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Sessions 7 and 8

Michael P. Twohig, Michael Levin, Clarissa W. Ong

ACT in Steps September 1, 2020 DOI: 10.1093/med-psych/9780190629922.003.0009 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Practical guide or manual Peer reviewed
Interventions Brief mindfulness exercise NOTE acronym
Key points The chapter proposes that therapists can lead brief mindfulness exercises at the start of sessions to increase clients' present-moment awareness, use the NOTE acronym to help clients remember skills of noticing, observing, turning toward values, and engaging, and introduce self-as-context once acceptance and defusion skills are sufficiently developed, using metaphors to illustrate the concept.

Abstract

This chapter opens with teaching therapists how to lead a brief mindfulness exercise at the start of therapy sessions to increase clients’ present-moment awareness. The chapter describes the NOTE acronym as a means to help clients remember the skills they have learned up to this point: to notice what is happening, observe thoughts and feelings for what they are, turn toward their values, and engage in what matters. If clients have sufficiently built up acceptance and defusion skills, therapist may begin work on self-as-context. The chapter concludes with explaining how to introduce self-as-context to clients and provide metaphors to illustrate this tricky concept.

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