Lost voices part 2: Modifying psychological therapies for two young men with complex learning disabilities following alleged sexual and physical abuse: A case study in trauma recovery

Abstract

Accessible summary Two young men who have learning disabilities became mentally ill. They said that they had been hurt by their carers. They said that the carers hit them and made them have sex with them. They had post‐traumatic stress disorder, which made them scream, cry, hurt themselves and have frightening nightmares. They were helped by a Mental Health of Learning Disabilities Team. They talked to a psychologist which helped them to understand what happened to them. Talking to the psychologist helped them to get better. They could do the things that they enjoyed again. The therapy took 2 years. This paper writes about new and better ways to help people who have learning disabilities recover when someone has hurt them or frightened them. Abstract BackgroundThis is the second of two papers describing a case study of two young men with complex learning disabilities. They presented with severe trauma‐related mental distress following alleged sexual, emotional and physical abuse. This paper concerns the psychological intervention and support provided for them and their families over a period of 2 years. There is a lack of research, guidance and evaluated therapeutic models for the assessment and treatment of people with complex learning and communication needs following abuse. MethodsIn this case, therapeutic interventions were modified from systemic and narrative therapies and interpersonal psychotherapy. Creative techniques included acting, drawing and walks to develop a therapeutic relationship, to experience affect in a contained and safe way and to support the development of coherent narratives. ResultsRecovery moved through stages of remembering and recounting, understanding and assimilating and improved mental well‐being and coping strategies. ConclusionsModified models of therapy proved effective and further research recommended. The personal strengths and family support of the men were critical in progressing recovery.

Family‐systems interventions for families of people with an intellectual disability or who are autistic: a systematic review

“…This review also did not include the considerable number of narratively described individual case studies, which reported no quantitative or qualitative outcome data (e.g. Hill‐Weld 2011; Digman 2021). These may nevertheless be informative illustrations of the application of family‐systems interventions with families of people with an ID or who are autistic (although they would not add strength to any conclusions about their effectiveness).…”