دانلود رایگان مقاله انگلیسی شرم، نکوهش خود، خود استیگما و همدردی در پذیرش و تعهد درمان - الزویر 2015

Abstract

Within the past decade, empirical evidence has emerged supporting the use of Acceptance and Commitment Therapy (ACT) targeting shame and self-stigma. Little is known about the role of self-compassion in ACT, but evidence from other approaches indicates that self-compassion is a promising means of reducing shame and self-criticism. The ACT processes of defusion, acceptance, present moment, values, committed action, and self-as-context are to some degree inherently self-compassionate. However, it is not yet known whether the self-compassion inherent in the ACT approach explains ACT’s effectiveness in reducing shame and stigma, and/or whether focused self-compassion work may improve ACT outcomes for highly selfcritical, shame-prone people. We discuss how ACT for shame and stigma may be enhanced by existing approaches specifically targeting self-compassion.

Conclusion

Acceptance and Commitment Therapy successfully improves lives in a wide variety of ways. One fruitful domain for the application of ACT is in addressing self-criticism, self-stigma and shame, which are issues relevant to many people seeking treatment across a range of diagnostic categories. While self-compassion is inherent in the ACT model, there may be important ways to strengthen this process, a process which appears to be particularly important to highly self-critical and shame prone individuals. The rapidly growing body of research on compassion and self-compassion should be attended to by contextual behavioral science treatment developers.