
Contents
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A Conceptual Overview of Cognitive Defusion A Conceptual Overview of Cognitive Defusion
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Definitions of Cognitive Fusion and Cognitive Defusion Definitions of Cognitive Fusion and Cognitive Defusion
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Relationships with Other ACT Midlevel Processes Relationships with Other ACT Midlevel Processes
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An RFT Conceptualization of Cognitive (De)fusion An RFT Conceptualization of Cognitive (De)fusion
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Clinical Examples of Cognitive Defusion and Processes of Change Clinical Examples of Cognitive Defusion and Processes of Change
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Cognitive Defusion Exercises Cognitive Defusion Exercises
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Processes Involved in Cognitive Defusion Exercises Processes Involved in Cognitive Defusion Exercises
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Measurement of Cognitive Defusion Measurement of Cognitive Defusion
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Self-Report Instruments Self-Report Instruments
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Cognitive Fusion Questionnaire (CFQ; ) Cognitive Fusion Questionnaire (CFQ; )
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Believability of Anxious Feelings and Thoughts Questionnaire (BAFT; ) Believability of Anxious Feelings and Thoughts Questionnaire (BAFT; )
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Drexel Defusion Scale (DDS; ) Drexel Defusion Scale (DDS; )
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Multidimensional Psychological Flexibility Inventory (MPFI; ) Multidimensional Psychological Flexibility Inventory (MPFI; )
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Avoidance and Fusion Questionnaire—Youth (AFQ-Y; ) Avoidance and Fusion Questionnaire—Youth (AFQ-Y; )
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Behavioral Measures Behavioral Measures
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Assessing Cognitive Defusion in the Clinical Session Assessing Cognitive Defusion in the Clinical Session
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Research on Cognitive Defusion Research on Cognitive Defusion
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Component and Laboratory Research Component and Laboratory Research
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Laboratory Research Comparing Cognitive Defusion versus Other Strategies Laboratory Research Comparing Cognitive Defusion versus Other Strategies
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Variables Involved in the Effect of Defusion Exercises Variables Involved in the Effect of Defusion Exercises
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Survey Research Survey Research
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Process of Change in Clinical Interventions Process of Change in Clinical Interventions
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Challenges and Future Research Directions Challenges and Future Research Directions
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Challenges and Future Directions for Research Challenges and Future Directions for Research
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Challenges and Future Directions for Clinical Work Challenges and Future Directions for Clinical Work
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Conclusions Conclusions
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References References
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9 Cognitive Defusion
Get accessFrancisco J. Ruiz, PhD, Associate Professor, Faculty of Psychology, Fundación Universitaria Konrad Lorenz, Bogotá
Bárbara Gil-Luciano, PhD, Associate Professor, Cofounder of Universidad de Nebrija, Madrid Institute of Contextual Psychology (MICPSY), Madrid
Miguel A. Segura-Vargas, Graduate Student, Master’s in Psychology, Theory and Research, Faculty of Psychology and Educational Sciences KU Leuven, Leuven
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Published:21 June 2022
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Abstract
This article reviews the conceptualization and empirical evidence of the midlevel process called cognitive defusion. First, it presents examples of cognitive fusion and cognitive defusion definitions that are offered in acceptance and commitment therapy (ACT) manuals; discusses their relationships with other ACT midlevel processes; and offers a relational frame theory (RFT) conceptualization of these processes. Second, it describes the type of cognitive defusion exercises and discusses the basic processes involved in them. Third, it reviews the measurement of cognitive (de)fusion in the form of self-report instruments, behavioral measures, and assessment in the clinical session. Fourth, it reviews the research on cognitive (de)fusion separated in laboratory research, survey research, and the analysis of processes of change in clinical trials. Lastly, it discusses some challenges and future directions in conceptualizing and researching cognitive (de)fusion.
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