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Published in: Annals of General Psychiatry 1/2007

Open Access 01-12-2007 | Case report

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

Authors: Jérôme Favrod, Sabrina Linder, Sophie Pernier, Mario Navarro Chafloque

Published in: Annals of General Psychiatry | Issue 1/2007

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Abstract

Background

Two case studies are presented to examine how cognitive behavioural therapy (CBT) of auditory hallucinations can be fitted to mild and moderate intellectual disability.

Methods

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.

Results

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.

Conclusion

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.
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Metadata
Title
Cognitive and behavioural therapy of voices for with patients intellectual disability: Two case reports
Authors
Jérôme Favrod
Sabrina Linder
Sophie Pernier
Mario Navarro Chafloque
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Annals of General Psychiatry / Issue 1/2007
Electronic ISSN: 1744-859X
DOI
https://doi.org/10.1186/1744-859X-6-22

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