索引

Index A about this book, 10–11 Acceptance and Action Questionnaire (AAQ-2), 145, 158 acceptance and commitment therapy (ACT), 3 acceptance of emotions. See mindful acceptance acceptance of reality. See radical acceptance Anatomy of an Emotion handout, 20, 173 Art of Radical Acceptance handout, 113–114, 236–237 assessment: emotion efficacy, 261; importance of ongoing, 145; outcome measures for, 145, 149–158; symptom inventories and, 145–146; values, 60–69 attention, shifting, 124, 125–126, 130 automatic negative thoughts, 103; identified by clients, 104; replacing with coping thoughts, 104–105, 107–108, 234– 235 avoidance of emotions. See emotion avoidance awareness of emotions. See emotion awareness B Before You Act, Distract handout, 133–134, 246 behavior dysregulation, 2 behaviors: emotion-driven, 43, 51–52; self-destructive, 124, 129–130 Benefits of Values-Based Action Worksheet, 72, 205 Brach, Tara, 17 breathing: cue-controlled, 93, 96, 219; diaphragmatic, 92, 95, 220 Cchoice. See moment of choice chronic pain, 143, 146 Client Coping Thoughts handout, 106, 233 clients: assessment process for, 145–146; orienting to treatment, 13–14; providing ongoing support to, 146–147; self-assessment of emotion efficacy, 261; tailoring treatment for, 144 cognitive emotion avoidance, 44 confidentiality in groups, 167 Consequences of Emotion Avoidance handout, 44–45, 183 consolidating learning, 139–142, 198, 211, 259–262 coping thoughts, 103–112; examples of, 106, 108; exposure and, 105, 109–112, 229–230; guiding the creation of, 104–105; handout and worksheet on, 106–108, 233–235; introducing clients to, 104–105; O+A+C model and, 105; psychoeducation on, 229; replacing automatic thoughts with, 104–105, 107–108, 234–235; summary points about, 121; therapy dialogue example, 109–112. See also mindful coping cue-controlled breathing, 93, 96, 221 D defusion, 29 demoralization, 143–144 Depression, Anxiety, and Stress Scale–21 (DASS–21), 145, 156–157 dialectical behavior therapy (DBT), 3, 112 diaphragmatic breathing, 92, 95, 220 Difficulties in Emotion Regulation Scale (DERS), 145, 151–152 disclosure in groups, 167 distraction, 123–134; benefits of, 133; emotion exposure and, 243–244; explanation of, 123–124; handout on using, 133–134, 246; O+A+C model and, 131; psychoeducation on,130, 243; steps for mindful, 133–134, 246; strategies for, 124– 130, 247–252; summary points about, 138; therapy dialogue example, 131–133 Distraction Strategies handout, 124–130, 247–252 distress intolerance, 1, 4 distress tolerance, 7, 9, 89, 160, 163 Distress Tolerance Scale (DTS), 145, 150 distressing situations: accessing values during, 69–70, 75– 76, 83–87; imaginal exposure using, 83–87 E EET. See emotion efficacy therapy eight-session protocol for EET, 142–143, 165–262. See also specific EET sessions emotion activation, 144–145 emotion avoidance, 43, 44–49; consequences of, 45, 46– 47; emotion efficacy and, 1, 4; mindful coping and, 133; pros and cons of, 46–47; strategies related to, 44, 45; therapy dialogue example, 48–49 Emotion Avoidance Consequences Worksheet, 47, 184 emotion awareness, 6, 13–25; components of emotion and, 19–25; demoralization related to, 143–144; feelings word list for, 24; handout explaining, 17–18, 171–172; introducing to clients, 16–19; psychoeducation on, 168; session protocol for, 165–177; summary points about, 27; therapy dialogue examples, 18–19, 21–22; worksheet for practicing, 23, 174 Emotion Awareness handout, 17–18, 171–172 emotion dysregulation, 2, 7, 9, 30, 33 emotion efficacy: client self-assessment of, 259; definition of, 1, 11, 15; explaining to clients, 14–16; impact of low, 2 Emotion Efficacy Scale (EES), 145, 155 emotion efficacy therapy (EET): assessment in, 145–146; components of, 5–8, 15–16; conceptualization of, 1–2; consolidating learning about, 139–142; eight-session protocolfor, 142–143, 165–262; exposure used in, 33–37; foundational elements of, 3–5; moment of choice in, 37–41; orienting clients to, 13–14; outcome measures used in, 145, 149–158; providing ongoing support in, 146–147; reasons for using, 2– 3; research results on, 159–163; session structure for, 10–11, 25; Skills Practice Record, 25–26, 168, 177; summary points about, 11, 147; treatment challenges in, 143–145; uniqueness of, 8–9. See also specific EET sessions Emotion Efficacy Therapy Skills handout, 139–140, 254 emotion exposure, 8, 33, 260; coping thoughts and, 229– 230; distraction and, 243–244; final session exercise on, 260; mindful acceptance and, 34–37; radical acceptance and, 230– 231; relaxation skills and, 216–217; self-soothing skills and, 217–218. See also exposure-based skills practice; imaginal exposure emotion regulation: mindful coping and, 8, 104; research results on EET for, 159, 161–162 emotion surfing, 43–58; emotion avoidance vs., 44–49; emotion-driven behavior vs., 51–52; exposure-based practice and, 54–56; handouts for practicing, 53, 57, 192; key abilities required for, 43–44; mindful acceptance and, 52; psychoeducation on, 179; rumination vs., 50–51; script for guided, 55, 185; summary points about, 58; therapy dialogue examples, 53–54, 56 Emotion Surfing Practice handout, 57, 192 Emotion Watching Worksheet, 23, 174 emotion wave metaphor, 43 emotional triggers: imaginal exposure using, 83–87; values-based action and, 69–70, 75–76, 83–87 emotion-driven behavior, 43, 51–52; emotion intensified by, 51; talking with clients about, 52 emotions: activation of, 144–145; anatomy of, 20, 173; components of, 19–25; explaining to clients, 16, 17–18; psychoeducation on, 168; reasons people struggle with, 18 experiential avoidance, 1, 9, 160, 163experiential exercises: five-senses relaxation, 93, 96–97, 221; Monsters on the Bus, 75–82, 209–210. See also guided practices explanations, 50, 51 exposure therapy, 5 exposure-based skills practice, 5, 8, 33–37; coping thoughts and, 105, 109–112, 229–230; distraction and, 131; emotion surfing and, 54–56; final session exercise on, 258; handout for introducing, 34, 189; imaginal vs. emotion exposure in, 8, 33; mindful acceptance and, 34–37, 186–188; psychoeducation on, 186–188; radical acceptance and, 228– 229; relaxation and, 214–215; self-soothing and, 215–216; values-based action and, 83–87, 194–196, 208–209 F feelings: emotional experience and, 20; labeling without judging, 31, 180; list of words describing, 24, 175 Feelings Word List, 24, 175 five-senses exercise, 93, 96–97, 219 Frankl, Victor, 38 G group dynamics, 167, 186, 188 guided practices: emotion surfing, 55; mindful acceptance, 32–33, 182. See also experiential exercises H handouts: Anatomy of an Emotion, 20, 173; Art of Radical Acceptance, 113–114, 234–235; Before You Act, Distract, 133–134, 244; Client Coping Thoughts, 106, 231; Consequences of Emotion Avoidance, 44–45, 183; Distraction Strategies, 124–130, 245–250; Emotion Awareness, 17–18, 171–172; Emotion Efficacy Therapy Skills, 139–140, 254; Emotion Surfing Practice, 57, 192; Feelings Word List, 24, 175; How to Surf an Emotion Wave, 53; Introduction to Exposure, 34, 189; Mindful Acceptance | Observe + Accept, 31–32, 180–181; Mindful Coping Through Relaxation, 95–97,220–221; Moment of Choice, 37–38, 200; Rumination, 51; Take a Time-Out, 134, 253; What Is Emotion Efficacy?, 15, 170; What You Can Expect from Emotion Efficacy Therapy, 14, 169. See also worksheets Hayes, Steven, 3 hearing, sense of, 98–99, 223–224 high emotion efficacy, 3, 15 How to Surf an Emotion Wave handout, 53 I imaginal exposure, 8, 33; coping thoughts and, 105, 109– 112; emotion surfing and, 54, 58; final session exercise on, 258; mindful acceptance and, 34–37, 186–188; psychoeducation on, 186–188; values-based action and, 83– 87, 194–196, 210–211. See also emotion exposure; exposure- based skills practice Introduction to Exposure handout, 34, 189 J judgments, 50, 51 K Kabat-Zinn, Jon, 30 L learning: consolidating, 139–142, 198, 211, 259–262; state-dependent, 5, 57, 90; transemotional, 4–5 Linehan, Marsha, 3, 112 low emotion efficacy: characteristics transdiagnostic treatment for, 3–4 of, 1–2; M maladaptive behavioral responses, 1 metaphors: emotion wave, 43; monsters on the bus, 75 mindful acceptance, 6–7, 29–42; benefits to using, 31; consolidating learning about, 140–141; emotion surfing and, 52; exposure-based practice and, 33–37; handout forintroducing, 31–32, 182–183; moment of choice and, 37–41; psychoeducation on, 29–33, 179; script for guided, 32–33, 182; session protocol for, 178–194; summary points about, 42; therapy dialogue examples, 34–37, 38–41, 186–188. See also radical acceptance Mindful Acceptance | Observe + Accept handout, 31–32, 180–181 mindful coping, 7–8, 89–138; advantages of, 90; consolidating learning about, 140, 141–142; coping thoughts and, 103–112, 233–235; criteria for using, 137; in daily life, 137–138; distraction and, 123–134, 246–252; explanation of, 89–90; introducing to clients, 90–91; O+A+C model and, 92, 101–102; outside-of-session use of, 101–102; psychoeducation on, 216; radical acceptance and, 112–120, 236–239; relaxation skills and, 92–97, 220–221; self-soothing techniques and, 97– 101, 222–225; session protocols for, 215–257; steps for guiding practice of, 91; summary points about, 102, 121, 138; therapy dialogue examples, 91, 93–95, 101, 137–138; time-out and, 134–137 Mindful Coping Through Relaxation handout, 95–97, 220– 221 Mindful Coping Through Self-Soothing worksheet, 97– 100, 222–225 mindfulness: mindful acceptance derived from, 29, 31; videos for introducing, 30 moment of choice: client identification of, 7, 15; handout for introducing, 37–38, 200; mindful acceptance and, 29, 37– 41; psychoeducation on, 196; therapy dialogue example, 38– 41; values-based action and, 71, 88 Moment of Choice handout, 37–38, 200 Monsters on the Bus exercise, 75–82; in-session use of, 209–210; preparing clients for, 76; therapy dialogue example, 77–82 motivation, 60, 71, 74, 75–76, 88 Nnegative thoughts. See automatic negative thoughts negativity bias, 17 O O+A+C (observe + accept + choose) model, 83; coping thoughts and, 105; distraction and, 131; imaginal exposure with VBA and, 83–84, 197, 210–211; mindful coping and, 92, 101–102; time-out and, 135 outcome measures, 145, 149–158; Acceptance and Action Questionnaire, 158; Depression, Anxiety, and Stress Scale–21, 156–157; Difficulties in Emotion Regulation Scale, 151–152; Distress Tolerance Scale, 150; Emotion Efficacy Scale, 155; Valued Living Questionnaire, 153–154 P panic disorder, 143 Personalized Emotion Efficacy Plan, 140–142, 253–254 perspective taking, 29 pleasurable activities, 124, 128–129 posttreatment measures, 261 predictions, 50, 51 pretreatment measures, 166 productivity, focusing on, 124, 126–127 protective emotion avoidance, 44 psychoeducation: on coping thoughts, 229; on distraction, 130; on emotion awareness, 168; on emotion surfing, 179; on mindful acceptance, 29–33, 179; on mindful coping, 216; on moment of choice, 196; on radical acceptance, 230; on time- out, 135 R radical acceptance, 112–120; emotion exposure and, 230– 231; examples of, 113; explanation of, 112, 113–114; handout on art of, 113–114, 236–237; practice worksheet, 118–120, 238–239; psychoeducation on, 230; situational assessment, 118–120; steps for practicing, 120, 239; summary pointsabout, 121; therapy dialogue example, 114–118. See also mindful acceptance Radical Acceptance worksheet, 118–120, 238–239 relaxation, 92–97; emotion exposure and, 214–215; techniques used for, 92–93, 95–97, 220–221; therapy dialogue example, 93–95 relaxation without tension practice, 92–93, 96, 220 Replacing Automatic Thoughts with Coping Thoughts worksheet, 107–108 research results on EET, 159–163 rumination, 43, 50–51; handout about, 51; skill difficulties related to, 143; three main forms of, 50 Rumination handout, 51 S sacred pause, 38 safe space in groups, 167 scripts: Guided Emotion Surfing, 55, 185; Guided Mindful Acceptance, 32–33, 182. See also experiential exercises self-destructive behaviors, 124, 129–130 self-report scales, 145 self-soothing, 97–101; emotion exposure and, 217–218; five senses used for, 97–100, 222–225; therapy dialogue example, 101 sensations: emotional experience and, 20; mindful acceptance of, 31, 143, 180 senses: five-senses relaxation exercise, 93, 96–97; self- soothing using each of, 97–100, 222–225 session 1 of EET (Emotion Awareness), 165–177; description, 165; group dynamics, 167; handouts and worksheets, 169–175; materials list, 166; pretreatment measures, 166; procedures overview, 166–168; skills practice, 176–177session 2 of EET (Mindful Acceptance), 178–192; description, 178; exposure exercise, 186–188; group dynamics, 186, 188; handouts and worksheets, 180–185, 189; materials list, 178; procedures overview, 179; scripts, 182, 185; skills practice, 190–191 session 3 of EET (Values-Based Action), 195–207; description, 195; handouts and worksheets, 199–205; imaginal exposure, 196–198; materials list, 195; procedures overview, 196–198; skills practice, 206–207 session 4 of EET (Values-Based Action), 208–214; description, 208; handouts and worksheets, 212–213; imaginal exposure, 210–211; materials list, 208; Monsters on the Bus exercise, 209–210; procedures overview, 208–211; skills practice, 213–215 session 5 of EET (Mindful Coping), 215–227; description, 215; emotion exposure, 216–218; handouts and worksheets, 219–225; materials list, 215; procedures overview, 216–218; relaxation practice, 216–217, 220–221; self-soothing practice, 217–218, 221–225; skills practice, 226–227 session 6 of EET (Mindful Coping), 228–241; coping thoughts practice, 229–230, 233–235; description, 228; emotion exposure, 229–231; handouts and worksheets, 232– 239; materials list, 228; procedures overview, 229–231; radical acceptance practice, 230–231, 236–239; skills practice, 240– 241 session 7 of EET (Mindful Coping), 242–258; description, 242; distraction practice, 243–244, 246–252; EET skills review, 254; emotion exposure, 243–244; handouts and worksheets, 245–256; materials list, 242; Personalized Emotion Efficacy Plan, 244, 255–256; procedures overview, 243–244; skills practice, 257–258; time-out practice, 253 session 8 of EET (Consolidation), 259–262; description, 259; emotion efficacy rating, 261; exposure exercise, 260; posttreatment measures, 261; procedures overview, 259–261; validation and closing remarks, 261 shifting attention, 124, 125–126, 130sight, sense of, 98, 222–223 situational emotion avoidance, 44 skills: difficulty with specific, 143; importance of practicing, 168 Skills Practice Record, 25–26, 168, 177 smell, sense of, 97–98, 222 somatic emotion avoidance, 44 state-dependent learning, 5, 57, 90 “stretch” in EET, 144 Strosahl, Kirk, 3 substitution emotion avoidance, 44 SUDS rating, 34, 189 surfing emotions. See emotion surfing symptom inventories, 145–146 T Take a Time-Out handout, 134, 253 taste, sense of, 99–100, 224 thoughts: automatic negative, 103, 104; coping, 103–112; emotional experience and, 20; mindful watching of, 32, 50, 143, 181 time-out, 134–136; explanation of, 134; handout on taking, 134, 253; introducing to clients, 135; psychoeducation about, 135, 241; summary points about, 138; therapy dialogue example, 136 touch, sense of, 100, 224–225 transdiagnostic treatments, 3–4 transemotional learning, 4–5 triggering situations: coping thoughts and, 104; imaginal exposure using, 83–87; values-based action and, 69–70, 75– 76, 83–87U urges: emotional experience and, 20; mindful noticing of, 32, 181; problem with acting on, 51 V Valued Living Questionnaire (VLQ), 145, 153–154 values: accessing during distress, 69–70; barriers to acting on, 70–71; client assessment of, 60–69 values assessment, 60–69; by life domain, 63–69; therapy dialogue example, 66–67; worksheets for, 61–62, 64, 68–69 Values Clarification Worksheet, 61–62; 193–194 Values Domains worksheet, 64–65, 68–69, 201–204 values-based action (VBA), 7, 59–88; assessing values for, 60–69; barriers to, 70–71; benefits of, 60, 72, 73; consolidating learning about, 140, 141; distressing situations and, 69–70, 75–76, 83–87; explanation of, 59–60; imaginal exposure and, 83–87, 196–198, 210–211; life domains and, 63–69; moment of choice and, 71, 88; Monsters on the Bus exercise and, 75–82; motivation and, 60, 71, 74, 75–76, 88; session protocols for, 195–214; summary points about, 73–74, 88; therapy dialogue examples, 66–67, 73, 77–82, 84–87 videos on mindfulness, 30 W watching thoughts, 32, 50, 143, 181 What Is Emotion Efficacy? handout, 15, 170 What You Can Expect from Emotion Efficacy Therapy handout, 14, 169 Wilson, Kelly, 3