A Perspective on Parenting Attitudes in the Context of Acceptance and Commitment Therapy: Examination of Two Works from the Field

Abstract

Since the dawn of the humanity, individuals have endeavored to pursue happy and avoid suffering. Despite exploring various paths to achieve these aims, they often find themselves back where they started. The aim of this study was to investigate parental attitudes based on the book “The Joy of Parenting: An Acceptance and Commitment Therapy Guide to Effective Parenting in the Early Years”, written within the framework of acceptance and commitment. The research employed the document analysis method, a qualitative research technique. It is stated that parental attitudes profoundly influence children and that such attitudes, learned within the family context, mold individuals throughout their lives. Although acceptance-commitment therapy, which is based on many schools of thought, attracts attention among current therapies, there remains a notable dearth of literature on its application to parenting, with limited studies dedicated to this intersection. The study reviewed parenting insights drawn from various sources and theoretical frameworks within the acceptance and commitment paradigm. Findings from literature and the book were synthesized, and subsequent discussions incorporated data from related studies. In the light of the data obtained, it was observed that undesirable parental attitudes were associated with psychological rigidity and desired parental attitudes were associated with psychological flexibility.

Keywords

• Acceptance and commitment
• Attitude
• Parent

References

1. Adcock, A., Murrell, A. & Woods, D. (2007). Emprisical supporrt fort he importance of valuing on psychological well-being. In Engaging in Life: Values and Valued Action as Catalysts for Symposium conducted annual meeting of the association for behavior analysis. Change.
2. Ak, M., Gülsün, M. & Nahit Özmenler, K. (2009). Suicide and personality. Psikiyatride Güncel Yaklaşımlar, 1, 45-54. https://doi.org/10.18863/pskguncel.133472
3. Akkaya, G. & Yılmaz, T. (2022). Cognitive Behavioral Therapy for nutrition and appetite anxiety: A case report. Klinik Psikoloji Dergisi, 6(3), 392-405. https://doi.org/10.5455/kpd.26024438m000072
4. Andersen, H. C. (2020). Seçme masallar. Türkiye İş Bankası Kültür Yayınları.
5. Armelie, A. P., Delahanty, P. L. & Boarts, J. M. (2010). The impact of verbal abuse on depression symptoms in lesbian, gay, and bisexual youth: The roles of self-criticism and psychological inflexibility. Poster presented at the June.
6. Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70 (5), 1129–1139. https://doi.org/10.1037//0022-006X.70.5.1129
7. Bach, P. A., & Moran, D. J. (2008). ACT in practice: Case conceptualization in acceptance and commitment therapy. New Harbinger Publica tions.
8. Baer, R., Smith, G., Hopkins, J., Krietemeyer, J. & Toney, L. (2006). Using self-report assesment methods to explore facets of mindfulness. Assessment, 13 (1), 27-45. https://doi.org/10.1177/1073191105283504

9. Baker, A. J. L. & Fine, P. R. (2014). Co-parenting with a toxic ex what to the when your ex-spouse tries to turn to kids aganist you. New Harbinger Publications.
10. Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic Guilford Press.
11. Baum, F. L. (2019). Oz büyücüsü. Türkiye İş Bankası Kültür Yayınları.
12. Black, T. D. (2022). ACT for treating children: the essential guide to acceptance and commitment therapy for kids. Context Press.
13. Blackledge, J. T., & Hayes, S. C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child & Family Behavior Therapy, 28(1), 1-18. https://doi.org/10.1300/J019v28n01_01
14. Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of clinical psychology, 57(2), 243-255. https://doi.org/10.1002/1097-4679(200102)57:2%3C243::AID-JCLP9%3E3.0.CO;2-X
15. Blonna, R. (2011). Maximize your coaching effectiveness with acceptance and commitment therapy. New Harbinger Publications.
16. Barrett, P., Rapee, R., Dadds, M. & Ryan, S. M. (1996). Family enhancement of cognitive style in anxious and aggressive children. An official publication of the International Society for Research in Child and Adolescent Psychopathology. Journal of Abnormal Child Psychology, 24 (2), 187–203. https://doi.org/10.1007/BF01441484
17. Batten, S. (2011). Essentials of acceptance and commitment therapy. Sage Publications.
18. Bennett-Levy, J. (2003). Mechanisms of change in cognitive therapy: The case of automatic thought records and behavioural experiments. Behavioural and Cognitive Psychotherapy, 31(3), 261-277. https://doi.org/10.1017/S1352465803003035
19. Bennett, R. & Oliver, J. E. (2019). Acceptance and commitment therapy 100 key points and techniques. Routledge.
20. Berlin, K. S., Sato, A. F., Jastrowski, K. E., Woods, D. W., & Davies, W. H. (2006). Effects of experiential avoidance on parenting practices and adolescent outcomes. In Comunicación oral presentada en Association for Behavioral Cognitive Therapies Annual Convention, Chicago.
21. Bilgen, İ. (2021). Terapide psikolojik esneklik: Kabul ve adanmışlık terapisi. Epsilon.
22. Bohlmeijer, E. T., Fledderus, M., Rokx, T. A., & Pieterse, M. E. (2011). Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49 (1), 62-67. http://dx.doi.org/10.1016/j.brat.2010.10.003
23. Borkovec, T., Ray, W. & Stober, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research, 22, 561–76.
24. Borkovec, T., & Hu, S. (199). The effect of worry on cardiovascular response to phobic imagery. Behaviour Reearch and Therapy, 28 (1), 69–73. http://dx.doi.org/10.1016/0005-7967(90)90056-o
25. Bowen, G. A. (2009) Documeant Analysis as a Qualitative Research Method. Qualitative Research Journal, 9 (2), 27-40. http://dx.doi.org/10.3316/QRJ0902027
26. Chawla, N. & Ostafin, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: an empirical review. Journal of Clinical Psychology, 63(9), 871- http://dx.doi.org/90. 10.1002/jclp.20400
27. Ciarrochi, J., & Bailey, A. (2008). A CBT-practitioner's guide to ACT: How to bridge the gap between cognitive behavioral therapy and acceptance and commitment therapy. New Harbinger Publications.
28. Ciarrochi, J., Hayes, S. & Bailey, A. (2021). Get Out of Your Mind and Into Your Life for Teens: A Guide to Living an Extraordinary Life. Instant Help.
29. Creswell, J. W. (2002). Educational Research. Planning, Conducting, and Evaluating Quantitative and Qualitative Research. Pearson Education.
30. Coyne, W. L., McHug, L. & Martinez, E. R. (2011). Acceptance and commitment therapy (act): advances and applications with children, adolescents, and families. Child and adolescent psychiatric clinics of North America, 20 (2), 379-399. https://doi.org/10.1016/j.chc.2011.01.010
31. Coyne, W. L., Miller, A., Low, C., Seifer, R. & Dikstein, S. (2007). Mothers’ empathic understanding of their toddlers: associations with maternal depression and sensitivity. Journal of Child and Family Studies 16(4), 483-497. https://doi.org/10.1007/s10826-006-9099-9
32. Coyne, W. L. & Murrel, R. A. (2021). Keyifli ebeveynlik çocuğunuzun erken dönemlerdeki zorluklar için bir kabul ve kararlılık terapisi (ACT) kılavuzu. Litera Yayıncılık.
33. Coyne, L. W., Low, C., Miller, R., Seifer, R. & Dickstein, S. (2006). Mothers’ empathic understanding of their toddlers: Associations with matternal sensitivity and depresssion. Journal of Child and Family Studies, 16 (4), 483-497. https://doi.org/10.1007/s10826-006-9099-9
34. Coyne, L. W., & Silvia, K. A. (2007). Does mindfulness influence parent–child interactions?: Preliminary findings from an experimental study. Poster presented at the World Congress of Behavioural and Cognitive Therapies, Barcelona, Spain.
35. Coyne, L. W. & Thompson, A. (2009). Maternal depression, locus of control, and emotion regulatory strategy as predictors of preschoolers' internalizing problems. Journal of Child and Family Studies, 20, 873-883. https://doi.org/10.1007/s10826-011-9455-2
36. Coyne, L. & Wilson, K. (2004). Cognitive fusion in impaired parenting: an RFTanalysis. International Journal of Psychology and Psychological Therapy, 4(3), 469-486.
37. Deichmann, W. B., Henschler, D., Holmstedt, B., & Keil, G. (1986). What is there that is not poison? This is a study of the third defense of paracelsus. Archives of Toxicology, 58(4), 207-213. https://doi.org/10.1007/BF00297107
38. Dix, T., Gershoff, E, Muenier, L & Miller, P. (2004). The affective structure of supportive parenting: Depressive symptoms, immediate emotion, and child-oriented motivation. Developmental Psychology, 40 (6), 1212-1227. https://doi.org/10.1037/0012-1649.40.6.1212
39. Dousti, P., Ghodrati, G. & Elibrahim, M. E. (2019). Guide of group psychotherapy based on acceptance and commitment therapy (ACT). Faragir Hegmataneh.
40. Dubowitz, H. (2013) World Perspectives on Child Abuse, 10th Aurora, Colorado.
41. Dunham, S. M., Dermer, S. B. & Carlson, J. (2011). Poisonous parenting: Toxic relationships between parents and their adult children. Routledge Series on Family Therapy and Counseling.
42. Edleson, J. L. (1991). Social workers’ intervention in woman abuse: 1907 to 1945. Social Service Review, 65, 304-313. https://doi.org/10.1086/603839
43. Fang, S., & Ding, D. (2020). A meta-analysis of the efficacy of acceptance and commitment therapy for children. Journal of Contextual Behavioral Science, 15, 225-234. https://doi.org/10.1016/j.jcbs.2020.01.007
44. Flaxman, P. E., Blackledge, J. T., & Bond, F. W. (2011). Acceptance and commitment therapy: Distinctive features. Routledge.
45. Forward, S. & Buck, C. (2015). Zor bir ailede büyümek geçmişi onarmanın ve hayatı geri kazanmanın yolları. İletişim Puplished.
46. Greco, L., Heffner, M., Poe, S., Ritchie, S. Polak, M. & Lynch, S. K. (2005). Maternal adjustment following preterm birth: contributions of experiential avoidance. Behavior Therapy 36 (2), 177–184. https://doi.org/10.1016/S0005-7894(05)80066-8
47. Gordon, L. (1988). Heroes oftheirovvn lives—The politics and history offamily violence—boston 1880-1960. Viking.
48. Gottman, J. M. & De Claire, J. (2001). Relationship therapy: A 5-step way to make better connections with your family, friends and lovers guide. Crown Publishing House.
49. Gottman, J.& Silvers, N. (1999). Seven principles for making marriage work: A practical guide from the country's leading relationship expert. Three Rivers Press.
50. Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy. New Harbinger Publications.
51. Harris, R. (2018). Mutluluk tuzağı. Litera.
52. Harris, R. (2017). Gerçeğin tokadı. Litera.
53. Hayes S. C. (1989). Rule-governed behavior: Cognition, contingencies, and instructional control. Plenum Press.
54. Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. https://doi.org/10.1016/S0005-7894(04)80013-3
55. Hayes, S. C., Barnes-Holmes, D. & Roche, B. (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. Kluwer Academic/Plenum Publishers.
56. Hayes, S. C., Louma, L. B., Bond, F. W., Masuda, A. & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, Processes and outcomes. Behaviour Research and Therapy, 44(1), 1-25. https://doi.org/10.1016/j.brat.2005.06.006
57. Hayes, S. C., Masuda, A., Bissett, R. T., Luoma, J., & Guerrero, L. F. (2004). DBT, FAP, and ACT: How empirically oriented are the new behavior therapy technologies? Behavior Therapy, 35 (1), 35–54. https://doi.org/10.1016/S0005-7894(04)80003-0
58. Hayes, S. C & Smith, (2021). Get out of your mind and ınto your life: the new acceptance and commitment therapy. New Harbinger Publications.
59. Hayes, S.C., Strosahl, K. & Wilson, K. (1999). Acceptance and commitment therapy: an experiential approach to behavior change, Guilford.
60. Hayes, S. C. & Strosahl, K., (2010). A practical guide to acceptance and commitment therapy. Springer.
61. Hayes, S. C., & Strosahl, K. D. (2005). A practical guide to acceptance and commitment therapy. Springer Science + Business Media.
62. Hayes, S.C. & Wilson, K. (2003). Mindfulness: Method and process. Clinical Psychology: Science and Practice, 10(2), 161-165. https://doi.org/10.1093/clipsy.bpg018
63. Hughes, D. A. (2009). Attachment-focused parenting: effective strategies to care for children. W. W. Norton & Company.
64. Hughes, H. M. (1988). Psychological and behavioral correlates of family violence in child witnesses and victims. American Journal of Orthopsychiatry, 58(1), 77-90. https://doi.org/10.1111/j.1939-0025.1988.tb01568.x
65. Horwath, J. (2015). The toxic duo: The neglected practitioner and a parent who fails to meet the needs of their child. The British Journal of Social Work, 46 (6), 1602-1616. https://doi.org/10.1093/bjsw/bcv086
66. Jackson, F. & Gillard, (2016). Acceptance and commitment therapy for dummies. John Wiley & Sons.
67. Jong, E. M. (1973). Fear of flying. Henry Holt and Company.
68. Jones, R. (2014) The best of times, the worst of times: Social work and its moment. British Journal of Social Work, 44(3), 485-502. https://doi.org/10.1093/bjsw/bcs157
69. Kabakçı, B. & Traş, Z. (2024). The roles of ınternet addiction and cyberbullying sensitivity for prediction of university students' psychological ınflexibility. Ahmet Keleşoğlu Eğitim Fakültesi Dergisi, 6(1), 30-42. https://doi.org/10.38151/akef.2024.128
70. Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. Brilliance Audio.
71. Keleş, F. B., Ak, M. & Kesici, Ş. (2023). Holistic evaluation of suicide with document analysis: The Sorrows of Young Werther. Ahmet Keleşoğlu Eğitim Fakültesi Dergisi, 5(3), 1043-1057. https://doi.org/10.38151/akef.2023.98
72. Manlick, C. F., Cochran, S. V. & Koon, J. (2013). Acceptance and commitment therapy for eating disorders: Rationale and literature review. Journal of Contemporary Psychotherapy, 43, 115-122.
73. Martin, S. G. (2002). Children exposed to domestic violence: psychological considerations for health care practitioners. Holistic Nursing Practice, 16 (3), 7-15. https://doi.org/10.1097/00004650-200204000-00005
74. Marx, B. P. & Sloan, D. M. (2005). Peritraumatic dissociation and ex- periential avoidance as predictors of posttraumatic stress symptomatology. Behaviour Research and Therapy. 43 (5), 569-583. https://doi.org/10.1016/j.brat.2004.04.004
75. McCracken, L.M., Gauntlett-Gilbert, J. ve Eccleston, C. (2010). Acceptance of pain in adoles cents with chronic pain: validation of an adapted assessment instrument and preliminary correlation analyses. European Journal of Pain,14 (3), 316–20.
76. McCurry, S., & Hayes, S. C. (1992). Clinical and experimental perspectives on metaphorical talk. Clinical Psychology Review, 12 (7), 763-785. https://doi.org/10.1016/0272-7358(92)90023-2
77. Mikulincer, M., Shaver, P., Bar-On, N. & Ein-Dor, T. (2010). The drivers and attractions of intimate relationships: Attachment insecurities and relational ambivalence. Journal of Personality and Social Psychology, 98 (3), 450-468. https://doi.org/10.1037/a0017366
78. Minuchin, S. (1974). Families and family therapy. Harvard University Press.
79. Morin, A. (2017). 13 things mentally strong parents don't do: Raising self-assured children and training their brains for a life of happiness, meaning, and success. William Morrow.
80. Morris, E. M., Johns, L. C., & Oliver, J. E. (Eds.). (2013). Acceptance and commitment therapy and mindfulness for psychosis. John Wiley & Sons, Incorporated.
81. Munro, E. (2011) The munro review of child protection: Final report—A child-cantred system, Department for Education, UK.
82. Murrell, A., Wilson, K., LaBorde, C., Drake, C. E. & Rogers, L. J. (2008). Relational responding in parents. The Behavior Analyst Today, 9 (3-4), 196–214. https://doi.org/10.1037/h0100659
83. Ney, P. G. (1987). Does verbal abuse leave deeper scars: a study of children and parents. Can J Psychiatry, 32 (5), 371-378. https://doi.org/10.1177/070674378703200509
84. Nichols, M. P. (2008). Family therapy: Concepts & Methods. Allyn & Bacon.
85. Nordstrom, P., Samuelsson, M., Asberg, M., Träskman‐Bendz, L., Åberg‐Wistedt, A., Nordin, C., & Bertilsson, L. (1994). CSF 5-HIAA predicts suicide risk after attempted suicide. Suicide and Life-Threatening Behavior, 24(1), 1-9. https://doi.org/10.1111/j.1600-0447.1995.tb09595.x
86. Oppenheim, D., Goldsmith, D. & Koren-Karie, N. (2004). Maternal insightfulness and preschoolers’emotion and behavior problems: Reciprocal influences in a therapeutic preschool program. Infant Mental Health Journal, 25(4), 352-367. https://doi.org/10.1002/imhj.20010
87. Osherson, D. N. & Lasnik, H. (1990). An invitation to cognitive science (Vol. 1). MIT Press.
88. Osofsky, J.D. (1999). The impact of violence on children. Future Chil, 9(3), 33 49. https://doi.org/10.2307/1602780
89. Ost, L. (2008). Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis. Behaviour Research and Therapy, 48 (3), 296–321. https://doi.org/10.1016/j.brat.2007.12.005
90. Pincus, D. B., Eyberg, S. M. & Choate, M. L. (2005). Adapting parant-child interaction therapy for young children with separation anxiety disorder. Education and Treatment of Children, 28, 163-181.
91. Pinker, S. (2002). The blank slate: The modern denial of human nature. New York: Viking.
92. Pinker, S. (1994). The language instinct. William Morrow.
93. Prevedini, A. B., Presti, G., Rabitti, E., Miselli, G., & Moderato, P. (2011). Acceptance and commitment therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. G Ital Med Lav Ergon, 33(1), A53-63.
94. Ruthschky, M. (1997). In die neue zeit: Aufzeichnungen 1988-1992. Berenberg Verlag.
95. Sarı, B., & Çiftçi, S. (2022). Examination of the reflections of parents' attitudes to the teacher, student and classroom. Ahmet Keleşoğlu Eğitim Fakültesi Dergisi, 5(3), 1400-1420. https://doi.org/10.38151/akef.2023.117
96. Shea, S. E. & Coyne, L. W. (2011). Maternal Dysphoric Mood, Stress, and Parenting Practices in Mothers of Head Start Preschoolers: The Role of Experiential Avoidance. Child & Family Behavior Therapy, 33(3), 231-247.
97. Schwartz, J. P., Thigpen, P. E. & Montgomery, J. K. (2006). An examination of parents' ways of processing emotions and self- differentiation of. Family Magazine, 14, 41-48. https://doi.org/10.1177/1066480705282050
98. Schultz, D. P. & Schultz, S. E. (2020). A History of Modern Psychology. Cengage Learning.
99. Shelley, M. (2012). Frankenstein; Or, The Modern Prometheus. Karbon Book Publishing.
100. Shoal, G. D., & Giancola, P. R. (2001). Cognition, negative affectivity and substance use in adolescent boys with and without a family history of a substance use disorder. Journal of Studies on Alcohol, 62(5), 675–686. https://doi.org/10.15288/jsa.2001.62.675
101. Simons, L., Doucette, J., Kirkby, K., Kimberly, C., Thomas, E. & Shipley, J. (2003). Childhood trauma, avoidance coping, and alcohol and other drug use among women in residential and outpatient treatment programs. Medicines To Treat Alcohol Use Disorder, 21 (4), 37–54.
102. Singh, N. & Sabaawi, M. (2006). Mindful parenting decreases aggression noncompliance, and self injury in children with autism. Journal of Emotional and Behavioral Disorders, 14(3), 169-177. https://doi.org/10.1177/10634266060140030401
103. Singh, N., Lancioni, G., Wiston, A., Singh, J., Curtis, W. Wahler, R. & McAleavey, K. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Bahavior Madification, 31 (6), 749-771. https://doi.org/10.1177/0145445507300924
104. Skinner, B. F. (1950). Are theories of learning necessary? Psychological Review, 57(4), 193–216. https://doi.org/10.1037/h0054367
105. Stemberg, K. J., Lamb, M. E., Greenbaum, C., Cicchetti, D., Dawud, S., Cortes, R. A., Krispin, O., & Lorey, F. (1994). Effects of domestic violence on children’s behavior problems and depression. Developmental Psychology, 29, 44-52. https://doi.org/10.1177/016502549401700412
106. Stoddard, J. A., & Afari, N. (2014). The big book of ACT metaphors: a practitioner's guide to experiential exercises and metaphors in acceptance and commitment therapy. New Harbinger Publications.
107. Söğüt, M., & Köse, A. (2023). The exploration of maternal self-efficacy: The role of childhood traumas, adult attachment and cognitive flexibility. Ahmet Keleşoğlu Eğitim Fakültesi Dergisi, 5(3), 1438-1450. https://doi.org/10.38151/akef.2023.119
108. Sönmez, V. & Alacapınar, F. G. (2019). Örneklendirilmiş bilimsel araştırma yöntemleri. Anı Publishing.
109. Swain, J., Hancock, K., Dixon, A., & Bowman, J. (2015). Acceptance and commitment therapy for children: A systematic review of intervention studies. Journal of Contextual Behavioral Science, 4(2), 73-85. https://doi.org/10.1016/j.jcbs.2015.02.001
110. Tümlü, C. (2021). Kabul ve Kararlılık The effect of the psycho-educatıon program based on acceptance and commıtment therapy on the psychologıcal adaptatıon of mothers and fathers of chıldren (aged 3-6 years) wıth autısm spectrum dısorder (Unpubliseh PhD Thesis). Anadolu Univercity.
111. Udachina, A., & Bentall, R. P. (2013). Developmental pathway to paranoia is mediated by negative self-concept and experiential avoidance. Psychosis, Udachina, 6(2), 143-154. https://doi.org/10.1080/17522439.2013.810301
112. Walser, R. D. & Hayes, S. C. (2006). Acceptance and Commitment Therapy in the Treatment of Posttraumatic Stress Disorder: Theoretical and Applied Issues. In V. M. Follette & J. I. Ruzek (Eds.), Cognitive-behavioral therapies for trauma. The Guilford Press.
113. Whelan, R. & Barnes D. (2004). The transformation of consequential functions in accor dance with the relational frames of same and opposite. Journal of the Experimental Analysis of Behavior, 82(2), 177–95. https://doi.org/10.1901/jeab.2004.82-177
114. Wilson, K. G., & Murrell, A. R. (2004). Values Work in Acceptance and Commitment Therapy: Setting a Course for Behavioral Treatment. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Edt.), Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. The Guilford Press.
115. Vøllestad, J., Nielsen, M. B., & Nielsen, G. H. (2011). Mindfulness and acceptance based interventions for anxiety disorders: A systematic review and meta-analysis. British Journal of Clinical Psychology, 51(3), 239–260. https://doi.org/10.1111/j.2044-8260.2011.02024.x
116. Vowles, K. E., & McCracken, L. M. (2008). Acceptance and values-based action in chronic pain: A study of treatment effectiveness and process. Journal of Consulting and Clinical Psychology, 76(3), 397–407. https://doi.org/10.1037/0022-006X.76.3.397
117. Yavuz, F. K. (2015). Acceptance and commitment therapy (ACT): An overview. Türkiye Klinikleri, 8(2) 21-27.
118. Yildirim, A. & Simsek, H. (2011). Sosyal bilimlerde nitel araştırma yöntemleri. Seçkin Publishing.
119. Zettle, R. (2007). ACT for depression: A clinician's guide to using acceptance and commitment therapy in treating depression. New Harbinger Publications.