Anger Treatment for People with Developmental

Anger and aggression are prevalent problems among people with developmental disabilities and constitute primary reasons for them to be admitted and re-admitted to institutions. They are also a key reason for the prescribing of behaviour control and anti-psychotic medication to this client group. Stimulated by growing research in this area, mental health and criminal justice professionals have begun to see the benefits of anger assessment and cognitive-behavioural anger treatment for people with developmental disabilities. There is no prior text to guide anger treatment provision to this client group. This text presents a manual-guided cognitive-behavioural anger treatment protocol, grounded in a solid theoretical framework and empirical evidence for its efficacy in clinical practice. The assessment and treatment approach is designed to engage and motivate patients with recurrent and deep-rooted anger problems and their manifestation in serious aggressive behaviour. Accompanying the treatment protocol are a number of worksheets, handouts, and exercise sheets for clinicians and clients that can be accessed online.

John L. Taylor is Professor of Developmental Disability Psychology, Northumbria University, Newcastle upon Tyne; Head of Psychological Therapies and Research and Consultant Clinical Psychologist, Northgate and Prudhoe NHS Trust, Northumberland, UK. Since qualifying as a clinical psychologist from Edinburgh University, John Taylor has worked mainly in developmental disability and forensic services in community, medium secure, special hospital and prison settings in the UK. In 1999 he received a Department of Health Sir Kenneth Calman Bursary Award to develop his research interests in the area of anger treatment. in recent years he has published work related to his clinical research interests in assessment and treatment of offenders with developmental disabilities in a range of research and professional journals. He is currently Chair of the British Psychological Society's Faculty for Forensic journals. He is currently Chair of the British Psychological Society's Faculty for Forensic Clinical Psychology and the Learning Disability Steering Group of the NHS National Forensic Mental Health research and Development Programme.

Raymond W. Novaco is Professor of Psychology and Social Behavior, University of California, Irvine, USA. Cognitive-behavioral therapy for anger was pioneered by Ray Novato, for which he received the Best Contribution Award in 1978 from the International Society for research on Aggression. Funded by the MacArthur Foundation Research Network on Mental and the Law in 1991-1993, he developed new Procedures for anger assessment for use with mentally disordered persons, which are here being extended to the developmental disability domain. he received the Distinguished Contributions to Psychology Award from the California Psychological Association in 2000. In addition to being programme consultant for the Northgate Hospital anger project, he serves as Research Consultant to The State Hospital Scotland and for many years served on the Advisory Board of Atascadero State Hospital In California.

About the Authors

viii

Foreword

ix

Preface

xi

Acknowledgements

xv

1 Anger and Aggression: Conceptual Background and Historical Perspective

1

(14)

2 Anger and Its Dysregulation: A Guiding Framework

15

(12)

3 Anger Treatment Effectiveness

27

(7)

4 Emotional Problems, Aggression, and Psychotherapy for People with Developmental Disabilities

34

(9)

5 Anger Treatment for People with Developmental Disabilities

43

(24)

6 Issues in Anger Assessment and Treatment Evaluation

67

(19)

7 Development, Delivery and Maintenance of a Cognitive-Behavioural Anger Treatment Protocol for People with Developmental Disabilities

86

(17)

8 Anger Treatment Protocol - Preparatory Phase

103

(17)

9 Anger Treatment Protocol - Treatment Phase

120

(33)

10 Therapist Training, Supervision, and Process Considerations

153

(14)

Bruce T. Gillmer

11 Anger Treatment for Women with Developmental Disabilities

167

(14)

Alison Robertson

Appendices

181

(54)

References

235

(18)

Index

253

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Anger Treatment for People with Developmental Disabilities A Theory, Evidence and Manual Based Approach

Summary

Author Biography

Table of Contents

Supplemental Materials