Cognitive Behaviour Therapy for People with Intellectual Disabilities : Thinking Creatively.

Intro -- Preface -- References -- Contents -- 1: Introduction -- Why Did We Write This Book? -- What Position Are We Coming from? -- How Did We Write This Book? -- What Is in This Book? -- What Next? -- References -- 2: History and Theory -- CBT: An Evolving Therapy? -- The Evidence -- Deficits and Distortions -- Making Therapy Meaningful: Asking the  Right Questions -- Therapy in Context -- A Theoretical Framework: The Social Self -- Therapeutic Sessions: An Interpersonal Process -- Conclusions -- References -- 3: Current Context -- Service Responses to People with Intellectual Disabilities and Mental Health Problems -- Why Such High Prevalence of Mental Health Problems? -- Access to CBT for People with Intellectual Disabilities -- CBT Demand Characteristics -- How Can We Make CBT Accessible for People with Intellectual Disabilities? -- Recent Research Findings on Clients' Cognitive Capacity -- Other Factors: Meeting Halfway? -- References -- 4: Assessment and Setting the Scene for Cognitive Behaviour Therapy -- Making a Start -- Before We Start: Where to Meet? -- Hearing the Client's Story and Creating a Safe Place -- Setting the Scene -- Finding the Right Pace -- Is CBT Suitable? -- Using Storyboards to Explore Social Cognition and Emotional Understanding -- Standardised Assessments -- Self-Monitoring and Diaries -- Common Stumbling Blocks -- Helpful Building Blocks: What You Can Do -- Problems Due to Cognitive Characteristics -- Increasing Compliance -- Choosing the Best Fit for Your Client -- Choosing Rating Scales: How Much and How Often -- Self-Perceptions -- References -- 5: The First Stage of Therapy -- Before Moving Forward: Taking Stock About the Model to Be Used -- Adapting CBT to the Needs of an ID Client -- Socialising into the Model -- Tapping into Clients' Thoughts and Underlying Schema or Views of Self -- The Way You Think.

Understanding Distress -- The Role of Emotion -- A Shared Formulation -- References -- 6: Therapeutic Change -- A Continuing Need for Structure -- Behavioural Change -- Establishing a Therapeutic Dialogue -- Working with Thoughts and Feelings (Bottom Up and Top Down) -- Top-Down Approaches and Behavioural Experiments -- The Way You Think -- Perceptions of Self and Working with Stigma -- Real Changes -- Dealing with Setbacks -- Finishing Therapy -- Working with Different Presentations and Challenges -- References -- 7: And Another Thing… Adapting Therapy for Particular Cognitive Impairments -- Working with Memory Problems -- Problems of Attention and Distractibility -- Communication Difficulties -- Problems of Cognitive Rigidity -- Presenting Problem -- Clinical Interview and Background Information -- Self-Monitoring -- Social Understanding -- Identifying Helpful and Unhelpful Thoughts -- Aspects of Alan's Presentation that Obstructed Therapy -- Draft Formulation -- Feeding Back an Accessible Formulation -- Intervention. A Concrete Plan -- Making the Thinking Feeling Link: One Thing Leads to Another -- Guidance Towards Reappraisal -- How True on a Scale of 0-10? -- Balanced Thinking -- But How Does This Work in Real Life? -- Getting Stuck on Thoughts -- Gaps in Therapy -- Progress Made -- Real Changes Too -- Conclusions -- References -- 8: Group Work -- Why Consider Group Work for People with ID? -- What Do Clients Think About Groups? -- Some Considerations -- Preparation -- Group Identity -- Making the Group Accessible and Safe -- Support Staff -- Enforcement of Group Rules -- Cognitive Strategies -- Peer Support -- Endings and Then? -- References -- 9: Mindfulness and Third Wave Therapies -- Mindfulness in Health Settings -- Mindfulness and People with Intellectual Disabilities: What's the Evidence? -- So What Is Mindfulness?.

Mindfulness: A Different Process -- Mind and Body -- Mindfulness: A Different Relationship with Your Problems -- Mindfulness: A Different Relationship with Your Thoughts -- A Different Relationship with Yourself: Using Compassion -- Ways of Adapting Mindfulness -- Keep It Real: Making Sense of Abstract Concepts -- Making Mindfulness Relevant -- Make It Easy: Engaging People with Intellectual Disabilities in Mindfulness -- The Problem of the Wandering Mind -- Keep It Short and Repeat Often -- Working with Compassion -- Adapting Mindfulness to Suit Different Physical Needs -- Practising at Home -- Mindfulness Isn't for Everyone -- Conclusions -- References -- 10: Working with Others -- Family Members -- Support Staff -- Health and Social Services Professionals -- Specialist Services -- References -- 11: Making a Real Difference -- Why Train Therapists -- A Framework for Specialist Training -- Materials and Supervision -- Increasing Access and the Mainstreaming Debate -- Manuals: Mapping a Way Ahead -- Broadening Access to CBT -- Conclusion -- References -- 12: Final Thoughts -- References -- Index.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.