Psychological Therapies for Adults with Intellectual Disabilities

294 Pages·2013·3.36 MB·English

by  John L. Taylor, William R. Lindsay, Richard P. Hastings, Chris Hatton

Praise for Psychological Therapies for Adults with Intellectual Disabilities
“This book is edited by four professors who are the leading clinical researchers in the
field of intellectual disabilities. Their collective expertise and experience are extremely
impressive. This book will undoubtedly make an important contribution to the
understanding and treatment of the range of difficulties encountered in this
population.”
Roz Shafran, Professor of Psychology and Clinical Language Sciences,
Reading University
“The editors have brought together an impressive, international group of contribu-
tors to present psychological therapies for people with intellectual disabilities. The
volume is rich in clinical examples which are extremely valuable in illustrating the
therapeutic techniques in action. The chapters on preparing people with intellectual
disability for psychological treatment and adapting therapies for persons with intel-
lectual disabilities will be useful for therapists from all theoretical orientations.”
Betsey Benson, Ph.D., Associate Professor of Clinical Psychiatry and
Psychology, Nisonger Center UCEDD, Ohio State University
“Without doubt, Psychological Therapies for Adults with Intellectual Disabilities is the
best book available at present on this topic. Its chapters span different theoretical
frameworks, with an emphasis on cognitive behaviour therapy for a range of emo-
tional and behavioural problems often encountered in people with intellectual disa-
bilities. It provides guidance on many practical issues that come with adapting
psychological therapies to people with intellectual disabilities. The editors and con-
tributors are all leading experts in their field, which has resulted in a book that should
be standard for practitioners, researchers and students working with people with
intellectual disabilities and mental health problems.”
Prof. Dr. Robert Didden, Radboud University Nijmegen, The Netherlands
“The book gives a thorough account of the current state of science in psychological
therapies for people with learning disabilities and outlines a plausible way forward for
clinicians and researchers to develop a stronger evidence base for such interventions.
The chapters on lesser known interventions, e.g. mindfulness were very useful and
informative. The authors are all well-known experts and have presented the material
persuasively and with clarity.”
Angela Hassiotis, Reader in Psychiatry of Intellectual Disabilities, Mental
Health Sciences Unit, Faculty of Brain Sciences, University College London
Psychological Therapies
for Adults with
Intellectual Disabilities
Edited by John L. Taylor, William R. Lindsay,
Richard P. Hastings and Chris Hatton
A John Wiley & Sons, Ltd., Publication
This edition first published 2013
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Library of Congress Cataloging-in-Publication Data
Psychological therapies for adults with intellectual disabilities / Edited by John L. Taylor,
William R. Lindsay, Richard P. Hastings, Chris Hatton.
pages cm
Includes bibliographical references and index.
ISBN 978-0-470-68346-0 (hbk.) – ISBN 978-0-470-68345-3 (pbk.) 1. People with mental
disabilities–Psychology. 2. People with mental disabilities–Counseling of.
RC451.4.M47P777 2013
362.2–dc23
2012031380
A catalogue record for this book is available from the British Library.
Cover image: Wooden posts in sea at high tide. Image © James Ross / Getty.
Cover design by www.cyandesign.co.uk
Set in 10/12.5 pt Galliard by Toppan Best-set Premedia Limited
1 2013
Contents
About the Editors vii
List of Contributors ix
Foreword xiii
Preface xvii
 1  Mental Health and Emotional Problems in People with Intellectual 
Disabilities  1
John L. Taylor and Martin Knapp
 2  Social and Psychological Factors as Determinants of Emotional  
and Behavioral Difficulties  15
Eric Emerson and Andrew J. Jahoda
 3  The Assessment of Mental Health Problems in Adults with  
Intellectual Disabilities  31
Chris Hatton and John L. Taylor
 4  Preparing People with Intellectual Disabilities for Psychological 
Treatment  55
Dave Dagnan, Andrew J. Jahoda and Amy Kilbane
 5  Adapting Psychological Therapies for People with Intellectual 
Disabilities I: Assessment and Cognitive Deficit Considerations  69
William R. Lindsay, Andrew J. Jahoda, Paul Willner and John L. Taylor
 6  Adapting Psychological Therapies for People with Intellectual 
Disabilities II: Treatment Approaches and Modifications  85
William R. Lindsay, Andrew J. Jahoda and Paul Willner
 7  Cognitive–Behavioral Therapy for Anxiety Disorders  101
William R. Lindsay, Paul Willner and Peter Sturmey
vi Contents
 8  Cognitive–Behavioral Therapy for Mood Disorders  117
Anna J. Esbensen and Sigan L. Hartley
 9  Anger Control Problems  133
John L. Taylor and Raymond W. Novaco
10  Cognitive–Behavioral Therapy for People with Intellectual  
Disabilities and Psychosis  157
Stephen C. Oathamshaw, Alastair L. Barrowcliff and Gillian Haddock
11  Cognitive–Behavioral Treatment for Inappropriate Sexual  
Behavior in Men with Intellectual Disabilities  173
William R. Lindsay
12  Developing Psychotherapeutic Interventions for People with  
Autism Spectrum Disorders  193
Dougal Julian Hare
13  Supporting Care Staff Using Mindfulness- and Acceptance-Based 
Approaches  207
Stephen J. Noone
14  Behavioral Approaches to Working with Mental Health Problems  223
Robert S.P. Jones and Alan Dowey
15  Psychodynamic Psychotherapy and People with Intellectual  
Disabilities  237
Nigel Beail and Tom Jackson
16  Mindfulness-Based Approaches  253
Nirbhay N. Singh, Giulio E. Lancioni, Alan S.W. Winton,
Angela D.A. Singh, Ashvind N.A. Singh and Judy Singh
17  Psychological Therapies for Adults with Intellectual Disabilities:  
Future Directions for Research and Practice  267
Richard P. Hastings, Chris Hatton, William R. Lindsay and
John L. Taylor
Index 277
About the Editors
John L. Taylor ([email protected])
Professor of Clinical Psychology, Consultant Clinical Psychologist and Psychological Serv-
ices Professional Lead
Northumbria University and Northumberland, Tyne & Wear NHS Foundation
Trust, UK
John Taylor qualified as a clinical psychologist from Edinburgh University and has
worked mainly in intellectual disability and forensic services in a range of settings in the
United Kingdom (community learning disability services, and high, medium, and low
secure services). Dr. Taylor has authored or coauthored over 90 publications related to
his clinical research interests in the assessment and treatment of mental health and emo-
tional problems and offending behavior associated with intellectual disabilities in a range
of research journals, professional publications, and books. He is a Past President of the
British Association of Behavioural & Cognitive Psychotherapies (BABCP). Previously, Dr.
Taylor was Chair of the BPS Faculty for Forensic Clinical Psychology, the BPS Mental
Health Working Group, and the Department of Health National Forensic Mental Health
R&D Programme – Learning Disability Steering Group. Currently, he chairs the BPS
Approved Clinicians Peer Review Panel.
William R. Lindsay ([email protected])
Consultant Clinical Forensic Psychologist, Professor of Learning Disabilities and
Forensic Psychology, Honorary Professor
Castlebeck; University of Abertay, Dundee; and Bangor University, UK
Bill Lindsay is Consultant Psychologist and Clinical Director in Scotland for Castle-
beck. He was previously Head of Psychology (LD) in NHS Tayside and a Consultant
Psychologist in the State Hospital. He is Professor of Learning Disabilities and Forensic
Psychology at the University of Abertay, Dundee; Honorary Professor at Bangor Univer-
sity; and Honorary Professor at Deakin University, Melbourne. Dr. Lindsay has published
over 300 research articles and book chapters, and given many presentations and work-
shops on cognitive therapy and the assessment and treatment of offenders with intellectual
disability.
viii About the Editors
Richard P. Hastings ([email protected])
Professor of Psychology
Bangor University, UK
Richard Hastings is Professor of Psychology at Bangor University in Wales where he
is the research director of the clinical psychology training program and codirector of the
masters training program in Applied Behaviour Analysis. Dr. Hastings engages in research
and teaching primarily in the field of intellectual and developmental disabilities. He has
authored or coauthored more than 150 journal papers, chapters, and other publications,
and currently holds grants with a value in excess of £4 million. He is currently an associate
editor/editorial board member for 13 research journals. Dr. Hastings’ research interests
focus on mental health in intellectual disability, challenging behavior, caregivers’ adapta-
tion and distress, and psychoeducational intervention for children with autism.
Chris Hatton ([email protected])
Professor of Psychology, Health and Social Care
Lancaster University, UK
Chris Hatton is Professor of Psychology, Health and Social Care at the Centre for
Disability Research, Lancaster University, UK, where he has worked since 2000. Before
that, he was a researcher at the Hester Adrian Research Centre, University of Manchester,
UK. He has also been Research Director of the Lancaster University Doctoral Programme
in Clinical Psychology, and is a cofounder of the Public Health Observatory concerning
people with intellectual disabilities. Over the past 20 years, Dr. Hatton has had a consist-
ent research interest in the mental health and well-being of people with intellectual dis-
abilities and their families, including work on understanding the social determinants of
inequalities in mental health and well-being, and evaluating assessment tools, psychosocial
interventions, and broader innovations in social policy designed to improve mental health
and well-being. He has been an author on over 100 peer-reviewed journal articles and
over 20 book chapters, and has jointly edited or authored 10 books.
List of Contributors
Alastair L. Barrowcliff
Consultant Clinical Psychologist and Clinical Lead (Learning Disabilities)
Five Boroughs Partnership NHS Foundation Trust, UK
Nigel Beail
Professor of Psychology, Consultant Clinical Psychologist and Professional Head of
Psychological Services
University of Sheffield and South West Yorkshire Partnership NHS Foundation
Trust and Barnsley Metropolitan Borough Council, UK
Dave Dagnan
Honorary Professor and Clinical Director
Lancaster University and Cumbria Partnership NHS Trust, UK
Alan Dowey
Consultant Clinical Psychologist, Deputy Head of Adult Learning Disabilities
Betsi Cadwaladr University Health Board and Bangor University, UK
Eric Emerson
Professor of Disability & Health Research and Professor of Disability Population
Health
Lancaster University, UK and University of Sydney, Australia
Anna J. Esbensen
Assistant Professor of Pediatrics
Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA
Gillian Haddock
Professor of Clinical Psychology and Head of Division of Clinical Psychology
University of Manchester, UK
Dougal Julian Hare
Senior Lecturer in Clinical Psychology
University of Manchester, UK
x List of Contributors
Sigan L. Hartley
Assistant Professor
University of Wisconsin-Madison, Wisconsin, USA
Tom Jackson
Consultant Clinical Psychologist
South West Yorkshire Partnership NHS Foundation Trust and Barnsley
Metropolitan Borough Council, UK
Andrew J. Jahoda
Professor of Learning Disabilities and Honorary Consultant Clinical Psychologist
University of Glasgow and NHS Greater Glasgow and Clyde, UK
Robert S.P. Jones
Academic Director and Honorary Professor, North Wales Clinical Psychology
Programme and Head of Learning Disability (Clinical Psychology)
Bangor University and Betsi Cadwalader University Health Board, UK
Amy Kilbane
Clinical Psychologist
University of Glasgow and NHS Greater Glasgow and Clyde, UK
Martin Knapp
Professor of Social Policy and Director, LSE Health and Personal Social Services
Research Unit (PSSRU)
London School of Economics, UK
Giulio E. Lancioni
Professor, Department of Neuroscience and Sense Organs
University of Bari, Italy
Stephen J. Noone
Consultant Clinical Psychologist
Northumberland, Tyne & Wear NHS Foundation Trust, UK
Raymond W. Novaco
Professor of Psychology and Social Behavior
University of California, Irvine, California, USA
Stephen C. Oathamshaw
Consultant Clinical Psychologist and Head of Specialty
Scottish Borders Learning Disability Service, NHS Borders, UK
Angela D.A. Singh
Chief Executive Officer
American Health and Wellness Institute, Long Beach, California, USA
Ashvind N.A. Singh
Chief Clinical Officer
American Health and Wellness Institute, Long Beach, California, USA
Judy Singh
Chief Program Evaluation Officer
American Health and Wellness Institute, Raleigh, North Carolina, USA
List of Contributors xi
Nirbhay N. Singh
Chief Learning and Development Officer
American Health and Wellness Institute, Raleigh, North Carolina, USA
Peter Sturmey
Professor of Psychology
Queens College and The Graduate Center, City University of New York, USA
Paul Willner
Emeritus Professor of Psychology
Swansea University, UK
Alan S.W. Winton
Senior Lecturer
School of Psychology
Massey University, Palmerston North, New Zealand