文档介绍：ARTICLE IN PRESS
Behaviour Research and Therapy 44 (2006) 1–25
ate/brat
Acceptance mitment Therapy: Model,
processes and es
Steven C. Hayesa,Ã, Jason B. Luomaa, Frank W. Bondb,
Akihiko Masudaa, Jason Lillisa
aDepartment of Psychology, University of Nevada, Reno, NV 89557-0062, USA
bGoldsmiths College, University of London, UK
Received 4 June 2005; accepted 30 June 2005
Abstract
The present article presents and reviews the model of psychopathology and treatment underlying Acceptance and
Commitment Therapy (ACT). ACT is unusual in that it is linked to prehensive active basic research program on the
nature of human language and cognition (Relational Frame Theory), echoing back to an earlier era of behavior therapy in
which clinical treatments were consciously based on basic behavioral principles. The evidence from correlational,
component, process of change, and parisons relevant to the model are broadly supportive, but the literature is
not mature and many questions have not yet been examined. What evidence is available suggests that ACT works through
different processes than active parisons, including traditional Cognitive-Behavior Therapy (CBT). There are
not enough well-controlled studies to conclude that ACT is generally more effective than other active treatments across the
range of problems examined, but so far the data are promising.
r 2005 Elsevier Ltd. All rights reserved.
Keywords: Acceptance mitment Therapy; Relational Frame Theory; Mindfulness; Acceptance; Mediational analysis; Third
generation CBT; Clinical behavior analysis; Contextualism
Introduction
The behavior therapy movement began with two mitments. Behavior therapy was to be a field
designed to (1) produce a scientifically based analysis of behavioral health problems and their treatment cast in
terms of basic psychological processes, and (2) develop well-specified and empirically validated interventions
for such problems. Franks and Wilson’s (1974) well-known ear