Introducing ACT With Compassion

Dear reader,

We feel a bit like a rude guest, who has forgotten to introduce you to their friend. If you’re reading this post, you’re probably a therapist looking for resources to learn and grow professionally. We think you might be interested in meeting this friend, “ACT With Compassion,” a website dedicated to helping therapists who are interested in bringing more compassion and effectiveness to their work with clients struggling with self-criticism and shame. Actwithcompassion.com is created by therapists at Portland Psychotherapy and is a place where we:

  • List all the latest training events for therapists that we can find that relate to things like self-compassion, compassion-focused therapy, and working with shame prone clients
  • Publish original resources for therapists (e.g. handouts, and exercises) that we’ve created that therapists can use in their practices to help clients with self-criticism and shame
  • Write blog posts about research and resources related to shame, self-criticism and self-compassion.

In our free time, we travel around the web, curating content (e.g. readings, videos, and measures) on self-compassion, shame and self-criticism. It’s possible that actwithcompassion.com might just become your go-to place for book and audio recommendations on these topics.

We apologize for the tardy introduction, but do hope you will become acquainted soon.

Sincerely,
Portland Psychotherapy

Written by Christina Chwyl, B.A.

Beauty is the Beast: When love, caring, and kindness are experienced as threatening

Beauty is the Beast: When love, caring, and kindness are experienced as threatening

There is a new study out in the Journal Mindfulness entitled Mindfulness and Metta-based Trauma Therapy (MMTT): Initial Development and Proof-of-Concept of an Internet Resource. This pilot study tested the feasibility of an internet-based adjunctive intervention for addressing PTSD and related symptoms. Previous research has shown that a 12-week lovingkindness, or Metta, intervention was effective for reducing PTSD symptoms, with large effect sizes. This current study, in part, addressed whether similar effects could be found using an online intervention.

 

The MMTT intervention was comprised of several different tasks that participants could choose from including a thought-record-like journaling task, a mindfulness task in which participants indicated whether or not their mind had wandered every time a bell rang, a lovingkindness task, and psychoeducation. When the authors compared whether participants with different levels of PTSD symptoms differentially preferred each task, only one between-group effect emerged: people with higher levels of PTSD symptoms rated the lovingkindness meditation less favorably than people with lower levels of PTSD symptoms.

 

Without extrapolating too much based on these correlational findings, it is worth considering whether some groups of people may be more likely than others to have a threat response to love, caring, or kindness. In addition to the MMTT study, other research has also shown a link between PTSD symptoms and a threat response to positive events such as getting thanked, or receiving a gift. A self-report scale called the Hedonic Deficit and Interference Scale has been developed to assess this tendency. An example item from this scale is [after experiencing a positive event] do you experience shame and humiliation?

 

When the learning history of survivors of interpersonal trauma is considered, it is understandable how a threat response to care would develop. In the case of survivors of childhood trauma perpetrated by caregivers, for example, the same person who provides care is also the source of threat. But what about other groups that may experience a threat response to care? Perhaps people who are highly self-critical may be more likely to attack themselves following what they perceive to be “undeserved” care? Indeed, research on fear of compassion has demonstrated that being afraid of compassion is linked to higher self-criticism. In addition, maybe people who tend toward emotional over control and perfectionism would also be more likely to experience care as aversive.

 

The question of which populations experience a threat response to warmth and care is a relatively new one with potentially important implications for therapy.

UPCOMING TRAINING EVENTS

An Introduction to Exposure Therapy for Anxiety Disorders: Traditional and Inhibitory Learning Approaches

Dr. Brian Pilecki
January 29, 2021 from 12:00pm-1:30pm PST
Exposure therapy is the gold-standard treatment for anxiety and obsessive compulsive and related disorders. The aim of this workshop is to provide a solid foundation in theory and knowledge for those newer to exposure therapy. This workshop will include a brief history of exposure therapy, including a description of its roots in classical and operant conditioning. Read More.


Using Acceptance and Commitment Therapy to Guide Flexible Exposure

Dr. Brian Thompson
February 26, 2021 from 1-2:30pm

Drawing from the ACT model, participants will learn to conceptualize and create exposure exercises to maximize flexibility. We will explore common pitfalls in using ACT as a context for exposure and how to create ACT-consistent exposure exercises for clients who are skeptical of “acceptance” and appear disinterested when you try to engage them about values. The presenter will use practice-based data to support these principles (Thompson, Twohig, & Luoma, in press). Read More.


An Introduction to Psychedelic-Assisted Psychotherapy for Clinicians

Dr. Brian Pilecki and Jason Luoma, Ph.D.
March 26, 2021 from 9am-12:10pm

Psychedelic assisted therapy is emerging as a highly effective form of mental health treatment. This workshop will provide health care professionals an overview of this new clinical area. The workshop will highlight the importance of preparation and integration in therapy using a harm reduction approach. The current legal status of psychedelics will be reviewed, including Oregon’s recent passing of an initiative to legalize psilocybin-assisted therapy. Finally, diversity issues around lack of access for underserved and non-majority populations will be explored. Read More.


How to be Experiential in Acceptance and Commitment Therapy

Jason Luoma, Ph.D.
April 23, 2021 from 12-1pm

Acceptance and commitment therapy (ACT) is, at its core, an experiential treatment, but is frequently delivered in a non-experiential way. Experiential learning involves going beyond verbal discussion, insight, and explanations of experience. But how do we do this in ACT and how do we know when we are spending too much time engaged in non-experiential modes of learning? This workshop will outline a simple model you can use to identify when you are in less or more experiential modes during therapy and easy methods to switch to more experiential modes. You will then have a chance to practice it in breakout groups and get feedback. Read More.


Case Conceptualization in Acceptance and Commitment Therapy

Jason Luoma, Ph.D. and Dr. Brian Pilecki
May 21, 2021 from 12-2pm

This workshop provides a chance to learn concrete methods for conceptualizing cases from the perspective of Acceptance and Commitment Therapy. Formulating a useful case conceptualization is a foundational clinical skill that is essential in delivering effective treatment, and one that can be often overlooked in the process of working with clients. Participants will learn several formats for doing formal case conceptualization outside of session as a means to further develop knowledge and skill with ACT theory, as well as to learn a means to enhance treatment planning. The importance of ongoing case conceptualization throughout a course of treatment will be emphasized, as well as common pitfalls in conceptualizing client problems. Participants will also have a chance to practice newly learned skills with a case in breakout groups. Read More.


ACT Precision Training: In-Session Case Conceptualization in Acceptance and Commitment Therapy to Help You be Focused and Strategic in Your Interventions

Jason Luoma, Ph.D. and Jenna LeJeune, Ph.D
June 18, 2021 from 12-2pm

This workshop provides a chance to learn and practice in-session, in-the-moment case conceptualization of cases from the perspective of Acceptance and Commitment Therapy. This workshop focuses on helping you use ACT theory & in-session clinical markers to make more precise and strategic interventions. The main goal of this workshop is to help you become more adept at identifying in-session client behaviors that are indicators for particular ACT processes that are likely to be most relevant. The workshop uses a process we call ACT Circuit Training, which involves intensive analysis of a video of an ACT session and intentional practice in conceptualizing client behavior and generating possible ACT responses, followed by discussion and feedback. Read More.


ACT Agility Training: In-Session Case Conceptualization in Acceptance and Commitment Therapy to Increase Flexible Responding

Jason Luoma, Ph.D. and Jenna LeJeune, Ph.D
July 16, 2021 from 12-2pm

This workshop provides a chance to learn and practice in-session, in-the-moment case conceptualization of cases from the perspective of Acceptance and Commitment Therapy. This workshop is intended to help therapists be more flexible and nimble in their use of ACT processes, strengthening their ability to fluidly shift as needed between processes within sessions. Therapist learning ACT often develop tunnel vision, focusing too much on particular processes or responding rigidly when more flexibility is needed. Read More.


Therapy and Research in Psychedelic Science (TRIPS) Seminar Series

Second Friday of each month from 12:00 PM – 1:00 PM (PT)

TRIPS is an online seminar series that hosts speakers discussing science-informed presentations and discussions about psychedelics to educate healthcare professionals. This series was created to guide healthcare providers and students preparing to be professionals towards the most relevant, pragmatic, and essential information about psychedelic-assisted therapy, changing legal statuses, and harm reduction approaches in order to better serve clients and communities. This seminar series is a fundraiser for our clinical trial of MDMA-assisted psychotherapy for social anxiety disorder that Portland Psychotherapy investigators are preparing for and starting in the Fall of 2021. All proceeds after presenter remuneration will go to fund this clinical trial. Read more.

December 11th, 2020 – Ethical and Legal Considerations in Providing Psychedelic Integration Therapy with Brian Pilecki, Ph.D. & Jason Luoma, Ph.D.
January 8th, 2021 – What’s it Like to Trip? The Patient Experience in Psychedelic-Assisted Therapy with Brian Pilecki, Ph.D.
February 12th, 2021 – 5-MEO-DMT with Rafael Lancelotta, M.S.
March 12th, 2021 – What does Psilocybin-Assisted Therapy for Depression Look Like? A Clinical Case Presentation based on a Recent Clinical Trial from Johns Hopkins with Alan K. Davis, Ph.D.
April 9th, 2021 – Gregory Wells, Ph.D.
May 14th, 2021  Research on MDMA and Psychedelic-Assisted Therapy: An Overview of the Evidence for Clinicians with Jason Luoma, Ph.D.