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InterACT with Couples: Interpersonally Extended Acceptance and Commitment Therapy for Intimate Partners


Acceptance and Commitment Therapy (ACT) has been extensively studied and utilized as an individual form of therapy while its application to couples therapy has been somewhat limited to a few notable publications (Harris, 2023; Lawrence, Cohn, & Allen, 2022; Lev & McKay, 2017) and a relatively small, but growing body of promising research (Ahmadzadeh, et al. 2019; Veshki, et al. 2017) suggesting comparable effectiveness of ACT with cognitive-behavioral couple therapy and integrative couples therapy, and in some regards with emotionally focused therapy (Ghahari, et al. 2021). ACT’s model of psychological flexibility, when extended interpersonally, can offer a unique lens to case conceptualization and functional analysis when examining patterns of interaction between intimate partners. What’s more, yearnings - deep, enduring longings or psychological needs, which are a recent addition to ACT’s theoretical base - are often the primary motivators influencing one or both partners seeking therapy. Individual and interpersonal yearnings compete for attention within relationships, as partners attempt to satisfy yearnings in unworkable (values-incongruent) ways that create conflict, tension, and disconnection. Combined with built-in survival mechanisms that surface when faced with a threat to ‘self’ or one’s relationship, partners can become trapped in contextual clash cycles that inadvertently reinforce suffering.

This 14-hour live-online course will introduce a reimagined ACT Hexaflex that situates yearnings as a core functional feature of an interpersonal psychological flexibility model. Participants will have a chance to:

  • Experience the psychological flexibility processes extended interpersonally;

  • Conduct a couples intake interview with the InterACT Matrix;

  • Formulate a multi-level case conceptualization for couples that integrates ACT processes, attachment patterns, behavioral principles, sociocultural factors, and survival mechanisms;

  • Step into the role of self-as-instrument to work towards creating a therapeutic context of intimacy and vulnerability that begins with safety;

  • Experiment with deepening affect, perspective-taking, and values-based exercises for intimate partners;

  • Practice the steps of creative hopelessness for couples to disrupt unworkable patterns of interaction and set the stage for meaningful change;

  • Enlist the help of the couple in an ongoing collaborative functional analysis that introduces four foundational skills of relational efficacy;

  • Practice shaping flexibility between partners in ways that naturally fulfill intimate yearnings.

The workshop will include the following components: didactics, experiential exercises, video vignettes, demonstrations, dyadic and small group practice. As a bonus, participants will also get to learn the art of improv! Note: while the case examples and practice will be focused on intimate partners, most of the principles and processes presented in the course are applicable to any interpersonal context.

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May 19

InterACT with Couples: Yearnings and Interpersonal Flexibility

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December 3

ACT for Couples: Building Connection and Flexibility in Relationships