DUMC Box 3842

Duke Clinics, 40 Duke Medicine Circle

3rd Floor, Purple Zone, Suite 3700
Durham, NC 27710
Tel: 919-681-7231

© 2014 by ACT at Duke 

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Phone: 919-681-7231

Welcome to the ACT at Duke Resource Room

Welcome to the
ACT at Duke

"The significant problems we face cannot be solved at the same level of thinking we were at when we created them."

— Albert Einstein



We believe in sharing knowledge with one another. In doing so, we create oportunities to positively impact more lives and enhance our work. 


In this spirit, we have created this Resource Room (a work in progress). Here we intend to share our work, as well as the work of our ACT colleagues, friends, and mentors who have generously provided us with resources. Use these resources to broaden your knowledge of the ACT model, learn more about what we do here at Duke, or provide resources to your patients.



This page stays "under construction" as we continuously work to bring you more resources. 

Selected Peer Reviewed Publications


Merwin, R.M., Moskovich, A.A., Honeycutt, L.K., Lane, J.D., Surwit, R.S., Zucker, N.L., Dmitrieva, N.O., Babyak, M.A., Batchelder, H., & Mooney, J. (2018). Time of Day when Individuals with Type 1 Diabetes and Eating Disorders Commonly Restrict Insulin, Psychosomatic Medicine, 80 (2), p. 222-229. doi: 10.1097/PSY.0000000000000550

Moskovich, A.A, Timko, C.A., Honeycutt, L.K., Zucker, N.L., Merwin, R.M. (2017). Change in Expressed Emotion and Treatment Outcome in Adolescent Anorexia Nervosa. Eating isorders: Journal of Treatment and Prevention, 25 (1), 80-91. doi.org/10.1080/10640266.2016.1255111 

Nieuwsma, J.A., Wray, L.O., Voils, C.I., Gierisch, J.M., Dundon, M., Coffman, C.J., Jackson, G.L., Merwin, R., Vair, C., Juntilla, K., White-Clark, C., Jeffreys, A.S., Harris, A., Owings, M., Marr, J., & Edelman, D. (2017). A problem-solving intervention for cardiovascular disease risk reduction in veterans: Protocol for a randomized controlled trial. Contemporary Clinical Trials, 60, 42-50. doi.org/10.1016/j.cct.2017.06.001. 

Zucker, N.L., Kragel, P.A., Wagner, H.R., Keeling, L., Mayer, E., Wang, J., Kang, M., Merwin, R. Simmons, W.K., LaBar, K.S. (2017). The clinical significance of posterior insular volume in adolescent anorexia nervosa. Psychosomatic Medicine, 79 (9), 1025-1035. doi: 10.1097/PSY.0000000000000510 

Merwin, R. M., Dmitrieva, N. O., Honeycutt, L. K., Moskovich, A. A., Lane, J. D., Zucker,... & Kuo, J. (2015). Momentary Predictors of Insulin Restriction Among Adults With Type 1 Diabetes and Eating Disorder Symptomatology. Diabetes Care, 38(11), 2025-2032.

Timko, A.C., Zucker, N.L., Herbert, J.D., Rodriguez, D,, Merwin, R.M. (2015). An open trial of acceptance-based separated family treatment (ASFT) for adolescents with anorexia nervosa. Behaviour Research and Therapy, 69, 63-74.


Merwin, R. M., Moskovich, A. A., Dmitrieva, N. O., Pieper, C. F., Honeycutt, L. K., Zucker, N. L., ... & Buhi, L. (2014). Disinhibited Eating and Weight-Related Insulin Mismanagement among Individuals with Type 1 Diabetes. Appetite, 81, 123-130.


Merwin, R.M., Zucker, N.L., & Timko, C.A. (2013). A pilot study of an acceptance-based separated family therapy for adolescent anorexia nervosa. Cognitive and Behavioral Practice, 20 (4), 485-500.


Merwin, R.M., Moskovich, A., Wagner, H. R., Ritschel, L., Craighead, L., & Zucker, N.L. (2013). Emotion regulation difficulties in anorexia nervosa: Relationship to self-perceived sensory sensitivity. Cognition and Emotion, 27 (3), 441-452.


Zucker, N.L., Moskovich, A., Bulik, C.M., Merwin, R.M., Losh, M., Piven, J., Wagner, H.R., & Labar, K.S. (2013). Perception of affect in biological motion cues in anorexia nervosa.  International Journal of Eating Disorders, 46 (1), 12-22.


Zucker, N.L., Merwin, R.M., Bulik, C.M., Moskovich, A., Wildes, J. & Groh, J. (2013). Subjective experience of sensation in anorexia nervosa. Behaviour Research and Therapy, 51 (6), 256-265.


​Sandoz, E, Kellum, K., Merwin, R.M., & Wilson, K.G. (2013). Assessment of body image flexibility: The Body Image- Acceptance and Action Questionnaire (BI-AAQ). Journal of Contextual and Behavioral Science, 2 (1-2), 39-48.


Merwin, R.M., Timko, C.A., Moskovich, A.A., Ingle, K.K., Bulik, C.M., & Zucker, N.L. (2011). Psychological inflexibility and symptom expression in anorexia nervosa. Eating Disorders, 19 (1), 62-82.


Merwin, R.M. (2011). Anorexia nervosa as a disorder of emotion regulation: Theory, evidence, and treatment implications. Clinical Psychology: Science and Practice, 18 (3), 208-214.


Merwin, R.M., Zucker, N.L., Lacy, J.L., & Elliott, C.A. (2010). Interoceptive awareness in eating disorders: Distinguishing lack of clarity from non-acceptance of internal experience. Cognition and Emotion, 24 (5), 892-902.


Merwin, R.M., Rosenthal, M.Z., & Coffey, K.A. (2009). Experiential avoidance mediates the relationship between sexual victimization and psychological symptoms: Replicating findings in an ethnically diverse sample. Cognitive Research and Therapy, 33 (5), 537-542.​​

Materials from Past Presentations


Click Here to read a statement from Steven Hayes about ACT's recognition as an empirically validated treatment.

You can also see a full list of over 100 RCT's using ACT. 

Newly Published Manuscripts


TED Talk of Interest


Find more recommended TED Talks and other ACT consistent videos here

Moskovich, A.A... Merwin, R.M. (in press). Real-time predictors and consequences of binge eating among individuals with type 1 diabetes. Eating Disorders

Merwin, R.M. & Moskovich, A.A. (in press). ACT for Maladaptive Eating and Weight Control. To appear in the International ACT Book (available in Portuguese). 

Merwin, R.M. (in press). ACT for Dangerous Weight Control: Anorexia Nervosa and ED-DMT1 ("Diabulimia") to Appear in Innovations in ACT, New Harbinger, 

Merwin, R.M, Malone, K., Lynch, T. & Cuper, P. (in press). Personality disorders. In P. Sturmey. (2nd Ed.), Treatment and intervention in clinical psychology: Functional analysis in clinical treatment. Elsevier Academic Press; San Diego. 

Psychological flexibility: How love turns pain into purpose

Steven Hayes



Learning ACT: An Acceptance and Commitment Therapy Primer for Therapists

by Jason Luoma PhD (Author), Steven C. Hayes PhD (Author), Robyn D Walser PhD (Author)

Why we recommend it: This text is thorough and providers learners with self-guided activities that explore each of the six core processes of the model. It also includes solid recommendations for case conceptuatlization using an ACT frame. In addition, it has great suggestions for using the text as part of a learning group, within a team, or in a classroom setting.


ACT Made Simple: An easy-to-read primer for Acceptance and Commitment Therapy

by Russ Harris  (Author), Steven C. Hayes PhD (Foreword)

Why we recommend it: Many newcomers to the ACT model appreciate the simply and direct approach that Russ Harris takes to explain the central components and underlying theory. 

Although it may be useful to start with Learning ACT or ACT Made Simple (or something similar), there is simply no substitution for the primary texts. You want at least one of these on your bookshelves: 


Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change

by Steven C. Hayes  (Author), Kirk D. Strosahl (Author), Kelly G. Wilson  (Author)


Acceptance and Commitment Therapy, 2nd Edition

by Steven C. Hayes  (Author), Kirk D. Strosahl (Author), Kelly G. Wilson  (Author)


Growing up in Kelly's lab was a unique (and wonderful) experience. Some of that experience is captured in Mindfulness for Two.  


Mindfulness for Two

by Kelly G Wilson (Author)

Why we recommend it: This text elucidates some of the links between behavior analysis and ACT and helps ACT therapists do what is most difficult: show up fully in the therapy room. With over six hours of sample therapy videos included, this is a text you will value. Amazon says, "More than any other resource available, Mindfulness for Two gets at the heart of Wilson's unique brand of experiential ACT training," and we agree!


More General Resources:


New Harbinger Publications

New Harbinger publishes many ACT texts that are unique to specific populations (ACT for Chronic Pain), or texts that clinicians may want to add to their repoirtoire as they immerse themselves in the model. 


The Journal of Contextual Behavioral Science (JCBS)

Practitioners and Researchers should all be aware of the Journal of Contextual Behavioral Science (JCBS). Started in 2012,  JCBS publishes on developments in all areas of contextual behavioral science. JCBS is distributed to most major academic libraries, and included as a benefit of ACBS membership. 

Resources We Recommend to Practitioners
We are often asked to provide recommendations for texts to learn the ACT model. Here are a few of our favorites. For a quick primer:




Find out more about this regional resource by clicking the link below:

Resources We Recommend to Our Clients

Things Might Go Terribly Horribly Wrong: A Guide to a Life Liberated from Anxiety

by: Kelly G Wilson (Author) and Troy DuFrene (Author)

Why we like it: This is a text we often recommend to individuals who are struggling with many forms of anxiety. It is a wonderful compliment to the therapuetic work we are doing together. The title alone resonates. 


Get Out of Your Mind and Into Your Life

Why we like it: This is a self-help manual that takes you step-by-step through the ACT model and uses your own personal content. It is a really good match for people who feel ready to work on their concerns and barriers. It is most helpful for people who consider themselves ot be self-aware. We really like this text for mental health professionals who are new to the ACT model as well. 

The Illustrated Happiness Trap

Why we like it: This is a fun, easy to read introduction to the ACT model. The illustrations are cute and simple, and while the concepts are also simplified - it is a wonderful introduction to ACT. It can serve as a wonderful companion to the work that takes place in the therapy room. 



Buying Books Soon?

Before you start purchasing new books for your own library, check out the ACBS Bookstore. If you are already an ACBS member you can purchase most ACT texts we recommend here. All purchases made through the bookstore help support ACBS!

Websites We Recommend

This is a list of ACBS Professionals with Resources for the ACT Community

The "what we're reading" feature is an effort to share our personal book and article recommendations.

Here we will tell you about the new reads we have come across and share our honest thoughts about them!  You can access past reviews here.

Don't be surprised to find academic articles, ACT-specific texts, and even some novels or other texts with ACT-based content to reflect on. 

What We're Reading (by Lisa)...

We are reading: All the Bright Places by Jennifer Niven, who describes the book as

An exhilarating and heart-wrenching love story about a girl who learns to live from a boy who intends to die.

Theodore Finch is fascinated by death. Every day he thinks of ways he might die, but every day he also searches for—and manages to find—something to keep him here, and alive, and awake.

Violet Markey lives for the future, counting the days until graduation, when she can escape her small Indiana town and her aching grief in the wake of her sister's death.

When Finch and Violet meet on the ledge of the bell tower at school—six stories above the ground—it's unclear who saves whom. And when the unlikely pair teams up on a class project to discover the "natural wonders" of their state, they go, as Finch says, where the road takes them: the grand, the small, the bizarre, the beautiful, the ugly, the surprising—just like life.

Exercises We Recommend