Cognitive behaviour therapy for low self-esteem in a person with a learning disability: a case study

2018 ◽  
Vol 12 (2) ◽  
pp. 67-76 ◽  
Author(s):  
Lauren Evans ◽  
Kate Allez
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Distress Tolerance ◽  
Self Esteem ◽  
Small Contribution ◽  
Behaviour Therapy ◽  
Content Type ◽  
Cognitive Behaviour ◽  
The Impact

Purpose Low self-esteem is common in people with learning disabilities. There is limited research examining the effectiveness of cognitive behavioural therapy (CBT) focused on low self-esteem within this client group. The purpose of this paper is to add to the limited evidence by describing the use of CBT focused on low self-esteem for a person with a learning disability in the context of emotion regulation difficulties. Design/methodology/approach An individual case study design was used, with repeated quantitative measures to monitor progress during weekly individual psychology sessions. Findings There was a reduction in the client’s feelings of anger and an increase in their self-esteem. Research limitations/implications Further studies and follow-up would determine longevity of benefits. The inclusion of distress tolerance techniques may have impacted on the findings and limits the conclusions that can be drawn about the impact of CBT focused on low self-esteem. Originality/value This case study could make a small contribution to the evidence base for the effectiveness of CBT-based treatments for low self-esteem in people with learning disabilities, which is an under-researched area.

The use of cognitive behaviour therapy to treat depression in people with learning disabilities: a systematic review

2015 ◽  
Vol 20 (2) ◽  
pp. 54-64 ◽  
Author(s):  
Caroline Jennings ◽  
Olivia Hewitt
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Cognitive Behaviour Therapy ◽  
Evidence Base ◽  
Small Sample ◽  
Future Research ◽  
Behaviour Therapy ◽  
Content Type ◽  
Psychological Therapies ◽  
Cognitive Behaviour

Purpose – Cognitive behaviour therapy (CBT) is currently one of the recommended treatments for depression for the general population and guidance recommends that people with a learning disability should have access to the same treatments as people without a learning disability. The purpose of this paper is to identify, outline and evaluate current research on the effectiveness of CBT for depression for people with a learning disability. The clinical, service and research implications are considered. Design/methodology/approach – A systematic search was conducted and five relevant articles were identified for critical review. Findings – There is a limited but promising evidence base for the use of CBT for depression with people with learning disabilities. Research limitations/implications – The current review identified a number of methodological issues and future research should attempt to overcome these (e.g. small sample sizes and lack of controls). In particular, research should focus on determining the relative contribution of cognitive and behavioural techniques in producing a change in depressive symptoms. Practical implications – Services (including those provided as part of Improving Access to Psychological Therapies) should be offering CBT-based interventions for people with learning disabilities who are experiencing depression. Originality/value – This paper provides a comprehensive and up to date review of the current literature regarding the use of CBT for depression for people with a learning disability. This will be of value to clinicians working with people with a learning disability as well as those commissioning services.

The importance of developing confidence and self-esteem in children with a learning disability

2014 ◽  
Vol 8 (3) ◽  
pp. 188-191 ◽  
Author(s):  
Hayley Goleniowska
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Risk Taking ◽  
Role Models ◽  
Design Methodology ◽  
Well Being ◽  
Self Esteem ◽  
Positive Role ◽  
Content Type ◽  
Self Worth

Purpose – The purpose of this paper is to look at the importance of self-esteem in individuals with a learning disability. Design/methodology/approach – The paper explore ways of developing self-esteem and confidence with simple techniques for parents and carers of those with learning disabilities to try. Findings – Anecdotal examples are given by a mother of a child who has Down's Syndrome. The paper outlines ways parents and professionals can increase the self-worth of individuals with a learning disability through fun play, encouraging relevant social and life skills, even safe risk taking. The paper outlines the need for accepting and praising your child for who they are as well as seeking out positive role models. Originality/value – Self-esteem and confidence are crucial ingredients in giving people with learning disabilities a sense of well-being and of beings valued member of a community. They are also key in keeping depression and loneliness at bay.

scholarly journals “Is it because I’m gormless?” A commentary on “Narrative therapy in a learning disability context: a review”

2015 ◽  
Vol 20 (3) ◽  
pp. 130-133 ◽  
Author(s):  
Angela Olsen
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Narrative Therapy ◽  
Case Study Research ◽  
Narrative Approach ◽  
Content Type ◽  
Narrative Approaches ◽  
Research Reporting ◽  
Future Work

Purpose – The purpose of this paper is to reflect on “Narrative therapy in a learning disability context: a review”. Design/methodology/approach – This commentary reflects on the use of Narrative therapy and considers it in the wider context of assisting people with learning disabilities to develop self-understanding. The commentary makes connections between the use of Narrative therapy and narrative approaches to research reporting. Findings – The use of Narrative therapy can assist in the development of positive personal stories for individuals with learning disabilities. Case study research provides a useful reference point from which to develop future work. Reporting of case studies sometimes omits data that might be useful for others attempting to replicate findings. Originality/value – This paper highlights the need for authors to ensure that the “small details” are included in research reporting. A narrative approach, rich in detail of research participants might enable authors to tell a “thicker” story, thus improving generalisability.

Cognitive behaviour therapy vs rational emotive education: Impact on children's self-talk, self-esteem and irrational beliefs

1995 ◽  
Vol 5 ◽  
pp. 59-66 ◽  
Author(s):  
Paul C. Burnett
Keyword(s):  
Primary Schools ◽  
Irrational Beliefs ◽  
Self Esteem ◽  
Behavioural Therapy ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Self Talk ◽  
Rational Emotive ◽  
Rational Emotive Education ◽  
The Impact

This study investigated the impact of Cognitive-Behavioural Therapy (CBT) and Rational-Emotive Education (REE) self-enhancement programs on children's self-talk, self-esteem and irrational beliefs. A total of 116 children (50.9% girls) with a mean age of 9.8 years attending Years 4 and 6 at two primary schools participated in the study. CBT resulted in a reduction in negative self-talk while REE seemed to enhance independence beliefs. Both programs were associated with increased positive self-talk and with having increased rationality in Conformity and Discomfort Intolerance beliefs.

scholarly journals Commentary on “The use of cognitive behaviour therapy to treat depression in people with learning disabilities: a systematic review”

2015 ◽  
Vol 20 (2) ◽  
pp. 65-68
Author(s):  
Peter E. Langdon
Keyword(s):  
Systematic Review ◽  
Learning Disabilities ◽  
Cognitive Behaviour Therapy ◽  
Research Experience ◽  
Behaviour Therapy ◽  
Content Type ◽  
Psychological Therapies ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
People With Intellectual Disabilities

Purpose – The purpose of this paper is to provide a commentary on “The use of cognitive-behaviour therapy to treat depression in people with learning disabilities: a systematic review”. Design/methodology/approach – Drawing on the literature, as well as both clinical and research experience, some reasons are outlined for the lack of attention given to psychological therapies to treat depression amongst people with intellectual disabilities (IDs). Findings – More research is needed, but existing evidence is promising regarding the effectiveness of adapted cognitive-behaviour therapy for depression amongst people with IDs. Originality/value – The commentary draws attention to the scope for developing a range of effective cognitive, behavioural and cognitive-behavioural treatments.

Participation and engagement of people with a learning disability in the lead up to the 2015 general election

2016 ◽  
Vol 21 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Robert Holland
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Design Methodology ◽  
General Election ◽  
Political Debate ◽  
Content Type ◽  
National Debate ◽  
The Impact ◽  
Over Time

Purpose – As a commentary on the article by Ian Hood, the purpose of this paper is to consider participation of people with a learning disability in the lead-up to the 2015 UK general election. It looks at available data on participation and the barriers people face to engagement in the national debate, the process of registering to vote as well as voting itself. Design/methodology/approach – A number of initiatives taken to increase participation are considered and their success evaluated. Available data on participation and previous research are also considered. Findings – It is possible to boost the numbers of people engaged in voting and related activities. More research is needed to look at the impact of moving to a system of individual electoral registration and at whether overall participation by people with a learning disability is increasing over time. The barriers identified need to be tackled if people with a learning disability are to be more fully engaged in voting and the national political debate. Originality/value – Findings will be of particular value to those organisations and individuals interested in increasing the proportion of people with learning disabilities voting in future elections.

Social climate in Learning Disability services

2014 ◽  
Vol 5 (1) ◽  
pp. 24-37 ◽  
Author(s):  
Laura Willets ◽  
Paul Mooney ◽  
Nicholas Blagden
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Psychiatric Patients ◽  
Psychiatric Hospitals ◽  
Learning Disabled ◽  
Social Climate ◽  
Disability Services ◽  
Content Type ◽  
The Social ◽  
The Impact

Purpose – The social climate of psychiatric institutions correlates with multiple outcomes related to staff and patients. Research into social climate in Learning Disability services is limited. Staff and patients in Learning Disability services have documented both positive and negative experiences. No research has directly compared the social climate of Learning Disability and non-Learning Disability psychiatric services. The purpose of this paper is to understand how these compare. The study will also compare staff and patient views of social climate and the impact of security on social climate in Learning Disability services. Design/methodology/approach – A total of 64 patients and 73 staff, from Learning Disability and non-Learning Disability psychiatric hospitals completed the Essen Climate Evaluation Schema (EssenCES) measure of social climate. Findings – Patients in Learning Disability and non-Learning Disability services did not differ in their perceptions of social climate. Staff in non-Learning Disability services had a more positive perception of social climate than staff in Learning Disability services. Patients and staff did not differ in their views on climate. Security was negatively related to patients’ Experienced Safety. Originality/value – The findings suggest that staff perceive that the deficits associated with Learning Disabilities may limit patients’ therapeutic experience and relationships with their peers. Despite this, patients with Learning Disabilities feel supported by their peers, have positive views of the treatment process and feel as safe as non-Learning Disabled psychiatric patients.

Enhancing self-esteem in adults with autism spectrum disorders: a pilot cognitive behaviour therapy (CBT) group intervention

2017 ◽  
Vol 3 (2) ◽  
pp. 66-75 ◽  
Author(s):  
Debbie Spain ◽  
Sarah H. Blainey
Keyword(s):  
Autism Spectrum Disorders ◽  
Group Intervention ◽  
Cognitive Behaviour Therapy ◽  
Self Esteem ◽  
Autism Spectrum ◽  
Behaviour Therapy ◽  
Content Type ◽  
Cognitive Behaviour ◽  
Spectrum Disorders ◽  
Adults With Asd

Purpose Psychosocial risk factors and high rates of psychiatric comorbidity render individuals with autism spectrum disorders (ASD) vulnerable to developing low self-esteem (LSE). Cognitive behaviour therapy (CBT) interventions are effective for enhancing self-esteem in typically developing populations, but the degree to which they are clinically beneficial for individuals with ASD has been little explored. The paper aims to discuss these issues. Design/methodology/approach A pilot group intervention was undertaken to investigate the effectiveness and acceptability of CBT for LSE in adults with ASD. Adaptations to standard protocols were made, in order to accommodate core ASD characteristics. Findings Four participants attended eight sessions: these comprised formulation of causal and maintaining mechanisms for LSE, cognitive interventions designed to reduce self-criticism and promote a more balanced self-view, and behavioural interventions intended to increase engagement in enjoyable activities, and enhance problem-solving skills and assertiveness. Self-report questionnaires were completed at four time points: baseline, at the first and last sessions, and at one-month follow-up. Data analysis indicated no change in the primary self-esteem outcome measure. Some improvements were noted on secondary outcomes, specifically in social anxiety and depressive symptoms, and general functioning. Research limitations/implications Further studies are needed to determine how to design and deliver CBT interventions and techniques which target LSE in individuals with ASD. Originality/value This is one of the first CBT group interventions designed to address LSE in adults with ASD.

Michelle Walker in conversation with Jerome Carson

2019 ◽  
Vol 23 (2) ◽  
pp. 71-75
Author(s):  
Michelle Walker ◽  
Jerome Carson
Keyword(s):  
Design Methodology ◽  
Single Case ◽  
Vulnerability Factors ◽  
Behaviour Therapy ◽  
Content Type ◽  
Cognitive Behaviour ◽  
Personal Resilience ◽  
Statistical Surveys ◽  
Practical Implications

Purpose The purpose of this paper is to provide a profile of Michelle Walker. Design/methodology/approach In this single case study, Michelle gives a short background to the development of her depression and is then interviewed by Jerome. Findings Michelle sets out the reasons she developed depression. These map onto the research conducted by Brown and Harris some 50 years ago, showing how social factors can create a vulnerability to develop depression. Research limitations/implications Single case studies provide us with one person’s narrative. That narrative is, however, unique and can often offer us insights that are lost in large statistical surveys. Practical implications Michelle found that the Cognitive Behaviour Therapy (CBT) approach really helped her. However, she should never have had to wait as long as she did for that help. Mental health services must respond quickly, even if only to offer a triage assessment. Social implications Brown and Harris identified four key vulnerability factors for depression in women. Michelle met three of these. How many other women are in a similar situation and are suffering in silence? Originality/value We can learn a lot from the factors that helped Michelle recover from her depressive episode: medication, CBT, the support of her mother, education, finding her soulmate and, although she does not say it, her own rugged determination and personal resilience.

Learning disability training and probation officer knowledge

2020 ◽  
Vol 11 (2) ◽  
pp. 117-131
Author(s):  
Margaret Townsend ◽  
Jayne Henry ◽  
Rachel R. Holt
Keyword(s):  
Mental Health ◽  
Learning Disabilities ◽  
Learning Disability ◽  
Repeated Measures ◽  
Training Session ◽  
Probation Officers ◽  
Care Staff ◽  
Content Type ◽  
Health And Social Care ◽  
The Impact

Purpose Knowledge about learning disabilities has found to be limited in both health and social care staff. To improve the treatment of individuals with learning disabilities and mental health problems within the criminal justice system (CJS), Lord Bradley recommends that professionals receive mental health and learning disability awareness training. However, little is known about the impact of training on the knowledge of professionals in the CJS. This study aims to investigate the impact of a 3-h learning disability training session on the knowledge of probation officers. Design/methodology/approach Using a repeated measures design, the impact of a 3-h learning disability training session on the knowledge of 12 probation officers was analysed. Findings In support of this study’s hypothesis, a repeated measures t-test revealed a significant difference between participants pre-training and post-training learning disability knowledge questionnaire (LDKQ) scores. Participants scored significantly higher on the LDKQ post-training compared to pre-training. A linear regression revealed that years worked in probation did not significantly predict participant’s difference scores. Research limitations/implications Limitations of this study and directions for future studies are discussed. Originality/value This paper demonstrates that learning disability training can significantly improve the knowledge of probation officers.

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