Psychotherapy for Developmental Disabilities

Jonathan M. Campbell, A. Scarpa
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Abstract

Psychological disorders commonly co-occur in individuals with developmental disabilities, yet mental health disorders are under-identified and mental health services are underutilized for this group. Within the larger population of individuals with developmental disabilities, this chapter focuses on individuals with intellectual disability (ID) and autism spectrum disorder (ASD). The authors review defining characteristics of ID and ASD and then describe common psychological disorders for each group, including anxiety, depression, and behavioral dysregulation disorders. A selective review is provided of evidence-based interventions, such as cognitive behavioral therapy, that address mental health concerns for both groups. Barriers to access and utilization of services are identified and potential solutions are offered to these barriers. The authors identify the important role of stigmatizing attitudes toward individuals with developmental disabilities as contributing to poor experiences with mental health providers. The intersectionality of developmental disability and mental illness is highlighted as contributing to barriers to access to mental health treatment.
发展性残疾心理治疗
心理障碍通常在发育性残疾患者中同时发生,但精神健康障碍未得到充分确认,这一群体的精神卫生服务也未得到充分利用。在较大的发育障碍人群中,本章主要关注智力残疾(ID)和自闭症谱系障碍(ASD)患者。作者回顾了ID和ASD的定义特征,然后描述了每组常见的心理障碍,包括焦虑、抑郁和行为失调障碍。有选择性地回顾了基于证据的干预措施,如认知行为疗法,解决了两组人的心理健康问题。确定了获取和利用服务的障碍,并为这些障碍提供了可能的解决办法。作者确定了对发育障碍患者的污名化态度的重要作用,这种态度导致了心理健康提供者的不良经历。报告强调,发育性残疾和精神疾病之间的相互关系造成了获得精神健康治疗的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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