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Psychosocial theories of depression for individuals with intellectual and developmental disabilities: a historicist perspective.

Authors
Ailey-SH; Miller-A
Source
Res Theory Nurs Pract 2004 Aug; 18(2-3):131-148
NIOSHTIC No.
20039124
Abstract
The mental health care system has historically marginalized individuals with intellectual and developmental disabilities (I/DD). Until the mid-1980s, many clinicians doubted that individuals with I/DD were capable of depression (Sovner & Pary, 1993). Although it is now generally accepted that individuals with I/DD do have depression, they may not be treated or may be inappropriately treated (Matson et al., 2000). A historicist perspective takes into account the effect of marginalization on science and practice. Depression has both biological and psychosocial aspects. Key groups of theories regarding the psychosocial aspects of depression include psychodynamic/psychoanalytic, behavioral, cognitive, and ecological/interpersonal theories (Clark, Beck, & Alford, 1999; Joiner, Coyne, & Blalock, 1999). The application of psychosocial theories of depression to individuals with I/DD continues to reflect their marginalization and oppression. Behavioral theories of depression are limited in their conceptions for research, identification, and treatment of depression but continue to be used widely with individuals with I/DD. Cognitive theories of depression are widely used in research and treatment of depression in the general population, but have limited usage among individuals with I/DD. Interpersonal theories of depression are used in the general population and have many benefits, but are only now being investigated for use with individuals with I/DD. In this article, theories of depression as applied to individuals with I/DD are discussed from a historicist perspective.
Keywords
Mental-health; Health-care; Health-care-facilities; Health-care-personnel; Biological-factors; Behavioral-disorders; Behavior; Developmental-disorders; Psychology; Psychological-factors; Humans; Children; Men; Women
CODEN
SINPFV
Publication Date
20040801
Document Type
Journal Article
Funding Type
Grant
Fiscal Year
2004
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-OH-008672
Issue of Publication
2-3
ISSN
1541-6577
Source Name
Research and Theory for Nursing Practice
State
IL
Performing Organization
University of Illinois-Chicago
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