Patterson Christopher Wynne, Golightly Mark
Older Person's Community Mental Health Team, Denbigh Community Hospital, Denbigh, UK.
Peterborough Adult locality Team, Adult Mental Health, Peterborough, UK.
J Appl Res Intellect Disabil. 2023 Jan;36(1):13-27. doi: 10.1111/jar.13045. Epub 2022 Nov 6.
In recent years, third-wave therapies have risen to prominence. Research into adapting and evaluating third-wave therapies for adults with intellectual disabilities has identified that third-wave therapies are accessible, acceptable, and effective (improving a range of symptoms and skills).
This meta-ethnography followed Noblit and Hare's approach to synthesising findings from qualitative studies to examine how adults with intellectual disabilities experience third-wave therapy groups. A systematic review of three databases identified 13 studies that met our inclusion criteria.
We identified that third-wave therapy groups can be a 'Transformational' process for adults with intellectual disabilities that involves three stages: 'Concealment', 'Opening up' and 'Flourishing'.
Findings highlight the importance of therapeutic processes; especially, working with defences, and developing and maintaining safety/trust. Recommendations include the development of an objective measure of group safety/trust.
近年来，第三波疗法已崭露头角。针对智力残疾成年人采用和评估第三波疗法的研究表明，第三波疗法是可及的、可接受的且有效的（能改善一系列症状和技能）。
这项元民族志研究遵循诺布利特和黑尔的方法，对定性研究结果进行综合分析，以考察智力残疾成年人如何体验第三波治疗小组。对三个数据库进行的系统综述确定了13项符合我们纳入标准的研究。
我们发现，第三波治疗小组对智力残疾成年人而言可能是一个“转变”过程，该过程包括三个阶段：“隐藏”“敞开心扉”和“蓬勃发展”。
研究结果凸显了治疗过程的重要性；尤其是应对防御机制，以及建立和维持安全感/信任感。建议包括开发一种衡量小组安全感/信任感的客观方法。
