Psychological Therapies for Adults with Intellectual Disabilities

This edited volume brings together leading proponents of psychological therapies for people with intellectual disabilities. The chapters provide key information and guidance on the nature and prevalence of psychological and mental health problems, delivery of treatment, the effectiveness of treatment, and the relationship of mental health and emotional problems to social deprivation and general health issues in this population. Contributions cover the preparation of clients for therapy, adjusting the methods of treatment to suit the client group, and working with families and carers to broaden interventions beyond the therapeutic dyad. In addition, chapters encompass interventions for a number of key psychological and emotional problems including anxiety disorders, depression, psychosis, anger, sexual deviance, and autistic spectrum disorders. While there is an emphasis on cognitive behavioural therapies, other approaches including mindfulness, psychodynamic therapy and behavioural intervention are also discussed. Each section contains case examples to illustrate and guide the assessment and treatment processes. This book is valuable for all psychological therapists, health professionals, clinical and social care staff dealing with the difficulties experienced by people with intellectual disabilities, as well as researchers and students interested in developing their knowledge and skills in this area. It is also useful for others who have day–to–day involvement with clients with intellectual disabilities and their families.

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 Diffi culties 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 Defi cit 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 Modifi cations 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 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

John Taylor is Professor of Clinical Psychology, Northumbria University and Consultant Clinical Psychologist and Psychological Services Professional Lead (Forensic Directorate), Northumberland, Tyne & Wear NHS Foundation Trust. He is Past President of the British Association for Behavioural & Cognitive Psychotherapies (BABCP). Bill Lindsay is Consultant Psychologist and Lead Clinician in Scotland for Castlebeck Care. He was previously Head of Psychology (LD) in NHS Tayside and a Consultant Clinical Psychologist with the State Hospital, Carstairs. He is Professor of Learning Disabilities and Forensic Psychology at the University of Abertay, Dundee, and Honorary Professor with the School of Psychology, Bangor University. Richard Hastings is Professor of Psychology at Bangor University and Research Director for the North Wales Clinical Psychology Programme. He has published widely in the field of intellectual disability, and is currently an associate editor for five international journals and on the editorial board member for a further nine.  Chris Hatton is Professor of Psychology, Health and Social Care at Lancaster University. His research interests centre on policy–relevant research concerning people with intellectual disabilities, particularly around evaluating innovations in health and social care and understanding inequalities in the physical and mental health of people with intellectual disabilities.