Cognitive‐Behavioral Therapy for People with Intellectual Disabilities and Psychosis

Oathamshaw, S.; Barrowcliff, Alastair L.; Haddock, Gillian

doi:10.1002/9781118329252.ch10

Cited by 2 publications

(3 citation statements)

References 49 publications

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“…This requires, for example, a degree of self-awareness, an ability to recognise internal states as unique events, and an ability to communicate such experiences to a third-party (e.g. Oathamshaw et al, 2013). There is now a healthy literature detailing clinical adaptations for ID populations, and these approaches are applicable to any assessment or intervention concerning internal events and experiences (see, e.g.…”

Section: General Assessmentmentioning

confidence: 99%

EMDR treatment for PTSD and Intellectual Disability: a case study

Barrowcliff

Evans

2015

Advances in Mental Health and Intellectual Disabilities

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Purpose -The purpose of this paper is to provide a detailed description of an adapted Eye-Movement Desensitisation and Reprocessing (EMDR) intervention in the treatment of chronic Post-Traumatic Stress Disorder (PTSD) in an individual with moderate-severe Intellectual Disability (ID), blindness, and Mucopolysaccharidosis Hunters Syndrome. Design/methodology/approach -A case study reporting on the implementation of an eight phase EMDR approach adapted for intellectual and sensory requirements. The intervention involved a series of preparatory meetings and four sessions of EMDR. Findings -The intervention was successful in ameliorating most symptoms attributed to a PTSD presentation.Research limitations/implications -The availability of the full breadth of treatment options for PTSD as indicated in National Institute for Health and Care Excellence (2005) is questionable in clinical practice with individuals with ID. Appropriate investment in research determining the most efficacious interventions for this clinical population is required. Originality/value -This case study addresses issues of complexity in respect of the assessment and treatment of trauma in an ID population. It raises a number of important social/research questions in addition to providing a high level of detail in regard to the adaptations required to deliver EMDR for a complex individual whilst retaining fidelity to the standard treatment model.

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Section: General Assessmentmentioning

confidence: 99%

EMDR treatment for PTSD and Intellectual Disability: a case study

Barrowcliff

Evans

2015

Advances in Mental Health and Intellectual Disabilities

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“…In other populations the BTFQ has been recommended to be used as a clinical tool in the context of CBT (Oathamshaw et al, 2012, Oathamshaw andHaddock, 2006). While the BTFQ-D might be of potential value to inform clinical decisions, we suggest that this measure should not yet be used as a stand-alone measure to determine suitability for CBT.…”

Section: Research and Clinical Implicationsmentioning

confidence: 93%

“…Research across a number of populations, including those whose ability to access CBT might be limited, such as children or individuals with intellectual disabilities, has suggested that a key skill required to engage in CBT is the ability to discriminate between thoughts, feelings and behaviours (Greenberger and Padesky, 1995, Quakley et al, 2004, Quakley et al, 2003, Lickel et al, 2012, Oathamshaw and Haddock, 2006. Assessing this ability in CBT clients is important to understand which elements of a CBT intervention an individual is likely to be able to engage in or might need support with (Oathamshaw et al, 2012). Measuring this ability in dementia also has utility outside of a CBT context as it is an important element of emotional understanding in its own right (Flavell, 1999, Quakley et al, 2003.…”

Section: Introductionmentioning

confidence: 99%

Thought–feeling discrimination in people with dementia: adaptation and preliminary validation of the first dementia-specific measure

Stott

Cadman

Potts

et al. 2019

Int. Psychogeriatr.

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Objective:There is emerging evidence that cognitive behavioral therapy (CBT) can be effective for treating anxiety and depression in people living with dementia (PLWD). Discriminating between thoughts and feelings is a critical element of CBT and also of relevance to emotional understanding more generally. The aim of the present study was the structured adaptation and preliminary validation of an existing measure of thought–feeling discrimination for use in PLWD.Methods/Design:The Behavior Thought Feeling Questionnaire (BTFQ) was adapted via expert and service-user consultation for use in PLWD. One hundred two PLWD and 77 people aged over 65 years who did not have measurable cognitive impairments completed the adapted measure along with two measures of emotional recognition and reasoning. The factor structure of this measure was examined and the measure reduced.Results:Factor analysis suggested a two-factor solution with thought and feeling items loading on separate factors. The behavior items were not included in scoring due to high cross-loading and ceiling effects, leaving a 14-item measure with two subscales. Thus, an adapted measure was created (named the BTFQ-D), which showed moderate convergent validity in the PLWD but not the older adult sample. Both thought and feeling subscales showed good internal consistency.Conclusions:The BTFQ-D showed preliminary validity as a measure of thought–feeling discrimination in PLWD. It may have utility in measuring readiness for CBT as part of clinical assessment. Further validation is required.

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Cognitive‐Behavioral Therapy for People with Intellectual Disabilities and Psychosis

Cited by 2 publications

References 49 publications

EMDR treatment for PTSD and Intellectual Disability: a case study

EMDR treatment for PTSD and Intellectual Disability: a case study

Thought–feeling discrimination in people with dementia: adaptation and preliminary validation of the first dementia-specific measure

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