Integrative psychotherapy in intellectual disabilities: using cognitive-behavioural and psychodynamic formulations

Abstract

Purpose – This purpose of this paper is to outline how a combination of different psychological models may inform formulation and treatment, and the benefits for the client and the therapist of working in this way. Design/methodology/approach – This is a single case study, describing an integrative approach in which psychodynamic ideas were used to inform cognitive-behavioural treatment. Findings – The integrated approach reported here not only allowed the client to develop his skills in problem solving and taking different perspectives, but also to take a more active role in decisions about his life. Practical implications – Integrative approaches may be of particular use for individuals who have not shown a full response to interventions based on a single theoretical model. Malan's triangles of insight provide a clear structure to psychodynamic formulation that is easily accessible to emerging psychodynamic practitioners. Originality/value – Little previous research has described integrative approaches for psychological difficulties in people with an intellectual disability. The approach outlined in this study describes reasons for using an integrative approach, provides one example of how different models may be combined in practice, and describes ways in which the integrative approach enriched the intervention.