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Dagnan, Dave; Pulford, Helen; Cathers, Rebecca; Jahoda, Andrew (2016)
Publisher: Cambridge University Press
Languages: English
Types: Article
Subjects:
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.
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    • Hargie, O. & Dickson,D. (2004). Skilled Interpersonal Communication: Research, Theory and Practice (4th ed). East Sussex: Routledge.
    • Jahoda, A., Selkirk, M., Trower, P., Pert, C., Kroese, B. S., Dagnan, D. & Selkirk, M. (2009). The balance of power in therapeutic interactions with individuals who have intellectual disabilities. British Journal of Clinical Psychology, 48, 63-77.
    • James, I., Morse, R., & Howarth, A. (2010) The Science and Art of Asking Questions in Cognitive Therapy. Behavioural and Cognitive Psychotherapy, 38, 83-93.
    • Landis, J.R., & Koch, G.G. (1977) The measurement of observer agreement for categorical data. Biometrics, 33, 159-174.
    • Llewelyn, S., & Hardy, G. (2001) Process research in understanding and applying psychological therapies. British Journal of Clinical Psychology, 40, 1-21.
    • Willner P, Rose J, Jahoda A, Stenfert Kroese B, Felce D, Macmahon P, Stimpson A, Rose N, Gillespie D, Shead J, Lammie C, Woodgate C, Townson J, Nuttall J, Cohen D & Hood K (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)
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