Anger in women with developmental disabilities: cognitive behavioural therapy - a case series

Abstract

Whilst there is good evidence for the effectiveness of cognitive behavioural anger treatment in populations of men, there is very little literature on the nature of anger in clinical populations of women, and little by way of individual anger treatment in people with a developmental disability. There has been considerable criticism of the assumptions made within forensic services that women can be treated in the same ways as men. The purpose of this study was twofold: firstly, it explored the nature of women's anger in a small sample (n=28) with a developmental disability in a hospital forensic service, and compared them with men in a study based in the same setting; secondly, it evaluated treatment outcome for those meeting inclusion criteria for an eighteen session individual treatment programme. The design of the outcome study (n=9) was a multiple baseline study with participants acting as their own controls. Some qualitative material is presented in relation to three case studies in order to illustrate process and because this has been a consistent recommendation regarding research into women in forensic services.Results showed that there were virtually no differences in self reported or staff reported anger, but more women had assaulted than men during their admission. Results also showed that the majority of women improved post treatment and through follow up. It was concluded that women in this service experienced similar anger to the men and could benefit from the same cognitive behavioural treatment programme

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