The core conflictual relationship theme (CCRT) method: testing with adult offenders who have intellectual and developmental disabilities

Abstract

Purpose

The aim of this paper is to investigate the feasibility of using the core conflictual relationship theme (CCRT) method, used to assess relationship patterns and interpersonal schemas, within a small group of men who had intellectual and developmental disabilities (IDD). The relationship anecdote paradigm interview, with minor adaptation, was used to collect material from participants necessary to generate a CCRT. CCRTs formulated in the study are described and consideration is given to the potential clinical application of CCRT method in this patient group.

Design/methodology/approach

A small sample of four men with IDD was taken from a medium-low secure forensic service. Initial interviews, necessary to elicit narrative anecdotes for CCRT formulation, were conducted at the start of a psychotherapeutic treatment study. Trained judges completed a CCRT formulation for each participant.

Findings

Participants in the study were able to provide personal information necessary to formulate a CCRT. Unexpected common themes were shared in participants who had committed contact sexual offences, this differed from a participant with autistic spectrum disorder who had committed a non-contact sexual offence. The CCRT method can be feasibly used in a mild IDD population. The CCRT method is clinically relevant and provides an opportunity for the exploration of clinical micro-theories related to interpersonal schemas found in offenders who have IDD.

Originality/value

This is the first study, to our knowledge, reporting results of the CCRT method with adults who have mild intellectual disabilities.

Citation

Scott Hackett, S., Porter, J. and L. Taylor, J. (2013), "The core conflictual relationship theme (CCRT) method: testing with adult offenders who have intellectual and developmental disabilities", Advances in Mental Health and Intellectual Disabilities, Vol. 7 No. 5, pp. 263-271. https://doi.org/10.1108/AMHID-06-2013-0039