Healing Trauma: The Power of Group Treatment for People With Intellectual Disabilities
Healing Trauma: The Power of Group Treatment for People With Intellectual Disabilities is a compassionate, informative guide to group therapy for an often-neglected population. People with intellectual disabilities suffer higher than average rates of trauma, sexual abuse, and psychopathology, but many formidable obstacles have impeded accurate diagnoses and treatments for members of this population. Razza and Tomasulo maintain that the need for psychotherapy for people with both intellectual and psychiatric disorders can no longer be ignored, and devote this volume to building a clear foundation for determining treatments of choice for patients with intellectual disabilities.
Choosing group treatment as the most effective intervention, the authors describe interactive-behavioral therapy (IBT), based heavily on traditional models of group therapy and psychodrama, and modified to enhance the possibility for change in people with intellectual disabilities. In IBT, member-to-member interactions are regarded as a priority for learning, as the group therapy format allows for a controlled connection with others in which each individual's style of interrelating can be examined and altered. The authors describe IBT sessions with great clarity, detailing each stage and task of the process, and reporting on various therapeutic factors that emerge during group therapy.
The special considerations and needs of group treatment for trauma and sexual abuse survivors and offenders with intellectual disabilities are covered in equal measure, and information is offered about how the application of the interactive-behavioral model can be used in sexual abuse avoidance training. A related model of individual treatment is detailed along with ways in which the clinician can make informed decisions concerning the most effective course of treatment for a given individual outside of group treatment.
In heartfelt and instructive language, the authors make an effective case for the powerful gains that can be attained by psychotherapy for people with intellectual disabilities, and this book will be an invaluable research for clinicians and other helping professionals who work with them.
I. Introduction to Psychotherapeutic Work With People With Intellectual Disabilities
- An Introductory Tale: The Case of Martina
- What the Literature Tells Us
II. The Interactive–Behavioral Therapy Model and Its Applications
- The Interactive–Behavioral Therapy Model of Group Psychotherapy
- Group Treatment for Trauma and Sexual Abuse Survivors With Intellectual Disabilities
- Group Treatment for Offenders With Intellectual Disabilities
- Sexual Abuse Avoidance Training
III. Treatment: Modalities, Processes, Initiation, and Termination
- The Initial Interview
- Individual Treatment: Techniques and Rationale
- Group Process in Depth: Inevitable Trouble Spots and Opportunities for Growth
- Endings and Beginnings
About the Authors
Nancy J. Razza, PhD, CGP, is a licensed clinical psychologist and certified group psychotherapist. She maintains a private practice in Holmdel, New Jersey. A corresponding focus includes a 25-year commitment to individuals with intellectual disabilities. She has designed and implemented mental health treatment programs for this population and supervises the training of mental health professionals in this specialized area. She has authored articles and chapters on dual diagnosis, trauma, sexual offense, sexual victimization, and psychological assessment.
Dr. Razza serves on the editorial board for the journal Mental Health Aspects of Developmental Disabilities.
Daniel J. Tomasulo, PhD, TEP, MFA, is a psychologist, psychodrama trainer, and writer recently appointed to the faculty of New Jersey City University and formerly a visiting faculty member on fellowship at Princeton University. Together with his wife, Dr. Nancy J. Razza, he has gained international recognition for development of the interactive–behavioral therapy (IBT) model of group psychotherapy for people with intellectual and psychiatric disabilities.
He is a consultant for YAI/National Institute for People With Disabilities in New York City and is on the editorial board for the journal Mental Health Aspects of Developmental Disabilities. He is also a consulting editor for The Journal of Group Psychotherapy, Psychodrama, and Sociometry and recipient of their Innovator's Award for development of the IBT model.
Dr. Tomasulo is the author of Action Methods in Group Psychotherapy as well as numerous articles on group psychotherapy. He maintains the research and training Web site The Healing Crowd.