“I Don’t Feel Alone in This”

Rabbit Assisted Compassion Focussed Therapy for People with Disabilities

Authors

  • Charlotte M. Højholdt
  • Camilla W. Sondrup
  • Steffi G. Larsen
  • Tia G.B. Hansen

DOI:

https://doi.org/10.7146/pl.v46i1.157801

Keywords:

animal assisted therapy, animal assisted services, rabbits, intervention manual

Abstract

People with moderate to severe functional impairment may experience shame, self-criticism and isolation, but few psychotherapeutic opportunities are available for this population. Compassion-based therapies facilitate kindness towards one’s own challenges and thus counteract shame and isolation but may be too demanding for people with cognitive impairments. Animals
may facilitate support, allow pleasant projections and mediate contact between people, all without much cognitive demand. However, this must be integrated with an actual form of therapy if it is to provide genuine therapeutic benefits. We developed a Rabbit Assisted Compassion Focussed Therapy (RA-CFT) for this population and implemented it in small group settings to further facilitate cohesion and community. This article introduces the main elements of the therapeutic manual, which includes population-adapted tools and eight weekly sessions whose main content is listed. We then summarise from a case study while focussing on participant statements that indicate the formation of a community with and around the rabbits and the therapy. We conclude that RA-CFT is a promising form of therapy for this population but requires sufficient knowledge of both rabbits and the therapeutic elements.

References

American Psychological Association (APA) (2017). Ethical principles of psychologists and code of conduct. Section 8: Research and Publication. https://www.apa.org/ethics/code#section-8

Ashworth, F., Clarke, A., Jones, L., Jennings, C. & Longworth, C. (2015). An exploration of compassion focused therapy following acquired brain injury. Psychology and Psychotherapy: Theory, Research and Practice, 88(2), 143-162. https://doi.org/10.1111/papt.12037

Beetz, A.M. (2017). Theories and possible processes of action in animal assisted interventions. Applied Developmental Science, 21(2), 139-149. https://doi.org/10.1080/10888691.2016.1262263

Chandler, C.K. (2017). Animal-assisted therapy in counseling (3rd ed.). Routledge. https://doi.org/10.4324/9781315673042

Chandler, C.K. (2018). Human-animal relational theory: a guide for animal-assisted counseling. Journal of Creativity in Mental Health, 13(4), 429-444. https://doi.org/10.1080/15401383.2018.1486258

Craig, C., Hiskey, S., Royan, L., Poz, R. & Spector, A. (2018). Compassion focused therapy for people with dementia: a feasibility study. International Journal of Geriatric Psychiatry, 33(12), 1727-1735. https://doi.org/10.1002/gps.4977

Craig, C., Hiskey, S. & Spector, A. (2020). Compassion focused therapy: a systematic review of its effectiveness and acceptability in clinical populations. Neurotherapeutics, 20(4), 385-400. https://doi.org/10.1080/14737175.2020.1746184

Damgaard, M., Steffensen, T. & Bengtsson, S. (2013). Hverdagsliv og levevilkår for mennesker med funktionsnedsættelser. Rapport, SFI – Det Nationale Forskningscenter for Velfærd. https://www.vive.dk/da/udgivelser/hverdagsliv-og-levevilkaar-for-mennesker-med-funktionsnedsaettelse-4xkr01vr/

Dansk Psykolog Forening (2022). Etiske principper for nordiske psykologer. https://www.dp.dk/wp-content/uploads/2022/11/EtiskePrincipper.s.27-32fraDPRegelsaet-2021-24.pdf

Datatilsynet (2024). https://www.datatilsynet.dk/

Duncan, B.L., Miller, S.D., Sparks, J.A., Claud, D.A., Reynolds, L.R., Brown, J. & Johnson, L.D. (2003). The session rating scale: preliminary psychometric properties of a “working” alliance measure. Journal of Brief Therapy, 3(1), 3-12.

Fine, A.H. & Beck, A.M. (2019). Understanding our kinship with animals: input for health care professionals interested in the human-animal bond. I: A. Fine (red.), Handbook on animal-assisted therapy (5th ed., s. 3-9). Academic Press. https://doi.org/10.1016/C2017-0-03315-3

Fournier, A., Letson, E. & Berry, T. (2017). HAIS: Human-Animal Interaction Scale: forms & manual. https://www.researchgate.net/publication/312371308_HAIS_The_Human-Animal_Interaction_Scale_Manual

Germer, C.K. & Neff, K.D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856-867. https://doi.org/10.1002/jclp.22021

Gilbert, P. & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13(6), 353-379. https://doi.org/10.1002/cpp.507

Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15(3), 199-208. https://doi.org/10.1192/apt.bp.107.005264

Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6-41. https://doi.org/10.1111/bjc.12043

Glintborg, C. (2014). En hunds betydning for mennesker med en erhvervet hjerneskade. To cases. Psyke & Logos, 34(2), 102-122. https://doi.org/10.7146/pl.v35i2.22364

Hansen, T.G.B. & Thodberg, K. (2014). Aktuelle perspektiver på menneskers forhold til dyr – en dansk introduktion. Psyke & Logos, 35(2), 17-34. https://doi.org/10.7146/pl.v35i2.22359

Hediger, K., Thommen, S., Wagner, C., Gaab, J. & Hund-Georgiadis, M. (2019). Effects of animal-assisted therapy on social behaviour in patients with acquired brain injury: a randomised controlled trial. Scientific Reports, 9, 5831. https://doi.org/10.1038/s41598-019-42280-0

Hjerneskadeforeningen (u.å.). Hjerneskader i tal. [Tal fra Sundhedsdatastyrelsens dataopgørelse for voksne med erhvervet hjerneskade, 2020]. https://hjerneskadet.dk/viden-om-hjerneskade/hjerneskader-i-tal/

Højholdt, C.M., Larsen, S.G. & Sondrup, C. (2024a). Kaninassisteret Compassionfokuseret Terapi – KA-CFT – Et eksplorativt casestudie der undersøger effekten af KACFT for en borgergruppe med funktionsnedsættelse. Speciale, Aalborg Universitet.

Højholdt, C.M., Larsen, S.G. & Sondrup, C. (2024b), Effekten af kaninassisteret compassionfokuseret terapi. Poster præsenteret ved Netværkskonference, Aalborg Universitet, 13. juni 2024. https://prod-aaudxp-cms-001-app.azurewebsites.net/media/xe2mgho2/ka-cft_poster_2024.jpg

IAHAIO (2018). IAHAIO-definitioner af dyreassisteret intervention og retningslinjer for velfærd hos de dyr, der indgår. International Association for Human-Animal Interaction Organizations. https://iahaio.org/wp/wp-content/uploads/2021/09/iahaio-white-paper-danish.pdf

Julius, H., Beetz, A., Kotrschal, K., Turner, D. & Uvnäs-Moberg, K. (2013). Attachment to pets: an integrative view of human – animal relationships with implications for therapeutic practice. Hogrefe Publishing.

Kogan, L. & Erdman, P. (red.) (2021). Career paths in human-animal interaction for social and behavioral scientists. Routledge.

Kunzendorf, I.T., Hansen, T. & Glintborg, C. (2023). Anvendelser af menneske-dyrinteraktion. En introduktion. Psyke & Logos, 44(2), 5-11. https://doi.org/10.7146/pl.v44i2.151586

Loukaki, K., Koukoutsakis, P. & Kostomitsopoulos, N. (2010). Animal welfare issues on the use of rabbits in an animal assisted therapy program for children. Journal of the Hellenic Veterinary Medical Society, 61(3), 220-225. https://doi.org/10.12681/jhvms.14889

Nationalt Videnscenter for Demens (2024). Funktionsnedsættelse. https://videnscenterfordemens.dk/da/forekomst-af-demens-i-danmark

Neff, K.D. (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85-101. https://doi.org/10.1080/15298860309032

Neff, K.D., Hsieh, Y.P., Dejitterat, K. (2005). Self-compassion, achievement goals, and coping with academic failure. Self and Identity, 4(3), 263-287. https://doi.org/10.1080/13576500444000317

Neff, K.D. & Tóth-Király, I (2022). Self-Compassion Scale (SCS). I: N. Oleg, O.N. Medvedev, C. U. Krägeloh, R.J. Siegert & N.N. Singh (red.), Handbook of assessment in mindfulness. Springer. https://doi.org/10.1007/978-3-030-77644-2_36-1

Otting, T. L., & Chandler, C. K. (2023, 2023/07/03). Credibility of Human-Animal Relational Theory. Journal of Creativity in Mental Health, 18(3), 317-331. https://doi.org/10.1080/15401383.2021.1987366

Parkinsonforeningen (2021). Antal af personer med Parkinson i Danmark. https://parkinson.dk/nyheder/antal-af-personer-med-parkinson/

Pauley, G. & McPherson, S. (2010). The experience and meaning of compassion and self-compassion for individuals with depression or anxiety. Psychology and Psychotherapy: Theory, Research and Practice, 83(2), 129-143 https://doi.org/10.1348/147608309X471000

Raes, F., Pommier, E., Neff, K.D. & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology & Psychotherapy, 18, 250-255. https://doi.org/10.1002/cpp.702

Rosenberg N.K., Mørch, M. & Arendt, M. (2012). Kognitive adfærdsterapi – teori og metoder. I: M. Arendt & N.K. Rosenberg (red.), Kognitiv terapi – nyeste udvikling. Hans Reitzels Forlag.

Scleroseforeningen (2020). Ny undersøgelse: Antallet af mennesker med sclerose stiger voldsomt i verden. https://www.scleroseforeningen.dk/ny-undersoegelse-antallet-afmennesker-med-sclerose-stiger-voldsomt-i-verden/

Serpell, J., McCune, S., Gee, N. & Griffin, J.A. (2017). Current challenges to research on animal-assisted interventions. Applied Developmental Science, 21(3), 223-233. https://doi.org/10.1080/10888691.2016.1262775

Součková, M., Přibylova, L., Juřcová, L. & Chaloupková, H. (2023). Behavioural reactions of rabbits during AAI sessions. Applied Animal Behaviour Science, 262, 105908. https://doi.org/10.1016/j.applanim.2023.105908

Suba-Bokodi, É, Nagy, I. & Molnár, M. (2022). Changes in the stress tolerance of dwarf rabbits in animal-assisted interventions. Applied Sciences, 12(14), 6979. https://doi.org/10.3390/app12146979

Thirstrup, N.F., Glintborg, C. & Hansen, T.G.B. (2023). Hundeassisteret psykoterapi – erfaringer fra danske psykologer. Psyke & Logos, 44(2), 12-36. https://doi.org/10.7146/pl.v44i2.151588

Thøgersen, C.M.S., Glintborg, C., Hansen, T.G.B. & Trettvik, J. (2022). Psychotherapeutic intervention for adults with acquired brain injury: a case study using BackUp. Frontiers in Rehabilitation Sciences, 3. https://doi.org/10.3389/fresc.2022.771416

Wiwe, B.L. (2006). Håndbog for pårørende til personer med hjerneskade. https://bibliotek.dk/work/pid/870970-basis:26333555?scrollToEdition=true

Yin, R.K. (2014). Case study research: design and methods (5th ed.). Sage.

Published

2025-06-25

How to Cite

Højholdt, C. M., Sondrup, C. W., Larsen, S. G., & Hansen, T. G. (2025). “I Don’t Feel Alone in This”: Rabbit Assisted Compassion Focussed Therapy for People with Disabilities. Psyke & Logos, 46(1), 181–204. https://doi.org/10.7146/pl.v46i1.157801