Cognitive behavioural therapy: from face to face interaction to a broader contextual understanding of change.

Cognitive behavioural therapy (CBT) is increasingly used to address the emotional and interpersonal problems of people with ID. There is a limited but promising evidence base supporting this activity. However, these individuals face real and continuing challenges in their lives that have implication...

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Publicado en:Journal of Intellectual Disability Research Vol. 53; no. 9; pp. 759 - 772
Autores principales: Jahoda A, Dagnan D, Kroese BS, Pert C, Trower P
Formato: review Journal Article
Publicado: Wiley-Blackwell Sep2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2009
      vid: 53
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        2010379008
        10.1111/j.1365-2788.2009.01189.x
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        atl: Cognitive behavioural therapy: from face to face interaction to a broader contextual understanding of change.
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        au:
          Jahoda A
          Dagnan D
          Kroese BS
          Pert C
          Trower P
        affil: Section of Psychological Medicine, Division of Community Based Sciences, University of Glasgow, The Academic Centre, Gartnavel Royal Hospital, Glasgow, UK
      sug:
        subj:
          Cognitive Therapy
          Interpersonal Relations
          Social Environment
          Conceptual Framework
          Intellectual Disability Psychosocial Factors
          Intellectual Disability Therapy
          Models, Psychological
          Psychological Theory
          Self Concept
      ab: Cognitive behavioural therapy (CBT) is increasingly used to address the emotional and interpersonal problems of people with ID. There is a limited but promising evidence base supporting this activity. However, these individuals face real and continuing challenges in their lives that have implications for their self and interpersonal perceptions. These adversities have implications for the adaptation of CBT. First, it may mean that characteristically negative perceptions may be more common and may be the result of a complex interaction with a truly aversive environment and should not simply be considered as cognitive distortions. Secondly, clients may have limited control over their everyday lives, with limited opportunity to negotiate change with their informal and formal sources of support. This review suggests that it is important to consider the interpersonal context of therapy both to ensure effective work within sessions and to enable real change in clients' everyday lives. The review draws upon Vygotsky's theory of the zone of proximal development and ecological models of change to consider the challenges of establishing collaborative relationships and the potential to use CBT within a broad psychosocial model. The aim is to offer a helpful framework for practitioners and to identify directions for future research.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
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