PILOT STUDY ON THE USE OF DIXIT CARDS WITH YOUNG ADULTS WITHMILD INTELLECTUAL DISABILITIES: EFFECTS IN COMPLIANCE, VERBALIZATION, ANXIETY, AND AGGRESSION

Marianna Vaccaro, Ronc Sylviane, Kelly MacMillan, Miriam Galloro, Monica Agnesone, Teresa Iona

Abstract


Play holds a crucial role in psychotherapy, supporting self-awareness, social skills, and emotional regulation. This study examined the use of Dixit cards with 25 young adults (18–30) with mild intellectual disability over eight weekly sessions. Results showed improved therapeutic engagement and communication, and reduced anxiety and aggression, highlighting the value of play-based, imaginative approaches.


Keywords


Intellectual disability; compliance; communication skills; anxiety; dixit

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References


American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Barkham, M., Margison, F., Leach, C., Lucock, M., Mellor-Clark, J., Evans, C., Benson, L., Connell, J., Audin, K., & McGrath, G. (2001). Service profiling and outcomes benchmarking using the CORE-OM: Toward practice-based evidence in the psychological therapies. Journal of Consulting and Clinical Psychology, 69(2), 184–196. https://doi.org/10.1037/0022-006X.69.2.184

Barkham, M., Mellor-Clark, J., Connell, J., & Cahill, J. (2005). A core approach to practice-based evidence: A brief history of the origins and applications of the CORE-OM and CORE System. Counselling and Psychotherapy Research, 5(1), 3–15. https://doi.org/10.1080/14733140512331343887

Barone, M., Lanza, A., Cupini, A., Damicis, M., Marroni, F., & Massimi, S. (2019). L’oggetto Dixit nella pratica clinica: uno strumento analogico al servizio della co-costruzione. Ecologia della mente, vol. 42, n. 2

Bettelheim, B. (1976). Il mondo incantato: uso, importanza e significati psicoanalitici delle fiabe. Milano: Feltrinelli.

CORE System Group. (1998). CORE System Manual. Leeds, UK: CORE System Trust.

D'Eugenio, I. (2023). L'autoregolazione emotiva nell'attività ludica: un potenziale educativo e terapeutico in situazioni emergenziali [Tesi di laurea, Università degli Studi dell'Aquila].

Evans, C., Connell, J., Barkham, M., Margison, F., McGrath, G., Mellor-Clark, J., & Audin, K. (2000). Towards a standardised brief outcome measure: Psychometric properties and utility of the CORE–OM. British Journal of Psychiatry, 177(1), 51–60. https://doi.org/10.1192/bjp.177.1.51

Evans, C., Mellor-Clark, J., Margison, F., Barkham, M., Audin, K., Connell, J., & McGrath, G. (2003). CORE: Clinical Outcomes in Routine Evaluation. Journal of Mental Health, 12(3), 247–255. https://doi.org/10.1080/09638230310001506869

Geraci, M. A., Argento, O., & Pergolizzi, F. (2024). Questionario sull’uso del gioco nella pratica clinica con un campione di psicologi italiani. Psicologia clinica dello sviluppo, 28(1), 145-158.

Ghannadpour, J., & Koo, S. (2018). A narrative review on aggression in children and adolescents: Anthropology, developmental phenomenology, and clinical implications. Current Psychiatry Reviews, 14(3), 200–209. https://doi.org/10.2174/1573400514666180807120115

Giannotti, M., & Vitale, S. (2023). Interventi educativi e terapeutici nelle disabilità intellettive. Editore: Franco Angeli.

Grazzani, I., & Ornaghi, V. (2007). La narrazione delle emozioni in adolescenza: Contributi di ricerca e implicazioni educative. Milano: McGraw-Hill.

Howard, K. I., Moras, K., Brill, P. L., Martinovich, Z., & Lutz, W. (1993). Evaluation of psychotherapy: Efficacy, effectiveness, and patient progress. American Psychologist, 48(12), 1059–1064. https://doi.org/10.1037/0003-066X.48.12.1059

Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. https://doi.org/10.1037/0022-006X.59.1.12

Molteni, M., Gensini, F., & Milone, A. (2005). TAC – Test di Abilità Comunicative. Manuale per la valutazione delle abilità comunicative nei bambini. Milano: Unicopli.

O'Connor, K. J., & Schaefer, C. E. (Eds.). (1994). Handbook of Play Therapy, Advances and Innovations. John Wiley & Sons.

Oaklander, V. (2021). Il gioco che guarisce: Teoria e pratiche di psicoterapia con bambini e adolescenti. Edizioni La Meridiana.

Palladino, P., & Rossi, F. (2021). L’approccio ludico nella disabilità intellettiva. Rivista di Psicomotricità, 35(2), 45-60.

Pugatch, M., Blum, N. J., Barbaresi, W. J., Rowe, J., Berna, M., Hennigan, S., Giovanelli, A., Penilla, C., Tebb, K. P., Mott, M., Kumaran, V., Buckelew, S., Lester, J. C., & Ozer, E. (2024). Engagement of adolescents with ADHD in a narrative-centered game-based behavior change environment to reduce alcohol use. Frontiers in Education, 8, 1183994. https://doi.org/10.3389/feduc.2023.1183994

Rodari, G. (1997). Grammatica della fantasia: Introduzione all’arte di inventare storie. Torino: Einaudi. (Opera originale pubblicata nel 1973)

Roubira, J.-L. (2008). Dixit: un outil d’expression libre. Libellud.

Semi, A. A. (1985). Tecnica del colloquio. Raffaello Cortina Editore.

Schalock, R. L., Luckasson, R., & Shogren, K. A. (2010). Intellectual Disability: Definition, Classification, and Systems of Supports (11th ed.). Washington, DC: AAIDD.

Spielberger, C. D., et al. (1989). Inventario per l’Ansia di Stato e di Tratto – STAI: Forma Y. Manuale. Trad. e adatt. di Lazzari, R. & Pancheri, P. Firenze: Organizzazioni Speciali.

Spielberger, C. D. (1999). State-Trait Anger Expression Inventory–2 (STAXI-2): Manuale. Adattamento italiano a cura di A. L. Comunian. Giunti OS.

Tavakoli, S., Abbasi, F., Heydari, B., & Akhondzadeh, M. (2024). Comparing the effectiveness of cognitive behavioral play therapy and Gestalt play therapy on vandalistic behaviors, impulsivity, and cognitive flexibility in aggressive male elementary students. Journal of Assessment and Research in Applied Counseling, 6(3), 28–36. https://doi.org/10.61838/kman.jarac.6.3.4

Vesentini, A. (2020). La narrazione come strumento per lo sviluppo emotivo in adolescenza. Tesi di laurea triennale, Università degli Studi di Padova, Dipartimento di Filosofia, Sociologia, Pedagogia e Psicologia Applicata (FISPPA).

Votta, M. (2021). L’uso della metafora in psicologia: La fiaba. Mondadori.

Winnicott, D. W. (1974). Gioco e realtà. Roma: Armando.

World Health Organization. (2019). International Classification of Diseases 11th Revision (ICD-11). Disponibile su: https://icd.who.int/




DOI: https://doi.org/10.32043/gsd.v9i4.1648

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