ACT with the Multi-Problem Patient

Abstract

The goal of this chapter is to describe an ACT approach to understanding and treating the multi-problem patient. To accomplish this objective, I will review the genesis of the personality disorder construct and describe how it can be re-conceptualized within an ACT framework. This will allow you, the clinician, to identify the core processes underpinning the multiproblem behavior pattern and, in turn, better target your interventions. The remainder of the chapter will describe a coherent set of ACT interventions for multi-problem patients, including how to understand and address chronic suicidal and self-destructive behavior. Finally, I will offer some practical suggestions on how you can manage the interpersonal and motivational 'space' when working with these clients, using very basic ACT principles. (PsycInfo Database Record (c) 2022 APA, all rights reserved)