Academic Unit for Mental Health and Wellbeing, Glasgow University, Glasgow, UK.
J Intellect Disabil Res. 2012 Feb;56(2):179-90. doi: 10.1111/j.1365-2788.2011.01450.x. Epub 2011 Aug 1.
This study examined the potential of a retrospective video reviewing process [Burford Reviewing Process (BRP)] for enabling people with intellectual disabilities to describe their experiences of cognitive behaviour therapy (CBT). It is the first time that the BRP, described in this paper, has been used with people with intellectual disabilities and the aim was to assess the feasibility of the procedure and gain a picture of the information it might yield.
Using the BRP, 12 clients reviewed tapes of their fourth and ninth CBT sessions and six reviewed the fourth session only. All reviews were audio recorded for later verbatim transcriptions of clients' comments. Reviews and transcriptions were conducted by non-clinical researchers. Thematic analysis was applied to the transcripts by a researcher who was not CBT-trained.
All clients were able to follow the instructions for the BRP. Three broadly based themes encapsulated their responses - how they felt about themselves, how they felt the therapist was helping and how CBT was helping. A fourth theme referred to comments on issues that were currently troubling clients, which were prompted by watching the video but did not refer to actual events on screen.
The BRP seems a feasible approach with this client group and gave insights into their feelings and opinions on CBT. Clinical implications of the results and the potential for further developments are discussed.
本研究考察了回顾性视频审查过程（Burford 审查过程，BRP）在使智障人士描述认知行为疗法（CBT）体验方面的潜力。这是首次在智障人士中使用本文所述的 BRP，目的是评估该程序的可行性，并了解其可能产生的信息。
使用 BRP，12 名客户审查了他们第四次和第九次 CBT 疗程的录像带，其中 6 名客户仅审查了第四次疗程。所有的审查都进行了录音，以便以后逐字转录客户的评论。审查和转录由非临床研究人员进行。由未接受过 CBT 培训的研究人员对转录本进行了主题分析。
所有客户都能够按照 BRP 的说明进行操作。他们的回答包含三个广泛的主题 - 他们对自己的感觉，他们对治疗师帮助的感觉以及 CBT 对他们的帮助。第四个主题涉及观看录像后引发的当前困扰客户的问题的评论，但这些评论与屏幕上的实际事件无关。
BRP 似乎是该客户群体可行的方法，深入了解了他们对 CBT 的感受和看法。讨论了结果的临床意义和进一步发展的潜力。
