ACT vs CBT: an Exercise in Idiosyncratic Language
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Since the development of acceptance and commitment therapy as a therapy model, there has been much debate about the similarities and differences between it and ‘second wave’ cognitive-behavioural practices (i.e. cognitive therapy, rational emotive behaviour therapy). This article builds on these discussions, discussing the underlying theoretical constructs relevant to the philosophy and practice of ACT and ‘second wave’ CBT models. Ultimately, this results in the conclusion that there are more similarities than differences between the two. Many of the espoused differences between them appear to be due to the implicit versus explicit attentional foci of the different models, and due to the development of idiosyncratic language by the different authors. As a result, it would appear that there is more to be gained by bringing these models together, to solidify the cognitive-behavioural framework and its application to therapy.
KeywordsCognitive-behavioural therapy ACT REBT CT
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Conflict of Interest
James Collard declares that he has no conflict of interest.
- Arch, J. J., Eifert, G. H., Davies, C., Vilardaga, J. C. P., Rose, R. D., & Craske, M. G. (2012). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. J Consult Clin Psychol. https://doi.org/10.1037/a002831010.1037/a0028310.supp(Supplemental).
- Beck, J. S. (1995). Cognitive therapy: basics and beyond. New York: Guilford Press.Google Scholar
- Beck, A. T., & Bredemeier, K. (2016). A unified model of depression: integrating clinical, cognitive, biological, and evolutionary perspectives. Clin Psychol Sci, 2167702616628523. https://doi.org/10.1177/2167702616628523.
- Beck, A. T., & Freeman, A. M. (1990). Cognitive therapy of personality disorders. New York: Guilford Press.Google Scholar
- Beck, A. T., & Haigh, E. A. P. (2014). Advances in cognitive theory and therapy: the generic cognitive model. Annu Rev Clin Psychol, 10, 1–24. https://doi.org/10.1146/annurev-clinpsy-032813-153734.Google Scholar
- Beck, A. T., Wright, F. D., Newman, C. F., & Liese, B. S. (1993). Cognitive therapy of substance abuse. New York: Guilford Press.Google Scholar
- Burklund, L. J., Creswell, J. D., Irwin, M. R., & Lieberman, M. D. (2014). The common and distinct neural bases of affect labeling and reappraisal in healthy adults. Front Psychol, 5. https://doi.org/10.3389/fpsyg.2014.00221.
- Craske, M. G., Niles, A. N., Burklund, L. J., Wolitzky-Taylor, K. B., Vilardaga, J. C. P., Arch, J. J., & Lieberman, M. D. (2014a). Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: outcomes and moderators. J Consult Clin Psychol, 82(6), 1034–1048. https://doi.org/10.1037/a0037212.Google Scholar
- David, D., & Hofmann, S. G. (2013). Another error of Descartes? Implications for the ‘third wave’ cognitive-behavioral therapy. Journal of Cognitive and Behavioral Psychotherapies, 13(1), 115–124.Google Scholar
- Deffenbacher, J. L., Dahlen, E. R., Lynch, R. S., Morris, C. D., & Gowensmith, W. N. (2000). An application of Beck’s cognitive therapy to general anger reduction. Cognitive Therapy & Research, 24(6), 689.Google Scholar
- Dimeff, L., & Linehan, M. M. (2001). Dialectical behavior therapy in a nutshell. The California Psychologist, 34, 10–13.Google Scholar
- Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behav Res Ther. https://doi.org/10.1016/S0005-7967(99)00123-0.
- Ellis, A. (1962). Reason and emotion in psychotherapy. Oxford: Lyle Stuart.Google Scholar
- Ellis, A. (1994). Reason and emotion in psychotherapy. Secaucus, NJ: Carol Publishing Group.Google Scholar
- Ellis, A., & Grieger, R. M. (1986). Handbook of rational-emotive therapy, Vol. 2. (A. Ellis & R. M. Grieger, Eds.). New York, NY, US: Springer Publishing Co.Google Scholar
- Ellis, A., & MacLaren, C. (1998). Rational emotive behavior therapy: a therapist’s guide. The practical therapist series.Google Scholar
- Ellis, A., David, D., & Lynn, S. J. (2010). Rational and irrational beliefs: a historical and conceptual perspective. In A. Ellis, D. David, & S. Lynn (Eds.), Rational and irrational beliefs: research, theory, and clinical practice (pp. 3–22). New York: Oxford University Press.Google Scholar
- Foa, E. B., & McLean, C. P. (2016). The efficacy of exposure therapy for anxiety-related disorders and its underlying mechanisms: the case of OCD and PTSD. Annu Rev Clin Psychol, 12, 1–28. https://doi.org/10.1146/annurev-clinpsy-021815-093533.Google Scholar
- Freud, S., & Hubback, C. J. M. (1922). Beyond the Pleasure Principle. In E. Jones (Ed.), International psychoanalytical library. London: The International Psycho-Analytical Press.Google Scholar
- Gagnon, J., Daelman, S., & McDuff, P. (2013). Correlations of impulsivity with dysfunctional beliefs associated with borderline personality. North American Journal of Psychology, 15(1), 167–178.Google Scholar
- Gaudiano, B. A. (2011). Evaluating acceptance and commitment therapy: an analysis of a recent critique. International Journal of Behavioral Consultation and Therapy, 7(1), 55–67.Google Scholar
- Goldfried, M. R., & Sobocinski, D. (1975). Effect of irrational beliefs on emotional arousal. Journal of Consulting and Clinical Psychology, 43(4), 504–510.Google Scholar
- Gross, J. (1998). The emerging field of emotion regulation: an integrative review. Rev Gen Psychol, 2. https://doi.org/10.1037/1089-2622.214.171.1241.
- Hayes, S. C. (2004). Acceptance and commitment therapy and the new behavior therapies: Mindfulness, acceptance, and relationship. In Mindfulness and acceptance: expanding the cognitive-behavioral tradition (pp. 1–30).Google Scholar
- Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press.Google Scholar
- Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: examining the progress of a distinctive model of behavioral and cognitive therapy. Behav Ther, 44(2), 180–198. https://doi.org/10.1016/j.beth.2009.08.002.Google Scholar
- Hazlitt, H., & Hazlitt, F. (1984). The wisdom of the stoics: selections from Seneca, Epictetus and Marcus Aurelius. London: University Press of America.Google Scholar
- Hofmann, S. G., & Hayes, S. C. (2018). The future of intervention science: process-based therapy. Clin Psychol Sci, 2167702618772296. https://doi.org/10.1177/2167702618772296.
- Horney, K. (1950). Neurosis and human growth; the struggle toward self-realization. Oxford: W. W. Norton.Google Scholar
- Jahoda, M. (1958). Current concepts of positive mental health. New York, NY: Basic Books.Google Scholar
- Losada, A., Márquez-González, M., Romero-Moreno, R., Mausbach, B. T., López, J., Fernández-Fernández, V., & Nogales-González, C. (2015). Cognitive–behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for dementia family caregivers with significant depressive symptoms: results of a randomized clinical trial. J Consult Clin Psychol, 83(4), 760–772. https://doi.org/10.1037/ccp0000028.Google Scholar
- Maslow, A. H. (1968). Toward a psychology of being. Oxford: D. Van Nostrand.Google Scholar
- Oakley, W. C., & Freeman, A. (2009). Cognitive-behavioral therapy: breadth, range, and diversity. In D. C. Richard & S. K. Huprich (Eds.), Clinical psychology: assessment, treatment, and research (pp. 281–308). San Francisco: Elsevier.Google Scholar
- Szentagotai, A., Schnur, J., DiGiuseppe, R., Macavei, B., Eva, K., & David, D. (2005). The organization and the nature of irrational beliefs. J Cogn Behav Psychother, 5(2), 139–158.Google Scholar
- Taylor, S., Coles, M. E., Abramowitz, J. S., Wu, K. D., Olatunji, B. O., Timpano, K. R., & Tolin, D. F. (2010). How are dysfunctional beliefs related to obsessive-compulsive symptoms. J Cogn Psychother. https://doi.org/10.1891/0889-83126.96.36.199.
- van den Heuvel, T. J., Derksen, J. J. L., Eling, P. A. T. M., & van der Staak, C. P. F. (2012). An investigation of different aspects of overgeneralization in patients with major depressive disorder and borderline personality disorder. Br J Clin Psychol, 51(4), 376–395. https://doi.org/10.1111/j.2044-8260.2012.02034.x.Google Scholar
- Vîslǎ, A., Flückiger, C., Grosse Holtforth, M., & David, D. (2016). Irrational beliefs and psychological distress: a meta-analysis. Psychotherapy and Psychosomatics. https://doi.org/10.1159/000441231.
- Wells, A. (2009). Metacognitive therapy for anxiety and depression. New York, NY: Guilford Press.Google Scholar
- Zettle, R., & Hayes, S. (1982). Rule-governed behavior: a potential theoretical framework for cognitive–behavioral therapy (Vol. 1). https://doi.org/10.1016/B978-0-12-010601-1.50008-5.