1. Where does the voice that cries out LIVE! come from?
From another life.
Samuel Beckett
Group therapy for people with a mild mental disability.
Bep van Klingeren
Health-psychologist
EMDR therapist
Wisse Tanis
Special Educationalist
Family therapist
2. Schedule:
About Princes and Frogs
People with a mild mental disability
Group therapy
02/01/13
3. We are born princes and the civilizing process
makes us frogs. (Eric Berne)
02/01/13
7. People with a mild mental disability (1):
born to be a frog?
Features:
Failures
Less succesful than others &
No understanding why
The usual social and cultural roles are often unattainable
Developmental problems
Attachment
Individuation
Identity
02/01/13
8. People with a mild mental disability (2):
born to be a frog?
Consequences
Lifelong dependency
Weak ‘self’
Undervaluing own needs
Leads to the core conviction
I’m not OK – you’re OK
Can lead to behavioral problems
complaining/depressive
acting out: agression/inappropriate behavior
02/01/13
9. People with a mild mental disability (3):
born to be a frog?
Special features problems manifestations
Learning problems
IQ: 50 - 75
Psychiatric disorders
Severe conduct
Medical-physical problems
Significant limitations disorders
Family problems & problems
adaptive behavior
in social context
Can lead to: chronicity/long lasting needing support
02/01/13
10. Group therapy
Features:
Open group/weekly/1½ h/8 members
Focus on repetition,
Usage of ‘visuals’: rucksack & toolkit
Therapists role as facilitators
Optional:
Individual (co)therapy: impasses (CBT)
trauma (EMDR)
Doctor (AVG)/psychiatrist: psychopharmaca
Transfer:
Systemtherapy: integration of goals and
competences in
supportsystem
02/01/13
11. Therapeutic Factors
• Acceptance • Existential factors
• Universality • Psycho-education
• Altruism • Modeling
• Self understanding
• Instillation of hope
• Imparting information
• Guidance
• Developing social skills
• Catharsis
• Interpersonal learning
• Corrective recapitulation of
family of origin issues
• Self disclosure
02/01/13
12. The Proces
Interventions Aiming at:
- Identify and evaluate the problem Create calmness, de-
(validation/stroking NP - FC) escalation, enable to learn
- Explain the pattern of negative Enable mentalizing
transactions
(give meaning V – V)
Reaching out, compassion,
- Identify and heightening feelings
helping
(intensify FC- FC)
- Rephrase underlying patterns of Formulate personal
feelings and needs permissions from needs
02/01/13
13. Needs & Fears
Some common (attachment) Some common (attachment)
needs are: fears are:
• Need for acceptance • Fear of being rejected
• Need for closeness • Fear of being abandoned
• Need for understanding • Fear of not measuring up, of
being a failure
• Need to feel important
• Fear of not being accepted or
• Need to feel loved valued
• Need to your family reflect to • Fear of being unlovable
you the good things about you • Fear of being controlled
• Need for appreciation
02/01/13
14. CONTROLLING
YOU
MAY
NP CP NP CP
YOU MUST!
CP np
EXPLAINING
INFO
A a A
NEGATIVE
ORGANISING
PERMISSION
AC
To think, to feel, to do
FC
FC AC FC AC
VIOLENCE PERMISSION
02/01/13 PLAY, HUMOR
