EMDR therapy with people who have intellectual disabilities: Process, adaptations and outcomes
Abstract
Purpose Emerging evidence indicates that adapted eye movement desensitisation and reprocessing (EMDR) can be useful for people with intellectual disabilities in treating post-traumatic stress disorder (PTSD). However, the required adaptations are not described in enough detail across the literature, making it difficult for therapists to easily adapt EMDR for people with intellectual disabilities. This paper aims to address this by describing 14 clinical cases, along with outcome data for six people, and the views of five people with intellectual disabilities about EMDR. Design/methodology/approach A total of 14 people with mild or moderate intellectual disabilities and varied experiences of trauma were offered EMDR by one clinical psychologist in a UK NHS setting; nine people completed EMDR therapy, six people provided outcome data with pre-post measures and five people were asked two questions about EMDR therapy. Findings Adaptations are described. The outcome data indicate reductions in symptoms of PTSD following EMDR intervention. EMDR was liked and perceived as useful. Originality/value This paper provides details about adaptations that can be made to the standard EMDR protocol, reports the views of service users about EMDR and adds evidence that EMDR reduces symptoms of PTSD in people who have intellectual disabilities.
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EMDR therapy is effective in mitigating PTSD symptoms among individuals with intellectual disabilities, possibly surpassing verbal interventions.
“Furthermore, the efficacy of EMDR therapy in mitigating symptoms of PTSD among individuals with intellectual disabilities has been emphasized, implying that it might surpass the effectiveness of verbal interventions tailored to this population [77,78].”
From Clinical Efficacy of Psychotherapeutic Interventions for Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review and Analysis. (2024) · cites this paper as [78]
Cites
Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults
Bisson, J. I., Roberts, N. P., Andrew, M., Cooper, R., & Lewis, C. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003388.pub4 · Cited by 829 · see citing works
PTSD and its treatment in people with intellectual disabilities
Mevissen, L., & de Jongh, A. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.12.005 · Cited by 189 · see citing works
The affect bridge: A hypnoanalytic technique
Watkins, J. G. (1971) · International Journal of Clinical and Experimental Hypnosis · doi:10.1080/00207147108407148 · Cited by 160 · see citing works
Shapiro, E., & Laub, B. (2008) · Journal of EMDR Practice and Research · doi:10.1891/1933-3196.2.2.79 · Cited by 148 · see citing works
Hatton, C., & Emerson, E. (2004) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/j.1360-2322.2004.00188.x · Cited by 143 · see citing works
Trauma and Life Events in Adults with Intellectual Disability
Wigham, S., & Emerson, E. (2015) · Current Developmental Disorders Reports · doi:10.1007/s40474-015-0041-y · Cited by 122 · see citing works
Wigham, S., Hatton, C., & Taylor, J. L. (2011) · Journal of Mental Health Research in Intellectual Disabilities · doi:10.1080/19315864.2010.534576 · Cited by 93 · see citing works
Hall, J. C., Jobson, L., & Langdon, P. E. (2014) · British Journal of Clinical Psychology · doi:10.1111/bjc.12048 · Cited by 67 · see citing works
Evaluating the EMDR Group Traumatic Episode Protocol With Refugees: A Field Study
Lehnung, M., Shapiro, E., Schreiber, M., & Hofmann, A. (2017) · Journal of EMDR Practice and Research · doi:10.1891/1933-3196.11.3.129 · Cited by 65 · see citing works
Byrne, G. (2020) · Trauma Violence & Abuse · doi:10.1177/1524838020960219 · Cited by 60 · see citing works
Multiple exposure to life events and clinical psychopathology in adults with intellectual disability
Tsakanikos, E., Bouras, N., Costello, H., & Holt, G. (2006) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-006-0128-1 · Cited by 59 · see citing works
Do persons with intellectual disability and limited verbal capacities respond to trauma treatment?
Mevissen, L., Lievegoed, R., Seubert, A. J., & de Jongh, A. (2011) · Journal of Intellectual & Developmental Disability · doi:10.3109/13668250.2011.621415 · Cited by 56 · see citing works
Barol, B. I., & Seubert, A. (2010) · Journal of EMDR Practice and Research · doi:10.1891/1933-3196.4.4.156 · Cited by 56 · see citing works
Treatment of PTSD in people with severe intellectual disabilities: A case series
Mevissen, L., Lievegoed, R., Seubert, A., & de Jongh, A. (2012) · Developmental Neurorehabilitation · doi:10.3109/17518423.2011.654283 · Cited by 55 · see citing works
Use of the Flash Technique in EMDR Therapy: Four Case Examples
Manfield, P. E., Lovett, J., Engel, L. L., & Manfield, D. (2017) · Journal of EMDR Practice and Research · doi:10.1891/1933-3196.11.4.195 · Cited by 48 · see citing works
Kroese, B. S., Willott, S., Taylor, F., Smith, P., Graham, R. H., Rutter, T. M., Stott, A., & Willner, P. (2016) · Advances in Mental Health and Intellectual Disabilities · doi:10.1108/amhid-05-2016-0008 · Cited by 43 · see citing works
Mason-Roberts, S. K., Bradley, A., Karatzias, T., Brown, M. J., Paterson, D., Walley, R. M., Truesdale, M., Taggart, L., & Sirisena, C. (2018) · Journal of Intellectual Disability Research · doi:10.1111/jir.12505 · Cited by 43 · see citing works
Pathways to participatory research in developing a tool to measure feelings
Brooks, M., & Davies, S. (2007) · British Journal of Learning Disabilities · doi:10.1111/j.1468-3156.2007.00476.x · Cited by 38 · see citing works
EMDR treatment for PTSD and Intellectual Disability: a case study
Barrowcliff, A. L., & Evans, G. A. L. (2015) · Advances in Mental Health and Intellectual Disabilities · doi:10.1108/amhid-09-2014-0034 · Cited by 31 · see citing works
Rodenburg, R., Benjamin, A., Meijer, A. M., & Jongeneel, R. (2009) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2009.07.015 · Cited by 30 · see citing works
Jowett, S., Karatzias, T., Brown, M. J., Grieve, A., Paterson, D., & Walley, R. M. (2016) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000101 · Cited by 25 · see citing works
Dilly, R. (2013) · Advances in Mental Health and Intellectual Disabilities · doi:10.1108/amhid-06-2013-0036 · Cited by 23 · see citing works
The Development and Uses of the “Blind to Therapist” EMDR Protocol
Blore, D. C., Holmshaw, E. M., Swift, A., Standart, S., & Fish, D. M. (2013) · Journal of EMDR Practice and Research · doi:10.1891/1933-3196.7.2.95 · Cited by 17 · see citing works
Barrowcliff, A. L., Oathamshaw, S. C., & Evans, C. (2018) · Journal of Intellectual Disability Research · doi:10.1111/jir.12551 · Cited by 10 · see citing works
People with Learning Disabilities in Scotland: 2017 Health Needs Assessment Update Report
Truesdale, M., & Brown, P. M. (2017) · Edinburgh Napier Research Repository (Edinburgh Napier University) · doi:10.13140/rg.2.2.10852.27524 · Cited by 9 · see citing works
Smith, A. N., Laugharne, R. A., Oak, K., & Shankar, R. (2021) · Journal of Mental Health Research in Intellectual Disabilities · doi:10.1080/19315864.2021.1929596 · Cited by 8 · see citing works
Briscoe, H., Ashworth, S., & Shelton, L. (2019) · Advances in Mental Health and Intellectual Disabilities · doi:10.1108/amhid-02-2019-0005 · Cited by 7 · see citing works
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Gkintoni, E., Kourkoutas, E., Yotsidi, V., Stavrou, P. D., & Prinianaki, D. (2024) · Children · doi:10.3390/children11050579 · Cited by 37 · see citing works
“Furthermore, the efficacy of EMDR therapy in mitigating symptoms of PTSD among individuals with intellectual disabilities has been emphasized, implying that it might surpass the effectiveness of verbal interventions tailored to this population [77,78].”
BackgroundUnwin, G., Stenfert‐Kroese, B., Rogers, G., Swain, S., Hiles, S., Clifford, C., Farrell, D., & Willner, P. (2023) · Journal of Policy and Practice in Intellectual Disabilities · doi:10.1111/jppi.12452 · Cited by 11 · see citing works
McKillop, E., Spencer, A., & Marrington, C. (2024) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.13206 · Cited by 2 · see citing works
Eye Movement Desensitization and Reprocessing Therapy (EMDR) with Children and Adolescents
Wesselmann, D., Settle, C., Mevissen, L., & Shapiro, F. (2024) · Springer eBooks · doi:10.1007/978-3-031-77215-3_13 · Cited by 1 · see citing works
Sopeña, S., Silva, J., Miller, C. S., Hedderly, T. J., & van Diest, C. (2023) · Journal of EMDR Practice and Research · doi:10.1891/emdr-2023-0005 · Cited by 1 · see citing works
Horváth, S., Princz, A., Kéri, B., & Csákvári, J. (2023) · Gyógypedagógiai Szemle · doi:10.52092/gyosze.2023.3.2 · Cited by 1 · see citing works
The Impact and Adaptation of EMDR Therapy on the Taiwanese Deaf University Students
Jhai, Z.-T. (2024) · Journal of EMDR Practice and Research · doi:10.1891/emdr-2023-0043 · Cited by 1 · see citing works
- Authors
- Porter, J. L. B.
- Corresponding author
- Porter, Joanne L.B.
- Venue
- Advances in Mental Health and Intellectual Disabilities
- Publisher
- Emerald
- Published
- 2022-01-05
- Volume
- 16
- Issue
- 1
- Pages
- 32-43
- ISSN
- 2044-1282 (ISSN-L)
- OpenAlex
- W4206749776
- Cited by
- 7
- References
- 27
- Citations by year
- 2024: 4 · 2023: 3
- FWCI
- 1.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Mental Health and Intellectual Disabilities (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- EMDR, intellectual disability, post-traumatic stress disorder, trauma, treatment adaptation, treatment outcomes, service user perspectives, mild and moderate intellectual disability
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