Acceptance and Commitment Therapy: An Existential Approach To Therapy?
DOI:
https://doi.org/10.65828/yk9znp11Keywords:
Acceptance and Commitment Therapy (ACT), existential-phenomenological therapy, integration, researchAbstract
This paper aims to explore the similarities and tensions between Acceptance and Commitment Therapy (ACT) and existential-phenomenological therapy. Parallel processes and attitudes are outlined, and conceptual and historical differences are discussed. The benefits of such a comparative exploration are also reviewed, with a view to assisting communication and integration between these two models. I trained as an existential counselling psychologist nearly ten years ago. Since then, and like many other practitioners, I have travelled from the forests and clearings of existential-phenomenological psychotherapy, through the well-designed and beautiful cities of Cognitive-Behavioural Therapy (CBT) and the lakes of mindfulness, and arrived among the mountains of Acceptance and Commitment Therapy (ACT). I often feel that I am practicing existentially when I am using ACT to assist my clients. In this paper, I will seek to clarify my thinking around this. Is this an illusion? What is currently being written about this? How is ACT an existential approach to therapy? How is it not? And does this matter? How could or should therapists respond to this?
Complete access to the full archive of articles is available with SEA membership. Existing members: please log in with your membership password to view full text. Non-members can buy a single article or issue by registering an account on this website, then selecting a padlocked full text button to purchase.
References
Badiee, M. (2008). On the Road to Being: My Personal Journey into Existential Theory and Practice. Journal of Humanistic Psychology, 48(4): 477-488. DOI: https://doi.org/10.1177/0022167808316248
Bunting, K. and Hayes, S. C. (2008). Language and Meaning: Acceptance and Commitment Therapy and the EI Model. In Schneider, K.J. (ed) Existential-Integrative Psychotherapy: Guideposts to the Core of Practice, New York/London: Routledge.
Claessens, M. (2009). Mindfulness and Existential Therapy. Existential Analysis, 20(1): 109-119. DOI: https://doi.org/10.65828/x3vare38
Claessens, M. (2010). Mindfulness-based Third Wave CBT Therapies and Existential-Phenomenology: Friends or Foes? Existential Analysis, 21(2): 295-308. DOI: https://doi.org/10.65828/yxmpt887
Dalrymple, K.L., Morgan, T.A., Lipschitz, J.M., Martinez, J.H., Tepe, E. and Zimmerman, M. (2014). An Integrated, Acceptance-based Behavioral Approach for Depression with Social Anxiety: Preliminary Results. Behavior Modification, 38(4): 516-548. DOI: https://doi.org/10.1177/0145445513518422
Day, W. F. (1969). Radical Behaviorism in Reconciliation with Phenomenology. Journal of the Experimental Analysis of Behavior, 12(2): 315-328. DOI: https://doi.org/10.1901/jeab.1969.12-315
Deurzen, E. van. (2014). Becoming an Existential Therapist. Existential Analysis, 25(1): 6-16.
Fallon, D. (1992). An existential look at B. F. Skinner. American Psychologist, 47(11): 1433-1440. DOI: https://doi.org/10.1037//0003-066x.47.11.1433
Felder, A.J., Aten, H.M., Neudeck, J.A., Shiomi-Chen, J., and Robbins, B.D. (2014). Mindfulness at the Heart of Existential-Phenomenology and Humanistic Psychology: A Century of Contemplation and Elaboration. The Humanistic Psychologist, 42(1): 6-23. DOI: https://doi.org/10.1080/08873267.2012.753886
Garcia-Montes, J. M. and Perez-Alvarez, M. (2010). Exposition in existential terms of a case of 'Negative Schizophrenia' approached by means of Acceptance and Commitment Therapy. International Journal of Existential Psychology and Psychotherapy, 3(1): 1-18
Harris, W. (2013). Mindfulness-based Existential Therapy: Connecting Mindfulness and Existential Therapy. Journal of Creativity in Mental Health, 8(4): 349-362. DOI: https://doi.org/10.1080/15401383.2013.844655
Karekla, M. and Constantinou, M. (2010). Religious Coping and Cancer: Proposing an Acceptance and Commitment Therapy Approach. Cognitive and Behavioral Practice, 17: 371-381. DOI: https://doi.org/10.1016/j.cbpra.2009.08.003
Kvale, S. and Grenness, C.E. (1967). Skinner and Sartre: Towards a Radical Phenomenology. Review of Existential Psychology and Psychiatry, 7: 128-150. DOI: https://doi.org/10.5840/dspp197526
Madison, G. (2014). The palpable in existential counselling psychology. Counselling Psychology Review, 29(2): 25-33. DOI: https://doi.org/10.53841/bpscpr.2014.29.2.25
McGinley, P. (2006). The question of existential/phenomenological therapy. Existential Analysis: Journal of the Society of Existential Analysis, 17(2): 301-311. DOI: https://doi.org/10.65828/0y4jkc42
Milton, M., Charles, L., Judd, D., O'Brien, M., Tipney, A. and Turner, A. (2002). The existential-phenomenological paradigm: The importance for psychotherapy integration. Counselling Psychology Review, 17(2): 4-20. DOI: https://doi.org/10.65828/z7m6mr20
Nanda, J. (2010). Embodied Integration: Reflections on Mindfulness-based Cognitive Therapy (MBCT) and a Case for Mindfulness-based Existential Therapy (MBET). Existential analysis, 21(2): 331-350. DOI: https://doi.org/10.65828/zbm2tx05
Sharp, W., Shulenberg, S.E., Wilson, K.G. and Murrell, A.R. (2004). Logotherapy and Acceptance and Commitment Therapy (ACT): An Initial Comparison of Values-Centred Approaches. The International Form for Logotherapy, 27(2): 98-105.
Spinelli, E. (1997). Tales of Un-Knowing: Therapeutic Encounters from an Existential Perspective. London: Duckworth.
Spinelli, E. (2014). An existential challenge to some dominant perspectives in the practice of contemporary counselling psychology. Counselling Psychology Review, 29(2): 7-14. DOI: https://doi.org/10.53841/bpscpr.2024.39.1.89
Steffen, E. and Hanley, T. (2014). A moment to pause and reflect on the significance of the existential paradigm for counselling psychology. Counselling Psychology Review, 29(2): 2-6. DOI: https://doi.org/10.53841/bpscpr.2014.29.2.2
Wilson, K.G. with DuFrene, T. (2008). Mindfulness For Two: An acceptance and commitment therapy approach to mindfulness in psychotherapy. Oakland, CA: New Harbinger Publications.
Wilson, K.G., Bordieri, M.J., Flynn, M.K., Lucas, N.N. and Slater, M.R. (2011). Understanding Acceptance and Commitment Therapy in Context: A History of Similarities and Differences With Other Cognitive Behaviour Therapies. In Herbert, J.D. and Forman, E.M. (eds) Acceptance and Mindfulness in Cognitive Behaviour Therapy: Understanding and Applying The New Therapies, Hoboken, NJ: John Wiley and Sons, Inc. DOI: https://doi.org/10.1002/9781118001851.ch10
Yovel, I. and Bigman, N. (2012). Acceptance and Commitment to Chosen Values in Cognitive Behaviour Therapy. In Shaver, P.R. and Mikulincer, M. (eds) Meaning, Mortality and Choice: The social psychology of existential concerns, Washington, DC: APA. DOI: https://doi.org/10.1037/13748-000


