Working More Effectively with Difficult Clients. University of Nevada, Reno. Logistics. NIDA funded study Audio taping info. Cell phones Meals Bathroom breaks Participant packets Any logistical questions? . Schedule. Today 9:45-12:00 Workshop 12:00-1:00Lunch 1:00-4:45Workshop
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University of Nevada, Reno
Tomorrow: Working with culturally different clients
Based on the principles of:
Acceptance and Commitment Therapy (ACT)
In a minute or less:
1) There’s a stream of judgments and evaluations that come up when we are with difficult clients -- towards the other person and towards ourselves.
2) There are feelings and reactions associated with this that are not easy to sit with.
The problem isn’t the judgments, stereotypes, or evaluations themselves, but when they structure our world without our noticing this process.
2010 - $9B
Acceptance and Commitment Therapy
Psychological flexibility is contacting the present moment fully as a conscious human being, as it is, not as what it says it is, and based on what the situation affords, changing or persisting in behavior in the service of chosen values.
And it May Help Your Clients: Severe Substance Abuse
Objectively Assessed Opiates
Percentage Negative UAs
6 Mo Follow Up
3 randomized trials are now done:
ACT versus Nicotine Replacement (Gifford et al., Behavior Therapy, 2004; N = 76)
ACT + FAP + Zyban versus Zyban (Gifford et al., soon to be under review; N = 303)
ACT versus CBT (Hernandez-Lopez, Roales-Nieto, & Luciano, Universidad de Almería, Spain; under review; N = 81)
Details vary: group, individual, length but all have one year follow-up and the major empirically supported approaches are there as comparisons
Overall effect size
d = .34
ACT + FAP + Zyban
Percentage Not Smoking
See, that’s what I’m talking about!