Practitioner Development

Psychotherapeutic approaches in the treatment of mental illness and behavioural disorders in mentally retarded people: the significance of a psychoanalytic perspective.

Gaedt (1995) · Journal of intellectual disability research : JIDR 1995
★ The Verdict

Look past the behavior to the unmet emotional need—then blend your ABA plan with genuine relationship moments.

✓ Read this if BCBAs serving adults or children with ID in any setting.
✗ Skip if Researchers seeking hard outcome data; this is a theory piece.

01Research in Context

01

What this study did

This paper lays out a psychoanalytic way to treat mental health issues in people with intellectual disability.

The author argues that early emotional gaps can linger and shape later behavior.

The paper is not a study with data; it is a map for clinicians who want to look past surface actions and see deeper needs.

02

What they found

The key idea is a "persisting developmental deficit." This means the person missed key emotional lessons early on.

When staff spot this gap, they can shift from fixing behaviors to healing relationships and identity.

03

How this fits with other research

Redquest et al. (2021) took this stance into a real child ward. They mixed daily life tasks with therapy and cut sedation use.

Reid et al. (2018) later echoed the same respect in ABA terms: treat adults as adults, use dignified words, ask for consent.

Vassos et al. (2016) reviewed Person-Centred Planning and found small gains in choice and community time. Their data do not clash with the 1995 view; they simply test what happens when you put relationships first.

Wolfensberger (2011) looked back over 30 years and saw that these ideals have spread but still need steady push from clinicians like you.

04

Why it matters

You can fold this lens into your ABA work. Ask, "What early emotional need might this behavior signal?" Then pair your behavior plan with moments of real connection—eye contact, shared joy, real choices. This stance costs no extra minutes but can deepen client trust and speed skill growth.

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→ Action — try this Monday

Add one relationship check to your session: before you run the program, spend 60 seconds asking the client about their preferred topic and reflect their answer back with warmth.

02At a glance

Intervention
not applicable
Design
theoretical
Population
intellectual disability
Finding
not reported

03Original abstract

As a result of the increasing preoccupation with pre-oedipal disturbances, psychoanalytic theory has had to expand its basis. Through this new interpretation, better possibilities for the explanation and treatment of the various forms of psychopathology associated with mental retardation emerge. In this connection, the notion of a 'persisting developmental deficit' plays an important role based on ego-psychology which includes object-relation theory and psychoanalytic developmental psychology. Four specific issues illustrate the significance of a psychoanalytically orientated approach, namely: (I) the transformation of organic brain deficits into mental disorders; (2) 'secondary psychosocial deficit'; (3) the significance of the therapeutic relationship; and (4) re-enactments as expression of a pathological identity.

Journal of intellectual disability research : JIDR, 1995 · doi:10.1111/j.1365-2788.1995.tb00505.x