Graduation Year

2025

Document Type

Dissertation

Degree Type

Open Access Dissertation

Degree Name

Doctor in Psychology (Psy. D.)

Abstract

This project examined the potential application of cultural additions to various aspects of Acceptance and Commitment Therapy (ACT). This project is specifically focused on cultural adaptations of ACT for the Appalachian population. The ACT adaptations were devised based on a review of research on Appalachian culture, including the region’s geography, history of exploitation, cultural values, and clinical considerations for working with Appalachian populations. An overview of ACT and treatment effectiveness of ACT is included. It is important to note that this project is intended to be a supplement to ACT, and should be used in tandem with an ACT workbook for new practitioners. This supplement can be used as a standalone for practitioners competent in ACT as an addition to their practice. Databases included in this research included Academic Search Complete, Academic Search Ultimate, PsycINFO, and Psycharticles. Additionally, information on Appalachian culture was found on reputable online websites such as the Appalachian Regional Commission (ARC), the American Psychiatric Association (APA), and first-hand accounts from various Appalachian residents. The research conducted is then used to create cultural additions to informed consent within ACT, ACT mindfulness worksheets, and ACT values worksheets that can be used in sessions with an Appalachian client, as well as theoretical session dialogue to guide practitioners. Additional research was conducted to include program evaluation methods, along with potential clinical implications of the proposed ACT additions. All cultural additions to ACT worksheets were created with written permission from Dr. Russ Harris, whose work was instrumental to this project.

Faculty Mentor

Michael McClellan, Ph.D.

Department Affiliation

Psychology

Committee Member

Theresa Botts, Ph.D.

Department Affiliation

Psychology

Committee Member

Myra Beth Bundy, Ph.D.

Department Affiliation

Psychology

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