Treating Mental Illness and Behavior Disorders in Children and Adults with Mental Retardation

578 Pages·2001·3.34 MB·English

by  Anton Dosen

Treating Mental Illness and
Behavior Disorders in
Children and Adults With
Mental Retardation
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Treating Mental Illness and
Behavior Disorders in
Children and Adults With
Mental Retardation
Edited by
Anton Došen, M.D., Ph.D.
Kenneth Day, M.B., Ch.B., F.R.C.Psych., D.P.M.
Washington, DC
London, England
Note: The authors have worked to ensure that all information in this book concerning
drug dosages, schedules, and routes of administration is accurate as of the time of
publication and consistent with standards set by the U.S. Food and Drug Administration
and the general medical community. As medical research and practice advance, however,
therapeutic standards may change. For this reason and because human and mechanical
errors sometimes occur, we recommend that readers follow the advice of a physician who
is directly involved in their care or the care of a member of their family.
Books published by the American Psychiatric Press, Inc., represent the views and opinions
of the individual authors and do not necessarily represent the policies and opinions of the
Press or the American Psychiatric Association.
Copyright © 2001 American Psychiatric Press, Inc.
ALL RIGHTS RESERVED
Manufactured in the United States of America on acid-free paper
First Edition
04 03 02 01 4 3 2 1
American Psychiatric Press, Inc.
1400 K Street, NW
Washington, DC 20005
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Library of Congress Cataloging-in-Publication Data
Treating mental illness and behavior disorders in children and adults
with mental retardation / edited by Anton Dosen, Kenneth Day.— 1st ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 0-88048-850-6 (alk. paper)
1. Mentally handicapped—Mental health—Handbooks, manuals, etc. 2. Mentally
handicapped—Mental health services—Handbooks, manuals, etc. 3. Mental
illness—Treatment—Handbooks, manuals, etc. I. Dosen, Anton. II. Day, Kenneth, D.P.M.
[DNLM: 1. Mental Retardation—psychology. 2. Behavior Therapy. 3. Mental
Disorders—therapy. 4. Mentally Disabled Persons—psychology. 5.
Psychotherapy—methods. WM 307.M5 H2365 2001]
RC451.4.M47 H366 2001
616.85'8806—dc21
00-032793
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
To our wives
Renata and Ruth
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Contents
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv
I
Introduction
1 Epidemiology, Etiology, and Presentation of Mental Illness and
Behavior Disorders in Persons WithMental Retardation. . . . . . . . . . . . .3
Anton Došen, M.D., Ph.D.
Kenneth Day, M.B., Ch.B., F.R.C.Psych., D.P.M.
II
Treatment Methods
2 Psychotherapeutic Methods. . . . . . . . . . . . . . . . . . . . . . . . 27
Sheila Hollins, M.B., B.S., F.R.C.Psych.
3 Psychopharmacological Approaches . . . . . . . . . . . . . . . . . . . . 45
Stephen Tyrer, M.A., M.B., B.Chir.L.M.C.C., F.R.C.Psych.
Sarah Hill, B.Sc.
4 Behavioral Therapies: Individualizing Interventions
Through Treatment Formulations . . . . . . . . . . . . . . . . . . . . . 69
William I. Gardner, Ph.D.
Janice L. Graeber-Whalen, Ph.D.
Debby R. Ford, Ph.D.
5 Cognitive and Social LearningTreatments . . . . . . . . . . . . . . . . 101
Betsey A. Benson, Ph.D.
Denise Valenti-Hein, Ph.D.
6 Working With Families and Caregiversof
People With Severe Mental Retardation . . . . . . . . . . . . . . . . . 119
Ann Gath, M.D., F.R.C.Psych., D.P.M., D.C.H.
III
Psychotherapeutic Methods
7 Psychoanalytic Therapies . . . . . . . . . . . . . . . . . . . . . . . 133
Richard Ruth, Ph.D.
8 A Rational Emotive Group Treatment
Approach With Dually Diagnosed Adults . . . . . . . . . . . . . . . . . 145
Nefeli Schneider, Ph.D.
9 Pre-Therapy: A Treatment Method for People With
Mental Retardation Who Are Also Psychotic . . . . . . . . . . . . . . . 155
Garry Prouty, Ph.D.
10 Systemic Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Wilhelm Rotthaus, M.D.
IV
Treatment of Mental Illness
11 Treatment of Schizophrenia . . . . . . . . . . . . . . . . . . . . . . 183
David J. Clarke, M.B., Ch.B., M.R.C.Psych.
12 Treatment of Mood Disorders in Mentally Retarded Persons . . . . . . . . 201
Stephen Ruedrich, M.D.
Anne Des Noyers-Hurley, Ph.D.
Robert Sovner, M.D.
13 Treatment of Anxiety Disorders in Persons With Mental Retardation. . . . . 227
Henry F. Crabbe, M.D., Ph.D.
14 Treatment of Epilepsy and AssociatedDisorders . . . . . . . . . . . . . . 243
Thomas P. Berney, M.B., Ch.B., D.P.M., F.R.C.Psych.,F.R.C.P.C.H.
15 Mood and Affect as Determinants of Psychotropic Drug Therapy: Response in
Mentally Retarded Persons With Organic Mental Syndromes. . . . . . . . . 265
Robert Sovner, M.D.
Michael Lowry, Ph.D.
V
Treatment of Behavior Disorders
16 Pharmacotherapy in Aggressive and Auto-Aggressive Behavior. . . . . . . . 283
Willem M.A. Verhoeven, M.D., Ph.D.
Sigfried Tuinier, M.D., Ph.D.
17 Strategic Behavioral InterventionsinAggression. . . . . . . . . . . . . . 305
Dorothy Griffiths, Ph.D.
18 Self-Injurious Behaviors: Multimodal Contextual Approach to Treatment . . . 323
William I. Gardner, Ph.D.
Janice L. Graeber-Whalen, Ph.D.
Debby R. Ford, Ph.D.
19 Group Therapy for Mentally RetardedSex Offenders . . . . . . . . . . . . 343
Diane Cox-Lindenbaum, A.C.S.W.
20 Treatment and Care of MentallyRetarded Offenders . . . . . . . . . . . . 359
Kenneth Day, M.B., Ch.B., F.R.C.Psych., D.P.M.
21 A Pedagogical Approach to BehavioralProblems. . . . . . . . . . . . . . 391
Gijs van Gemert, Ph.D.
VI
Treatment Methods With Children
22 Psychodynamically Oriented Psychotherapy in Mentally RetardedChildren. . . 401
Christian Gaedt, M.D.