接纳与承诺疗法的心理病理模型和治疗模式

··*[e-mail]【】“”ACT。ACTRFTACT。ACT。【】R749.059A1000－67292012005－0377－05doi10.3969/j.issn.1000－6729.2012.05.0132012265377－381.Acceptanceandcommitmenttherapy(ACT):PsychopathologicalmodelandprocessesofchangeZHANGQi1，WANGShu-Juan1，2，ZHUZhuo-Hong11KeyLaboratoryofMentalHealth，InstituteofPsychology，ChineseAcademyofSciences，Beijing100101，China2PostdocWork-ingStationofHaidianPark，ZhongguancunScienceandTechnologyPark，Beijing100085，ChinaCorrespondingauthor:ZHUZhuo-Hong，[e-mail]【Abstract】ThisarticlereviewedtheliteratureofAcceptanceandCommitmentTherapy(ACT)，whichisoneofthemostrepresentativetherapiesinthethirdwaveofcognitiveandbehavioraltherapy.WeintroducedthephilosophybackgroundofACT，knownasfunctionalcontextualism，andalsothetheoreticalfoundationofACTnamedRelationalFrameTheory(RFT).Furthermore，thehexagonmodelofpsychopathologyandtwoprocessestherapeuticmodelweredescribed.BasedonthereviewofempiricalresearchfieldandapplicationareasofACT，theapplicabilityandfuturedevelopmentofthistherapyunderChineseculturebackgroundwerediscussed.【Keywords】acceptanceandcommitmenttherapy;contextualcognitivebehavioraltherapy;relationalframetheory;functionalcontextualism;review(ChinMentHealthJ，2012，26(5):377－381.)320501、2070cognitive-behavioraltherapyCBT220“”3。“”、、4。AcceptanceandCommitmentTherapyACT5-6。ACT、6。7732012265*KSCX2-EW-J-8XDA06030800、Medline、PsyINFOISIWebofKnowledge19932011ACTRelationalFrameTheoryRFT。ACTACT。1ACTfunctionalcontextualismRFTcontextualcognitivebehavioraltherapycCBT7。8。。、48。ACT。。ACT“”、“”“”。。ACT。、ACT。ACTRFTRFT9。RFT。。3“mutualentailmentorbidirectionali-ty”。ABBA。“combinatorialentailment”。ABBCAC。。3“”4。RFT3。ACTRFTRFTACTRFT9-10。2ACT。10psychologicalinflexibility。ACT11。ACT/RFT/873ChineseMentalHealthJournalVol26No.52012。。2.1experientialavoidanceexperientialcontrol、、、12。ACT/RFT、。、、“”“”。“”para-doxicaleffects。。。2.2cognitivefusion6。13。。。ACT/RFT。。2.3dominanceoftheconceptualizedpastandfearedfuture。。、、、、14。。。2.4attachmenttotheconceptu-alizedself。15-16。、、。。2.5lackofvaluesclarityACT。。、。。。2.6、inactionimpulsivityoravoidantpersistence、、、。processgoal。。3ACTpsychologicalflexibility9732012265。ACT。3.1acceptance。。、、。。cognitivedefusion、。ACT、、。beingpresentACT。。selfascontext。RFT“———”、“———”“———”perspectivetaking918-19。。ACTmindfulness、metaphorexperientialprocesses。valuesACT。。。committedactionACT。ACT。3.2ACT。。ACT。open、centeredengaged。。1mindfulnessandacceptanceprocesses。ACT、、。。2commitmentandbehaviorchangeprocesses。ACT。“”ACT4。4ACT、、、、、20-23。ACT24。ACTcontextualbehavioralscienceCBS、25。ACT083ChineseMentalHealthJournalVol26No.52012、。。［1］FranksCM.Behaviortherapy:Anoverview［J］.AnnRevBehavTherTheoryPract，1982，8:1－38.［2］BeckAT.Cognitivetherapy:Past，present，andfuture［J］.JCon-sultClinPsychol，1993，61(2):194－198.［3］HayesSC.Acceptanceandcommitmenttherapy，relationalframetheory，andthethirdwaveofbehavioralandcognitivetherapies［J］.BehavTher，2004，35(4):639－665.［4］HayesSC，FolletteVM，LinehanM.Mindfulnessandacceptance:Expandingthecognitive-behavioraltradition［M］.NewYork:TheGuilfordPress，2004:1－30.［5］YovelI.Acceptanceandcommitmenttherapyandthenewgenera-tionofcognitivebehavioraltreatments［J］.IsraelJPsychiatryRelatSci，2009，46(4):304－309.［6］HayesSC，StrosahlKD，WilsonKG.Acceptanceandcommitmenttherapy:Anexperientialapproachtobehaviorchange［M］.NewYork:TheGuilfordPress，2003:13－49.［7］McCrackenLM，MacKichanF，EcclestonC.Contextualcognitive-behavioraltherapyforseverelydisabledchronicpainsufferers:ef-fectivenessandclinicallysignificantchange［J］.EurJPain，2007，11(3):314－322.［8］HayesSC.Analyticgoalsandthevarietiesofscientificcontextual-ism［M］.Michigan:UniversityofMichigan，ContextPress，1993:11－35.［9］Barnes-HolmesY，HayesSC，Barnes-HolmesD，etal.Relationalframetheory:Apost-Skinnerianaccountofhumanlanguageandcognition［J］.AdvChildDevBehav，2002，28:101－138.［10］HayesSC，LuomaJB，BondFW，etal.Acceptanceandcommitmenttherapy:Model，processesandoutcomes［J］.BehavResTher，2006，44(1):1－25.［11］LuomaJB，HayesSC，WalserRD.LearningACT:AnAcceptance＆CommitmentTherapyskills-trainingmanualfortherapists［M］.Oakland:NewHarbingerPublications，Inc，2007:9－22.［12］HayesSC，WilsonKG，GiffordEV，etal.Experientialavoidanceandbehavioraldisorders:afunctionaldimensionalapproachtodi-agnosisandtreatment［J］.JConsultClinPsychol，1996，64(6):1152－1168.［13］HayesSC.Rule-governedbehavior:Cognition，contingencies，andinstructionalcontrol［M］.NuevaYork:PlenumPress，1989:27－34.［14］HayesSC，StrosahlK，WilsonKG，etal.Measuringexperientiala-voidance:Apreliminarytestofaworkingmodel［J］.PsycholRe-cord，2004，54(4):553－578.［15］HayesSC，PiersonH.AcceptanceandCommitmentTherapy［M］∥FreemanA，FelgoiseSH，NezuAM(Eds.).EncyclopediaofCognitiveBehaviorTherapy.NewYork:Springer，2005:1－4.［16］Barnes-HolmesD，HayesSC，DymondS.Selfandself-directedrules［M］∥HayesSC，Barnes-HolmesD，RocheB(Eds.).Relationalframetheory:Apost-Skinnerianaccountofhumanlan-guageandcognition.NewYork:KluwerAcademic/Plenum，2001:119－139.［17］HayesSC，StrosahlKD.Apracticalguidetoacceptanceandcom-mitmenttherapy［M］.NewYork:SpringerVerlag，2004