ACT Processes: Applying Cognitive Defusion in Binge Eating

Diana-Hill

Private Practice, Santa Barbara

Key Points

  1. With cognitive defusion, we’re just observing thoughts, getting space from them, and helping clients realize that they are not their thoughts.
  2. Incorporating compassion during treatment is essential as it encircles the ACT processes and helps clients make choices that align with their values.
  3. The white bear experiment is commonly used in ACT to exemplify how thought suppression works, or doesn’t.
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What Is Cognitive Defusion?

The fourth ACT process to be presented is cognitive defusion. The word defusion is an accepted word now, but it wasn’t a “real” word before ACT was developed. It was invented to demonstrate this concept. When things are fused together, they’re stuck. When you defuse from thoughts, you get more wiggle room from them, you get unstuck from them.

With cognitive defusion, we’re not necessarily changing or reframing thoughts. We’re just observing them, getting space from them, helping your client to realize that they are not their thoughts. Clients often believe their thoughts to be True, with a capital T, and follow them.

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