FACT, a streamlined iteration of ACT, is a prominent member of the "third wave" psychotherapies. It harnesses processes highly regarded by clinicians and is rooted in the philosophical framework known as functional contextualism. Much like other third wave therapies, it incorporates mindfulness as a vital component.
In essence, FACT evaluates human behaviors within specific contexts, recognizing that individual emotions, such as anger, are not inherently problematic but can become so within particular circumstances.
Notably, ACT serves as a trans-diagnostic model, enabling therapists to assist individuals dealing with a wide range of issues, including depression, anxiety, pain management, diabetes control, and smoking cessation. It addresses the fundamental underlying factors contributing to these challenges.
An initial FACT consultation is typically completed in about 30 minutes, with subsequent follow-up sessions being shorter in duration. While the number of sessions may vary, it often falls within the range of 2 to 3 sessions.
This abbreviated time frame makes FACT particularly suitable for conventional healthcare settings characterized by high demand and limited psychological resources. Notably, the creators of ACT are open-handed with their knowledge and actively encourage trained clinicians to incorporate ACT processes into their practice.
In a nutshell, FACT seeks to guide individuals through a series of brief therapy sessions, helping them:
1. Embrace the unalterable aspects of their past (the acceptance component), learning to hold these experiences gently without allowing them to define their present.
2. Cultivate psychological flexibility, which entails being aware of and accepting the inevitable pain in life while pursuing one's core values.
3. Identify these core values and commit to living in alignment with them (the commitment aspect). This may necessitate bold steps and the willingness to endure discomfort that arises along the way. The goal is not to achieve a symptom-free existence but to lead a meaningful and purposeful life.
As summarized by Strosahl et al. (2012), a small set of mental processes underpin both human suffering and vitality. These processes consist of:
(i) Awareness of the present moment
(ii) Openness to private experiences (flexibility)
(iii) Engagement in valued activities.
FACT firmly asserts that all forms of human suffering, regardless of their nature, stem from deficiencies in one or more of these core processes.
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