Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-22T05:44:12.363Z Has data issue: false hasContentIssue false

CBT for People with Intellectual Disabilities: Emerging Evidence, Cognitive Ability and IQ Effects

Published online by Cambridge University Press:  01 November 2008

John L. Taylor*
Affiliation:
Northumbria University and Northumberland, Tyne and Wear NHS Trust, UK
William R. Lindsay
Affiliation:
NHS Tayside, The Sate Hospital, Carstairs and University of Abertay Dundee, UK
Paul Willner
Affiliation:
Abertawe Bro Morgannwg University NHS Trust and Swansea University, UK
*
Reprint requests to John L. Taylor, Northumbria University, Coach Lane Campus-East, Benton, Newcastle upon Tyne NE7 7XA, UK. E-mail: [email protected]

Abstract

Historically people with intellectual disabilities have not been offered or received cognitive behavioural interventions that have been shown to be effective for mental health and emotional problems experienced by those without such disabilities. This is despite many people with intellectual disabilities having life experiences that potentially result in them having an increased risk to such problems. This paper discusses whether such therapeutic disdain is justified based on the evidence that is available and emerging concerning the application of cognitive behavioural interventions for this population. Issues concerning access to services, the ability of people with intellectual disabilities to engage in and benefit from the cognitive components of CBT, and the effect of cognitive abilities and IQ level on treatment effectiveness are explored in relation to this question.

Type
Client Group Applications
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: Author.Google Scholar
Beail, N. (2003). What works for people with mental retardation? Critical commentary on cognitive-behavioural and psychodynamic psychotherapy research. Mental Retardation, 41, 468472.2.0.CO;2>CrossRefGoogle Scholar
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.Google Scholar
Bender, M. (1993). The unoffered chair: the history of therapeutic disdain towards people with a learning difficulty. Clinical Psychology Forum, 54, 712.CrossRefGoogle Scholar
Brown, G. W. (2000). Medical sociology and issues of aetiology. In Gelder, M. G., Lopez-Ibor, J. L. Jr. and Andreasen, N. C. (Eds.), New Oxford Textbook of Psychiatry. Oxford: Oxford University Press.Google Scholar
Dagnan, D., Chadwick, P. and Proudlove, J. (2000). Towards and assessment of suitability of people with mental retardation for cognitive therapy. Cognitive Therapy and Research, 24, 627636.CrossRefGoogle Scholar
Deb, S., Thomas, M. and Bright, C. (2001). Mental disorder in adults with intellectual disability. I: prevalence of functional psychiatric illness among a community-based population aged between 16 and 64 years. Journal of Intellectual Disability Research, 45, 495505.CrossRefGoogle ScholarPubMed
Durlak, J., Fuhrman, T. and Lampman, C. (1991). Effectiveness of cognitive-behavior therapy for maladapting children. Psychological Bulletin, 110, 204214.CrossRefGoogle ScholarPubMed
Emerson, E., Hatton, C., Felce, D. and Murphy, G. (2001). Learning Disabilities: the fundamental facts. London: Foundation for People with Learning Disabilities.Google Scholar
Emerson, E., Moss, S. and Kiernan, C. (1999). The relationship between challenging behaviour and psychiatric disorders in people with severe developmental disabilities. In Bouras, N. (Ed.), Psychiatric and Behavioural Disorders in Developmental Disabilities and Mental Retardation (pp. 3848). Cambridge: Cambridge University Press.Google Scholar
Goldberg, D. and Huxley, P. (1980). Mental Illness in the Community: the pathway to psychiatric care. London: Tavistock.Google Scholar
Haddock, G., Lobban, F., Hatton, C. and Carson, R. (2004). Cognitive-behaviour therapy for people with psychosis and mild intellectual disabilities: a case series. Clinical Psychology and Psychotherapy, 11, 282298.CrossRefGoogle Scholar
Hatton, C. (2002). Psychosocial interventions for adults with intellectual disabilities and mental health problems. Journal of Mental Health, 11, 357373.CrossRefGoogle Scholar
Hatton, C. and Taylor, J. L. (2005). Promoting healthy lifestyles: mental health and illness. In Grant, G., Goward, P., Richardson, M. and Ramcharan, P. (Eds.), Learning Disability: a life cycle approach to valuing people (pp. 559603). Maidenhead: Open University Press.Google Scholar
Hastings, R. P., Hatton, C., Taylor, J. L. and Maddison, C. (2004). Life events and psychiatric symptoms in adults with intellectual disabilities. Journal of Intellectual Disability Research, 48, 4246.CrossRefGoogle ScholarPubMed
Howells, K. and Day, A. (2003). Readiness for anger management: clinical and theoretical issues. Clinical Psychology Review, 23, 319337.CrossRefGoogle ScholarPubMed
Joyce, T., Globe, A. and Moody, C. (2006). Assessment of the component skills for cognitive therapy in adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 19, 1723.CrossRefGoogle Scholar
Kendall, P. C. (1985). Toward a cognitive-behavioral model of child psychopathology and a critique of related interventions. Journal of Abnormal and Child Psychology, 13, 357372.CrossRefGoogle Scholar
Kerker, B. D, Owens, P. L., Zigler, E. and Horwitz, S. M. (2004). Mental health disorders among individuals with mental retardation: challenges to accurate prevalence estimates. Public Health Reports, 119, 409417.CrossRefGoogle ScholarPubMed
Lindsay, W. R. (1999). Cognitive therapy. The Psychologist, 12, 238241.Google Scholar
Lynch, C. (2004). Psychotherapy for persons with mental retardation. Mental Retardation, 42, 399405.2.0.CO;2>CrossRefGoogle ScholarPubMed
McCabe, M. P., McGillivray, J. A. and Newton, D. C. (2006). Effectiveness of treatment programmes for depression among adults with mild/moderate intellectual disability. Journal of Intellectual Disability Research, 50, 239247.CrossRefGoogle ScholarPubMed
Meichenbaum, D. (1977). Cognitive Behaviour Modification: an integrative account. New York: Plenum.CrossRefGoogle Scholar
Meltzer, H., Gill, B., Petticrew, M. and Hinds, K. (1995). The Prevalence of Psychiatric Morbidity among Adults Living in Private Households: OPCS survey of psychiatric morbidity in Great Britain, report 1. London: HMSO.Google Scholar
Moss, S., Prosser, H., Costello, H., Simpson, N., Patel, P., Rowe, S., Turner, S. and Hatton, C. (1998). Reliability and validity of the PAS-ADD Checklist for detecting psychiatric disorders in adults with intellectual disability. Journal of Intellectual Disability Research, 42, 173183.CrossRefGoogle ScholarPubMed
Nagel, B. and Leiper, R. (1999). A national survey of psychotherapy with people with learning disabilities. Clinical Psychology Forum, 129, 1418.CrossRefGoogle Scholar
Novaco, R. W. and Taylor, J. L. (2006). Cognitive-behavioural anger treatment. In McNulty, M. and Carr, A. (Eds.), Handbook of Adult Clinical Psychology: an evidence based practice approach (pp. 9781009). London: Routledge.Google Scholar
Oathamshaw, S. and Haddock, G. (2006). Do people with intellectual disabilities and psychosis have the cognitive skills required to undertake cognitive behavioural therapy? Journal of Applied Research in Intellectual Disabilities, 19, 3546.CrossRefGoogle Scholar
Prout, R. and Nowak-Drabik, K. M. (2003). Psychotherapy with persons who have mental retardation: an evaluation of effectiveness. American Journal on Mental Retardation, 108, 8293.2.0.CO;2>CrossRefGoogle ScholarPubMed
Reiss, S., Levitan, G. and Szyszko, J. (1982). Emotional disturbance and mental retardation: diagnostic overshadowing. American Journal of Mental Deficiency, 86, 567574.Google ScholarPubMed
Rose, J., Loftus, M., Flint, B. and Carey, L. (2005). Factors associated with the efficacy of a group intervention for anger in people with intellectual disabilities. British Journal of Clinical Psychology, 44, 305317.CrossRefGoogle ScholarPubMed
Royal College of Psychiatrists (2004). Psychotherapy and Learning Disability. Council Report CR116. London: Royal College of Psychiatrists.Google Scholar
Safran, J. D., Segal, Z. V., Vallis, T. M., Shaw, B. F. and Samstag, L. W. (1993). Assessing patient suitability for short-term cognitive therapy with an interpersonal focus. Cognitive Therapy and Research, 17, 2328.CrossRefGoogle Scholar
Sams, K., Collins, S. and Reynolds, S. (2006). Cognitive therapy abilities in people with learning disabilities. Journal of Applied Research in Intellectual Disabilities, 19, 2533.CrossRefGoogle Scholar
Sukhodolsky, D. G., Kassinove, H. and Gorman, B. S. (2004). Cognitive-behavioral therapy for anger in children and adolescents: a meta-analysis. Aggression and Violent Behavior, 9, 247269.CrossRefGoogle Scholar
Stenfert Kroese, B. (1998). Cognitive-behavioural therapy for people with learning disabilities. Behavioural and Cognitive Psychotherapy, 26, 315322.CrossRefGoogle Scholar
Stenfert Kroese, B., Dagnan, D. and Loumidis, K. (Eds.) (1997). Cognitive-Behaviour Therapy for People with Learning Disabilities. London: Routledge.Google Scholar
Stenfert Kroese, B. and Thomas, G. (2006). Treating chronic nightmares of sexual assault survivors with an intellectual disability: two descriptive case studies. Journal of Applied Research in Intellectual Disabilities, 19, 7580.CrossRefGoogle Scholar
Sturmey, P. (2004). Cognitive therapy with people with intellectual disabilities: a selective review and critique. Clinical Psychology and Psychotherapy, 11, 222232.CrossRefGoogle Scholar
Sturmey, P. (2005). Against psychotherapy with people who have mental retardation. Mental Retardation, 43, 5557.2.0.CO;2>CrossRefGoogle ScholarPubMed
Taylor, J. L. (2002). A review of assessment and treatment of anger and aggression in offenders with intellectual disability. Journal of Intellectual Disability Research, 46 (Suppl. 1), 5773.CrossRefGoogle ScholarPubMed
Taylor, J. L. (2005). In support of psychotherapy for people who have mental retardation. Mental Retardation, 43, 450453.CrossRefGoogle ScholarPubMed
Taylor, J. L. (2007). Cognitive Ability, Skills and Remediation in CBT for People with Intellectual Disabilities. Paper presented at the BABCP 35th Annual Conference, Sussex University, Brighton, September.Google Scholar
Taylor, J. L., Hatton, C., Dixon, L. and Douglas, C. (2004a). Screening for psychiatric symptoms: PAS-ADD checklist norms for adults with intellectual disabilities. Journal of Intellectual Disability Research, 48, 3741.CrossRefGoogle ScholarPubMed
Taylor, J. L. and Novaco, R. W. (2005). Anger Treatment for People with Developmental Disabilities: a theory, evidence and manual based approach. Chichester: Wiley.CrossRefGoogle Scholar
Taylor, J. L., Novaco, R. W., Gillmer, B. G. and Robertson, A. (2004b). Treatment of anger and aggression. In Lindsay, W. R., Taylor, J. L. and Sturmey, P.. (Eds.), Offenders with Developmental Disabilities (pp. 201219). Chichester: Wiley.CrossRefGoogle Scholar
Taylor, J. L., Novaco, R. W., Gillmer, B. T., Robertson, A. and Thorne, I. (2005). Individual cognitive-behavioural anger treatment for people with mild-borderline intellectual disabilities and histories of aggression: a controlled trial. British Journal of Clinical Psychology, 44, 367382.CrossRefGoogle ScholarPubMed
Taylor, J. L., Novaco, R. W., Gillmer, B. and Thorne, I. (2002). Cognitive-behavioural treatment of anger intensity among offenders with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 15, 151165.CrossRefGoogle Scholar
Taylor, J. L., Novaco, R. W., Guinan, C. and Street, N. (2004c). Development of an imaginal provocation test to evaluate treatment for anger problems in people with intellectual disabilities. Clinical Psychology and Psychotherapy, 11, 233246.CrossRefGoogle Scholar
van den Hout, M., Arntz, A. and Merckelbach, H. (2000). Contributions of psychology to the understanding of psychiatric disorders. In Gelder, M. G., Lopez-Ibor, J. L. Jr. and Andreasen, N. C.. (Eds.), New Oxford Textbook of Psychiatry (pp. 277292). Oxford: Oxford University Press.Google Scholar
Willner, P. (2004). Brief cognitive therapy of nightmares and post-traumatic ruminations in a man with learning disabilities. British Journal of Clinical Psychology, 43, 459464.CrossRefGoogle Scholar
Willner, P. (2005). Readiness for cognitive therapy in people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 19, 516.CrossRefGoogle Scholar
Willner, P. (2006). The effectiveness of psychotherapeutic interventions for people with learning disabilities: a critical overview. Journal of Intellectual Disability Research, 49, 7385.CrossRefGoogle Scholar
Willner, P. (2007). Cognitive behaviour therapy for people with learning disabilities: focus on anger. Advances in Mental Health and Learning Disabilities, 1, 1421.CrossRefGoogle Scholar
Willner, P. and Goodey, R. (2006). Interaction of cognitive distortions and cognitive deficits in the formulation and treatment of obsessive-compulsive behaviours in a woman with an intellectual disability. Journal of Applied Research in Intellectual Disabilities, 19, 6773.CrossRefGoogle Scholar
Willner, P. and Hatton, C. (Eds.) (2006). Special issue: cognitive behavioural therapy. Journal of Applied Research in Intellectual Disabilities, 19, 1129.CrossRefGoogle Scholar
Willner, P., Jones, J., Tams, R. and Green, G. (2002). A randomised controlled trial of the efficacy of a cognitive-behavioural anger management group for clients with learning disabilities. Journal of Applied Research in Intellectual Disabilities, 15, 224235.CrossRefGoogle Scholar
Whitaker, S. (2001). Anger control for people with learning disabilities: a critical review. Behavioural and Cognitive Psychotherapy, 29, 277293.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.