Abstract
This chapter concerns the first phase of therapy when the client should develop a sense of the structure and purpose of sessions, if not an understanding of the CBT model itself. Communication is the core of a talking therapy like CBT and techniques and approaches that therapists can use to help foster a therapeutic dialogue and overcome communicative barriers are discussed. These include role play and the use of visual materials. Moreover, talking with the client about salient emotive events may be the most immediate and least abstract way of helping clients to make sense of the CBT model. By the end of this first phase the therapist should present the client with a formulation, helping to explain their difficulties. The formulation should take account of the wider context of the client’s life and the very real challenges they may face. CBT should not be used as a panacea for social disadvantage faced by people with intellectual disabilities.
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Jahoda, A., Stenfert Kroese, B., Pert, C. (2017). The First Stage of Therapy. In: Cognitive Behaviour Therapy for People with Intellectual Disabilities. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-47854-2_5
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DOI: https://doi.org/10.1057/978-1-137-47854-2_5
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