Stewart L. Einfeld
Publisher: Cambridge University Press
Print Publication Year: 2011
Online Publication Date:May 2011
Chapter DOI: http://dx.doi.org/10.1017/CBO9780511861178.001
Subjects: Psychiatry and Clinical Psychology
Around 0.1% of people have a severe intellectual disability and also engage in ‘challenging’ behaviours such as aggression, self-injury and destructiveness. This combination of severe intellectual and behavioural disabilities can significantly limit the life experiences of the person themselves and can place the health, safety and welfare of those who support them in jeopardy. They also represent a significant challenge to organizations involved in providing educational, health and welfare supports for people with intellectual disabilities.
Over the past four decades we have learned much about the nature of challenging behaviours and have developed approaches to support and intervention that have been shown to be effective, for some people, in bringing about rapid and socially significant reductions in challenging behaviour. The primary aim of this book is to provide a concise overview of this body of knowledge. This is not, however, a ‘how-to-do-it’ book. Instead, it will focus on describing developments in knowledge that have important implications for practice. A range of alternative texts are available for those seeking detailed instructions for carrying out intervention programmes (Ball et al., 2004; Clements and Zarkowska, 2000; Luiselli, 2006; McLean and Grey, 2007; Sigafoos et al., 2003; Thompson, 2008; Woodward et al., 2007).
Virtually all of the studies mentioned in this book have been undertaken in one of the world's richer countries, and more often than not in one of the world's richer English-speaking countries.