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Using a Mindfulness-Based Procedure in the Community: Translating Research to Practice

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Abstract

Maladaptive behaviors, such as aggressive and disruptive behaviors, are a significant risk factor for maintaining community placement by individuals with intellectual disabilities. When experienced researchers provide training to individuals with intellectual disabilities on a mindfulness-based strategy, Meditation on the Soles of the Feet, the individuals are able to effectively self-manage their maladaptive behaviors. We investigated whether similar effectiveness would be found if community-based therapists provided the training to similar individuals living in the community. Three adults with mild intellectual disabilities and mental illness living in the community were taught by a community-based therapist to use this strategy to control maladaptive behaviors that included verbal aggression, disruptive behavior and physical aggression. They were taught to shift the focus of their attention from the negative emotions that triggered their maladaptive behavior to a neutral stimulus, the soles of their feet. All three individuals were able to reduce their maladaptive behaviors to near-zero levels and maintain their community placement that they had been at risk for losing, due to their maladaptive behavior. Subjective measures of various psychological symptoms showed a reduction in two of the individuals. Our study suggests that the demonstrated effectiveness of Meditation on the Soles of the Feet can be achieved by a community-based therapist.

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References

  • Allen, D. (2000). Recent research on physical aggression in persons with intellectual disability: An overview. Journal of Intellectual and Developmental Disability, 25, 41–57.

    Article  Google Scholar 

  • Baer, R. A. (2003). Mindfulness as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.

    Article  Google Scholar 

  • Baer, R. A. (Ed.). (2006). Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications. Burlington, MA: Academic Press.

    Google Scholar 

  • Barlow, D. H., Nock, M. K., & Hersen, M. (2009). Single case experimental designs: Strategies for studying behavior change (3rd ed.). New York: Allyn & Bacon.

    Google Scholar 

  • Beail, N., & Warden, S. (1996). Evaluation of a psychodynamic psychotherapy service for adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 9, 223–228.

    Article  Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Benson, B. A. (2004). Psychological interventions for people with intellectual disability and mental health problems. Current Opinion in Psychiatry, 17, 353–357.

    Article  Google Scholar 

  • Crane, R. (2009). Mindfulness-based cognitive therapy: Distinctive features. NY: Routledge.

    Google Scholar 

  • Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564–570.

    Article  PubMed  Google Scholar 

  • Deb, S., Sohanpal, S. K., Soni, R., Lenôtre, L., & Unwin, G. (2007). The effectiveness of antipsychotic medication in the management of behaviour problems in adults with intellectual disabilities. Journal of Intellectual Disability Research, 51, 766–777.

    Article  PubMed  Google Scholar 

  • Germer, C. K., Siegel, R. D., & Fulton, P. R. (2005). Mindfulness and psychotherapy. New York: Guilford Press.

    Google Scholar 

  • Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989). The Yale-Brown Obsessive Compulsive Scale, I: Development, use, and reliability. Archives of General Psychiatry, 46, 1006–1011.

    PubMed  Google Scholar 

  • Hastings, R. P. (2002). Do challenging behaviors affect staff psychological well-being?: Issues of causality and mechanism. American Journal on Mental Retardation, 107, 455–467.

    Article  PubMed  Google Scholar 

  • Howells, K. (1998). Cognitive behavioural interventions for anger, aggression, and violence. In N. Tarrier, A. Wells, & G. Haddock (Eds.), Treating complex cases: The cognitive behavioural therapy approach (pp. 295–318). New York: Wiley.

    Google Scholar 

  • Kroese, B. S., Dagnan, D., & Loumidis, K. (1997). Cognitive-behaviour therapy for people with learning disabilities. London: Routledge.

    Google Scholar 

  • Mace, C. (2008). Mindfulness and mental health: Therapy. theory and science. London: Routledge.

    Google Scholar 

  • Mason, J. (2007). The provision of psychological therapy to people with intellectual disabilities: An investigation into some of the relevant factors. Journal of Intellectual Disability Research, 51, 244–249.

    Article  PubMed  Google Scholar 

  • Matson, J. L., & Boisjoli, J. A. (2009). An overview of developments in research on persons with intellectual disabilities. Research in Developmental Disabilities, 30, 587–591.

    Article  PubMed  Google Scholar 

  • Matson, J. L., & Duncan, D. (1997). Aggression. In N. N. Singh (Ed.), Prevention and treatment of severe behavior problems: Models and methods in developmental disabilities (pp. 217–236). Belmont, CA: Thomson Brooks/Cole Publishing Co.

    Google Scholar 

  • Matson, J. L., & Neal, D. (2009). Psychotropic medication use for challenging behaviors in persons with intellectual disabilities: An overview. Research in Developmental Disabilities, 30, 572–586.

    Article  PubMed  Google Scholar 

  • McMillan, D., Hastings, R. P., & Coldwell, J. (2004). Clinical and actuarial prediction of physical violence in a forensic intellectual disability hospital: A longitudinal study. Journal of Applied Research in Intellectual Disabilities, 17, 255–265.

    Article  Google Scholar 

  • Rutter, M., & Plomin, R. (2009). Pathways from science findings to health benefits. Psychological Medicine, 39, 529–542.

    Article  PubMed  Google Scholar 

  • Salmon, P., Sephton, S., Weissbecker, I., Hoover, K., Ulmer, C., & Studts, J. L. (2004). Mindfulness meditation in clinical practice. Cognitive and Behavioral Practice, 11, 434–446.

    Article  Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.

    Google Scholar 

  • Singh, N. N., Wahler, R. G., Adkins, A. D., Myers, R. E., & The Mindfulness Research Group. (2003). Soles of the Feet: A mindfulness-based self-control intervention for aggression by an individual with mild mental retardation and mental illness. Research in Developmental Disabilities, 24, 158–169.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Wahler, R. G., Winton, A. S. W., Adkins, A. D., & The Mindfulness Research Group. (2004). A mindfulness-based treatment of obsessive-compulsive disorder. Clinical Case Studies, 3, 275–287.

    Article  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S. W., Curtis, W. J., Wahler, R. G., Sabaawi, M., et al. (2006a). Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities, 27, 545–558.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S. W., Fisher, B. C., Wahler, R. G., McAleavey, K., et al. (2006b). Mindful parenting decreases aggression, noncompliance and self-injury in children with autism. Journal of Emotional and Behavioral Disorders, 14, 169–177.

    Article  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S. W., Adkins, A. D., Wahler, R. G., Sabaawi, M., et al. (2007). Individuals with mental illness can control their aggressive behavior through mindfulness training. Behavior Modification, 31, 313–328.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Singh, A. N., Winton, A. S. W., Singh, J., McAleavey, K. M., et al. (2008a). A mindfulness-based health wellness program for an adolescent with Prader-Willi syndrome. Behavior Modification, 32, 167–181.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Singh, A. N., Winton, A. S. W., Singh, J., McAleavey, K. M., et al. (2008b). A mindfulness-based health wellness program for managing obesity. Clinical Case Studies, 7, 327–339.

    Article  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Wahler, R. G., Winton, A. S. W., & Singh, J. (2008c). Mindfulness approaches in cognitive behavior therapy. Behavioural and Cognitive Psychotherapy, 36, 659–666.

    Article  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, A. N., Adkins, A. D., & Singh, J. (2008d). Clinical and benefit-cost outcomes of teaching a mindfulness-based procedure to adult offenders with intellectual disabilities. Behavior Modification, 32, 622–637.

    Article  PubMed  Google Scholar 

  • Spielberger, C. D. (1983). Manual for the state-trait anxiety inventory: STAI (Form Y). Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Taylor, J. L. (2002). A review of assessment and treatment of anger and aggression in offenders with intellectual disability. Journal of Intellectual Disability Research, 46(Suppl. 1), 57–73.

    Article  PubMed  Google Scholar 

  • Taylor, J. L., Novaco, R. W., Gillmer, B. T., Robertson, A., & Thorne, I. (2005). Individual cognitive-behavioural anger treatment for people with mild-borderline intellectual disabilities and histories of aggression: A controlled trial. British Journal of Clinical Psychology, 44, 367–382.

    Article  PubMed  Google Scholar 

  • Tyrer, F., McGrother, C. W., Thorp, C. F., Donaldson, M., Bhaumik, S., Watson, J. M., et al. (2006). Physical aggression towards others in adults with learning disabilities: Prevalence and associated factors. Journal of Intellectual Disability Research, 50, 295–304.

    Article  PubMed  Google Scholar 

  • Tyrer, P., Oliver-Africano, P. C., Ahmed, Z., Bouras, N., Cooray, S., Deb, S., et al. (2008). Risperidone, haloperidol, and placebo in the treatment of aggressive challenging behaviour in patients with intellectual disability: A randomised controlled trial. The Lancet, 371, 57–63.

    Article  Google Scholar 

  • Wolpe, J. (1968). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.

    Google Scholar 

  • Workgroup, National. Advisory. Mental. Health. Council. Behavioral. Science. (2000). Translating behavioral science into action (No. NIH 00–4699). Bethesda, MD: National Institute of Mental Health.

    Google Scholar 

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Correspondence to Angela D. Adkins.

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Adkins, A.D., Singh, A.N., Winton, A.S.W. et al. Using a Mindfulness-Based Procedure in the Community: Translating Research to Practice. J Child Fam Stud 19, 175–183 (2010). https://doi.org/10.1007/s10826-009-9348-9

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