Psychotherapy, learning disabilities and trauma: New perspectives

Abstract

Background: Psychological therapies are rarely used in people with learning disabilities. Learning disability is often given as an exclusion criterion. There is insufficient published research to conduct a systematic review. Few outcome studies of psychoanalytic or cognitive psychotherapy have been reported. Aims: To describe recent advances in understanding and practice within the learning disability field which have not received wider recognition within mainstream psychotherapy and psychiatry. Method: The availability of different psychotherapeutic approaches is discussed. We explore developmental issues including the contribution of attachment theory to our understanding, and the effects of trauma on the lives of people with learning disabilities. Results: Theoretical and clinical perspectives suggest that many therapeutic opportunities exist. Conclusions: Practitioners are encouraged to extend their therapeutic repertoire, and to report measurable outcomes.