Adapting psychological therapies for autism / Kate COOPER in Research in Autism Spectrum Disorders, 45 (January 2018)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 45 (January 2018) . - p.43-50 Titre : Adapting psychological therapies for autism Type de document : Texte imprimé et/ou numérique Auteurs : Kate COOPER, Auteur ; M. E. LOADES, Auteur ; A. RUSSELL, Auteur Article en page(s) : p.43-50 Langues : Anglais (eng) Mots-clés : Cognitive behavioural therapy  Training  Psychological therapy  Autism  Therapist training Index. décimale : PER Périodiques Résumé : AbstractBackground Psychological interventions informed by cognitive behavioural theory have proven efficacy in treating mild-moderate anxiety and depression. They have been successfully adapted for autistic children and adults who experience disproportionately high rates of co-occurring emotional problems. There has been little research into the perspectives and experience of psychological therapists adapting cognitive behavioural therapy (CBT) as part of routine clinical practice. We surveyed therapist skills, experience and confidence in working psychologically with autistic people, in order to highlight gaps and needs, as well as strengths in terms of therapist skills when working with this group. Method Fifty therapists attending a training event completed a survey about their experience of adapting CBT for autistic clients, alongside a measure of therapist confidence. Results Almost all therapists reported making adaptations to CBT practice when working with autistic clients. Key challenges identified were rigidity in thinking and pacing sessions appropriately. Therapists were relatively confident about core engagement and assessment skills but reported less confidence in using their knowledge to help this group. Therapist confidence was not associated with years of practice or number of adaptations made, but was positively associated with level of therapy training received. Conclusions This study highlights a need for training and ongoing supervision to increase therapist confidence in and ability to make appropriate adaptations to CBT treatment protocols for autistic people. En ligne : https://doi.org/10.1016/j.rasd.2017.11.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=327 [article] Adapting psychological therapies for autism [Texte imprimé et/ou numérique] / Kate COOPER, Auteur ; M. E. LOADES, Auteur ; A. RUSSELL, Auteur . - p.43-50. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 45 (January 2018) . - p.43-50 Mots-clés : Cognitive behavioural therapy  Training  Psychological therapy  Autism  Therapist training Index. décimale : PER Périodiques Résumé : AbstractBackground Psychological interventions informed by cognitive behavioural theory have proven efficacy in treating mild-moderate anxiety and depression. They have been successfully adapted for autistic children and adults who experience disproportionately high rates of co-occurring emotional problems. There has been little research into the perspectives and experience of psychological therapists adapting cognitive behavioural therapy (CBT) as part of routine clinical practice. We surveyed therapist skills, experience and confidence in working psychologically with autistic people, in order to highlight gaps and needs, as well as strengths in terms of therapist skills when working with this group. Method Fifty therapists attending a training event completed a survey about their experience of adapting CBT for autistic clients, alongside a measure of therapist confidence. Results Almost all therapists reported making adaptations to CBT practice when working with autistic clients. Key challenges identified were rigidity in thinking and pacing sessions appropriately. Therapists were relatively confident about core engagement and assessment skills but reported less confidence in using their knowledge to help this group. Therapist confidence was not associated with years of practice or number of adaptations made, but was positively associated with level of therapy training received. Conclusions This study highlights a need for training and ongoing supervision to increase therapist confidence in and ability to make appropriate adaptations to CBT treatment protocols for autistic people. En ligne : https://doi.org/10.1016/j.rasd.2017.11.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=327

Cognitive processes in autism: Repetitive thinking in autistic versus non-autistic adults / Kate COOPER in Autism, 26-4 (May 2022)  

Public ISBD [article]  inAutism > 26-4 (May 2022) . - p.849-858 Titre : Cognitive processes in autism: Repetitive thinking in autistic versus non-autistic adults Type de document : Texte imprimé et/ou numérique Auteurs : Kate COOPER, Auteur ; Ailsa RUSSELL, Auteur ; Steph CALLEY, Auteur ; Huilin CHEN, Auteur ; Jaxon KRAMER, Auteur ; Bas VERPLANKEN, Auteur Article en page(s) : p.849-858 Langues : Anglais (eng) Mots-clés : Adult  Anxiety  Anxiety Disorders  Autism Spectrum Disorder  Autistic Disorder/psychology  Cognition  Humans  autism  repetitive behaviours and interests  conflicts of interest with respect to the research, authorship, and/or  publication of this article. Index. décimale : PER Périodiques Résumé : A core feature of autism is the tendency to do the same activity or behaviour repetitively. We wanted to find out if autistic people also experience repetitive thinking, for example, having the same thoughts repeatedly. We thought that there would be a link between repetitive behaviour and repetitive thinking. We asked 54 autistic people and 66 non-autistic people to complete questionnaires measuring repetitive behaviours and obsessive thinking. Next, participants were trained by a researcher to record their thoughts using a structured paper form. They then completed 5 days of thought recording, which they did each time a random alarm sounded on their mobile phone. We found that autistic people had more repetitive thoughts than non-autistic people, but they did not report having more negative or visual thoughts compared with non-autistic people. Autistic people who had more repetitive thoughts during the 5 days of thought recording did not report more repetitive behaviour. However, autistic people who reported more obsessive thinking, for example, more negative and unwanted thoughts, also reported higher levels of repetitive behaviour. We conclude that some repetitive behaviours may be linked to anxiety and that more research is needed to better understand repetitive behaviours in autism. En ligne : https://dx.doi.org/10.1177/13623613211034380 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473 [article] Cognitive processes in autism: Repetitive thinking in autistic versus non-autistic adults [Texte imprimé et/ou numérique] / Kate COOPER, Auteur ; Ailsa RUSSELL, Auteur ; Steph CALLEY, Auteur ; Huilin CHEN, Auteur ; Jaxon KRAMER, Auteur ; Bas VERPLANKEN, Auteur . - p.849-858. Langues : Anglais (eng) in Autism > 26-4 (May 2022) . - p.849-858 Mots-clés : Adult  Anxiety  Anxiety Disorders  Autism Spectrum Disorder  Autistic Disorder/psychology  Cognition  Humans  autism  repetitive behaviours and interests  conflicts of interest with respect to the research, authorship, and/or  publication of this article. Index. décimale : PER Périodiques Résumé : A core feature of autism is the tendency to do the same activity or behaviour repetitively. We wanted to find out if autistic people also experience repetitive thinking, for example, having the same thoughts repeatedly. We thought that there would be a link between repetitive behaviour and repetitive thinking. We asked 54 autistic people and 66 non-autistic people to complete questionnaires measuring repetitive behaviours and obsessive thinking. Next, participants were trained by a researcher to record their thoughts using a structured paper form. They then completed 5 days of thought recording, which they did each time a random alarm sounded on their mobile phone. We found that autistic people had more repetitive thoughts than non-autistic people, but they did not report having more negative or visual thoughts compared with non-autistic people. Autistic people who had more repetitive thoughts during the 5 days of thought recording did not report more repetitive behaviour. However, autistic people who reported more obsessive thinking, for example, more negative and unwanted thoughts, also reported higher levels of repetitive behaviour. We conclude that some repetitive behaviours may be linked to anxiety and that more research is needed to better understand repetitive behaviours in autism. En ligne : https://dx.doi.org/10.1177/13623613211034380 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473

Gender and Autism / Alison STANSFIELD

Public ISBD in ABC of Autism / Munib HAROON Titre : Gender and Autism Type de document : Texte imprimé et/ou numérique Auteurs : Alison STANSFIELD, Auteur ; Padakkara SAJU, Auteur ; Isabelle GATELY, Auteur ; Kate COOPER, Auteur ; Derek GLIDDEN, Auteur ; Ruth BEVAN, Auteur Année de publication : 2019 Importance : p.57-60 Langues : Anglais (eng) Index. décimale : AUT-B AUT-B - L'Autisme - Ouvrages généraux et scientifiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=399 in ABC of Autism / Munib HAROON Gender and Autism [Texte imprimé et/ou numérique] / Alison STANSFIELD, Auteur ; Padakkara SAJU, Auteur ; Isabelle GATELY, Auteur ; Kate COOPER, Auteur ; Derek GLIDDEN, Auteur ; Ruth BEVAN, Auteur . - 2019 . - p.57-60. Langues : Anglais (eng) Index. décimale : AUT-B AUT-B - L'Autisme - Ouvrages généraux et scientifiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=399

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Gender Identity in Autism: Sex Differences in Social Affiliation with Gender Groups / Kate COOPER in Journal of Autism and Developmental Disorders, 48-12 (December 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.3995-4006 Titre : Gender Identity in Autism: Sex Differences in Social Affiliation with Gender Groups Type de document : Texte imprimé et/ou numérique Auteurs : Kate COOPER, Auteur ; L. G. E. SMITH, Auteur ; A. J. RUSSELL, Auteur Article en page(s) : p.3995-4006 Langues : Anglais (eng) Mots-clés : Adults  Autism  Gender  Self-esteem  Sex differences  Social identity Index. décimale : PER Périodiques Résumé : High rates of gender variance have been reported in autistic people, with higher variance in autistic females than males. The social component of gender identity may be affected, with autistic females experiencing lower identification with and feeling less positively about their gender groups than controls. We measured gender identification, gender self-esteem, and aspects of gender expression (masculinity and femininity) in autistic natal males and females, and controls (N = 486). We found that autistic people had lower gender identification and gender self-esteem than controls, and autistic natal females had lower gender identification than autistic natal males and natal female controls. In conclusion, autistic people, particularly natal females, had lower social identification with and more negative feelings about a gender group. En ligne : http://dx.doi.org/10.1007/s10803-018-3590-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371 [article] Gender Identity in Autism: Sex Differences in Social Affiliation with Gender Groups [Texte imprimé et/ou numérique] / Kate COOPER, Auteur ; L. G. E. SMITH, Auteur ; A. J. RUSSELL, Auteur . - p.3995-4006. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.3995-4006 Mots-clés : Adults  Autism  Gender  Self-esteem  Sex differences  Social identity Index. décimale : PER Périodiques Résumé : High rates of gender variance have been reported in autistic people, with higher variance in autistic females than males. The social component of gender identity may be affected, with autistic females experiencing lower identification with and feeling less positively about their gender groups than controls. We measured gender identification, gender self-esteem, and aspects of gender expression (masculinity and femininity) in autistic natal males and females, and controls (N = 486). We found that autistic people had lower gender identification and gender self-esteem than controls, and autistic natal females had lower gender identification than autistic natal males and natal female controls. In conclusion, autistic people, particularly natal females, had lower social identification with and more negative feelings about a gender group. En ligne : http://dx.doi.org/10.1007/s10803-018-3590-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371

Healthcare clinician perspectives on the intersection of autism and gender dysphoria / Kate COOPER in Autism, 27-1 (January 2023)  

Public ISBD [article]  inAutism > 27-1 (January 2023) . - p.31-42 Titre : Healthcare clinician perspectives on the intersection of autism and gender dysphoria Type de document : Texte imprimé et/ou numérique Auteurs : Kate COOPER, Auteur ; William MANDY, Auteur ; Ailsa RUSSELL, Auteur ; Catherine BUTLER, Auteur Article en page(s) : p.31-42 Langues : Anglais (eng) Mots-clés : autism adaptations  autism spectrum disorders  gender clinics  gender dysphoria  gender identity  health services  transgender healthcare Index. décimale : PER Périodiques Résumé : Autistic people are over-represented at gender clinics, but there is limited research to guide clinical practice with this group. We investigated the perspectives of clinicians working with autistic patients who experience gender dysphoria. We asked clinicians about the relationship between autism and gender dysphoria, and whether they work differently with this patient group. We recruited clinicians from young person and adult gender clinics and autism services (n=16). We analysed the interview transcripts using interpretative phenomenological analysis (IPA). The first overarching theme was clinician understanding of the intertwined experiences of patients, with four subthemes: (a) coming to an individualised understanding of autism, gender dysphoria, and mental health; (b) different ways of thinking about gender; (c) social differences as barriers and facilitators to gender comfort; (d) the challenge of sensory sensitivities and puberty. The second overarching theme was mismatch of patient and clinician communication styles and goals, with three subthemes: (a) different communication of gender needs; (b) changing clinical sessions to overcome barriers; (c) tension between clinician and patient aims and thinking styles. We conclude that autism adaptations should be made in gender settings, by increasing clinician understanding of how autism and gender dysphoria can intersect, as well as by making adjustments to clinic processes. Lay Abstract Autistic people are more likely to have a gender identity which does not match their sex assigned at birth. Some people experience distress about their sex and gender not matching, which is called gender dysphoria. Such individuals may wish to attend a gender clinic to access healthcare support for gender dysphoria. Currently, there is limited evidence to help clinicians best support autistic people who need healthcare for gender dysphoria. We wanted to find out what healthcare clinicians think about working with autistic patients with gender dysphoria. We interviewed 16 clinicians who work in healthcare services with adults and young people who are autistic and experience gender dysphoria. We recorded the interviews and carefully analysed the content to find key themes. We found that clinicians worked with patients to try and better understand their experiences of gender dysphoria. Clinicians identified features of autism that they believed were related to gender identity and dysphoria including different thinking styles, social differences, and sensory sensitivities. Clinicians noticed that autistic people spoke about their gender in different ways to non-autistic people. Clinicians tried to adapt their practice to better meet the needs of their autistic patients. These adaptations tended to focus on differences in the assessment process, for example, offering longer or shorter appointments and changing their communication style. We conclude that clinicians were offering an individualised approach to autistic patients experiencing gender dysphoria. However, these clinicians were particularly interested in working with autistic people, and so may not be representative of the wider clinician population. Clinicians working in this area should receive training on autism adaptations and the intersection of autism and gender dysphoria. En ligne : http://dx.doi.org/10.1177/13623613221080315 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=491 [article] Healthcare clinician perspectives on the intersection of autism and gender dysphoria [Texte imprimé et/ou numérique] / Kate COOPER, Auteur ; William MANDY, Auteur ; Ailsa RUSSELL, Auteur ; Catherine BUTLER, Auteur . - p.31-42. Langues : Anglais (eng) in Autism > 27-1 (January 2023) . - p.31-42 Mots-clés : autism adaptations  autism spectrum disorders  gender clinics  gender dysphoria  gender identity  health services  transgender healthcare Index. décimale : PER Périodiques Résumé : Autistic people are over-represented at gender clinics, but there is limited research to guide clinical practice with this group. We investigated the perspectives of clinicians working with autistic patients who experience gender dysphoria. We asked clinicians about the relationship between autism and gender dysphoria, and whether they work differently with this patient group. We recruited clinicians from young person and adult gender clinics and autism services (n=16). We analysed the interview transcripts using interpretative phenomenological analysis (IPA). The first overarching theme was clinician understanding of the intertwined experiences of patients, with four subthemes: (a) coming to an individualised understanding of autism, gender dysphoria, and mental health; (b) different ways of thinking about gender; (c) social differences as barriers and facilitators to gender comfort; (d) the challenge of sensory sensitivities and puberty. The second overarching theme was mismatch of patient and clinician communication styles and goals, with three subthemes: (a) different communication of gender needs; (b) changing clinical sessions to overcome barriers; (c) tension between clinician and patient aims and thinking styles. We conclude that autism adaptations should be made in gender settings, by increasing clinician understanding of how autism and gender dysphoria can intersect, as well as by making adjustments to clinic processes. Lay Abstract Autistic people are more likely to have a gender identity which does not match their sex assigned at birth. Some people experience distress about their sex and gender not matching, which is called gender dysphoria. Such individuals may wish to attend a gender clinic to access healthcare support for gender dysphoria. Currently, there is limited evidence to help clinicians best support autistic people who need healthcare for gender dysphoria. We wanted to find out what healthcare clinicians think about working with autistic patients with gender dysphoria. We interviewed 16 clinicians who work in healthcare services with adults and young people who are autistic and experience gender dysphoria. We recorded the interviews and carefully analysed the content to find key themes. We found that clinicians worked with patients to try and better understand their experiences of gender dysphoria. Clinicians identified features of autism that they believed were related to gender identity and dysphoria including different thinking styles, social differences, and sensory sensitivities. Clinicians noticed that autistic people spoke about their gender in different ways to non-autistic people. Clinicians tried to adapt their practice to better meet the needs of their autistic patients. These adaptations tended to focus on differences in the assessment process, for example, offering longer or shorter appointments and changing their communication style. We conclude that clinicians were offering an individualised approach to autistic patients experiencing gender dysphoria. However, these clinicians were particularly interested in working with autistic people, and so may not be representative of the wider clinician population. Clinicians working in this area should receive training on autism adaptations and the intersection of autism and gender dysphoria. En ligne : http://dx.doi.org/10.1177/13623613221080315 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=491

"I'm Proud to be a Little Bit Different": The Effects of Autistic Individuals' Perceptions of Autism and Autism Social Identity on Their Collective Self-esteem / Rosalind COOPER in Journal of Autism and Developmental Disorders, 51-2 (February 2021)  

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Phenomenology of gender dysphoria in autism: a multiperspective qualitative analysis / Kate COOPER in Journal of Child Psychology and Psychiatry, 64-2 (February 2023)  

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The experience of autistic adults accessing adapted cognitive behaviour therapy: ADEPT (Autism Depression Trial) qualitative evaluation / Jeremy HORWOOD in Research in Autism Spectrum Disorders, 86 (August 2021)  

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The feasibility of low-intensity psychological therapy for depression co-occurring with autism in adults: The Autism Depression Trial (ADEPT) - a pilot randomised controlled trial / Ailsa RUSSELL in Autism, 24-6 (August 2020)  

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The impact of a positive autism identity and autistic community solidarity on social anxiety and mental health in autistic young people / Kate COOPER in Autism, 27-3 (April 2023)  

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The lived experience of gender dysphoria in autistic adults: An interpretative phenomenological analysis / Kate COOPER in Autism, 26-4 (May 2022)  

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The Neurobiology of Fever: Thoughts on Recent Developments / Kate COOPER in Annual Review of Neuroscience, 10 (1987)

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