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Exploring the meaning of traumatic life events for adults with learning disabilities

By Anna Mitchell

Abstract

Background: There has been a lack of research investigating the concept of post traumatic stress disorder (PTSD) with adults with learning disabilities. Previous research investigating the concept of PTSD assumed that adults with learning disabilities would react to traumatic events in a similar way to adults without learning disabilities. A review of current literature investigating children's reactions to trauma challenged this assumption.\ud Methodology: A two-stage study was chosen using a qualitative methodology. In the pilot study two focus groups were held for staff members working with adults with learning disabilities to talk about their experiences of working with people who had experienced traumatic events. The findings from the pilot study informed the remainder of the study. In the main study semi-structured interviews were used to interview six adults with mild learning disabilities about their experiences of trauma. The transcripts were analysed using an Interpretative Phenomenological Analysis (IP A) methodology. A quantitative measure, the Posttraumatic Diagnostic Scale, was used in conjunction with the individual interviews.\ud Results: An organising conceptual principle, whether individuals perceived the world to be a dangerous or a safe place organised the themes into a coherent framework. Five main themes emerged from the data which were labelled: The impact of the trauma, I avoid things that remind me of the trauma, I am prepared for danger in the future, the tension of talking or not talking and the struggle of who to blame.\ud Discussion: The results were related to previous theoretical frameworks and the methodological limitations of the research acknowledged. The clinical implications of the findings for disclosure, assessment and therapeutic intervention were discussed

Publisher: University of Leicester
Year: 2002
OAI identifier: oai:lra.le.ac.uk:2381/9314

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  1. (1996). A conversation analysIs of the acqwescence with learning disabilities.
  2. (1995). A developmental model of childhood traumatic stress. In
  3. (2000). An alternative history of traumatic stress. In
  4. (1999). An invisible morbidity? The Psychologist,
  5. (1998). Analyzing & reporting focus group re Its In
  6. and so yo~~ouldn't stopJhim, but now you're doing the body building, is that so it won't happen again to you and that you'Il be strong,?
  7. (1997). Bereavement and griefin adults with learning disabilities.
  8. (1996). Beyond the divide between cognition and discourse: using interpretative phenomenological analysis in health psychology,
  9. (1990). Blaming others for threatening events Phi .
  10. (1993). Breakingfree: Help for survivors of child sexual abuse. London:
  11. (2000). bT' d trauma: new
  12. (1993). Causal attrib . utions and posttraumatic stress in adolescents.
  13. (1991). Causal attributions and psychiatric symptoms in survivors of the Herald of Free Enterprise disaster.
  14. (1991). Childhood traumas: An outline and overview.
  15. (1983). Chowilla revisited: The effects of psychic trauma four years after a school bus kidnapping.
  16. (1998). Clinical findings among sexually abused
  17. (1997). Cognitive-behavioural therapy for people with learning disabilities.
  18. (1990). d r A practitioner's
  19. (1998). Developing questions for focus groups In R A Kru . '.
  20. (2000). Developmental disabilities, trauma exposure, and post-traumatic stress disorder.
  21. (2000). Dilemmas in qualitative health research.
  22. (1999). Doing interpretative phenomenological . h Ith sychology' Theories analysis.
  23. (2000). Dysfunctional meaning of posttraumatic intrusions in chronic PTSD.
  24. (1982). E al . .' all t ded persons. American v uatmg alternative techniques of questtomng ment Y re ar
  25. (1992). Effects of significant life events on the behaviour of mentally handicapped people in the community.
  26. (2002). Feelings associated with being a carrier and characteristics of reproductive decision making in women known to be carriers of X-linked conditions.
  27. (1997). Focus groups as qualitative research.
  28. (1996). Handbook of qualitative research h ds met 0 for psychology and the social sciences.
  29. (1999). How does personal therapy affect therapists' practice?
  30. (2001). I d mental retardation.
  31. (1999). Indexing psychological distress in people with an intellectual disability:
  32. (1997). Interpretative phenomenological analysis and the psychology of health and illness. In
  33. (1981). Interviewing mentally retarded persons: Issues and strategies. In
  34. (1998). Interviewing people with intellectual disabilities. In
  35. (1998). Involving community members in focus groups. In
  36. (1992). Mental Handicap and the Human Cond'ti Lo ' l on. ndon:
  37. (1995). Methodological aspects oflife events research in people with learning disabilities: a review and initial findings.
  38. (1998). Moderating focus groups. In
  39. (2000). Objectivity and reliability in qualitative analysis: realist, contextualist and radical constructionist epistemologies.
  40. (1997). People living in community homes: their views.
  41. (1994). Phenomenological research methods.
  42. (1998). Planning focus groups. In
  43. (1999). Post- traumatic stress reactions in children and adolescents.
  44. (1999). Post-traumatic stress disorder in adults. In
  45. (2001). Post-traumatic stress disorder in people with learru' di ab'l' ng SIlty.
  46. (1994). Post-traumatic stress disorder in persons with develo al di ' pment sabilities.
  47. (1988). Post-traumatic stress disorder in young children: A reaction to purported sexual abuse.
  48. (1993). Post-traumatic stress reactions in children after the 1988 Annenian earthquake.
  49. (1999). Posttraumatic stress disorder in the Id 1 . A . e er y.
  50. (1999). Psychiatric aspects of sexual abuse involving persons with developmental disabilities.
  51. (1991). Psychometric assess f . ment 0 psychIatric disorders in people with learning difficulties (mental handicap)' ' . . a reVIe\\ of measures.
  52. (1990). PTSD in the retarded Hosn,'t Ide ' . r a an ommunity psychiatry,
  53. (1997). Qualitative and quantitative research.
  54. (2001). Qualitative research in counselling and psychotherapy.
  55. (1994). QualItatIve research. In
  56. (1993). Quality control in qualitative research.
  57. (1995). Rethinking methods in psychology.
  58. (1995). Semi-structured interviewing and qualitative anal . In
  59. (2001). Sexual abuse in children and adolescents with intellectual disability.
  60. (1993). Sexual abuse of adults with learning disabilities: results of a two-year incidence survey.
  61. (1995). Sexual abuse of adults with learning disabilities.
  62. (1999). Sexuality and women with learning disabilities.
  63. (1997). Standards for research projects and theses involving qualitative methods' Sed' . . uggest gwdelines for trainees and courses.
  64. (1987). Stressful life events and hi' , psyc attic hospitalisation of mentally retarded patients.
  65. (2000). The 10ngt . d' d 1 nce' I' The incidence and erm psychological effects of a disaster expenence 10 a 0 esce ., course ofPTSD.
  66. (1985). The aftermath of victimization: Rebuilding shattered assumptions, In
  67. (2000). The assessment of post-traumatic stress reactions in children and adolescents.
  68. (2000). The current status of psychological briefing - it may do more harm than good.
  69. (2002). The expenence of heanng VOIces. phenomenological analysis.
  70. (1998). The focus group guidebook.
  71. (2000). The limiting effects of paradigms on the concept of traumatic stress. In
  72. (1998). The personal experience of chronic benign lower back pain: An interpretative phenomenological analysis.
  73. (1997). The psychological battle for control: a qualitative study of healthcare professionals' understandings of the treatment of anorexia nervosa.
  74. (1999). Towards a relational self: social engagement during pregnancy and psychological preparation for motherhood.
  75. (2001). Trauma and recovery: From domestic abuse to political te"or.
  76. (2001). Trauma, dissociation and learning disability, Clinical Psychology Forum,
  77. (1995). Two approaches to the diagnosis of post-traumatic stress disorder in infancy and early childhood.
  78. (1997). Understanding post-traumatic stress: A psychosocial perspective on PTSD and its treatment.
  79. (1994). Violence and abuse in the lives of peon Ie with d' b'l" , r !Sa l lties: The end of silent acceptance?
  80. (1988). What happens to early memories of trauma? A study of twenty children under five at the time of documented traumatic events.
  81. (1981). When in doubt, say yes: Acquiescence in interviews with mentally retarded persons. Mental Retardation.
  82. (1995). Why things (sometimes) go wrong in focus groups.
  83. (1998). Working with issues of sexual abuse. In

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