David C. Brillhart, Psy.D. Oregon State Hospital July 25, 2012

 The Therapeutic Stance  ACT with Forensic Clients  Results of Pilot Study  The Cost of Struggles  Energy Buck$ ®  Future Goals

© 2012 ACT II Psychology, Inc.  Acceptance and action (Hoffman & Asmundson, 2008)  Taking a mindful, loving stance with yourself and your own thoughts and feelings ( Hayes, Strosahl, Bunting, Twohig, & Wilson, 2004).

 Forensic patients who did not respond well to traditional CBT-based anger management programs  High psychopathy  Nature vs. nurture debate  Prioritized need for alternative anger management  Pilot study © 2012 ACT II Psychology, Inc.

61.42 N = 69 © 2012 ACT II Psychology, Inc.

 Struggling with our emotions is not a solution. © 2012 ACT II Psychology, Inc.

Do or do not... there is no try (Lucas & Kershner, 1980) Do or do not... there is no try (Lucas & Kershner, 1980) © 2012 ACT II Psychology, Inc.

QUESTIONS:   © 2012 ACT II Psychology, Inc.

 Association for Contextual Behavioral Science (2010). An online learning and research community and the official website of the Association for Contextual Behavioral Sciences (ACBS). Retrieved on July 26, 2010, from  Brillhart, D. (2010). Assessment and Treatment of Psychopathy Using Acceptance and Commitment Therapy. Panel presentation on August 15, 1010, at the 118 th Annual American Psychological Association (APA) Convention, San Diego, CA.  Cullen, C. (2008). Acceptance and Commitment Therapy (ACT): A Third Wave Behaviour Therapy. Behaviour and Cognitive Psychotherapy. British Association for Behaviour and Cognitive Psychotherapies doi: /S  Eifert G., & Forsyth, J. (2005) Acceptance and Commitment Therapy for Anxiety Disorders: A Practitioner’s Treatment Guide to using mindfulness, acceptance, and values-based behavior change strategies. New Harbinger Publication, Oakland, CA  Eifert, G., McKay, M., & Forsyth, J. (2006). Act on life not on anger: The New Acceptance and Commitment Therapy Guide to Problem Anger. New Harbinger Publication, Inc., Oakland, CA  Forsyth, J., & Eifert, G. (2007). The Mindfulness & Acceptance Workbook for Anxiety. A Guide to Breaking Free from Anxiety, Phobias & Worry Using Acceptance and Commitment Therapy. New Harbinger Publication, Inc., Oakland, CA  Harris, R. (2009). ACT Made Simple: A quick-start guide to ACT basics and beyond. New Harbinger Publication, Inc.., Oakland, CA  Harris, R. (2008). The Happiness Trap: How to Stop Struggling and Start Living. A guide to ACT: the mindfulness-based program for reducing stress, overcoming fear, and creating a rich and meaningful life. New Harbinger Publication, Inc., Oakland, CA

© 2012 ACT II Psychology, Inc.  Harris, R. (2008). ACT in a Nutshell Ten Week e-course. Retrieved on October 4, 2010, from  Hayes, S., Strosahl, K. Bunting, Twohig, M. & Wilson, K. (2004). What is Acceptance and Commitment Therapy? A Practical Guide to Acceptance and Commitment Therapy. Spring Science+Business Media. New York, NY  Hayes, S. & Twohig, M. (2008). ACT Verbatim for Depression and Anxiety. New Harbinger Publications, Inc. Oakland, CA 94609, p. 4.  Hoffman, S., & Asmundson, G. (2008). Acceptance and mindfulness-based therapy: New wave or old hat? Clinical Psychology Review 28 (2008) 1 – 16.  Khetrapal, N. (2009). The Early Attachment Experiences are the Roots of Psychopathy. Interpersona an International Journal on Personal Relationships 3 (1) Published by the International Center for Interpersonal Relationship Research.  Lucas, G., & Kershner, I. (1980). Star Wars Episode V: The Empire Strikes Back [Movie]. United States of America. Twentieth Century Fox Studios.  Reilly, P., & Shopshire, M. (2002). Anger Management for Substance Abuse and Mental Health Clients. A Cognitive Behavioral Therapy Manual. U.S. Department of Health and Human Services. Rockwall, MD  Segal, Z., Williams, J., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.  Skeem, J., Monahan, J., & Mulvey, E. (2002). Psychopathy, Treatment Involvement, and Subsequent Violence Among Civil Psychiatric Patients. Law and Human Behavior, Vol. 26, No. 6., December 2002.