Mini-blog stories

The power of imperfection


Ph. D. in Rehabilitation Medicine

As I run early mornings to take my cold bath immersion in the sea, sometimes I listen to inspirational books.

Listening to the Spirituality of imperfection by David Drummond & Katherine Ketcham I found amazing ways to explain and better understand the importance of showing our common humanity as therapists…

With imperfect others, we are more receptive and courageous to open up to our own vulnerability, the first step in a changing process…


“I’m Not All-Right, and You’re Not All-Right,
But That’s Okay—THAT’S All-Right”


“But through the centuries a recurring spiritual theme has emerged, one that is more sensitive to earthly concerns than to heavenly hopes. This spirituality—the spirituality of imperfection—is thousands of years old. And yet it is timeless, eternal, and ongoing, for it is concerned with what in the human being is irrevocable and immutable: the essential imperfection, the basic and inherent flaws of being human. Errors, of course, are part of the game. They are part of our truth as human beings. To deny our errors is to deny ourself, for to be human is to be imperfect, somehow error-prone. To be human is to ask unanswerable questions, but to persist in asking them, to be broken and ache for wholeness, to hurt and to try to find a way to healing through the hurt.”


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“Now keep in mind, this is a Lorem Ipsum text extract, so it may not observe the time.”
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Pris för bästa muntliga presentationen

Pris för bästa muntliga presentationen

THE BEST PLATFORM PRESENTATION (among 81 presentation inclusive plenaries)

Patient subgroup according to the Pain Acceptance and a clinical taxonomy to predict differential response to interprofessional rehabilitation

På den internationella konferens för fysioterapeuter inom mental hälsa, pratade jag om hur kan vi snabbt och effektivt bedöma patienter som har långvarig smärta på ett sätt som informerar oss om 1) vilka beteende behöver ändras under rehabilitering 2) vilka beteendeinterventioner de behöver och i vilken ’dos,’ 3) vilka är de redan fungerande beteende som kan förstärkas (eftersom rehab är en lärande process, vi kan bara ’addera’ beteende, det går inte att ’radera’) och sist men inte minst 4) en taxonomi för att gruppera patienter med liknande behov och erbjuda anpassade rehabprogram för just dem: alltså individualiserade grupp-baserade rehab. Sedan väldigt kort förklarade också vad smärtacceptans handlar om, och hur den ’medierar’ och ’modererar’ rehabiliteringen så vi kan snabbt förstå vad patientenLion what are we looking at behöver från oss och rehab för att leva ett meningsfull och vitalt liv, med eller utan smärta. Presentationen slutade med en kort diskussion om: När vi bedömer, tittar vi på rätt saker?

En kort presentation som smälter samman våra kliniska studier med ett fantastiskt samarbete med läkarstudenters examensarbeten samt en dynamisk och berikande input från Kevin E. Vowles, Linn Wifstrand, Björn Gerdle, Fredrik Johansson and David Gillanders


  1. Scientific Novelty and Excellence
  2. Concise clear and informative Introduction and Purpose
  3. Brief Methodology
  4. Clear presentation or description of Results / Findings
  5. Clear concise and comprehensive summary and conclusion
  6. A good balance of creativity and inspiration
  7. Overall impact (scientific and aesthetic)


You will find them and others at Research Gate

Steve Hayes in Sweden! ACT II – Intermediate Skill training  5-6 September

Steve Hayes in Sweden! ACT II – Intermediate Skill training 5-6 September

people Intermediate/advanced level- 2 days intensive

calendar Monday 5th & Tuesday 6th September, 2016 from 8.30 to 17.00 (Registration open the 5th 8.00 to 8.15
map-marker-iconClinicum, Danderyd hospital, Stockholm, SWEDEN.MAP Clinicum
Best way to get there is by the Metro From Central station, Red line bound Mörby and the stopp “Danderyd Sjukhus”
Then walk in the direction of your train and go out at “Huvudentrén

Graciela’s phone +46 70743777
Price symbol 6.500 SEK+VAT
language_icon Language: English

PDF download Here can you download the program


steve_hayesClinical Skills buildning- Intermediate level with Steve Hayes

This workshop is a intensive two full days that designed to support clinical-skills building ACT and relational frame theory (RFT) for you that have strong grounds in ACT and RFT. This training presents ACT theoretical and practical information at an intermediate level. Participants should have had formal training in ACT and should be reasonably familiar with mid-level ACT terms, specifically the six core ACT processes in theory and practice (min 3 years of clinical practice with ACT).

Components:  Conceptual analysis, Experiential exercises, Didactic presentation, Case presentation, Role play

Directly after:

 pdf Download the program here


Download the add and program pdf


  1. the six processes that underlie psychological flexibility
  2. the connection between the therapeutic contract and the therapeutic relationship
  3. at least three ways of reading and responding to mindfulness processes as they show up in session
  4. at least three ways of reading and responding to self-as-context processes as they show up in session
  5. at least three ways of reading and responding to values processes as they show up in session
  6. at least three ways of reading and responding to commitment processes as they show up in session
  7. at least three ways of reading and responding to defusion processes as they show up in session
  8. at least three ways of reading and responding to acceptance processes as they show up in session
  9. the essential features of behavioral activation as conducted in an ACT-therapeutic context
  10. how cognitive reappraisal can be recast as both a defusion process and as an incidence of cognitive flexibility
  11. Define the four essential characteristics of the therapeutic relationship
  12. State the three essential functions of the ACT clinician in a therapy session
  13. Demonstrate ways to detect presence or its lack during a session
  14. List at least three techniques for mindful observation of avoidance and fusion on the part of a client during a session
  15. List at least three techniques for mindful observation of pain and engagement on the part of a client during a session
  16. List the three essential skills for effective case conceptualization in ACT
  17. Describe the essential features of exposure therapy as conducted in an ACT-therapeutic context
  18. State three reasons for combining exposure work with defusion-process work

steve_hayesSteven C. Hayes, PhD, is Nevada Foundation Professor at the Department of Psychology at the University of Nevada. An author of more than thirty-five books and 500 scientific articles, his career has focused on an analysis of the nature of human language and cognition and the application of this to the understanding and alleviation of human suffering. In 1992 he was listed by the Institute for Scientific Information as the 30th “highest impact” psychologist in the world.


Pris: 5.800 SEK + moms/VAT Early bird until the 20 June.

From the 21 June: 6.500 SEK + moms/VAT
Included in the fees: workshop, healthy brakes, fruit (organic) and course certification.
Ingår i priset: workshop, hälso-rörelsepauser, ekologisk frukt, kursbevis


Interrmediate-Advanced level practitioners
NOTE: Skills Buildning, this intensive training will boost your already strong ACT skills. If you haven’t got formal ACT training (training delivered by a recongized ACT trainer) this is not a workshop for you. Please, check with Graciela which workshop would fit you best

Steve's thoughts about this workshop

Steve Hayes, PhD and ACT founder, writes:

Historically, ACT trainings have focused primarily on three core areas: an experiential understanding of the space behind the work, description of the underlying model and the research evidence for it, and exposure to ACT techniques. The exact structure of a given workshop, or the balance among these areas, has been determined by the trainer and by the content areas being examined (“Tahoe style” experiential workshops; ACT for anxiety; ACT for substance abuse; and so on).

These three things lay the groundwork for successful ACT practice but there is more to be done. Practicing ACT flexibly is a more developed skill that comes only gradually with practice. ACT II is designed to shorten that learning curve.

This workshop is meant specifically for people who are reasonably familiar with mid-level ACT terms, in particular the six core ACT processes (mindfulness, self-as-context, acceptance, defusion, values, and commitment). Anyone who is trying the model, or who has had a beginning ACT workshop somewhere can be confident that they will benefit from ACT II but even expert ACT clinicians will also find a lot of new learning opportunities that will polish their skills.

This workshop is different in terms of what it is training, how it does it, and the vision for evidence-based practice it contains. Instead of being primarily rule-based, this workshop relies on seeing, doing, and getting feedback in round after round of targeted experiences. The goal is to be able to use evidence-based processes linked to evidence-based procedures that address problems and promote prosperity in people. That is a model of evidence-based practice that is quite different than the “protocols for syndromes” era we are finally putting in the rear view mirror.

The workshop is a “skills building intensive.” I have developed a comprehensive set of exercises, tools, and film clips that will help ACT therapists become fluent in ACT micro-skills: reading, targeting, and moving psychological flexibility processes. ACT II will help you see psychological flexibility processes in flight, and target these processes at will within the therapeutic relationship. At any moment in any session you will be able to go in any flexibility direction you wish. This degree of flexibility and fluency changes ACT as an evidence-based therapy from a kind of march into a fluid psychotherapeutic dance that can fit the demands of your setting, client, and time restrictions.

By the end of the workshop I hope to convince you about the only way you can fail in ACT is to get stuck; and the most certain way to get stuck is to fail to change to fit the demands of the situation.

The style of the workshop is very interactive. Just as you can’t learn to dance solely through verbal instructions this skills-building intensive creates more fluid and flexible ACT abilities by creatively breaking ACT down into a manageable set of skills. If you have ever felt stuck in a corner of the psychological flexibility model in your ACT work, after this workshop you will know how to bust a move that takes you out of that corner and advances therapeutic progress.

The two days of training will help you:

  • Detect psychological flexibility processes in-flight in-session
  • Conceptualize cases in terms of flexibility processes
  • Target psychological flexibility processes at will at any point in therapy
  • Be able to stay focused on a given flexibility process or shift to another process based on clinical need
  • To respond to any statement from any corner of the model
  • To develop flexible and productive core intervention skills in ACT
  • To use these skills to create a powerful therapeutic relationship

I look forward to seeing some of you at the workshop.

Peace, love, and life,

Steven C. Hayes

Love isn’t everything, it’s the only thing.

ACTiveRehab och ACTivePhysio på TV4…

ACTiveRehab och ACTivePhysio på TV4…

malou…en patient som själv är läkare, berättar om sin erfarenhet hos Malou

TV4, den 10 April 2014 i ”Malou Efter Tio”: ACT för långvarig smärta.
Här berättar Nelly, hur det blev för henne när hon deltog i ACTivePhysio i grupp, som pågick tre timmar per dag i en vecka. Hon har lidit i manga år av långvarig smärta och remitterades till ACTiveRehab av sin läkare. Hon började i gruppen med armarna i korts och med mycket skepticism. Se nu hur det gick för henne! Klicka här eller på bilden för att se filmen (längd 16min).

P1, fr. den 11 november 2014

P1, fr. den 11 november 2014

Graciela nelly

Hur kan man hantera långvarig smärta med ACT? (Acceptence and Commitment Therapy).
När det går att bli av med smärtan kan man med hjälp av ACT kan man hitta nya sätt att förhålla sig till sin smärta och sin situation. I programmet deltar Rikard Wiksell, psykolog och en av grundarna av sektionen för beteendemedicinsk smärtbehandling vid Karolinska sjukhuset i Solna och Graciela Rovner, Rehab- och vårdutvecklare på Danderyd och som forskar på hur vi kan bättre förstå patientens olika rehabiliteringsbehov för att sedan kunna erbjuda rätt rehabiliteringsprogram. I programmet pratar även Anna Evertsson från Fibromyalgiförbundet som genomgått rehabilitering på Danderyd.
Klicka här för att lyssna och sedan tryck på play överst, då får du höra Gracielas del vid min 25.50 där hon pratar lite om sin forskning I några minuter. Annars kan du lyssna på hela programet här.