Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-27T22:11:34.209Z Has data issue: false hasContentIssue false
  • English
  • Français

Access all areas: creative adaptations for CBT with people with cognitive impairments – illustrations and issues

Published online by Cambridge University Press:  25 September 2013

Rowena Rossiter  and
Sophie Holmes
Rowena Rossiter*
Affiliation:
Tizard Centre, University of Kent, Canterbury, Kent, UK
Sophie Holmes
Affiliation:
Surrey and Borders Partnership (SABP) NHS Foundation Trust, Leatherhead, Surrey, UK
*
*Author for correspondence: Ms. R. Rossiter, Tizard Centre, University of Kent, Canterbury, Kent, CT2 7LR, UK (email: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Policy and legislation requires clinicians and services to address diversity and equalities including disability. Currently, practice, training and research do not do this adequately. This paper outlines why adapted CBT is important and presents some evidence to increase accessibility for people who have cognitive impairments, learning disabilities and/or neurodevelopmental disorders. It demonstrates how CBT can be made accessible through clinical examples using traditional, adapted and personalized assessment and intervention materials. Implications and recommendations are identified.

Keywords

CBTcommon factorsevidence-based practiceimpairment
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 6 , 2013 , e9
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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

Recommended follow-up reading

Arundine, A, Bradbury, CL, Dupuis, K, Dawson, DR, Ruttan, LA, Green, REA (2012). Cognitive behaviour therapy after acquired brain injury: maintenance of therapeutic benefits at 6 months post-treatment. Journal of Head Trauma and Rehabilitation 27, 104–112.CrossRefGoogle Scholar
Barrowcliff, AL (2008). Cognitive-behavioural therapy for command hallucinations and intellectual disability: a case study. Journal of Applied Research in Intellectual Disabilities 21, 236–245.Google Scholar
Camden & Islington NHS (2012). A Manual of Cognitive Behaviour Therapy for People With Learning Disabilities. Pavillion.Google Scholar
Charlesworth, GM, Reichelt, FK (2004). Keeping conceptualizations simple; examples with family carers of people with dementia. Behavioural and Cognitive Psychotherapy 32, 4.Google Scholar
Haddock, G, Lobban, F, Hatton, C, Carson, R (2004). Cognitive behaviour therapy for people with psychosis and mild intellectual disabilities: a case series. Clinical Psychology and Psychotherapy 11, 282–298.Google Scholar
Kirkland, J (2005). Cognitive-behaviour formulation for three men with learning disabilities who experience psychosis: how do we make it make sense? British Journal of Learning Disabilities 33, 160–165.Google Scholar
Liddiard, H, Buck, C (2011). Creative CBT: Inventiveness, imagery and interest. Clinical Psychology & People with Learning Disabilities 9, 2–3.Google Scholar
O'Neill, H (2006). Managing Anger, 2nd edn, London: Whurr.Google Scholar

References

Arundine, A, Bradbury, CL, Dupuis, K, Dawson, DR, Ruttan, LA, Green, REA (2012). Cognitive behaviour therapy after acquired brain injury: maintenance of therapeutic benefits at 6 months post-treatment. Journal of Head Trauma and Rehabilitation 27, 104–112.Google Scholar
Attwood, T (2004). Exploring Feelings: Cognitive Behaviour Therapy to Manage Anger. Texas: Future Horizons.Google Scholar
British Association for Behavioural and Cognitive Therapy (BABCP) (2011). CBT Today, September, 26.Google Scholar
Barrowcliff, AL (2008). Cognitive-behavioural therapy for command hallucinations and intellectual disability: a case study. Journal of Applied Research in Intellectual Disabilities 21, 236–245.CrossRefGoogle Scholar
Beck, AT, Rush, JA, Shaw, BF (1979). Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Beck, AT, Emery, G, Greenburg, RL (1985). Anxiety Disorders and Phobias: A Cognitive Perspective. New York: Basic Books.Google Scholar
Berry, A, Cooper, M (2012). Anxious children's ability to generate attributions for ambiguous situations. Journal of Behavioral and Cognitive Psychotherapy 40, 89–103.Google Scholar
Buffin, J, Ahmed N, Singh, M (2009). Using a community engagement approach to ensure equality of access, experience and outcome from the IAPT programme in the North West of England. Report UCLAN/NHS North West.Google Scholar
Carr, A (2006). The Handbook of Child and Adolescent Clinical Psychology: A Contextual Approach, 2nd edn. London: Routledge.Google Scholar
Chadwick, P, Lees, S, Birchwood, M (2000). The revised Beliefs about Voices Questionnaire – Revised (BAVQ-R). British Journal of Psychiatry 177, 229–232.Google Scholar
Charlesworth, GM, Reichelt, FK (2004). Keeping conceptualizations simple; examples with family carers of people with dementia. Behavioural and Cognitive Psychotherapy 32, 4.Google Scholar
Clark, DM (1988). Anxiety states: panic and generalised anxiety disorder. In: Cognitive Therapy for Psychiatric Problems: A Practical Guide (ed. Hawton, K., Salkovskis, P. M., Kirk, J. and Clark, D. M.), pp. 52–96. Oxford: Oxford University Press.Google Scholar
Collerton, D, Dudley, R (2004). A cognitive behavioural framework for the treatment of distressing visual hallucinations in older people. Cognitive Psychotherapy 32, 443–455.Google Scholar
Department for Children, Families and Schools (2005). Social and Emotional Aspects of Learning; Improving Behaviour, Improving Learning. (SEAL). London: Department for Children, Families and Schools.Google Scholar
Dodd, K, Joyce, T, Nixon, J, Jennison, J, Heneage, C (2011). Improving access to psychological therapies (IAPT): are they applicable to people with intellectual disabilities? Advances in Mental Health and Intellectual Disabilities 5, 29–34.Google Scholar
Ehlers, A, Clark, DM (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy 38, 319–345.CrossRefGoogle ScholarPubMed
Favrod, J, Linder, S, Pernier, S, Navarro Chafloque, M (2007). Cognitive and behavioural therapy of voices for patients with intellectual disability: two case reports. Annals of General Psychiatry 22, 6–22.Google Scholar
Fennell, MJV (1988). Depression. In: Cognitive Therapy for Psychiatric Problems: A Practical Guide (ed. Hawton, K., Salkovskis, P. M., Kirk, J. and Clark, D. M.), pp. 169–234. Oxford: Oxford University Press.Google Scholar
Freeman, D (2007). Suspicious minds: the psychology of persecutory delusions. Clinical Psychology Review 27, 425–456.CrossRefGoogle ScholarPubMed
Garety, PA, Kuipers, E, Fowler, D, Freeman, D, Bebbington, PE (2001). A cognitive model of the symptoms of psychosis. Psychological Medicine 31, 189–195.Google Scholar
Grant, P (2011). Practise what you preach. CBT Today, November, 23.Google Scholar
Green, P (2011). Making IAPT accessible to older people CBT Today, September, 15–16.Google Scholar
Haddock, G, Lobban, F, Hatton, C, Carson, R (2004). Cognitive behaviour therapy for people with psychosis and mild intellectual disabilities: a case series. Clinical Psychology and Psychotherapy 11, 282–298.Google Scholar
Hatton, C (2002). Psychosocial interventions for adults with intellectual disabilities and mental health problems: a review. Journal of Mental Health 11, 357–374.Google Scholar
Holmes, S, Rossiter, R, Jennison, J, Nixon, J (2011). Adapting CBT for Psychosis: creative ways with cognitive impairments. BABCP Conference Poster (http://www.babcpconference.com/archive/guildford2011/programme/posters/S_Holmes.pdf). Accessed 10 May 2012.Google Scholar
Howlin, P, Baron Cohen, S, Hadwick, J (1999). Teaching People with Autism to Mind Read. Chichester: Wiley.Google Scholar
IAPT (2011). IAPT equality legislation (http://www.iapt.nhs.uk/equalities/). Accessed 6 January 2012.Google Scholar
Joyce, T, Globe, A, Moody, C (2006). Assessment of the component skills for cognitive therapy in adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities 19, 17–23.CrossRefGoogle Scholar
Kirkland, J (2005). Cognitive-behaviour formulation for three men with learning disabilities who experience psychosis: how do we make it make sense? British Journal of Learning Disabilities 33, 160–165.Google Scholar
Kitchiner, NJ (2011). Why develop psychological services for military veterans? CBT Today, September, 12–13.Google Scholar
LDA (n.d.). Photo emotions. Learning Development Aids.Google Scholar
Laidlaw, K, Thompson, LW, Gallagher-Thompson, D (2004). Comprehensive conceptualisation of cognitive behaviour therapy for late life depression. Behavioural and Cognitive Psychotherapy 32, 389–400.Google Scholar
Leggett, J (1997). Teaching psychological strategies for managing auditory hallucinations – a case report. British Journal of Learning Disabilities 25, 158–162.Google Scholar
Lindsay, W, Neilson, C, Lawrenson, H (1997). Cognitive-behaviour therapy for anxiety in people with learning disabilities. In: Cognitive-Behaviour Therapy for People with Learning Disabilities (ed. Stenfert Kroese, B., Dagnan, D. and Loumides, K.), pp. 124–140. London: Routledge.Google Scholar
Linehan, MM (1995). Understanding Borderline Personality Disorder: The Dialectic Approach Program Manual. New York: Guilford Press.Google Scholar
May, A (2011). Diversity Matters: interview with Phil Tyson. CBT Today, September, 8–9.Google Scholar
Morrison, AP (2001). The interpretation of intrusions in psychosis: an integrative cognitive approach to psychotic symptoms Behavioural & Cognitive Psychotherapy 29, 257–276.Google Scholar
Morrison, AP, Renton, J, French, P, Bentall, R (2008). Think You're Crazy? Think Again: A Resource Book for Cognitive Therapy for Psychosis. Hove: Routledge.Google Scholar
Murphy, P (2011). Time for straight talking. CBT Today, November, 8–9.Google Scholar
O'Connell, S (2011). Delivering CBT in a complex case presentation of OCD and co-morbid depression with a diagnosis of Asperger's. CBT Today, November, 12.Google Scholar
O'Neill, H (1999). Managing Anger. London: Whurr.Google Scholar
O'Neill, H (2006). Managing Anger, 2nd edn, London: Whurr.Google Scholar
Ramsay, JR (2010). CBT for adult ADHD: adaptations and hypothesized mechanisms of change. Journal of Cognitive Psychotherapy 24, 37–45.Google Scholar
Reed, J, Clements, J (1989). Assessing the understanding of emotional states in a population of adolescents and young adults with mental handicaps. Journal of Mental Deficiency Research 33, 229–233.Google Scholar
Romme, MA, Escher, AD (1989). Hearing voices. Schizophrenia Bulletin 15, 209–216.Google Scholar
Romme, MA, Escher, S (2000). Making Sense of Voices – a Guide for Professionals Who Work with Voice Hearers. London: MIND Publications.Google Scholar
Rose, J, Loftus, M, Flint, B, 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, 305–317.Google Scholar
Russell, AJ, Jassi, A, Fullana, MA, Mack, H, Johnston, K, Heyman, I, Murphy, DG, Mataix-Cols, D (2013). Cognitive behaviour therapy for co-morbid obsessive-compulsive disorder in high functioning autistic spectrum disorders: a randomised controlled trial. Depression and Anxiety 30, 697–708.Google Scholar
Sams, K, Collins, S, Reynolds, S (2006). Cognitive therapy abilities in people with learning disabilities. Journal of Applied Research in Intellectual Disabilities 19, 25–33.Google Scholar
Scheeringa, MS, Weems, CF, Cohen, JA, Amaya-Jackson, L, Guthrie, D (2011). Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three through six year-old children: a randomized clinical trial. Journal of Child Psychology and Psychiatry 52, 853–860.Google Scholar
Simonoff, E, Pickles, A, Chadwick, O, Wood, N, Maney, JA, Karia, N, Iqbal H, Moore, A (2006). The Croydon Assessment of Learning Study: prevalence and educational identification of mild mental retardation. Journal of Child Psychology and Psychiatry 47, 828–839.Google Scholar
Stallard, P (2002). Think Good; Feel Good; A Cognitive Behaviour Therapy Workbook for Children & Young People. Chichester: Wiley-Blackwell.Google Scholar
Stallard, P (2005). Cognitive behaviour therapy with prepubertal children. In: Cognitive Behaviour Therapy for Children and Families, 2nd edn (ed. Graham, P.), pp. 121–135. Cambridge: Cambridge University Press.Google Scholar
Stone, L (2011). Sailing the waves of diversity. CBT Today, September, 22.Google Scholar
Stenfert-Kroese, B, Dagnan, D, Loumidis, K (eds). (1997). Cognitive Behavioural Therapy for People with Learning Disabilities. London: Routledge.Google Scholar
Westbrook, D, Muella, M, Kennerley, H, McManus, F (2010). Common problems in therapy. In: The Oxford Guide to Surviving as a CBT Therapist (ed. Mueller, M., Kennerley, H., McManus, F. and Westbrook, D.), chapter 1. Oxford: Oxford University Press.Google Scholar
Willner, P (2007). Cognitive behaviour therapy for people with learning disabilities: focus on anger. Advances in Mental Health and Learning Disabilities 1, 14–21.Google Scholar
Woolsey, S (2011). A picture paints a thousand words. CBT Today, December, 22.Google Scholar
Wragg, JAE, Whitehead, RE (2004). CBT for adolescents with psychosis: investigating the feasibility and effectiveness of early intervention using a single case design. Behavioural and Cognitive Psychotherapy 32, 313–329.CrossRefGoogle Scholar
Zubin, J, Spring, B (1977). Vulnerability: a new view on schizophrenia Journal of Abnormal Psychology 86, 103–126.Google Scholar
Submit a response

Comments

No Comments have been published for this article.