Introduction: FAP Matrix integrated with the ACT model
Since both ACT (Acceptance and Commitment Therapy; Hayes et al., 1999) and FAP (Functional Analytic Psychotherapy; Kohlenberg and Tsai, 1991) refer to functional contextualism (Hayes, 1993), these two approaches can be integrated in terms of behavior functional analysis. In other words, the FAP Matrix CRBs (clinically relevant behaviors) and Ts (therapist’s behaviors) can be analyzed according to the ACT model, especially by relating these behaviors in terms of ACT Hexaflex processes.
MARCO’S ASSESSMENT (34 YEARS-OLD)
Marco’s problem is that he spends an average of 6.5 hours/day on the computer on sexual material (self monitoring diaries). His behavior is giving him serious problems on his job and in his relational life with his fiancé. The request on the first session was: “Please help me I’m a cybersexual addicted”. His IAT: 86; Cybersexual Addiction Criteria (Cantelmi, Lambiase 2003) 12 on 12; VLQ: Intensivity 85, Consistence 72, Combined 62; AAQ2: 35; ISST 24.
CASE CONCEPTUALIZATION In order to perform case-conceptualization, we used the ACT-FAP Matrix (The ACT Matrix: K.Polk, B.Shoendorff, Context Press 2014) and the possibility to integrate it with ACT model (Fig. 1). We decided to use the six Hexaflex processes to understand the client and his context, in order to help the therapist in recognizing the CRBs within the session and the therapeutic relationship, placing them in the Matrix and in relation to their function of moving away from (CRB1) / toward (CRB2) behaviors.
Starting from the consideration that Internet Sex Addiction (Cybersex) is not listed in the latest DSM manual (DSM–V, 2013), that does not effect a Third Generation intervention on this behavior. In fact it is possible to notice that the link between ACT and FAP models is functional contexatualism (FC). FC analyzes function of behavior in a specific context and allows us to go beyond limits of a case-conceptualization only based on behavior topography. The results within a 4 month weekly intervention are the ones listed below (Fig. 2).
Starting from the previously reported examples, it is possible to notice that the link between ACT and FAP models is functional contexatualism (FC). FC analyzes function of behavior in a specific context and allows us to go beyond limits of a case-conceptualization only based on behavior topography. This lets us to find overlaps between models focalized on behavior function and to improve diagnostic and therapeutic instruments.