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ACT_therapy_scripts

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The therapist evokes further tracking.

Yeah . . . Just thinking of it makes me a bit angry, I guess.

And what do you feel like doing as you hear these supporters insulting you?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes further tracking.###Input:Yeah . . . Just thinking of it makes me a bit angry, I guess.###Response:And what do you feel like doing as you hear these supporters insulting you?

The therapist evokes observation and description of sensations.

Honestly? I feel like punching them!

What does that feel like, inside of you?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes observation and description of sensations.###Input:Honestly? I feel like punching them!###Response:What does that feel like, inside of you?

The therapist evokes observation and description of sensations.

Punching them?

Yes. What sensations come in your body when you feel like punching them?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes observation and description of sensations.###Input:Punching them?###Response:Yes. What sensations come in your body when you feel like punching them?

The therapist evokes tracking.

Hmm . . . I clench my jaw. I feel the tension in my fists.

And what do you do now?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking.###Input:Hmm . . . I clench my jaw. I feel the tension in my fists.###Response:And what do you do now?

The therapist formulates an observation.

I do everything I can to relax, to not feel stressed.

Like distracting yourself, trying to think of something else, right?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist formulates an observation.###Input:I do everything I can to relax, to not feel stressed.###Response:Like distracting yourself, trying to think of something else, right?

The therapist formulates an observation.

Yes.

And what happens is that you feel even more anxious in the end . . .

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist formulates an observation.###Input:Yes.###Response:And what happens is that you feel even more anxious in the end . . .

The therapist formulates her own rule.

Yeah . . . I guess it’s like in the quicksand. I sink even more.

Maybe the problem comes from avoiding your anxiety, then. What do you think?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist formulates her own rule.###Input:Yeah . . . I guess it’s like in the quicksand. I sink even more.###Response:Maybe the problem comes from avoiding your anxiety, then. What do you think?

The therapist formulates a rule and suggests an alternative response.

You think it makes things worse?

If I listen to your experience, it seems like it makes things worse because you spend all your energy trying to feel less stressed and you are even more stressed in the end. Maybe a better strategy would be not trying to avoid your anxiety. What do you think?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist formulates a rule and suggests an alternative response.###Input:You think it makes things worse?###Response:If I listen to your experience, it seems like it makes things worse because you spend all your energy trying to feel less stressed and you are even more stressed in the end. Maybe a better strategy would be not trying to avoid your anxiety. What do you think?

The therapist evokes tracking.

If I avoid my anxiety, it will make it worse. I understand. It is not easy to think that way. But I see what you mean. . . . It’s like the quicksand.

And when you start sinking into your anxiety, what do you do?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking.###Input:If I avoid my anxiety, it will make it worse. I understand. It is not easy to think that way. But I see what you mean. . . . It’s like the quicksand.###Response:And when you start sinking into your anxiety, what do you do?

The therapist evokes observation and description of behavior.

I do everything I can to relax, to not feel stressed.

Like what, for example?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes observation and description of behavior.###Input:I do everything I can to relax, to not feel stressed.###Response:Like what, for example?

The therapist evokes tracking.

Like I said, I try to distract myself and think of something else.

And what happens next?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking.###Input:Like I said, I try to distract myself and think of something else.###Response:And what happens next?

The therapist evokes tracking.

I feel a little better.

Do you mean that you feel better at first?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking.###Input:I feel a little better.###Response:Do you mean that you feel better at first?

The therapist evokes tracking.

Yes.

And then?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking.###Input:Yes.###Response:And then?

The therapist evokes more precise tracking.

It comes back quickly.

How is it when it comes back? Is it just as hard as it was before you tried to relax? Is it less hard? Harder?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes more precise tracking.###Input:It comes back quickly.###Response:How is it when it comes back? Is it just as hard as it was before you tried to relax? Is it less hard? Harder?

The therapist evokes more precise tracking.

I don’t know. . . . It is harder in a way because it is frustrating to feel the anxiety coming back again and again after it went away for a bit. It makes me feel like it will never go away.

Are you saying that after it comes back, you feel frus- trated in addition to feeling stressed?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes more precise tracking.###Input:I don’t know. . . . It is harder in a way because it is frustrating to feel the anxiety coming back again and again after it went away for a bit. It makes me feel like it will never go away.###Response:Are you saying that after it comes back, you feel frustrated in addition to feeling stressed?

The therapist evokes tracking of alternative response.

Yeah . . . It’s even worse in the end.

What else can you do then?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking of alternative response.###Input:Yeah . . . It’s even worse in the end.###Response:What else can you do then?

The therapist orients the client to previous observation in order to improve tracking.

I guess it would be better if I didn’t try so hard to avoid feeling stressed.

Why not? You said that you don’t like feeling stressed.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist orients the client to previous observation in order to improve tracking.###Input:I guess it would be better if I didn’t try so hard to avoid feeling stressed.###Response:Why not? You said that you don’t like feeling stressed.

The therapist orients the client to previous observation in order to improve tracking.

Yeah, but it makes things worse in the end.

You are saying that struggling with your anxiety makes you sink even more?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist orients the client to previous observation in order to improve tracking.###Input:Yeah, but it makes things worse in the end.###Response:You are saying that struggling with your anxiety makes you sink even more?

the therapist explicitly formulates the rule that may help the client change his behavior.

I have never thought about that, but it is true that there are fears that don’t bother me or even ones that I like.

If you see your fear of speaking in public and your emotions in general as ups and downs on a roller coaster, you may actually feel like choosing to live these emotions. They might be scary sometimes, but they are part of your life. Parts of what makes it interesting too.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:the therapist explicitly formulates the rule that may help the client change his behavior.###Input:I have never thought about that, but it is true that there are fears that don’t bother me or even ones that I like.###Response:If you see your fear of speaking in public and your emotions in general as ups and downs on a roller coaster, you may actually feel like choosing to live these emotions. They might be scary sometimes, but they are part of your life. Parts of what makes it interesting too.

The therapist evokes further observation and description of sensations.

Hmm . . . My heart is racing. I smile but I’m nervous . . . I hear people screaming. It makes it even more stressful.

Do you have other sensations?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes further observation and description of sensations.###Input:Hmm . . . My heart is racing. I smile but I’m nervous . . . I hear people screaming. It makes it even more stressful.###Response:Do you have other sensations?

The therapist evokes observation and description of sensations.

I feel very stressed, scared.

How about the sensations in your body?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes observation and description of sensations.###Input:I feel very stressed, scared.###Response:How about the sensations in your body?

The therapist evokes observation and description while mixing again the vocabulary of the vehicle and the target.

I sweat, my heart races . . . I feel very shaky.

And suddenly, the roller coaster goes down very fast. You have to talk now. How do you feel?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes observation and description while mixing again the vocabulary of the vehicle and the target.###Input:I sweat, my heart races . . . I feel very shaky.###Response:And suddenly, the roller coaster goes down very fast. You have to talk now. How do you feel?

The therapist mixes the vocabulary of the two networks again so as to increase their functional equivalence.

It’s even scarier.

Do you hear screaming in your head?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist mixes the vocabulary of the two networks again so as to increase their functional equivalence.###Input:It’s even scarier.###Response:Do you hear screaming in your head?

The therapist mixes the vocabulary of the two networks again so as to increase their functional equivalence.

I find a way to avoid speaking. When I can, I leave the room before.

You leave the roller coaster because it gets too scary?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist mixes the vocabulary of the two networks again so as to increase their functional equivalence.###Input:I find a way to avoid speaking. When I can, I leave the room before.###Response:You leave the roller coaster because it gets too scary?

The therapist evokes further observation and description.

It was difficult, really.

Yeah? What was difficult?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes further observation and description.###Input:It was difficult, really.###Response:Yeah? What was difficult?

The therapist underlines the client’s progress and evokes further observation and description.

It was hard to keep observing what was going on in my mind because I kept being distracted.

This is interesting. You noticed that you were distracted. What kind of things distracted you?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist underlines the client’s progress and evokes further observation and description.###Input:It was hard to keep observing what was going on in my mind because I kept being distracted.###Response:This is interesting. You noticed that you were distracted. What kind of things distracted you?

The therapist shares her own observation to help the client track his behavior.

Well, many different things. At first, I noticed that I was thinking of being here, doing the exercise with you. Then, I started thinking of my children because I need to pick them up after our session. And then, I was completely distracted. I started thinking of making dinner, helping the kids do their homework, all kinds of things. At this point, I was not really doing the exercise anymore I think

What you are saying is really interesting, I think, because as you are telling me about your experience during the exercise, you are still noticing your experience. Even when you say that you were distracted, this is part of your experience. Did you see that?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist shares her own observation to help the client track his behavior.###Input:Well, many different things. At first, I noticed that I was thinking of being here, doing the exercise with you. Then, I started thinking of my children because I need to pick them up after our session. And then, I was completely distracted. I started thinking of making dinner, helping the kids do their homework, all kinds of things. At this point, I was not really doing the exercise anymore I think###Response:What you are saying is really interesting, I think, because as you are telling me about your experience during the exercise, you are still noticing your experience. Even when you say that you were distracted, this is part of your experience. Did you see that?

The therapist shares her own observation to help the client track his behavior.

I think I see what you mean, but it felt like I was not really there, like I couldn’t do the exercise right.

Here is another observation! You felt like you were not really there, and you thought you couldn’t do the exercise right. Do you see?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist shares her own observation to help the client track his behavior.###Input:I think I see what you mean, but it felt like I was not really there, like I couldn’t do the exercise right.###Response:Here is another observation! You felt like you were not really there, and you thought you couldn’t do the exercise right. Do you see?

The therapist evokes observation and description of feelings.

I see. So I can observe everything?

Exactly. In this exercise, this is all that matters. Can I ask you more about what you noticed?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes observation and description of feelings.###Input:I see. So I can observe everything?###Response:Exactly. In this exercise, this is all that matters. Can I ask you more about what you noticed?

The therapist evokes observation and description of feelings.

Sure.

When you started thinking that you were not able to do the exercise right, did you notice any feelings as well?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes observation and description of feelings.###Input:Sure.###Response:When you started thinking that you were not able to do the exercise right, did you notice any feelings as well?

The therapist reformulates the observation made by the client to help him notice this sequence.

Frustrated, a bit stupid I guess.

Okay, so first you think you are not doing it right, and then another thought pops up “This is frustrating,” “I am stupid,” something like that?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist reformulates the observation made by the client to help him notice this sequence.###Input:Frustrated, a bit stupid I guess.###Response:Okay, so first you think you are not doing it right, and then another thought pops up “This is frustrating,” “I am stupid,” something like that?

The therapist evokes further description.

I noticed that it was hard.

Can you tell me more about what was hard?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes further description.###Input:I noticed that it was hard.###Response:Can you tell me more about what was hard?

The therapist normalizes urges to escape.

I wanted the sensation to go away. I wanted to go away. So, staying in contact with it was unpleasant.

I can understand that. It seems illogical to stay in contact with something painful, right?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist normalizes urges to escape.###Input:I wanted the sensation to go away. I wanted to go away. So, staying in contact with it was unpleasant.##Response:I can understand that. It seems illogical to stay in contact with something painful, right?

The therapist evokes tracking of the usual response.

Yeah.

Usually, what do you do when you have this sensation?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking of the usual response.###Input:Yeah.##Response:Usually, what do you do when you have this sensation?

The therapist evokes tracking of the response in the exercise.

I try to make it go away.

And you did the opposite this time . . .

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking of the response in the exercise.###Input:I try to make it go away.##Response:And you did the opposite this time . . .

The therapist evokes tracking of additional consequences.

Yeah.

What else did you notice, besides the pain?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking of additional consequences.###Input:Yeah.##Response:What else did you notice, besides the pain?

The therapist evokes the assessment of response effectiveness.

It was a strange feeling not to do anything.

You mean, as opposed to trying to make the pain go away?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes the assessment of response effectiveness.###Input:It was a strange feeling not to do anything.###Response:You mean, as opposed to trying to make the pain go away?

The therapist evokes the assessment of response effectiveness.

Yeah. I hated feeling this sensation, but there was something a bit relieving about not needing to get rid of it. I still wanted to, believe me. But there was less . . . effort.

Is it something you appreciate?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes the assessment of response effectiveness.###Input:Yeah. I hated feeling this sensation, but there was something a bit relieving about not needing to get rid of it. I still wanted to, believe me. But there was less . . . effort.##Response:Is it something you appreciate?

The therapist evokes further assessment of the response’s effectiveness to expand toward broader contexts.

Yeah, I think so. I mean, it is different, not something I am used to doing. So, it is hard to know what I think about this right now. I guess it is an interesting approach.

Would that make a difference in your life if you didn’t have to make any effort to get rid of the sensation?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes further assessment of the response’s effectiveness to expand toward broader contexts.###Input:Yeah, I think so. I mean, it is different, not something I am used to doing. So, it is hard to know what I think about this right now. I guess it is an interesting approach.###Response:Would that make a difference in your life if you didn’t have to make any effort to get rid of the sensation?

The meditation exercises I did at home made me even more aware of my obsessions, so I stopped doing them.

The meditation exercises I did at home made me even more aware of my obsessions, so I stopped doing them.

I know you don’t like noticing these obsessive thoughts, so I can understand it must not have been a pleasant experience.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The meditation exercises I did at home made me even more aware of my obsessions, so I stopped doing them.###Input:The meditation exercises I did at home made me even more aware of my obsessions, so I stopped doing them.###Response:I know you don’t like noticing these obsessive thoughts, so I can understand it must not have been a pleasant experience.

The meditation exercises I did at home made me even more aware of my obsessions, so I stopped doing them.

Yeah, not at all.

You know, these exercises are not meant to make you suffer. I hope you know that.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The meditation exercises I did at home made me even more aware of my obsessions, so I stopped doing them.###Input:Yeah, not at all.###Response:You know, these exercises are not meant to make you suffer. I hope you know that.

The meditation exercises I did at home made me even more aware of my obsessions, so I stopped doing them.

Yeah, I know. It is just that it is really difficult for me.

Yeah, I understand. I would like to make sure you understand the point of these exercises. What do you think is the purpose?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The meditation exercises I did at home made me even more aware of my obsessions, so I stopped doing them.###Input:Yeah, I know. It is just that it is really difficult for me.###Response:Yeah, I understand. I would like to make sure you understand the point of these exercises. What do you think is the purpose?

the therapist clarifies the function of the exercise to help the client track with more precision.

It’s like practicing skills?

Yeah, exactly. Training our ability to observe our experience, so we can better see what works and what doesn’t work.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:the therapist clarifies the function of the exercise to help the client track with more precision.###Input:It’s like practicing skills?###Response:Yeah, exactly. Training our ability to observe our experience, so we can better see what works and what doesn’t work.

The therapist shares an observation to help the client track her behavior.

I understand. I feel like observing doesn’t work for me though.

Which is an observation too! Would you agree with that?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist shares an observation to help the client track her behavior.###Input:I understand. I feel like observing doesn’t work for me though.###Response:Which is an observation too! Would you agree with that?

The therapist normalizes difficult experiences linked to the exercise.

Ah! Yeah, I guess so.

There is nothing wrong with not liking these exercises. In fact, I agree with you. If what you observe is unpleasant, it is understandable that you would not want to continue. I do want you to feel free to do these exercises or not. However, I also know that practicing a new skill is often dif- ficult and takes time. A little bit like people who decide to go to the gym, you know. At first, they will probably find it painful. If they persist though, they will start to see some results.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist normalizes difficult experiences linked to the exercise.###Input:Ah! Yeah, I guess so.###Response:There is nothing wrong with not liking these exercises. In fact, I agree with you. If what you observe is unpleasant, it is understandable that you would not want to continue. I do want you to feel free to do these exercises or not. However, I also know that practicing a new skill is often dif- ficult and takes time. A little bit like people who decide to go to the gym, you know. At first, they will probably find it painful. If they persist though, they will start to see some results.

The therapist underlines the distinction between the function of the exercise (observing, describing, and tracking) and the psychological experiences that may be involved in the exercise (e.g., obsessive thoughts).

I see what you mean. It is like a phase?

Maybe, yeah. You know, it is possible that painful thoughts will always be unpleasant to observe. But if you can notice what responses to these thoughts work best, you may find meditation useful in the end.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist underlines the distinction between the function of the exercise (observing, describing, and tracking) and the psychological experiences that may be involved in the exercise (e.g., obsessive thoughts).###Input:I see what you mean. It is like a phase?###Response:Maybe, yeah. You know, it is possible that painful thoughts will always be unpleasant to observe. But if you can notice what responses to these thoughts work best, you may find meditation useful in the end.

the client still feels like meditation was not helping, and the therapist respects this observation because it is an opportunity to reinforce her tracking skills.

Right now, I feel like meditation is not working.

I hear that. I think you have two possible options then. If you think you have enough information to know that it is not helpful, then maybe you can choose not to use it. The other option is to continue at least for a while and observe a bit more. I am open to both options because in the end, what I want is to help you find out what works best for you. I will always push you a little, gently, just to make sure that you are considering all your options carefully. But I will support your choice.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:the client still feels like meditation was not helping, and the therapist respects this observation because it is an opportunity to reinforce her tracking skills.###Input:Right now, I feel like meditation is not working.###Response:I hear that. I think you have two possible options then. If you think you have enough information to know that it is not helpful, then maybe you can choose not to use it. The other option is to continue at least for a while and observe a bit more. I am open to both options because in the end, what I want is to help you find out what works best for you. I will always push you a little, gently, just to make sure that you are considering all your options carefully. But I will support your choice.

The therapist evokes tracking.

I feel kind of crushed.

Are you upset by what happened during this exercise?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking.###Input:I feel kind of crushed.###Response:Are you upset by what happened during this exercise?

The therapist mixes elements from the exercise and the client’s life to establish coordination between the two situations and facilitate tracking.

Yeah.

What is difficult right now?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist mixes elements from the exercise and the client’s life to establish coordination between the two situations and facilitate tracking.###Input:Yeah.###Response:What is difficult right now?

The therapist mixes elements from the exercise and the client’s life to establish coordination between the two situations and facilitate tracking.

Feeling like I have been spending so much effort trying to make my life work and it was all a waste of time in the end.

As you were looking at the black marks, you felt like you had wasted time in your life?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist mixes elements from the exercise and the client’s life to establish coordination between the two situations and facilitate tracking.###Input:Feeling like I have been spending so much effort trying to make my life work and it was all a waste of time in the end.###Response:As you were looking at the black marks, you felt like you had wasted time in your life?

The therapist reformulates the client’s description with vocabulary from the exercise.

I am constantly thinking about terrible things that could happen. I feel like I am constantly running, hyperactive, trying to make sure that nothing bad happens again.

It feels like you are filling your life with the black marker?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist reformulates the client’s description with vocabulary from the exercise.###Input:I am constantly thinking about terrible things that could happen. I feel like I am constantly running, hyperactive, trying to make sure that nothing bad happens again.###Response:It feels like you are filling your life with the black marker?

The therapist normalizes urges to escape through perspective taking (deictic framing).

That I need to stop running, I guess. It seems like a relief in a way, but what am I going to do? I can’t just let bad things hap- pen again.

You know that what we are trying to do here is to look at what can help you. And what can help is what works, right? So far, you have been using your black marker because this is what makes more sense, and I am pretty sure I would have done the same thing as you did. We all first try to do what makes sense to us.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist normalizes urges to escape through perspective taking (deictic framing).###Input:That I need to stop running, I guess. It seems like a relief in a way, but what am I going to do? I can’t just let bad things hap- pen again.###Response:You know that what we are trying to do here is to look at what can help you. And what can help is what works, right? So far, you have been using your black marker because this is what makes more sense, and I am pretty sure I would have done the same thing as you did. We all first try to do what makes sense to us.

The therapist uses distinction framing to evoke tracking of alternative response and consequence.

I agree that I need to do something that works better. But I don’t know what to do.

You talked about the waste of time that the black marks have caused in your life. What could you do if you were not putting black marks on your timeline? If you dropped the black marker, what would you fill your life with?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist uses distinction framing to evoke tracking of alternative response and consequence.###Input:I agree that I need to do something that works better. But I don’t know what to do.###Response:You talked about the waste of time that the black marks have caused in your life. What could you do if you were not putting black marks on your timeline? If you dropped the black marker, what would you fill your life with?

alter the impact of a thought by the use of functional cues

My mind practically screams it at me. “If you don’t find an answer soon, your life will be a failure.”

Wow. In me that urge to “figure it out or else” is pretty old. I can find voices like that inside me even as a young child. How old is that thought in your case?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:alter the impact of a thought by the use of functional cues###Input:My mind practically screams it at me. “If you don’t find an answer soon, your life will be a failure.”###Response:Wow. In me that urge to “figure it out or else” is pretty old. I can find voices like that inside me even as a young child. How old is that thought in your case?

The client shows signs of pliance but the therapist chooses to ignore this part of her response to reorient her instead to the natural conse- quences of her action.

Yes! I was nervous, you know, and it was hard. But I went because I didn’t want to come today and tell you I failed.

I can imagine that it was hard. I remember you said you were quite scared last week. And still, you went to your date. How did that make you feel to go there despite feeling nervous?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The client shows signs of pliance but the therapist chooses to ignore this part of her response to reorient her instead to the natural conse- quences of her action.###Input:Yes! I was nervous, you know, and it was hard. But I went because I didn’t want to come today and tell you I failed.###Response:I can imagine that it was hard. I remember you said you were quite scared last week. And still, you went to your date. How did that make you feel to go there despite feeling nervous?

The therapist doesn’t praise, but orients the client’s attention to natural consequences.

I was proud of myself.

Yeah? You seem happy as you say that.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist doesn’t praise, but orients the client’s attention to natural consequences.###Input:I was proud of myself.###Response:Yeah? You seem happy as you say that.

the therapist doesn’t praise but evokes observation of natural consequences.

Yes, I am happy because I was able to do something that seemed completely unfeasible to me not that long ago.

It must feel really good, does it?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:the therapist doesn’t praise but evokes observation of natural consequences.###Input:Yes, I am happy because I was able to do something that seemed completely unfeasible to me not that long ago.###Response:It must feel really good, does it?

The therapist encourages the client to explore the natural consequences further.

Yes!

And beyond accomplishing something difficult, did going on your date bring other kinds of satisfaction?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist encourages the client to explore the natural consequences further.###Input:Yes!###Response:And beyond accomplishing something difficult, did going on your date bring other kinds of satisfaction?

The therapist encourages the client to assess the effectiveness of her action.

It was a really nice evening, yes.

So, would you say that not listening so much to your anxiety was a good thing for you in the end?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist encourages the client to assess the effectiveness of her action.###Input:It was a really nice evening, yes.###Response:So, would you say that not listening so much to your anxiety was a good thing for you in the end?

The therapist normalizes the client’s feelings by disclosing her own psychological experiences.

I would rather not talk about this. It was a horrible episode of my life and every time I think about it, I am very upset.

Yeah, talking about painful experiences of our lives is often very upsetting. You know, asking you about it makes me feel upset too, actually. Even if it didn’t happen to me, knowing that it happened to you makes me feel sad.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist normalizes the client’s feelings by disclosing her own psychological experiences.###Input:I would rather not talk about this. It was a horrible episode of my life and every time I think about it, I am very upset.###Response:Yeah, talking about painful experiences of our lives is often very upsetting. You know, asking you about it makes me feel upset too, actually. Even if it didn’t happen to me, knowing that it happened to you makes me feel sad.

The therapist discloses urges to avoid painful feelings. She then emphasizes the effectiveness of not responding to these urges and models response flexibility in contact with urges to avoid.

Yeah. I can see in people’s eyes that they are very upset when I talk about that part of my life. They try to reassure me, but I can tell that they prefer not hearing about it. I don’t blame them. I would rather not either.

We all have urges to avoid painful feelings. We both feel like we would rather not talk about this part of your life. Right before I asked you this question, I could already feel some tension in my stomach. And I started to think “Hmm, maybe I should not ask her about it. This is going to be painful.” I have seen many clients who have been through very hard events in their lives. Every time it feels hard, and I have the same thoughts that maybe I shouldn’t ask about it. And I still ask because I have seen my clients improve in the past when I do so.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist discloses urges to avoid painful feelings. She then emphasizes the effectiveness of not responding to these urges and models response flexibility in contact with urges to avoid.###Input:Yeah. I can see in people’s eyes that they are very upset when I talk about that part of my life. They try to reassure me, but I can tell that they prefer not hearing about it. I don’t blame them. I would rather not either.###Response:We all have urges to avoid painful feelings. We both feel like we would rather not talk about this part of your life. Right before I asked you this question, I could already feel some tension in my stomach. And I started to think “Hmm, maybe I should not ask her about it. This is going to be painful.” I have seen many clients who have been through very hard events in their lives. Every time it feels hard, and I have the same thoughts that maybe I shouldn’t ask about it. And I still ask because I have seen my clients improve in the past when I do so.

The therapist notes and normalizes the spread from emotion to judgment, and asks the client to examine the consequences of that spread.

Maybe I’m just broken. Damaged goods. This is so hard for me.

Ah, so it isn’t just that it is emotionally hard. These memories pull you to categorize yourself and to judge yourself very harshly. And when that happens, what do you feel pulled to do?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist notes and normalizes the spread from emotion to judgment, and asks the client to examine the consequences of that spread.###Input:Maybe I’m just broken. Damaged goods. This is so hard for me.###Response:Ah, so it isn’t just that it is emotionally hard. These memories pull you to categorize yourself and to judge yourself very harshly. And when that happens, what do you feel pulled to do?

The therapist shares a parallel process and models how to use these experiences to foster greater effectiveness.

I feel like giving up.

Me too. When I notice that, it is sometimes hard to sit with my clients. When they are in pain, my mind starts telling me that means I’m a lousy therapist. So we are kind of together here in a way. Maybe that can actually help us.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist shares a parallel process and models how to use these experiences to foster greater effectiveness.###Input:I feel like giving up.###Response:Me too. When I notice that, it is sometimes hard to sit with my clients. When they are in pain, my mind starts telling me that means I’m a lousy therapist. So we are kind of together here in a way. Maybe that can actually help us.

The therapist communicates to the client that he notices her

I don’t know if I will be able to do that

You seem worried. Are you?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist communicates to the client that he notices her###Input:I don’t know if I will be able to do that###Response:You seem worried. Are you?

The therapist adopts the point of view of the client and asks about her own observation.

This must be quite disappointing.

Things didn’t go as I was expecting this week. I was supposed to go out on Friday night with my husband, but we had to cancel. And then, we had friends over for dinner on Saturday, but it was not as much fun as I thought it would be.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist adopts the point of view of the client and asks about her own observation.###Input:This must be quite disappointing.###Response:Things didn’t go as I was expecting this week. I was supposed to go out on Friday night with my husband, but we had to cancel. And then, we had friends over for dinner on Saturday, but it was not as much fun as I thought it would be.

The therapist talks about psychological experiences as things they have in order to undermine the identification with these experiences (hierarchical framing to build a contextual sense of self).

I don’t know if you can understand. I think it is something you have to go through yourself to really know what it is like.

I think you are right. I can never know what it is like foryou to have these experiences. I can imagine what this woul dbe like for me, but I can’t be in your shoes. Even if had been through the same difficulties, I would still have my own experiences, which may not be exactly the same as yours.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist talks about psychological experiences as things they have in order to undermine the identification with these experiences (hierarchical framing to build a contextual sense of self).###Input:I don’t know if you can understand. I think it is something you have to go through yourself to really know what it is like.###Response:I think you are right. I can never know what it is like foryou to have these experiences. I can imagine what this woul dbe like for me, but I can’t be in your shoes. Even if had been through the same difficulties, I would still have my own experiences, which may not be exactly the same as yours.

The therapist uses gestures and metaphorical speech to establish a hierarchical network that puts the relationship on top and their experiences at the base.

Yeah . . . This makes me feel disconnected from other people. Even from people I love. They just can’t understand.

When we look at these experiences from above (drawing an imaginary circle right above the floor with her hand), it feels like there are so many differences across people . . . the way they feel, what they do, their history. And this can make it hard to feel close to other people.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist uses gestures and metaphorical speech to establish a hierarchical network that puts the relationship on top and their experiences at the base.###Input:Yeah . . . This makes me feel disconnected from other people. Even from people I love. They just can’t understand.###Response:When we look at these experiences from above (drawing an imaginary circle right above the floor with her hand), it feels like there are so many differences across people . . . the way they feel, what they do, their history. And this can make it hard to feel close to other people.

The therapist continues with hierarchical framing through gestures and metaphorical speech to conceptualize the relationship as a context of their experiences.

Yeah. I feel like there are walls around me.

Yeah . . . If we look at each other through these experiences, it can be difficult to feel connected sometimes (now drawing the circle at the level of their eyes). But if we look at each other at this level (drawing the circle at a much lower level and raising her head above to demonstrate how she looks at the client at a higher level), all our experiences are there (pointing the circle much below their eyes) and we are connected in another way. What do you think?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist continues with hierarchical framing through gestures and metaphorical speech to conceptualize the relationship as a context of their experiences.###Input:Yeah. I feel like there are walls around me.###Response:Yeah . . . If we look at each other through these experiences, it can be difficult to feel connected sometimes (now drawing the circle at the level of their eyes). But if we look at each other at this level (drawing the circle at a much lower level and raising her head above to demonstrate how she looks at the client at a higher level), all our experiences are there (pointing the circle much below their eyes) and we are connected in another way. What do you think?

The therapist emphasizes that approaching their relationship as a context of their experiences can improve the connection between them.

It would be nice to put all these things aside, for sure. I wish I could erase them and be like everybody.

Yeah, if all our differences were erased, we would be exactly alike. And maybe there is a way to be here together, without erasing anything. You and I, we could look at these experiences from above (pointing again the circle below their eyes). Maybe we can find this connection there.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist emphasizes that approaching their relationship as a context of their experiences can improve the connection between them.###Input:It would be nice to put all these things aside, for sure. I wish I could erase them and be like everybody.###Response:Yeah, if all our differences were erased, we would be exactly alike. And maybe there is a way to be here together, without erasing anything. You and I, we could look at these experiences from above (pointing again the circle below their eyes). Maybe we can find this connection there.

The therapist adopts the point of view of the client to emphasize the impact of contextual variables on the client’s behavior.

I drank again last weekend and I passed out as usual. . . .You must think I am a big failure.

You seem really disappointed.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist adopts the point of view of the client to emphasize the impact of contextual variables on the client’s behavior.###Input:I drank again last weekend and I passed out as usual. . . .You must think I am a big failure.###Response:You seem really disappointed.

The therapist adopts the point of view of the client to emphasize the impact of contextual variables on the client’s behavior.

Yeah. I don’t know why I keep doing this. I say that I am going to change but I keep doing the same thing. You must think you are wasting your time with me.

I think if I were in the same situation, I mean, having strong urges to drink, I would also have an extraordinarily hard time sticking with my commitment not to drink.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist adopts the point of view of the client to emphasize the impact of contextual variables on the client’s behavior.###Input:Yeah. I don’t know why I keep doing this. I say that I am going to change but I keep doing the same thing. You must think you are wasting your time with me.###Response:I think if I were in the same situation, I mean, having strong urges to drink, I would also have an extraordinarily hard time sticking with my commitment not to drink.

The therapist emphasizes the impact of contextual variables on his own behavior.

You think so? When you say that you will do something, you do it. I can always rely on you. But me? I am the most unreli- able person.

I appreciate that you say I am reliable. And I guess I am lucky that I had a history that strengthened this in me. Strengthening that in the face of strong urges is a lot harder.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist emphasizes the impact of contextual variables on his own behavior.###Input:You think so? When you say that you will do something, you do it. I can always rely on you. But me? I am the most unreliable person.###Response:I appreciate that you say I am reliable. And I guess I am lucky that I had a history that strengthened this in me. Strengthening that in the face of strong urges is a lot harder.

The therapist orients the client’s observation to the variables that may be impacted by his behaviors.

So, since I didn’t have the same history as you had, I guess I will never be reliable.

Well, your history is done and can’t be changed, but what about what is going on in your life right now?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist orients the client’s observation to the variables that may be impacted by his behaviors.###Input:So, since I didn’t have the same history as you had, I guess I will never be reliable.###Response:Well, your history is done and can’t be changed, but what about what is going on in your life right now?

The therapist evokes tracking to help the client notice the impact of his current behavior.

I don’t know. Every week I swear that I won’t drink during the weekend, but I always end up drinking.

What has worked in the past for you? Like, for example, what do you do to come here every week? You have never missed a session so far.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes tracking to help the client notice the impact of his current behavior.###Input:I don’t know. Every week I swear that I won’t drink during the weekend, but I always end up drinking.###Response:What has worked in the past for you? Like, for example, what do you do to come here every week? You have never missed a session so far.

The therapist shares an observation to refine tracking.

I don’t miss any session with you because I want things to change. I want my life to change.

And for this to happen, you make the effort to come here every week, even though you said in the past that it was hard for you, right?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist shares an observation to refine tracking.###Input:I don’t miss any session with you because I want things to change. I want my life to change.###Response:And for this to happen, you make the effort to come here every week, even though you said in the past that it was hard for you, right?

The therapist reformulates to underline the effectiveness of the client’s behavior.

Well, I haven’t changed much yet, but I have made some progress.

So, this is an area where you made a commitment that you kept and that helped you make some progress?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist reformulates to underline the effectiveness of the client’s behavior.###Input:Well, I haven’t changed much yet, but I have made some progress.###Response:So, this is an area where you made a commitment that you kept and that helped you make some progress?

The therapist encourages the client to restate the purpose of their work and simultaneously holds himself accountable to that same standard, sharing his feelings and goals in the process.

Yeah, I think so. I mean, it is important that I go to therapy.

At the beginning of our work together, we agreed on certain directions that we wanted to follow together. I wonder if we still have them in mind. I feel a bit uncomfortable putting this on the table because I’m not sure I’ve been attentive enough to those goals, but our work here is too important for me to just pretend. I am asking you this because somehow I have had the feeling that maybe together we have drifted a bit away from these directions, and I would like to make sure that we stay on track in a way that is useful for you.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist encourages the client to restate the purpose of their work and simultaneously holds himself accountable to that same standard, sharing his feelings and goals in the process.###Input:Yeah, I think so. I mean, it is important that I go to therapy.###Response:At the beginning of our work together, we agreed on certain directions that we wanted to follow together. I wonder if we still have them in mind. I feel a bit uncomfortable putting this on the table because I’m not sure I’ve been attentive enough to those goals, but our work here is too important for me to just pretend. I am asking you this because somehow I have had the feeling that maybe together we have drifted a bit away from these directions, and I would like to make sure that we stay on track in a way that is useful for you.

The therapist reorients the client to the higher function and to the personal choice behind this specific goal.

Okay, I understand. I think that what we had decided was that I should no longer hide my feelings from my wife because my wife doesn’t like that.

In the long run, what is the purpose of changing this? If this was entirely between you and the person in the mirror—­like no one else could tell you that was the wrong answer—­what is most important here as a purpose of our work?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist reorients the client to the higher function and to the personal choice behind this specific goal.###Input:Okay, I understand. I think that what we had decided was that I should no longer hide my feelings from my wife because my wife doesn’t like that.###Response:In the long run, what is the purpose of changing this? If this was entirely between you and the person in the mirror—­like no one else could tell you that was the wrong answer—­what is most important here as a purpose of our work?

The therapist reformulates and orients the client to positive sources of reinforcement.

To have a better relationship with my wife . . . and maybe not just with her but others as well.

Okay. And what would be positive about that? What are the qualities of relationship you yearn for?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist reformulates and orients the client to positive sources of reinforcement.###Input:To have a better relationship with my wife . . . and maybe not just with her but others as well.###Response:Okay. And what would be positive about that? What are the qualities of relationship you yearn for?

The therapist encourages the client to consider the effectiveness of the behavior he wants to improve.

I want us to be more connected, more like we used to be at the beginning of our marriage. I want to learn how to be close.

Okay, I get that. I see that yearning for closeness. If that is what you want, how do you think sharing feelings can improve your relationship with your wife?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist encourages the client to consider the effectiveness of the behavior he wants to improve.###Input:I want us to be more connected, more like we used to be at the beginning of our marriage. I want to learn how to be close.###Response:Okay, I get that. I see that yearning for closeness. If that is what you want, how do you think sharing feelings can improve your relationship with your wife?

The client still seems strongly connected to the sources of negative reinforcement (wife’s complaints), so the therapist reorients him again to positive consequences and makes sure these were personally relevant.

My wife always complains about me not saying anything about my feelings.

And on your end? Would you notice any positive changes between you if you shared your feelings more with her?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The client still seems strongly connected to the sources of negative reinforcement (wife’s complaints), so the therapist reorients him again to positive consequences and makes sure these were personally relevant.###Input:My wife always complains about me not saying anything about my feelings.###Response:And on your end? Would you notice any positive changes between you if you shared your feelings more with her?

I think that since I have started to do it more, things have gotten better between us, yeah. It think I’ve actually gotten better in being more open.

I think that since I have started to do it more, things have gotten better between us, yeah. It think I’ve actually gotten bet- ter in being more open.

I think I’ve seen that in here too. And how has it been for you to see these changes happen?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:I think that since I have started to do it more, things have gotten better between us, yeah. It think I’ve actually gotten better in being more open.###Input:I think I’ve seen that in here too. And how has it been for you to see these changes happen?###Response:I think I’ve seen that in here too. And how has it been for you to see these changes happen?

The therapist reformulates the purpose of their work together as an overarching goal bringing positive reinforcement. Asking “would it make a positive difference in your life?” was meant to help the client connect to the intrinsic consequences rather than to social approval.

I’ve felt closer to her. I have been happier in my life in general too. I think I’m learning how to be myself.

So, would it make a positive difference in your life to keep working in this direction? Developing your skills at sharing your feelings with your wife in order to improve the connection between the two of you?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist reformulates the purpose of their work together as an overarching goal bringing positive reinforcement. Asking “would it make a positive difference in your life?” was meant to help the client connect to the intrinsic consequences rather than to social approval.###Input:I’ve felt closer to her. I have been happier in my life in general too. I think I’m learning how to be myself.###Response:So, would it make a positive difference in your life to keep working in this direction? Developing your skills at sharing your feelings with your wife in order to improve the connection between the two of you?

The therapist models openness and commits the therapeutic relationship to the client’s extended and elaborated goals.

Yes. I want to get better at sharing—­letting my wife see who I am at a deeper level. I think it would be good for me to keep learning how to do that. I’ve noticed that I learn things about me when I’m more open and honest. And my relationship with my wife just seems softer and more caring. But I’m not always attuned to that.

Me neither, but I’m moved by what you are saying. This is worth our attention.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist models openness and commits the therapeutic relationship to the client’s extended and elaborated goals.###Input:Yes. I want to get better at sharing—­letting my wife see who I am at a deeper level. I think it would be good for me to keep learning how to do that. I’ve noticed that I learn things about me when I’m more open and honest. And my relationship with my wife just seems softer and more caring. But I’m not always attuned to that.###Response:Me neither, but I’m moved by what you are saying. This is worth our attention.

The therapist identifies a quality of action.

I know it is hard for other people to understand, but my faith is what is the most important in my life. I don’t expect you to understand either. You are a scientist, and you probably think I am stupid to spend so much time reading religious books.

There may be different things I care about in my life, that’s true. But your dedication to your faith is something I can relate to. You seem to care about approaching your faith with depth and care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist identifies a quality of action.###Input:I know it is hard for other people to understand, but my faith is what is the most important in my life. I don’t expect you to understand either. You are a scientist, and you probably think I am stupid to spend so much time reading religious books.###Response:There may be different things I care about in my life, that’s true. But your dedication to your faith is something I can relate to. You seem to care about approaching your faith with depth and care.

The therapist underlines the quality of action they have in common, although applied to different overarching goals.

Yes, with depth.

Well, this is something I care about too. You said that I am a scientist. It is true, and I try to approach my science with depth and care. I spend a lot of time reading to learn more about psychology.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist underlines the quality of action they have in common, although applied to different overarching goals.###Input:Yes, with depth.###Response:Well, this is something I care about too. You said that I am a scientist. It is true, and I try to approach my science with depth and care. I spend a lot of time reading to learn more about psychology.

The therapist underlines similar experiences associated with their common quality of action.

Do you sometimes feel like nobody can understand what you care about?

Sometimes, when I am completely absorbed in a topic, I feel like I am the only one caring about this very topic, yeah. And sometimes others do not understand me and why this is important.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist underlines similar experiences associated with their common quality of action.###Input:Do you sometimes feel like nobody can understand what you care about?###Response:Sometimes, when I am completely absorbed in a topic, I feel like I am the only one caring about this very topic, yeah. And sometimes others do not understand me and why this is important.

The therapist evokes augmenting

I think I’m dreading doing this exercise because I know it will be hard. And it is hard to see the point of doing something hard right now.

Yeah, I see what you mean. We are having this nice conversation, and we wonder why we would do something that will likely be difficult, right?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes augmenting###Input:I think I’m dreading doing this exercise because I know it will be hard. And it is hard to see the point of doing something hard right now.###Response:Yeah, I see what you mean. We are having this nice conversation, and we wonder why we would do something that will likely be difficult, right?

The therapist evokes augmenting through positive reinforcement.

Well, I know that if I keep avoiding the things that I am afraid of, there is no way I can get better.

Okay, and what kind of positive things do you expect from this exposure work? What is it even for?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes augmenting through positive reinforcement.###Input:Well, I know that if I keep avoiding the things that I am afraid of, there is no way I can get better.###Response:Okay, and what kind of positive things do you expect from this exposure work? What is it even for?

The therapist evokes the exploration of a higher function.

Being able to spend more time with my family and to be more successful in my work instead of doing my rituals all the time.

Okay. And even that—what is important for you inside time with your family or success at work?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes the exploration of a higher function.###Input:Being able to spend more time with my family and to be more successful in my work instead of doing my rituals all the time.###Response:Okay. And even that—what is important for you inside time with your family or success at work?

The therapist lets the client make the choice of action in order to increase her motivation.

I want this to change because I want to build a family where we share things together, and I want to be successful to give my family the things they need.

I am here to help you make the changes that matter to you. That’s what I’m up to. So, what do you think? Do we keep having this really nice conversation, or do we do the exercise?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist lets the client make the choice of action in order to increase her motivation.###Input:I want this to change because I want to build a family where we share things together, and I want to be successful to give my family the things they need.###Response:I am here to help you make the changes that matter to you. That’s what I’m up to. So, what do you think? Do we keep having this really nice conversation, or do we do the exercise?

The client shows possible signs of pliance (“we should”), so the therapist reorients her to what she wants to do.

I guess we should do the exercise.

Is this what you want?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The client shows possible signs of pliance (“we should”), so the therapist reorients her to what she wants to do.###Input:I guess we should do the exercise.###Response:Is this what you want?

The therapist shares an observation about the client’s experience and asks for confirmation to build mutual understanding.

I need to see you more often. You have to do something! Change your schedule . . . I don’t know . . . You have to figure something out to help me!

I sense that you are worried about being on your own this week. Is this how you feel right now?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist shares an observation about the client’s experience and asks for confirmation to build mutual understanding.###Input:I need to see you more often. You have to do something! Change your schedule . . . I don’t know . . . You have to figure something out to help me!###Response:I sense that you are worried about being on your own this week. Is this how you feel right now?

The therapist uses deictic framing to build mutual understanding and normalize the client’s experience.

Yes, of course! I am terrified! You don’t know what it’s like for me. You are not alone all the time.

If I was alone all the time, I would certainly feel scared and probably sad too. Do you feel sad when you are alone?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist uses deictic framing to build mutual understanding and normalize the client’s experience.###Input:Yes, of course! I am terrified! You don’t know what it’s like for me. You are not alone all the time.###Response:If I was alone all the time, I would certainly feel scared and probably sad too. Do you feel sad when you are alone?

The therapist normalizes the client’s experience and evokes tracking.

Yes.

I hear that you would like to see me more often. It is understandable that you worry about spending this week on your own and that you want to see me more. At the same time, what we agreed on is to have a phone check every other day now, you remember?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist normalizes the client’s experience and evokes tracking.###Input:Yes.###Response:I hear that you would like to see me more often. It is understandable that you worry about spending this week on your own and that you want to see me more. At the same time, what we agreed on is to have a phone check every other day now, you remember?

The therapist self-­discloses his own current experiences to normalize the client’s experience, improve commonality, and model response flexibility. Then, he evokes augmenting to connect their work to its higher purpose.

Yes, but I don’t think I am ready for that. I need special care! I can’t be on my own.

You know, it is hard for me to know that you are alone. I feel sad to know that you are sad and worried. As I notice that I feel this way, I also have the urge to say “Okay, let’s meet another time this week.” And at the same time, I try to remember what we agreed about the purpose of our work together. Do you remember it?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist self-­discloses his own current experiences to normalize the client’s experience, improve commonality, and model response flexibility. Then, he evokes augmenting to connect their work to its higher purpose.###Input:Yes, but I don’t think I am ready for that. I need special care! I can’t be on my own.###Response:You know, it is hard for me to know that you are alone. I feel sad to know that you are sad and worried. As I notice that I feel this way, I also have the urge to say “Okay, let’s meet another time this week.” And at the same time, I try to remember what we agreed about the purpose of our work together. Do you remember it?

The therapist evokes exploration of intrinsic reinforcement associated with independence in order to undermine potential pliance.

I know . . . I need to be more independent. I need to deal with my problems.

Well, that is one way of saying it. Would that make a difference in your life if you could be more independent?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist evokes exploration of intrinsic reinforcement associated with independence in order to undermine potential pliance.###Input:I know . . . I need to be more independent. I need to deal with my problems.###Response:Well, that is one way of saying it. Would that make a difference in your life if you could be more independent?

The therapist normalizes the client’s experience again, but this time by emphasizing the role of contextual variables on her reaction.

Yeah. But it terrifies me to be on my own.

Of course. It is something new for you. Most of us are scared of doing things for the first time. For you, it is being independent. For other people, it might be having a first child or starting a new job. And what is difficult is that we want to do these things. If we didn’t care about them, they would not be difficult at all.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist normalizes the client’s experience again, but this time by emphasizing the role of contextual variables on her reaction.###Input:Yeah. But it terrifies me to be on my own.###Response:Of course. It is something new for you. Most of us are scared of doing things for the first time. For you, it is being independent. For other people, it might be having a first child or starting a new job. And what is difficult is that we want to do these things. If we didn’t care about them, they would not be difficult at all.

The therapist shares an observation about the short-term effect of responding to their urges.

Yeah, it’s true. I want to be independent even if it is scary. But I don’t know if I am ready for that just now. Maybe we could wait a bit longer?

I think that if we waited, we would both feel better in this moment.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The therapist shares an observation about the short-term effect of responding to their urges.###Input:Yeah, it’s true. I want to be independent even if it is scary. But I don’t know if I am ready for that just now. Maybe we could wait a bit longer?###Response:I think that if we waited, we would both feel better in this moment.

The client has a similar history and wants to tell the therapist about some of the history with which she still struggles. The therapist “thought bubbles” convey the therapist’s thoughts. These are followed by a functional analysis of those thoughts.

Whenever I try to get into an intimate relationship, I get scared and back away.

You’re starting a similar relationship with me, here and now. Can you feel that same scaredness and tendency to back away?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction:The client has a similar history and wants to tell the therapist about some of the history with which she still struggles. The therapist “thought bubbles” convey the therapist’s thoughts. These are followed by a functional analysis of those thoughts.###Input:Whenever I try to get into an intimate relationship, I get scared and back away.###Response:You’re starting a similar relationship with me, here and now. Can you feel that same scaredness and tendency to back away?