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- W2014071071 abstract "John C. LintonRecently a colleague consulted with me about a young woman he had just evaluated in the hospital who had beentraumatized by a sexual assault. He was stuck, unable to plan a course of action because the patient was quitechallenged intellectually, and therefore the customary treatments seemed inappropriate. His literature searchdetermined that although hundreds of books and articles have been written about the evaluation and treatment ofpsychological trauma, there was little guidance about intervention with traumatized patients who were intellectuallylimited. I suggested that he read this book.Razza and Tomasulo write that their goal is to “share our hard won lessons with other clinicians” (p. 3) regarding waysto understand and work with those who have intellectual disabilities in addition to psychological disorders, and morespecifically those who have experienced psychological trauma through neglect and sexual assault. They make a strongcase for providing therapy for this underserved population and then present a way to do it. Individuals with intellectual disabilities have regrettably been marginalized by society. They have been invisible even tomental health professionals, who often complete graduate training with no exposure to the nature of psychopathology inthis population, and never see it in practice. Clinicians have not only been limited in their understanding of emotionaldisorders in the intellectually challenged, but assumed that such patients lack the necessary abilities to engage in theprocess of psychotherapy, and have therefore discouraged them from treatment.In recent years there has been an amplified interest in their mental health needs and treatments that might be tailoredto meet them. Research has found that the prevalence of psychiatric disorders in intellectually disabled people is threeto four times the rate found in the general population. Yet these disorders are often missed, having been masked by“diagnostic overshadowing,” where professionals ascribe emotional symptoms to the mental retardation and assumethey are behavioral manifestations of a cognitive defect rather than independent psychiatric disorders. Psychologicalproblems might be overlooked as well because their symptom presentations can vary from the norm; for example,patients with mental retardation may be more agitated and disorganized than those without cognitive disabilities.Mentally disabled individuals may exhibit traumatic reactions to events that others may not see as traumatic, and lowIQs make it harder for them to process these incidents. They also have low levels of social support and poorly developedsocial skills. Thus, they may relate badly, have difficulty explaining their symptoms, and have no one in their lives toassist them in doing so." @default.
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- W2014071071 date "2005-01-01" @default.
- W2014071071 modified "2023-09-25" @default.
- W2014071071 title "Hidden in Plain Sight: Treating Trauma in the Intellectually Disabled" @default.
- W2014071071 doi "https://doi.org/10.1037/050010" @default.
- W2014071071 hasPublicationYear "2005" @default.
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