3. Results
It was important for the researchers to determine whether any of the participants had prior knowledge of the variable under analysis at the time of the interviews, as the intention was to obtain spontaneous and unbiased responses. In this regard, the aim of the first two interview questions was to determine whether the participants knew of or had ever heard of the concept of psychological flexibility and the behaviors associated with a psychologically flexible person. None of the participants were familiar with the concept, as they had never read about or heard of it before.
In terms of the behaviors and attitudes that should characterize a psychologically flexible person, a variety of responses were obtained. We identified similarities between the responses, which provided the attributes for grouping and labeling them. Categories were therefore established based on the participants’ opinions. The categories open and reflective mindset, emotional management, and openness to change referred to behaviors directed toward oneself, while the social skills category was more oriented toward behaviors directed toward others.
Some responses from the open and reflective mindset category included:
It would be a very open-minded person, very spontaneous with ideas. I’m not saying they are entirely positive, but they don’t see many obstacles; they always think about moving forward. (SP1 Male, 22 years old)
They are a person who doesn’t cling to a single concept of things. I mean, even if things are stipulated to be a certain way, that person can change things and make them better. (SP6 Male, 22 years old)
In the emotional management category, the participants’ responses included:
They wouldn’t repress themselves; they would let themselves be carried by who they are, what they feel, [and] the emotions they have in the moment. (SP2 Male, 20 years old)
They are a person who has control over what they feel because they are capable of observing their surroundings. (SP9 Female, 21 years old)
The openness to change category emerged from responses such as:
[They are] able to face different situations, I don’t know how to explain it, but they would help themselves move forward. (SP3 Female, 20 years old)
[They are] able to solve problems, [get] through them successfully. At first, I perceived it as a weakness, but I believe it’s more about having the ability to solve [problems]. (SP14 Male, 18 years old)
The focus of the social skills category was attributes oriented toward others, for example:
They must be … understanding … toward others; they must be sociable. (SP11 Female, 19 years old)
They must be a tolerant, respectful person and, above all, someone who has the ability to truly listen, not just hear, but [to] listen and understand what the other person is expressing. (SP13 Female, 21 years old)
The analysis of the interviews led to the identification of 25 emerging themes, which were grouped into 12 superordinate themes that corresponded to the six processes of psychological flexibility and inflexibility proposed in the Hexaflex model in ACT.
The results that follow are presented according to the superordinate themes:
The experience of private events among the interviewed university students was characterized by a tendency to control the thoughts, emotions, and sensations they perceived as aversive. This manifested through deliberate strategies—either by clinging to mental content or by avoiding and invalidating such experiences.
One of the most common manifestations was rumination, in which the students focused on distressing thoughts or emotions, constantly reviewed them, and acknowledged their difficulty in detaching from them. Some of their statements reflected this recurrence:
I think about it daily, and daily means out of 24 hours a day, about 15 or 16 hours at a minimum. I really think about it very often. (SP1 Male, 22 years old)
Everything I think about revolves around that, then the thoughts come that I’m useless, I mean, I start thinking about all the bad things. (PS2 Male, 20 years old)
So, if something bad happens to me, I start thinking about it, and I can’t concentrate on anything else. I mean, all my thoughts revolve around that. It’s like I have to resolve that situation to be able to continue with my day. (SP12 Male, 22 years old)
One approach that the students resorted to when facing negative thoughts and uncomfortable emotions was to search for reasons to explain why the emotional experience was happening:
When something happens to me, I spend a lot of time thinking about it, and all the time in my head it’s like why, why, why? I try to find an explanation or justification for what’s happening to me. (SP3 Female, 20 years old)
I always try to find an explanation for the things that happen to me; I don’t like to be left with doubts or with the questions that I impose on myself. (SP7 Male, 19 years old)
For other participants, invalidating what was happening to them or what they were feeling was a strategy they identified with. The most explicit form of this strategy was redirecting their attention to other activities, such as listening to music, exercising, or dancing. The repertoire was quite broad:
So I channel my anger into training, lifting a lot of weight, like all my anger, all my rage, that strength, and being mentally exhausted. (SP1 Male, 22 years old)
I mainly tend to invalidate everything—any situation that generates anger or disappointment in me, I just try not to think about it for as long as possible. (SP4 Female, 19 years old)
The invalidation of private events also manifested through behavior patterns related to avoidance, fleeing from exposure, and confrontation. Distancing and withdrawing from people was therefore a valuable resource that kept the students safe. A group of participants explained what this experience was like:
I change my attitude; if I’m angry or sad, I distance myself, I shut down and don’t talk about it. So I carry that discomfort with me because I feel that if I am angry, I could offend or hurt someone. (SP3 Female, 20 years old)
I distance myself. I withdraw from everything and listen to music. I don’t have many friends to lean on, so it’s just me … and I cry a lot. (SP7 Male, 19 years old)
I isolate myself; I prefer to be alone. (SP8 Female, 21 years old)
With regard to the control mechanisms oriented toward avoidance, none of the participants reported engaging in addictive behaviors, such as gambling or the use of drugs or alcohol.
- 2.
Manifestations Associated with the Acceptance of Private Events
Overall, the interviewed students did not report strategies aimed at accepting and validating their internal worlds or voluntarily receiving their thoughts and emotions without opposition, although one participant recognized that the act of acceptance involves letting go of what hinders progress:
If I see that I can’t solve it, then I say, why stress about it if I can’t fix it anyway? So I let it go, release it, and move on. Honestly, one feels lighter. (SP6 Male, 22 years old)
- 3.
Manifestations Associated with Observing Oneself Through the Content of Thoughts
The tendency to observe, define, and behave according to what one thinks and believes about oneself was evident among all the interviewed university students. We identified three specific forms of these manifestations. When discussing aspects related to observing or defining themselves, some of the participants expressed self-criticism based on the way they thought or felt. For example:
I know I have anger issues that I can control. I try not to get angry, instead I try to ignore those times when many bad things or family problems occur. I try not to get involved because I feel I have a lot of anger issues. (SP1 Male, 22 years old)
I feel that my way of being sometimes gives the impression that I want to be liked by everyone, and I’ve received comments like “You want to please everyone.” I don’t know how I do that or if I do it unconsciously, but I tend to be that way, and then I feel bad because I don’t like that [other people] think that. (SP3 Female, 20 years old)
Another group of students attributed negative meanings to themselves based on their emotions or thoughts, as illustrated by these participants:
Being a perfectionist really bothers me; that part of me causes a lot of stress because not everything can be perfect. (SP11 Female, 19 years old)
Many times, I stop doing things because I know I won’t feel good or because I believe I won’t do them well, that they won’t turn out right. (SP14 Male, 18 years old)
A common characteristic of many of the participants was to confuse what they thought with who they were, which was evidenced by defining the self based on thought content:
I’m a very insecure person; I don’t like taking many risks. I always try to stay in a safe place. (SP4 Female, 19 years old)
I’m a bit manipulative, not in a bad way, but to achieve my goals. I’m always thinking about what benefits me and what doesn’t. (SP7 Male, 19 years old)
- 4.
Manifestations Associated with Observing Oneself Without Judgment
The ability to maintain perspective beyond negative emotions or thoughts and to sustain a balanced view of oneself regardless of the situation or its timing was a resource employed by a small number of the participants. Nevertheless, at least three of them acknowledged aspects associated with what they considered to be their essence—attributes that were invariable over time:
Before, I felt like a fearful person, somewhat insufficient [and] incompetent, [but] now I feel like a person with many positive qualities. I’m still afraid of many things—that hasn’t changed—I’m still insecure, but now I move forward even with fear. (SP2 Male, 20 years old)
I am a sensitive person; that’s my essence, and I feel like I will never lose it. But perhaps before, I was the kind of sensitive person who allowed everything because I loved others. (SP13 Female, 21 years old)
When you’re a teenager, you see yourself one way, but when I entered university, I still thought the same things about myself, but my way of seeing myself to take risks and make decisions has changed a lot. (SP14 Male, 18 years old)
- 5.
Manifestations Associated with Disconnection from the Present Moment
Strategies for controlling internal experiences employed by most of the students who participated in this study included being immersed in daily routines and constantly responding to everyday tasks without pause. This process encompassed a range of behaviors associated with avoiding or withdrawing not only from painful thoughts or emotions but also from the experience of living and interacting with others.
We therefore asked the participants: “Can you explain to me what it’s like to live on autopilot?” They all describe it as doing the same thing every day without much enjoyment. One participant described it as an itinerary that is followed day after day:
Before going to bed, I start thinking: Tomorrow you have to get up at such and such a time, make breakfast at such and such a time, go to classes, then go to the gym, and when you get back from the gym, you have to do this and that, and so on every day. (SP7 Male, 19 years old)
A significant proportion of the participants acknowledged the functionality of being focused on daily tasks and commitments, as this kept them away from private experiences, as evidenced by the following:
I have so many things to do that I have no time for anything else, and it works for me because living like this helps me not think and not give myself space to feel bad. (SP10 Female, 19 years old)
What has worked for me to avoid feeling bad is doing lots of things. So, besides my academic workload, I’m also taking two more courses, and I really just get home exhausted and go to sleep. (SP7 Male, 19 years old)
A group of students were aware that they had been living this way for quite some time; however, at the time of the interview, they had not taken any action to break out of the routine or monotony. For example, one student said:
Because I’m even aware of it, but I don’t do anything to change it. It’s like I’m comfortable living this way, without anything out of the ordinary happening. (SP11 Female, 19 years old)
In contrast, another group of students became aware during the interview itself that they were living this way:
Right now, I’m realizing that I have been living like this. Until now, I hadn’t stopped to think about it; I saw it as normal, like everyone lives this way. (SP3 Female, 20 years old)
Just now I’m becoming aware of it; I hadn’t thought of it like this before. Until this moment, I saw it as part of my organization and wasn’t aware of how rigid it can sound or seem. (SP7 Male, 19 years old)
- 6.
Manifestations Associated with the Connection of the Present Moment
Being in contact with their current circumstances and enjoying what daily life offered occurred infrequently among the participants:
I have a routine, but I don’t get lost in it; I mean, I enjoy my day. (SP6 Male, 22 years old)
I haven’t fallen into that state of doing things mechanically. I get up at 5, go to university, have lunch, go back to university, and then return home, but I am aware of my routine and try to do other things I enjoy. (SP14 Male, 18 years old)
One participant explained what it meant to her to be in contact with the present moment:
I have always felt that I pay a lot of attention to the things I do and that I enjoy them. I can be very busy, but even so, if something comes up and I can make time for it, I do—like going to chat with friends or getting some ice cream. (SP15 Female, 19 years old)
- 7.
Manifestations Associated with Fusing with Thought Content
Cognitive fusion is the inability to differentiate thought content from the sense of self, to place what is happening in perspective, and to distance oneself from one’s mental content without being influenced by or hooked into emotions, memories, beliefs, or ideas.
The participants’ narratives in response to the question “Has it ever happened that you created a movie in your head that only existed there?” revealed a tendency to fuse with their beliefs and thoughts, to become entangled with their distressing thoughts or feelings by applying various control mechanisms, which granted them the status of truth and considerably interfered with their circumstances and relationships with their environment. Examples of this were reported by these participants:
I have only had one relationship, and there was a time when I would make up movies in my head, thinking he was seeing someone else: They would leave at the same time, so they must be together. I spent all my time thinking about that. I got obsessed. I was always angry because I assumed something was happening, and eventually, my relationship ended because of that. (SP7 Male, 19 years old)
I have a kind of multiverse of what could happen; I always see all the things that could happen, especially the worse-case scenarios, and I act accordingly. (SP9 Female, 21 years old)
Another illustration of the interference caused by cognitive fusion interacting with context was noted by these participants:
When I confront people, I’m often surprised because I take what I think as a given and feel entitled to confront them, and sometimes I go too far with what I say. (SP12 Male, 22 years old)
For example, sometimes I meet someone and feel like they judge me badly, so I avoid interacting with that person because of how they looked at me. (SP14 Male, 18 years old)
Regarding the possibility of being a spectator of their private events, most of the participants emphasized the difficulty of putting things into perspective and distancing themselves from their mental content. This was reflected in their responses to the question “Have you ever felt like a spectator of that movie?”
No, I was the writer, director, producer, and protagonist but never the spectator. (SP7 Male, 19 years old)
No, during all that time I was completely immersed in the movie; that was my reality, and I didn’t allow myself to see any other reality. (SP8 Female, 21 years old)
Another form of interference that disrupted the participants’ behavior was the tendency to fuse with past emotions that were negative, as expressed by these students:
I haven’t had a romantic relationship in a long time. But I feel like I can’t feel anything for anyone. Since my uncle died, I haven’t been able to feel anything for anyone. (SP1 Male, 22 years old)
I carry that feeling of being watched, like it was throughout high school. Of not being able to do things because I know my parents wouldn’t like it, and in the end, I always end up feeling that way and prefer to do nothing. (SP4 Female, 19 years old)
- 8.
Manifestations Associated with Separating from Thought Content
The ability to differentiate oneself from one’s private experiences was recognized by a participant, who noted that:
I don’t like to speculate because humans speculate for the worst, never for the best. And that leads to distress, misunderstandings, and problems. (SP13 Female, 21 years old)
This same participant explained what it felt like to be a spectator of her life:
At some point, I also learned to be a spectator, especially when I realized that [a] situation was beyond my control. So, I just let it unfold however it needed to because you can’t control everything; it’s exhausting, and I won't do anything to change it.
One participant described it in terms of the need to distance oneself from thoughts to stop suffering:
Sometimes you have to because if you can’t solve things, why live miserably? That way, you put an end to the mortification. (SP6 Male, 22 years old)
When asked “And when you see yourself as a spectator, what do you feel, what happens to you?” both participants noted how it freed them of the burden of carrying mental content:
Calm, because I feel like I have let go, like I have taken a weight off my shoulders. It’s better to just let things happen. (SP6 Male, 22 years old)
It’s about accepting that you don’t have control over everything. It’s like taking a weight off your shoulders. It’s like saying, everything passes, and this will pass too, and everything will fall into place. (SP13 Female, 21 years old)
- 9.
Manifestations Associated with Interference in Contacting Personal Values
For some of the participants, it was difficult to connect with what was truly important to them. Although they demonstrated the ability to identify and list what gave meaning to their lives, they encountered obstacles in paying attention to their values.
When asked “What things are important to you?,” all the participants responded immediately, without taking time to think, which demonstrated clarity about what gave their lives meaning and purpose. Their answers made it clear that the participants assigned value to family, well-being, health, relationships, professional development, and autonomy.
Some responses regarding family were as follows:
The most important thing in my life is my grandmother. Obviously my parents too, but my grandmother and the two girls my uncle left behind are my greatest drive, one hundred percent. (SP1 Male, 22 years old)
My family. I think everything revolves around them. Because all my projects and everything I’ve planned are aimed at ensuring their stability. (SP5 Male, 20 years old)
Well-being as a valuable direction was recognized by some of the participants:
My well-being—that’s the most important thing for me. (SP12 Male, 22 years old) Currently, it’s mainly my peace of mind, being able to improve my relationship with my parents, having a healthy relationship with them. (SP4 Female, 19 years old)
Regarding health, one participant noted:
My psychological and physical health; without health, there’s nothing. (SP3 Female, 20 years old)
Others pointed to relationships as important aspects of their lives:
My family and my friends. (SP10 Female, 19 years old)
My family, my friends, and my boyfriend. (SP13 Female, 21 years old)
Professional development and achieving autonomy were also emphasized:
Finishing my degree, that’s the most important thing. (SP6 Male, 22 years old)
My autonomy and my space are the most important things; [they are] the only things that depend on me. (SP9 Female, 21 years old)
Regarding interferences that prevented the participants from focusing on what they truly desired, several actions were identified; these were aimed at satisfying external expectations or following persuasion by others. For example:
The things I do, I do them so that my mom feels proud of me. She doesn’t know that I’m homosexual and that makes many things difficult. But I want her to feel proud of me in other aspects, to see me as someone successful and to realize that my condition has nothing to do with what I can achieve. (SP7 Male, 19 years old)
A significant number of the participants recognized that they struggled to keep their values in mind day-to-day, despite having identified them. When asked “Have you ever forgotten about your values?,” nine of the 15 participants responded in the affirmative and explained what happened when they lost sight of them:
I ended up really bad because I let my anger out. (SP1 Male, 22 years old)
Everything builds up, and I feel like sometimes I can’t handle it. (SP12 Male, 22 years old)
Others described this situation as:
I lose my direction. (SP2 Male, 20 years old)
Everything becomes chaotic. (SP5 Male, 20 years old)
Everything gets out of control. (SP8 Female, 21 years old)
I don’t make progress. (SP10 Female, 19 years old)
Another type of interference that distanced the participants from their values included expressions of apathy, as reflected in a response to the question “How would you like to be remembered?”
I wouldn’t like to be remembered. Everyone is free; I don’t do things to be admired or followed. I do things as I see fit. It sounds selfish, but I honestly don’t care because others are also responsible for themselves. Everyone has their own way of thinking and acting. (SP9 Female, 21 years old)
With regard to the questions “How do you see yourself in the future?” and “What things would you like to achieve?,” their responses were often linked to fear of failure or uncertainty. For example:
It’s not something like “I want this or that in the future.” I don’t want to idealize my future because I don’t want to look back and realize I didn’t achieve what I wanted; that would affect me.
- 10.
Manifestations Associated with Contacting Personal Values
Contacting personal values is an action that the study participants allowed themselves to carry out; most of them showed a willingness to explore what they wanted to be and achieve. This was clear in their responses to the question “How would you like to be remembered?”
As the person who overcame himself, because my past was very dark. I was on the verge of collapse; I even distanced myself from my friends so they wouldn’t feel pain if something happened to me. (Male, 22 years old)
As a joyful, centered person who does everything with good intentions. I would like to be remembered as someone funny, capable of enjoying life. (Male, 19 years old)
The same trend was observed in response to the question “How do you see yourself in the future?”
Being the same cheerful and fun person, with many achieved goals, a good job, new friends, and people who surround me and bring good things into my life... Making my family happy. (SP2 Male, 20 years old)
Having overcome all these obstacles that stop and paralyze me, that don’t let me move forward. (SP11 Female, 19 years old)
Likewise, the participants stated that they kept what was important to them present in their daily lives. Some of them commented:
Every time I wake up, I try to remember what I want to achieve and that everything I have done so far has been for that. (SP6 Male, 22 years old)
I feel that we are a reflection of what we live. Many people tell me that I am loving because I grew up in a home like that; my dad is so loving with my mom, he respects her, loves her, is present, and is so responsible that I reflect that. So, I always keep that in mind in my life. (SP13 Female, 21 years old)
- 11.
Manifestations Associated with Behavioral Rigidity
Behavioral rigidity ranges from ineffective strategies to difficulty acting according to what individuals consider important. The participants who identified their values mobilized resources to achieve them but struggled to determine whether their actions were consistent with those values. When asked how they reached their goals, they focused their responses on concrete plans and steps rather than on their stated values. For example:
I’m disciplined, so when I have clear goals, I give everything I have to achieve them—my effort, my time. I fully commit to it and, no matter what happens, I do it. I achieve it. (SP2 Male, 20 years old)
Well, first I organize my time so that the things I want to achieve can be done on time. Also, I surround myself with people who can help me achieve what I want. (SP6 Male, 22 years old)
Some of the participants, although they had identified their values, had difficulty acting in accordance with them and attributed this to thoughts of failure and the emotional distress they may experience:
I would love to travel, explore, put down roots somewhere else, but I worry that my grandmother might die, and I won’t be there. (SP1 Male, 22 years old)
I do everything short term. Long-term plans, like for a year from now, don’t work for me. I only act when I’m certain that I’ll get results. (SP9 Female, 21 years old)
Other participants faced difficulties carrying out the actions necessary to fulfill then desires because of the obstacles they encountered, as shown in these examples:
Well, it depends on the obstacle. If it depends on someone else, I’ll probably just set it aside and move on to something else. I have the ability to let go of things without [them] affecting me in the future. (SP9 Female, 21 years old)
It’s really hard for me—honestly, when something doesn’t go as I expected, thoughts of incompetence overwhelm me. That holds me back and stops me from continuing on the path I had already mapped out. (SP11 Female, 19 years old)