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Using Questions in Cognitive Therapy with People with Intellectual Disabilities

Published online by Cambridge University Press:  03 December 2015

Dave Dagnan*
Affiliation:
Cumbria Partnership NHS Trust and University of Lancaster, UK
Helen Pulford
Affiliation:
University of Glasgow, Scotland
Rebecca Cathers
Affiliation:
University of Edinburgh, Scotland
Andrew Jahoda
Affiliation:
University of Glasgow, Scotland
*
Reprint requests to Dave Dagnan, Cumbria Partnership NHS Foundation Trust, Community Learning Disability Services, Unit 1, Lakeland Business Centre, Jubilee Road, Workington, Cumbria CA14 4HA, UK. E-mail: dave.dagnan@cumbria.nhs.uk

Abstract

Background: There is increasing interest in the provision of cognitive behaviour therapy (CBT) to people with intellectual disabilities. A small number of studies have begun to address therapy process issues. Aims: The aim of this paper is to contribute to process research through the development of a taxonomy of question types for use in analysing therapy interactions in CBT for people with intellectual disabilities. Method: A taxonomy of CBT question types was adapted and applied to the transcriptions of session 4 and 9 of 15 CBT therapy dyads. Results: The taxonomy was reliably applied to the data. Therapists used significantly more questions in session 4 than in session 9, therapists used fewer questions in the final quarter of all sessions, and therapists used more questions with people with higher IQ scores in session 4 but not in session 9. Conclusions: The taxonomy of questions is reliable and may be used in future studies of CBT therapy process with people with intellectual disabilities.

Type
Brief Clinical Reports
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Hargie, O. and Dickson, D. (2004). Skilled Interpersonal Communication: research, theory and practice (4th ed.). Hove, East Sussex: Routledge.Google Scholar
Jahoda, A., Selkirk, M., Trower, P., Pert, C., Kroese, B. S., Dagnan, D., et al. (2009). The balance of power in therapeutic interactions with individuals who have intellectual disabilities. British Journal of Clinical Psychology, 48, 6377.Google Scholar
James, I., Morse, R. and Howarth, A. (2010). The science and art of asking questions in cognitive therapy. Behavioural and Cognitive Psychotherapy, 38, 8393.Google Scholar
Landis, J. R. and Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159174.Google Scholar
Llewelyn, S. and Hardy, G. (2001). Process research in understanding and applying psychological therapies. British Journal of Clinical Psychology, 40, 121.Google Scholar
Willner, P., Rose, J., Jahoda, A., Stenfert Kroese, B., Felce, D., MacMahon, P., et al. (2013). A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities. Health Technology Assessments, 17 (21).Google Scholar
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