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Using Questions in Cognitive Therapy with People with Intellectual Disabilities

Dave Dagnan¹, Helen Pulford², Rebecca Cathers³

¹Cumbria Partnership NHS Trust and University of Lancaster,UK.

Behavioural and Cognitive Psychotherapy

|December 4, 2015

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.

Keywords:

CBT Intellectual disabilities question types therapy process

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