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Kabul ve Kararlılık Terapisi ile Metakognitif Terapinin Karşılaştırılması

Year 2025, Volume: 2 Issue: 2, 7 - 30, 25.04.2025

Rukiyye Meryem Osmanoğlu , Rojin Yazar Tuğyıldız , Simge Koçyiğit

Abstract

Kabul ve Kararlılık Terapisi (ACT) ve Metakognitif Terapi (MKT) yaklaşımları Bilişsel Davranışçı Terapi (BDT) geleneğinden türemiştir ve bilişsel süreçlerin ve inançların ruhsal sağlık üzerindeki etkisine odaklanmaktadır. Bu derleme makalesi, Kabul ve Kararlılık Terapisi (ACT) ve Metakognitif Terapi (MKT) arasındaki ilişkiyi daha derinlemesine inceleyerek bir sentez sunmayı amaçlamaktadır. Bu iki terapi ekolü, Bilişsel Davranışçı Terapi ekolünden türeme ortak noktasına sahip olup, kuramsal çerçeve, terapötik teknikler ve terapi süreci konusunda birbirinden farklılaşabilmektedir. Bu metinde, Kabul ve Kararlılık Terapisi (ACT) ve Metakognitif Terapi (MKT) arasındaki benzerlikler ve farklılıklar temel felsefe, teorik temeller, kullanılan teknikler ve terapi süreci bağlamında ele alınmıştır. ACT, psikolojik esnekliğin geliştirilmesine ve zorlayıcı içsel deneyimlere yönelik kabul ve kendindelik geliştirmeye odaklanmaktadır. MKT ise metakognitif inançlara, yani düşünceler hakkında düşüncelere odaklanmaktadır ve bu inançların ruhsal bozukluklara nasıl katkıda bulunabileceğini incelemektedir. ACT ve MKT, ruhsal bozuklukların tedavisinde etkili ve tamamlayıcı terapilerdir. Hangi terapinin daha uygun olduğu, kişinin bireysel ihtiyaçlarına ve semptomlarına göre değişebilmektedir. Bu çalışmanın, terapi arayışındaki bireylere, klinisyenlere ve klinik uygulamalar üzerine çalışan araştırmacılara, iki terapi ekolünü detaylı bir şekilde tanıma, benzerlik ve farklılıklarını anlama, pratik uygulamalarda karar alma ve araştırma tasarımı süreçlerinde yardımcı olacağı düşünülmektedir.

Keywords

Kabul ve Kararlılık Terapisi Metakognitif Terapi Psikolojik Esneklik Metakognitif İnançlar

References

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Comparison of Acceptance and Commitment Therapy and Metacognitive Therapy

Year 2025, Volume: 2 Issue: 2, 7 - 30, 25.04.2025

Rukiyye Meryem Osmanoğlu , Rojin Yazar Tuğyıldız , Simge Koçyiğit

Abstract

Acceptance and Commitment Therapy (ACT) and Metacognitive Therapy (MCT) approaches are derived from the cognitive-behavioral therapy (CBT) tradition and focus on the impact of cognitive processes and beliefs on mental health. This review article aims to provide a synthesis by examining the relationship between Acceptance and Commitment Therapy (ACT) and Metacognitive Therapy (MCT) in more depth. These two therapeutic approaches share a common origin from the Cognitive-Behavioral Therapy tradition but can differ in terms of theoretical framework, therapeutic techniques, and the therapy process. In this text, similarities and differences between Acceptance and Commitment Therapy (ACT) and Metacognitive Therapy (MCT) are discussed in the context of fundamental philosophy, theoretical foundations, techniques used, and the therapeutic process. ACT focuses on developing psychological flexibility and enhancing acceptance and mindfulness in the face of challenging inner experiences. On the other hand, MCT targets metacognitive beliefs, focusing on thoughts about thoughts and examining how these beliefs may contribute to mental disorders. ACT and MCT are effective and complementary therapies in the treatment of mental disorders. The choice of therapy may vary depending on individual needs and symptoms. It is believed that this study will assist individuals seeking therapy, clinicians, and researchers working on clinical applications in getting an understanding of these two therapeutic approaches, as well as making decisions in practical applications and research design processes.

Keywords

Acceptance and Commitment Therapy Metacognitive Therapy Psychological Flexibility Metacognitive Beliefs

References

  • Bai, Z., Luo, S., Zhang, L., Wu, S., Chi, I. (2019). Acceptance and commitment therapy (act) to reduce depression: A systematic review and meta-analysis. Journal of Affective Disorders, 260, 728-737.
  • Batmaz, S. (2021). Bilişsel Davranışçı Psikoterapide Yeni Gelişmeler. In Z. Karataş & M. H. Türkçapar (Eds.), Metakognitif (Üstbilişsel) Terapi (s. 101-158). Nobel.
  • Biglan, A., & Hayes, S. C. (1996). Should the behavioral sciences become more pragmatic? The case for functional contextualism in research on human behavior. Applied and Preventive Psychology, 5(1), 47–57. https://doi.org/10.1016/S0962-1849(96)80026-6
  • Brown, L.A., Gaudiano, B.A., Miller, I.W. (2011). Investigating the similarities and differences between practitioners of second- and third-wave cognitive-behavioral therapies. Behavior Modification, 25(2), 187-200. https://doi.org/10.1177/0145445510393730
  • Büyüköksüz, E. (2021). Kabul ve kararlılık yaklaşımı temelli grup psiko-eğitimi ile ergenlerin benlik saygısı puanlarını yordamada öz-şefkat ve yaşantısal kaçınma puanlarının aracılık rolü (Doktora tezi, Sıtkı Koçman Üniversitesi).
  • Callesen, P., Pedersen, M. L., Andersen, C. K., & Wells, A. (2020). Metacognitive therapy for bipolar II disorder: A single case series study. Neurology, Psychiatry and Brain Research, 38, 107–113. https://doi.org/10.1016/j.npbr.2020.08.004
  • Capobianco, L., & Nordahl, H. (2023). A Brief History of Metacognitive Therapy: From Cognitive Science to Clinical Practice. Cognitive and Behavioral Practice, 30(1), 45–54. https://doi.org/10.1016/j.cbpra.2021.11.002
  • Chase, J. A., Houmanfar, R., Hayes, S. C., Ward, T. A., Vilardaga, J. P., & Follette, V. (2013). Values are not just goals: Online ACT-based values training adds to goal setting in improving undergraduate college student performance. Journal of Contextual Behavioral Science, 2(3), 79–84. https://doi.org/10.1016/j.jcbs.2013.08.002
  • Dahl, J., Wilson, K. G., & Nilsson, A. (2004). Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial. Behavior Therapy, 35(4), 785–801. https://doi.org/https://doi.org/10.1016/S0005-7894(04)80020-0
  • Derakhtkar, A., Khezrimoghadam, N., & Fazilatpour, M. (2022). The effectiveness of mindfulness-integrated cognitive behavioral therapy (MiCBT), meta-cognitive therapy (MCT), acceptance and commitment therapy (ACT), and cognitive behavioral therapy (CBT) on obsessive-compulsive disorder (OCD). International Journal of Health Studies, 46-52.
  • Dimaggio, G., Montano, A., Popolo, R., & Salvatore, G. (2015). Metacognitive interpersonal therapy for personality disorders: A treatment manual. Routledge.
  • Eifert, G. H., Forsyth, J. P., Arch, J., Espejo, E., Keller, M., & Langer, D. (2009). Acceptance and commitment therapy for anxiety disorders: Three case studies exemplifying a unified treatment protocol. Cognitive and behavioral practice, 16(4), 368–385.
  • Fisher, P., & Wells, A. (2009). Metacognitive therapy: Distinctive features. Routledge. Flavell, J. H. (1979). Metacognition and cognitive monitoring: A new area of cognitive–developmental inquiry. American psychologist, 34(10), 906.
  • Frederiksen, K. P., Stavestrand, S. H., Venemyr, S. K., Sirevåg, K., & Hovland, A. (2021). Physical exercise as an add-on treatment to cognitive behavioural therapy for anxiety: a systematic review. Behavioural and Cognitive Psychotherapy, 49(5), 626-640. https://doi.org/10.1017/s1352465821000126
  • Gaudiano, B. A., & Herbert, J. D. (2006). Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy: Pilot results. Behaviour Research and Therapy, 44(3), 415–437. https://doi.org/10.1016/j.brat.2005.02.007
  • Gifford, E. V, Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., Rasmussen-Hall, M. L., & Palm, K. M. (2004). Acceptance-based treatment for smoking cessation. Behavior Therapy, 35(4), 689–705. https://doi.org/10.1016/S0005-7894(04)80015-7
  • Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior therapy, 37(1), 25–35.
  • Gutiérrez, O., Luciano, C., Rodríguez, M., & Fink, B. C. (2004). Comparison between an acceptance-based and a cognitive-control-based protocol for coping with pain. Behavior Therapy, 35(4), 767–783. https://doi.org/10.1016/S0005-7894(04)80019-4
  • Hammersmark, A. T., Hjemdal, O., Hannisdal, M., Lending, H. D., Reme, S. E., Hodne, K., Osnes, K., Gjengedal, R., & Johnson, S. U. (2023). Metacognitive therapy for generalized anxiety disorders in group: A case study. Journal of Clinical Psychology, n/a(n/a). https://doi.org/10.1002/jclp.23615
  • Hancock KM, Swain J, Hainsworth CJ, Dixon AL, Koo S, Munro K. (2016). Acceptance and commitment therapy versus cognitive behavior therapy for children with Anxiety: Outcomes of a randomized controlled trial. Journal of Clinical Child & Adolescent Psychology, 47(2), 296- 311.
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There are 74 citations in total.

Details

Primary Language Turkish
Subjects Psychotherapy Practise and Research
Journal Section Reviews
Authors

Rukiyye Meryem Osmanoğlu 0000-0003-2413-2000

Rojin Yazar Tuğyıldız 0000-0003-3888-1037

Simge Koçyiğit 0000-0002-4969-3907

Publication Date April 25, 2025
Submission Date August 8, 2024
Acceptance Date February 21, 2025
Published in Issue Year 2025 Volume: 2 Issue: 2

Cite

APA Osmanoğlu, R. M., Yazar Tuğyıldız, R., & Koçyiğit, S. (2025). Kabul ve Kararlılık Terapisi ile Metakognitif Terapinin Karşılaştırılması. Psikoloji Araştırmaları, 2(2), 7-30.