Kirk D. Strosahl – författare

Detta är den självklara boken för alla som arbetar med potentiellt suicidala personer. Den kan revolutionera det svenska sättet att se på suicidprevention. En mycket välskriven och gedigen kunskapskälla, med konkreta behandlingsupplägg som bygger på det senaste inom suicidforskningen. Jag blir varm och glad över att se denna typ av kunskap paketeras så fint! Denna bok kan rädda liv!

Ludmilla Rosengren, leg. läkare med grundläggande utbildning i KBT och medgrundare till Suicide Zero.

Det finns ingen bok som varit så hjälpsam i mitt arbete med klienter som har komplexa problem. Att den äntligen kommer på svenska är otroligt viktigt och glädjande. Om du jobbar med suicidnära klienter, läs den!”

Thomas Gustavsson, leg. psykolog, verksam på Segesholms behandlingshem i Skåne.

Suicidala patienter är en efterfrågad handbok som här finns i en ny utgåva. Författarnas utgångsläge är att suicidalt beteende är ett farligt och kortsiktigt problemlösande beteende för att hantera intensiv känslomässig smärta. De tar upp akuta kriser, behandling inom primärvården och i psykiatrisk öppenvård respektive heldygnsvård, samt behandling av särskilda målgrupper som ungdomar, äldre och patienter med substansberoende eller psykos. Det praktiska förhållningssättet är grundat i ACT och KBT.Fackgranskning och svenskt förord av Johanna Morén, leg. psykolog, leg. psykoterapeut och handledare i KBT. Hon har även anpassat avsnittet om juridik till svenska förhållanden.

John A. Chiles är psykiater och professor emeritus på Institutionen för psykiatri och beteendevetenskap, University of Washington School of Medicine. Kirk D. Strosahl är fil.dr, leg. psykolog och chef för Heart Matters Consulting i Portland. Laura Weiss Roberts är psykiater, innehar professuren till minne av Katharine Dexter McCormick och Stanley McCormick samt är prefekt på Institutionen för psykiatri och beteendevetenskap vid Stanford University School of Medicine. Hon har även en masterexamen i filosofi.

Fokuserad ACT beskriver en fokuserad behandlingsinsats på upp till fem samtal utifrån kärnkomponenterna i acceptance and commitment therapy, ACT. Syftet är att bidra till den förändring som klienten är beredd att göra – och som allra mest höjer personens livskvalitet och funktionsnivå. Med ett strukturerat och pedagogiskt upplägg, och ett lättförståeligt språkbruk, går författarna igenom olika interventioner med hjälp av illustrerande fallexempel. Denna utgåva har även ett extra kapitel om hur man implementerar metoden i befintliga verksamheter i Sverige.

Fokuserad ACT ger en bra introduktion till ACT-modellens centrala processer och utgör också en värdefull kunskapskälla för mer erfarna behandlare som vill vidareutveckla sina praktiska färdigheter i ACT. Den passar således både studerande och yrkesverksamma kliniker.

De tre författarna har utvecklat behandlingsmodellen Fokuserad ACT. Kirk Strosahl och Patricia Robinson är fil.dr och psykologer verksamma i USA, samt världsledande inom ACT. Thomas Gustavsson är leg. psykolog och verksam vid Segesholms behandlingshem och Human ACT i Skåne. Han har arbetat med ACT sedan slutet av 1990-talet.

Acceptance and Commitment Therapy (ACT) har på kort tid förändrat synen på psykoterapi och vad som orsakar mänskligt lidande. I standardverket ACT i teori och tillämpning beskriver grundarna terapiformen, från relationsinramningsteori till övningar och metaforer. 

ACT utgår från att lidande i huvudsak uppstår utifrån normala psykologiska processer, i synnerhet människans språk och kognition. På grund av språkets symboliska kraft kan vi till exempel reagera som om något hemskt händer just nu, trots att händelsen inträffade för flera år sedan. För att främja psykologisk flexibilitet betonas emotionella, interpersonella och upplevelsebaserade aspekter i behandlingsarbetet. Syftet är att klienten ska kunna och våga närma sig det som är viktigt i livet – även om det är smärtsamt. 

Denna andra utgåva av ACT i teori och tillämpning är kraftigt omarbetad och speglar den omfattande utveckling som skett inom forskning, teori och klinisk tillämpning. Med hjälp av många fallexempel och dialoger visar författarna hur ACT kan bedrivas i praktiken.

Boken är användbar för såväl nybörjaren som för den mer erfarna ACT-terapeuten.

Frightening and destabilizing as they may be, personal crises can also provide meaningful opportunities for learning and growth. For individuals struggling with mental disorders, however, mitigating the former and fostering the latter can be challenging, particularly in the context of what are often time-limited conversations or a limited number of visits.

In Crisis Integration With Acceptance and Commitment Therapy: Theory and Practice, health care professionals will find a practical guide, informed by both theory and evidence, to the psychological skills patients need to deal with and grow through crises.

Enlivened by detailed and engaging clinical dialogues—all based on real-world clinical practice—this book introduces the acceptance and commitment therapy (ACT) model, demonstrating how it applies to findings from crisis studies and can be integrated into clinical practice. It then delves into the three core processes of ACT:

• Mindfulness, as understood in terms of predictive coding as well as non-systematic interoceptive exposure, and its effectiveness in both acute and chronic crises• Self-compassion and how the action of bringing affection and kindness to oneself during intense torment can be crucial to acceptance• Engagement with life and the importance of controlling one''s own behavior in the midst of otherwise uncontrollable crisis-provoking events

Although crises come in a variety of forms, Crisis Integration With Acceptance and Commitment Therapy: Theory and Practice argues that the core processes that underpin the generation and maintenance of a crisis response are essentially the same and helps to simplify the conceptualization of complex clinical presentations.

By accessibly and deftly melding crisis science, evolutionary psychology, neuroscience, behavioral psychology, and the practice of mindfulness, this volume offers readers—be they psychiatrists, psychiatric residents, psychologists, psychotherapists, or other health care professionals—an approach that is easy to learn, simple to remember, and applicable to any crisis situation that their patients may be confronting.

Since the original publication of this seminal work, acceptance and commitment therapy (ACT) has come into its own as a widely practiced approach to helping people change. This book provides the definitive statement of ACT--from conceptual and empirical foundations to clinical techniques--written by its originators. ACT is based on the idea that psychological rigidity is a root cause of a wide range of clinical problems. The authors describe effective, innovative ways to cultivate psychological flexibility by detecting and targeting six key processes: defusion, acceptance, attention to the present moment, self-awareness, values, and committed action. Sample therapeutic exercises and patient-therapist dialogues are integrated throughout. New to This Edition *Reflects tremendous advances in ACT clinical applications, theory building, and research. *Psychological flexibility is now the central organizing focus. *Expanded coverage of mindfulness, the therapeutic relationship, relational learning, and case formulation. *Restructured to be more clinician friendly and accessible; focuses on the moment-by-moment process of therapy. See also Experiencing ACT from the Inside Out: A Self-Practice/Self-Reflection Workbook for Therapists, by Dennis Tirch, Laura R. Silberstein-Tirch, R. Trent Codd III, Martin J. Brock, and M. Joann Wright.

Since the original publication of this seminal work, acceptance and commitment therapy (ACT) has come into its own as a widely practiced approach to helping people change. This book provides the definitive statement of ACT--from conceptual and empirical foundations to clinical techniques--written by its originators. ACT is based on the idea that psychological rigidity is a root cause of a wide range of clinical problems. The authors describe effective, innovative ways to cultivate psychological flexibility by detecting and targeting six key processes: defusion, acceptance, attention to the present moment, self-awareness, values, and committed action. Sample therapeutic exercises and patient-therapist dialogues are integrated throughout. New to This Edition *Reflects tremendous advances in ACT clinical applications, theory building, and research. *Psychological flexibility is now the central organizing focus. *Expanded coverage of mindfulness, the therapeutic relationship, relational learning, and case formulation. *Restructured to be more clinician friendly and accessible; focuses on the moment-by-moment process of therapy. See also Experiencing ACT from the Inside Out: A Self-Practice/Self-Reflection Workbook for Therapists, by Dennis Tirch, Laura R. Silberstein-Tirch, R. Trent Codd III, Martin J. Brock, and M. Joann Wright.

Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors'' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain -- a quick fix where a long-term effective solution is needed -- and this understanding is the underpinning of the assessment and treatment strategies the authors recommend.

The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. • The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits).• The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. • The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes.• Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter "Suicidal Patients in Primary Care" explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan.• "Tips for Success" appear at intervals, and "The Essentials" are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises.

Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians'' working libraries.

The traditional practice of psychiatry has been focused on reducing or eliminating distressing, unwanted symptoms. But what if the key to health and well-being is not to be symptom free, but rather to function effectively in life even when symptoms are present? What if symptoms serve an adaptive and motivational function, rather than being signals of a latent illness? What if the key to personal health is the ability to accept symptoms for what they are and to do what matters in life at the same time? This is the underlying proposition of Acceptance and Commitment Therapy (ACT), and this book -- a collaboration among six clinicians from diverse practice backgrounds -- is the first to systematically describe the principles and practices of ACT as they apply to psychiatric assessment, case analysis, and treatment.

The guide begins with an in-depth analysis of the ACT model, from its scientific origins in the study of the functions of human language to a fully elaborated model for clinical assessment and intervention and outlines the clinical benefits of ACT in everyday practice.

The second section of the book shows the reader how to conduct a streamlined assessment of the patient''s life context, how to detect and intervene with the patient''s unworkable emotional and behavioral avoidance strategies, and how to blend the use of medication treatment and behavioral interventions in a way that augments the beneficial effects of both approaches.

Chapter-length examples in the third section discuss how to deliver ACT in an ambulatory psychiatric setting, in a hospital consultation-liaison service, and in an inpatient psychiatric context. The section also includes a chapter examining the all-important issue of teaching ACT to psychiatric residents as well as affiliated health professionals working in medical or psychiatric treatment team contexts.

Learning Acceptance and Commitment Therapy uses a diverse array of case examples and clinical dialogues to offer readers a real-life view of the methodology in practice. Each chapter also includes additional reading resources to pursue should a particular theoretical or applied clinical concept create a desire to learn more. Additionally, readers have unlimited access to an online instructional library that includes video demonstrations of core ACT clinical strategies "in action" as well as a host of written practice support tools and worksheets.

This book is a must for clinicians who want to expand their ability to improve clinical outcomes for the wide range of patients seen in clinical practice.

Acceptance and Commitment Therapy (ACT) har på kort tid förändrat synen på psykoterapi och vad som orsakar mänskligt lidande. I standardverket ACT i teori och tillämpning beskriver grundarna terapiformen, från relationsinramningsteori till övningar och metaforer. 

ACT utgår från att lidande i huvudsak uppstår utifrån normala psykologiska processer, i synnerhet människans språk och kognition. På grund av språkets symboliska kraft kan vi till exempel reagera som om något hemskt händer just nu, trots att händelsen inträffade för flera år sedan. För att främja psykologisk flexibilitet betonas emotionella, interpersonella och upplevelsebaserade aspekter i behandlingsarbetet. Syftet är att klienten ska kunna och våga närma sig det som är viktigt i livet – även om det är smärtsamt. 

Denna andra utgåva av ACT i teori och tillämpning är kraftigt omarbetad och speglar den omfattande utveckling som skett inom forskning, teori och klinisk tillämpning. Med hjälp av många fallexempel och dialoger visar författarna hur ACT kan bedrivas i praktiken.

Boken är användbar för såväl nybörjaren som för den mer erfarna ACT-terapeuten.