Educational Psychology Commons^™

Discussing Patient Emotions In Audiology: Provider Experiences With The Implementation Process Of Hearing Loss Psychological Inflexibility Screenings, Sydnee Grigsby, Karen Muñoz, Guadalupe G. San Miguel, Michael P. Twohig

Psychology Faculty Publications

Purpose: This study aimed to investigate barriers and facilitators experienced by clinical educators and graduate students when talking with patients about difficult emotions and thoughts related to their hearing.

Method: A longitudinal observational design was used, and an Implementation Research Logic Model guided the process. Five clinical educators and five graduate students participated in the study. Participants completed pre- and post-measures and attended individual debriefing sessions during the eight-month study period.

Results: Four themes emerged from the debriefing sessions: (1) learning process, (2) confidence (3) barriers, and (4) supervision. Participants described that the Acceptance and Action Questionnaire-Managing Child Hearing Loss …

Establishing The Temporal Relationship Between Religious Commitment, Sexual Identity Struggles, And Religious Struggles Among Sexual Minorities, G. Tyler Lefevor, Samuel J. Skidmore

Psychology Faculty Publications

Objective: Conclusions about the temporal relationship between religiousness and both religious and sexual identity struggles are frequently made in the absence of longitudinal data. The present study examines the temporal relationship between religious identification, sexual identity struggles, and religious struggles.

Methods: Participants were 132 Latter-day Saint sexual minorities who provided data at two timepoints, two years apart. We employed two cross-lagged panel models, one focusing on religious struggles and religious commitment and the other focusing on sexual identity struggles and religious commitment, to understand the temporal relationships between these variables.

Results: Cross-lagged panel models suggested that interpersonal religious struggles and …

Investigating An Acceptance And Commitment Therapy-Based Exposure Therapy Intervention In Treatment-Refractory Ocd And Related Disorders: Changes In Psychological Flexibility, Treatment Engagement, And Treatment Perceptions, Nate G. Gruner, Jenifer M. Cullen, Jesse M. Crosby, Stephanie N. Decross, Brittany Mathes, Lauryn Garner, Christina Gironda, Yuanjun Hu, Jason W. Krompinger, Jason A. Elias, Michael P. Twohig

Psychology Faculty Publications

While exposure therapy is the most effective psychological treatment for obsessive-compulsive, anxiety, and traumatic stress-related disorders, it is not universally effective, indicating a need for further treatment optimization. This study investigated a shift in approach to exposure therapy with 29 treatment-refractory adults in an OCD clinic not responding to standard treatment, comprising habituation-based exposure therapy. Participants completed a standard exposure as continuation of standard clinic treatment, followed by an Acceptance and Commitment Therapy (ACT) consultation session to assess psychological inflexibility processes interfering with treatment progress, and then an ACT-based exposure targeting behavior change through increasing psychological flexibility. After each exposure, …

Long-Term Follow-Up Of Acceptance-Enhanced Behavior Therapy For Trichotillomania, Kathryn E. Barber, Douglas W. Woods, Laura J. Ely, Stephen M. Saunders, Scott N. Compton, Angela Neal-Barnett, Martin E. Franklin, Matthew R. Capriotti, Christine A. Conelea, Michael P. Twohig

Psychology Faculty Publications

Acceptance-enhanced behavior therapy for trichotillomania (AEBT-TTM) is effective in reducing trichotillomania (TTM) symptoms, but the durability of treatment effects remains in question. This study analyzed 6-month follow-up data from a large randomized clinical trial comparing AEBT-TTM to an active psychoeducation and supportive therapy control (PST). Adults with TTM (N=85; 92% women) received 10 sessions of AEBT-TTM or PST across 12 weeks. Independent evaluators assessed participants at baseline, post-treatment, and 6 months follow-up. For both AEBT-TTM and PST, self-reported and evaluator-rated TTM symptom severity decreased from baseline to follow-up. TTM symptoms did not worsen from posttreatment to follow-up. At …

Diminished Adolescent Social Well-Being During The Covid-19 Pandemic, Michael J. Furlong, Mei-Ki Chan, Erin Dowdy, Karen Nylund-Gibson

Psychology Faculty Publications

Managing the COVID-19 pandemic involved implementing public health policies that disrupted students' lives, creating conditions that substantially influenced their mental health and well-being. Subsequently, research focused don the mental health sequelae of increased depression and anxiety, but the possible impacts on adolescents' social well-being have been largely unexamined. Social well-being is essential to youth's overall mental health and can be diminished even without symptoms of depression and anxiety. This report explored heterogeneities in changes in adolescents' social well-being from pre-COVID-19 to post-restrictions using longitudinal data from adolescents attending middle and high schools in California (N = 1,299; 49.9% female). …

Acceptance And Commitment Therapy (Act) Among U.S. Veterans: A Systematic Review, Marissa L. Donahue, Jeremiah E. Fruge, Felicia J. Andresen, Michael P. Twohig

Psychology Faculty Publications

Veterans of the United States military represent a large sample of the population and a distinctive culture. Veterans have a high prevalence rate of a variety of psychological disorders and disabilities. Research on treatments that meet the needs of this culturally unique group is essential. Acceptance and Commitment Therapy (ACT) may meet this need with its unified treatment approach and its focus on functioning rather than diagnosis. In this study we examine the current state of the literature of ACT for U.S. Veterans. A systematic review of 249 papers found 34 unique relevant studies involving 21 single arm studies, eight …

An Examination Of Psychological Flexibility As A Mediator Between Mental Health Concerns And Satisfaction With Life Among Autistic Adults, Ty B. Aller, Heather H. Kelley, Tyson S. Barrett, Benjamin Covington, Michael E. Levin, Maryellen Brunson Mcclain

Psychology Faculty Publications

Background: Experiencing mental health concerns (e.g., depression, anxiety, stress) can have negative effects on satisfaction with life (SWL) for autistic adults. Current mental health supports that may promote SWL do not effectively meet the needs of autistic adults, often due to deficits-based approaches. Methods: To begin addressing the gap in research surrounding mental health supports among autistic adults, we designed a preregistered longitudinal study that used structural equation modeling to assess 289 autistic adults from the Simons Powering Autism Research (SPARK) program to determine if progress toward ones values, a strengths-based component of psychological flexibility, is a potential …

Self-Compassion And Body Image Inflexibility As Mediators Of Outcomes In A Residential Eating Disorder Sample, Julie M. Petersen, Jennifer L. Barney, Leila K. Capel, Mercedes G. Woolley, Tera Lensegrav-Benson, Benita Quakenbush-Roberts, Michael P. Twohig

Psychology Faculty Publications

Eating disorders are serious mental health conditions that are accompanied by negative health outcomes, high mortality rates, impaired functioning, and comorbid mental health conditions. Despite many empirically supported interventions for eating disorders, it remains one of the most challenging mental disorders to treat, as individuals often struggle to maintain treatment gains. One method of improving our understanding of effective eating disorder treatment is to identify important processes of change to target during therapy. The aim of the current study was to test two candidate mediators of disordered eating symptom change during residential treatment: self-compassion and body image inflexibility. In the …

Response To Commentary: The Framework For Systematic Reviews On Psychological Risk Factors For Persistent Somatic Symptoms And Related Syndromes And Disorders (Psy-Pss), Paul Hüsing, Abigail Smakowski, Bernd Löwe, Maria Kleinstäuber, Anne Toussaint, Meike C. Shedden-Mora

Psychology Faculty Publications

Persistent somatic symptoms (PSS) are common in all fields of medicine. Current classification systems for mental disorders in this field, i.e. Somatic Symptom Disorder (SSD; DSM-5) or Bodily Distress Disorder (BDD; ICD-11), now stress the relevance of psychological features associated with the physical complaints. It is well known that psychological criteria are among the relevant risk factors for the development and/or worsening of persistent physical symptoms, however, the selected diagnostic criteria remain subject to debate. Numerous psychological concepts have been studied and discussed in the scientific field. However, empirical evidence remains scattered, individual factors have not been reviewed systematically, and …

Increasing Transcultural Competence In Clinical Psychologists Through A Web-Based Training: Study Protocol For A Randomized Controlled Trial, Selina Studer, Maria Kleinstäuber, Ulrike Von Lersner, Cornelia Weise

Psychology Faculty Publications

Background In mental health care, the number of patients with diverse cultural backgrounds is growing. Nevertheless, evaluated training programs for transcultural competence are missing. Barriers for engaging in transcultural therapy can be identified in patients as well as in therapists. Besides language barriers, clinical psychologists report insecurities, for example, fear of additional expenses when involving a language mediator, ethical concerns such as power imbalances, or fear of lack of knowledge or incorrect handling when working with patients from other cultures. Divergent values and concepts of disease, prejudices, and stereotyping are also among the issues discussed as barriers to optimal psychotherapy …

School Climate Perception Among Latinx And White Students: An Examination Of Intersecting Racial/Ethnic And Socioeconomic Identities In Context, Mei-Ki Chan, Jill D. Sharkey, Erin Dowdy, Karen Nylund-Gibson, Michael J. Furlong

Psychology Faculty Publications

Limited research has explored how the characteristics of student and teacher racial/ethnic composition may explain students’ perceptions of school climate. This study used stratified analysis to assess the associations of two prominent diversity aspects (i.e., student racial/ethnic diversity and teacher racial/ethnic diversity) with students’ perceived school climate. Particularly, this study controlled for student- and school-levels demographic characteristics among 41,237 Latinx students and 23,819 White students from 7th grade to 12th grade enrolled in 250 California public schools. The findings indicated that higher teacher racial/ethnic diversity had a mild to moderate positive association with perceived school attitudes to parental participation (Economically …

Reach, Adoption, And Maintenance Of Online Acceptance And Commitment Therapy At A University: An Implementation Case Study, Carter H. Davis, Korena Klimczak, Ty B. Aller, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

College students are undergoing a mental health crisis and existing clinical resources at universities may be inadequate to meet their needs. One solution to this problem could be the use of self-guided, online programs for mental health that can be easily distributed to students. A persistent issue, however, is the transition from program development to implementation of a self-guided program at campus-wide scale. We describe, in a self-narrative format, the steps taken to translate an online program we developed based in acceptance and commitment therapy (ACT), called ACT Guide, from a research context to a campus-wide service at our university. …

Direct Vs. Indirect Contact: A Naturalistic Experiment In Teaching Multicultural Competence, Elizabeth Tish Hicks, Melanie M. Domenech Rodríguez, Melissa Tehee

Psychology Faculty Publications

This study examines the impact of different types of intergroup contact with diverse others on students’ cultural awareness, knowledge, and skills. An undergraduate Multicultural Psychology course required direct intergroup contact by attending at least three multicultural events every semester. However, during the COVID-19 pandemic, this requirement was shifted to allow indirect intergroup contact activities. This paper examined differential shifts on students' cultural competence-related attitudes in sections where students were required to engage in direct intergroup contact (pre-pandemic) versus students who were allowed to engage in indirect intergroup contact (pandemic-transition and pandemic-prepared). Students across all course sections and semesters (N …

'The Eyes Are The Window To The Representation': Linking Gaze To Memory Precision And Decision Weights In Object Discrimination Tasks, Emily R. Weichart, Layla Unger, Nicole King, Vladimir M. Sloutsky, Brandon M. Turner

Psychology Faculty Publications

Humans selectively attend to task-relevant information in order to make accurate decisions. However, selective attention incurs consequences if the learning environment changes unexpectedly. This trade-off has been underscored by studies that compare learning behaviors between adults and young children: broad sampling during learning comes with breadth of information in memory, often allowing children to notice details of the environment that are missed by their more selective adult counterparts. The current work extends the generalized context model (Nosofsky, 1986) to account for both the intentional and consequential aspects of selective attention when predicting choice. In a novel direct input approach, we …

Discriminative Stimuli Promote The Efficacy Of Delay Tolerance Training, Katherine R. Brown, Samantha J. Nercesian

Psychology Faculty Publications

Schedule thinning occurs after functional communication training to teach individuals to tolerate delays to accessing functional reinforcers. One challenge that can emerge during schedule thinning is poor discriminated use of the newly taught functional communication response (FCR). Although prevalence of this treatment challenge remains largely unknown, it appears to be relatively uncommon during schedule thinning approaches that incorporate arbitrary discriminative stimuli. In contrast, several studies using naturalistic discriminative stimuli during delay tolerance schedule thinning have reported this treatment challenge. In the current study, we examined the efficacy of embedding arbitrary discriminative stimuli into delay tolerance schedule thinning to improve discriminated …

An Exploratory Examination Of Delay Discounting In Women And Girls Diagnosed With An Eating Disorder, Marissa L. Donahue, Mariah E. Willis-Moore, Julie M. Petersen, Amy L. Odum, Michael E. Levin, Josephine N. Hannah, Tera Lensegrav-Benson, Benita Quakenbush, Michael Twohig

Psychology Faculty Publications

Those with eating disorders (ED) characterized by purging behaviors tend to show more impulsivity than those diagnosed with restrictive eating, who tend to show more compulsivity. Impulsive choice (i.e., a type of impulsivity) is a common factor among eating disorders that is less understood. Delay discounting is a measure of choice impulsivity, examining the decrease in value of delayed outcomes. In this exploratory study, we examined associations between eating disorder type, age and delay discounting among patients at a residential ED treatment center (N = 178). Our findings showed that those diagnosed with bulimia nervosa had higher delay discounting (i.e., …

Navigating Faith Transitions: A Four-Year Longitudinal Examination Of Religious Deidentification Among Lgbtq+ Latter-Day Saints, G. Tyler Lefevor, Samuel J. Skidmore

Psychology Faculty Publications

Many lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) individuals raised in conservative religious traditions present to therapy with questions about how to navigate tension between their sexual/gender and religious identities. For therapists, having accurate information about (a) the typical process of religious de-identification, (b) its antecedents, and (c) its outcomes is critical to empowering these clients to make the decisions that are best for them. We present data from a pre-registered, four-year, longitudinal study of 164 LGBTQ+ people who were active members of the Church of Jesus Christ of Latter-day Saints (CJCLDS) at baseline to examine the phenomenology, antecedents, and …

Endorsing A Biophychosocial Perspective Of Pain In Individuals With Chronic Pain: Development And Validation Of A Scale, Maria Kleinstäuber, Eric L. Garland, Brittany L. Sisco-Taylor, Mathias Sanyer, Julia Corfe-Tan, Antonia Barke

Psychology Faculty Publications

Objectives:

Patients' beliefs about pain play an important role in their readiness to engage with chronic pain self-management. The central aim of this study was to validate a self-report instrument to assess a specific set of pain beliefs, patients' endorsement of a biopsychosocial model of chronic pain (PEB).

Methods:

Interdisciplinary experts in the field of pain were involved in creating an instrument, the PEB Scale, to operationalize patients' endorsement of a biopsychosocial pain model. A sample of 199 patients with chronic pain was recruited to evaluate the factorial structure (principal axis factoring), the internal consistency (Cronbach's alpha), the convergent …

Act-Enhanced Behavior Therapy For A Hispanic Adult With Trichotillomania: A Case Report, Marissa L. Donahue, Michael P. Twohig

Psychology Faculty Publications

Trichotillomania, also known as Hair-Pulling Disorder, is characterized by recurrent pulling out of one’s hair over brief episodes or sustained periods of time and results in hair loss. ACT-enhanced behavior therapy (A-EBT) has been shown to be an effective approach in the treatment of trichotillomania by promoting psychological flexibility around hair pulling urges and teaching stimulus control and habit reversal training. However, there is limited support of A-EBT for clients with an ethnic minority identity. This case report focuses on an adult, Hispanic female client, Luna (pseudonym), who received eight sessions of A-EBT for the treatment of trichotillomania. At post-treatment, …

Merging Acceptance And Commitment Therapy With Exposure Exercises To Treat Social Anxiety In A Teen, Caleb D. Farley, Michael P. Twohig

Psychology Faculty Publications

Social anxiety disorder (SAD) often develops during teenager years, and it is important to conceptualize developmentally appropriate interventions. Exposure therapy framed from a perspective of acceptance and commitment therapy (ACT) shows promise for decreasing pathology and increasing wellbeing. This case illustrates the process through which exposure therapy was integrated with ACT to elicit meaningful outcomes in a case of SAD with a 16-year-old female. Treatment outcomes assessed included engagement in values-based activities as well as assessments of depression, social anxiety, separation anxiety, generalized anxiety, experiential avoidance, and contextually targeted school-based wellbeing. Intervention centered on learning ACT principles through relatable metaphors …

Making Space: A Randomized Waitlist-Controlled Trial Of An Acceptance And Commitment Therapy Website For Hoarding, Jennifer Krafft, Julie M. Petersen, Clarissa W. Ong, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

Background: Hoarding disorder causes significant impairment, but existing treatments have notable barriers to access and do not target several psychological processes that may contribute to hoarding. Therefore, this study evaluated an acceptance and commitment therapy (ACT) self-help website for hoarding with minimal coaching in a randomized waitlist-controlled trial to evaluate initial feasibility and efficacy.

Methods: Participants were 73 U.S.-based adults with clinically significant hoarding symptoms. The website comprised 16 self-help sessions to be completed over 8 weeks. Measures were taken at baseline, posttreatment, and 1-month follow-up.

Results: Multilevel models indicated that the ACT condition improved significantly more than waitlist on …

Development And Initial Validation Of Scales For Coming Out Vigilance And Positive Coming Out Responses, Samuel J. Skidmore, G. Tyler Lefevor, Kiet D. Huynh, Connor O. Berg

Psychology Faculty Publications

Coming out involves sexual and gender minorities (SGMs) disclosing their identity to others, and is often related to improved health, well-being, and social support. However, coming out is not always perceived as a positive event, and outcomes of identity disclosure may vary depending on how coming out is approached and how others respond. The present study reports on the development and validation of the Coming Out Vigilance (COV) and the Positive Coming Out Responses (PCOR) measures. Two subsamples of SGMs with varying degrees of outness— totaling 399 individuals—were utilized in the development and validation of these measures. Exploratory and confirmatory …

Pediatric Hearing Aid Management: Experiences And Perspectives Of Spanish-Speaking Parents, Karen Muñoz, Diego Guillen, Carlos Muñoz, Michael P. Twohig

Psychology Faculty Publications

Purpose: The purpose of the study was twofold: (a) to explore hearing aid management experiences of Spanish-speaking parents who have young children using hearing aids and (b) to explore parents' access to the Internet and perceptions about remote audiology services.

Method: The study used a mixed methods design. Data were collected through a phone interview.

Results: Eleven mothers of children aged 14-60 months participated. Most of the children (9/11) had a bilateral hearing loss, and two had an additional disability. Three themes emerged for hearing aid management experiences: audiology services, routines, and emotional challenges/supports. Parents had variable levels of confidence …

Sexuality, Religiousness, And Mental Health Among Sexual Minority Latter-Day Saints In Other-Gender Relationships, G. Tyler Lefevor

Psychology Faculty Publications

To guide therapists working with sexual minority individuals considering entering in an other-gender relationship, we present data from 82 sexual minority, current Latter-day Saints in other-gender relationships, 155 sexual minority, former Latter-day Saints in same-gender relationships, and 123 cisgender/heterosexual, current Latter-day Saints in other-gender relationships. Results suggest that relative to cisgender/heterosexual individuals, sexual minority individuals (both in same- and other-gender relationships), report being less happy in their relationship, viewing porn and masturbating more often, and experiencing greater religious struggles. Sexual minority individuals in both same- and other-gender relationships reported happiness in their relationships and lives; however, the two groups differed …

Disentangling Trait And State Psychological Inflexibility: A Longitudinal Multilevel Approach, Korena S. Klimczak, Sarah E. Schwartz, Marissa L. Donahue, Leila K. Capel, Janice L. Snow, Michael E. Levin

Psychology Faculty Publications

An individual's trait-like thoughts, feelings, and behaviors are characteristic patterns that occur across time, whereas state-like iterations of these variables are isolated to specific moments in time. Although highly correlated, variables at the trait and state levels measure different phenomena and should be examined separately. In this longitudinal study, we examine the disaggregation of trait and state-level psychological inflexibility among college students. Specifically, we investigated which psychological inflexibility subprocess would significantly predict positive affect, negative affect, and meaningful activity, both at the trait and state-levels. In addition to pre- and post-assessments, participants (n = 168) completed ecological momentary assessment …

Religion/Spirituality, Stress, And Resilience Among Sexual And Gender Minorities: The Religious/Spiritual Stress And Resilience Model, G. Tyler Lefevor, Chana Etengoff, Edward B. Davis, Samuel J. Skidmore, Eric M. Rodriguez, James S. Mcgraw, Sharon S. Rostosky

Psychology Faculty Publications

Although many sexual and gender minorities (SGMs) consider themselves religious or spiritual, the impact of this religiousness or spirituality (RS) on their health is poorly understood. We introduce the religious/spiritual stress and resilience model (RSSR) to provide a robust framework for understanding the variegated ways that RS influences the health of SGMs. The RSSR bridges existing theorizing on minority stress, structural stigma, and RS-health pathways to articulate the circumstances under which SGMs likely experience RS as health promoting or health damaging. The RSSR makes five key propositions: (a) Minority stress and resilience processes influence health; (b) RS influences general resilience …

The Impact Of Changes In Religion On Health Among Sexual Minority Mormons, G. Tyler Lefevor, Samuel J. Skidmore, Kiet D. Huynh, James S. Mcgraw

Psychology Faculty Publications

The current study presents data from the first longitudinal examination of sexual minority (SM) Mormons (n = 132). Over the course of 2 years, SM Mormons reported decreased psychological (e.g., orthodox beliefs), behavioral (e.g., service attendance), and social (interpersonal religious commitment) religiousness. Analyses revealed that, at baseline, service attendance was related to lower levels of meaning in life and higher levels of depression at time 2, while interpersonal religious commitment at baseline was related to higher levels of meaning in life and lower levels of depression. Latent change scores of religiousness suggested that decreases in interpersonal religious commitment over …

The Role Of Psychological Flexibility In Acceptance-Enhanced Behavior Therapy For Trichotillomania: Moderation And Mediation Findings, Clarissa W. Ong, Douglas W. Woods, Martin E. Franklin, Stephen M. Saunders, Angela M. Neal-Barnett, Scott N. Compton, Michael P. Twohig

Psychology Faculty Publications

Trichotillomania is characterized by recurrent pulling out of one's hair, leading to significant hair loss and accompanied by clinically significant distress and/or functional impairment. The current study used data from a randomized controlled trial comparing the effectiveness of acceptance-enhanced behavior therapy (AEBT) to psychoeducation plus supportive therapy (PST; active control) for trichotillomania in an adult sample. The objectives were to examine the moderating and mediating influence of trichotillomania-specific psychological flexibility in treatment for trichotillomania. Participants with lower baseline flexibility performed better in AEBT than PST in terms of greater symptom reduction and quality of life. Lower baseline flexibility also predicted …

Processes Of Change In Online Acceptance And Commitment Therapy For Hoarding, Jennifer Krafft, Julie M. Petersen, Clarissa W. Ong, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

Initial research suggests that acceptance and commitment therapy (ACT) is efficacious in treating hoarding problems, but processes of change in ACT for hoarding are unclear. Thus, we investigated potential mediators and moderators in a randomized waitlist-controlled trial (n = 73) of web-based ACT for U.S. adults with clinically significant hoarding problems. Hoarding severity was significantly correlated with hoarding-related psychological inflexibility (r = 0.52, p < .01), mindful awareness (r = −0.40, p < .01), and beliefs that people with hoarding disorder are different from others (r = 0.31, p < .01). Effects of ACT were not significantly moderated by age, gender, or baseline hoarding-related psychological inflexibility. Longitudinal mediation analyses did not support mediation by hypothesized processes. However, the effect of condition on hoarding severity at follow-up was significantly mediated by hoarding-related psychological inflexibility at follow-up (ab = −0.41 [95% CI: 0.85, −0.01]), and change in hoarding-related psychological inflexibility (r = 0.73, p < .01) and mindful awareness (r = −0.69, p < .01) was correlated with change in hoarding symptoms over time. Overall, our results suggest that psychological inflexibility, self-stigma, and mindful awareness are indeed related to hoarding symptoms, but we cannot conclude that they underly the effects of ACT for hoarding. Limitations include a predominantly White and female sample.

Introduction To The Special Issue On The Acbs Taskforce Report, Michael P. Twohig, Joanna J. Arch, Ian Stewart

Psychology Faculty Publications

In 2021, the Journal of Contextual Behavioral Science (JCBS) published a white paper titled “Report of the ACBS Task Force on the strategies and tactics of contextual behavioral science research.” The focus of this report was to guide research done by members of the Association of Contextual Behavioral Science. This report offered 33 specific recommendations under five themes. This paper is the introduction to a special issue of JCBS that includes eight commentaries written by leaders in their respective fields on the taskforce report. These commentaries offer praise and suggestions based on the ACBS report.