Cognitive behavioural therapy from the perspective of clients with mild intellectual disabilities: a qualitative investigation of process issues
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...
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| Veröffentlicht in: | Journal of intellectual disability research 2013-04, Vol.57 (4), p.359-369 |
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| creator | Pert, C. Jahoda, A. Stenfert Kroese, B. Trower, P. Dagnan, D. Selkirk, M. |
| description | 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.
Methods Fifteen 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. |
| doi_str_mv | 10.1111/j.1365-2788.2012.01546.x |
| format | Article |
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Methods Fifteen 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.</description><identifier>ISSN: 0964-2633</identifier><identifier>EISSN: 1365-2788</identifier><identifier>DOI: 10.1111/j.1365-2788.2012.01546.x</identifier><identifier>PMID: 22533494</identifier><identifier>CODEN: JIDREN</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; Anger - physiology ; Anxiety - rehabilitation ; Anxiety-Depression ; Attitudes ; Behavior Modification ; Behavior therapy. Cognitive therapy ; Behavioural approaches ; Biological and medical sciences ; Cognitive behaviour therapy ; cognitive behavioural therapy ; Cognitive Restructuring ; Cognitive therapy ; Cognitive Therapy - methods ; Cognitive Therapy - standards ; Counseling Effectiveness ; Counseling Techniques ; Counselor Client Relationship ; Depression - rehabilitation ; Developmental disabilities ; emotional problems ; England ; Female ; Foreign Countries ; Humans ; Intellectual deficiency ; Intellectual Disability ; Intellectual Disability - rehabilitation ; Interpersonal Communication ; Interview, Psychological - standards ; Interviews ; Male ; Medical sciences ; Middle Aged ; Mild Intellectual Disability ; Mild Mental Retardation ; Outcomes of Treatment ; Patient Satisfaction ; Phenomenology ; Professional-Patient Relations ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Qualitative Research ; Scotland ; Self Efficacy ; Semi Structured Interviews ; Severity of Illness Index ; Therapeutic alliances ; therapeutic process ; therapeutic relationship ; Treatment Outcome ; Treatments ; Validation</subject><ispartof>Journal of intellectual disability research, 2013-04, Vol.57 (4), p.359-369</ispartof><rights>2012 The Authors. Journal of Intellectual Disability Research © 2012 Blackwell Publishing Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2012 The Authors. Journal of Intellectual Disability Research © 2012 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. Apr 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5866-ec4a639d472b73f58dc7d2456c2ffe234924e273c9cb03ca228a5c04022d55f13</citedby><cites>FETCH-LOGICAL-c5866-ec4a639d472b73f58dc7d2456c2ffe234924e273c9cb03ca228a5c04022d55f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2788.2012.01546.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2788.2012.01546.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,30978,30979,45553,45554</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1013335$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27162995$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22533494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pert, C.</creatorcontrib><creatorcontrib>Jahoda, A.</creatorcontrib><creatorcontrib>Stenfert Kroese, B.</creatorcontrib><creatorcontrib>Trower, P.</creatorcontrib><creatorcontrib>Dagnan, D.</creatorcontrib><creatorcontrib>Selkirk, M.</creatorcontrib><title>Cognitive behavioural therapy from the perspective of clients with mild intellectual disabilities: a qualitative investigation of process issues</title><title>Journal of intellectual disability research</title><addtitle>J Intellect Disabil Res</addtitle><description>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.
Methods Fifteen 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.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anger - physiology</subject><subject>Anxiety - rehabilitation</subject><subject>Anxiety-Depression</subject><subject>Attitudes</subject><subject>Behavior Modification</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Behavioural approaches</subject><subject>Biological and medical sciences</subject><subject>Cognitive behaviour therapy</subject><subject>cognitive behavioural therapy</subject><subject>Cognitive Restructuring</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>Cognitive Therapy - standards</subject><subject>Counseling Effectiveness</subject><subject>Counseling Techniques</subject><subject>Counselor Client Relationship</subject><subject>Depression - rehabilitation</subject><subject>Developmental disabilities</subject><subject>emotional problems</subject><subject>England</subject><subject>Female</subject><subject>Foreign Countries</subject><subject>Humans</subject><subject>Intellectual deficiency</subject><subject>Intellectual Disability</subject><subject>Intellectual Disability - rehabilitation</subject><subject>Interpersonal Communication</subject><subject>Interview, Psychological - standards</subject><subject>Interviews</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mild Intellectual Disability</subject><subject>Mild Mental Retardation</subject><subject>Outcomes of Treatment</subject><subject>Patient Satisfaction</subject><subject>Phenomenology</subject><subject>Professional-Patient Relations</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Qualitative Research</subject><subject>Scotland</subject><subject>Self Efficacy</subject><subject>Semi Structured Interviews</subject><subject>Severity of Illness Index</subject><subject>Therapeutic alliances</subject><subject>therapeutic process</subject><subject>therapeutic relationship</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><subject>Validation</subject><issn>0964-2633</issn><issn>1365-2788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkl1v0zAUhiMEYt3gJ4AsISRuUvwdB2kXUG1j0_gQAvXScpyT1SVNMjvt2n-xn4zTliJxVd_44zzvOcf2mySI4DGJ4_18TJgUKc2UGlNM6BgTweV4_SQZHQJPkxHOJU-pZOwkOQ1hjjGWhMvnyQmlgjGe81HyOGnvGte7FaACZmbl2qU3Nepn4E23QZVvF8MGdeBDB3YLthWytYOmD-jB9TO0cHWJXNNDXUdiGeWlC6ZwdcwL4QMy6D4eut5s1a5ZQejdXdy1zZCr862FEJALYQnhRfKsMnWAl_v5LPl1efFz8jm9_XZ1Pfl4m1qhpEzBciNZXvKMFhmrhCptVlIupKVVBTRejnKgGbO5LTCzhlJlhMUcU1oKURF2lrzb5Y3l72PdXi9csPEKpoF2GTRRjFJOGDkCZZJnUgqljkB5LnMpOD8CJSp-IMlwRN_8h87jNzXxebaUElyxoU21o6xvQ_BQ6c67hfEbTbAebKPnQ6tCD-7Qg2301jZ6HaWv9wWWxQLKg_CvTyLwdg-YYE1dedNYF_5xGZE0z0XkXu048M4ewhc3BBPG2BA_38UfXA2boxvUN9c_hlXUpzu9Cz2sD3rjf2uZsUzo6dcrPflOppfyy1R_Yn8A3lz3KA</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Pert, C.</creator><creator>Jahoda, A.</creator><creator>Stenfert Kroese, B.</creator><creator>Trower, P.</creator><creator>Dagnan, D.</creator><creator>Selkirk, M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7TK</scope></search><sort><creationdate>201304</creationdate><title>Cognitive behavioural therapy from the perspective of clients with mild intellectual disabilities: a qualitative investigation of process issues</title><author>Pert, C. ; Jahoda, A. ; Stenfert Kroese, B. ; Trower, P. ; Dagnan, D. ; Selkirk, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5866-ec4a639d472b73f58dc7d2456c2ffe234924e273c9cb03ca228a5c04022d55f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anger - physiology</topic><topic>Anxiety - rehabilitation</topic><topic>Anxiety-Depression</topic><topic>Attitudes</topic><topic>Behavior Modification</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Behavioural approaches</topic><topic>Biological and medical sciences</topic><topic>Cognitive behaviour therapy</topic><topic>cognitive behavioural therapy</topic><topic>Cognitive Restructuring</topic><topic>Cognitive therapy</topic><topic>Cognitive Therapy - methods</topic><topic>Cognitive Therapy - standards</topic><topic>Counseling Effectiveness</topic><topic>Counseling Techniques</topic><topic>Counselor Client Relationship</topic><topic>Depression - rehabilitation</topic><topic>Developmental disabilities</topic><topic>emotional problems</topic><topic>England</topic><topic>Female</topic><topic>Foreign Countries</topic><topic>Humans</topic><topic>Intellectual deficiency</topic><topic>Intellectual Disability</topic><topic>Intellectual Disability - rehabilitation</topic><topic>Interpersonal Communication</topic><topic>Interview, Psychological - standards</topic><topic>Interviews</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mild Intellectual Disability</topic><topic>Mild Mental Retardation</topic><topic>Outcomes of Treatment</topic><topic>Patient Satisfaction</topic><topic>Phenomenology</topic><topic>Professional-Patient Relations</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Qualitative Research</topic><topic>Scotland</topic><topic>Self Efficacy</topic><topic>Semi Structured Interviews</topic><topic>Severity of Illness Index</topic><topic>Therapeutic alliances</topic><topic>therapeutic process</topic><topic>therapeutic relationship</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><topic>Validation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pert, C.</creatorcontrib><creatorcontrib>Jahoda, A.</creatorcontrib><creatorcontrib>Stenfert Kroese, B.</creatorcontrib><creatorcontrib>Trower, P.</creatorcontrib><creatorcontrib>Dagnan, D.</creatorcontrib><creatorcontrib>Selkirk, M.</creatorcontrib><collection>Istex</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of intellectual disability research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pert, C.</au><au>Jahoda, A.</au><au>Stenfert Kroese, B.</au><au>Trower, P.</au><au>Dagnan, D.</au><au>Selkirk, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1013335</ericid><atitle>Cognitive behavioural therapy from the perspective of clients with mild intellectual disabilities: a qualitative investigation of process issues</atitle><jtitle>Journal of intellectual disability research</jtitle><addtitle>J Intellect Disabil Res</addtitle><date>2013-04</date><risdate>2013</risdate><volume>57</volume><issue>4</issue><spage>359</spage><epage>369</epage><pages>359-369</pages><issn>0964-2633</issn><eissn>1365-2788</eissn><coden>JIDREN</coden><abstract>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.
Methods Fifteen 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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22533494</pmid><doi>10.1111/j.1365-2788.2012.01546.x</doi><tpages>11</tpages></addata></record> |
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| subjects | Adult Adult and adolescent clinical studies Anger - physiology Anxiety - rehabilitation Anxiety-Depression Attitudes Behavior Modification Behavior therapy. Cognitive therapy Behavioural approaches Biological and medical sciences Cognitive behaviour therapy cognitive behavioural therapy Cognitive Restructuring Cognitive therapy Cognitive Therapy - methods Cognitive Therapy - standards Counseling Effectiveness Counseling Techniques Counselor Client Relationship Depression - rehabilitation Developmental disabilities emotional problems England Female Foreign Countries Humans Intellectual deficiency Intellectual Disability Intellectual Disability - rehabilitation Interpersonal Communication Interview, Psychological - standards Interviews Male Medical sciences Middle Aged Mild Intellectual Disability Mild Mental Retardation Outcomes of Treatment Patient Satisfaction Phenomenology Professional-Patient Relations Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Qualitative Research Scotland Self Efficacy Semi Structured Interviews Severity of Illness Index Therapeutic alliances therapeutic process therapeutic relationship Treatment Outcome Treatments Validation |
| title | Cognitive behavioural therapy from the perspective of clients with mild intellectual disabilities: a qualitative investigation of process issues |
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