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

'Autism is the Arena and OCD is the Lion': Autistic adults' experiences of co-occurring obsessive-compulsive disorder and repetitive restricted behaviours and interests / Hannah LONG in Autism, 28-11 (November 2024)  

Public ISBD [article]  inAutism > 28-11 (November 2024) . - p.2897 - 2908 Titre : 'Autism is the Arena and OCD is the Lion': Autistic adults' experiences of co-occurring obsessive-compulsive disorder and repetitive restricted behaviours and interests Type de document : Texte imprimé et/ou numérique Auteurs : Hannah LONG, Auteur ; Kate COOPER, Auteur ; Ailsa RUSSELL, Auteur Article en page(s) : p.2897 - 2908 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  obsessive-compulsive disorder  repetitive behaviours and interests Index. décimale : PER Périodiques Résumé : Obsessive-compulsive disorder commonly co-occurs with autism. Research characterising the interplay between restricted, repetitive behaviours, activities and interests related to autism and obsessive-compulsive disorder symptoms has used theory-driven, bottom-up methodology. This study aimed to interview autistic adults about the subjective experience of differentiating between these phenomena. Semi-structured interviews were conducted with 15 autistic adults experiencing obsessive-compulsive disorder symptoms and repetitive behaviours, activities and interest. Transcripts were analysed using reflexive thematic analysis from a critical-realist, inductive orientation. Three overarching themes are presented. Participants viewed repetitive behaviours, activities and interest as intrinsic to their identity, while obsessive-compulsive disorder remained ego-dystonic and a perpetuator of anxiety. Conversely, repetitive behaviours, activities and interest was present across various emotions, often serving as a method to manage anxiety. Routinised behaviours and focused interests were considered by participants to be vulnerable to obsessive-compulsive disorder exploitation. Although participants reported masking both phenomena, the methods and motivations to mask differed. This research demonstrates the importance of delineating these experiences, with suggestions offered in how to explore this with autistic clients. Future research could explore narratives of masking obsessive-compulsive disorder across autistic and non-autistic people and investigate simultaneous co-occurrence of obsessive-compulsive disorder and repetitive behaviours, activities and interest; including how focused interests may influence obsessive-compulsive disorder and how repetitive routines may be intensified by obsessive-compulsive disorder. Lay Abstract Repetitive behaviours and interests are a hallmark feature of autism. It is very common for autistic people to experience mental health difficulties, such as obsessive-compulsive disorder. Previous research has investigated similarities and differences between obsessive-compulsive disorder symptoms and repetitive behaviours in autism through questionnaires and observation studies. This is the first study to interview autistic adults about their personal experiences of differentiating between obsessive-compulsive disorder symptoms and repetitive behaviours related to autism. We interviewed 15 autistic adults who experience obsessive-compulsive disorder symptoms. We recorded these interviews and carefully analysed these to find themes. We found some differences between repetitive behaviours and obsessive-compulsive disorder. Participants said repetitive behaviours are part of who they are and what they want to be doing, whereas obsessive-compulsive disorder symptoms conflicted with how they view themselves. Obsessive-compulsive disorder was said to cause negative emotions, while participants said they experience lots of different emotions when doing repetitive behaviours. A similarity participants reported was trying to stop themselves from doing obsessive-compulsive disorder symptoms and repetitive behaviours that other people can see. There was also overlap between obsessive-compulsive disorder and repetitive behaviours. Participants talked about experiences when obsessive-compulsive disorder would take over routines and make them feel more intense and negative. Also, participants' special interests were sometimes connected to the obsessions they experienced. We conclude that clinicians can use these findings to support conversations with autistic clients in differentiating between repetitive behaviours and obsessive-compulsive disorder symptoms. We also think that further research investigating how obsessive-compulsive disorder symptoms might be hidden by autistic and typically developing people is needed. En ligne : https://dx.doi.org/10.1177/13623613241251512 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537 [article] 'Autism is the Arena and OCD is the Lion': Autistic adults' experiences of co-occurring obsessive-compulsive disorder and repetitive restricted behaviours and interests [Texte imprimé et/ou numérique] / Hannah LONG, Auteur ; Kate COOPER, Auteur ; Ailsa RUSSELL, Auteur . - p.2897 - 2908. Langues : Anglais (eng) in Autism > 28-11 (November 2024) . - p.2897 - 2908 Mots-clés : autism spectrum disorders  obsessive-compulsive disorder  repetitive behaviours and interests Index. décimale : PER Périodiques Résumé : Obsessive-compulsive disorder commonly co-occurs with autism. Research characterising the interplay between restricted, repetitive behaviours, activities and interests related to autism and obsessive-compulsive disorder symptoms has used theory-driven, bottom-up methodology. This study aimed to interview autistic adults about the subjective experience of differentiating between these phenomena. Semi-structured interviews were conducted with 15 autistic adults experiencing obsessive-compulsive disorder symptoms and repetitive behaviours, activities and interest. Transcripts were analysed using reflexive thematic analysis from a critical-realist, inductive orientation. Three overarching themes are presented. Participants viewed repetitive behaviours, activities and interest as intrinsic to their identity, while obsessive-compulsive disorder remained ego-dystonic and a perpetuator of anxiety. Conversely, repetitive behaviours, activities and interest was present across various emotions, often serving as a method to manage anxiety. Routinised behaviours and focused interests were considered by participants to be vulnerable to obsessive-compulsive disorder exploitation. Although participants reported masking both phenomena, the methods and motivations to mask differed. This research demonstrates the importance of delineating these experiences, with suggestions offered in how to explore this with autistic clients. Future research could explore narratives of masking obsessive-compulsive disorder across autistic and non-autistic people and investigate simultaneous co-occurrence of obsessive-compulsive disorder and repetitive behaviours, activities and interest; including how focused interests may influence obsessive-compulsive disorder and how repetitive routines may be intensified by obsessive-compulsive disorder. Lay Abstract Repetitive behaviours and interests are a hallmark feature of autism. It is very common for autistic people to experience mental health difficulties, such as obsessive-compulsive disorder. Previous research has investigated similarities and differences between obsessive-compulsive disorder symptoms and repetitive behaviours in autism through questionnaires and observation studies. This is the first study to interview autistic adults about their personal experiences of differentiating between obsessive-compulsive disorder symptoms and repetitive behaviours related to autism. We interviewed 15 autistic adults who experience obsessive-compulsive disorder symptoms. We recorded these interviews and carefully analysed these to find themes. We found some differences between repetitive behaviours and obsessive-compulsive disorder. Participants said repetitive behaviours are part of who they are and what they want to be doing, whereas obsessive-compulsive disorder symptoms conflicted with how they view themselves. Obsessive-compulsive disorder was said to cause negative emotions, while participants said they experience lots of different emotions when doing repetitive behaviours. A similarity participants reported was trying to stop themselves from doing obsessive-compulsive disorder symptoms and repetitive behaviours that other people can see. There was also overlap between obsessive-compulsive disorder and repetitive behaviours. Participants talked about experiences when obsessive-compulsive disorder would take over routines and make them feel more intense and negative. Also, participants' special interests were sometimes connected to the obsessions they experienced. We conclude that clinicians can use these findings to support conversations with autistic clients in differentiating between repetitive behaviours and obsessive-compulsive disorder symptoms. We also think that further research investigating how obsessive-compulsive disorder symptoms might be hidden by autistic and typically developing people is needed. En ligne : https://dx.doi.org/10.1177/13623613241251512 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537

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)  

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"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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Insistence on sameness, repetitive negative thinking and mental health in autistic and non-autistic adults / Kate COOPER ; Ailsa RUSSELL in Autism, 29-2 (February 2025)  

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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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