The major barrier in the way of competent counselling provision for people with learning disabilities is not the presence of a learning disability, but the lack of understand of the relevance of counselling by potential referrers... Sally Hodges has written for a wide range of professionals who work with people with learning disabilities, and introduces theoretical concepts in an accessible way by using clinical vignettes to illustrate each point. An introduction to theory and some time spent thinking about different life stages, personal histories, presenting problems and relationship issues will provide an invaluable introduction to the emotional worlds of people with learning disabilities.' - from the Foreword by Sheila Hollins, Professor of Psychiatry of Learning Disability, St George's Hospital Medical School, University of London. Counselling Adults with Learning Disabilities draws on a psychodynamic framework to bring toegher current ideas and thinking in an approachable and practical way. Through vivid clinical material and case examples, the book creatively illustrates how complex theories can be translated into clinical practice. Common problems are tackled and addressed within a lifespan framework, with attention given to key issues such as: - Bereavement - Abuse - Mental illness - Challenging behabiour - Sexual relationships - Relationships with peers, families and staff Additionally, given the increasing importance of evidence-based pratice, the book concludes with a review of the literature in the area of learning disabilities, and its efficacy. SALLY HODGES is a Consultant Clinical Psychologist at the Tavistock Clinic with their Learning Disabilities Service. Previously she worked for learning disabilities services in Redbridge and Plymouth.

Psychoanalytic psychotherapy is a new development in the treatment of people with learning disabilities and mental health problems, which traditionally has utilised behavioural management and limited counselling. The papers collected here have evolved from the work of the pioneering Learning Disabilities Service at the Tavistock Clinic, London, which is made up from specialised professionals from the fields of psychology, psychiatry, child and adolescent psychotherapy, adult psychotherapy and social work. The service mainly offers individual psychotherapy but also provides group work, parent work, family therapy and consultative work with professionals where necessary.

Music Therapy with Adults with Learning Disabilities explores how music therapists work in partnership with people with learning disabilities to encourage independence and empowerment and to address a wide variety of everyday issues and difficulties. Comprehensive and wide-ranging, this book describes in detail the role and work of the music therapist with adults with learning disabilities. Many clinical examples are used, including casework with people with autism, asperger’s syndrome, profound and multiple learning disabilities and a dual diagnosis of learning disability and mental health problems. The book also explores issues of team work and collaborative working, considering how music therapists and their colleagues can best work together. The chapters are grouped into four sections; an introduction to current music therapy work and policy in the area, clinical work with individuals, clinical work with groups, and collaborative and team work. Guidelines for good practice are also provided. This is a thought-provoking and topical text for all those involved in work with adults with learning disabilities; it is essential reading for music therapists and fellow professionals, carers, policy makers and students.

Intellectual Disability and Psychotherapy: The Theories, Practice and Influence of Valerie Sinason charts the transformative impact of the noted psychotherapist’s work with children and adults with intellectual disabilities upon both a generation of clinicians and the treatment and services delivered by them. Examining how contemporary Disability Therapists have discovered, used and adapted such pioneering concepts as the Handicapped Smile and Secondary Handicap as a Defence Against Trauma in their clinical work, the book includes contributions from renowned practitioners and clinicians from around the world. It shines a light on how Sinason’s work opened doors for working with people who were previously thought of as unreachable. Intellectual Disability and Psychotherapy will be an essential resource to anyone working with children or adults with disabilities, as well as psychotherapists interested in exploring Valerie Sinason’s work.

People with intellectual disabilities have emotional and mental health needs just like anyone else. Until recently however there has been little research of effective psychological treatment or direct, accessible psychotherapy provision for this client group. Intellectual Disability, Trauma and Psychotherapy focuses on the delivery of psychotherapy services for those with intellectual disabilities. Leading professionals in this specialist field are brought together to describe the history, theory and practice of their work in twelve focused chapters that draw on the work of psychotherapists including Bion, Winnicott, Sinason and Alvarez. Topics covered include: therapeutic responses to cultural and religious diversity support for parents with intellectual disabilities developing healthy and secure attachments within the family dealing with intense feelings of shame helping clients to cope with traumatic sexual experiences. Drawing on over a decade of pioneering practitioner experience at Respond – a government-funded psychotherapy service for people with learning disabilities based in central London – this book explores the practical issues in providing therapy to this client group, whether individually, in families, in groups, or by the use of telephone counselling. It closes with a chapter exploring the way forward for those who wish to develop services of this kind.

Losing a loved one and coping with the subsequent adjustments that follow are a difficult fact of life, but people with learning disabilities face specific difficulties in processing and managing these changes. Adopting an integrative approach, this book acknowledges the importance of helping relationships in supporting this vulnerable group through periods of loss and bereavement. The author explains how to engage the person with a learning disability in talking therapy by creating an open dialogue. Common signs of stress, factors to consider in assessing risk and advice on how best to approach difficult subjects are presented. The role of supervision in counselling and issues surrounding terminal illness are also discussed, and practical solutions offered. Professionals working in the field of learning disabilities, such as counsellors, therapists, carers and health and social care students will find this informed guide beneficial in communicating and supporting people with learning disabilities.

Fully revised, this new edition reviews the most up-to-date and clinically relevant information on the mental health and behavioral problems of people with intellectual, developmental and learning disabilities, also previously known as mental retardation. Providing the latest evidence base from the literature and embracing clinical experience, it covers the essential facts and concepts relating to coexisting medical and psychiatric disorders, with new and updated chapters on mental health and epilepsy, schizophrenia spectrum disorders, personality disorders, and mental health problems in people with autism and related disorders. The disorder-based chapters are complemented by chapters on carer and family perspectives, possible future developments and contributions highlighting the principles of assessment, management and services from global and historical perspectives. This is essential hands-on practical advice for psychiatrists, psychologists and all other mental health professionals including nurses, therapists, social workers, managers, service providers and commissioners.

Intellectual Disability Psychiatry is a comprehensive and accessible guide to the management of mental health problems in people with intellectual disabilities. A clear and user-friendly handbook, it will help busy healthcare professionals develop their understanding of the mental health problems of service users with intellectual disabilities. Most importantly, it will help them make an accurate diagnostic assessment and develop and implement an holistic, person-centred, evidence-based management plan. Topics covered include the classification of mental disorders in intellectual disability, the clinical assessment of specific disorders, psychological, psychopharmacological and social interventions, and the practical, legal, and social aspects of supporting service users with intellectual disability who have mental health problems.

"The editors have brought together a range of eminent contributors who present a range of issues throughout the life cycle. The book asserts that it hopes to 'assist readers to anticipate change and discontinuity in people's lives and think about strategies to support them' through the many challenges that they may face in their lives. In my view this book certainly does that and the editors and contributors are to be congratulated on the production of a relevant and contemporary text that I have no hesitation in both endorsing and recommending to all involved in supporting and or caring for people with learning disabilities." Professor Bob Gates, Project Leader - Learning Disabilities Workforce Development, NHS Education South Central, UK "The editors have gathered an authoritative faculty to present and discuss a range of contemporary issues; both practical and ethical. The text is well grounded in the lived experience of people with disability and draws on the evidence-base of contemporary science. Each chapter includes thought provoking exercises. This is a seminal text for students and practitioners, researchers and policy makers." Associate Professor Keith R. McVilly, Deakin University, Australia "I currently own a copy of the first edition and it has proved an invaluable resource time and time again. There is not an essay I complete that does not make reference to the book and I can consistently use it to reflect back on my practice as a student nurse and social worker. Having read several extracts from the new edition it does appear to include very high quality content covering learning disabilities over the lifespan ... if I were to personally recommend any book for budding or current learning disability professionals then this would be it." James Grainger, Student Nurse/Social Worker, Sheffield Hallam University, UK "I like the way it has primary and secondary information from a range of sources. The exercises in the book also get you to think about the situation in question which helps us think about our values and anti-oppressive practice ... This book really does start with the basics and having a learning disability from birth and the effects, to in depth knowledge and literature ... This book would be very helpful to me as it brings in literature policies and models from both a health and social side, which is important for my course and collaborative working." Laura Jean Lowe, Student Nurse, Sheffield Hallam University, UK "It is written with a clearly conveyed in-depth knowledge and in a way that has professional lived experience within the context of the work. The authors have taken into account the emotional, client-centred approach to the modern practitioner's practice ... The book gives a true wealth of good practice scenarios that can only help practitioners be good at what they do and aspire to be." Lee Marshall, Student Nurse, Sheffield Hallam University, UK With its spread of chapters covering key issues across the life cycle this text has established itself as the foundational primer for those studying the lived experiences of people with learning disabilities and their families, and outcomes achieved through services and support systems. Recognising learning disability as a lifelong disability, this accessible book is structured around the life cycle. The second edition is refreshed and expanded to include seven new chapters, covering: Aetiology Breaking news (about disability) and early intervention Transition to adulthood The sexual lives of women Employment Personalisation People with hidden identities With contributions from respected figures from a range of disciplines, the book draws heavily upon multidisciplinary perspectives and is based on the latest research and evidence for practice. The text is informed by medical, social and legal models of learning disability, exploring how "learning disability" is produced, reproduced and understood. Extensive use is made of real-life case studies, designed to bring theory, values, policy and practice to life. Narrative chapters describe, in the words of people with learning disabilities themselves, their lives and aspirations. They helpfully show readers the kinds of roles played by families, advocates and services in supporting people with learning disabilities. New exercises and questions have been added to encourage discussion and reflection on practice. Learning Disability is core reading for students entering health and social care professions to work with people with learning disabilities. It is a compelling reference text for practitioners as it squarely addresses the challenges facing people with learning disability, their loved ones and the people supporting them. Contributors Dawn Adams, Kathryn Almack, Dorothy Atkinson, Nigel Beail, Christine Bigby, Alison Brammer, Jacqui Brewster, Hilary Brown, Jennifer Clegg, Lesley Cogher, Helen Combes, Clare Connors, Bronach Crawley, Eric Emerson, Margaret Flynn, Linda Gething, Dan Goodley, Peter Goward, Gordon Grant, Chris Hatton, Sheila Hollins, Jane Hubert, Kelley Johnson, Gwynnyth Llewellyn, Heather McAlister, Michelle McCarthy, Alex McClimens, Roy McConkey, David McConnell, Keith McKinstrie, Fiona Mackenzie, Ghazala Mir, Ada Montgomery, Lesley Montisci, Elizabeth Murphy, Chris Oliver, Richard Parrott, Paul Ramcharan, Malcolm Richardson, Bronwyn Roberts, Philippa Russell, Kirsten Stalker, Martin Stevens, John Taylor, Irene Tuffrey-Wijne, Sally Twist, Jan Walmsley, Kate Woodcock