ACT-ing on Injury: Increasing Psychological Flexibility and Adherence to Rehabilitation

Swettenham, L and Whitehead, AE (2022) ACT-ing on Injury: Increasing Psychological Flexibility and Adherence to Rehabilitation. Case Studies in Sport and Exercise Psychology, 6 (1). pp. 94-101. ISSN 2470-4857

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Abstract

This case study outlines the use of Acceptance and Commitment Therapy (ACT; Hayes et al., 1999) with a client struggling with uncomfortable thoughts and emotions concerning his injury, impacting adherence to his rehabilitation plan. The aims were to increase psychological flexibility and decrease cognitive fusion to allow for greater adherence to his rehabilitation plan and support wellbeing. The client engaged in a series of one-on-one sessions, discussing the tri-flex within ACT through the strategy of “recognise, release, refocus” (Hansen & Haberl, 2019). The intervention included practice engaging with the present moment, exploring defusion techniques, clarifying values, and committing to subsequent values-driven behaviours. The effectiveness of the intervention was assessed by monitoring psychological flexibility (Bond et al., 2011), cognitive fusion (Gillanders et al., 2014), and feedback from the client’s physiotherapists. The trainee sport and exercise psychologist then provides reflections on the case.

Item Type:	Article
Additional Information:	Accepted author manuscript version reprinted, by permission, from , 2022, 6 (1): 94-101pp-pp, https://doi.org/10.1123/cssep.2021-0021 © Human Kinetics, Inc.
Subjects:	R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions:	Civil Engineering and Built Environment Sport and Exercise Sciences
Publisher:	Human Kinetics
Date of acceptance:	6 June 2022
Date of first compliant Open Access:	8 September 2022
Date Deposited:	07 Jun 2022 11:22
Last Modified:	08 Sep 2022 13:15
DOI or ID number:	10.1123/cssep.2021-0021
URI:	https://ljmu-9.eprints-hosting.org/id/eprint/17007

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