Mindfulness Acceptance Based Behavioral Therapies in Practice provides an integrated structure for incorporating acceptance and mindfulness for cognitive-behavioral therapy. The book guides the therapist using evidence-based and researched therapies with individualized cases to help clients seeking treatment for maladaptive relationships regarding internal occurrences. An example is a client with a lack of awareness of where his or her judgment is clouded or having problems with fusion. The problem is experiential avoidance followed by behavioral constriction. The second problem the client might have is experiential avoidance, while the third is behavioral constriction. The book does not provide a protocol for the treatment or focus on one type of acceptance-based models. The principle diagnosis used with these guidelines are clients who have generalized anxiety disorder. The mindful approach is taken from Kabat-Zinn's (2005) method from Buddhist practice, using the concept of being present in the moment and also being aware of looking at the internal and the external issues by using acceptance.
Chapter one focuses on the client's avoidance of experiences, thoughts, and emotions. The book uses the term acceptance-based behavioral therapies (ABBTs) to define the therapy used. The central point of ABBT is being unambiguous or unswervingly focusing on the type of the client's connection to the internal and the methods used to facilitate change and augment the client's quality of life. The authors also includes cognitive behavioral therapy (CBT), acceptance commitment therapy (ACT), and dialectic behavioral therapy (DBT) as well as other kinds of acceptance methods of treatment. The first chapter also outlines methods for assessing clients.
Chapter two explains the process of developing case conceptualization when treating clients in the assessment of applicable domains. The client's symptoms are assessed by describing the difficulties that are hampering the client either physically or emotionally. The authors supply the therapist with an anxiety awareness sheet for rating the client's awareness on a scale of 0 to 100 at four different times during the day ( permission is granted to photocopy if the therapist desires to use it in practice). An emotional monitoring sheet is also included as well as an assessment of coping strategies sheet. Both of these forms are used for assessments at different times of the day involving situations, emotions, thoughts, physical sensations as well as responses and outcome (pp. 51-53). The chapter also provides connections of blatant behavior difficulties in how the client uses avoidance.
Chapter three continues with the development of case formulation and linking it to the treatment plan.
Chapter four provides an overview of the methods used for treatment. These set the stage for helping the therapist organize the practice by giving the mode of therapy to the number and length of therapy sessions. The therapist must be non-judgmental or critical. The authors recommend that the therapist have professional experience, with a graduate degree related to mental health. For certification, the therapist must (a) have a daily practice of meditation, (b) have a mentor and attend meditation retreats for 5 to 10 days, (c) be experienced with mindful approaches in following a discipline as in a form of yoga, (d) and attend training with Mindfulness-Based Cognitive Therapy (MBCT) and be trained to teach classes. It is strongly recommended (but not required) that the therapist have training in mindfulness-based practice. In addition, this chapter defines the roles regarding the client and the therapist as well as issues of culture, style, and past experiences in therapy and how they play an important role.
Chapter five explains the offerings of acceptance and mindfulness in behavioral functioning. Subsequent chapters up to and including chapter nine discuss finding a plan in monitoring and avoiding relapse with the client as well as how to terminate therapy. Chapter 10 discusses integration of other methods in ABBT therapy. Chapter 11 focuses on applicable cultural issues and provides resources to help treat those from different cultures.
The authors also provide suggestions for additional reading to help the therapist in the therapeutic process. The authors give their clinical convictions of the success of mindfulness-based practice. The book is a helpful guide for therapists who seek to use mindfulness-based practice.