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Epidemiology of self-injurious behaviour in adults with learning disabilities
- Authors:
- COLLACOTT Richard A., et al
- Journal article citation:
- British Journal of Psychiatry, 173, November 1998, pp.428-432.
- Publisher:
- Cambridge University Press
There have been few epidemiological studies of the disabling and poorly understood disorder self-injurious behaviour among adults with learning disabilities. Reports on a study examining the prevalence and associated features of self-injurious behaviour among people with learning disabilities living within Leicestershire. Concludes that self-injurious behaviour is a prevalent and disabling disorder among adults with learning disabilities.
Specific factors in assessing and intervening in cases of self-injury by people with autistic conditions
- Authors:
- HARE D.J., LEADBEATER C.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 2(2), June 1998, pp.60-65.
Self-injurious behaviour presents a serious challenge to those working with people with learning disabilities. Several models have been advanced to account for the occurrence of the behaviours and offer methods for intervention. This article examines self-injurious behaviour as exhibited by people with learning disabilities and autistic conditions. A number of autism-specific factors are put forward for staff to consider when analysing and intervening with such behaviours.
Psychological interventions in self-injurious behaviour
- Authors:
- HALLIDAY Sabrina, MACKRELL Kelvin
- Journal article citation:
- British Journal of Psychiatry, 172, May 1998, pp.395-400.
- Publisher:
- Cambridge University Press
Psychological approaches to working with people with learning disabilities who self-injure have developed over the past 30 years. In this article the major literature is reviewed and an ecological framework is described which emphasises the importance of environmental, interpersonal and intrapersonal dynamics to understanding the multi-factorial nature of self-injury. Case examples are given. Concludes that persistence of self-injurious behaviour once established, requires an interdisciplinary approach which addresses comprehensively the variety of factors which have contributed to the development and maintenance of self-injury.
Self-injurious behaviour as part of genetic syndromes
- Author:
- DEB Shoumitro
- Journal article citation:
- British Journal of Psychiatry, 172, May 1998, pp.385-388.
- Publisher:
- Cambridge University Press
Reviews the association between genetic syndromes and self-injurious behaviour. Collates and presents the information available on the subject of self-injurious behaviours and genetic syndromes with a critical appraisal. Finds that self-injurious behaviours are associated with some genetic syndromes. However, the causal relationship between the genetic syndromes and the self-injurious behaviour remains far from clear.
What is a therapeutic community?
- Author:
- WHITWELL John
- Journal article citation:
- Emotional and Behavioural Difficulties, 3(1), Spring 1998, pp.12-19.
- Publisher:
- Taylor and Francis
Summarises the principles on which therapeutic communities are based, drawing on relevant literature and the first experience of the author who is head of a therapeutic community.
Assessment and treatment of self-injury with a man with a profound learning disability
- Authors:
- CARSON Gerry, CLARE Isabel C.H., MURPHY Glynis H.
- Journal article citation:
- British Journal of Learning Disabilities, 26(2), 1998, pp.51-57.
- Publisher:
- Wiley
Despite developments in the research literature on the functional analysis of self-injury, relatively few accounts are available of its application to clinical practice with adults living in ordinary health and social care settings. Describes work with a man with a profound learning disability, very limited skills, and chronic self-injurious behaviour, living in a barren long-stay hospital. Functional analysis identified physical discomfort, lack of sensory stimulation, and social/physical isolation as factors contributing to his self injury. The outcome illustrates the importance of competent social care provision in supporting any benefits through intensive assessment and treatment.