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Assessment of cognitive therapy skills for people with learning disabilities
- Authors:
- DAGNAN Dave, MELLOR Karen, JEFFERSON Claire
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(4), December 2009, pp.25-30.
- Publisher:
- Emerald
This paper describes a clinically useful assessment approach that gives therapists information that can be used to identify the appropriate therapy. Cognitive therapy is increasingly used as a tool with people with learning disabilities. There is a growing literature examining the necessary adaptation of therapy content, however most of the literature does not consider the decision-making process of the clinician in relation to the individual client. This paper, therefore, investigates how clinicians make decisions about the adaptation of therapy for the client. Presented as a series of question/response tables, the authors describe an assessment that presents a simple scenario and associated emotion, the client being asked to say what they would think or say to themselves a given situation. The data presented suggests that some people with learning disabilities report thoughts that accurately mediate between the scenario and the stated emotion - at times these thoughts offered insight into individual concerns. The authors suggest this assessment is useful in a clinical practice, and discuss ways in which it might be useful to guide choice of intervention.