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A quantitative and qualitative evaluation of a reminiscence-based treatment for psychiatric patients with an intellectual disability

Maser, D. (2013) A quantitative and qualitative evaluation of a reminiscence-based treatment for psychiatric patients with an intellectual disability.

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Abstract:There is a deficit in validated treatments for psychiatric patients with an intellectual disability. “Who am I? An expedition to myself” is a new reminiscence-based treatment for patients with a mild to borderline intellectual disability. This study is one of the first pilot-tests to evaluate this treatment. A quasi-experimental pre-test post-test design without a control-group was used. Nine participants took part in the current study. Psychopathology, positive mental health and satisfaction with life were utilized as outcome-measures. Mastery and purpose in life were included as process-measures. Correlations were examined, to evaluate whether there is evidence for mediating properties of mastery and purpose in life. The treatment was evaluated qualitatively, by means of holistic-content-analysis conducted on three in-depth interviews. Positive mental health, satisfaction with life and mastery were significantly enhanced after the treatment. Correlations were found between the variance in outcome-measures and process-measures. The qualitative data suggested that patients experienced the treatment, and especially being confronted with hurtful past experiences, as difficult. Participants reported that they were able to reprocess the past and gain future perspective. The aid of the caretakers was praised by the participants. Some described insights and re-evaluations of their identity and some felt empowered through the treatment. The group left positive as well as negative impressions. Some participants felt not always understood or considered the words used by the treatment to be difficult. The treatment seemed effective in enhancing positive mental health, satisfaction with life and feelings of mastery. Correlations gave an indication for possible mediating properties of purpose in life and mastery on the outcome-measures. The treatment may strengthen personal identity, self-esteem and feelings of mastery. Purpose in life could be fostered through a gain of future perspective. It was recommended for future research to investigate the social effects of the group and the moderating properties of different syndromes further. Caretakers seemed to be a supportive factor and the necessity to connecting to the perspective of the participants was underlined.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/64597
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