Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reports

<p>Abstract</p> <p>Background</p> <p>Two case studies are presented to examine how cognitive behavioural therapy (CBT) of auditory hallucinations can be fitted to mild and moderate intellectual disability.</p> <p>Methods</p> <p>A 38-year-old fema...

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Main Authors: Pernier Sophie, Linder Sabrina, Favrod Jérôme, Navarro Chafloque Mario
Format: Article
Language:English
Published: BMC 2007-08-01
Series:Annals of General Psychiatry
Online Access:http://www.annals-general-psychiatry.com/content/6/1/22
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author Pernier Sophie
Linder Sabrina
Favrod Jérôme
Navarro Chafloque Mario
author_facet Pernier Sophie
Linder Sabrina
Favrod Jérôme
Navarro Chafloque Mario
author_sort Pernier Sophie
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Two case studies are presented to examine how cognitive behavioural therapy (CBT) of auditory hallucinations can be fitted to mild and moderate intellectual disability.</p> <p>Methods</p> <p>A 38-year-old female patient with mild intellectual disability and a 44-year-old male patient with moderate intellectual disability, both suffering from persistent auditory hallucinations, were treated with CBT. Patients were assessed on beliefs about their voices and their inappropriate coping behaviour to them. The traditional CBT techniques were modified to reduce the emphasis placed on cognitive abilities. Verbal strategies were replaced by more concrete tasks using roleplaying, figurines and touch and feel experimentation.</p> <p>Results</p> <p>Both patients improved on selected variables. They both gradually managed to reduce the power they attributed to the voice after the introduction of the therapy, and maintained their progress at follow-up. Their inappropriate behaviour consecutive to the belief about voices diminished in both cases.</p> <p>Conclusion</p> <p>These two case studies illustrate the feasibility of CBT for psychotic symptoms with intellectually disabled people, but need to be confirmed by more stringent studies.</p>
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spelling doaj.art-9eceaa9c90b74ca0813e6b9aa61a681f2022-12-21T21:52:39ZengBMCAnnals of General Psychiatry1744-859X2007-08-01612210.1186/1744-859X-6-22Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reportsPernier SophieLinder SabrinaFavrod JérômeNavarro Chafloque Mario<p>Abstract</p> <p>Background</p> <p>Two case studies are presented to examine how cognitive behavioural therapy (CBT) of auditory hallucinations can be fitted to mild and moderate intellectual disability.</p> <p>Methods</p> <p>A 38-year-old female patient with mild intellectual disability and a 44-year-old male patient with moderate intellectual disability, both suffering from persistent auditory hallucinations, were treated with CBT. Patients were assessed on beliefs about their voices and their inappropriate coping behaviour to them. The traditional CBT techniques were modified to reduce the emphasis placed on cognitive abilities. Verbal strategies were replaced by more concrete tasks using roleplaying, figurines and touch and feel experimentation.</p> <p>Results</p> <p>Both patients improved on selected variables. They both gradually managed to reduce the power they attributed to the voice after the introduction of the therapy, and maintained their progress at follow-up. Their inappropriate behaviour consecutive to the belief about voices diminished in both cases.</p> <p>Conclusion</p> <p>These two case studies illustrate the feasibility of CBT for psychotic symptoms with intellectually disabled people, but need to be confirmed by more stringent studies.</p>http://www.annals-general-psychiatry.com/content/6/1/22
spellingShingle Pernier Sophie
Linder Sabrina
Favrod Jérôme
Navarro Chafloque Mario
Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reports
Annals of General Psychiatry
title Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reports
title_full Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reports
title_fullStr Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reports
title_full_unstemmed Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reports
title_short Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reports
title_sort cognitive and behavioural therapy of voices for with patients intellectual disability two case reports
url http://www.annals-general-psychiatry.com/content/6/1/22
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