ArticleMedicina (Kaunas, Lithuania)2025
The Self-Identification Program (SIP): A Clinically Implemented Third-Wave CBT Deepening Dysfunctional Self-Identification in Mood Disorders.
Article in Medicina (Kaunas, Lithuania), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Third-wave cognitive-behavioral therapies (CBT3) have progressively shifted the focus of psychotherapy from symptom reduction to process-based and transdiagnostic mechanisms of change, emphasizing self-identification as a core dimension. Within this evolution, the Self-Identification Program (SIP) represents a conceptual and clinical advancement particularly relevant to mood disorders, where maladaptive self-identification, rumination, and self-judgment play central roles. SIP directly targets dysfunctional self-identification-the reification of transient and maladaptive mental contents as defining features of a self-through a framework integrating the three levels of CBT3: mindfulness (CBT3.1), loving/kindness and compassion (CBT3.2), and deconstructive insight into the nature of a self (CBT3.3). Theoretically, SIP aligns with dimensional psychiatry (AMPD, HiTOP, RDoC) and recent advances in behavioral linguistics (Relational Frame Theory) and psychotherapy (Process-Based Behavioral Therapy). By integrating linguistic, affective, and neuroscientific perspectives, SIP bridges contextual behavioral science and contemplative practice, offering a unified, process-based model of identity transformation. Clinically, SIP extends CBT3 beyond mindfulness and loving/kindness and/or compassion training to specifically address the mechanism by which self-identification becomes a source of suffering-namely, the mistaken identification with an independent and permanent self. In doing so, SIP provides a novel, mechanistically grounded pathway toward enduring change in depressive and bipolar spectrum disorders.
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