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Autor/inn/en | Ramsden, Sarah; Tickle, Anna; Dawson, David L.; Harris, Samantha |
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Titel | Perceived Barriers and Facilitators to Positive Therapeutic Change for People with Intellectual Disabilities: Client, Carer and Clinical Psychologist Perspectives |
Quelle | In: Journal of Intellectual Disabilities, 20 (2016) 3, S.241-262 (22 Seiten)
PDF als Volltext |
Sprache | englisch |
Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
ISSN | 1744-6295 |
DOI | 10.1177/1744629515612627 |
Schlagwörter | Intellectual Disability; Therapy; Outcomes of Treatment; Barriers; Clinical Psychology; Psychologists; Behavior Change; Qualitative Research; Research Design; Counselor Client Relationship; Social Support Groups; Counselor Attitudes; Caregiver Attitudes; Referral; Counselor Role; Attachment Behavior; Semi Structured Interviews |
Abstract | Studies have highlighted successful outcomes of psychological therapies for people with intellectual disabilities. However, processes underlying these outcomes are uncertain. Thematic analysis was used to explore the perceptions of three clinical psychologists, six clients and six carers of barriers and facilitators to therapeutic change for people with intellectual disabilities. Six themes were identified relating to: what the client brings as an individual and with regard to their wider system; therapy factors, including the therapeutic relationship and adaptations; psychologists acting as a "mental health GP" to coordinate care; systemic dependency; and the concept of the revolving door in intellectual disability services. The influence of barriers and facilitators to change is complex, with facilitators overcoming barriers and yet simultaneously creating more barriers. Given their potential impact on the psychologists' roles and access to therapy for people with intellectual disabilities, findings suggest these factors should be formulated as part of the therapeutic process. (As Provided). |
Anmerkungen | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com |
Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2020/1/01 |