James D Herbert

James D Herbert
University of New England (USA) · Office of the President

PhD

About

169
Publications
111,227
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8,932
Citations
Citations since 2016
20 Research Items
4427 Citations
20162017201820192020202120220200400600
20162017201820192020202120220200400600
20162017201820192020202120220200400600
20162017201820192020202120220200400600

Publications

Publications (169)
Chapter
ACT ha abierto la puerta a descubrimientos fascinantes sobre el ser humano, el lenguaje y la psicopatología en general. Dentro de estos descubrimientos se encuentran las técnicas de tratamiento que componen ACT y que se presentan de forma muy convincente en este libro, Una Guía Práctica a la Terapia de Aceptación y Compromiso. Como describen los au...
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Suboptimal weight losses are partially attributable to lapses from a prescribed diet. We developed an app (OnTrack) that uses ecological momentary assessment to measure dietary lapses and relevant lapse triggers and provides personalized intervention using machine learning. Initially, tension between user burden and complete data was resolved by pr...
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Only two trials have compared acceptance and commitment therapy (ACT) and traditional cognitive behavior therapy (tCBT) in the treatment of social anxiety disorder (SAD), with both finding no significant differences. These trials did not examine effects on observer-rated behavioral outcomes and did not explicitly quantify the dose of exposure thera...
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Background: Individuals who adhere to dietary guidelines provided during weight loss interventions tend to be more successful with weight control. Any deviation from dietary guidelines can be referred to as a "lapse." There is a growing body of research showing that lapses are predictable using a variety of physiological, environmental, and psycho...
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College students report several barriers to exercise, highlighting a need for university-based programs that address these challenges. In contrast to in-person interventions, several web-based programs have been developed to enhance program engagement by increasing ease of access and lowering the necessary level of commitment to participate. Unfort...
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Objective Mindfulness-informed cognitive behavioral interventions for obesity are promising. However, results on the efficacy of such treatments are inconsistent which in part may be due to their substantially different methods of practice. This study is the first direct comparison of two theoretically distinct mindfulness-based weight loss approac...
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Functional near-infrared (fNIR) spectroscopy is a promising new technology that has demonstrated utility in the study of normal human cognition. We utilized fNIR spectroscopy to examine the effect of social anxiety and performance on hemodynamic activity in the dorsolateral prefrontal cortex (DLPFC). Socially phobic participants and non-clinical pa...
Chapter
This chapter examines the degree of empirical support available for the theoretical model, treatment components, and clinical applications of acceptance and commitment therapy (ACT). It highlights the clinical implications of existing knowledge and theoretical model of ACT as well as key questions to be tested in future research. Psychological infl...
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Social anxiety disorder (SAD) is one of the most prevalent psychiatric disorders in the United States. Although evidenced-based behavioral treatments are available, less than 20% of those with SAD receive treatment. Internet-based interventions can address barriers to treatment access, and guided Internet-based treatments have been demonstrated to...
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Background: Weight regain following bariatric surgery is common and potentially compromises the health benefits initially attained after surgery. Poor compliance to dietary and physical activity prescriptions is believed to be largely responsible for weight regain. Patients may benefit from developing specialized psychological skills necessary to...
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Background Tens of thousands of bariatric surgery patients each year experience sub-optimal weight loss, significant regain, or both. Weight regain can contribute to a worsening of weight-related co-morbidities, and for some, leads to secondary surgical procedures. Poor weight outcomes have been associated with decreased compliance to the recommend...
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Mindfulness has become a fixture of both clinical treatment and popular culture. Much research and theoretical scholarship have operationalized “mindfulness” as clinicians use the term, yet no research has examined popular (i.e., lay) conceptions of mindfulness. Mindfulness trainings and interventions are now widely offered on college campuses. Thu...
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Over the past several decades, a number of different systems have been developed to help clinicians select a psychological treatment most likely to benefit a particular patient according to the best available scientific evidence. These systems include empirically supported treatment lists, treatment registries, evidence-based practice guidelines, e...
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Distress tolerance (DT) refers to an individual’s capacity to cope with aversive internal (e.g., physical, cognitive, emotional) states. A growing body of evidence suggests that there is a relationship between DT and the development and maintenance of problematic behavioral patterns. Despite emerging evidence for such associations, a number of issu...
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The present study examined the effect of a picture-picture evaluative conditioning (EC) procedure on soft drink (soda) outcomes, including negative implicit attitudes, consumption during a taste test, and real-world consumption reported during the week after the intervention. In the EC condition (n = 43), soda images were paired with disgust images...
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Individuals with public speaking anxiety (PSA) experience fear and avoidance that can cause extreme distress, impaired speaking performance, and associated problems in psychosocial functioning. Most extant interventions for PSA emphasize anxiety reduction rather than enhancing behavioral performance. We compared the efficacy of two brief cognitive-...
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This chapter considers what is meant by contextual CBTs. A growing number of scholars, particularly those working within the field known as contextual behavioral science (CBS), use this term to describe these novel mindfulness and acceptance-oriented models of CBT. The chapter shows that the self-conscious application of psychological principles to...
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Monestès and Villatte take issue with our contention that, contra strong claims of "a-ontology" associated with functional contextualism, science requires the assumption of a world, independent of our theories of it, with its own specific character. However, their primary criticism confounds the goals of science and associated criteria to evaluate...
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We describe the development of a novel, Internet-based, self-help intervention for social anxiety disorder (SAD) in adults, and report data on the preliminary efficacy of the program when administered with minimal therapist support delivered via a common videoconferencing platform. Participants (n = 13) completed the intervention, which consists of...
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A substantial minority of bariatric surgery patients display clinically significant weight regain and recurrence of obesity-related comorbidities. Although postoperative follow-up and behavioral interventions are associated with better weight loss outcomes, many patients fail to attend or receive these services. More information is needed to better...
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There has recently been a renewed interest in philosophy among some psychologists, particularly those working within the modern behavior analytic framework known as contextual behavioral science. Functional contextualism (FC) has emerged as an alternative to the dominant mechanistic view - generally associated with epistemological realism—within ps...
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Acceptance and commitment therapy (ACT) is a cognitive behavioral therapy (CBT) that utilizes six core psychological process of change (acceptance, defusion, present moment awareness, self as context, values and committed action) to help individuals achieve psychological flexibility (i.e., the ability to choose one's behavior even when doing so bri...
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Empirically supported treatments (ESTs) are psychological interventions that are supported by quantitative scientific research, and empirically supported principles of change (ESP) refer to a treatment's underlying causal mechanisms or to procedures directly linked to those mechanisms. Beginning in 1993, a division of the American Psychological Ass...
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Social anxiety is a nearly universal human phenomenon, and can range from normal concerns over social evaluation to debilitating distress and associated disruption in social, academic, and vocational functioning. Careful assessment of social anxiety is critical, especially in clinical contexts. We review various tools used to assess social anxiety,...
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Despite the overwhelming evidence that the behavioral components of cognitive-behavior therapies (CBTs) are critical for patient improvement, particularly in the case of anxiety disorders, there remains a wide gap between science and practice in their consistent use. In particular, exposure therapy for anxiety is under-used, even among self-proclai...
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This study assessed the relationship between acceptance-based constructs and quality of life (QOL) among patients with an eating disorder, as well as whether an acceptance-based treatment group could improve QOL. Patients (n=105) at a residential treatment center received treatment as usual (TAU) or TAU plus twice-weekly acceptance and commitment t...
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The increased popularity and functionality of mobile devices has a number of implications for the delivery of mental health services. Effective use of mobile applications has the potential to (a) increase access to evidence-based care; (b) better inform consumers of care and more actively engage them in treatment; (c) increase the use of evidence-b...
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Public-speaking anxiety (PSA) may be associated with changes in functional activation of the right dorsolateral prefrontal cortex (DLPFC) during public speaking tasks. Research on the neural underpinnings of this disorder is limited by the physical restrictions imposed by conventional neuroimaging techniques. This study examined the feasibility of...
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Despite significant advances in the understanding and treatment of social anxiety disorder (SAD) over the past two decades, there remains much room for improvement. Most individuals with SAD do not receive an evidence-based treatment, and even the best-established treatments leave most patients with residual symptoms and suboptimal functioning. Mor...
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Disinhibited eating (i.e., the tendency to overeat, despite intentions not to do so, in the presence of palatable foods or other cues such as emotional stress) is strongly linked with obesity and appears to be associated with both implicit (automatic) and explicit (deliberative) food attitudes. Prior research suggests that a large discrepancy betwe...
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For the past 30years, generations of scholars of cognitive behavior therapy (CBT) have expressed concern that clinical practice has abandoned the close links with theory that characterized the earliest days of the field. There is also a widespread assumption that a greater working knowledge of theory will lead to better clinical outcomes, although...
Chapter
The past decade has witnessed a dramatic increase in interest in models of cognitive behavioral therapy that incorporate principles and techniques involving mindfulness and psychological acceptance. Several novel models of cognitive behavioral therapy have been developed, and many established models have likewise begun to incorporate these ideas an...
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For the past 30 years, generations of scholars of cognitive behavior therapy (CBT) have expressed concern that clinical practice has abandoned the close links with theory that characterized the earliest days of the field. There is also a widespread assumption that a greater working knowledge of theory will lead to better clinical outcomes, although...
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The present study investigated whether more severe baseline eating pathology (e.g. baseline symptomatology, previous hospitalizations, and low weight in anorexia nervosa) moderated the effect of an Acceptance and Commitment Therapy (ACT)-based group treatment. Participants were 140 women who were admitted to an inpatient facility for eating disorde...
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Eating disorders, particularly among adult patients with a long course of illness, are exceptionally difficult to treat. The few existing empirically supported treatments for adult patients with bulimia nervosa do not lead to symptom remission for a large portion of patients. For adults with anorexia nervosa there are currently no empirically suppo...
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Hofmann, Asmundson, & Beck (2013--this issue) offer an overview of cognitive-behavior therapy (CBT) as well as its similarities and differences from so-called "third-generation" behavior therapies, particularly Acceptance and Commitment Therapy (ACT). In this commentary we suggest that CBT is most accurately viewed as a broad family of distinct psy...
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Objective: To determine whether acceptance-based behavioral treatment (ABT) would result in greater weight loss than standard behavioral treatment (SBT), and whether treatment effects were moderated by interventionist expertise or participants' susceptibility to eating cues. Recent research suggests that poor long-term weight-control outcomes are d...
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Eating disorders are among the most challenging disorders to treat, with even state-of-the-art cognitive-behavioral treatments achieving only modest success. One possible reason for the high rate of treatment failure for eating disorders is that existing treatments do not attend sufficiently to critical aspects of the disorder such as high experien...
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Over 80% of people with social anxiety disorder (SAD) do not receive any type of treatment, despite the existence of effective evidence-based treatments. Barriers to treatment include lack of trained therapists (particularly in nonmetropolitan areas), logistical difficulties (e.g., cost, time, transportation), concerns regarding social stigma, and...
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Existing strategies for coping with food cravings are of unknown efficacy and rely on principles that have been shown to have paradoxical effects. The present study evaluated novel, acceptance-based strategies for coping with craving by randomly assigning 48 overweight women to either an experimental psychological acceptance-oriented intervention o...
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The treatment of adolescent anorexia nervosa (AN) has improved significantly with the increased emphasis on family-based intervention. Yet despite advances, a substantial number of adolescents do not respond optimally to existing treatment models and thus there is a need for treatment alternatives that address barriers to recovery. We developed and...
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Public speaking anxiety (PSA), diagnosed at clinical levels as social anxiety disorder, nongeneralized type, is associated with significant distress and impairment in a substantial portion of the population (Aderka et al., 2012). Empirically supported behavioral treatments for PSA generally include in vivo and/or simulated exposure, usually present...
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Defusion, the ability to achieve psychological distance from internal experiences such as thoughts and feelings, is considered to be a key mechanism of cognitive behavior therapy and is particularly emphasized in certain acceptance-based behavior therapies like mindfulness-based cognitive therapy and acceptance and commitment therapy (ACT). Unlike...
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The Association for Behavioral and Cognitive Therapies initiated an interorganizational task force to develop guidelines for integrated education and training in cognitive and behavioral psychology at the doctoral level in the United States. Fifteen task force members representing 16 professional associations participated in a yearlong series of co...
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The present study represents one of the first comparisons of the long-term effectiveness of traditional cognitive behavior therapy (i.e., Beckian cognitive therapy; CT) and acceptance and commitment therapy (ACT). One hundred thirty-two anxious or depressed outpatients were randomly assigned to receive either CT or ACT, and were assessed at posttre...
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Preliminary studies examining brain function associated with social anxiety suggest the possibility of right-sided prefrontal activation associated with phobic stimulation. Although most existing neuroimaging techniques preclude participants from engaging in ecologically valid social tasks during assessment, functional near-infrared spectroscopy (f...
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Debate continues about the extent to which postulated mechanisms of action of cognitive behavior therapies (CBT), including standard CBT (i.e., Beckian cognitive therapy [CT]) and acceptance and commitment therapy (ACT) are supported by mediational analyses. Moreover, the distinctiveness of CT and ACT has been called into question. One contributor...
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The past decade has witnessed an explosion of interest in theoretical models of psychotherapy and associated technologies that highlight psychological acceptance and mindfulness. These developments have been controversial, with questions centering on the role of cognition in treatment, the incremental effects of approaches aimed at fostering mindfu...
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The use of technology to provide remote psychological assessment and intervention services is growing rapidly. Remote assessment, treatment, training, and consultation options, particularly those provided via the Internet (e.g., videoconferencing, self-help Web sites, handheld devices), have the potential to increase access to high-quality psycholo...
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Cognitive behavior therapy (CBT) has been shown to be efficacious when used as an adjunct to pharmacotherapy for psychotic disorders. Acceptance and Commitment Therapy (ACT) is a contextual form of CBT that attempts to alter one’s relationship to symptoms of psychosis rather than attempting to reduce or control them. Two previously published random...
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Approximately 90% of cardiac events are attributable to a small number of modifiable behavioral risk factors that, if changed, can greatly decrease morbidity and mortality. However, few at-risk individuals make recommended behavioral changes, including those who receive formal interventions designed to facilitate healthy behavior. Given evidence fo...
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This study compared two theoretically opposed strategies for acute pain management: an acceptance-based and a change-based approach. These two strategies were compared in a within-subjects design using the cold pressor test as an acute pain induction method. Participants completed a baseline pain tolerance assessment followed by one of the two inte...
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The freshman year of college has been identified as a time when some students experience large changes in their eating behaviors, body image, and weight. One factor that is predictive of changes in these variables is internalization of the thin ideal (i.e., the degree to which an individual has accepted societal values of thinness and applies these...
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A significant number of adults with HIV in the USA do not maintain adherence to highly active antiretroviral therapy (HAART) at adequate levels. Although traditional cognitive behavioral interventions have shown promise in promoting HAART adherence, acceptance-based behavior therapy (ABBT) may be particularly useful in this population. ABBT has the...
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A sizable minority of mental health professionals continue to use treatment methods that are totally lacking in scientific support, some of which harm their patients. Particularly when a treatment has been demonstrated to be harmful and effective evidence-based treatments are available, they should be liable for malpractice. We need malpractice ref...
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Juvenile Idiopathic Arthritis (JIA) is a chronic rheumatic disease associated with pain and maladjustment. This study investigated whether pain, acceptance of pain, and psychological inflexibility uniquely predicted functional disability, anxiety, general quality of life (QOL), and health-related quality of life (HQOL) among adolescents with JIA. T...
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Many university students suffer from test anxiety that is severe enough to impair performance. Given mixed efficacy results of previous cognitive-behavior therapy (CBT) trials and a theoretically driven rationale, an acceptance-based behavior therapy (ABBT) approach was compared to traditional CBT (i.e., Beckian cognitive therapy; CT) for the treat...
Chapter
Social anxiety is a universal phenomenon. When the level of anxiety, avoidance, and impairment in functioning reaches clinical proportions, a diagnosis of social anxiety disorder (SAD) (also known as SP)-and possibly APD-is made. The assessment methods described in this chapter can be used for assessing subdiagnostic social anxiety as well as SAD p...
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Cognitive and behavioral interventions have been shown to be efficacious when used as an adjunct to pharmacotherapy for psychotic disorders. However, little previous research has investigated potential mediators of change in psychological treatments for psychosis. Acceptance and mindfulness-based therapies do not focus on directly reducing the psyc...