Attachment in Intellectual and Developmental Disability “Skillfully introduced and edited by Helen Fletcher and her colleagues, this long-needed collection of excellent chapters on attachment and disability reveals the vast wellspring of resilience that persons with disability possess – or can be helped to achieve. Readers will discover how best to support a family member, client or friend with a ‘disability’. A definitive resource for multiple disciplines, this book is surely required reading for all those working in the health professions aimed at addressing the needs of those with severe physical, mental or emotional impairments.” Professor Howard Steele, New School for Social Research “This informative, comprehensive text is unique, and is destined to become an invaluable national and international resource on attachment issues in the field of intellectual and developmental disabilities. Given the breadth and depth of this book, practitioners can use it both as a guide in practice and as a resource for research purposes. Both the editors and contributors are to be congratulated for introducing attachment theory to a wider audience, who will all, I am sure, appreciate the centrality and importance of this theoretical framework to their everyday practice.” Professor Bob Gates, University of West London This title in The Wiley Series in Clinical Psychology is the first to explore the role of attachment theory in understanding and helping children and adults with intellectual and developmental disabilities (IDD). There is a growing evidence base of interventions for IDD underpinned by attachment theory, including direct intervention and the application of attachment theory to understand the interactions and relationships that occur between individuals with IDD and those who support them. Attachment in Intellectual and Developmental Disability brings together leading clinicians and researchers to present and integrate cutting-edge models and approaches that have previously been accessible only to specialists. They discuss the role of attachment theory in clinical practice when working across the lifespan of people with IDD, the theoretical basis of attachment difficulties, and how these difficulties are presented. They also discuss practical approaches to assessment and intervention, using clear case studies to illustrate the applications of attachment theory to clinical work.

Attachment in Intellectual and Developmental Disability: A Clinician’s Guide to Practice and Research is the first book to explore the clinical difficulties associated with attachment relationships in people with intellectual and developmental disabilities. Draws together knowledge from disparate sources in a definitive new resource for clinicians working in this area A growing body of evidence-based approaches in this area are underpinned by attachment theory, including direct intervention and the use of attachment theory to understand interactions and relationships Presents and integrates cutting-edge models and approaches that have previously been available only to specialists Written by mainstream practitioners who are active in clinical work and research; focused on real-world applications, with illustrative case examples throughout

Using a developmental perspective, the authors offer a new, integrated model for supporting people with intellectual disability (ID). This concept builds upon recent advances in attachment informed approaches, by drawing upon a broader understanding of the social, emotional, and cognitive competencies of people with ID, which is grounded in developmental neuroscience and psychology. The book explores in detail how challenging behaviour and mental health difficulties in people with ID arise when their basic emotional needs are not being met by those in theenvironment. Using individually tailored interventions, which complement existing models of care, practitioners can help to facilitate maturational processes and reduce behaviour that is challenging to others. As a result, the "fit" of a person within his or her individual environment can be improved. Case examples throughout the book illuminate how this approach works by targeting interventions towards the person's stage of emotional development.This book will be of interest to a wide range of professionals working with people with ID, including: clinical psychologists, psychiatrists, occupational therapists, learning disability nurses, speech and language therapists, and teachers in special education settings, as well as parents and caregivers.

This book gathers together recent international research in intellectual disability (ID), examining the diverse modes of existence that characterise living with intellectual disabilities in the 21st century. Ranging from people with no speech and little mobility who need 24-hour care, to people who marry or hold down jobs, this book moves beyond the typical person with ID imagined by public policy: healthy, with mild ID and a supportive family, and living in a welcoming community. The book is divided into three sections. The first, ‘A richer picture of people and relationships’, expands our understanding of different people and lifestyles associated with ID. The second section, ‘Where current policies fall short’, finds that Supported Living provides just as 'mediocre' a form of care as group homes, and concludes that services for people with challenging behaviour are unrelated to need. The contributors’ research identifies no effective employment support strategies, as well as technological and legal changes that prevent organisations from employing people with ID. With nearly a quarter of this population in poor health, the contributors reflect on whether ‘social model’ approaches should be allowed to trump medical considerations. The third section, ‘New thinking about well-being’, reveals that being old, poor, and living alone increases health risk, and that medication administration is significantly more complex for people with ID. Moving beyond 20th century certainties surrounding intellectual disability, this book will be of interest to those studying contemporary issues facing those living with ID, as well as those studying public health policy more widely. The chapters in this book were originally published in issues of the Journal of Intellectual & Developmental Disability.

Even though you can't see them, we all have feelings. Some feelings are fluffy and make us feel good. Some are sharp and make us unhappy. Sometimes we have fluffy and sharp feelings at the same time! It's ok to have different types of feelings, but there are some things we can do to let the sharp feelings out when they get too big, or when we have too many. This picture book is ideal for children aged 5-10 to help them understand why they might experience different emotions, and what they can do to help them manage their emotions in a positive way. Written in simple language, this book will be an excellent tool for any child who finds it difficult to understand their emotions, particularly those with attachment difficulties, or a learning or developmental disability.

We know considerably more about persons with intellectual disability than we did even a decade ago. Seeking to improve and increase upon this knowledge, this book provides a map to continue sophisticated and precise research, to inspire professionals involved with intellectual disability, and to better the lives of persons affected by it.

"Nine central issues relevant to attachment theory and research constitute this volume: Defining attachment and attachment security, Measuring the security of attachment, The nature and functioning of internal working models, Stability and change in attachment security, Influence of early attachment, Culture and attachment, Separation and loss, Attachment-based interventions, and Attachment, systems, and services. This is a time of widening interest in attachment theory, and this book exists alongside others that provide perspective on the field as a whole. The authors of these chapters have synthesized their views into fresh perspectives that, juxtaposed with others addressing the same questions, offer novel and useful insights into the current status of attachment theory and research, and perspective on its future"--

The first international, cross-disciplinary book to explore and understand the lives of parents with intellectual disabilities, their children, and the systems and services they encounter Presents a unique, pan-disciplinary overview of this growing field of study Offers a human rights approach to disability and family life Informed by the newly adopted UN Convention on the Rights of Persons with Disabilities (2006) Provides comprehensive research-based knowledge from leading figures in the field of intellectual disability

Much has been written about cognitive development in those who are cognitively impaired. Much is written about attachment for people who don't have disabilities. Yet people with disabilities have suffered discrimination and neglect of their emotional needs, perhaps because the pain of difference cannot be tolerated, perhaps because of lack of will or lack of knowledge. This book aims to help to fill the knowledge gap and to encourage others to overcome their resistance to facing the pain, and will be an important contribution to our understanding of the world of disability and emotional deprivation. In this book - a result of over twenty years experience with people who have disabilities and additional distress as a result of traumatic life experiences - an attempt is made to bring together what we know about early emotional development and the consequences of failure to provide an emotionally nurturing experience, and the results are then applied to people with disabilities.

This book covers a curriculum of topics for treating patients with co-occurring intellectual disabilities and mental illness, better known as dual diagnosis (DD). Though these patients represent approximately three percent of the population, they are largely underserved due to a huge gap in the literature and limited training on this topic among non-psychiatric practitioners. They are often medically fragile and have co-occurring seizure disorders and other neurologic conditions, frequently presenting to psychiatrists with behavior problems when in fact they have undiagnosed, under-diagnosed or undertreated medical conditions. A medical professional who is not trained to spot the nuanced symptoms can therefore be unprepared to work with such patients. They may misdiagnose, inappropriately prescribe medications, and fail to employ the best practices as a result. This is particularly problematic because such patients often function at significantly higher levels when accurately diagnosed and appropriately treated. Written by experts in the field, this text covers the psychiatric and medical assessment of DD patients, neurologic conditions, interviewing techniques, medications, and other topics that DD patients may present with. The book also covers a myriad of other issues surrounding DD patients that physicians often struggle with, including DD patients at the interface of the legal system, human rights concerns, tips for working with families and caregivers, and general ethical considerations. The text is specifically designed for physicians who may need quick access to information in either print or digital form. Each chapter opens with case vignettes to easily demonstrate each particular scenario and is followed up with concise, practical information. All chapters include tables that summarize the clinical pearls as well as the DSM-5 and DM-ID diagnostic criteria that is most vital to care, making this an excellent resource in both the classroom and in a treatment setting. This book offers a pathway to accurate diagnosis and treatment, leaving psychiatrists and trainees better prepared to offer the full range of mental health treatment for their dual diagnosis patients.