Compassion-focused therapy for trauma in people with intellectual disabilities: A conceptual review

2018 ◽  
Vol 24 (2) ◽  
pp. 212-232 ◽  
Author(s):  
Megan Cowles ◽  
Cathy Randle-Phillips ◽  
Andrew Medley
Keyword(s):  
General Population ◽  
Intellectual Disabilities ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Evidence Base ◽  
Post Traumatic Stress ◽  
Compassion Focused Therapy ◽  
Post Traumatic ◽  
People With Intellectual Disabilities

Trauma exposure and post-traumatic stress disorder are more prevalent in people with intellectual disabilities (PWID) than in the general population, yet the evidence base for trauma interventions in this population is sparse. Compassion-focused therapy (CFT) may be particularly well-suited to PWID for a number of reasons, including its adaptability to different developmental levels. PWID are more likely to have issues with self-relating (e.g. shame and self-criticism) and attachment than the general population, two issues that are compounded by trauma and which CFT explicitly seeks to address. Furthermore, compassion-focused approaches emphasize cultivating a sense of safeness while empowering people to make behavioural changes; this is particularly pertinent to PWID who have been traumatized and may feel unsafe and disempowered. An overview of CFT and its application to trauma are given, as well as some case studies using CFT with PWID.

scholarly journals Determinants of the development of post-traumatic stress disorder, in the general population

2013 ◽  
Vol 49 (3) ◽  
pp. 447-457 ◽  
Author(s):  
Marc Perrin ◽  
Caroline L. Vandeleur ◽  
Enrique Castelao ◽  
Stéphane Rothen ◽  
Jennifer Glaus ◽  
...  
Keyword(s):  
General Population ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

scholarly journals Factors associated with poor self-reported health within the UK military and comparisons with the general population: a cohort study

JRSM Open ◽  
2017 ◽  
Vol 8 (5) ◽  
pp. 205427041769272 ◽  
Author(s):  
Sarah C Jenkins ◽  
Sharon AM Stevelink ◽  
Nicola T Fear
Keyword(s):  
General Population ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Self Rated Health ◽  
History Of ◽  
Post Traumatic ◽  
The Uk ◽  
The Military

Objective To investigate the self-rated health of the UK military and explore factors associated with poor self-rated health. Compare self-rated health of the military to the general population. Design A cohort study. Participants A total of 7626 serving and ex-serving UK military personnel, aged between 25 and 49; 19,452,300 civilians from England and Wales. Setting United Kingdom (military), England and Wales (civilians). Main outcome measures Self rated health for both populations. Additional data for the military sample included measures of symptoms of common mental disorder (General Health Questionnaire-12), probable post-traumatic stress disorder (post-traumatic stress disorder checklist Civilian Version), alcohol use (Alcohol Use Disorders Identification Test), smoking behaviour, history of self-harm and body mass index. Results In the military sample, poor self-rated health was significantly associated with: common mental disorders and post-traumatic stress disorder symptomology, a history of self-harm, being obese, older age (ages 35–49) and current smoking status. However, the majority of military personnel report good health, with levels of poor self-rated health (13%) not significantly different to those reported by the general population (12.1%). Conclusions Self-rated health appears to relate to aspects of both physical and psychological health. The link between poor self-rated health and psychological ill-health emphasises the need for military support services to continue addressing mental health problems.

EMDR therapy with people who have intellectual disabilities: process, adaptations and outcomes

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Joanne L.B. Porter
Keyword(s):  
Intellectual Disabilities ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Outcome Data ◽  
Clinical Psychologist ◽  
Post Traumatic Stress ◽  
Content Type ◽  
Post Traumatic ◽  
People With Intellectual Disabilities ◽  
Emdr Therapy

Purpose Emerging evidence indicates that adapted eye movement desensitisation and reprocessing (EMDR) can be useful for people with intellectual disabilities in treating post-traumatic stress disorder (PTSD). However, the required adaptations are not described in enough detail across the literature, making it difficult for therapists to easily adapt EMDR for people with intellectual disabilities. This paper aims to address this by describing 14 clinical cases, along with outcome data for six people, and the views of five people with intellectual disabilities about EMDR. Design/methodology/approach A total of 14 people with mild or moderate intellectual disabilities and varied experiences of trauma were offered EMDR by one clinical psychologist in a UK NHS setting; nine people completed EMDR therapy, six people provided outcome data with pre-post measures and five people were asked two questions about EMDR therapy. Findings Adaptations are described. The outcome data indicate reductions in symptoms of PTSD following EMDR intervention. EMDR was liked and perceived as useful. Originality/value This paper provides details about adaptations that can be made to the standard EMDR protocol, reports the views of service users about EMDR and adds evidence that EMDR reduces symptoms of PTSD in people who have intellectual disabilities.

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