participation in life activities. Experiential avoidance (EA) is a common coping strategy among persons with ABI and may result in decreased participation through task and situational avoidance. However, research on psychotherapies targeting participation and EA is scant. The present study employed a staggered waitlist yielding a natural multiple baseline design to assess the effectiveness of an 8-session Acceptance and Commitment Therapy (ACT) group treatment to improve adaptive and psychological functioning among persons with late effects of pediatric ABI (N=17). All measures were given at baseline, pre- and postintervention, and 1-month follow-up. Process measures were also given midintervention. Daily behavior tracking assessed orientation toward productive activities and maladaptive and adaptive behaviors. Participants experienced increased participation and decreased psychological distress after the intervention and at followup, with no change in satisfaction with participation reported. Participants reported less EA and behavioral avoidance but did not report changes in threat cognitions, ABI-specific EA, or self-compassion. Consistent changes in daily behavior tracking were not seen. These results support the feasibility of applying an ACT group treatment with individuals with neurocognitive impairments that have traditionally excluded them from psychotherapy and provide initial support for the effectiveness of ACT in improving adaptive and psychological functioning among persons with ABI.