Akzeptanz- und Commitmenttherapie im (psycho)onkologischen Gespräch
摘要
Acceptance and Commitment Therapy (ACT) is an empirically supported approach for reducing psychological distress and improving quality of life in cancer patients and survivors. The ACT model comprises six core therapeutic processes (values, commitment, acceptance, mindfulness, cognitive defusion, and self-as-context) which foster psychological flexibility and are associated with lower psychological burden. The aim of this article is to present ACT, its therapeutic stance, and the current state of empirical evidence. In addition, concrete examples of application that can be integrated into everyday (psycho-)oncological practice by physicians and psycho-oncologists are presented. These include brief experience-based exercises, concise questions, and metaphors (so-called microinterventions). Such interventions can support patients in living a values-based life in the here and now, even in the presence of distressing thoughts and emotions.