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Individual cognitive-behavioural anger treatment for people with mild-borderline intellectual disabilities and histories of aggression: a controlled trial
- Authors:
- TAYLOR John L., et al
- Journal article citation:
- British Journal of Clinical Psychology, 44(3), September 2005, pp.367-382.
- Publisher:
- Wiley
Approximately forty detained patients with mild-borderline intellectual disabilities and histories of serious aggression were allocated to specially modified cognitive-behavioural anger treatment (AT group) or to routine care waiting-list control (RC group) conditions. AT group participants received 18 sessions of individual treatment. The AT and RC groups were assessed simultaneously at 4 time points: screen, pre- and post-treatment, and at 4-month follow-up using a range of self- and staff-rated anger measures. The effectiveness of the treatment was evaluated using ANCOVA linear trend analyses of group differences on the main outcome measures. The AT group's self-reported anger scores on a number of measures were significantly lower following treatment, compared with the RC wait-list condition, and these improvements were maintained at follow-up. Limited evidence for the effectiveness of treatment was provided by staffs' ratings of patient behaviour post-treatment. The results suggest that detained men with mild-moderate intellectual disabilities and histories of severe aggression can successfully engage in, and benefit from, an intensive individual cognitive-behavioural anger treatment that also appears to have beneficial systemic effects.
Understanding and treating offenders with learning disabilities: a review of recent developments
- Authors:
- TAYLOR John L., LINDSAY William R.
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 1(1), April 2010, pp.5-16.
- Publisher:
- Emerald
This narrative review first presents and discusses recent developments relating to offenders with learning disabilities, looks at the historical association between crime and low intelligence, and then investigates the evidence concerning the prevalence of offending by people with learning disabilities, and their recidivism rates. The authors summarise research concerning service pathways for this population, and outline progress in the development of actuarial, dynamic and clinical assessments of the future risk of offending. Secondly, the paper focuses on a review of the evidence for, and recent developments in, the treatment of offending behaviour (anger and aggression, sexual offending and fire-setting), utilising broadly cognitive behaviourally-based approaches. Finally, the authors propose future directions for research and practice innovation.
Anger treatment for people with developmental disabilities: a theory, evidence and manual based approach
- Authors:
- TAYLOR John L., NOVACO Raymond W.
- Publisher:
- John Wiley and Sons
- Publication year:
- 2005
- Pagination:
- 256p., bibliog.
- Place of publication:
- Chichester
Anger and aggression are prevalent problems among people with developmental disabilities and constitute primary reasons for them to be admitted and re-admitted to institutions. They are also a key reason for the prescribing of behaviour control and anti-psychotic medication to this client group. Stimulated by growing research in this area, mental health and criminal justice professionals have begun to see the benefits of anger assessment and cognitive-behavioural anger treatment for people with developmental disabilities. This text presents a manual-guided cognitive-behavioural anger treatment protocol, grounded in a solid theoretical framework and empirical evidence for its efficacy in clinical practice. The assessment and treatment approach is designed to engage and motivate patients with recurrent and deep-rooted anger problems and their manifestation in serious aggressive behaviour. Accompanying the treatment protocol are a number of worksheets, handouts, and exercise sheets for clinicians and clients that can be accessed online.
Cognitive-behavioural treatment of anger intensity among offenders with intellectual disabilities
- Authors:
- TAYLOR John L., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 15(2), 2002, pp.151-165.
- Publisher:
- Wiley
Reports on a pilot study of an elaborated anger treatment protocol comparing the specialised anger treatment with routine care. Detained men with intellectual disabilities and histories of offending were allocated to specially modified cognitive-behavioural anger treatment or to routine care waiting-list control conditions. Treatment outcome was evaluated by participants' self-report of anger intensity to an inventory of provocations and by staff-ratings of the anger attributes of participants' ward behaviour. Participants' reported anger intensity was significantly lower following the anger treatment, compared to the routine care wait-list condition. Limited evidence for the effectiveness of anger treatment was provided by the staff ratings of participant behaviour post-treatment. Calls for further research to examine the mechanisms for change and their sustainability.