Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Cognitive behavioural therapy from the perspective of clients with mild intellectual disabilities
T2 - a qualitative investigation of process issues
AU - Pert, C.
AU - Jahoda, A.
AU - Kroese, B. Stenfert
AU - Trower, P.
AU - Dagnan, D.
AU - Selkirk, M.
PY - 2013/4
Y1 - 2013/4
N2 - Background Clinicians working with clients who have mild intellectual disabilities (IDs) have shown growing enthusiasm for using a cognitive behavioural approach, amid increasing evidence of good treatment outcomes for this client group. However, very little is known about the views and experiences of clients with IDs who have undergone cognitive behavioural therapy. This study aims to explore the perspective of these clients. MethodsFifteen participants with borderline to mild IDs and problems of anxiety, depression and anger were interviewed regarding their experience of cognitive behavioural therapy (CBT). Two semi-structured interviews were carried out in the first phase of therapy between session four and session nine. An interpretive phenomenological approach was taken to seek out themes from participants' own personal accounts. Results Participants valued the opportunity to talk about problems with their therapist and benefitted from therapeutic relationships characterised by warmth, empathy and validation. Participants identified areas of positive change; however, many thought that this may be short lived or not maintained beyond discharge. Conclusions The supportive aspects of therapeutic relationships were particularly important to participants undergoing CBT. The clinical implications are considered.
AB - Background Clinicians working with clients who have mild intellectual disabilities (IDs) have shown growing enthusiasm for using a cognitive behavioural approach, amid increasing evidence of good treatment outcomes for this client group. However, very little is known about the views and experiences of clients with IDs who have undergone cognitive behavioural therapy. This study aims to explore the perspective of these clients. MethodsFifteen participants with borderline to mild IDs and problems of anxiety, depression and anger were interviewed regarding their experience of cognitive behavioural therapy (CBT). Two semi-structured interviews were carried out in the first phase of therapy between session four and session nine. An interpretive phenomenological approach was taken to seek out themes from participants' own personal accounts. Results Participants valued the opportunity to talk about problems with their therapist and benefitted from therapeutic relationships characterised by warmth, empathy and validation. Participants identified areas of positive change; however, many thought that this may be short lived or not maintained beyond discharge. Conclusions The supportive aspects of therapeutic relationships were particularly important to participants undergoing CBT. The clinical implications are considered.
KW - cognitive behavioural therapy
KW - emotional problems
KW - intellectual disability
KW - self-efficacy
KW - therapeutic process
KW - therapeutic relationship
KW - MENTAL-RETARDATION
KW - PSYCHODYNAMIC PSYCHOTHERAPY
KW - PROBLEMATIC EXPERIENCES
KW - LEARNING-DISABILITIES
KW - PEOPLE
KW - ASSIMILATION
KW - SCALE
KW - ANGER
KW - EFFICACY
KW - INDIVIDUALS
U2 - 10.1111/j.1365-2788.2012.01546.x
DO - 10.1111/j.1365-2788.2012.01546.x
M3 - Journal article
VL - 57
SP - 359
EP - 369
JO - Journal of Intellectual Disability Research
JF - Journal of Intellectual Disability Research
SN - 0964-2633
IS - 4
ER -