ACT ADVISOR Psychological Flexibility Measure In this diagram there are six double-headed arrows, each with contrasting statements at either end. The arrows represent sliding scales, numbered 1-10, between each set of statements. For each scale, choose whereabouts you would place yourself (i.e., at which number), depending on how closely, or otherwise, you feel the statements apply to you. If you feel that the statements apply equally, or that neither statement applies to you, score 5. Enter your scores in the box below, then total them to give a Psychological Flexibility score. I spend most of my time paying attention to what is happening in the present moment I willingly accept my thoughts and feelings even when I don’t like them 10 9 8 7 6 5 4 3 2 1 10 9 ACCEPTANCE SCALE 8 7 6 5 4 3 2 ATTENTION TO PRESENT SCALE I spend most of my time lost in thought about the past or future 1 I constantly struggle with my thoughts and feelings DEFUSION SCALE I see each of my thoughts as just one of many ways to think about things – what I do next is up to me 10 9 8 7 6 5 4 3 2 1 2 I don‘t manage to act on the things I care about My thoughts tell me how things really are, and determine what I do next Deep down, my thoughts and feelings are the real me SELF AS OBSERVER SCALE 1 2 3 4 5 6 7 8 9 10 3 4 5 8 9 10 VALUES IDENTIFICATION SCALE I don’t know what I want from life My thoughts and feelings come and go, but deep down the real me doesn’t change Developed by David Chantry 1 6 7 I am clear about what I choose to value in life 1 2 3 4 5 COMMITMENT & TAKING ACTION SCALE 67 8 9 10 I work out what I need to do about the things I care about, and I see it through SCORES Acceptance scale ...…............. ___ Commitment & Taking action scale ……….… ___ Attention to present scale ….... ___ Defusion scale ………..…….… ___ Values Identification scale ……….…. ___ Self as Observer scale ….................. ___ Resulting psychological flexibility (TOTAL SCORE) ... ___ ACT ADVISOR Psychological Flexibility Measure Charts Use these charts to keep a record of your scores on the ACT ADVISOR Psychological Flexibility Measure. Each week (or other time period – e.g., month or therapy session) repeat the exercise and mark your scores with an X in the appropriate square in each of the charts below. Psychological Flexibility scores Acceptance scale scores S C O R E 10 9 8 7 6 5 4 3 2 1 60 59 58 57 56 55 54 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 WEEK/ MONTH/ THERAPY SESSION 16 17 18 19 20 53 52 51 Commitment & Taking action scale scores S C O R E 50 10 9 8 7 6 5 4 3 2 1 49 48 47 46 45 44 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 WEEK/ MONTH/ THERAPY SESSION 16 17 18 19 43 20 42 41 40 Attention to present scale scores S C O R E 39 10 9 8 7 6 5 4 3 2 1 38 37 36 35 34 33 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 WEEK/ MONTH/ THERAPY SESSION 16 17 18 19 20 Defusion scale scores S C O R E 10 9 8 7 6 5 4 3 2 1 31 30 29 28 27 26 25 24 23 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 WEEK/ MONTH/ THERAPY SESSION 16 17 18 19 20 21 20 19 Values Identification scale scores S C O R E 32 S C O R E 18 10 9 8 7 6 5 4 3 2 1 17 16 15 14 13 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 WEEK/ MONTH/ THERAPY SESSION 16 17 18 19 20 11 10 9 8 Self as Observer scale scores S C O R E 7 10 9 8 7 6 5 4 3 2 1 6 5 4 3 2 1 1 2 3 4 5 6 Developed by David Chantry 7 8 9 10 11 12 13 14 15 WEEK/ MONTH/ THERAPY SESSION 16 17 18 19 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 WEEK/ MONTH/ THERAPY SESSION
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