![]() As you work with your client, when they say something that shows to contribute to their problematic inflexibility, you can write that down on the worksheet in the domain related to their inflexibility. Patty Bach and I developed a worksheet for the Inflexahex for clinicians to use for taking notes. We can put all of these clinically relevant inflexible concerns on a similar hexagon model and we call it the Inflexahex. Finally, a psychologically flexible repertoire is contacting the present moment, whereas inflexibility gets fostered by weak self-knowledge or a dominating concept of the past or the future. Having clearly authored values contributes to psychological flexibility and lacking clarified values or being dominated by pliance, tracking or problematic augmenting can be a clinical concern. Committed action occurs with psychologically flexible repertoires and we see clinical struggle with persistent inaction, impulsivity or avoidance. And if there is rigidity around this, we would call that attachment to the conceptualized self. Having an ability to contact the self as context can actually assist psychological flexibility. The converse of defusion is when the client is engaged in cognitive fusion. When a client is having trouble with accepting, we call that experiential avoidance. This is the hexagon model that shows what psychological processes can lead to inflexibility, thus the name Inflexahex. Each of the six points of the ACT hexagon model has a converse and we can look at the six points on the model called the Inflexahex. So part of the training in case conceptualization is learning what is on the other side of the spectrum of a flexible repertoire. In the last part of the Acceptance and Commitment Therapy case conceptualization training, I discussed how the assessment tracks the six processes of the ACT approach – defusion, acceptance, self as context, values, contact with the present moment and committed action – in order to assist the counselor in facilitating greater psychological flexibility for the client.Īnd the counselor also has to look out for where the client is lacking in these six areas of flexibility.
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