School of Psychology, University of Birmingham, Birmingham, UK.
J Appl Res Intellect Disabil. 2014 Mar;27(2):145-53. doi: 10.1111/jar.12059. Epub 2013 May 17.
The role of support workers and other professionals in the psychotherapeutic process has been commented upon but not as yet been systematically investigated.
To explore their views and expectations of cognitive behaviour therapy (CBT) for adults with intellectual disabilities, eleven paid support workers and professionals were recruited and interviewed before the CBT sessions commenced for their service users and nine took part in the second interview that took place after nine sessions.
Thematic Analysis of the interview transcripts indicates that staff members do not perceive CBT as a long-term solution for psychological problems have little knowledge of CBT and do not feel included in the process. Nevertheless, after nine sessions, most participants reported improved psychological well-being for their service users and expressed a wish for longer-term involvement of the therapist.
The results suggest that for CBT to be effective in the longer term, the therapist is required to consider a wider systemic approach including staff training and supervision, staff and management consultancy and creating a delicate balance between confidentiality and sharing the psychological formulation with 'significant others' to ensure maintenance and generalisation of improved psychological well-being.
支持工作者和其他专业人员在心理治疗过程中的作用已经被评论过，但尚未得到系统的研究。
为了探讨他们对认知行为疗法（CBT）的看法和期望，为其服务使用者在 CBT 疗程开始之前招募并采访了 11 名带薪支持工作者和专业人员，其中 9 名在九次疗程后参加了第二次采访。
对访谈记录的主题分析表明，工作人员并不认为 CBT 是解决心理问题的长期方法，他们对 CBT 的了解甚少，也不觉得自己参与了这个过程。然而，在九次疗程后，大多数参与者报告说他们的服务使用者的心理健康状况有所改善，并表示希望治疗师能更长期地参与。
结果表明，为了使 CBT 在更长的时间内有效，治疗师需要考虑更广泛的系统方法，包括工作人员的培训和监督、工作人员和管理咨询，以及在保密性和与“重要他人”分享心理构想之间建立微妙的平衡，以确保心理健康状况的改善得到维持和推广。
