Self-as-Context in Act for PTSD: How to Practice
Booz Allen
Department of Veterans Affairs
Yale University
University of Nevada, Reno
Key Points
- The work of self-as-context can seem abstract at first.
- Work on introducing the idea that we limit ourselves when we buy into any thoughts, emotions, labels, or memories.
- Return to this component of ACT in vivo later in therapy when relevant examples present themselves.
- Demonstrate that it’s not just negative content or trauma-related thoughts that are problematic.
- Any content that we hold too closely can contribute to being stuck.
Materials Downloads
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Transcript
Because of its abstract nature, self-as-context work is not always simple for clients or, sometimes, even for therapists. But as long as the client can understand the basic concept of “You are not your thoughts and feelings,” the therapist can, if needed, move on to other domains and just look for opportunities to reinforce the experience of self-as-context more organically throughout the later work of therapy, referring back to the basic concepts as necessary.
Batten, S. V. (2011). Essentials of acceptance and commitment therapy. SAGE Publications Ltd.
It’s important, though, as you work to understand this perspective of self-as-context, to note that it’s not just negative labels or content that can be problematic. It may be easier to imagine examples like how a person who connects with labels of shy or nervous might make choices that constrain his life by avoiding social situations after a history of negative interpersonal situations.
Batten, S. V. (2011). Essentials of acceptance and commitment therapy. SAGE Publications Ltd.