Less Control, More Flexibility

Abstract

This chapter focuses on the use of acceptance and commitment therapy (ACT) in a rehabilitation setting. The narrative centers predominantly on reflections from five years of practice in an intensive rehabilitation unit in which I, a sport psychologist, provide insight into the application of ACT with injured athletes. Following a brief review of literature focusing on the concept of psychological flexibility and how ACT can reduce perceptions of threat as well as enhance adherence, I provide a detailed exploration of the use of the ACT Hexaflex in a unique multidisciplinary residential rehabilitation setting. This chapter explores the combination of a bespoke psychological screening tool with the six elements of the Hexaflex. Throughout the chapter offers are made to the reader on how to evolve their own professional practice. Future research directions include case studies of sport psychologists utilizing ACT as well as exploration of the impact of screening, bespoke formulation, and practice-based evidence. From an applied practice perspective, collation of sport-specific ACT resources and techniques for use in rehabilitation would help support professional practice.