Acceptance and Commitment Therapy (ACT) offers an alternative to traditiona
l psychotherapies designed to regulate affect. ACT is based on the premise
that normal cognitive processes distort and enhance the experience of unple
asant emotion, leading clients to engage in problematic behaviors designed
to avoid or attenuate those unpleasant emotions. Such avoidant behavior pat
terns can hinder and prevent client movement toward valued goals and place
the client in harmful situations. Rather than work working to change cognit
ions or decrease levels of emotion, the ACT approach involves the client di
rectly experiencing problematic emotions in a context in which the literal
functions of language enhancing the negative implications of those emotions
are stripped away. The focus throughout the treatment is facilitating the
client's movement toward a more valued and personally fulfilling life, in a
context in which previously obstructive unpleasant emotions no longer serv
e as obstructions. A case study is provided to illustrate some of ACT's cor
e techniques. (C) 2001 John Wiley & Sons.