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Naturalistic evaluation of the effectiveness of psychodynamic psychotherapy with adults with intellectual disabilities
- Authors:
- BEAIL Nigel, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 18(3), September 2005, pp.245-251.
- Publisher:
- Wiley
This study used an open trial design with a 3-month follow-up period. Widely available and used psychotherapy outcome measures were adopted, but administered in an assisted completion format at intake, outcome and follow-up. Data were collected on teh completed treatment and follow-up for 20 people. Data were analyzed using repeated measures ANOVA. Effect sizes were also computed. The results show statistically significant reductions in recipients' levels of psychological distress and interpersonal problems and an increase in self-esteem. Effect sizes were modest to large. The study shows that adults with intellectual disabilities can benefit from individual psychotherapy provided in routine clinical practice. The method has obvious limitations because of its uncontrolled, open trial design. However, the study had a recipient group that represents the client population and thus has greater generalisability to clinical practice. This study also provides some suggestions for routine audit and evaluation exercises and more rigorous designs.
Exploring maintaining gains following therapy during the coronavirus pandemic with adults with an intellectual disability
- Authors:
- PURRINGTON Jack, NYE Arthur, BEAIL Nigel
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 15(6), 2021, pp.253-268.
- Publisher:
- Emerald
Purpose: The novel coronavirus and associated mitigation efforts have caused significant increases in stress for adults with intellectual disabilities. Such increases in life stress predict an increased risk of relapse following psychological therapy. This contributes to the high global disease burden of common mental health difficulties. Therefore, this paper aims to explore service user experiences of maintaining gains following therapy within the context of the Covid-19 pandemic. Design/methodology/approach: A mixed-methods evaluation was completed in a psychology service based in the North of England which specialises in supporting adults with intellectual disabilities. Descriptive statistics and effect size calculations were used to examine therapeutic outcomes pre-therapy, post-therapy, and at follow-up. These findings informed a framework analysis of eight semi-structured interviews. Findings: Overall, outcome results improved post-therapy and regressed at follow-up. The framework analysis revealed facilitators to maintenance include a recollection of specific aspects of therapy and the regular utilisation of strategies and resources. Conversely, barriers to maintenance include a recollection focussed on personal outcome, a reliance on social support and an inability to remember therapy. Originality/value: This is the only study to the authors’ knowledge examining service user experiences of maintaining gains following therapy within the context of Covid-19. It is hoped that these findings will inform further research and be useful for services in preparing service users for discharge as the Covid-19 pandemic continues and moves towards the post-pandemic phase. (Edited publisher abstract)
Outcome of psychoanalysis, psychoanalytic and psychodynamic psychotherapy with people with intellectual disabilities: a review
- Author:
- BEAIL Nigel
- Journal article citation:
- Changes an International Journal of Psychology and Psychotherapy, 13(3), 1995, pp.186-191.
There is a small but growing literature in the area of psychotherapy with people with intellectual disabilities. This literature does not reflect an equivalent growth in psychotherapy practice and tends to focus on process rather than outcome. Article suggests that further outcome research is necessary to help avoid a continuation of the psychotherapeutic neglect of people with intellectual disabilities.