People with intellectual disabilities who experience mental health difficulties often have high levels of self-criticism and shame. Compassion-focused therapy is a therapeutic modality effective in working with such feelings. This article follows on from a previous compassion-focused therapy group study exploring the impact of two compassion-focused therapy-based groups on how participants felt about themselves. Utilizing a mixed method design, the study illustrated that participants experienced higher levels of compassion and, overall, saw themselves more favourably by the end of the groups. They were also able to understand the basic concepts of compassion-focused therapy which reinforced previous study findings, suggesting that it is adaptable and clinically useful for people with intellectual disabilities.
AliAHassiotisAStrydomA, et al. (2012) Self stigma in people with disabilities and courtesy stigma in family Carers: a systematic review. Research in Developmental Disabilities33(6): 2122–2140.
2.
AliAKingMStrydomA, et al. (2015) Self-reported stigma and symptoms of anxiety and depression in people with disabilities: findings from a cross sectional study in England. Journal of Affective Disorders187: 223–231.
3.
AllanSGilbertP (1995) A social comparison scale: psychometric properties and relationship to psychopathology. Personality and Individual Differences19: 293–299.
4.
BartonPBrooksMDaviesS, et al. (2008) From CORE-OM to CORE-LD through participatory research. Clinical Psychology and People With Intellectual Disabilities6: 27–28.
5.
BatesT (2005) The expression of compassion in group psychotherapy. In: GilbertP (ed.) Compassion: Conceptualisations, Research and Use in Psychotherapy. London: Routledge, pp. 369–386.
6.
BeaumontEHollinsMCJ (2015) A narrative review exploring the effectiveness of compassion-focused therapy. Counselling Psychology Review30(1): 21–32.
7.
BramstonPFogartyGCumminsRA (1999) The nature of stressors reported by people with an intellectual disability. Journal of Applied Research in Disabilities12(10): 1–10.
8.
BraunVClarkeV (2006) Using thematic analysis in psychology. Qualitative Research in Psychology3: 77–101.
9.
ChenCHShuBC (2012) The process of perceiving stigmatization: perspectives from Taiwanese young people with disability. Journal of Applied Research in Disabilities25(3): 240–251.
10.
ClaptonNEWilliamsJJonesRS (2018a) The role of shame in the development and maintenance of psychological distress in adults with intellectual disabilities: a narrative review and synthesis. Journal of Applied Research in Intellectual Disabilities31: 1–17.
11.
ClaptonNEWilliamsJGriffithGM, et al. (2018b) Finding the person you really are…on the inside: compassion focused therapy for adults with intellectual disabilities. Journal of Disabilities22(2): 135–153.
12.
CooperRFearsonJ (2017) Adapting compassion focused therapy for an adult with a learning disability – a case study. British Journal of Intellectual Disabilities45: 142–150.
13.
CostaJMarôcoJPinto-GouveiaJ, et al. (2015) Validation of the psychometric properties of the Self-Compassion Scale. Testing the factorial validity and factorial invariance of the measure among borderline personality disorder, anxiety disorder, eating disorder and general populations. Clinical Psychology and Psychotherapy23(5): 460–468.
14.
CowlesMRandle PhillipsCMedleyA (2018) Compassion-focused therapy for trauma people with disabilities: a conceptual review. Journal of Disabilities1(21): 1–21.
15.
DagnanDSandhuS (1999) Social comparison, self-esteem and depression in people with intellectual disabilities. Journal of Disability Research43(5): 372–379.
16.
DagnanDWaringM (2004) Linking stigma to psychological distress: testing a social–cognitive model of the experience of people with intellectual disabilities. Clinical Psychology & Psychotherapy11(4): 247–254.
17.
EsdaleLJahodaAPertC (2015) Coping with criticism and praise. American Journal on and Developmental Disabilities120(3): 258–268.
18.
FinlayWMLyonsE (2000) Social categorizations, social comparisons and stigma: presentations of self in people with learning difficulties. British Journal of Social Psychology39(1): 129–146.
19.
GilbertP (ed.) (2005) Compassion: Conceptualisations, Research and Use in Psychotherapy. London: Brunner-Routledge.
20.
GilbertP (2009) Introducing compassion-focused therapy. Advances in Psychiatric Treatment15: 199–208.
21.
GilbertP (2010) Compassion Focused Therapy: The CBT Distinctive Features Series. London: Routledge.
22.
GilbertP (2014) The origins and nature of compassion focused therapy. British Journal of Clinical Psychology53(1): 6–41.
23.
GilbertPProcterS (2006) Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy13: 353–379.
24.
GilbertPCatarinoFDuarteC, et al. (2017) The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care4(1): 4.
25.
GossKAllanS (2010) Compassion focused therapy for eating disorders. International Journal of Cognitive Therapy3(2): 141–158.
26.
HardimanMWillmothCWalshJJ (2018) CFT & people with intellectual disabilities. Advances in mental health and intellectual disabilities. Available at: https://doi.org/10.1108/AMHID-07-2017-0030(accessed 19 December 2017).
27.
HughesKBellisMAJonesL, et al. (2012) Prevalence and risk of violence against adults with disabilities: a systematic review and meta-analysis of observational studies. Lancet379: 1621–1629.
28.
LiEPYTamASFManDWK (2006) Exploring the self-concepts of persons with intellectual disabilities. Journal of Disabilities10(1): 19–34.
29.
LopezASandermanRSminkA, et al. (2015) A reconsideration of the self-compassion scale’s total score: self-compassion versus self-criticism. PLoS One10(7): e0132940.
30.
MarriottCParishCGriffithsC, et al. (2019) Experiences of shame and intellectual disabilities: Two case studies. Journal of Intellectual Disabilities. Epub ahead of print 29 April, 2019. doi: 10.1177/1744629519844091.
31.
MaysVMCochranSDBarnesNW (2007) Race, race-based discrimination, and health outcomes amongst African Americans. Annual Review of Psychology58: 201–205.
32.
MichaelJ (2008) Healthcare for All: Report of the Independent Inquiry Into Access to Healthcare for People With Intellectual Disabilities. London: Independent Inquiry into Access to Healthcare for People with Intellectual Disabilities.
33.
MillsAGilbertPBellewR, et al. (2007) Paranoid beliefs and self-criticism in students. Clinical Psychology and Psychotherapy14: 358–364.
34.
MurisPPetrocchiN (2016) Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clinical Psychology and Psychotherapy24(2): 373–383.
35.
NeffKD (2003) The development and validation of a scale to measure self-compassion. Self and Identity2(3): 223–250.
36.
NeffKD (2016) The self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity2(2): 85–101.
37.
PatersonLMcKenzieKLindsayB (2012) Stigma, social comparison and self-esteem in adults with an intellectual disability. Journal of Applied Research in Disabilities25(2): 166–176.
38.
PattonMQ (1990) Qualitative Evaluation and Research Methods, Second Edition. Newbury Park, CA: Sage.
39.
PetrovskiPGleesonG (1997) The relationship between job satisfaction and psychological health in people with an disability in competitive employment. Journal of and Developmental Disability22(3): 199–211.
40.
RaesFPommierENeffKD, et al. (2011) Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology and Psychotherapy18(3): 250–255.
41.
Royal College of Psychiatrists (2004) Cr116. Psychotherapy and Intellectual Disability. London: Royal College of Psychiatrists.
42.
The Marmot Review (2010) Fair Society, Healthy Lives: Strategic Review of Health Inequalities in England Post 2010. London: The Marmot Review.
43.
WelfordM (2010) A compassion focused approach to anxiety disorders. International Journal of Cognitive Therapy3: 124–140.
44.
WilliamsDRMohammedSA (2009) Discrimination and racial disparities in health: evidence and research needed. Journal of Behavioural Medicine32: 20–47.
45.
YildiranHHoltRR (2015) Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intellectual disabilities. British Journal of Intellectual Disabilities43(1): 49–54.
46.
ZahraDHedgeC (2010) The reliable change index why isn’t it more popular in academic psychology. The Psychologist Quarterly76: 14–19.
